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SAFETY AND RISK ENGINEERING GROUPWWW.ENGR.MUN.CA/RESEARCH/SREG
Accident Modeling and Analysis in
Process Industries
Faisal Khan
Centre for Risk, Integrity & Safety Engineering (CRISE)
Faculty of Engineering & Applied Science
Memorial University, St John’s, NL, Canada
SAFETY AND RISK ENGINEERING GROUPWWW.ENGR.MUN.CA/RESEARCH/SREG
Outline
• Accident
• Accident Modelling Approaches
• SHIP Methodology
• Dynamic Risk
• Case Studies
• Conclusion
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Introduction
• Recent Process Accidents and losses
• On January 23, 2010, release of highly toxic phosgene, exposing an
operator leading to death at the DuPont facility in Belle, West.
• On April 20, 2010, a sudden explosion and fire occurred on the
BP/Transocean Deepwater Horizon oil rig. The accident resulted in the
deaths of 11 workers and caused a massive oil spill into the Gulf of
Mexico.
• On July 22, 2010, an explosion and fire killed two workers at the
Horsehead Holding Company zinc recycling facility located in Monaca, PA.
The facility recycles and purifies zinc through a high temperature
distillation process
• On January 10, 2012, blowout in KS Endeavour (Nigeria) killing two
personnel, fire and spill continued for 46 days.
• And list goes on...
Source: www.csb.gov
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Introduction
• Are these Accidents Preventable?
Yes! Most of the times.
• How?
Knowing their occurrence early
(likelihood) and taking appropriate safety
measure
Predictive Accident Modeling
(Occurrence Likelihood)
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An Accident
• Event or activity that is:
Unwanted
Uncertain
Uncontrollable
An accident in process facility caused by
process malfunction is termed as Process
Accident
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Accident Concept
Good
Bad
What we see?
What we measure/monitor
What we must Model/Predict
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Process Accident
Initiation
Propagation
Termination
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Accident Process Concept
Safe (Normal) state
Near Miss
Mishap
Incident
Accident
COUSES
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Accident Pyramid
Catastrophic Accident (0)
Accident (1)
Incident (5)
Mishap (10)
Near miss (100)
Frequency increasing
Consequence
increasing
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Accident Modeling Approaches
• Accident Models ReviewedDomino Keltz Ren’s HOF model
Loss causation Swiss cheese Kujath’s Model
FRAM Daryl's model STAMP
• Observation:
Focus on occupational accidents, and the models focusing on process hazards have been scant
Unable to present a holistic picture of system safety, and are not capable of accommodating modeling of multiple causal factors.
Descriptive models, not predictive models
Not adopted comprehensive quantification (no updating mechanism to reduce the uncertainty)
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Proposed Approach & Model
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Layers of Protection
System control
Critical Alarms
Safety instrumented
system
Passive Protection Measures
Active safety and effect
Mitigating Measures
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SHIPP Methodology-System Hazard
Identification,
Prediction and
Prevention Methodology
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Process Accident Model
Progression
Layers of protection
Initiation Termination
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Incre
asin
g
Incre
asin
g
Occurrence
frequency
Consequence
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SAFETY AND RISK ENGINEERING GROUPWWW.ENGR.MUN.CA/RESEARCH/SREG
Accident Risk Model
Unwanted Event
Basic
event
Causes
Outcome
Basic
event
Basic
event
Outcome
Outcome
Accident Risk Modeling using “Bow-tie”
diagram
Proactive Controls Reactive Controls Consequences
Fault Tree Event Tree
Accident
Risk
Safer
Accident
Risk
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Risk
Conceptual Design
• Risk
FEED • Risk
Detailed design
• Risk
Risk
Time
Risk= F{s(c, f)}
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■ Limitations:
1. Unable to capture the dynamic behavior of the process operation
2. Unable to update the quantitative results
3. Unable to take account of early into account
4. Carry significant uncertainty of quantitative estimation
5. No predictive capabilities
6. Utilize for risk assessment in early stage of process life cycle (design stage not in operational, or modification stages)
Dynamic Risk Assessment will overcome these
drawbacks
Current Risk Assessment Approach
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Dynamic Risk
Conceptual Design • Risk
FEED • Risk
Detailed design
• Risk
Installation • Risk
Operation • Risk
Dynamic
Risk
Time
Dynamic Risk= F{s(c, f),t}
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Picture cursey: Rob Rutenbar CS@Illinois
Symptoms of Accident- Accident Precursors
Rare Event
Grey Swan
Unpredictable
Event
Black Swan
Regular Failure
Statistics
White Swan
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Step 2-1
Step 1
Step 2-2
Step 2-3
Step 3
Step 3-2
Step 3-1
Step 223
Operational Risk Assessment
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Updating Mechanism
Prior probabilities
FTA)(
ixP
Likelihood probabilities
Accident precursor data
)/(i
xdataP
Bayesian Inference
)()/(
)()/(
ii
ii
xPxdataP
xPxdataP
Posterior probabilities
)/( dataxPi
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Application of Operational Risk Assessment Methods
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The accident modeling and dynamic risk assessment approach has been applied many case studies, few examples are:
1. Processing facility – BP Texas City Refinery Accident
2. LNG Facility – Liquefaction Unit
Applications of ORA
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■ Background Information■ On March 23, 2005, a series of explosions and fires at BP’s
Texas City refinery killed 15 people and injured another 180, alarmed the community, and resulted in financial losses exceeding $1.5 billion
■ There had been a number of previous events in ISOM involving hydrocarbon leaks, vapor releases, and fires
■ BP Incident investigation observed two major incidents occurred just a few weeks prior to the March 23 fatal event:
• February 2005 hydrocarbons leak
• March 2005 fire
BP Texas city Refinery Accident
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Overpressure in splitter (~63 psig) have opened the
overhead relief valves to feed directly into unit F-20
(Knockout drum with stack)
This resulted in vaporsand liquid emerging ~20ft above the top of thestack ‘like a geyser’ andrunning down andpooling around the baseof F-20)
BP Texas city Refinery Accident
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■ Step 1: Scenario identificationThree possible accident scenario states are identified.
Process upset (A), Process Shutdown (B) and Fluid release (C)
■ Step 2: Prior function calculation
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Part of the event tree of ISOM unitTotal events are 190
Prior end-state probabilities are estimated based on prior failure probability of safety barrier
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■ Step 3: Formation of Likelihood function
■ Likelihood function is formulated based on accident precursor data■ Based on conjugate property, Likelihood function is taken as binomial
distribution
k
kiki
SBi
iik xxcP ,, 1)1()()(
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■ Step 4: Risk Estimation and Perdition
Years Probability of Release
Linear Hazard Model
Probability of Release
Poisson Process
Discrete Cumulative Discrete Cumulative
1 0.0003 3.00×10-4 8.00×10-4 8.00×10-4
2 0.0003 6.00×10-4 8.00×10-4 1.60×10-3
3 0.0003 9.00×10-4 8.00×10-4 2.40×10-3
4 0.0011 2.00×10-3 1.60×10-3 4.00×10-3
5 0.0035 5.50×10-3 3.99×10-3 7.99×10-3
6 0.0043 9.80×10-3 4.79×10-3 1.28×10-2
7 0.0051 1.49×10-2 5.58×10-3 1.84×10-2
11 0.0083 2.32×10-2 8.76×10-3 2.71×10-2
2004
12 0.0091 3.23×10-2 9.55×10-3 3.67×10-22005 Predictive results based on 2004
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Accident Modeling and Dynamic risk
estimation of Liquefaction unit
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Acid gas
removal unit
Natural
gas
HP C3
Dehydration
unit
Mercury
removal unit
HP C3 MP C3
Heavy gas
removal unit
LP C3
Fractionation
unit
Condensate
storage
HCHE
Compressor
HP C3LP C3 MP C3
End flash
unitLNG expander
LNG storage
Fuel gas expander
Fuel gas
Upstream Processing
Purification
Liquefied and Sub-cooled
Downstream and
Storage
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Accident Scenario Analysis
No Date Scenarios Severity Level
1 04.Jan 09 Steam hammering in the low pressure steam line caused a
valve stem cover for a gear operated gate valve to loosen
and fall approximately 15 m to the ground
Near miss
2 12.Jan 09 Upper master valve did not close as required during train
three depressurization
Safe
3 13.Jan 09 Inadvertent flaring due to wrong opening of pressure
control valve on flare line
Near miss
4 14.Jan 09 Gland leak from level control valve when open flame job
was in progress inside low pressure knock-out-drum
Incident
5 15.Jan 09 Inadvertent flaring due to wrong opening of pressure
control valve on flare line
Near miss
6 19.Jan 09 Flame noticed from main combustion chamber of sulphur
recovery unit top side
Mishap
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Release
Prevention
Barrier
(RPB)
Dispersion
Prevention
Barrier
(DPB)
Ignition
Prevention
Barrier
(IPB)
Escalation
Prevention
Barrier
(EPB)
Safe
Near miss
Mishap
Incident
Accident
Deviation
from safe
state
Fail
Success
Success
Success
Success
Fail
Fail
Fail
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FT Results
• FT are constructed using the proposed generic fault tree models
• The failure of barriers is assumed independent and mutually
exclusive
Safety Barrier (xi) Failure Probability p(xi)
Release Prevention Barrier (RPB) 0.0527
Dispersion Prevention Barrier (DPB) 0.0616
Ignition Prevention Barrier (IPB) 0.1060
Escalation Prevention Barrier (EPB) 0.0271
It is observed that
estimated results
show significant
agreement to real
plant data.
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Event Tree Analysis
k
kiki
SBj
iik xxcp ,, 1)1()(
RPB
SB1
DPB
SB2
EPB
SB4
IPB
SB3Consequences
C1 - Safe
C2 – Near miss
C3 - Mishap
C4 - Incident
C5 - Accident
X1
X4
X3
X2
Deviation
from safe
mode
The prior probability of
consequence of severity level (
=1, 2, 3, 4, 5), denoted by , is
given as;
Consequences (ck) Occurrence Probability p(ck)
C1(Safe) 9.4×10-1
C2(Near Miss) 4.9×10-2
C3 (Mishap) 2.9×10-3
C4(Incident) 3.3×10-4
C5(Accident) 9.3×10-6
Severity
Pro
bab
ility
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Prediction• The number of abnormal event In the first ten month of year 2009 has been
estimated using the results of HAZOP study
• Based on these data, λp can be estimated
• The mean value of the number of events is estimated as 22. This implies
that the average number of events predicted in the eleventh month is 22.
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Updated Probability of Abnormal Event
Month C1(Safe) C2(Near miss) C3 (Mishap) C4 (Incident) C5 (Accident)
1 9.27×10-1 6.90×10-2 3.20×10-3 1.90×10-4 0
2 9.14×10-1 8.30×10-2 2.60×10-3 8.00×10-5 0
3 9.09×10-1 8.80×10-2 2.60×10-3 1.00×10-4 0
4 8.64×10-1 1.32×10-1 3.80×10-3 2.80×10-4 7.68×10-7
5 8.51×10-1 1.44×10-1 4.00×10-3 2.70×10-4 6.24×10-7
6 8.50×10-1 1.46×10-1 3.90×10-3 2.70×10-4 5.69×10-7
7 8.54×10-1 1.42×10-1 3.70×10-3 2.90×10-4 1.14×10-6
8 8.55×10-1 1.41×10-1 3.80×10-3 2.80×10-4 1.03×10-6
9 8.51×10-1 1.45×10-1 3.80×10-3 2.70×10-4 9.42×10-7
10 8.50×10-1 1.45×10-1 4.00×10-3 3.00×10-4 9.21×10-7
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Conclusions• The SHIPP methodology help identifying process hazards,
evaluate them, and model probable accident scenarios.
• It provides precise information of how system is degrading with
time and help to predict potential accidents
• It helps to increase the overall safety and performance of the
system by applying preventive measures with the knowledge of
realistic prediction.
• The dynamic risk assessment and management help to identify
process risk early and invite to take appropriate safety action
• It has dynamic learning abilities that is effective in preventing
accidents and enhancing the overall safety performance of the
system
• Source-to-source uncertainty may be modelled using Bayesian
analysis
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References related to
presentation
• Al-Shanini, A. Ahmad, A., Khan, F. (2014). Accident modeling and safety measure design of a
hydrogen station. International Journal of Hydrogen Energy, 39(35), 20362-20370.
• Rathnayaka, S., Khan, F., Amayotte, P. (2013). Accident modeling and risk assessment framework
for safety critical decision-making: application to deepwater drilling operation. Proceedings of the
Institution of Mechanical Engineers, Part O: Journal of Risk and Reliability, 227(1), 86–105.
• Rathnayaka, S., Khan, F., Amyotte, P. (2012). Accident modeling approach for safety assessment in
an LNG processing facility. Journal of Loss Prevention in the Process Industries, 25(2), 414–423.
• Rathnayaka, S., Khan, F., Amyotte, P. (2011). SHIPP methodology: Predictive accident modeling
approach, Part I: methodology and model description. Process Safety and Environmental Protection,
89(3), 151-164.
• Rathnayaka, S., Khan, F., Amyotte, P. (2011). SHIPP methodology: Predictive accident modeling
approach, Part II: validation with case study. Process Safety and Environmental Protection, 89(2),
75-88.
• Kujath, M. F., Amyotte, P., and Khan, F. (2010). A Conceptual offshore oil and gas process accident
model. Journal of Loss Prevention in the Process Industries, 23 (2). 323-330.
• Attwood, D., Khan, F. and Veitch, B. (2006). Occupational accident models-where have we been and
where are we going?, Journal of Loss Prevention in the process industries, 19(6), 664-682.
• Attwood, D., Khan, F. and Veitch, B. (2006). Offshore oil and gas occupational accidents-What is
important?, Journal of Loss Prevention in the Process Industries, 19(5), 386-398.
• Attwood, D., Khan, F. and Veitch, B. (2006). Can we predict process accident frequency?, Process
Safety and Environmental Protection, 84(3B), 208-221.
SAFETY AND RISK ENGINEERING GROUPWWW.ENGR.MUN.CA/RESEARCH/SREG
THANK YOU FOR YOUR ATTENTION!!!!!!!!