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OVERVIEW OF
RISK ASSESSMENT
Requirements in the Directive
 Top Tier Sites - Article 9(b) - demonstrating that major-
accident hazards have been identified and that the necessary
measures have been taken to prevent such accidents and to
limit their consequences for man and the environment;
 Lower Tier Sites - ANNEX III(ii) - identification and evaluation
of major hazards — adoption and implementation of procedures
for systematically identifying major hazards arising from normal
and abnormal operation and the assessment of their likelihood
and severity;
Definition of Hazard and Risk
 Hazard: the property of a substance or
situation with the potential for creating
damage
 Risk: the likelihood of a specific effect
within a specified period
 complex function of probability,
consequences and vulnerability
Risk Assessment
Risk assessment and risk analysis of technical
systems can be defined as a set of
systematic methods to:
 Identify hazards
 Quantify risks
 Determine components, safety measures and/or
human interventions important for plant safety
Risk assessment
Risk analysis is teamwork
Ideally risk analysis should be done by bringing
together experts with different backgrounds:
 chemicals
 human error
 process equipment
Risk assessment is a
continuous process!
Risk Assessment
 Scheme for qualitative
and quantitative
assessments
 At all steps, risk
reducing measures
need to be considered
System definition
Hazard identification
Analysis of accident scenarios
Consequence analysis and modelling
Estimation of accident frequencies
Risk estimation
Risk Analysis
Hazard Identification
Hazard & Scenario Analysis
Likelihood Consequences
Risk
• ”What if”
• Checklists
• HAZOP
• Task analysis
• Index (Dow, Mond)
Risk Analysis – Main Steps
Risk Analysis
Hazard Identification
Hazard & Scenario Analysis
Likelihood Consequences
Risk
• Fault tree analysis
• Event tree analysis
• Bowties
• Barrier diagrams
• Reliability data
• Human reliability
• Consequence models
Risk Analysis – Main Steps
Risk Analysis
Hazard Identification
Hazard & Scenario Analysis
Likelihood Consequences
Risk
Identify
Safety
Barriers
Risk Analysis – Main Steps
Preliminary hazard identification
Identification of safety relevant sections
of the establishment, considering
 raw materials and products
 plant equipment and facility layout
 operation environment
 operational activities
 interfaces among system components
Important to secure Completeness,
Consistency and Correctness
Methods for hazard identification
 ”What if”
 Checklists
 HAZOP
 Task analysis
 Index (Dow, Mond)
 Failure mode and effects analysis (FMEA)
The HAZOP Method
 HAZOP analysis is a systematic technique for
identifying hazards and operability problems
throughout an entire facility. It is particularly useful to
identify unwanted hazards designed into facilities due
to lack of information, or introduced into existing
facilities due to changes in process conditions or
operating procedures.
 The objectives of a HAZOP study are to detect any
predictable deviation (undesirable event) in a process
or a system. This purpose is achieved by a
systematic study of the operations in each process
phase.
The HAZOP Method
 The system is divided into functional blocks
 Every part of the process is examined for possible
deviations from the design intention
 Can the deviations cause any hazard or
inconvenience?
 Every phase of the process
 Each system and person
 Questions formulated around guide words
 Each deviation is considered to decide how it could
be caused and what the consequences would be
 For the hazards preventive/remedying actions are
defined
HAZOP Study Consequence
1. Definition of the objectives and scope of the study,
e.g. hazards having only off-site impact or only on-
site impact, areas of the plant to be considered, etc.
2. Assembly of a HAZOP study team.
3. Collection of the required documentation, drawings
and process description.
4. Analysis of each major item of equipment, and all
supporting equipment, piping and instrumentation
5. Documentation of the consequences of any
deviation from normal and highlights of those which
are considered hazardous and credible.
HAZOP Study team
 HAZOP studies are normally carried out by
multi-disciplinary teams. There are two types
of team members, namely those who will
make a technical contribution and those play
a supporting and structuring role.
Guide
word
Process-
variable
No Low High Part of Also Other than Reverse
Flow
No
flow
Low
flow
High
flow
Missing
ingredients Impurities
Wrong
material
Reverse
flow
Level Empty
Low
level
High
level
Low
interface
High
interface
- -
Pressure
Open to
atmosphere
Low
pressure
High
pressure
- - -
Vacuum
Temperature
Freezing
Low
temp.
High
temp.
- - - Auto
refrigeration
Agitation
No
agitation
Poor
mixing
Excessive
mixing
Irregular-
mixing
Foaming - Phase
separation
Reaction
No
reaction
Slow
reaction
"Runaway
reaction"
Partial
reaction
Side
reaction
Wrong
reaction
Decom-
position
Other
Utility
failure
External
leak
External
rupture
- - Start-up
Shutdown
Maintenance
-
Example of HAZOP Matrix
Criticality - combination of severity of an effect and the probability
or expected frequency of occurrence.
The objective of a criticality analysis is to quantify the relative
importance of each failure effect, so that priorities to reduce the
probability or to mitigate the severity can be taken.
Example formula for Criticality:
Cr = P × B × S
Cr: criticality number
P: probability of occurrence in an year
B: conditional probability that the severest consequence will occur
S: severity of the severest consequence
HAZOP Criticality analysis
The criticality number
- used to rank the identified deviations in a HAZOP or FMEA
study
- cannot be used as a risk measure
- product of three rough estimates
Before a criticality analysis can be performed guidelines
have to be developed on how to determine P, B and S.
There are no generally accepted criteria for criticality
applicable to a system.
HAZOP Criticality analysis
Categories
Probability
P
Cond. Probabil
B
Severity
S
Very rare 1 Very low 1 Low 1
Rare 2 Low 2 Significant 2
Likely 3 Significant 3 High 3
Frequent 4 high 4 Very high 4
Example values for P, B and S
Probability (P)
very rare - less than once in 100 years
rare - between once in 10 y. and once in 100 y.
likely - between once a year and once in 10 years
frequent - more frequent than once a year
Conditional probability (B)
very low - less than once every 1000 occurrences of the cause
low - less than once every 100 occurrences of the cause
significant - less than once every 10 occurrences of the cause
high - more than once every 10 occurrences of the cause
Severity (S)
low - no or minor economical loss/small, transient environmental
damage
significant - considerable economic losses/considerable transient
environmental damage/slight non-permanent injury
high - major economic loss/considerable release of hazardous
material/serious temporary injury
very high - major release of hazardous material/permanent injury or
fatality
Interpretation of the values
Criticality Judgement Meaning
Cr < X Acceptable No action required
X < Cr < Y Consider
modification
Should be mitigated within a
reasonable time period unless costs
demonstrably outweight benefits
Cr > Y Not
acceptable
Should be mitigated as soon as
possible
The values X and Y have to be determined by a decision-maker. It
might be necessary to formulate some additional criteria, for instance:
every deviation for which the severity is classified as “very high
severity” shall be evaluated to investigate the possibilities of reducing
the undesired consequences.
Decision making
Risk Assessment Using
Index-based Methods
 Indexes can be used for risk ranking
 Process units can be assigned a score or index
based on
 Type of substance (flammable, explosive and/or toxic
properties)
 Type of process (pressure, temperature, chemical reactions)
 Quantity
 Ranking of the hazards
 Focus attention on hazard analysis for the most
hazardous units
Examples of Substance indexes
 Substance Hazard Index (SHI): Proposed by
the Organization of Resources Counsellors
(ORC) to OSHA.
 Based on a ratio of the equilibrium vapour
pressure(EVP) at 20 o
C divided by the toxicity
concentration.
 Material Hazard Index (MHI): Used by the state
of California to determine threshold quantities of
acutely hazardous materials for which risk
management and prevention programs must be
developed.
Substance and process indexes
 Dow Fire and Explosion Index (F&EI):
Evaluates fire and explosion hazards
associated with discrete process units.
 Mond Fire and Explosion Index: Developed by
ICI’s Mond Division, an extension of the Dow
F&EI.
 These indices focus on fire and explosion
hazards, e.g. Butane has a Dow Material Index
of 21, and Ammonia 4.
Fault Tree Analysis
 Graphical representation of the logical structure displaying the
relationship between an undesired potential event (top event)
and all its probable causes
 top-down approach to failure analysis
 starting with a potential undesirable event - top event
 determining all the ways in which it can occur
 mitigation measures can be developed to minimize the
probability of the undesired event
 Fault Tree can help to:
 Quantifying probability of top event occurrence
 Evaluating proposed system architecture attributes
 Assessing design modifications and identify areas requiring
attention
 Complying with qualitative and quantitative safety/reliability
objectives
 Qualitatively illustrate failure condition classification of a top-
level event
 Establishing maintenance tasks and intervals from
safety/reliability assessments
Fault tree construction
AND gate
The AND-gate is used to show that the output event occurs only if
all the input events occur
OR gate
The OR-gate is used to show that the output event occurs only if
one or more of the input events occur
Basic event
A basic event requires no further development because the
appropriate limit of resolution has been reached
Intermediate event
A fault tree event occurs because of one or more antecedent
causes acting through logic gates have occurred
Transfer
A triangle indicates that the tree is developed further at the
occurrence of the corresponding transfer symbol
Undeveloped event
A diamond is used to define an event which is not further
developed either because it is of insufficient consequence or
because information is unavailable
Fault tree development procedure
 Идентифициране на всички логически
знаци и на всички ОСНОВНИ събития.
 Достигане до ОСНОВНИТЕ събития
 Отстраняване на дублиращи се събития в
рамките на едно съчетание
 Премахване на всички супер съчетания
(съчетания, които съдържат други
съчетания като подсъчетания).
Guidelines for developing a fault tree
Replace an abstract event by a less abstract event.
Classify an event into more elementary events.
Identify distinct causes for an event.
Couple trigger event with ‘no protective action’.
Find co-operative causes for an event.
Pinpoint a component failure event.
Example Fault Tree
Event Tree Analysis
 graphical representation of a logic model
 identifies and quantifies the possible outcomes
following an initiating event
 provides an inductive approach to reliability
assessment as they are constructed using
forward logic.
Event tree development procedure
Step 1: Identification of the initiating event
Step 2: Identification of safety function
Step 3: Construction of the event tree
Step 4: Classification of outcomes
Step 5: Estimation of the conditional probability of each branch
Step 6: Quantification of outcomes
Step 7: Evaluation
Example Event Tree
Bowtie Analysis
 Synergistic adaptation of Fault Tree Analysis, Causal
Factors Charting and Event Tree Analysis
 highly effective for initial Process Hazard Analysis
 ensures identification of high probability-high consequence
events
 combined application of a high-level fault/event trees
 representation of the causes of a hazardous scenario event,
likely outcomes, and the measures in place to prevent,
mitigate, or control hazards
 Existing safeguards (barriers) identified and evaluated
 Typical cause scenarios identified and depicted on the pre-
event side (left side) of the bow-tie diagram
 Credible consequences and scenario outcomes are depicted
on the post-event side (right side) of the diagram
 associated barrier safeguards included
 the risks are readily understandable to all levels of operation
and management.
Example Bowtie Tree
Unwanted Events (UE) / Initiating Events (IE) / Critical Events (CE) : Loss of
Containment (LOC) or Loss of Physical Integrity (LPI) / Secondary Critical
Events (SCE) / Dangerous Phenomena (DP) / Major Events (ME)
UE 1
UE 3
UE 4
UE 5
UE 7
IE
IE
IE
IE
IE
IE
CE
SCE
SCE
DP
DP
DP
ME
ME
ME
ME
ME
ME
Fault Tree Event tree
Barriers
Prevention Mitigation
DPAnd
And
OR
OR
OR
OR
OR
UE 2
UE 6
UE 8
SCENARIO
Consequence assessment
 The consequence assessment is used to
estimate:
 The extent or distance to which casualties or
damage may occur as a consequence of an
accident;
 The conditional probability of loss of life or
damage as a consequence of an accident;
Consequence event tree for a flammable
pressure-liquefied gas – instantaneous rupture
I m m e d ia te ig n i t io n
B L E V E
N e a r m i s s I g n i t i o n a n d d e t o n a t i o n
E x p lo s i o n
D e l a y e d I g n i t i o n
F l a s h f i r e
D i s p e r s i o n
I n s t a n t a n e o u s C l o u d /
P o o l E v a p o r a t io n
In s t a n ta n e o u s
T a n k R u p t u r e
P r e s s u r e -
l iq u e f i e d G a s
Example BLEVE
Consequence event tree for a flammable
pressure-liquefied gas – hole below liquid
level
N o i g n i t i o n
N e a r m i s s
D e l a y e d I g n i t i o n
F l a s h f i r e
I g n i t i o n a n d d e t o n a t i o n
E x p lo s i o n
N o i g n i t i o n
D i s p e r s i o n
I m m e d i a te i g n i t i o n
J e t F i r e
T w o - p h a s e j e t
P r e s s u r e -
l i q u e f i e d G a s
Example 2-phase jet
Different forms of dispersion in the
atmosphere
 Jet
 High speed (high momentum), rapid mixing,
single direction
 Dense (= denser than air) clouds:
 Dense gas ”slumps” in all directions (even
against the wind)
 Dense clouds are shallow
 Density layering (stratification) reduces mixing
 Buoyant (= lighter than air)plume
 plume rise
Example of dense gas cloud
QRA - Impact in all directions
 Impacts of BLEVE’s, explosions, etc., are in
general only dependent on distance to
accident location
 Pdeath,BLEVE
(x,y) =
P(BLEVE) ⋅ (probability (fraction) of death at
(x,y) for this BLEVE)
Ammonia toxicity
0%
20%
40%
60%
80%
100%
0 10000 20000 30000 40000 50000
Concentration (ppm)
Probability
0
2
4
6
8
10
Probitvalue
Fatal probability Probit values
)ln(85.19.35Pr 2
tC ×+−=
Exposure during 10 minutes
• Probit function
QRA - Wind direction and cloud
width
Effective Cloud
Width (ECW)
A
B
North
EastWest
South
P
Details on how to do a QRA can be found in the Purple Book
”Quick and dirty” Methods
 IAEA-TECDOC-727 (1996)
”Manual for the Classification and Prioritization of Risks
Due to Major Accidents in Process and Related
Industries”
 Number of fatalities =
Consequence Area (green) x
Population density x
fraction of Consequence area
covering populated area (blue) x
effect of mitigation effects.
 Consequence Area look-up tables for 46
substances/scenarios and size of inventory
Consequence assessment in
practice
 Consequence assessment is often an expert-
activity (performed by consultants)
 Most ”complete” consequence assessment
software packages are propriatary and
expensive
 Some freeware is available for specific
consequences (ARCHIE, ALOHA etc.)
 Some models are described in detail in
handbooks (e.g. ”Yellow Book, TNO,
Netherlands)
Failure Rates in QRA
 Typology of Equipment (Guidelines for
Quantitative Risk Assessment. The Purple Book)
 Stationary tanks and vessels, pressurised
 Stationary tanks and vessels, atmospheric
 Gas cylinders
 Pipes
 Pumps
 Heat exchanges
 Pressure relief devices
 Warehouses
 Storage of explosives
 Road tankers
 Tank wagons
 Ships
Storage equipment
−Mass solid storage
−Storage of solid in small packages
−Storage of fluid in small packages
−Pressure storage
−Padded storage
−Atmospheric storage
−Cryogenic storage
Process equipment
−Intermediate storage equipm. integrated into the process
−Equipment devoted to physical or chemical separation of
substances
−Equipment involving chemical reactions
−Equipment designed for energy production and supply
−Packaging equipment
−Other facilities
Transport equipment
1. Pressure transport equipment
2. Atmospheric transport equipment
Pipes networks
Failure Rates in QRA
Typology of Equipment (ARAMIS, MIMAH)
Complete Set of Causes for LOCs
Generic causes of LOCs
cover all failure causes not considered explicitly, like
corrosion, construction errors, welding failures and blocking
of tank vents
External-impact causes of LOCs
are considered explicitly for transport units. For stationary
installations and pipelines they are assumed to be either
already included in the generic LOCs or should be included
by adding an extra frequency
LOCs caused by loading and unloading
cover the transhipment of material from transport units to
stationary installations and vice versa
Specific causes of LOCs
cover the causes specific to the process conditions, process
design, materials and plant layout. Examples are runaway
reactions and domino effects
Frequencies of LOCs for
Stationary Vessels
Installation Instantaneous
Continuous,
10 min
Continuous,
∅10 mm
Pressure vessel 5 ×10-7
y-1
5 ×10-7
y-1
1 ×10-5
y-1
Process vessel 5 ×10-6
y-1
5 ×10-6
y-1
1 ×10-4
y-1
Reactor vessel 5 ×10-6
y-1
5 ×10-6
y-1
1 ×10-4
y-1
Frequencies of LOCs for
Atmospheric Tanks
Installation
(Tank)
1a. Instant.
release to
atmosphere
1b. Instant.
release to
secondary
container
2a. Contin.
10 min to
atmosphere
2b. Contin.
10 min to
secondary
container
3a. Contin.
∅10 mm to
atmosphere
3b. Contin.
∅10 mm to
secondary
container
Single
containment
5 ×10-6
y-1
5 ×10-6
y-1
1 ×10-4
y-1
With a
protective
outer shell
5 ×10-7
y-1
5 ×10-7
y-1
5 ×10-7
y-1
5 ×10-7
y-1
1 ×10-4
y-1
Double
containment
1.25×10-8
y-1
5 ×10-8
y-1
1.25×10-8
y-1
5 ×10-8
y-1
1 ×10-4
y-1
Full
containment
1 ×10-8
y-1
Membrane see note
In-ground 1 ×10-8
y-1
Mounded 1 ×10-8
y-1
The failure frequency of a membrane tank,
determined by the strength of the secondary
container, should be estimated case by case using
the data on the other types of atmospheric tanks
The failure frequency of a membrane tank,
determined by the strength of the secondary
container, should be estimated case by case using
the data on the other types of atmospheric tanks
Preventive and Mitigative barriers
T e m p e r a tu r e
C o n t r o l
P B 1
W o r k e r s
S o lv e n t S
C o n t a in m e n t
S y s t e m
P B 1
W o r k e r s
S o lv e n t S
Temperature control prevents the formation of toxic fumes
Containment reduces the expose of workers to the toxic fumes
Bow-tie
AE
AE
AE
AE
AE
ME
ME
ME
ME
ME
ME
Event Tree
Major Events
AE
IE
IE
IE
IE
IE
IE
IE
IE
IE
IE
IE
IE
IE
IE
Fault Tree
Initiating events
OR
OR
And
OR
OR
And
OR
SCENARIO
CE
Critical Event
Preventive
Barriers
Mitigative
Barriers
What are barriers?
 Barriers can be passive
 material barriers: container, dike, fence,
 behavioural barriers: Keep away from,
do not interfere with
 Barriers can be active
 Active barriers follow a sequence:
”Detect – Diagnose – Act”
 Active barriers can consist of any
combination of
 Hardware
 Software
 Lifeware (human action, behaviour)
Examples of passive barriers
Probability of Failure
on Demand (PFD)
Dike 10-2
– 10-3
Fireproofing 10-2
– 10-3
Blast-wall or bunker
10-2
– 10-3
Flame or Detonation
arrestor
10-1
– 10-3
Examples of active barriers
Probability of
Failure on Demand
(PFD)
Pressure relief valve 10-1
– 10-5
Water spray, deluges, foam
systems
1 – 10-1
Basic Process Control System 10-1
– 10-2
Safety Instrumented Function
(SIF) - reliability depends on
Safety Integrity Level (SIL)
according to IEC1
61511
SIL 1:10-1
– 10-2
SIL 2:10-2
– 10-3
SIL 3:10-3
– 10-4
1
IEC - International Electrotechnical
Commission, develops electric, electronic and
electrotechnical international standards
Human response as a barrier
 Responses can be skill-, rule-, and/or knowledge
based
 Skill based: routine, highly practiced tasks and
responses
 I.e. steering a car
 Rule based: responses covered by procedures and
training
 I.e. obeying traffic rules
 Knowledge based: responses to novel situations
 I.e. finding the way to a new destination
 Skill- and rule based responses can be relatively fast
and reliable, knowledge based responses are slow
and not so reliable
Examples of human response
barriers
Probability of Failure on
Demand (PFD)
Human action with 10 min. response
time, simple, well documented action
with clear and reliable indication that
the action is required
1 – 10-1
Human response to Control system
warning or Alarm with 40 min. response
time, simple, well documented action
with clear and reliable indication that
the action is required
10-1
Human action with 40 min. response
time, simple, well documented action
with clear and reliable indication that
the action is required
10-1
– 10-2
The following are NOT barriers, but functions
of Safety Management :
 Training and education.
 provides the competence to respond properly
 Procedures
 paperwork is not a barrier, only the response
itself
 Maintenance and inspection
 necessary to ensure functioning of primary
barriers over time
 Communications and instructions
they influence barrier reliability a lot!
Risk management in Europe
 “Generic distances” based on environmental impact in
general (noise, smell, dust, etc.).
 Consequence based (”deterministic” or ”Qualitative”)
Safety distances are based on the extent of consequences
(effects) of distinct accident scenarios (“worst case” or
”reference” scenarios).
 Risk based (”probabilistic” or ”Quantitative”)
Quantitative risk analysis (QRA) includes an analysis of all
relevant accident scenarios with respect to consequences
and likelihood (expected frequency), and results in
calculated values of individual risk and societal risk, which
can be compared with acceptance criteria.
Quantitative vs. qualitative risk
analysis
 Identify all hazards
 Select a large set of scenarios
 Determine the expected frequency
(likelihood) of all these scenarios
 Determine the consequences of all
these scenarios
 Combine all these results (using
wind direction statistics, etc) and
calculate Individual Risk around the
plant
 Draw Individual Risk on map and
compare with acceptance criteria
 Identify all hazards
 Select a small set of scenarios
with the largest consequences
 Obtain some “feel” for the
likelihood of these scenarios
 Determine the consequences
of these scenarios
 Draw safety distances on a
map
Qualitative=Consequence-based:
advantages and disadvantages
 Analysis is (relatively) easy
and fast
 Decision process is simple
(either “safe” or “unsafe”)
 Results are easy to
communicate (based on
easy-to-understand accident
scenarios)
 Selection of scenarios and
assessment of ”improbable = (?)
impossible” accidents is often tacit or
implicit.
 Can give a wrong impression of
precision and safety
 Use of “worst case” scenarios leads
to conservative results (expensive for
society) (Results are determined by
the worst-case – but unlikely
accidents)
 Tendency to “forget” less severe
scenarios in risk control and safety
management
QRA=risk based: advantages and
disadvantages
 Complete analysis, opportunity for
setting priorities, focus on most “risky”
items.
 Transparent (for experts?), both
probabilities and consequences are
included explicitly
 Results can be compared with criteria
for risk acceptance
 Results for different types of facilities
can easily be compared
 Not dominated by a single accident
scenario – not sensitive for selection of
scenarios
 Expensive and
cumbersome analysis,
which requires expert
knowledge
 The ”probabilistic” element
in the result is hard to
communicate
 Result suggests large
accuracy, but it includes
large uncertainty
 The presence of accept
criteria (hard political
decision) is necessary
beforehand
QRA - Probability assessment of
scenarios
 Loss of Containment events (each of them happening
with a certain likelihood) are developed into event
trees (scenarios)
 Event trees identify the conditional probability of
important conditions (ignition, wind direction)
 For each scenario, consequences are quantified (e.g.
fatality rate foot print of a toxic cloud, i.e. probability
of fatality at a position (x,y) for that scenario)
 For every point on the map (x,y), sum the contribution
of all the scenarios to the risk at that point.
Results of QRA:
Individual Risk and Societal Risk
1.E-09
1.E-08
1.E-07
1.E-06
1.E-05
1.E-04
1.E-03
1 10 100 1000 10000
Expected Fatalities
Frequency(peryear)
10-6
10-7
10-8
Qualitative analysis – results:
safety distance
Likelihood
per year
Limited
damage
Reversible
damage
Severe
(fatalities)
Catastrophe
(off-site
fatalities)
e-3
e-4
e-5
e-6
e-7
e-8
Acceptable
"ALARA", scenarios to be analysed on consequences
Unacceptable
Severity
Qualitative analysis – results: risk
matrix
Scenarios for
consequence
analysis
are typically in the
yellow zone
But don’t forget to
manage the
scenarios in the
green zone!
Is there a difference?
 Kirchsteiger (1999) concludes:
”… that there is neither a strictly deterministic
nor a strictly probabilistic approach to risk
analysis. Each probabilistic approach to risk
analysis involves deterministic arguments,
each deterministic approach includes
quantitative arguments which decide how the
likelihood of events is going to be addressed.”
Risk acceptance
 For society’s acceptance the following factors
play a role:
 Risk aversion
 “Cost/benefit” and ALARA principle
 The source of the risk: fatality risk in
apartments is a factor 150 less acceptable
than in traffic (Swedish study)
 Existing risk criteria are founded on comparison
with general fatality risk (ca. 10-4
per year for
young people) and the costs, society is willing to
pay for saving a human life
Acceptance criteria
 For consequence-based method:
 Highest likelihood of scenarios that cause
significant consequences, typically
between 10-7
and 10-9
per year
 Scheme for the number of safety barriers
depending on likelihood and severity (force
scenario in the green or yellow part of the
risk matrix)
 For risk-based method:
 Individuel Risk between 10-5
and 10-6
per
year
 Criterion for societal risk, e.g. Netherlands:
F < 10-3
/N2
Risk acceptance – final
consideration
 Report on the inquiry of the Flixborough
accident states:
“… for what is or is not acceptable depends in
the end upon current social tolerance and
what is regarded as tolerable at one time may
well be regarded as intolerable at another.”

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06 overview of_ra1

  • 2. Requirements in the Directive  Top Tier Sites - Article 9(b) - demonstrating that major- accident hazards have been identified and that the necessary measures have been taken to prevent such accidents and to limit their consequences for man and the environment;  Lower Tier Sites - ANNEX III(ii) - identification and evaluation of major hazards — adoption and implementation of procedures for systematically identifying major hazards arising from normal and abnormal operation and the assessment of their likelihood and severity;
  • 3. Definition of Hazard and Risk  Hazard: the property of a substance or situation with the potential for creating damage  Risk: the likelihood of a specific effect within a specified period  complex function of probability, consequences and vulnerability
  • 4. Risk Assessment Risk assessment and risk analysis of technical systems can be defined as a set of systematic methods to:  Identify hazards  Quantify risks  Determine components, safety measures and/or human interventions important for plant safety
  • 5. Risk assessment Risk analysis is teamwork Ideally risk analysis should be done by bringing together experts with different backgrounds:  chemicals  human error  process equipment Risk assessment is a continuous process!
  • 6. Risk Assessment  Scheme for qualitative and quantitative assessments  At all steps, risk reducing measures need to be considered System definition Hazard identification Analysis of accident scenarios Consequence analysis and modelling Estimation of accident frequencies Risk estimation
  • 7. Risk Analysis Hazard Identification Hazard & Scenario Analysis Likelihood Consequences Risk • ”What if” • Checklists • HAZOP • Task analysis • Index (Dow, Mond) Risk Analysis – Main Steps
  • 8. Risk Analysis Hazard Identification Hazard & Scenario Analysis Likelihood Consequences Risk • Fault tree analysis • Event tree analysis • Bowties • Barrier diagrams • Reliability data • Human reliability • Consequence models Risk Analysis – Main Steps
  • 9. Risk Analysis Hazard Identification Hazard & Scenario Analysis Likelihood Consequences Risk Identify Safety Barriers Risk Analysis – Main Steps
  • 10. Preliminary hazard identification Identification of safety relevant sections of the establishment, considering  raw materials and products  plant equipment and facility layout  operation environment  operational activities  interfaces among system components Important to secure Completeness, Consistency and Correctness
  • 11. Methods for hazard identification  ”What if”  Checklists  HAZOP  Task analysis  Index (Dow, Mond)  Failure mode and effects analysis (FMEA)
  • 12. The HAZOP Method  HAZOP analysis is a systematic technique for identifying hazards and operability problems throughout an entire facility. It is particularly useful to identify unwanted hazards designed into facilities due to lack of information, or introduced into existing facilities due to changes in process conditions or operating procedures.  The objectives of a HAZOP study are to detect any predictable deviation (undesirable event) in a process or a system. This purpose is achieved by a systematic study of the operations in each process phase.
  • 13. The HAZOP Method  The system is divided into functional blocks  Every part of the process is examined for possible deviations from the design intention  Can the deviations cause any hazard or inconvenience?  Every phase of the process  Each system and person  Questions formulated around guide words  Each deviation is considered to decide how it could be caused and what the consequences would be  For the hazards preventive/remedying actions are defined
  • 14. HAZOP Study Consequence 1. Definition of the objectives and scope of the study, e.g. hazards having only off-site impact or only on- site impact, areas of the plant to be considered, etc. 2. Assembly of a HAZOP study team. 3. Collection of the required documentation, drawings and process description. 4. Analysis of each major item of equipment, and all supporting equipment, piping and instrumentation 5. Documentation of the consequences of any deviation from normal and highlights of those which are considered hazardous and credible.
  • 15. HAZOP Study team  HAZOP studies are normally carried out by multi-disciplinary teams. There are two types of team members, namely those who will make a technical contribution and those play a supporting and structuring role.
  • 16. Guide word Process- variable No Low High Part of Also Other than Reverse Flow No flow Low flow High flow Missing ingredients Impurities Wrong material Reverse flow Level Empty Low level High level Low interface High interface - - Pressure Open to atmosphere Low pressure High pressure - - - Vacuum Temperature Freezing Low temp. High temp. - - - Auto refrigeration Agitation No agitation Poor mixing Excessive mixing Irregular- mixing Foaming - Phase separation Reaction No reaction Slow reaction "Runaway reaction" Partial reaction Side reaction Wrong reaction Decom- position Other Utility failure External leak External rupture - - Start-up Shutdown Maintenance - Example of HAZOP Matrix
  • 17. Criticality - combination of severity of an effect and the probability or expected frequency of occurrence. The objective of a criticality analysis is to quantify the relative importance of each failure effect, so that priorities to reduce the probability or to mitigate the severity can be taken. Example formula for Criticality: Cr = P × B × S Cr: criticality number P: probability of occurrence in an year B: conditional probability that the severest consequence will occur S: severity of the severest consequence HAZOP Criticality analysis
  • 18. The criticality number - used to rank the identified deviations in a HAZOP or FMEA study - cannot be used as a risk measure - product of three rough estimates Before a criticality analysis can be performed guidelines have to be developed on how to determine P, B and S. There are no generally accepted criteria for criticality applicable to a system. HAZOP Criticality analysis
  • 19. Categories Probability P Cond. Probabil B Severity S Very rare 1 Very low 1 Low 1 Rare 2 Low 2 Significant 2 Likely 3 Significant 3 High 3 Frequent 4 high 4 Very high 4 Example values for P, B and S
  • 20. Probability (P) very rare - less than once in 100 years rare - between once in 10 y. and once in 100 y. likely - between once a year and once in 10 years frequent - more frequent than once a year Conditional probability (B) very low - less than once every 1000 occurrences of the cause low - less than once every 100 occurrences of the cause significant - less than once every 10 occurrences of the cause high - more than once every 10 occurrences of the cause Severity (S) low - no or minor economical loss/small, transient environmental damage significant - considerable economic losses/considerable transient environmental damage/slight non-permanent injury high - major economic loss/considerable release of hazardous material/serious temporary injury very high - major release of hazardous material/permanent injury or fatality Interpretation of the values
  • 21. Criticality Judgement Meaning Cr < X Acceptable No action required X < Cr < Y Consider modification Should be mitigated within a reasonable time period unless costs demonstrably outweight benefits Cr > Y Not acceptable Should be mitigated as soon as possible The values X and Y have to be determined by a decision-maker. It might be necessary to formulate some additional criteria, for instance: every deviation for which the severity is classified as “very high severity” shall be evaluated to investigate the possibilities of reducing the undesired consequences. Decision making
  • 22. Risk Assessment Using Index-based Methods  Indexes can be used for risk ranking  Process units can be assigned a score or index based on  Type of substance (flammable, explosive and/or toxic properties)  Type of process (pressure, temperature, chemical reactions)  Quantity  Ranking of the hazards  Focus attention on hazard analysis for the most hazardous units
  • 23. Examples of Substance indexes  Substance Hazard Index (SHI): Proposed by the Organization of Resources Counsellors (ORC) to OSHA.  Based on a ratio of the equilibrium vapour pressure(EVP) at 20 o C divided by the toxicity concentration.  Material Hazard Index (MHI): Used by the state of California to determine threshold quantities of acutely hazardous materials for which risk management and prevention programs must be developed.
  • 24. Substance and process indexes  Dow Fire and Explosion Index (F&EI): Evaluates fire and explosion hazards associated with discrete process units.  Mond Fire and Explosion Index: Developed by ICI’s Mond Division, an extension of the Dow F&EI.  These indices focus on fire and explosion hazards, e.g. Butane has a Dow Material Index of 21, and Ammonia 4.
  • 25. Fault Tree Analysis  Graphical representation of the logical structure displaying the relationship between an undesired potential event (top event) and all its probable causes  top-down approach to failure analysis  starting with a potential undesirable event - top event  determining all the ways in which it can occur  mitigation measures can be developed to minimize the probability of the undesired event  Fault Tree can help to:  Quantifying probability of top event occurrence  Evaluating proposed system architecture attributes  Assessing design modifications and identify areas requiring attention  Complying with qualitative and quantitative safety/reliability objectives  Qualitatively illustrate failure condition classification of a top- level event  Establishing maintenance tasks and intervals from safety/reliability assessments
  • 26. Fault tree construction AND gate The AND-gate is used to show that the output event occurs only if all the input events occur OR gate The OR-gate is used to show that the output event occurs only if one or more of the input events occur Basic event A basic event requires no further development because the appropriate limit of resolution has been reached Intermediate event A fault tree event occurs because of one or more antecedent causes acting through logic gates have occurred Transfer A triangle indicates that the tree is developed further at the occurrence of the corresponding transfer symbol Undeveloped event A diamond is used to define an event which is not further developed either because it is of insufficient consequence or because information is unavailable
  • 27. Fault tree development procedure  Идентифициране на всички логически знаци и на всички ОСНОВНИ събития.  Достигане до ОСНОВНИТЕ събития  Отстраняване на дублиращи се събития в рамките на едно съчетание  Премахване на всички супер съчетания (съчетания, които съдържат други съчетания като подсъчетания).
  • 28. Guidelines for developing a fault tree Replace an abstract event by a less abstract event. Classify an event into more elementary events. Identify distinct causes for an event. Couple trigger event with ‘no protective action’. Find co-operative causes for an event. Pinpoint a component failure event.
  • 30. Event Tree Analysis  graphical representation of a logic model  identifies and quantifies the possible outcomes following an initiating event  provides an inductive approach to reliability assessment as they are constructed using forward logic.
  • 31. Event tree development procedure Step 1: Identification of the initiating event Step 2: Identification of safety function Step 3: Construction of the event tree Step 4: Classification of outcomes Step 5: Estimation of the conditional probability of each branch Step 6: Quantification of outcomes Step 7: Evaluation
  • 33. Bowtie Analysis  Synergistic adaptation of Fault Tree Analysis, Causal Factors Charting and Event Tree Analysis  highly effective for initial Process Hazard Analysis  ensures identification of high probability-high consequence events  combined application of a high-level fault/event trees  representation of the causes of a hazardous scenario event, likely outcomes, and the measures in place to prevent, mitigate, or control hazards  Existing safeguards (barriers) identified and evaluated  Typical cause scenarios identified and depicted on the pre- event side (left side) of the bow-tie diagram  Credible consequences and scenario outcomes are depicted on the post-event side (right side) of the diagram  associated barrier safeguards included  the risks are readily understandable to all levels of operation and management.
  • 34. Example Bowtie Tree Unwanted Events (UE) / Initiating Events (IE) / Critical Events (CE) : Loss of Containment (LOC) or Loss of Physical Integrity (LPI) / Secondary Critical Events (SCE) / Dangerous Phenomena (DP) / Major Events (ME) UE 1 UE 3 UE 4 UE 5 UE 7 IE IE IE IE IE IE CE SCE SCE DP DP DP ME ME ME ME ME ME Fault Tree Event tree Barriers Prevention Mitigation DPAnd And OR OR OR OR OR UE 2 UE 6 UE 8 SCENARIO
  • 35. Consequence assessment  The consequence assessment is used to estimate:  The extent or distance to which casualties or damage may occur as a consequence of an accident;  The conditional probability of loss of life or damage as a consequence of an accident;
  • 36. Consequence event tree for a flammable pressure-liquefied gas – instantaneous rupture I m m e d ia te ig n i t io n B L E V E N e a r m i s s I g n i t i o n a n d d e t o n a t i o n E x p lo s i o n D e l a y e d I g n i t i o n F l a s h f i r e D i s p e r s i o n I n s t a n t a n e o u s C l o u d / P o o l E v a p o r a t io n In s t a n ta n e o u s T a n k R u p t u r e P r e s s u r e - l iq u e f i e d G a s
  • 38. Consequence event tree for a flammable pressure-liquefied gas – hole below liquid level N o i g n i t i o n N e a r m i s s D e l a y e d I g n i t i o n F l a s h f i r e I g n i t i o n a n d d e t o n a t i o n E x p lo s i o n N o i g n i t i o n D i s p e r s i o n I m m e d i a te i g n i t i o n J e t F i r e T w o - p h a s e j e t P r e s s u r e - l i q u e f i e d G a s
  • 40. Different forms of dispersion in the atmosphere  Jet  High speed (high momentum), rapid mixing, single direction  Dense (= denser than air) clouds:  Dense gas ”slumps” in all directions (even against the wind)  Dense clouds are shallow  Density layering (stratification) reduces mixing  Buoyant (= lighter than air)plume  plume rise
  • 41. Example of dense gas cloud
  • 42. QRA - Impact in all directions  Impacts of BLEVE’s, explosions, etc., are in general only dependent on distance to accident location  Pdeath,BLEVE (x,y) = P(BLEVE) ⋅ (probability (fraction) of death at (x,y) for this BLEVE)
  • 43. Ammonia toxicity 0% 20% 40% 60% 80% 100% 0 10000 20000 30000 40000 50000 Concentration (ppm) Probability 0 2 4 6 8 10 Probitvalue Fatal probability Probit values )ln(85.19.35Pr 2 tC ×+−= Exposure during 10 minutes • Probit function
  • 44. QRA - Wind direction and cloud width Effective Cloud Width (ECW) A B North EastWest South P Details on how to do a QRA can be found in the Purple Book
  • 45. ”Quick and dirty” Methods  IAEA-TECDOC-727 (1996) ”Manual for the Classification and Prioritization of Risks Due to Major Accidents in Process and Related Industries”  Number of fatalities = Consequence Area (green) x Population density x fraction of Consequence area covering populated area (blue) x effect of mitigation effects.  Consequence Area look-up tables for 46 substances/scenarios and size of inventory
  • 46. Consequence assessment in practice  Consequence assessment is often an expert- activity (performed by consultants)  Most ”complete” consequence assessment software packages are propriatary and expensive  Some freeware is available for specific consequences (ARCHIE, ALOHA etc.)  Some models are described in detail in handbooks (e.g. ”Yellow Book, TNO, Netherlands)
  • 47. Failure Rates in QRA  Typology of Equipment (Guidelines for Quantitative Risk Assessment. The Purple Book)  Stationary tanks and vessels, pressurised  Stationary tanks and vessels, atmospheric  Gas cylinders  Pipes  Pumps  Heat exchanges  Pressure relief devices  Warehouses  Storage of explosives  Road tankers  Tank wagons  Ships
  • 48. Storage equipment −Mass solid storage −Storage of solid in small packages −Storage of fluid in small packages −Pressure storage −Padded storage −Atmospheric storage −Cryogenic storage Process equipment −Intermediate storage equipm. integrated into the process −Equipment devoted to physical or chemical separation of substances −Equipment involving chemical reactions −Equipment designed for energy production and supply −Packaging equipment −Other facilities Transport equipment 1. Pressure transport equipment 2. Atmospheric transport equipment Pipes networks Failure Rates in QRA Typology of Equipment (ARAMIS, MIMAH)
  • 49. Complete Set of Causes for LOCs Generic causes of LOCs cover all failure causes not considered explicitly, like corrosion, construction errors, welding failures and blocking of tank vents External-impact causes of LOCs are considered explicitly for transport units. For stationary installations and pipelines they are assumed to be either already included in the generic LOCs or should be included by adding an extra frequency LOCs caused by loading and unloading cover the transhipment of material from transport units to stationary installations and vice versa Specific causes of LOCs cover the causes specific to the process conditions, process design, materials and plant layout. Examples are runaway reactions and domino effects
  • 50. Frequencies of LOCs for Stationary Vessels Installation Instantaneous Continuous, 10 min Continuous, ∅10 mm Pressure vessel 5 ×10-7 y-1 5 ×10-7 y-1 1 ×10-5 y-1 Process vessel 5 ×10-6 y-1 5 ×10-6 y-1 1 ×10-4 y-1 Reactor vessel 5 ×10-6 y-1 5 ×10-6 y-1 1 ×10-4 y-1
  • 51. Frequencies of LOCs for Atmospheric Tanks Installation (Tank) 1a. Instant. release to atmosphere 1b. Instant. release to secondary container 2a. Contin. 10 min to atmosphere 2b. Contin. 10 min to secondary container 3a. Contin. ∅10 mm to atmosphere 3b. Contin. ∅10 mm to secondary container Single containment 5 ×10-6 y-1 5 ×10-6 y-1 1 ×10-4 y-1 With a protective outer shell 5 ×10-7 y-1 5 ×10-7 y-1 5 ×10-7 y-1 5 ×10-7 y-1 1 ×10-4 y-1 Double containment 1.25×10-8 y-1 5 ×10-8 y-1 1.25×10-8 y-1 5 ×10-8 y-1 1 ×10-4 y-1 Full containment 1 ×10-8 y-1 Membrane see note In-ground 1 ×10-8 y-1 Mounded 1 ×10-8 y-1 The failure frequency of a membrane tank, determined by the strength of the secondary container, should be estimated case by case using the data on the other types of atmospheric tanks The failure frequency of a membrane tank, determined by the strength of the secondary container, should be estimated case by case using the data on the other types of atmospheric tanks
  • 52. Preventive and Mitigative barriers T e m p e r a tu r e C o n t r o l P B 1 W o r k e r s S o lv e n t S C o n t a in m e n t S y s t e m P B 1 W o r k e r s S o lv e n t S Temperature control prevents the formation of toxic fumes Containment reduces the expose of workers to the toxic fumes
  • 53. Bow-tie AE AE AE AE AE ME ME ME ME ME ME Event Tree Major Events AE IE IE IE IE IE IE IE IE IE IE IE IE IE IE Fault Tree Initiating events OR OR And OR OR And OR SCENARIO CE Critical Event Preventive Barriers Mitigative Barriers
  • 54. What are barriers?  Barriers can be passive  material barriers: container, dike, fence,  behavioural barriers: Keep away from, do not interfere with  Barriers can be active  Active barriers follow a sequence: ”Detect – Diagnose – Act”  Active barriers can consist of any combination of  Hardware  Software  Lifeware (human action, behaviour)
  • 55. Examples of passive barriers Probability of Failure on Demand (PFD) Dike 10-2 – 10-3 Fireproofing 10-2 – 10-3 Blast-wall or bunker 10-2 – 10-3 Flame or Detonation arrestor 10-1 – 10-3
  • 56. Examples of active barriers Probability of Failure on Demand (PFD) Pressure relief valve 10-1 – 10-5 Water spray, deluges, foam systems 1 – 10-1 Basic Process Control System 10-1 – 10-2 Safety Instrumented Function (SIF) - reliability depends on Safety Integrity Level (SIL) according to IEC1 61511 SIL 1:10-1 – 10-2 SIL 2:10-2 – 10-3 SIL 3:10-3 – 10-4 1 IEC - International Electrotechnical Commission, develops electric, electronic and electrotechnical international standards
  • 57. Human response as a barrier  Responses can be skill-, rule-, and/or knowledge based  Skill based: routine, highly practiced tasks and responses  I.e. steering a car  Rule based: responses covered by procedures and training  I.e. obeying traffic rules  Knowledge based: responses to novel situations  I.e. finding the way to a new destination  Skill- and rule based responses can be relatively fast and reliable, knowledge based responses are slow and not so reliable
  • 58. Examples of human response barriers Probability of Failure on Demand (PFD) Human action with 10 min. response time, simple, well documented action with clear and reliable indication that the action is required 1 – 10-1 Human response to Control system warning or Alarm with 40 min. response time, simple, well documented action with clear and reliable indication that the action is required 10-1 Human action with 40 min. response time, simple, well documented action with clear and reliable indication that the action is required 10-1 – 10-2
  • 59. The following are NOT barriers, but functions of Safety Management :  Training and education.  provides the competence to respond properly  Procedures  paperwork is not a barrier, only the response itself  Maintenance and inspection  necessary to ensure functioning of primary barriers over time  Communications and instructions they influence barrier reliability a lot!
  • 60. Risk management in Europe  “Generic distances” based on environmental impact in general (noise, smell, dust, etc.).  Consequence based (”deterministic” or ”Qualitative”) Safety distances are based on the extent of consequences (effects) of distinct accident scenarios (“worst case” or ”reference” scenarios).  Risk based (”probabilistic” or ”Quantitative”) Quantitative risk analysis (QRA) includes an analysis of all relevant accident scenarios with respect to consequences and likelihood (expected frequency), and results in calculated values of individual risk and societal risk, which can be compared with acceptance criteria.
  • 61. Quantitative vs. qualitative risk analysis  Identify all hazards  Select a large set of scenarios  Determine the expected frequency (likelihood) of all these scenarios  Determine the consequences of all these scenarios  Combine all these results (using wind direction statistics, etc) and calculate Individual Risk around the plant  Draw Individual Risk on map and compare with acceptance criteria  Identify all hazards  Select a small set of scenarios with the largest consequences  Obtain some “feel” for the likelihood of these scenarios  Determine the consequences of these scenarios  Draw safety distances on a map
  • 62. Qualitative=Consequence-based: advantages and disadvantages  Analysis is (relatively) easy and fast  Decision process is simple (either “safe” or “unsafe”)  Results are easy to communicate (based on easy-to-understand accident scenarios)  Selection of scenarios and assessment of ”improbable = (?) impossible” accidents is often tacit or implicit.  Can give a wrong impression of precision and safety  Use of “worst case” scenarios leads to conservative results (expensive for society) (Results are determined by the worst-case – but unlikely accidents)  Tendency to “forget” less severe scenarios in risk control and safety management
  • 63. QRA=risk based: advantages and disadvantages  Complete analysis, opportunity for setting priorities, focus on most “risky” items.  Transparent (for experts?), both probabilities and consequences are included explicitly  Results can be compared with criteria for risk acceptance  Results for different types of facilities can easily be compared  Not dominated by a single accident scenario – not sensitive for selection of scenarios  Expensive and cumbersome analysis, which requires expert knowledge  The ”probabilistic” element in the result is hard to communicate  Result suggests large accuracy, but it includes large uncertainty  The presence of accept criteria (hard political decision) is necessary beforehand
  • 64. QRA - Probability assessment of scenarios  Loss of Containment events (each of them happening with a certain likelihood) are developed into event trees (scenarios)  Event trees identify the conditional probability of important conditions (ignition, wind direction)  For each scenario, consequences are quantified (e.g. fatality rate foot print of a toxic cloud, i.e. probability of fatality at a position (x,y) for that scenario)  For every point on the map (x,y), sum the contribution of all the scenarios to the risk at that point.
  • 65. Results of QRA: Individual Risk and Societal Risk 1.E-09 1.E-08 1.E-07 1.E-06 1.E-05 1.E-04 1.E-03 1 10 100 1000 10000 Expected Fatalities Frequency(peryear) 10-6 10-7 10-8
  • 66. Qualitative analysis – results: safety distance
  • 67. Likelihood per year Limited damage Reversible damage Severe (fatalities) Catastrophe (off-site fatalities) e-3 e-4 e-5 e-6 e-7 e-8 Acceptable "ALARA", scenarios to be analysed on consequences Unacceptable Severity Qualitative analysis – results: risk matrix Scenarios for consequence analysis are typically in the yellow zone But don’t forget to manage the scenarios in the green zone!
  • 68. Is there a difference?  Kirchsteiger (1999) concludes: ”… that there is neither a strictly deterministic nor a strictly probabilistic approach to risk analysis. Each probabilistic approach to risk analysis involves deterministic arguments, each deterministic approach includes quantitative arguments which decide how the likelihood of events is going to be addressed.”
  • 69. Risk acceptance  For society’s acceptance the following factors play a role:  Risk aversion  “Cost/benefit” and ALARA principle  The source of the risk: fatality risk in apartments is a factor 150 less acceptable than in traffic (Swedish study)  Existing risk criteria are founded on comparison with general fatality risk (ca. 10-4 per year for young people) and the costs, society is willing to pay for saving a human life
  • 70. Acceptance criteria  For consequence-based method:  Highest likelihood of scenarios that cause significant consequences, typically between 10-7 and 10-9 per year  Scheme for the number of safety barriers depending on likelihood and severity (force scenario in the green or yellow part of the risk matrix)  For risk-based method:  Individuel Risk between 10-5 and 10-6 per year  Criterion for societal risk, e.g. Netherlands: F < 10-3 /N2
  • 71. Risk acceptance – final consideration  Report on the inquiry of the Flixborough accident states: “… for what is or is not acceptable depends in the end upon current social tolerance and what is regarded as tolerable at one time may well be regarded as intolerable at another.”

Editor's Notes

  1. This slide presents the normal flow of activities in a risk assessment. One point which is not mentioned in the slide is the importance of insuring the quality of the analysis at all steps. Responsibility for ensuring the quality of the work should be assigned to a competent person who is not actively involved in the analysis. Ensuring the quality of the work involves checking that the analysis is made according to specifications and that the deviations are explained in a satisfactory way. Each intermediate and each final result of the analysis process should be examined immediately after its completion, ensuring that errors will be found as early as possible.