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21st June 2007 Introducing 2nd Edition EEMUA 191
“Better Alarm Handling”
is OPEN from 09.30 hours
Welcome
Hilton Manchester Airport Hotel
Manchester UK
Thursday 21 June 2007
21st June 2007 Introducing 2nd Edition EEMUA 191
Welcome
Chairman of Council, EEMUA
Corporate Project Manager, Innospec
Bill Swift
21st June 2007 Introducing 2nd Edition EEMUA 191
Welcome
• Safety and Housekeeping
• Programme for the Day
• Exhibits and Literature Displays
• Speakers’ Presentations
• Questions and Comments
21st June 2007 Introducing 2nd Edition EEMUA 191
Morning Session – from 10.15
• Introduction
• The HSE’s view on management of alarm
systems
• About the updated 2nd Edition of EEMUA
Publication 191
– Overview of the changes
– Understanding some specific aspects
• Networking and Displays
Lunch served from 12.30
21st June 2007 Introducing 2nd Edition EEMUA 191
Afternoon Session starts 13.30
• Measuring performance
• Batch manufacturing
• Running an improvement programme
• Panel Review – Question time
• Summary and Future Plans
• Networking and displays
Close: 16.15 hours
21st June 2007 Introducing 2nd Edition EEMUA 191
Introduction
The Engineering
Equipment and Materials
Users’ Association
Clive Tayler, Executive Director
21st June 2007 Introducing 2nd Edition EEMUA 191
Introduction
• About EEMUA
• Origins of Publication 191
• The 2007 Edition
• Some points to note
21st June 2007 Introducing 2nd Edition EEMUA 191
EEMUA
A European based, non profit distributing,
industry Association run for the
benefit of companies that
that own or operate
industrial
facilities
21st June 2007 Introducing 2nd Edition EEMUA 191
EEMUA
Aims to improve the safety, environmental
and operating performance of industrial
facilities in the most cost-effective way
EEMUA Members pursue these aims by:
Sharing engineering experiences and expertise
and by the promotion of their
distinct interests as users
of engineering products
21st June 2007 Introducing 2nd Edition EEMUA 191
EEMUA
Governing Council of Members
Council
Management
Committee
(CMC)
Committees
and Forums
(e.g. INC)
External
Representatives
(e.g. IEC 61511) Working Groups
(e.g. 191 WG)
EEMUA
Executive
Collaborators
21st June 2007 Introducing 2nd Edition EEMUA 191
Origins of EEMUA 191
• 1979 – Three Mile
Island
• 1984 – Bhopal
• 1987 – Herald of Free
Enterprise
• 1994 – Milford Haven
• 1996 – Channel
Tunnel
21st June 2007 Introducing 2nd Edition EEMUA 191
Origins of EEMUA 191
• EEMUA
– Provide Guidance
– Develop consensus on
what is good and best
practice
• HSE
– “Better alarm handling”
• Investigate
• Plan, do, check and …
• Manage
– Realise the benefits!
21st June 2007 Introducing 2nd Edition EEMUA 191
EEMUA 191 - 2007 Edition
• Core principles and Roadmap (pages xvii – xix)
• Alarm system philosophy (1 – 6)
• Design principles (7 – 22)
• Implementation issues (23 – 34)
• Performance measurement (35 – 42)
• Managing an improvement programme (43 – 47)
• Buying a new alarm system (49 – 52)
• Appendices (53 – 167)
• Feedback form; list of other EEMUA Publications
– New part or significant revision
21st June 2007 Introducing 2nd Edition EEMUA 191
Some points to note …
• EEMUA Publication 191 provides “clear, and now
tried and tested, guidance” (HSE – see page v)
• Key changes in 2007 Edition listed (page xiv)
• There’s no substitute for tools and techniques,
expertise, and direct experience (see page 40 –
and meet with attendees at this event)
• Measuring performance is key to improvement
(page 35)
21st June 2007 Introducing 2nd Edition EEMUA 191
Some more points to note …
• Generic guide: needs interpretation by
application sector: e.g. batch (page 153)
• Alarm system improvement is a journey not a
finish line (page 160)
• And finally …
the new 3rd Edition starts here! See and use the
EEMUA 191 feedback form (page iii); listen and
participate in the Summary session (later today)
21st June 2007 Introducing 2nd Edition EEMUA 191
End of Introduction
The Engineering
Equipment and Materials
Users’ Association
Clive Tayler, Executive Director
Health and Safety
Executive
HSE view on alarm
management
Revised EEMUA 191 Guide
John Wilkinson, Team Leader
Human & Organisational Factors
Team, HSE HID Onshore
Human & organisational factors team
Hazardous Installations Directorate
Aim:
To drive continuous improvement in the
management of human performance in the control
of major accident hazards (MAHs) in the chemical
and allied onshore industries.
Wide range of activities
Inspection, investigation, assessment, expert
witness, advice, guidance, training, research etc.
What do we mean by ‘human
factors?’
• Organisational
change
• Staffing arrangements
• Training &
competence
• Procedures
• Fatigue & shiftwork
• Behavioural safety
• Managing human
failure
Key human factors issues for COMAH sites
• Organisational
culture &
management style
• Human factors in
design
• Communications &
interfaces
• Integration of HF
into risk assessment
& investigations
Outline
• Why bother?
• Incidents
• HSE approach
• Barriers
• Key issues
Are you managing human failures?
Are you sure?
Human Failures
Errors Violations
Mistakes
Slips/lapses
Structured error
analysis
Unintentional Intentional
Behaviour
modification /
culture
Interaction between people, their
organisation, and physical and
psychological factors in their
work
Direct effects on
Direct effects on
health
health
Human
Human
reliability
reliability
Mental health
Mental health
Musculo
Musculo-
-
skeletal
skeletal
disorders
disorders
Personal injury
Personal injury
frequency
frequency
Major accident
Major accident
probability
probability
Unclear procedures
Unclear procedures
Dysfunctional
Dysfunctional
culture
culture Poor interface design
Poor interface design
Why focus on alarm
management?
• We consulted inspectors, industry &
intermediaries
• Texaco and other major incidents
• Lack of apparent progress at the sharp end
• Recognition that there was work still to do to
facilitate change
SO:
• Selected as one of the original ‘Top Ten’ issues
& first for guidance (2000)
Scope
• Alarm management is a wide issue about
assuring the human response to an alarm
– Not just for continuous processes with
distributed control systems
– Applies equally to small major sites
where reliance is placed on human
response to alarms eg tank storage
– Calls for human-centred design
Control philosophy & wider issues
• What is the overall control philosophy?
– Manual control vs automatic control
– But what is automated and why?
• Alarms are linked to many of our key
human factor issues
– Check wider control, environment &
interface issues - EEMUA Publication 201
Outline
• Why bother?
• Incidents
• HSE approach
• Barriers
• Key issues
Texaco Incident, Milford Haven
1994: Lessons
• Alarm floods; too many standing alarms
• Control displays and alarms did not aid
operators:
– No process overview to help diagnosis (& see
EEMUA Publication 201)
– Alarms presented faster than they could be
responded to
– 87% of the 2040 alarms displayed as "high"
priority, despite many being informative only
– Safety critical alarms not distinguished
Other lessons
Alarm system has to be set in Safety
Management System (SMS) context. The SMS
failures at Texaco included:
• Plant mod procedure
• Instrument maintenance system
• Operator training/competence
• Lack of clear guidance on managing unplanned
events & when to shutdown
• Lack of clear authority to initiate shutdown
– Ultimate plant safety should not depend on
operator response to an alarm.
Esso Longford
Alarm issues:
• 300-400 alarms daily
• Up to 8500 in upset
• Alarm numbers accepted as ‘normal’
• No engineering support on site
• Operators did their best to meet perceived
company priorities
• Flawed decision to restart (compare: Three-Mile
Island)
Outline
• Why bother?
• Incidents
• HSE approach
• Barriers
• Key issues
HSE Alarms Strategy
• Derived from Texaco report
recommendations
• HSE research
• The EEMUA Guide; and
• Experience so far from inspection,
assessment & accidents
• IEC61508/11
The EEMUA Guide
• HSE supported the original & was
closely consulted on the revision
• HSE regards it as nearest thing to a
standard currently available
• Useful, accessible and used - EEMUA
bestseller
• Human factors are key elements…
• …key C&I issues also present
‘Better Alarm Handling’
www.hse.gov.uk/humanfactors/comah/index.htm
HSE produced simple and practical
guidance to underpin the EEMUA Guide:
• Promoted it widely
• Improved training for inspectors and industry
• Continue to raise profile of alarm management
through inspection, assessment & intermediaries
• Developed WebPages – eg CHIS6,HF Briefing
Note No. 9 & Toolkit
HSE expectations
HID expects:
• A policy that recognises human factors of alarm
handling as a management issue
• A ‘championed’ logical review process
• A sensible, timed, and tracked action
programme to deal with issues found
• For COMAH - rigorous demonstration that
human factors have been addressed adequately
where operator response to alarms claimed as
defence against incidents
Progress
• Encouraging signs of progress appearing now:
– Emerging good practice in some areas
– Safety reports beginning to tackle alarm handling
– Training, support or guidance for field inspectors
and industry now available
– Users becoming more aware of the issue
But:
– Implementation often poor or ‘stuck’
– Some sites assume silence means all is well
– It’s not just large DCSs that need attention
– Entropy….
Outline
• Why bother?
• Incidents
• HSE approach
• Barriers
• Key issues
Existing systems
It can be a hard issue to tackle:
• The ‘I wouldn’t start from here’ syndrome
• Addressing it requires resource, persistence & good
project management
• Need good – and early - workforce participation
• Failure to address ‘quick wins’
• Contribution of alarm handling to upsets, emergencies
& incidents not always seen
• Often not considered in investigations
• Operators, managers & engineers often accept alarm
floods & nuisance alarms as the status quo
New/upgraded systems
• The differing needs of users, suppliers,
manufacturers, designers etc not always well
understood for upgrades and new projects
• Often contracts & specifications are ‘diluted
down’ by the contract, installation &
commissioning process
• Low expectations & poor user specifications
• Overuse of increased flexibility ie more alarms
• Inadequate linking to major hazards & risk
assessments
Outline
• Why bother?
• Incidents
• HSE approach
• Barriers
• Key issues
Alarms: key principles
• Usability
– Consider users needs & capabilities.
• Safety
– Realistic human performance/ reliability claims
• Performance monitoring
– Initial design, commissioning, audit.
• Engineering investment
– Justify and engineer all alarms.
Users
Users need to:
• Review: evaluate, prioritise and modify
• Ensure new designs meet EEMUA principles
• Remember other key elements eg
– Wider design issues
– Control room environment
– Workload and numbers
– All foreseeable conditions - normal, upset,
shutdown/start-up, maintenance and
emergency
Designers/manufacturers
They need to:
• Be able to demonstrate that their
standards and approach meet EEMUA
• Follow a human-centred design approach
Summary
The right stepping stones have been put in place
over the last 10 years:
• Guidance & training available
• Solutions available by design/modification
• Awareness of the issue increasing
• Some good practice emerging
• Continuing focus required though, incidents are still
occurring
HSE expects to see the EEMUA guide used
www.hse.gov.uk/humanfactors/comah/index.htm
21st June 2007 Introducing 2nd Edition EEMUA 191
EEMUA 191
Andrew Lichnowski
21st June 2007 Introducing 2nd Edition EEMUA 191
Tribute to Matthew Bransby
• Matthew Bransby made a major contribution to the
development of Alarm Systems.
• Contracted as a ‘Technical co-ordinator and author’
of the original EEMUA 191 document
• Tragically, Matthew died 5th August 2000 in a
climbing accident in Greenland
• Sadly missed by family, friends and work colleagues
• Matthew would be delighted that the work goes on
21st June 2007 Introducing 2nd Edition EEMUA 191
Texaco Refinery 1994
21st June 2007 Introducing 2nd Edition EEMUA 191
EEMUA 191 History
• EEMUA Alarms Work Group formed 1993
• Texaco Milford Haven 1994, incident report led to
• HSE Research Report (Bransby & Jenkins 1998)
• Contribution to the EEMUA guidance
• Co-sponsored by ASM Consortium
• EEMUA 191 published 1999
• Chemical Industries Information Sheet 6
• High profile at industry conferences &
publications
• Quoted by many as the ‘de-facto’ standard
21st June 2007 Introducing 2nd Edition EEMUA 191
Consortium
• Abnormal Situation Management
• USA Industrial Plant Consortium
– Site Assessment Methodology
– Effective Operations Practices
• Solutions
– Alarm Management
– Collaborative Decision Support
– Operator Display Design and Tools
– Training for Operations and Maintenance
– Workplace Design
21st June 2007 Introducing 2nd Edition EEMUA 191
Alarm Objectives
21st June 2007 Introducing 2nd Edition EEMUA 191
Alarm Objectives
ESD
Operator
Intervention
Target
Normal
Upset
Shut-down
Control
System
ESD
Operator
Intervention
Target
Normal
Upset
Shut-down
Control
System
X
X
X
X X
X
X
X
X
X
X
X
X
X
X
X
X
X X
X
X
X
X
X
X
X
Ineffective Alarm system Effective Alarm system
21st June 2007 Introducing 2nd Edition EEMUA 191
Four Core Principles
1. Ensure usability of the alarm system
2. Identify safety-related aspects
3. Monitor system performance
4. Reduce overall cost of ownership by
initial engineering investment
21st June 2007 Introducing 2nd Edition EEMUA 191
EEMUA 191 Roadmap
21st June 2007 Introducing 2nd Edition EEMUA 191
Alarm Key Attributes
• Alert, inform & guide
• Useful and relevant
• Have a defined response
• Adequate time should be allowed for the
operator to carry out a defined response
• The alarm system should be designed to
take account of human limitations
21st June 2007 Introducing 2nd Edition EEMUA 191
Characteristics of a Good Alarm
CHARACTERISTICS OF A GOOD ALARM
• Relevant i.e. not spurious or of low operational value
• Unique i.e. not duplicating another alarm
• Timely i.e. not long before any response is needed or too late to
do anything
• Prioritised i.e. indicating the importance that the operator deals
with the problem
• Understandable i.e. having a message which is clear and easy to
understand
• Diagnostic i.e. identifying the problem that has occurred
• Advisory i.e. indicative of the action to be taken
• Focusing i.e. drawing attention to the most important issues
21st June 2007 Introducing 2nd Edition EEMUA 191
EEMUA 191 Review Process
• EEMUA Instrumentation and Control Committee
• Invited comments
• Considered by Alarms Working Group
• Characterised into
– Accepted & included
– Rejected
– Deferred for 3rd Edition
• Nov 2006 presented to HSE for comment
• Comments incorporated as above
• Endorsed by ASM Consortium
• Published June 2007
• 3rd Edition process starts
21st June 2007 Introducing 2nd Edition EEMUA 191
EEMUA 191 Review Process
• Minor changes throughout document
– Spelling
– Grammar
– Consistency of Style
– Gender he/she etc
– Acronyms
21st June 2007 Introducing 2nd Edition EEMUA 191
EEMUA 191 Overall Structure
1. Alarm System Philosophy
2. Principles of Alarm System Design
3. Implementation Issues
4. Measuring Performance
5. Managing Improvement Programme
6. Buying a New Alarm System
Revision
21st June 2007 Introducing 2nd Edition EEMUA 191
EEMUA 191 Appendices
1. Glossary
2. Design of individual alarms
3. Risk Assessment
4. Examples of Risk Assessment
5. Setting of Priority
6. Types of Alarms
7. Alerts
New Section Revision
21st June 2007 Introducing 2nd Edition EEMUA 191
EEMUA 191 Appendices
8. Logical Processing of Alarms
9. Repeating and Fleeting Alarms
10.Design of Field Alarm Sensors
11.Design of Alarm List Displays
12.Performance Metrics
13.Performance Levels
14.Operator Questionnaire
New Section Revision
21st June 2007 Introducing 2nd Edition EEMUA 191
EEMUA 191 Appendices
15.Usefulness Questionnaire
16.Costs of Poor Alarm Performance
17.Specification Checklist – Large
18.Specification Checklist – Small
19.Alarm Suppression Hazard Study
20.Alarm Management in Batch Plants
21.Alarm System Improvement
Process
New Section
21st June 2007 Introducing 2nd Edition EEMUA 191
Introduction
• Complete Revision
• Alarm system performance is still
being cited in continuing major
incidents as a contributory factor (for
instance, see the Australian Longford
refinery incident).
21st June 2007 Introducing 2nd Edition EEMUA 191
1.2 The Role of the Operator
• Added to context (p3)
– “The types of operational state to be
considered include start-up/shutdown,
normal, abnormal/upset, emergency
and maintenance (see EEMUA 201 [REF
H] and Appendix 8.3.4)”
21st June 2007 Introducing 2nd Edition EEMUA 191
2.3.3 Risk Assessment
• 2.3.3 Safety Related Alarms (p12)
– Reemphasis on IEC 61508/11
– Separate system if PFDavg 0.1-0.01
• 2.3.4 Reliability Claims (p13)
– No human response alarms if
PFDavg <0.01
21st June 2007 Introducing 2nd Edition EEMUA 191
2.3.3 Safety Related Alarms
IEC 61508 - Standard
An alarm is safety related if :
• It is claimed as part of the facilities for
reducing the risk from hazards to people
to a tolerable level
• And the claimed reduction in risk provided
by the alarm system is “significant”
“Significant” means a claimed Average
Probability of Failure per Demand of less
than 0.1
21st June 2007 Introducing 2nd Edition EEMUA 191
2.3.3 Safety Related Alarms
If an alarm system (or part of it) is considered as
safety related :
• It should be designed, operated and maintained
in accordance with IEC 61508.
• It should be independent & separate from the
process control system, unless the process
control system itself is safety-related and
conforms to IEC 61508
Traditional DCS are not engineered to IEC61508
specifications and should not be used for safety-
related alarms.
21st June 2007 Introducing 2nd Edition EEMUA 191
3.4 Training
• 3.4 Training (p31)
– Processes should be in place to regularly
review the training content and identify
the need for refresher training.
21st June 2007 Introducing 2nd Edition EEMUA 191
3.6 Testing of Alarms
• 3.6.1 Management of Testing (p33)
– Strategy for Safety Related Alarms
– Testing of higher priority where financial or
environmental concerns
– Regular normal operation may adequately
demonstrate correct functionality
21st June 2007 Introducing 2nd Edition EEMUA 191
4 Measuring Performance
• 4.1.1 Key Performance Indicators (p36)
• 4.1.2 Performance Levels (p38)
• 4.2 Data Analysis Tools (p40)
• 4.2.1 Specification of Alarm Logging and
Analysis Tools (p41)
• Further detail in presentation by Donald
Campbell-Brown
21st June 2007 Introducing 2nd Edition EEMUA 191
Appendix 1 Glossary
• Significant Revision (p55)
– 65+ Terms defined
– Acronyms included
21st June 2007 Introducing 2nd Edition EEMUA 191
A4.1 Qualitative Risk Assessment
• Example: High current alarm on an
electric motor driving a large pump
• A4.1.1 Identification of Risks (p65)
– Section revised
21st June 2007 Introducing 2nd Edition EEMUA 191
Appendix 5 Priority Setting
• A5.5.3 Method 3: Flow Chart Assessment
– General Alarm Assessment (p77)
– Safety Assessment (p78)
– Environmental (p79)
– Commercial Loss (p 80)
• A5.6 Record Keeping
– Example of recording information and data
(p82)
21st June 2007 Introducing 2nd Edition EEMUA 191
21st June 2007 Introducing 2nd Edition EEMUA 191
Appendix 7 Alerts
• New Section (p86)
– Deliver automatic notification capability
– Process conditions that require attention
– Annunciated on separate display
– Not on standard alarm display
– Always of lower priority than alarms
– Ignoring does not have serious consequences
– May replace lower priority alarms
21st June 2007 Introducing 2nd Edition EEMUA 191
Appendix 9.8 Shelving
• Critical Alarm Shelving (p101)
– Nuisance Critical Alarms
– Use single line annunciation if possible
– Temporary shelving to limit nuisance
– Formal authorisation from a technically
competent authority
– Automated reminders
– Prevent permanent shelved status
21st June 2007 Introducing 2nd Edition EEMUA 191
Appendix 13 Performance Levels
• New Section (p123)
– Defining Performance Levels
– Validation of Metrics
• More detail in presentation by Donald
Campbell-Brown
– ‘Measuring Performance’
21st June 2007 Introducing 2nd Edition EEMUA 191
Appendix 20 Batch Plants
• New Section (p153)
– Batch Plant operation
– Operator information
– Alarm Rates
– Application of Alarm Priorities
– Design of Alarms
• Presentation by Peter Bruce
– ‘Batch manufacturing’
21st June 2007 Introducing 2nd Edition EEMUA 191
Appendix 21 Improvement Process
• New Section(p160)
– Alarm Management Improvement Process
• Presentation by Chris Dicken
– ‘Running an improvement programme’
21st June 2007 Introducing 2nd Edition EEMUA 191
HSE Foreword
• Inspectors carrying out assessment and
inspection activities may look, when
necessary, for evidence that the principles
and recommendations in the EEMUA 191
guide (or an equally effective equivalent)
are being, or have been, applied to alarm
system design and management.
Kevin Allars
Deputy Director,
Hazardous Installations Directorate
Health & Safety Executive
UK 2007
21st June 2007 Introducing 2nd Edition EEMUA 191
ASM Consortium Foreword
In the opinion of the ASM Consortium, this
guide continues to currently represent the
best publicly-available benchmark of
accepted industry good practice for alarm
system design, management and
procurement.
Kevin R. D. Harris
Director, Abnormal Situation Management Consortium
Phoenix
Arizona
USA
March 2007
21st June 2007 Introducing 2nd Edition EEMUA 191
Measuring Alarm Systems
Performance
Donald Campbell Brown
21st June 2007 Introducing 2nd Edition EEMUA 191
Alarm Management - Introduction
The Image: The Reality:
You’ve
got to be
kidding!
You have 213
new alarms - all
emergency priority
…one alarm in the whole
shift, and that just to tell
me that the coffee machine
had been switched to manual.
….What goes wrong?:
• Floods of alarms during plant upsets
• Long lists of standing alarms during normal operation
• Upsets/incidents due to missed alarms
21st June 2007 Introducing 2nd Edition EEMUA 191
Overview
• Where is the value from investment in OSS?
– Alarm system improvement
• What is the purpose of the alarm system?
– Definition of an alarm
• Performance of alarm systems
– Key performance indicators
– Alarm system benchmarks
• Conclusions
21st June 2007 Introducing 2nd Edition EEMUA 191
Production Rate
Proportion
of
Time
Productivity Histogram
Current
Limit
Operating Target
Business Value
Impact Areas for Operator Support Tools :
(1) Rate of occurrence of ‘abnormal’ situations
(2) Rate of ‘escalation’ of abnormal situations
(3) Operator ‘Confidence’ - related to size of ‘comfort margin’
Lost
Opportunity
• 3 - 8 % of plant throughput
• Lower bound (does not count utilities, chemicals usage etc)!
21st June 2007 Introducing 2nd Edition EEMUA 191
Cost of Abnormal Situations
Rate per Year
Cost of
Incident
($ Million)
1000
.0 1
0 .01 .1 1 10 100
100
10
1
.1
• Historical data = only the more frequent low-cost incidents
• Low frequency but high cost incidents?
Typical plant
performance
21st June 2007 Introducing 2nd Edition EEMUA 191
Alarm System Objectives
Normal
Shut Down
Control
System
Operator
Intervention
PSD
Target
monitoring & optimisation
Upset
situation management
make safe
& restart
21st June 2007 Introducing 2nd Edition EEMUA 191
Operator tasks during plant upset
• Situation Management:
– Problem Identification
• what’s wrong?
– Situation Assessment
• what else is happening to affect what I do?
– Immediate Action
• minimise consequences
– Follow-up Actions
• restoring normal operations
The purpose of the alarm system is to direct the
operator’s attention towards conditions requiring
timely assessment or action
This is where
alarm systems
can be most helpful
21st June 2007 Introducing 2nd Edition EEMUA 191
What Makes an Alarm System
Effective?
Normal
Target
Upset
Shut Down
Control
System
Operator
Intervention
ESD
X = Alarm
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X X X X X
X
An effective alarm System:
X
X X
X
X
X
X
X
X
X
X X
X
X
X
X
X
X
X
X
An ineffective alarm System:
21st June 2007 Introducing 2nd Edition EEMUA 191
Alarm System Metrics
(1) Average number of alarms per hour
(2) Maximum number of alarms per hour
(3) % hrs where alarm rates outside acceptability target
• Value:
– Acceptability targets (new system)
– Adequacy (existing system)
– Effectiveness (ongoing improvement effort)
– Identify specific nuisance alarms
– Demonstrate performance (to auditor)
21st June 2007 Introducing 2nd Edition EEMUA 191
Alarm System Performance
AVERAGE ALARM RATE VS BURST ALARM RATE
Maximum # Alarms per Hr
Average
#
Alarms
per
Hr
Impossible
1
10
100
1000
10000
10 100 1000 10000 100000
1 -Overloaded
2 - Reactive
3 - Stable
4 - Robust
5 - Predictive
6000
600
60
600
60
6 X
EEMUA 191 Reference Point
~3 alarms/sec
21st June 2007 Introducing 2nd Edition EEMUA 191
Secondary Metrics
• % hrs where alarm rates outside extreme target
• Shelved alarms
– Number
– Average/Maximum time shelved
• Standing alarms
– Number
– Average /Maximum time standing
• Top 10 load percentage
21st June 2007 Introducing 2nd Edition EEMUA 191
Alarm System Improvement
• Use KPIs to determine current Performance Level
• Identify Target level of performance
– Range of CRO Tasks
– Complexity
– Consequences of failure to act
– Required speed of response
– Centrality
– Level of automation / fallback
– Cost
• Implement appropriate tools/processes to close
the gap
21st June 2007 Introducing 2nd Edition EEMUA 191
Alarm Management Conclusions
• Value of Alarm System Improvement
– Rate of occurrence of ‘abnormal’ situations
– Rate of ‘escalation’ of abnormal situations
– Operator ‘Confidence’
• Role of the alarm system
– Definition of an alarm
• Performance of alarm systems
– Key performance indicators
– Alarm system benchmarks
My alarm system tells me
what I need to know…
My alarm system tells me
what I need to know…
…Wow, now I can
really manage my plant !.
21st June 2007 Introducing 2nd Edition EEMUA 191
Alarm Management in Batch
Plants
ABB Engineering Services
Peter Bruce
21st June 2007 Introducing 2nd Edition EEMUA 191
EEMUA 191 and Batch
• EEMUA 191 currently very good for
continuous processes…..
• …….But not so good for batch
• What is different about batch plant?
• What has changed in EEMUA 191?
• Some things to consider
Remember, management of alarms is applicable to all types of production plant.
21st June 2007 Introducing 2nd Edition EEMUA 191
Differences
• Fixed alarm values,
• Alarm flood due to cascade
of events
Continuous
• Alarm limits change with
recipe
• Alarm limits change with
plant state
• Alarms enabled/disabled with
change of plant state
• Minor alarm floods from
services
• Alarms directly from
sequences.
Batch
21st June 2007 Introducing 2nd Edition EEMUA 191
Differences - Plant control
• Large variation of control
concepts and operation of
production
• Central operator with field
operators similar to
continuous plants
• Mobile operators moving in
and out of control room
• Use of local workstations,
– who is in control? who
accepts alarms?.
• Permanently manned
control room
• Often central control room
covering a number of
plants
• Continuously monitoring
process through active
patrolling of the process
graphics
Continuous Batch
21st June 2007 Introducing 2nd Edition EEMUA 191
EEMUA 191 Appendix 20
• New appendix 20 on Alarm
Management in Batch Plants
• Checklists in the form of “things to
consider” - Does not give definitive
answers
• Intended to assist batch plant
personnel to define their own
philosophy.
21st June 2007 Introducing 2nd Edition EEMUA 191
Contents of Appendix 20
• Batch plant operation
• Operator information
• Alarm rates
• Application of alarm priorities
• Management of alarm
thresholds
• Sources of nuisance alarms
• Alarm floods
• Getting information to remote
operators.
21st June 2007 Introducing 2nd Edition EEMUA 191
Example Considerations
• What happens when CR unmanned?
• How is the alarm information passed
on?
• Can critical alarms be missed?
• Alarms from equipment not in use
• How is information such as batch events
segregated from alarms?
• Who is in control?
• How can alarms be viewed when outside
the control room?
21st June 2007 Introducing 2nd Edition EEMUA 191
Operator Information
An Alarm is an unexpected event that requires
timely operator action
An operator Prompt is an expected event that
may require operator action but is not
necessarily time critical
Add 120 Kg of
additive x
Enter batch size
and number
Batch has
completed
Batch ready to
start
Heating
phase waiting
Batch outside limits.
OK to proceed?
25 tonnes of X
added to batch
21st June 2007 Introducing 2nd Edition EEMUA 191
Alarm Rates
• Target for alarm rates should consider
human factors too
– Time outside the control room
– Time responding to operator prompts
Rates per 10 minutes
0
1
2
3
4
5
6
7
8
Plant 1 Plant 2 Plant 3
General
Sequence Generated
Operator Prompts
21st June 2007 Introducing 2nd Edition EEMUA 191
Alarm Priorities
Increasing
degree of
response
from
operator
Critical
Informative
5%
high
priority
15%
medium priority
80%
low priority
Safety – alarms of most
importance, e.g.
emergency showers
Sequence-Generated Alarms – can be more
descriptive, a form of intelligent alarm handling
Equipment Protection – these
are not product related
Less likely to have
large numbers of
alarms therefore could
segregate into types
21st June 2007 Introducing 2nd Edition EEMUA 191
Design of Alarms
• Take care when inhibiting alarms
• Prevent inappropriate, legacy alarms from
previous product runs
Working range of
equipment, protection of
personal, environment,
assets
Equipment alarm limits Phase logic alarm limits
High operating limit
Low operating limit
Higher control or product limit
Lower control or product limit
Alarms enabled only when
required otherwise disabled to
prevent nuisance alarms
21st June 2007 Introducing 2nd Edition EEMUA 191
Summary
• Batch and continuous plants have different
alarm considerations
• EEMUA 191 now recognises this
• New Appendix 20 gives guidance on
applying EEMUA 191 in a batch
environment
• Interpret this guidance to best suit your
requirements and your users – but write it
down so others can follow
• Good alarm management is just as
important in a batch plant!.
21st June 2007 Introducing 2nd Edition EEMUA 191
Running an Alarm System
Improvement Programme
Chris Dicken
Technology Services – Engineering Division
21st June 2007 Introducing 2nd Edition EEMUA 191
EEMUA 191 – Second Edition
• Appendix 21
Alarm System Improvement Process –
why has this been added ?
• EEMUA 191 First Edition :
– Lots of very good information
– Lots of what to do ….
…. but a bit lacking in “how does it
all fit together”
21st June 2007 Introducing 2nd Edition EEMUA 191
EEMUA 191 – Second Edition
• Appendix 21 – The “SAT NAV” chapter of
EEMUA 191
Here I am with a “badly functioning Alarm System”
How do I get to an improved system ?
From
“Alarm Hell”
To
“Alarm Happiness”
Alarm System
Improvement
Process
21st June 2007 Introducing 2nd Edition EEMUA 191
Appendix 21- Alarm System
Improvement Process
• Use a formal and methodical approach
• Appendix 21 outlines the process, helps (you) to
stitch together various parts of the existing guidance
• It is not prescriptive
• The process will need tailoring to your specific
process / site
• The detail still has to be assembled for your site
• Advocates the use of tools to help ease the process
(See also 191 Section 5)
21st June 2007 Introducing 2nd Edition EEMUA 191
Appendix 21- Alarm System
Improvement Process
• Four Main parts to the Process
– The up-front considerations
– The Philosophy / Strategy document,
supporting documentation & tools
– Performing the actual Alarm
Rationalisation
– Monitor, Maintain & Manage
21st June 2007 Introducing 2nd Edition EEMUA 191
Appendix 21- Alarm System
Improvement Process
“A good scare is worth more to a man than
good advice”.
Edgar Watson Howe
American novelist, essayist 1853 - 1937
21st June 2007 Introducing 2nd Edition EEMUA 191
Alarm System Improvement
Process
Identify
Problem
Review Team/
Strategy Document
System
Capability
Plant area
Categorisation
Plant area
review
Integration
Supporting
Documentation
Monitor /
Maintain
System
Tuning
Iterate
Repeat for all
Plant areas
21st June 2007 Introducing 2nd Edition EEMUA 191
Alarm System Capabilities
• Alarm processing functionality
– Types of alarm
– Logic
– Suppression
– Shelving, auto-shelving
– Priorities
– Categorisation
• Display functionality
– Message format
– List capabilities
– Integration with HMI formats
21st June 2007 Introducing 2nd Edition EEMUA 191
Identify the problem
• Talk to the operator
– “Useless alarms”
• Perform Alarm analysis
– Alarm rates – in normal conditions
– Alarm rates – in abnormal conditions (floods)
– Number of standing alarms
– Number of shelved alarms
– Ratio of priorities
Too many Alarms Operator Overload
21st June 2007 Introducing 2nd Edition EEMUA 191
Create the Team
The review team will consist of individuals from such disciplines as
Operations staff
C&I staff
Process Engineers
Safety Engineers
Typically will be made up of 4 or 5 people.
21st June 2007 Introducing 2nd Edition EEMUA 191
Objectives of the Review
• To minimise no of alarms consistent with
proper protection of people, plant & environment
• To ensure all alarms are relevant and understandable
at all times
• To ensure that alarm rates are manageable at all
times
• To ensure all alarms have defined responses
• To ensure that alarms are properly prioritised
21st June 2007 Introducing 2nd Edition EEMUA 191
Alarm Strategy Document
• Roles and
Responsibilities
• Alarm System
users
• Safety role
• Alarm Design
principles
• Alarm information
checklist
• Generic alarm logic
• System
performance (KPI)
• System testing
• Change control
Alarm
Strategy
Document • Format of Messages
• Checklists
– Alarm types
– Hazard severity
definitions
– Rules for
Prioritisation
– Terms &
abbreviations
• Monitoring /
management (191
Table 4)
(191 Table 3)
21st June 2007 Introducing 2nd Edition EEMUA 191
Supporting Documentation
Example - Alarm Priority Algorithm
1
2
3
Large
High
High
High
Medium
High
Medium
Medium
Small
Medium
Medium
Low
Not Sig
Event
Event
Event
Most Likely Severity of Consequence
Likely
Urgency
21st June 2007 Introducing 2nd Edition EEMUA 191
Supporting Documentation
Prioritisation - example criteria
Low
Medium
High
Critical
Potential for serious
environmental breach
Possibility for
environmental breach
Remote possibility for
environmental breach
Negligible risk of
environmental breach
Heuristic Measure
Environment
Alarm priority
21st June 2007 Introducing 2nd Edition EEMUA 191
Tuning the system
Alarm Analysis
Tool
Individual alarms
Plant areas
Basic Improvement Techniques:
Equipment Maintenance
Scan rates
Setpoints
Deadbands
Also logic, ‘irrelevant’ alarms, software, duplicates
Weekly
Top 10
Chattering
21st June 2007 Introducing 2nd Edition EEMUA 191
Plant area categorisation
Review :
Existing Plant
Categories
Create new list
of Plant area
categories
Assign each alarm
to a category
List by new category
and Review
Break the alarm
database
into manageable
chunks
Correct data
errors
21st June 2007 Introducing 2nd Edition EEMUA 191
Plant area review
Existing
Alarm data
Plant area
operation
Data sheet for each alarm
(191 Appendix 2)
Plant area spreadsheet
Additional techniques:
Out of service suppression
Dependency suppression
Eclipsing
Timers
Info from
‘supporting’
documentation:
Severity defns.
Operator
response time.
Priority criteria.
Checklist
Types of alarm
for this
Plant area
Alarm description
Priority
Setpoints
Deadband
21st June 2007 Introducing 2nd Edition EEMUA 191
Alarm Data Sheet
Minimum Design documentation :
• What is the purpose of the proposed alarm
• What is the operator response
• What are the consequences of not responding
• What time is available for the operator to respond
to the alarm
Provides a consistent approach.
21st June 2007 Introducing 2nd Edition EEMUA 191
Integration
Look at the relationship between plant areas
and the overall plant operation
Operating mode of plant:
Starting up
Shutting down
Change in operation
Plant Trips:
Dependencies
Expected events
Identification of missing events
“Alarm flood” prevention
21st June 2007 Introducing 2nd Edition EEMUA 191
Monitor / Maintain / Manage
• Use an Alarm Analysis tool if possible
• Look for statistics as in “Identify the problem”
• Weekly ‘top 10’ focuses attention (often 90% of
alarms)
• Alarm system performance targets
• Establish responsibilities & change control
mechanisms
• Use the established tuning and review
mechanisms
• Regular review strategy
• Alarm system test procedures
21st June 2007 Introducing 2nd Edition EEMUA 191
Feedback from site
• A dauntingly large & dull task
• Followed the process – works well
• Had to review existing alarms (wanted a clean
sheet)
• Used generic rules
• Applied logic, but had some difficulties with
suppressing offload
• Only used two levels of alarm priority
• Overview screens with alarms on - excellent
• Four units refurbished – no major problems
21st June 2007 Introducing 2nd Edition EEMUA 191
Observations
• Long winded and boring
• Needs dedicated chairman / project manager
• Generic decisions can be highly impactive
• Alert / Alarm / Trip can be a useful structure
• Ensure key alarms are from diverse sources
• Can have a significant impact on alarm load
• Many alarms may never have appeared in history
(Source: D Campbell-Brown - BP Upstream Technology Group)
21st June 2007 Introducing 2nd Edition EEMUA 191
Alarm Improvement Process -
Summary
• Obtain management sign on
• Assemble well defined review team
• Produce strategy documentation
• Use the “tuning” techniques
• Divide into plant areas
• Use the checklists
• Monitor & maintain
21st June 2007 Introducing 2nd Edition EEMUA 191
Relaxed operators are happy
people
21st June 2007 Introducing 2nd Edition EEMUA 191
Running an Alarm System
Improvement Programme
Chris Dicken
Technology Services – Engineering Division
21st June 2007 Introducing 2nd Edition EEMUA 191
Panel Review
Chairman of Council, EEMUA
Corporate Projects Manager, Innospec
Bill Swift
21st June 2007 Introducing 2nd Edition EEMUA 191
Better Alarm Handling
Shell U.K. Oil Products Ltd, Stanlow
Peter Huggon
21st June 2007 Introducing 2nd Edition EEMUA 191
Question Time
• Andrew Lichnowski – Chairman INC (EEMUA)
• Chris Dicken – RWE npower
• Clive Tayler – EEMUA
• Donald Campbell-Brown – BP
• John Wilkinson – HSE
• Peter Bruce – ABB Engineering Services
• Peter Huggon – Shell UK
21st June 2007 Introducing 2nd Edition EEMUA 191
Summary and Future Plans
Andrew Lichnowski
21st June 2007 Introducing 2nd Edition EEMUA 191
Summary of 2nd Edition
• Revisions
– Introduction
– Chapters 1-4
– Appendices 1, 4, 5, 12
• New Sections
– 7 Alerts
– 20 Batch Plants
– 21 Alarm System Improvement Process
• Fundamental principles unchanged
21st June 2007 Introducing 2nd Edition EEMUA 191
Plans for EEMUA 191 Third Edition
• Work on 3rd Edition will begin immediately
after the launch of the 2nd Edition:
– EEMUA Members (users) remain the core
authoring group
– Close liaison with concerned Authorities
expected to continue and be extended
– Liaison with ASM and other industry bodies
expected to continue and be extended
– Other new Work Group(s) may be
established to contribute to the Third Edition
– Target publication 2008/09
21st June 2007 Introducing 2nd Edition EEMUA 191
Likely for 3rd Edition
• Incorporate lessons from recent incidents,
such as Buncefield and Texas City
• Further development of the concept of
performance levels
• Advanced Alarm Management
• Other topics deliberately parked during
development of the 2nd Edition
21st June 2007 Introducing 2nd Edition EEMUA 191
EEMUA 191 Third Edition
1. EEMUA Primary
Authoring Group
4. EEMUA Primary
Industry Review Group
Industry consultants,
equipment vendors, suppliers,
3rd-party inspection bodies,
etc.
3. Concerned
Authorities
5. Others
Other users of alarm
systems and/or EEMUA
191, and other
interested parties
2. EEMUA Board
Members
6. EEMUA Executive
(Primary Coordinator)
21st June 2007 Introducing 2nd Edition EEMUA 191
EEMUA 191 Third Edition
• Questions or Comments?
21st June 2007 Introducing 2nd Edition EEMUA 191
Related EEMUA work
• EEMUA Publication 201
“Process plant control desks utilising human-computer
interfaces – A guide to design, operational and human
interface issues” Due to be revised and updated
21st June 2007 Introducing 2nd Edition EEMUA 191
Conclusion
Andrew Lichnowski
21st June 2007 Introducing 2nd Edition EEMUA 191
Final Networking Session
Through until 16.15
Chairman of Council, EEMUA
Corporate Projects Manager, Innospec
Bill Swift
21st June 2007 Introducing 2nd Edition EEMUA 191
“Better Alarm Handling”
is now
CLOSED
Thank you for your participation
We wish you a safe and pleasant journey.

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EEMUA191-Presentations.pdf

  • 1. 21st June 2007 Introducing 2nd Edition EEMUA 191 “Better Alarm Handling” is OPEN from 09.30 hours Welcome Hilton Manchester Airport Hotel Manchester UK Thursday 21 June 2007
  • 2. 21st June 2007 Introducing 2nd Edition EEMUA 191 Welcome Chairman of Council, EEMUA Corporate Project Manager, Innospec Bill Swift
  • 3. 21st June 2007 Introducing 2nd Edition EEMUA 191 Welcome • Safety and Housekeeping • Programme for the Day • Exhibits and Literature Displays • Speakers’ Presentations • Questions and Comments
  • 4. 21st June 2007 Introducing 2nd Edition EEMUA 191 Morning Session – from 10.15 • Introduction • The HSE’s view on management of alarm systems • About the updated 2nd Edition of EEMUA Publication 191 – Overview of the changes – Understanding some specific aspects • Networking and Displays Lunch served from 12.30
  • 5. 21st June 2007 Introducing 2nd Edition EEMUA 191 Afternoon Session starts 13.30 • Measuring performance • Batch manufacturing • Running an improvement programme • Panel Review – Question time • Summary and Future Plans • Networking and displays Close: 16.15 hours
  • 6. 21st June 2007 Introducing 2nd Edition EEMUA 191 Introduction The Engineering Equipment and Materials Users’ Association Clive Tayler, Executive Director
  • 7. 21st June 2007 Introducing 2nd Edition EEMUA 191 Introduction • About EEMUA • Origins of Publication 191 • The 2007 Edition • Some points to note
  • 8. 21st June 2007 Introducing 2nd Edition EEMUA 191 EEMUA A European based, non profit distributing, industry Association run for the benefit of companies that that own or operate industrial facilities
  • 9. 21st June 2007 Introducing 2nd Edition EEMUA 191 EEMUA Aims to improve the safety, environmental and operating performance of industrial facilities in the most cost-effective way EEMUA Members pursue these aims by: Sharing engineering experiences and expertise and by the promotion of their distinct interests as users of engineering products
  • 10. 21st June 2007 Introducing 2nd Edition EEMUA 191 EEMUA Governing Council of Members Council Management Committee (CMC) Committees and Forums (e.g. INC) External Representatives (e.g. IEC 61511) Working Groups (e.g. 191 WG) EEMUA Executive Collaborators
  • 11. 21st June 2007 Introducing 2nd Edition EEMUA 191 Origins of EEMUA 191 • 1979 – Three Mile Island • 1984 – Bhopal • 1987 – Herald of Free Enterprise • 1994 – Milford Haven • 1996 – Channel Tunnel
  • 12. 21st June 2007 Introducing 2nd Edition EEMUA 191 Origins of EEMUA 191 • EEMUA – Provide Guidance – Develop consensus on what is good and best practice • HSE – “Better alarm handling” • Investigate • Plan, do, check and … • Manage – Realise the benefits!
  • 13. 21st June 2007 Introducing 2nd Edition EEMUA 191 EEMUA 191 - 2007 Edition • Core principles and Roadmap (pages xvii – xix) • Alarm system philosophy (1 – 6) • Design principles (7 – 22) • Implementation issues (23 – 34) • Performance measurement (35 – 42) • Managing an improvement programme (43 – 47) • Buying a new alarm system (49 – 52) • Appendices (53 – 167) • Feedback form; list of other EEMUA Publications – New part or significant revision
  • 14. 21st June 2007 Introducing 2nd Edition EEMUA 191 Some points to note … • EEMUA Publication 191 provides “clear, and now tried and tested, guidance” (HSE – see page v) • Key changes in 2007 Edition listed (page xiv) • There’s no substitute for tools and techniques, expertise, and direct experience (see page 40 – and meet with attendees at this event) • Measuring performance is key to improvement (page 35)
  • 15. 21st June 2007 Introducing 2nd Edition EEMUA 191 Some more points to note … • Generic guide: needs interpretation by application sector: e.g. batch (page 153) • Alarm system improvement is a journey not a finish line (page 160) • And finally … the new 3rd Edition starts here! See and use the EEMUA 191 feedback form (page iii); listen and participate in the Summary session (later today)
  • 16. 21st June 2007 Introducing 2nd Edition EEMUA 191 End of Introduction The Engineering Equipment and Materials Users’ Association Clive Tayler, Executive Director
  • 17. Health and Safety Executive HSE view on alarm management Revised EEMUA 191 Guide John Wilkinson, Team Leader Human & Organisational Factors Team, HSE HID Onshore
  • 18. Human & organisational factors team Hazardous Installations Directorate Aim: To drive continuous improvement in the management of human performance in the control of major accident hazards (MAHs) in the chemical and allied onshore industries. Wide range of activities Inspection, investigation, assessment, expert witness, advice, guidance, training, research etc.
  • 19. What do we mean by ‘human factors?’ • Organisational change • Staffing arrangements • Training & competence • Procedures • Fatigue & shiftwork • Behavioural safety • Managing human failure Key human factors issues for COMAH sites • Organisational culture & management style • Human factors in design • Communications & interfaces • Integration of HF into risk assessment & investigations
  • 20. Outline • Why bother? • Incidents • HSE approach • Barriers • Key issues
  • 21. Are you managing human failures? Are you sure? Human Failures Errors Violations Mistakes Slips/lapses Structured error analysis Unintentional Intentional Behaviour modification / culture
  • 22. Interaction between people, their organisation, and physical and psychological factors in their work Direct effects on Direct effects on health health Human Human reliability reliability Mental health Mental health Musculo Musculo- - skeletal skeletal disorders disorders Personal injury Personal injury frequency frequency Major accident Major accident probability probability Unclear procedures Unclear procedures Dysfunctional Dysfunctional culture culture Poor interface design Poor interface design
  • 23. Why focus on alarm management? • We consulted inspectors, industry & intermediaries • Texaco and other major incidents • Lack of apparent progress at the sharp end • Recognition that there was work still to do to facilitate change SO: • Selected as one of the original ‘Top Ten’ issues & first for guidance (2000)
  • 24. Scope • Alarm management is a wide issue about assuring the human response to an alarm – Not just for continuous processes with distributed control systems – Applies equally to small major sites where reliance is placed on human response to alarms eg tank storage – Calls for human-centred design
  • 25. Control philosophy & wider issues • What is the overall control philosophy? – Manual control vs automatic control – But what is automated and why? • Alarms are linked to many of our key human factor issues – Check wider control, environment & interface issues - EEMUA Publication 201
  • 26. Outline • Why bother? • Incidents • HSE approach • Barriers • Key issues
  • 27. Texaco Incident, Milford Haven 1994: Lessons • Alarm floods; too many standing alarms • Control displays and alarms did not aid operators: – No process overview to help diagnosis (& see EEMUA Publication 201) – Alarms presented faster than they could be responded to – 87% of the 2040 alarms displayed as "high" priority, despite many being informative only – Safety critical alarms not distinguished
  • 28. Other lessons Alarm system has to be set in Safety Management System (SMS) context. The SMS failures at Texaco included: • Plant mod procedure • Instrument maintenance system • Operator training/competence • Lack of clear guidance on managing unplanned events & when to shutdown • Lack of clear authority to initiate shutdown – Ultimate plant safety should not depend on operator response to an alarm.
  • 29. Esso Longford Alarm issues: • 300-400 alarms daily • Up to 8500 in upset • Alarm numbers accepted as ‘normal’ • No engineering support on site • Operators did their best to meet perceived company priorities • Flawed decision to restart (compare: Three-Mile Island)
  • 30. Outline • Why bother? • Incidents • HSE approach • Barriers • Key issues
  • 31. HSE Alarms Strategy • Derived from Texaco report recommendations • HSE research • The EEMUA Guide; and • Experience so far from inspection, assessment & accidents • IEC61508/11
  • 32. The EEMUA Guide • HSE supported the original & was closely consulted on the revision • HSE regards it as nearest thing to a standard currently available • Useful, accessible and used - EEMUA bestseller • Human factors are key elements… • …key C&I issues also present
  • 33. ‘Better Alarm Handling’ www.hse.gov.uk/humanfactors/comah/index.htm HSE produced simple and practical guidance to underpin the EEMUA Guide: • Promoted it widely • Improved training for inspectors and industry • Continue to raise profile of alarm management through inspection, assessment & intermediaries • Developed WebPages – eg CHIS6,HF Briefing Note No. 9 & Toolkit
  • 34. HSE expectations HID expects: • A policy that recognises human factors of alarm handling as a management issue • A ‘championed’ logical review process • A sensible, timed, and tracked action programme to deal with issues found • For COMAH - rigorous demonstration that human factors have been addressed adequately where operator response to alarms claimed as defence against incidents
  • 35. Progress • Encouraging signs of progress appearing now: – Emerging good practice in some areas – Safety reports beginning to tackle alarm handling – Training, support or guidance for field inspectors and industry now available – Users becoming more aware of the issue But: – Implementation often poor or ‘stuck’ – Some sites assume silence means all is well – It’s not just large DCSs that need attention – Entropy….
  • 36. Outline • Why bother? • Incidents • HSE approach • Barriers • Key issues
  • 37. Existing systems It can be a hard issue to tackle: • The ‘I wouldn’t start from here’ syndrome • Addressing it requires resource, persistence & good project management • Need good – and early - workforce participation • Failure to address ‘quick wins’ • Contribution of alarm handling to upsets, emergencies & incidents not always seen • Often not considered in investigations • Operators, managers & engineers often accept alarm floods & nuisance alarms as the status quo
  • 38. New/upgraded systems • The differing needs of users, suppliers, manufacturers, designers etc not always well understood for upgrades and new projects • Often contracts & specifications are ‘diluted down’ by the contract, installation & commissioning process • Low expectations & poor user specifications • Overuse of increased flexibility ie more alarms • Inadequate linking to major hazards & risk assessments
  • 39. Outline • Why bother? • Incidents • HSE approach • Barriers • Key issues
  • 40. Alarms: key principles • Usability – Consider users needs & capabilities. • Safety – Realistic human performance/ reliability claims • Performance monitoring – Initial design, commissioning, audit. • Engineering investment – Justify and engineer all alarms.
  • 41. Users Users need to: • Review: evaluate, prioritise and modify • Ensure new designs meet EEMUA principles • Remember other key elements eg – Wider design issues – Control room environment – Workload and numbers – All foreseeable conditions - normal, upset, shutdown/start-up, maintenance and emergency
  • 42. Designers/manufacturers They need to: • Be able to demonstrate that their standards and approach meet EEMUA • Follow a human-centred design approach
  • 43. Summary The right stepping stones have been put in place over the last 10 years: • Guidance & training available • Solutions available by design/modification • Awareness of the issue increasing • Some good practice emerging • Continuing focus required though, incidents are still occurring HSE expects to see the EEMUA guide used www.hse.gov.uk/humanfactors/comah/index.htm
  • 44. 21st June 2007 Introducing 2nd Edition EEMUA 191 EEMUA 191 Andrew Lichnowski
  • 45. 21st June 2007 Introducing 2nd Edition EEMUA 191 Tribute to Matthew Bransby • Matthew Bransby made a major contribution to the development of Alarm Systems. • Contracted as a ‘Technical co-ordinator and author’ of the original EEMUA 191 document • Tragically, Matthew died 5th August 2000 in a climbing accident in Greenland • Sadly missed by family, friends and work colleagues • Matthew would be delighted that the work goes on
  • 46. 21st June 2007 Introducing 2nd Edition EEMUA 191 Texaco Refinery 1994
  • 47. 21st June 2007 Introducing 2nd Edition EEMUA 191 EEMUA 191 History • EEMUA Alarms Work Group formed 1993 • Texaco Milford Haven 1994, incident report led to • HSE Research Report (Bransby & Jenkins 1998) • Contribution to the EEMUA guidance • Co-sponsored by ASM Consortium • EEMUA 191 published 1999 • Chemical Industries Information Sheet 6 • High profile at industry conferences & publications • Quoted by many as the ‘de-facto’ standard
  • 48. 21st June 2007 Introducing 2nd Edition EEMUA 191 Consortium • Abnormal Situation Management • USA Industrial Plant Consortium – Site Assessment Methodology – Effective Operations Practices • Solutions – Alarm Management – Collaborative Decision Support – Operator Display Design and Tools – Training for Operations and Maintenance – Workplace Design
  • 49. 21st June 2007 Introducing 2nd Edition EEMUA 191 Alarm Objectives
  • 50. 21st June 2007 Introducing 2nd Edition EEMUA 191 Alarm Objectives ESD Operator Intervention Target Normal Upset Shut-down Control System ESD Operator Intervention Target Normal Upset Shut-down Control System X X X X X X X X X X X X X X X X X X X X X X X X X X Ineffective Alarm system Effective Alarm system
  • 51. 21st June 2007 Introducing 2nd Edition EEMUA 191 Four Core Principles 1. Ensure usability of the alarm system 2. Identify safety-related aspects 3. Monitor system performance 4. Reduce overall cost of ownership by initial engineering investment
  • 52. 21st June 2007 Introducing 2nd Edition EEMUA 191 EEMUA 191 Roadmap
  • 53. 21st June 2007 Introducing 2nd Edition EEMUA 191 Alarm Key Attributes • Alert, inform & guide • Useful and relevant • Have a defined response • Adequate time should be allowed for the operator to carry out a defined response • The alarm system should be designed to take account of human limitations
  • 54. 21st June 2007 Introducing 2nd Edition EEMUA 191 Characteristics of a Good Alarm CHARACTERISTICS OF A GOOD ALARM • Relevant i.e. not spurious or of low operational value • Unique i.e. not duplicating another alarm • Timely i.e. not long before any response is needed or too late to do anything • Prioritised i.e. indicating the importance that the operator deals with the problem • Understandable i.e. having a message which is clear and easy to understand • Diagnostic i.e. identifying the problem that has occurred • Advisory i.e. indicative of the action to be taken • Focusing i.e. drawing attention to the most important issues
  • 55. 21st June 2007 Introducing 2nd Edition EEMUA 191 EEMUA 191 Review Process • EEMUA Instrumentation and Control Committee • Invited comments • Considered by Alarms Working Group • Characterised into – Accepted & included – Rejected – Deferred for 3rd Edition • Nov 2006 presented to HSE for comment • Comments incorporated as above • Endorsed by ASM Consortium • Published June 2007 • 3rd Edition process starts
  • 56. 21st June 2007 Introducing 2nd Edition EEMUA 191 EEMUA 191 Review Process • Minor changes throughout document – Spelling – Grammar – Consistency of Style – Gender he/she etc – Acronyms
  • 57. 21st June 2007 Introducing 2nd Edition EEMUA 191 EEMUA 191 Overall Structure 1. Alarm System Philosophy 2. Principles of Alarm System Design 3. Implementation Issues 4. Measuring Performance 5. Managing Improvement Programme 6. Buying a New Alarm System Revision
  • 58. 21st June 2007 Introducing 2nd Edition EEMUA 191 EEMUA 191 Appendices 1. Glossary 2. Design of individual alarms 3. Risk Assessment 4. Examples of Risk Assessment 5. Setting of Priority 6. Types of Alarms 7. Alerts New Section Revision
  • 59. 21st June 2007 Introducing 2nd Edition EEMUA 191 EEMUA 191 Appendices 8. Logical Processing of Alarms 9. Repeating and Fleeting Alarms 10.Design of Field Alarm Sensors 11.Design of Alarm List Displays 12.Performance Metrics 13.Performance Levels 14.Operator Questionnaire New Section Revision
  • 60. 21st June 2007 Introducing 2nd Edition EEMUA 191 EEMUA 191 Appendices 15.Usefulness Questionnaire 16.Costs of Poor Alarm Performance 17.Specification Checklist – Large 18.Specification Checklist – Small 19.Alarm Suppression Hazard Study 20.Alarm Management in Batch Plants 21.Alarm System Improvement Process New Section
  • 61. 21st June 2007 Introducing 2nd Edition EEMUA 191 Introduction • Complete Revision • Alarm system performance is still being cited in continuing major incidents as a contributory factor (for instance, see the Australian Longford refinery incident).
  • 62. 21st June 2007 Introducing 2nd Edition EEMUA 191 1.2 The Role of the Operator • Added to context (p3) – “The types of operational state to be considered include start-up/shutdown, normal, abnormal/upset, emergency and maintenance (see EEMUA 201 [REF H] and Appendix 8.3.4)”
  • 63. 21st June 2007 Introducing 2nd Edition EEMUA 191 2.3.3 Risk Assessment • 2.3.3 Safety Related Alarms (p12) – Reemphasis on IEC 61508/11 – Separate system if PFDavg 0.1-0.01 • 2.3.4 Reliability Claims (p13) – No human response alarms if PFDavg <0.01
  • 64. 21st June 2007 Introducing 2nd Edition EEMUA 191 2.3.3 Safety Related Alarms IEC 61508 - Standard An alarm is safety related if : • It is claimed as part of the facilities for reducing the risk from hazards to people to a tolerable level • And the claimed reduction in risk provided by the alarm system is “significant” “Significant” means a claimed Average Probability of Failure per Demand of less than 0.1
  • 65. 21st June 2007 Introducing 2nd Edition EEMUA 191 2.3.3 Safety Related Alarms If an alarm system (or part of it) is considered as safety related : • It should be designed, operated and maintained in accordance with IEC 61508. • It should be independent & separate from the process control system, unless the process control system itself is safety-related and conforms to IEC 61508 Traditional DCS are not engineered to IEC61508 specifications and should not be used for safety- related alarms.
  • 66. 21st June 2007 Introducing 2nd Edition EEMUA 191 3.4 Training • 3.4 Training (p31) – Processes should be in place to regularly review the training content and identify the need for refresher training.
  • 67. 21st June 2007 Introducing 2nd Edition EEMUA 191 3.6 Testing of Alarms • 3.6.1 Management of Testing (p33) – Strategy for Safety Related Alarms – Testing of higher priority where financial or environmental concerns – Regular normal operation may adequately demonstrate correct functionality
  • 68. 21st June 2007 Introducing 2nd Edition EEMUA 191 4 Measuring Performance • 4.1.1 Key Performance Indicators (p36) • 4.1.2 Performance Levels (p38) • 4.2 Data Analysis Tools (p40) • 4.2.1 Specification of Alarm Logging and Analysis Tools (p41) • Further detail in presentation by Donald Campbell-Brown
  • 69. 21st June 2007 Introducing 2nd Edition EEMUA 191 Appendix 1 Glossary • Significant Revision (p55) – 65+ Terms defined – Acronyms included
  • 70. 21st June 2007 Introducing 2nd Edition EEMUA 191 A4.1 Qualitative Risk Assessment • Example: High current alarm on an electric motor driving a large pump • A4.1.1 Identification of Risks (p65) – Section revised
  • 71. 21st June 2007 Introducing 2nd Edition EEMUA 191 Appendix 5 Priority Setting • A5.5.3 Method 3: Flow Chart Assessment – General Alarm Assessment (p77) – Safety Assessment (p78) – Environmental (p79) – Commercial Loss (p 80) • A5.6 Record Keeping – Example of recording information and data (p82)
  • 72. 21st June 2007 Introducing 2nd Edition EEMUA 191
  • 73. 21st June 2007 Introducing 2nd Edition EEMUA 191 Appendix 7 Alerts • New Section (p86) – Deliver automatic notification capability – Process conditions that require attention – Annunciated on separate display – Not on standard alarm display – Always of lower priority than alarms – Ignoring does not have serious consequences – May replace lower priority alarms
  • 74. 21st June 2007 Introducing 2nd Edition EEMUA 191 Appendix 9.8 Shelving • Critical Alarm Shelving (p101) – Nuisance Critical Alarms – Use single line annunciation if possible – Temporary shelving to limit nuisance – Formal authorisation from a technically competent authority – Automated reminders – Prevent permanent shelved status
  • 75. 21st June 2007 Introducing 2nd Edition EEMUA 191 Appendix 13 Performance Levels • New Section (p123) – Defining Performance Levels – Validation of Metrics • More detail in presentation by Donald Campbell-Brown – ‘Measuring Performance’
  • 76. 21st June 2007 Introducing 2nd Edition EEMUA 191 Appendix 20 Batch Plants • New Section (p153) – Batch Plant operation – Operator information – Alarm Rates – Application of Alarm Priorities – Design of Alarms • Presentation by Peter Bruce – ‘Batch manufacturing’
  • 77. 21st June 2007 Introducing 2nd Edition EEMUA 191 Appendix 21 Improvement Process • New Section(p160) – Alarm Management Improvement Process • Presentation by Chris Dicken – ‘Running an improvement programme’
  • 78. 21st June 2007 Introducing 2nd Edition EEMUA 191 HSE Foreword • Inspectors carrying out assessment and inspection activities may look, when necessary, for evidence that the principles and recommendations in the EEMUA 191 guide (or an equally effective equivalent) are being, or have been, applied to alarm system design and management. Kevin Allars Deputy Director, Hazardous Installations Directorate Health & Safety Executive UK 2007
  • 79. 21st June 2007 Introducing 2nd Edition EEMUA 191 ASM Consortium Foreword In the opinion of the ASM Consortium, this guide continues to currently represent the best publicly-available benchmark of accepted industry good practice for alarm system design, management and procurement. Kevin R. D. Harris Director, Abnormal Situation Management Consortium Phoenix Arizona USA March 2007
  • 80. 21st June 2007 Introducing 2nd Edition EEMUA 191 Measuring Alarm Systems Performance Donald Campbell Brown
  • 81. 21st June 2007 Introducing 2nd Edition EEMUA 191 Alarm Management - Introduction The Image: The Reality: You’ve got to be kidding! You have 213 new alarms - all emergency priority …one alarm in the whole shift, and that just to tell me that the coffee machine had been switched to manual. ….What goes wrong?: • Floods of alarms during plant upsets • Long lists of standing alarms during normal operation • Upsets/incidents due to missed alarms
  • 82. 21st June 2007 Introducing 2nd Edition EEMUA 191 Overview • Where is the value from investment in OSS? – Alarm system improvement • What is the purpose of the alarm system? – Definition of an alarm • Performance of alarm systems – Key performance indicators – Alarm system benchmarks • Conclusions
  • 83. 21st June 2007 Introducing 2nd Edition EEMUA 191 Production Rate Proportion of Time Productivity Histogram Current Limit Operating Target Business Value Impact Areas for Operator Support Tools : (1) Rate of occurrence of ‘abnormal’ situations (2) Rate of ‘escalation’ of abnormal situations (3) Operator ‘Confidence’ - related to size of ‘comfort margin’ Lost Opportunity • 3 - 8 % of plant throughput • Lower bound (does not count utilities, chemicals usage etc)!
  • 84. 21st June 2007 Introducing 2nd Edition EEMUA 191 Cost of Abnormal Situations Rate per Year Cost of Incident ($ Million) 1000 .0 1 0 .01 .1 1 10 100 100 10 1 .1 • Historical data = only the more frequent low-cost incidents • Low frequency but high cost incidents? Typical plant performance
  • 85. 21st June 2007 Introducing 2nd Edition EEMUA 191 Alarm System Objectives Normal Shut Down Control System Operator Intervention PSD Target monitoring & optimisation Upset situation management make safe & restart
  • 86. 21st June 2007 Introducing 2nd Edition EEMUA 191 Operator tasks during plant upset • Situation Management: – Problem Identification • what’s wrong? – Situation Assessment • what else is happening to affect what I do? – Immediate Action • minimise consequences – Follow-up Actions • restoring normal operations The purpose of the alarm system is to direct the operator’s attention towards conditions requiring timely assessment or action This is where alarm systems can be most helpful
  • 87. 21st June 2007 Introducing 2nd Edition EEMUA 191 What Makes an Alarm System Effective? Normal Target Upset Shut Down Control System Operator Intervention ESD X = Alarm X X X X X X X X X X X X X X X X X X X X An effective alarm System: X X X X X X X X X X X X X X X X X X X X An ineffective alarm System:
  • 88. 21st June 2007 Introducing 2nd Edition EEMUA 191 Alarm System Metrics (1) Average number of alarms per hour (2) Maximum number of alarms per hour (3) % hrs where alarm rates outside acceptability target • Value: – Acceptability targets (new system) – Adequacy (existing system) – Effectiveness (ongoing improvement effort) – Identify specific nuisance alarms – Demonstrate performance (to auditor)
  • 89. 21st June 2007 Introducing 2nd Edition EEMUA 191 Alarm System Performance AVERAGE ALARM RATE VS BURST ALARM RATE Maximum # Alarms per Hr Average # Alarms per Hr Impossible 1 10 100 1000 10000 10 100 1000 10000 100000 1 -Overloaded 2 - Reactive 3 - Stable 4 - Robust 5 - Predictive 6000 600 60 600 60 6 X EEMUA 191 Reference Point ~3 alarms/sec
  • 90. 21st June 2007 Introducing 2nd Edition EEMUA 191 Secondary Metrics • % hrs where alarm rates outside extreme target • Shelved alarms – Number – Average/Maximum time shelved • Standing alarms – Number – Average /Maximum time standing • Top 10 load percentage
  • 91. 21st June 2007 Introducing 2nd Edition EEMUA 191 Alarm System Improvement • Use KPIs to determine current Performance Level • Identify Target level of performance – Range of CRO Tasks – Complexity – Consequences of failure to act – Required speed of response – Centrality – Level of automation / fallback – Cost • Implement appropriate tools/processes to close the gap
  • 92. 21st June 2007 Introducing 2nd Edition EEMUA 191 Alarm Management Conclusions • Value of Alarm System Improvement – Rate of occurrence of ‘abnormal’ situations – Rate of ‘escalation’ of abnormal situations – Operator ‘Confidence’ • Role of the alarm system – Definition of an alarm • Performance of alarm systems – Key performance indicators – Alarm system benchmarks My alarm system tells me what I need to know… My alarm system tells me what I need to know… …Wow, now I can really manage my plant !.
  • 93. 21st June 2007 Introducing 2nd Edition EEMUA 191 Alarm Management in Batch Plants ABB Engineering Services Peter Bruce
  • 94. 21st June 2007 Introducing 2nd Edition EEMUA 191 EEMUA 191 and Batch • EEMUA 191 currently very good for continuous processes….. • …….But not so good for batch • What is different about batch plant? • What has changed in EEMUA 191? • Some things to consider Remember, management of alarms is applicable to all types of production plant.
  • 95. 21st June 2007 Introducing 2nd Edition EEMUA 191 Differences • Fixed alarm values, • Alarm flood due to cascade of events Continuous • Alarm limits change with recipe • Alarm limits change with plant state • Alarms enabled/disabled with change of plant state • Minor alarm floods from services • Alarms directly from sequences. Batch
  • 96. 21st June 2007 Introducing 2nd Edition EEMUA 191 Differences - Plant control • Large variation of control concepts and operation of production • Central operator with field operators similar to continuous plants • Mobile operators moving in and out of control room • Use of local workstations, – who is in control? who accepts alarms?. • Permanently manned control room • Often central control room covering a number of plants • Continuously monitoring process through active patrolling of the process graphics Continuous Batch
  • 97. 21st June 2007 Introducing 2nd Edition EEMUA 191 EEMUA 191 Appendix 20 • New appendix 20 on Alarm Management in Batch Plants • Checklists in the form of “things to consider” - Does not give definitive answers • Intended to assist batch plant personnel to define their own philosophy.
  • 98. 21st June 2007 Introducing 2nd Edition EEMUA 191 Contents of Appendix 20 • Batch plant operation • Operator information • Alarm rates • Application of alarm priorities • Management of alarm thresholds • Sources of nuisance alarms • Alarm floods • Getting information to remote operators.
  • 99. 21st June 2007 Introducing 2nd Edition EEMUA 191 Example Considerations • What happens when CR unmanned? • How is the alarm information passed on? • Can critical alarms be missed? • Alarms from equipment not in use • How is information such as batch events segregated from alarms? • Who is in control? • How can alarms be viewed when outside the control room?
  • 100. 21st June 2007 Introducing 2nd Edition EEMUA 191 Operator Information An Alarm is an unexpected event that requires timely operator action An operator Prompt is an expected event that may require operator action but is not necessarily time critical Add 120 Kg of additive x Enter batch size and number Batch has completed Batch ready to start Heating phase waiting Batch outside limits. OK to proceed? 25 tonnes of X added to batch
  • 101. 21st June 2007 Introducing 2nd Edition EEMUA 191 Alarm Rates • Target for alarm rates should consider human factors too – Time outside the control room – Time responding to operator prompts Rates per 10 minutes 0 1 2 3 4 5 6 7 8 Plant 1 Plant 2 Plant 3 General Sequence Generated Operator Prompts
  • 102. 21st June 2007 Introducing 2nd Edition EEMUA 191 Alarm Priorities Increasing degree of response from operator Critical Informative 5% high priority 15% medium priority 80% low priority Safety – alarms of most importance, e.g. emergency showers Sequence-Generated Alarms – can be more descriptive, a form of intelligent alarm handling Equipment Protection – these are not product related Less likely to have large numbers of alarms therefore could segregate into types
  • 103. 21st June 2007 Introducing 2nd Edition EEMUA 191 Design of Alarms • Take care when inhibiting alarms • Prevent inappropriate, legacy alarms from previous product runs Working range of equipment, protection of personal, environment, assets Equipment alarm limits Phase logic alarm limits High operating limit Low operating limit Higher control or product limit Lower control or product limit Alarms enabled only when required otherwise disabled to prevent nuisance alarms
  • 104. 21st June 2007 Introducing 2nd Edition EEMUA 191 Summary • Batch and continuous plants have different alarm considerations • EEMUA 191 now recognises this • New Appendix 20 gives guidance on applying EEMUA 191 in a batch environment • Interpret this guidance to best suit your requirements and your users – but write it down so others can follow • Good alarm management is just as important in a batch plant!.
  • 105. 21st June 2007 Introducing 2nd Edition EEMUA 191 Running an Alarm System Improvement Programme Chris Dicken Technology Services – Engineering Division
  • 106. 21st June 2007 Introducing 2nd Edition EEMUA 191 EEMUA 191 – Second Edition • Appendix 21 Alarm System Improvement Process – why has this been added ? • EEMUA 191 First Edition : – Lots of very good information – Lots of what to do …. …. but a bit lacking in “how does it all fit together”
  • 107. 21st June 2007 Introducing 2nd Edition EEMUA 191 EEMUA 191 – Second Edition • Appendix 21 – The “SAT NAV” chapter of EEMUA 191 Here I am with a “badly functioning Alarm System” How do I get to an improved system ? From “Alarm Hell” To “Alarm Happiness” Alarm System Improvement Process
  • 108. 21st June 2007 Introducing 2nd Edition EEMUA 191 Appendix 21- Alarm System Improvement Process • Use a formal and methodical approach • Appendix 21 outlines the process, helps (you) to stitch together various parts of the existing guidance • It is not prescriptive • The process will need tailoring to your specific process / site • The detail still has to be assembled for your site • Advocates the use of tools to help ease the process (See also 191 Section 5)
  • 109. 21st June 2007 Introducing 2nd Edition EEMUA 191 Appendix 21- Alarm System Improvement Process • Four Main parts to the Process – The up-front considerations – The Philosophy / Strategy document, supporting documentation & tools – Performing the actual Alarm Rationalisation – Monitor, Maintain & Manage
  • 110. 21st June 2007 Introducing 2nd Edition EEMUA 191 Appendix 21- Alarm System Improvement Process “A good scare is worth more to a man than good advice”. Edgar Watson Howe American novelist, essayist 1853 - 1937
  • 111. 21st June 2007 Introducing 2nd Edition EEMUA 191 Alarm System Improvement Process Identify Problem Review Team/ Strategy Document System Capability Plant area Categorisation Plant area review Integration Supporting Documentation Monitor / Maintain System Tuning Iterate Repeat for all Plant areas
  • 112. 21st June 2007 Introducing 2nd Edition EEMUA 191 Alarm System Capabilities • Alarm processing functionality – Types of alarm – Logic – Suppression – Shelving, auto-shelving – Priorities – Categorisation • Display functionality – Message format – List capabilities – Integration with HMI formats
  • 113. 21st June 2007 Introducing 2nd Edition EEMUA 191 Identify the problem • Talk to the operator – “Useless alarms” • Perform Alarm analysis – Alarm rates – in normal conditions – Alarm rates – in abnormal conditions (floods) – Number of standing alarms – Number of shelved alarms – Ratio of priorities Too many Alarms Operator Overload
  • 114. 21st June 2007 Introducing 2nd Edition EEMUA 191 Create the Team The review team will consist of individuals from such disciplines as Operations staff C&I staff Process Engineers Safety Engineers Typically will be made up of 4 or 5 people.
  • 115. 21st June 2007 Introducing 2nd Edition EEMUA 191 Objectives of the Review • To minimise no of alarms consistent with proper protection of people, plant & environment • To ensure all alarms are relevant and understandable at all times • To ensure that alarm rates are manageable at all times • To ensure all alarms have defined responses • To ensure that alarms are properly prioritised
  • 116. 21st June 2007 Introducing 2nd Edition EEMUA 191 Alarm Strategy Document • Roles and Responsibilities • Alarm System users • Safety role • Alarm Design principles • Alarm information checklist • Generic alarm logic • System performance (KPI) • System testing • Change control Alarm Strategy Document • Format of Messages • Checklists – Alarm types – Hazard severity definitions – Rules for Prioritisation – Terms & abbreviations • Monitoring / management (191 Table 4) (191 Table 3)
  • 117. 21st June 2007 Introducing 2nd Edition EEMUA 191 Supporting Documentation Example - Alarm Priority Algorithm 1 2 3 Large High High High Medium High Medium Medium Small Medium Medium Low Not Sig Event Event Event Most Likely Severity of Consequence Likely Urgency
  • 118. 21st June 2007 Introducing 2nd Edition EEMUA 191 Supporting Documentation Prioritisation - example criteria Low Medium High Critical Potential for serious environmental breach Possibility for environmental breach Remote possibility for environmental breach Negligible risk of environmental breach Heuristic Measure Environment Alarm priority
  • 119. 21st June 2007 Introducing 2nd Edition EEMUA 191 Tuning the system Alarm Analysis Tool Individual alarms Plant areas Basic Improvement Techniques: Equipment Maintenance Scan rates Setpoints Deadbands Also logic, ‘irrelevant’ alarms, software, duplicates Weekly Top 10 Chattering
  • 120. 21st June 2007 Introducing 2nd Edition EEMUA 191 Plant area categorisation Review : Existing Plant Categories Create new list of Plant area categories Assign each alarm to a category List by new category and Review Break the alarm database into manageable chunks Correct data errors
  • 121. 21st June 2007 Introducing 2nd Edition EEMUA 191 Plant area review Existing Alarm data Plant area operation Data sheet for each alarm (191 Appendix 2) Plant area spreadsheet Additional techniques: Out of service suppression Dependency suppression Eclipsing Timers Info from ‘supporting’ documentation: Severity defns. Operator response time. Priority criteria. Checklist Types of alarm for this Plant area Alarm description Priority Setpoints Deadband
  • 122. 21st June 2007 Introducing 2nd Edition EEMUA 191 Alarm Data Sheet Minimum Design documentation : • What is the purpose of the proposed alarm • What is the operator response • What are the consequences of not responding • What time is available for the operator to respond to the alarm Provides a consistent approach.
  • 123. 21st June 2007 Introducing 2nd Edition EEMUA 191 Integration Look at the relationship between plant areas and the overall plant operation Operating mode of plant: Starting up Shutting down Change in operation Plant Trips: Dependencies Expected events Identification of missing events “Alarm flood” prevention
  • 124. 21st June 2007 Introducing 2nd Edition EEMUA 191 Monitor / Maintain / Manage • Use an Alarm Analysis tool if possible • Look for statistics as in “Identify the problem” • Weekly ‘top 10’ focuses attention (often 90% of alarms) • Alarm system performance targets • Establish responsibilities & change control mechanisms • Use the established tuning and review mechanisms • Regular review strategy • Alarm system test procedures
  • 125. 21st June 2007 Introducing 2nd Edition EEMUA 191 Feedback from site • A dauntingly large & dull task • Followed the process – works well • Had to review existing alarms (wanted a clean sheet) • Used generic rules • Applied logic, but had some difficulties with suppressing offload • Only used two levels of alarm priority • Overview screens with alarms on - excellent • Four units refurbished – no major problems
  • 126. 21st June 2007 Introducing 2nd Edition EEMUA 191 Observations • Long winded and boring • Needs dedicated chairman / project manager • Generic decisions can be highly impactive • Alert / Alarm / Trip can be a useful structure • Ensure key alarms are from diverse sources • Can have a significant impact on alarm load • Many alarms may never have appeared in history (Source: D Campbell-Brown - BP Upstream Technology Group)
  • 127. 21st June 2007 Introducing 2nd Edition EEMUA 191 Alarm Improvement Process - Summary • Obtain management sign on • Assemble well defined review team • Produce strategy documentation • Use the “tuning” techniques • Divide into plant areas • Use the checklists • Monitor & maintain
  • 128. 21st June 2007 Introducing 2nd Edition EEMUA 191 Relaxed operators are happy people
  • 129. 21st June 2007 Introducing 2nd Edition EEMUA 191 Running an Alarm System Improvement Programme Chris Dicken Technology Services – Engineering Division
  • 130. 21st June 2007 Introducing 2nd Edition EEMUA 191 Panel Review Chairman of Council, EEMUA Corporate Projects Manager, Innospec Bill Swift
  • 131. 21st June 2007 Introducing 2nd Edition EEMUA 191 Better Alarm Handling Shell U.K. Oil Products Ltd, Stanlow Peter Huggon
  • 132. 21st June 2007 Introducing 2nd Edition EEMUA 191 Question Time • Andrew Lichnowski – Chairman INC (EEMUA) • Chris Dicken – RWE npower • Clive Tayler – EEMUA • Donald Campbell-Brown – BP • John Wilkinson – HSE • Peter Bruce – ABB Engineering Services • Peter Huggon – Shell UK
  • 133. 21st June 2007 Introducing 2nd Edition EEMUA 191 Summary and Future Plans Andrew Lichnowski
  • 134. 21st June 2007 Introducing 2nd Edition EEMUA 191 Summary of 2nd Edition • Revisions – Introduction – Chapters 1-4 – Appendices 1, 4, 5, 12 • New Sections – 7 Alerts – 20 Batch Plants – 21 Alarm System Improvement Process • Fundamental principles unchanged
  • 135. 21st June 2007 Introducing 2nd Edition EEMUA 191 Plans for EEMUA 191 Third Edition • Work on 3rd Edition will begin immediately after the launch of the 2nd Edition: – EEMUA Members (users) remain the core authoring group – Close liaison with concerned Authorities expected to continue and be extended – Liaison with ASM and other industry bodies expected to continue and be extended – Other new Work Group(s) may be established to contribute to the Third Edition – Target publication 2008/09
  • 136. 21st June 2007 Introducing 2nd Edition EEMUA 191 Likely for 3rd Edition • Incorporate lessons from recent incidents, such as Buncefield and Texas City • Further development of the concept of performance levels • Advanced Alarm Management • Other topics deliberately parked during development of the 2nd Edition
  • 137. 21st June 2007 Introducing 2nd Edition EEMUA 191 EEMUA 191 Third Edition 1. EEMUA Primary Authoring Group 4. EEMUA Primary Industry Review Group Industry consultants, equipment vendors, suppliers, 3rd-party inspection bodies, etc. 3. Concerned Authorities 5. Others Other users of alarm systems and/or EEMUA 191, and other interested parties 2. EEMUA Board Members 6. EEMUA Executive (Primary Coordinator)
  • 138. 21st June 2007 Introducing 2nd Edition EEMUA 191 EEMUA 191 Third Edition • Questions or Comments?
  • 139. 21st June 2007 Introducing 2nd Edition EEMUA 191 Related EEMUA work • EEMUA Publication 201 “Process plant control desks utilising human-computer interfaces – A guide to design, operational and human interface issues” Due to be revised and updated
  • 140. 21st June 2007 Introducing 2nd Edition EEMUA 191 Conclusion Andrew Lichnowski
  • 141. 21st June 2007 Introducing 2nd Edition EEMUA 191 Final Networking Session Through until 16.15 Chairman of Council, EEMUA Corporate Projects Manager, Innospec Bill Swift
  • 142. 21st June 2007 Introducing 2nd Edition EEMUA 191 “Better Alarm Handling” is now CLOSED Thank you for your participation We wish you a safe and pleasant journey.