Lessons from a Management of Change incident incorporating an AcciMap with lessons including, MoC system issues, utility connections to process equipment, poor regulatory oversight, training and development
Lessons from a Permit to Work incident with includes an AcciMap of the key findings that include poor management control, poor handover, no fatigue management, training, system, regulatory oversight and a process issue.
Human factors-related causes of hydrocarbon release on offshore platformsLloyd's Register Energy
Presentation from Jason Devereux at Offshore Europe 2013. Paper written by Jenny Gilroy and Derek Dumolo of Lloyd's Register Constiling's Human Factors team.
Hydrocarbon releases (HCR) are a major problem offshore, and most importantly are seen as a direct precursor to potential major accidents (MAs) (Oil and Gas UK, 2010). The UK HSE believe that of the occurring HCRs, 50-70% have causes linked in part or in whole to “things people do (or don’t do) when designing, maintaining and operating systems”, (Step Change in Safety, 2010) i.e. issues associated with Human Factors (HF).
An offshore operator contracted LR Consulting to conduct an independent HF-focussed organisational assessment into the underlying contributory factors to HCRs on their platforms, in order to support their own internal initiatives to reduce HCRs. The aim of LR Consulting’s assessment was to help the organisation confirm and identify the key areas of focus in order to combat HCRs and prioritise further actions going forward.
LR Scandpower adopted a systematic approach to investigate the HF contributions to HCRs on the organisation’s platforms, including a Thematic Analysis of past incident data, offshore interviews and onshore interviews with staff and detailed analysis of findings to identify common emergent themes issues. Eight key areas were identified as priorities for further action, and LR Consulting provided the operator with recommendations for improvements and/or remedial actions to deal with identified contributory factors
This presentation will explain the approach followed by LR Consulting and the findings from the study, including the key Human Factors causal factors that were identified. It will also highlight the key lessons learned that are considered to be potentially relevant to the wider offshore sector.
Entrion provides vendor surveillance and inspection services globally to ensure on-time delivery of quality equipment. They have over 100 experienced professionals located near major manufacturers who perform risk-based inspections during key stages such as design, fabrication, testing, and installation. This helps identify issues early to prevent delays and ensure operational readiness. Entrion has successfully supported many projects in industries like offshore drilling, refining, and shipping. Their standardized processes and global network allow them to provide a cost-effective 59% savings over alternative inspection options.
Critical Review of PSM In Petroleum Industry | Mr. Hirak Dutta, Executive Di...Cairn India Limited
This document summarizes the key points from a presentation on process safety management in India's petroleum industry. It notes that India has become a major exporter of petroleum products, with over 200 million metric tons of annual refining capacity and significant crude oil and gas production. It outlines the pillars of process safety like operational integrity and discusses taking a systemic approach. It emphasizes the importance of recognizing warning signs to avoid accidents and highlights lessons around focusing on leading indicators and inherent safety principles. The document concludes by outlining the Oil Industry Safety Directorate's focus on key drivers of process safety like procedures, hazard identification, and managing change.
The document discusses the key requirements and challenges of complying with the US Groundwater Rule for public water systems, including conducting sanitary surveys, monitoring source water quality, ensuring 4-log treatment of viruses, and maintaining accurate documentation and reporting. It provides an overview of how systems can evaluate their sources and treatment capabilities to meet the rule. The document also describes various methods that groundwater systems can use to apply disinfectants to achieve the required 4-log inactivation or removal of viruses.
Despite having a full team in place, do you feel you are still not in control of your hazardous waste programs? Do you fall short on meeting department goals? There are several key elements to managing a high-level and elite program with less added cost than you might assume. Reducing cost, improving compliance and sustainability, while maximizing safety are some of the key components to include in all programs.
Discussion of Regulatory issues in closing a chemical manufacturing facility. Presented the Alliance for Chemical Safety July 9, 2014 by Willard Vaughan, PE CIH
Lessons from a Permit to Work incident with includes an AcciMap of the key findings that include poor management control, poor handover, no fatigue management, training, system, regulatory oversight and a process issue.
Human factors-related causes of hydrocarbon release on offshore platformsLloyd's Register Energy
Presentation from Jason Devereux at Offshore Europe 2013. Paper written by Jenny Gilroy and Derek Dumolo of Lloyd's Register Constiling's Human Factors team.
Hydrocarbon releases (HCR) are a major problem offshore, and most importantly are seen as a direct precursor to potential major accidents (MAs) (Oil and Gas UK, 2010). The UK HSE believe that of the occurring HCRs, 50-70% have causes linked in part or in whole to “things people do (or don’t do) when designing, maintaining and operating systems”, (Step Change in Safety, 2010) i.e. issues associated with Human Factors (HF).
An offshore operator contracted LR Consulting to conduct an independent HF-focussed organisational assessment into the underlying contributory factors to HCRs on their platforms, in order to support their own internal initiatives to reduce HCRs. The aim of LR Consulting’s assessment was to help the organisation confirm and identify the key areas of focus in order to combat HCRs and prioritise further actions going forward.
LR Scandpower adopted a systematic approach to investigate the HF contributions to HCRs on the organisation’s platforms, including a Thematic Analysis of past incident data, offshore interviews and onshore interviews with staff and detailed analysis of findings to identify common emergent themes issues. Eight key areas were identified as priorities for further action, and LR Consulting provided the operator with recommendations for improvements and/or remedial actions to deal with identified contributory factors
This presentation will explain the approach followed by LR Consulting and the findings from the study, including the key Human Factors causal factors that were identified. It will also highlight the key lessons learned that are considered to be potentially relevant to the wider offshore sector.
Entrion provides vendor surveillance and inspection services globally to ensure on-time delivery of quality equipment. They have over 100 experienced professionals located near major manufacturers who perform risk-based inspections during key stages such as design, fabrication, testing, and installation. This helps identify issues early to prevent delays and ensure operational readiness. Entrion has successfully supported many projects in industries like offshore drilling, refining, and shipping. Their standardized processes and global network allow them to provide a cost-effective 59% savings over alternative inspection options.
Critical Review of PSM In Petroleum Industry | Mr. Hirak Dutta, Executive Di...Cairn India Limited
This document summarizes the key points from a presentation on process safety management in India's petroleum industry. It notes that India has become a major exporter of petroleum products, with over 200 million metric tons of annual refining capacity and significant crude oil and gas production. It outlines the pillars of process safety like operational integrity and discusses taking a systemic approach. It emphasizes the importance of recognizing warning signs to avoid accidents and highlights lessons around focusing on leading indicators and inherent safety principles. The document concludes by outlining the Oil Industry Safety Directorate's focus on key drivers of process safety like procedures, hazard identification, and managing change.
The document discusses the key requirements and challenges of complying with the US Groundwater Rule for public water systems, including conducting sanitary surveys, monitoring source water quality, ensuring 4-log treatment of viruses, and maintaining accurate documentation and reporting. It provides an overview of how systems can evaluate their sources and treatment capabilities to meet the rule. The document also describes various methods that groundwater systems can use to apply disinfectants to achieve the required 4-log inactivation or removal of viruses.
Despite having a full team in place, do you feel you are still not in control of your hazardous waste programs? Do you fall short on meeting department goals? There are several key elements to managing a high-level and elite program with less added cost than you might assume. Reducing cost, improving compliance and sustainability, while maximizing safety are some of the key components to include in all programs.
Discussion of Regulatory issues in closing a chemical manufacturing facility. Presented the Alliance for Chemical Safety July 9, 2014 by Willard Vaughan, PE CIH
1) Cycle time is a key performance metric for machining operations that indicates process and equipment performance. It measures the time to complete a task or set of tasks.
2) Cycle time must be optimized relative to takt time, which is the rate of customer demand. Improving cycle times can help identify and address bottlenecks.
3) The document describes various methods for analyzing and reducing cycle times in a machining cell, including balancing workloads, adding additional workers, and shifting work between processes. Optimizing cycle times improves throughput and scheduling.
Process safety aims to prevent incidents involving hazardous materials that could endanger workers, property, and the environment. It involves applying engineering and operating practices to control hazards. Key elements of process safety management include process hazard analysis, operating procedures, employee participation, training, contractor management, pre-startup safety reviews, mechanical integrity programs, emergency response planning, compliance audits, and incident investigation. The goal is to anticipate, identify, evaluate, and control hazards to protect people and prevent accidents.
The internship report summarizes Al Muatasim Al-Siyabi's internship experience at Oman LNG LLC from June to August 2016. He was placed in the Technical Engineering Services Department and worked on two projects involving organizing documents and suggesting additional instruments to monitor. Through familiarization of the different sections and completing tasks, Al Siyabi gained experience in areas like process engineering, equipment control, and quality control. The internship provided valuable hands-on learning opportunities for Al Siyabi to apply his undergraduate chemical engineering skills in an industrial setting.
The document provides an integrity management plan for [Pipeline Operating Company]'s pipeline assets. It outlines the objectives, scope, organizational structure, roles and responsibilities, hazard identification processes, maintenance and inspection strategies, emergency response procedures, and performance assessment processes for pipeline integrity management. Key aspects covered include risk-based inspection planning, preventative maintenance approaches, independent verification of inspection results, and annual reviews of integrity program performance. The plan aims to ensure pipeline integrity and compliance with regulations through defined inspection and monitoring activities.
Improper management of highly hazardous chemicals, including toxic, reactive or flammable liquids, can cause accidental releases and emergency responses. OSHA’s Process Safety Management of Highly Hazardous Chemicals standard (29 CFR 1910.119) regulates the management of highly hazardous chemicals. Violations can carry fines of up to $126,000. Do you have a PSM program in place?
Aquaculture Facility Rehabilitation - Presentation 04-29-2013David M. Athey, PE
The document outlines a plan to rehabilitate an existing aquaculture facility by upgrading its technology systems in order to conduct future feasibility studies on farming Australian red claw crayfish. The project will receive funding from the Nebraska Soybean Board and partner with the University of Nebraska-Lincoln Agriculture Research and Development Center. The plan details the scope, schedule, budget, resources, communications, risks, and procurement needs for the rehabilitation and technology upgrade work.
A real-world introduction to PSM’s 14 Elements360factors
A number of recent incidents in various parts of the world have highlighted the increasing importance of effective Process Safety Management (PSM). This webinar presents a high-level overview of OSHA’s PSM requirements as well as real-world examples of how companies handle compliance.
Objectives
• Describe some of the major catastrophes which led to the formulation of PSM regulations.
• Introduce the 14 Elements of PSM.
• Present examples of various implementation approaches.
The paper provides an illustration of how some control measures are identified as “critical control measures” and how examples of identifying “critical events” related to “critical control measures” from incidents, monitoring programs and annual reviews of performance measures lead to continuous improvement of safety and a high degree of assurance that Major Hazard Incidents can be prevented.
The document discusses Abnormal Situation Management (ASM) which aims to address operator problems during abnormal plant operations through improved alarm management, system design, and other measures. ASM grew from a focus on alarm management as alarm floods are common during abnormal operations. The ASM Consortium was formed to research abnormal situations and develop technologies and best practices to address this problem. Effective alarm management is important for safe plant operation as failures in areas like hazard recognition, equipment reliability, and emergency preparedness can otherwise lead to incidents. Case studies show improved reliability and reduced abnormal situations through ASM approaches can recover 3-15% of lost plant capacity worth billions annually.
The document discusses automation and safety considerations for the polymerization of vinyl chloride monomer (VCM) in polyvinyl chloride (PVC) production. VCM is flammable and toxic, and the exothermic polymerization reaction must be carefully controlled to prevent runaway reactions. Hazards include fires, explosions, and toxic emissions. A hazard assessment identifies scenarios like cooling failure, overfilling, and loss of agitation that could lead to runaway. Prevention strategies include alarms, addition of chemical inhibitors, and automatic depressurization of reactors in emergencies.
This document discusses key tools and techniques for effective stormwater sampling projects. It emphasizes the importance of planning, preparing properly, and maintaining sample integrity. The presentation covers determining sampling requirements, selecting laboratories, using proper sampling equipment and techniques, managing samples, reviewing results, and documenting the process. The overall goal is to help project managers and field staff successfully plan, execute, and learn from their stormwater sampling efforts.
The document provides guidelines for cleaning and flushing piping systems and process units in water and wastewater treatment systems. It outlines various flushing methods including water, air, and chemical cleaning. It describes procedures for cleaning fabricated piping, preparation for flushing, water flushing, air flushing, and special cleaning methods. The document also provides guidance on reinstallation after flushing, temporary equipment used, service flushing, and detailed cleaning and testing methods for different equipment types including tanks.
Hazard Assessment Methodology of Liquid Hydrocarbon Tank | Risk Assessment of...Gaurav Singh Rajput
Gaurav Kumar Singh Rajput presents a methodology for assessing risks associated with liquid hydrocarbon storage tanks. The presentation outlines various tank fire accident scenarios and their potential causes, including operational errors, equipment failures, weather events, and maintenance issues. Case studies of past tank accidents in Jaipur and Kansas are examined to identify lessons learned. The methodology involves identifying potential process and non-process hazards, constructing a risk assessment flow diagram, and calculating risk through qualitative and quantitative analysis. Key aspects of the methodology include preventive maintenance, safety systems, qualitative and quantitative risk assessment, and layer of protection analysis.
The document discusses planning and execution of a CIP (clean-in-place) cycle development program. Key aspects include identifying parameters, equipment configurations, automation specifications, and protocols to test cleaning effectiveness and ensure repeatable cleaning cycles. The CIP CD program aims to resolve cleaning challenges before validation and production to gain process efficiencies and demonstrate return on investment.
In 2014 Todd Wacome delivered this presentation at the Portland Oregon StormCon. The talk focused around stormwater treatment issues and the unveiling of novel approach to stormwater filtration at the catch basin level.
This document discusses leak detection and repair for liquids and gases. It provides details on the types of equipment that can leak at facilities like refineries and chemical plants. It describes methods for identifying leaks using infrared cameras and measuring their size. The document also discusses implementing a leak detection and repair program to reduce pollution and costs from lost product. Regulated industries must inspect components like valves, pumps and compressors on a regular basis.
Utilizing Online TOC Monitoring to Control Industrial Water QualityMuhammad Naeem Ashraf
Online TOC monitoring can help control water quality in industrial processes. It provides real-time, accurate measurements to drive operational decisions. Conventional TOC analyzers require frequent maintenance and calibration, resulting in low reliability and lack of trust in results. A new two-stage advanced oxidation TOC monitor requires only semi-annual maintenance, has high reliability, and can handle samples with particulates without filtering to provide trusted measurements for process control and compliance.
1) The document discusses various hazards associated with flare and overhead systems, including fire, explosion, toxicity, overloading, leakage, and environmental risks.
2) It emphasizes that safety depends on planning, risk assessment, applying proper controls like procedures and PPE, and learning from past accidents.
3) Several case studies are presented where accidents occurred due to issues like liquid carryover, improper purging or isolation, lack of procedures, and non-use of proper respiratory equipment. Vigilance and senior oversight of critical tasks are important to manage risks.
This document provides an overview of good practices for chemicals management at chemical plants. It discusses good practices for core processes like synthesis and formulation, separation processes, equipment cleaning and maintenance, and storage. Specific practices include improving material efficiency, heat recovery, using enclosed cleaning systems, and computerized inventory management. The document also outlines challenges and good practices for infrastructure like boilers, cooling towers, heat exchangers, and pumps. Practices focus on improving energy efficiency, preventing leaks, reusing waste heat and water, and conducting regular maintenance.
This document discusses leak management opportunities in industrial facilities and pipelines. It summarizes a leak management program implemented at a refinery in 2006 that was successful in eliminating leaks. The key aspects of the program included: 1) identifying critical joints using a risk-based criteria, 2) reviewing assembly procedures and providing quality control oversight for contractor work, and 3) implementing best practices from ASME PCC-1 including establishing procedures, training personnel, and documenting the work. As a result, the refinery restarted with no leaks after the program and established a leak tracking database to reduce future leaks.
1) Cycle time is a key performance metric for machining operations that indicates process and equipment performance. It measures the time to complete a task or set of tasks.
2) Cycle time must be optimized relative to takt time, which is the rate of customer demand. Improving cycle times can help identify and address bottlenecks.
3) The document describes various methods for analyzing and reducing cycle times in a machining cell, including balancing workloads, adding additional workers, and shifting work between processes. Optimizing cycle times improves throughput and scheduling.
Process safety aims to prevent incidents involving hazardous materials that could endanger workers, property, and the environment. It involves applying engineering and operating practices to control hazards. Key elements of process safety management include process hazard analysis, operating procedures, employee participation, training, contractor management, pre-startup safety reviews, mechanical integrity programs, emergency response planning, compliance audits, and incident investigation. The goal is to anticipate, identify, evaluate, and control hazards to protect people and prevent accidents.
The internship report summarizes Al Muatasim Al-Siyabi's internship experience at Oman LNG LLC from June to August 2016. He was placed in the Technical Engineering Services Department and worked on two projects involving organizing documents and suggesting additional instruments to monitor. Through familiarization of the different sections and completing tasks, Al Siyabi gained experience in areas like process engineering, equipment control, and quality control. The internship provided valuable hands-on learning opportunities for Al Siyabi to apply his undergraduate chemical engineering skills in an industrial setting.
The document provides an integrity management plan for [Pipeline Operating Company]'s pipeline assets. It outlines the objectives, scope, organizational structure, roles and responsibilities, hazard identification processes, maintenance and inspection strategies, emergency response procedures, and performance assessment processes for pipeline integrity management. Key aspects covered include risk-based inspection planning, preventative maintenance approaches, independent verification of inspection results, and annual reviews of integrity program performance. The plan aims to ensure pipeline integrity and compliance with regulations through defined inspection and monitoring activities.
Improper management of highly hazardous chemicals, including toxic, reactive or flammable liquids, can cause accidental releases and emergency responses. OSHA’s Process Safety Management of Highly Hazardous Chemicals standard (29 CFR 1910.119) regulates the management of highly hazardous chemicals. Violations can carry fines of up to $126,000. Do you have a PSM program in place?
Aquaculture Facility Rehabilitation - Presentation 04-29-2013David M. Athey, PE
The document outlines a plan to rehabilitate an existing aquaculture facility by upgrading its technology systems in order to conduct future feasibility studies on farming Australian red claw crayfish. The project will receive funding from the Nebraska Soybean Board and partner with the University of Nebraska-Lincoln Agriculture Research and Development Center. The plan details the scope, schedule, budget, resources, communications, risks, and procurement needs for the rehabilitation and technology upgrade work.
A real-world introduction to PSM’s 14 Elements360factors
A number of recent incidents in various parts of the world have highlighted the increasing importance of effective Process Safety Management (PSM). This webinar presents a high-level overview of OSHA’s PSM requirements as well as real-world examples of how companies handle compliance.
Objectives
• Describe some of the major catastrophes which led to the formulation of PSM regulations.
• Introduce the 14 Elements of PSM.
• Present examples of various implementation approaches.
The paper provides an illustration of how some control measures are identified as “critical control measures” and how examples of identifying “critical events” related to “critical control measures” from incidents, monitoring programs and annual reviews of performance measures lead to continuous improvement of safety and a high degree of assurance that Major Hazard Incidents can be prevented.
The document discusses Abnormal Situation Management (ASM) which aims to address operator problems during abnormal plant operations through improved alarm management, system design, and other measures. ASM grew from a focus on alarm management as alarm floods are common during abnormal operations. The ASM Consortium was formed to research abnormal situations and develop technologies and best practices to address this problem. Effective alarm management is important for safe plant operation as failures in areas like hazard recognition, equipment reliability, and emergency preparedness can otherwise lead to incidents. Case studies show improved reliability and reduced abnormal situations through ASM approaches can recover 3-15% of lost plant capacity worth billions annually.
The document discusses automation and safety considerations for the polymerization of vinyl chloride monomer (VCM) in polyvinyl chloride (PVC) production. VCM is flammable and toxic, and the exothermic polymerization reaction must be carefully controlled to prevent runaway reactions. Hazards include fires, explosions, and toxic emissions. A hazard assessment identifies scenarios like cooling failure, overfilling, and loss of agitation that could lead to runaway. Prevention strategies include alarms, addition of chemical inhibitors, and automatic depressurization of reactors in emergencies.
This document discusses key tools and techniques for effective stormwater sampling projects. It emphasizes the importance of planning, preparing properly, and maintaining sample integrity. The presentation covers determining sampling requirements, selecting laboratories, using proper sampling equipment and techniques, managing samples, reviewing results, and documenting the process. The overall goal is to help project managers and field staff successfully plan, execute, and learn from their stormwater sampling efforts.
The document provides guidelines for cleaning and flushing piping systems and process units in water and wastewater treatment systems. It outlines various flushing methods including water, air, and chemical cleaning. It describes procedures for cleaning fabricated piping, preparation for flushing, water flushing, air flushing, and special cleaning methods. The document also provides guidance on reinstallation after flushing, temporary equipment used, service flushing, and detailed cleaning and testing methods for different equipment types including tanks.
Hazard Assessment Methodology of Liquid Hydrocarbon Tank | Risk Assessment of...Gaurav Singh Rajput
Gaurav Kumar Singh Rajput presents a methodology for assessing risks associated with liquid hydrocarbon storage tanks. The presentation outlines various tank fire accident scenarios and their potential causes, including operational errors, equipment failures, weather events, and maintenance issues. Case studies of past tank accidents in Jaipur and Kansas are examined to identify lessons learned. The methodology involves identifying potential process and non-process hazards, constructing a risk assessment flow diagram, and calculating risk through qualitative and quantitative analysis. Key aspects of the methodology include preventive maintenance, safety systems, qualitative and quantitative risk assessment, and layer of protection analysis.
The document discusses planning and execution of a CIP (clean-in-place) cycle development program. Key aspects include identifying parameters, equipment configurations, automation specifications, and protocols to test cleaning effectiveness and ensure repeatable cleaning cycles. The CIP CD program aims to resolve cleaning challenges before validation and production to gain process efficiencies and demonstrate return on investment.
In 2014 Todd Wacome delivered this presentation at the Portland Oregon StormCon. The talk focused around stormwater treatment issues and the unveiling of novel approach to stormwater filtration at the catch basin level.
This document discusses leak detection and repair for liquids and gases. It provides details on the types of equipment that can leak at facilities like refineries and chemical plants. It describes methods for identifying leaks using infrared cameras and measuring their size. The document also discusses implementing a leak detection and repair program to reduce pollution and costs from lost product. Regulated industries must inspect components like valves, pumps and compressors on a regular basis.
Utilizing Online TOC Monitoring to Control Industrial Water QualityMuhammad Naeem Ashraf
Online TOC monitoring can help control water quality in industrial processes. It provides real-time, accurate measurements to drive operational decisions. Conventional TOC analyzers require frequent maintenance and calibration, resulting in low reliability and lack of trust in results. A new two-stage advanced oxidation TOC monitor requires only semi-annual maintenance, has high reliability, and can handle samples with particulates without filtering to provide trusted measurements for process control and compliance.
1) The document discusses various hazards associated with flare and overhead systems, including fire, explosion, toxicity, overloading, leakage, and environmental risks.
2) It emphasizes that safety depends on planning, risk assessment, applying proper controls like procedures and PPE, and learning from past accidents.
3) Several case studies are presented where accidents occurred due to issues like liquid carryover, improper purging or isolation, lack of procedures, and non-use of proper respiratory equipment. Vigilance and senior oversight of critical tasks are important to manage risks.
This document provides an overview of good practices for chemicals management at chemical plants. It discusses good practices for core processes like synthesis and formulation, separation processes, equipment cleaning and maintenance, and storage. Specific practices include improving material efficiency, heat recovery, using enclosed cleaning systems, and computerized inventory management. The document also outlines challenges and good practices for infrastructure like boilers, cooling towers, heat exchangers, and pumps. Practices focus on improving energy efficiency, preventing leaks, reusing waste heat and water, and conducting regular maintenance.
This document discusses leak management opportunities in industrial facilities and pipelines. It summarizes a leak management program implemented at a refinery in 2006 that was successful in eliminating leaks. The key aspects of the program included: 1) identifying critical joints using a risk-based criteria, 2) reviewing assembly procedures and providing quality control oversight for contractor work, and 3) implementing best practices from ASME PCC-1 including establishing procedures, training personnel, and documenting the work. As a result, the refinery restarted with no leaks after the program and established a leak tracking database to reduce future leaks.
The role of AnMBR LEtm Anaerobic MBR in environmental improvements at the Gle...BerghofKevin
The document discusses the implementation of an AnMBR LETM anaerobic membrane bioreactor system at the Glenmorangie Distillery in Scotland. Key reasons for the project included meeting corporate social responsibility targets for wastewater treatment and reducing COD discharge. The AnMBR technology was selected for its ability to achieve high COD reductions, produce high quality biogas and effluent, and operate with low energy. The system design included an anaerobic bioreactor, UF membrane biomass separation, biogas handling infrastructure, and control systems. Initial results showed the project was on time and on budget.
Three Mile Island Unit 2 experienced a partial meltdown in 1979 due to equipment failures and human errors. About half of the reactor core melted during the accident. The reactor is now permanently shut down, defueled, and in monitored storage. The accident resulted in major changes to nuclear safety regulations, including improved emergency response, operator training, and oversight of plant management.
This document discusses Anglian Water's experience with their MCERTS remedial works programme to address expired flow meter certifications. It outlines three case studies of minor works where insertion flow meters saved significant costs compared to other options. A major works project unexpectedly escalated to £100k due to uncovered issues. Key lessons included the importance of asset capture, avoiding buried flow meters, maintenance, using certified products correctly, and training. Anglian Water continues innovating flow technologies through manufacturer partnerships and trials.
This document provides an overview of sterile liquids manufacturing, including key tenets, requirements, processes, and design considerations. The main points are:
1) Sterile manufacturing requires clean air, water, facilities, equipment, validated processes, and quality control to successfully produce sterile products. Closed processing methods are preferred for product protection.
2) Key unit operations include formulation, filling, stoppering, lyophilization, inspection, and terminal sterilization. Facilities must consider production needs like batch size and container types.
3) Designing sterile facilities requires meeting regulations while addressing safety, containment, utilities, and automation needs to ensure robust and compliant manufacturing.
This document provides a summary of an individual's qualifications and experience. It includes:
1) Over 24 years of experience in the oil and gas industry, with a Bachelor's degree in Mechanical Engineering. Experience includes various engineering and leadership roles.
2) Technical expertise in areas like piping, pressure vessels, and mechanical equipment. Recognition through various innovation and safety awards.
3) A track record of successfully completing engineering projects and analyses to solve challenges like equipment failures, leaks, and ensuring safety. Methods include finite element analysis, fitness for service assessments, and dynamic modeling.
This document summarizes the commissioning experience of a 1MWe solar thermal power plant in Gurgaon, India. It describes operational, equipment, and system problems encountered during commissioning such as receiver tube leaks, instrument connection leaks, heat transfer fluid freezing, and pump seal failure. Lessons learned include using torque spanners for welds, installing non-return valves, eliminating threaded parts, and ensuring backup power supplies to avoid commissioning delays and interruptions to power generation. The project's objectives were to demonstrate solar thermal power generation technologies, develop a test facility, and create a plant simulation package.
Comparing Stability and Sustainability in Agile SystemsRob Healy
Copy of the presentation given at XP2024 based on a research paper.
In this paper we explain wat overwork is and the physical and mental health risks associated with it.
We then explore how overwork relates to system stability and inventory.
Finally there is a call to action for Team Leads / Scrum Masters / Managers to measure and monitor excess work for individual teams.
Employment PracticesRegulation and Multinational CorporationsRoopaTemkar
Employment PracticesRegulation and Multinational Corporations
Strategic decision making within MNCs constrained or determined by the implementation of laws and codes of practice and by pressure from political actors. Managers in MNCs have to make choices that are shaped by gvmt. intervention and the local economy.
Sethurathnam Ravi: A Legacy in Finance and LeadershipAnjana Josie
Sethurathnam Ravi, also known as S Ravi, is a distinguished Chartered Accountant and former Chairman of the Bombay Stock Exchange (BSE). As the Founder and Managing Partner of Ravi Rajan & Co. LLP, he has made significant contributions to the fields of finance, banking, and corporate governance. His extensive career includes directorships in over 45 major organizations, including LIC, BHEL, and ONGC. With a passion for financial consulting and social issues, S Ravi continues to influence the industry and inspire future leaders.
A presentation on mastering key management concepts across projects, products, programs, and portfolios. Whether you're an aspiring manager or looking to enhance your skills, this session will provide you with the knowledge and tools to succeed in various management roles. Learn about the distinct lifecycles, methodologies, and essential skillsets needed to thrive in today's dynamic business environment.
Originally presented at XP2024 Bolzano
While agile has entered the post-mainstream age, possibly losing its mojo along the way, the rise of remote working is dealing a more severe blow than its industrialization.
In this talk we'll have a look to the cumulative effect of the constraints of a remote working environment and of the common countermeasures.
Org Design is a core skill to be mastered by management for any successful org change.
Org Topologies™ in its essence is a two-dimensional space with 16 distinctive boxes - atomic organizational archetypes. That space helps you to plot your current operating model by positioning individuals, departments, and teams on the map. This will give a profound understanding of the performance of your value-creating organizational ecosystem.
Ganpati Kumar Choudhary Indian Ethos PPT.pptx, The Dilemma of Green Energy Corporation
Green Energy Corporation, a leading renewable energy company, faces a dilemma: balancing profitability and sustainability. Pressure to scale rapidly has led to ethical concerns, as the company's commitment to sustainable practices is tested by the need to satisfy shareholders and maintain a competitive edge.
Integrity in leadership builds trust by ensuring consistency between words an...Ram V Chary
Integrity in leadership builds trust by ensuring consistency between words and actions, making leaders reliable and credible. It also ensures ethical decision-making, which fosters a positive organizational culture and promotes long-term success. #RamVChary
12 steps to transform your organization into the agile org you deservePierre E. NEIS
During an organizational transformation, the shift is from the previous state to an improved one. In the realm of agility, I emphasize the significance of identifying polarities. This approach helps establish a clear understanding of your objectives. I have outlined 12 incremental actions to delineate your organizational strategy.
Public Speaking Tips to Help You Be A Strong Leader.pdfPinta Partners
In the realm of effective leadership, a multitude of skills come into play, but one stands out as both crucial and challenging: public speaking.
Public speaking transcends mere eloquence; it serves as the medium through which leaders articulate their vision, inspire action, and foster engagement. For leaders, refining public speaking skills is essential, elevating their ability to influence, persuade, and lead with resolute conviction. Here are some key tips to consider: https://joellandau.com/the-public-speaking-tips-to-help-you-be-a-stronger-leader/
Enriching engagement with ethical review processesstrikingabalance
New ethics review processes at the University of Bath. Presented at the 8th World Conference on Research Integrity by Filipa Vance, Head of Research Governance and Compliance at the University of Bath. June 2024, Athens
Designing and Sustaining Large-Scale Value-Centered Agile Ecosystems (powered...Alexey Krivitsky
Is Agile dead? It depends on what you mean by 'Agile'. If you mean that the organizations are not getting the promised benefits because they were focusing too much on the team-level agile "ways of working" instead of systemic global improvements -- then we are in agreement. It is a misunderstanding of Agility that led us down a dead-end. At Org Topologies, we see bright sparks -- the signs of the 'second wave of Agile' as we call it. The emphasis is shifting towards both in-team and inter-team collaboration. Away from false dichotomies. Both: team autonomy and shared broad product ownership are required to sustain true result-oriented organizational agility. Org Topologies is a package offering a visual language plus thinking tools required to communicate org development direction and can be used to help design and then sustain org change aiming at higher organizational archetypes.
Designing and Sustaining Large-Scale Value-Centered Agile Ecosystems (powered...
N cann haz aus 2013 mo c final
1. Lessons from a Management of Change
Incident
Nigel Cann, Arup
FIChemE, CEng, CEnv, RPEQ
Nigel.cann@arup.com
2. 2
What we will cover…
• Timing of incident
• Plant process
• Plant Layout
• Incident Event
• AcciMap of Incident
• Actions that followed
• What questions do you have?
Agenda
9. 9
AcciMap – Modification Control Incident
AcciMap of Modification Control Incident
Accident
Sequence
Governance /
Organisational
Regulatory
Outcomes
3500kg VCM LoC
via steam trapsVCM is in Utility
Steam System
Operator
missed
H2O/VCM
interface
Disperses in
atmosphere
or absorbed
in water
spray
Human and
Environmental
Factors Was Operator
present?
Liquid VCM in
Receiver
Reliance on NRV
Cold weather –
autumn night
1. Poor Mod Control
paper based system
Lower SEPP VCM
boundary limits
1. HAZOP boundary
not including
existing plant when
additional capacity
added
3. Poor Regulatory
Oversight
Back pressure in
Receiver
Orifice Plate
inserted when
additional
production stream
added
Equipment and Design
Steam used to
scrub Receiver
Water
Orifice Plate
blocked by ice
Block in VCM
vapour line to
Recovery
Water mostly
in other
Recovery
Tank
Operator observation of
difficult venting not addressed
4. Loss of
Plant learning
culture
2. Utilities connected
to Process
Organisation
focus on
Environmental
Improvements
10. 10 AcciMap of Modification Control Incident
Accident
Sequence
Governance /
Organisational
Regulatory
Outcomes
3500kg VCM LoC
via steam trapsVCM is in Utility
Steam System
Operator
missed
H2O/VCM
interface
Disperses in
atmosphere
or absorbed
in water
spray
Human and
Environmental
Factors Was Operator
present?
Liquid VCM in
Receiver
Reliance on NRV
Cold weather –
autumn night
1. Poor Mod Control
paper based system
Lower SEPP VCM
boundary limits
1. HAZOP boundary
not including
existing plant when
additional capacity
added
3. Poor Regulatory
Oversight
Back pressure in
Receiver
Orifice Plate
inserted when
additional
production stream
added
Equipment and Design
Steam used to
scrub Receiver
Water
Orifice Plate
blocked by ice
Block in VCM
vapour line to
Recovery
Water mostly
in other
Recovery
Tank
Operator observation of
difficult venting not addressed
4. Loss of
Plant learning
culture
2. Utilities connected
to Process
Organisation
focus on
Environmental
Improvements
11. 1. Modification Control System
• Development of Electronic system
• Checksheet and reviewer inputs requiring comments
• Authoriser provided details of comments, usually assigned
conditions
• Details of HAZOP and Review actions assigned and
followed up via Actions Review
• Notifications via email
• Pre-commissioning and Post commissioning checks.
• OH&S signoff
1. Poor Mod Control
paper based system
1. HAZOP boundary
not including
existing plant when
additional capacity
added
11 Modification Control System
12. 12 AcciMap of Modification Control Incident
Accident
Sequence
Governance /
Organisational
Regulatory
Outcomes
3500kg VCM LoC
via steam trapsVCM is in Utility
Steam System
Operator
missed
H2O/VCM
interface
Disperses in
atmosphere
or absorbed
in water
spray
Human and
Environmental
Factors Was Operator
present?
Liquid VCM in
Receiver
Reliance on NRV
Cold weather –
autumn night
1. Poor Mod Control
paper based system
Lower SEPP VCM
boundary limits
1. HAZOP boundary
not including
existing plant when
additional capacity
added
3. Poor Regulatory
Oversight
Back pressure in
Receiver
Orifice Plate
inserted when
additional
production stream
added
Equipment and Design
Steam used to
scrub Receiver
Water
Orifice Plate
blocked by ice
Block in VCM
vapour line to
Recovery
Water mostly
in other
Recovery
Tank
Operator observation of
difficult venting not addressed
4. Loss of
Plant learning
culture
2. Utilities connected
to Process
Organisation
focus on
Environmental
Improvements
13. 13
2. Remove Utilities from Process
• Utility steam and air not intended for connection to
process streams
• Generally lower pressure than process units can get
• Process streams need proper pressure and or flow
control – NRV’s fail
• (This was another indicator of loss of integrity
originally designed in).
2. Utilities connected
to Process
Utilities
14. 14 AcciMap of Modification Control Incident
Accident
Sequence
Governance /
Organisational
Regulatory
Outcomes
3500kg VCM LoC
via steam trapsVCM is in Utility
Steam System
Operator
missed
H2O/VCM
interface
Disperses in
atmosphere
or absorbed
in water
spray
Human and
Environmental
Factors Was Operator
present?
Liquid VCM in
Receiver
Reliance on NRV
Cold weather –
autumn night
1. Poor Mod Control
paper based system
Lower SEPP VCM
boundary limits
1. HAZOP boundary
not including
existing plant when
additional capacity
added
3. Poor Regulatory
Oversight
Back pressure in
Receiver
Orifice Plate
inserted when
additional
production stream
added
Equipment and Design
Steam used to
scrub Receiver
Water
Orifice Plate
blocked by ice
Block in VCM
vapour line to
Recovery
Water mostly
in other
Recovery
Tank
Operator observation of
difficult venting not addressed
4. Loss of
Plant learning
culture
2. Utilities connected
to Process
Organisation
focus on
Environmental
Improvements
15. 15
3. Exemplar Safety Case Program
• Recognition needed to do something different
• Would need to do it twice
• Capture corporate knowledge
• Wanted to be a leader
• It was an unknown quantity
• Opportunity to learn and share lessons
Exemplar Safety Case
3. Poor Regulatory
Oversight
16. 16
AcciMap – Modification Control Incident
AcciMap of Modification Control Incident
Accident
Sequence
Governance /
Organisational
Regulatory
Outcomes
3500kg VCM LoC
via steam trapsVCM is in Utility
Steam System
Operator
missed
H2O/VCM
interface
Disperses in
atmosphere
or absorbed
in water
spray
Human and
Environmental
Factors Was Operator
present?
Liquid VCM in
Receiver
Reliance on NRV
Cold weather –
autumn night
1. Poor Mod Control
paper based system
Lower SEPP VCM
boundary limits
1. HAZOP boundary
not including
existing plant when
additional capacity
added
3. Poor Regulatory
Oversight
Back pressure in
Receiver
Orifice Plate
inserted when
additional
production stream
added
Equipment and Design
Steam used to
scrub Receiver
Water
Orifice Plate
blocked by ice
Block in VCM
vapour line to
Recovery
Water mostly
in other
Recovery
Tank
Operator observation of
difficult venting not addressed
4. Loss of
Plant learning
culture
2. Utilities connected
to Process
Organisation
focus on
Environmental
Improvements
17. 17
4. Training and Development
• First Aid
• Emergency
• Chemical
Awareness
• Fire Fighting
• Working at Heights
• Permit to Work
• Critical Systems
Training
4. Loss of
Plant learning
culture
• OH&S Legislation
• Natural Gas, Boilers and
Water Quality
• Project Management
18. 18
Internal Audit - 2007
• 1 months MoCs 6 months previous
• Automated system functioning well and well accepted.
• Mods allocated appropriate process
• Mods allocated to correct personnel for review
• Implementers frustrated at time to close out:
• Procedures, drawings, training materials
• Less concerned at safety checks and hit sheets
• Changes to personnel were going through formal review
processes
• Small number of personnel had not completed training
Internal Audit
19. 19
Summary – Process Safety Control
Process Safety Fundamentals
Process
Safety
Control
Inherent Design Safety
12 May 1999
2nd Paper – 14:15 – Grand Ballroom Nth – Trish Kerin – Session starts 12:30 pm – 4th paper
Layout of plant benefitted from:
Designed early 70’s
Flixborough
Discovery of link between VCM and angiocarcinoma of liver
The late Trevor Kletz left his footprint