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Accidents Caused by Sharing SIS Field Devices Case Histories and Recommendations for Improving Safety
Presenters ,[object Object],[object Object]
Introduction ,[object Object],[object Object],[object Object],[object Object]
Requirements for Separation – IEC 61511 ,[object Object],[object Object],[object Object],[object Object]
Case History #1 Fired Heater Low Pass Flow ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Process Schematic LAL XV-21 XV-22 UC 21 Fuel Gas F T-101 F V-101 FS 21
Sequence of Events – Part 1 ,[object Object],[object Object],[object Object],[object Object],[object Object]
Sequence of Events – Part 2 ,[object Object],[object Object],[object Object],[object Object]
Sequence of Events – Part 3 ,[object Object],[object Object],[object Object],[object Object]
Lessons Learned ,[object Object],[object Object],[object Object]
Case History #2 Water Knockout Drum ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Process Schematic Atmospheric Storage Tank LT-101 V-101 LAL LT-102 SV LV-101 Water KO Drum
Sequence of Events – Part 1 ,[object Object],[object Object],[object Object],[object Object],[object Object]
Sequence of Events – Part 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Lessons Learned ,[object Object],[object Object],[object Object]
Process for Assessing Shared Field Equipment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
FMEA Process ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Example – Water KO Drum #1 Water KO Drum LT-101 V-101 LV-101 Water Product Feed Hydrocarbon   to Further Processing LSLL 101
Design #1 FMEA (Simplified) Device Failure Mode Effect Safeguards Notes LT-101 Fail Upscale Controller output goes to zero, valve fully open Overfill Interlock – Failed Single point of failure Fail Downscale Controller output goes to max, valve fully closed No shared interlock Fail in Place Controller output goes fully open if set point is changed to a lower value.  Overfill Interlock - Failed Single point of failure LC-101 Fail Upscale Controller output goes to max, valve fully closed No shared interlock Fail Downscale Controller output goes to zero, valve fully open Overfill Interlock - Failed Single point of failure
Example – Water KO Drum #1 Atmospheric Storage Tank LT-101 V-101 LAL LT-102 SV LV-101 Water KO Drum
Design #1 FMEA (Simplified) Device Failure Mode Effect Safeguards Notes LV-101 Fail open Valve fully open Overfill interlock failed Single point of failure Fail closed Valve closed No shared interlock Fail in place Pathway open to completely drain vessel if input rate drops Overfill interlock failed Single point of failure Bypass open Pathway open to completely drain vessel Overfill interlock failed Single point of failure
Example – Water KO Drum #1 LT-101 V-101 LIC 101 LAL LT-102 SV IAS LV-101 XV-101 Product  Separator
Design #1 FMEA (Simplified) Device Failure Mode Effect Safeguards Notes No shared components
Conclusions ,[object Object],[object Object],[object Object],[object Object]
Where To Get More Information ,[object Object],[object Object]

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Shared Field Instruments in SIS: Incidents Caused by Poor Design and Recommendations for Improvement

  • 1. Accidents Caused by Sharing SIS Field Devices Case Histories and Recommendations for Improving Safety
  • 2.
  • 3.
  • 4.
  • 5.
  • 6. Process Schematic LAL XV-21 XV-22 UC 21 Fuel Gas F T-101 F V-101 FS 21
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  • 9.
  • 10.
  • 11.
  • 12. Process Schematic Atmospheric Storage Tank LT-101 V-101 LAL LT-102 SV LV-101 Water KO Drum
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  • 18. Example – Water KO Drum #1 Water KO Drum LT-101 V-101 LV-101 Water Product Feed Hydrocarbon to Further Processing LSLL 101
  • 19. Design #1 FMEA (Simplified) Device Failure Mode Effect Safeguards Notes LT-101 Fail Upscale Controller output goes to zero, valve fully open Overfill Interlock – Failed Single point of failure Fail Downscale Controller output goes to max, valve fully closed No shared interlock Fail in Place Controller output goes fully open if set point is changed to a lower value. Overfill Interlock - Failed Single point of failure LC-101 Fail Upscale Controller output goes to max, valve fully closed No shared interlock Fail Downscale Controller output goes to zero, valve fully open Overfill Interlock - Failed Single point of failure
  • 20. Example – Water KO Drum #1 Atmospheric Storage Tank LT-101 V-101 LAL LT-102 SV LV-101 Water KO Drum
  • 21. Design #1 FMEA (Simplified) Device Failure Mode Effect Safeguards Notes LV-101 Fail open Valve fully open Overfill interlock failed Single point of failure Fail closed Valve closed No shared interlock Fail in place Pathway open to completely drain vessel if input rate drops Overfill interlock failed Single point of failure Bypass open Pathway open to completely drain vessel Overfill interlock failed Single point of failure
  • 22. Example – Water KO Drum #1 LT-101 V-101 LIC 101 LAL LT-102 SV IAS LV-101 XV-101 Product Separator
  • 23. Design #1 FMEA (Simplified) Device Failure Mode Effect Safeguards Notes No shared components
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  • 25.

Editor's Notes

  1. Ed – Can you clarify bullet 2 – “preventing” a sufficiently low frequency?
  2. Ed – Do we need to cite that these are clauses in IEC 61511? Or address in voice over?
  3. The image didn ’t port well from your copy to this template, maybe you can try it.
  4. Ed – This graphic didn ’t port over well either
  5. Ed – Did you want to add some items here?