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Human factors analysis of a fatal gas explosion on June 13, 2021 in Shiyan City, China 2021年6月13日中国十堰市致命瓦斯爆炸人为因素分析
4区 工程技术 Q4 ENGINEERING, CHEMICAL Pub Date : 2023-09-24 DOI: 10.1002/prs.12538
Ling Yang, Mengmeng Chen, Weisong Fan
Abstract Human factors are considered the main cause of accidents involving pipeline explosionf. In order to identify the path of human‐induced explosion accidents, a gas pipeline explosion that occurred in Shiyan city of China is investigated thoroughly in this study. Applying the 24Model, the causes of the accident are classified into two levels: organizational and individual. The organizational level causes are further categorized into two elements, namely safety culture and safety management system. The individual level causes are further categorized into personal abilities and safety behaviors—both unsafe actions and unsafe conditions. The 24Model methodology further refines unsafe actions and unsafe conditions into subcategories for increased clarity. Based on the 24Model, it was determined that the Shinyan City incident was caused by gaps in personal abilities, which included insufficient safety knowledge, low safety awareness, and bad safety habits. Causes related to ability factors, safety management system, and safety culture were also identified. In addition, the relationship between the identified factors was developed according to the roles played by the accident causes, and the propagation path of the accident was established. This clarity helps to strengthen safety measures related to human factors.
摘要人为因素被认为是管道爆炸事故的主要原因。本文以十堰市燃气管道爆炸事故为研究对象,探讨了人为爆炸事故的路径。运用24模型,将事故原因分为组织和个人两个层次。组织层面的原因进一步分为两个要素,即安全文化和安全管理体系。个人层面的原因进一步分为个人能力和安全行为——不安全的行为和不安全的条件。24模型方法进一步将不安全行为和不安全条件细化为子类别,以提高清晰度。基于24模型,确定新延市事件是由个人能力差距造成的,包括安全知识不足,安全意识低,安全习惯不良。还确定了与能力因素、安全管理体系和安全文化相关的原因。此外,根据事故原因所起的作用,建立了识别因素之间的关系,建立了事故的传播路径。这种明确性有助于加强与人为因素有关的安全措施。
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引用次数: 0
Application of quantitative risk analysis to fireproofing 定量风险分析在防火中的应用
4区 工程技术 Q4 ENGINEERING, CHEMICAL Pub Date : 2023-09-22 DOI: 10.1002/prs.12539
Jeffrey D. Marx, Benjamin Ishii
Abstract One of the core elements of fire protection for petrochemical processing plants is the consideration of passive fire protection (PFP). This general category, often referred to as fireproofing, is addressed in the American Petroleum Institute (API)‐recommended practice (RP) 2218. This RP provides guidelines for the selection and application of fireproofing with what is mostly a qualitative risk assessment approach. The logic focuses on predicting pool fires based on rough characterizations of system properties combined with equipment layout. Although pool fire impacts are often localized, jet fires can affect larger areas. API RP 2218 addresses jet fires in an appendix because of their unpredictable nature, leaving pool fire exposures as the default basis for structural fireproofing. To properly account for both fire types, fire exposure can be evaluated with quantitative risk analysis (QRA) tools that incorporate both jet and pool fire impacts for a wide variety of accident scenarios, weather conditions, and release orientations. By evaluating the thermal radiation impacts of fires in relation to the vulnerability of steel structural elements, a QRA‐based approach to placement of PFP can be achieved. This approach has the benefit of applying PFP where it is needed the most, to best protect a company's infrastructure.
摘要:被动防火是石化加工厂防火的核心内容之一。这一一般类别通常被称为防火,在美国石油协会(API)推荐实施细则(RP) 2218中有规定。本RP为防火材料的选择和应用提供了指导方针,主要采用定性风险评估方法。该逻辑侧重于基于系统属性的粗略特征并结合设备布局来预测池火。虽然水池火灾的影响通常是局部的,但喷射火灾可以影响更大的区域。API RP 2218在附录中提到了喷射火灾,因为其不可预测的性质,将水池火灾暴露作为结构防火的默认基础。为了正确考虑这两种火灾类型,可以使用定量风险分析(QRA)工具对火灾暴露进行评估,该工具结合了各种事故场景、天气条件和释放方向的喷射和水池火灾影响。通过评估火灾的热辐射影响与钢结构构件脆弱性的关系,可以实现基于QRA的PFP放置方法。这种方法的好处是将PFP应用于最需要的地方,以最好地保护公司的基础设施。
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引用次数: 0
Environmental, social, governance: The future of process safety management or repeat of the past? 环境、社会、治理:过程安全管理的未来还是过去的重复?
4区 工程技术 Q4 ENGINEERING, CHEMICAL Pub Date : 2023-09-16 DOI: 10.1002/prs.12535
Rainer Hoff, Kathy Shell
Abstract Sites have implemented process safety management (PSM) systems, initially for Occupational Safety and Health Administration (OSHA) PSM and the Environmental Protection Agency (EPA) risk management program (RMP) compliance. Then later, they adapted those systems for risk‐based process safety (RBPS). They discovered the power of leveraging these foundational systems of procedures, tools, and practices for numerous follow‐on initiatives: for example, action management, API‐1173, SIS/IEC‐61511; cybersecurity/IEC 62443; API‐754/Vision 2020 metrics; ISO 14001. Today, companies are increasingly serious about environmental, social, governance (ESG) issues, and demonstrate progress by leveraging the S&P global corporate sustainability assessment (CSA). Interestingly, 63% of the CSA elements rely on information directly or indirectly produced by PSM systems. The existing PSM systems may require additional data collection, or additional lifecycles, in their business processes to satisfy the ESG/CSA requirements. Process safety professionals have a critically important role in supporting local and corporate ESG initiatives. ESG initiatives are indeed the “new game in town” to promote continuous improvement in process safety.
工厂已经实施了过程安全管理(PSM)系统,最初是为了符合职业安全与健康管理局(OSHA)的PSM和环境保护局(EPA)的风险管理计划(RMP)。然后,他们将这些系统用于基于风险的过程安全(RBPS)。他们发现了利用这些程序、工具和实践的基础系统进行许多后续计划的力量:例如,行动管理、API - 1173、SIS/IEC - 61511;网络安全/ IEC 62443;API‐754/Vision 2020指标;ISO 14001。如今,企业越来越重视环境、社会和治理(ESG)问题,并通过利用标准普尔全球企业可持续发展评估(CSA)来展示进展。有趣的是,63%的CSA元素依赖于PSM系统直接或间接产生的信息。现有的PSM系统在其业务流程中可能需要额外的数据收集,或额外的生命周期,以满足ESG/CSA需求。过程安全专业人员在支持本地和企业ESG计划方面发挥着至关重要的作用。ESG倡议确实是促进过程安全持续改进的“新游戏”。
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引用次数: 0
An unexpected explosion while fumigating a grain silo: It wasn't the dust 在对粮仓进行熏蒸时发生意外爆炸:原因不是灰尘
4区 工程技术 Q4 ENGINEERING, CHEMICAL Pub Date : 2023-09-11 DOI: 10.1002/prs.12537
Trevor Lardinois, Delmar “Trey” Morrison, Daniela Revez
Abstract Large‐scale fumigation of grain silos is a strategy to mitigate infestation of the bulk material. A common fumigant precursor for grain processes is aluminum phosphide, which exothermically decomposes in the presence of moisture (from the grain or air) to the toxic fumigant: phosphine gas. To overcome the hazards of exothermic decomposition and phosphine exposure, aluminum phosphide pellets can be metered into the silo's grain feed to distribute them throughout the grain more evenly. This approach decreases the decomposition rate of aluminum phosphide, better distributes heat generation to avoid igniting grain, and sustains a phosphine gas concentration well below the pyrophoric concentration—all while achieving the fumigation objectives. During a fumigation activity, a large explosion occurred within a group of silos at a grain elevator complex. Dust explosions are a common hazard for grain handling facilities, but this incident was caused by the autoignition of a phosphine gas cloud inside the conveyor tunnels. It was only through post‐incident evaluations of the grain flow dynamics and pellet addition activities that a gap between the desired pellet distribution and the incident conditions was identified. As a result, a new insight into bulk grain handling and safe fumigation was developed.
摘要粮食仓的大规模熏蒸是一种减轻散装物料侵染的策略。谷物加工中常见的熏蒸剂前体是磷化铝,它在水分(来自谷物或空气)的存在下放热分解成有毒的熏蒸剂:磷化氢气体。为了克服放热分解和磷化氢暴露的危害,可以将磷化铝颗粒计量到筒仓的粮食饲料中,使其更均匀地分布在整个粮食中。这种方法降低了磷化铝的分解速度,更好地分配热量以避免点燃颗粒,并保持磷化气浓度远低于焦氧浓度,同时实现了熏蒸目标。在一次熏蒸作业中,在一个粮食升降机综合设施的一组筒仓内发生了一次大爆炸。粉尘爆炸是粮食处理设施的常见危险,但这次事故是由传送带隧道内的磷化氢气云自燃引起的。只有通过事件后对颗粒流动动力学和颗粒添加活动的评估,才能确定所需颗粒分布与事件条件之间的差距。因此,对散装粮食处理和安全熏蒸有了新的认识。
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引用次数: 0
The role of motivation in human performance and in minimizing the impact of human error 动机在人的表现和减少人为错误的影响中的作用
4区 工程技术 Q4 ENGINEERING, CHEMICAL Pub Date : 2023-09-10 DOI: 10.1002/prs.12536
Ritche Niño Li
Abstract The role of human error is the subject of various case studies on process safety incidents worldwide. To improve the situation and minimize the impact of human error, efforts are widely focused on the external job situation, such as job design, and the rules of rewards and punishments. Furthermore, organizations have opted to improve individual conditions such as job competencies and skills development. It is the aim of human factors engineering to maximize the potential of human performance in preventing process safety incidents. However, little attention is paid to the internal motivational process that occurs in an individual participating in the incident. Therefore, the aim of this paper is to bridge the gap and to highlight the role of motivational behavior in developing human performance or in executing actions that lead to human error. Human behavior and motivation widely vary within organizations. Therefore, organizations may benefit from the motivational theories that are widely used in the study of organizational behavior. The theoretical approach to motivation is separated into two main categories: inner motivation and outer motivation. Moreover, inner motivational theory is also subdivided into rational factors and irrational factors. The theories applied in this paper exemplify and combine the use of motivational theories in improving human performance and preventing process safety incidents. Based on the analysis, key recommendations are generated that can be implemented to improve human performance as part of the process safety management system.
人为错误的作用是世界范围内各种过程安全事件案例研究的主题。为了改善这种情况,尽量减少人为错误的影响,人们普遍把注意力集中在外部的工作情况上,比如工作设计、奖惩规则等。此外,组织已经选择改善个人条件,如工作能力和技能发展。人为因素工程的目标是最大限度地发挥人在预防过程安全事故中的潜力。然而,很少有人注意到参与事件的个人的内部动机过程。因此,本文的目的是弥合这一差距,并强调动机行为在发展人类绩效或执行导致人类错误的行为中的作用。在不同的组织中,人的行为和动机差别很大。因此,组织可以从广泛应用于组织行为研究的激励理论中获益。动机的理论研究方法主要分为两大类:内在动机和外在动机。此外,内在动机理论也被细分为理性因素和非理性因素。本文中应用的理论举例说明并结合了激励理论在提高人员绩效和预防过程安全事故中的应用。在分析的基础上,产生了关键的建议,这些建议可以作为过程安全管理系统的一部分来实施,以提高人员的绩效。
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引用次数: 0
Overcome the challenges of implementing safety instrumented systems for reactive processes 克服为反应过程实施安全仪表系统的挑战
4区 工程技术 Q4 ENGINEERING, CHEMICAL Pub Date : 2023-09-10 DOI: 10.1002/prs.12534
Eloise Roche, Angela E. Summers
Abstract Safety instrumented systems (SISs) are generally used against process safety hazards with the potential to severely injure, or even kill, personnel or members of the public. Reactive processes are a common application for SISs due to the potential for significant energy release during the reaction, which tends to cause catastrophic rupture of the vessel. While some applications can address the reactive hazard by closing emergency block valves, others may require blowdowns, kill agents, and other complex response actions. The more that needs to be done to address the reaction, the more complicated the SIS, resulting in the need for more experienced process engineering involvement to get the design right. The protection layers allocated to manage the risk of reactive applications typically focus on the prevention of runaway reactions by ensuring that the temperature or pressure never reach an unsafe state. This seems straightforward, but reactive processes can respond to loss of control in ways that are more difficult to predict, so the specification of trip point, response time, and sensor architecture requires more analysis than typical SIS. This paper discusses some of the unique challenges posed by reactive applications and provides examples to illustrate how to overcome these challenges.
安全仪表系统(SISs)通常用于防止可能严重伤害甚至杀死人员或公众的过程安全危害。反应过程是SISs的一个常见应用,因为在反应过程中可能会释放大量能量,这往往会导致容器的灾难性破裂。虽然有些应用可以通过关闭紧急阻断阀来解决反应性危险,但其他应用可能需要排污、灭杀剂和其他复杂的响应措施。需要处理的反应越多,SIS就越复杂,从而需要更有经验的过程工程参与以获得正确的设计。用于管理反应性应用风险的保护层通常侧重于通过确保温度或压力永远不会达到不安全状态来防止失控的反应。这看起来很简单,但反应过程可能以更难以预测的方式响应失控,因此,与典型的SIS相比,对故障点、响应时间和传感器架构的规范需要更多的分析。本文讨论了响应式应用程序带来的一些独特挑战,并提供了一些示例来说明如何克服这些挑战。
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引用次数: 0
The effectiveness of behavior‐based safety observation program (BSOP) in the chemical manufacturing industry 基于行为的安全观察程序(BSOP)在化工行业的有效性
IF 1 4区 工程技术 Q4 ENGINEERING, CHEMICAL Pub Date : 2023-09-07 DOI: 10.1002/prs.12533
J. Zakaria, Che Rosmani Che Hassan, M. D. Hamid, E. H. Sukadarin
In 2022, there were 4514 reported cases of occupational accidents in Malaysian manufacturing industry, which is the highest among the sectors. Although governmental regulations mandate the use of personal protective equipment and safe working procedures, workers still take risks while completing their job. Behavioral‐based safety (BBS) approach has become a reliable way for correcting workers' behavior and improving their safety performance. This article presents findings from the BBS safety intervention program and reports its effectiveness in increasing the number of workers performing safe acts. The developed program, namely BSOP (behavior‐based safety observation program), use four basic principles: (i) goal‐setting, (ii) behavioral observation, (iii) constructive feedback, and (iv) reward and celebration. During execution, behavioral observation was conducted daily by appointed observers for 4 months. Results showed that the program reduced at‐risk behavior (measured by the percent increase of safe acts) from 61% during baseline to 73% and 82% during the first and second behavioral observation cycles toward 14 identified targeted behavior. This study presents a comprehensive and structured process of developing safety interventions. It contributes to our understanding of the significant effects of changes in targeted behavior due to the success of the safety intervention program.
2022年,马来西亚制造业共有4514起职业事故报告,是各行业中最高的。尽管政府规定必须使用个人防护设备和安全工作程序,但工人在完成工作时仍会承担风险。基于行为的安全(BBS)方法已成为纠正工人行为和提高其安全绩效的可靠方法。本文介绍了BBS安全干预计划的结果,并报告了其在增加执行安全行为的工人数量方面的有效性。开发的计划,即BSOP(基于行为的安全观察计划),使用了四个基本原则:(i)目标设定,(ii)行为观察,(iii)建设性反馈,以及(iv)奖励和庆祝。在执行过程中,每天由指定的观察者进行行为观察,观察时间为4天 月。结果显示,该项目将风险行为(以安全行为增加百分比衡量)从基线期间的61%减少到第一和第二行为观察周期期间的73%和82%,达到14种确定的目标行为。本研究介绍了制定安全干预措施的全面和结构化过程。它有助于我们理解由于安全干预计划的成功而导致的目标行为变化的显著影响。
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引用次数: 0
Correction to Book Review of “Fire Protection Handbook®: National Fire Protection Association (NFPA). Vol 1 and 2. 21st ed. 2023. p. 3800. $749. ISBN: 978‐1‐455929‐1‐39” 《消防手册》书评更正®: 美国国家消防协会(NFPA)。第1卷和第2卷。第21版,2023年。第3800页$749.ISBN:978-1-455929-1-39“
IF 1 4区 工程技术 Q4 ENGINEERING, CHEMICAL Pub Date : 2023-08-30 DOI: 10.1002/prs.12532
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引用次数: 0
Case study: Investigating the effect of the A2 Pasquill atmospheric condition on the dispersion modeling of heavy gases 案例研究:研究A2 Pasquill大气条件对重质气体扩散模拟的影响
4区 工程技术 Q4 ENGINEERING, CHEMICAL Pub Date : 2023-08-28 DOI: 10.1002/prs.12531
Alia Nathani, Chee Seang Ong
Abstract This study provides a defensible argument for the inclusion of the A2 Pasquill weather parameter in dispersion modeling, in addition to the typical F2 and D5. The A2 parameter conservatively models gas releases that concentrate at ground level, thus allowing for a more robust design of vent heights, surrounding structures/equipment and safety measures. For this investigation, 12 case studies of common hydrocarbon and aromatic gas mixtures were developed in PHAST (Process Hazard Analysis Software Tool) version 8.6. Each case varied in temperature, release pressure (velocity), and molecular weight (MW) to simulate dense gases likely to tend toward ground level. Subsequently, each case study was modeled with the Pasquill Atmospheric Stability Classes, A2, D5, and F2, to visualize the dispersion of dense gases under different weather conditions and evaluate which weather parameter would be most inclusive of high‐severity scenarios. Results demonstrate that dense (colder than dew point, heavy, pressurized) gases yield highest ground‐level concentrations using the A2 atmospheric condition, and the further the release temperature falls below the mixture's dew point, the greater the mixture concentration at ground level. Consequence modeling recommendations are discussed, and specific gas properties are addressed that necessitate using a model that is conservative in its estimation of ground‐level concentrations.
本研究为除典型的F2和D5外,在弥散模拟中加入A2 Pasquill天气参数提供了一个站得住的论据。A2参数保守地模拟了集中在地面的气体释放,从而允许对排放口高度、周围结构/设备和安全措施进行更稳健的设计。在这项调查中,在PHAST(过程危害分析软件工具)8.6版本中开发了12个常见碳氢化合物和芳香族气体混合物的案例研究。每种情况都改变温度、释放压力(速度)和分子量(MW),以模拟可能倾向于地面的致密气体。随后,每个案例研究都使用Pasquill大气稳定性等级A2、D5和F2进行建模,以可视化不同天气条件下密集气体的扩散,并评估哪种天气参数最能包括高严重情景。结果表明,在A2大气条件下,密集(比露点冷,重,加压)气体产生的地面浓度最高,释放温度越低于混合物的露点,混合物在地面的浓度越大。讨论了后果建模建议,并讨论了需要使用保守模型估计地面浓度的特定气体特性。
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引用次数: 0
Improving PSM and HSEMS compliance in Malaysian upstream oil and gas industry: A case study assessment for plug and abandonment activities 改善马来西亚上游油气行业的PSM和hhsms合规性:封堵弃井活动的案例研究评估
IF 1 4区 工程技术 Q4 ENGINEERING, CHEMICAL Pub Date : 2023-08-28 DOI: 10.1002/prs.12527
Mohd Shazman Zulkiply, S. A. Hussain
Process safety incidents in the oil and gas industry can have serious consequences. In the United States and Malaysia, standards for process safety management (PSM) have been established by US OSHA and PETRONAS, respectively. However, these standards are not always properly understood or followed by employers, resulting in ineffective safety programs and uncontrolled hazards. Plug and abandonment (P&A) activities in the upstream oil and gas industry require high control of well barriers. To assess the gap between PSM industrial standards and crew awareness in P&A activities, a study was conducted throughout one cycle of the project campaign. The study found that 70% of offshore crews had a high awareness level of the health, safety, and environment management system (HSEMS) and PSM, and 96% compliance was achieved from audit activities. However, two proposed PSM elements scored low in the assessment, indicating a need for improvement in site implementation. The study provides valuable information for offshore crews and readers seeking to improve and assess PSM elements in process safety. The results can help identify and control potential hazards related to technical safety, operational safety, and personnel safety. Furthermore, the study aims to support the development and implementation of PSM standards in Malaysia.
石油和天然气行业的过程安全事故可能会产生严重的后果。在美国和马来西亚,过程安全管理(PSM)标准分别由美国职业安全与健康管理局和马来西亚国家石油公司制定。然而,这些标准并不总是被雇主正确理解或遵循,导致安全计划无效和不受控制的危险。油气上游行业的封井弃井(P&A)作业要求对井眼障碍进行高度控制。为了评估P&A作业中PSM行业标准与船员意识之间的差距,在项目活动的一个周期内进行了一项研究。研究发现,70%的海上工作人员对健康、安全和环境管理系统(hhsms)和PSM有很高的认识,96%的合规性通过审计活动实现。然而,两个拟议的PSM要素在评估中得分较低,表明需要改进现场执行。该研究为寻求改进和评估过程安全中的PSM元素的海上工作人员和读者提供了有价值的信息。结果可以帮助识别和控制与技术安全、操作安全和人员安全相关的潜在危险。此外,该研究旨在支持PSM标准在马来西亚的发展和实施。
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引用次数: 0
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Process Safety Progress
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