Josué Eduardo Maia França, Maria Inês Vaz, Brenda Rodrigues Coutinho, Luís Pina
{"title":"Analyzing organizational gaps in process accidents with <scp>FRAM</scp>: The case of the Imperial Sugar refinery explosion (2008)","authors":"Josué Eduardo Maia França, Maria Inês Vaz, Brenda Rodrigues Coutinho, Luís Pina","doi":"10.1002/prs.12545","DOIUrl":"https://doi.org/10.1002/prs.12545","url":null,"abstract":"Abstract This study presents a reanalysis of the Imperial Sugar refinery accident that occurred in February 2008, in Georgia, USA, using functional resonance analysis method (FRAM) and based on technical‐scientific materials and the official reports. This explosion was fueled by sugar dust in the packaging building of the refinery, causing 14 fatalities and injuring 38 workers. The purpose of this reanalysis is to seek factors and interactions that could not be well analyzed or evidenced using traditional accident investigation techniques, which are primally designed to analyze linear systems. This reanalysis with FRAM allowed us to perceive the influence of organizational elements, such as culture, in the accidental chain of the event, highlighting the need of a broader approach for accidents involving high‐tech process industries. In this sense, FRAM enabled a more comprehensive analysis of the complex functioning of process plants, for both normal operation and in emergency. It was noticed that the greater the complexity of work systems, the greater the interaction and variability between personnel, equipment, and systems, requiring analysis techniques and methodologies capable of recognizing the real complexities that take place in these sociotechnical systems, especially in high‐tech process plants, such as the sugar refinery in this case.","PeriodicalId":20680,"journal":{"name":"Process Safety Progress","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135322547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"What is in a name?","authors":"Jerry Forest, Lisa Long","doi":"10.1002/prs.12547","DOIUrl":"https://doi.org/10.1002/prs.12547","url":null,"abstract":"Data sharing is not applicable to this article as no datasets were generated or analysed during the current study.","PeriodicalId":20680,"journal":{"name":"Process Safety Progress","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135413821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Safety and Health News","authors":"John F. Murphy","doi":"10.1002/prs.12546","DOIUrl":"https://doi.org/10.1002/prs.12546","url":null,"abstract":"Process Safety ProgressEarly View Safety and Health News Safety and Health News John F. Murphy, Corresponding Author John F. Murphy PE, Editor [email protected] orcid.org/0000-0002-7119-8566 Search for more papers by this author John F. Murphy, Corresponding Author John F. Murphy PE, Editor [email protected] orcid.org/0000-0002-7119-8566 Search for more papers by this author First published: 20 October 2023 https://doi.org/10.1002/prs.12546Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat Early ViewOnline Version of Record before inclusion in an issue RelatedInformation","PeriodicalId":20680,"journal":{"name":"Process Safety Progress","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135618102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tekin Kunt, Madonna Breen, Seçkin Gökçe, Mike Munsil
{"title":"Maturity model approach for building effective process safety management systems","authors":"Tekin Kunt, Madonna Breen, Seçkin Gökçe, Mike Munsil","doi":"10.1002/prs.12543","DOIUrl":"https://doi.org/10.1002/prs.12543","url":null,"abstract":"Abstract Usually, a gap analysis is conducted to address challenges encountered when building a process safety management (PSM) system from scratch, or for improving an already existing PSM program. Business maturity models, on the other hand, are useful management frameworks used to gauge the maturity of an organization in various disciplines or functions. The purpose of this paper is to introduce an adaptation of business maturity models to the PSM area.","PeriodicalId":20680,"journal":{"name":"Process Safety Progress","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136142716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Introduction to <scp>grid‐scale</scp> battery energy storage system concepts and fire hazards","authors":"Veronica Goldsmith","doi":"10.1002/prs.12541","DOIUrl":"https://doi.org/10.1002/prs.12541","url":null,"abstract":"Abstract As the world continues to enact progressive climate change targets, renewable energy solutions are needed to achieve these goals. One such solution is large‐scale lithium‐ion battery (LIB) energy storage systems which are at the forefront in ensuring that solar‐ and wind‐generated power is delivered when the grids need it most. However, the perceived hazards of LIBs due to recent events in the United States and Australia pose a risk to their future success. When a battery energy storage system (BESS) has a multilayered approach to safety, the thermal runaway, fire, and explosion hazards can be mitigated. Successful implementation of this approach requires cooperation, collaboration, and education across all stakeholder groups to break down these preconceived notions. Much can be learned from the recent BESS fire and explosion events to inform safer design and operation. These events and their contributing factors share many commonalities with historic losses in the hydrocarbon industry. Fire and process safety engineers who have traditionally worked in the hydrocarbon industry can be of immense value to the BESS industry.","PeriodicalId":20680,"journal":{"name":"Process Safety Progress","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135803752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Consequence analysis, layer of protection analysis, and bow‐tie as strategies to prevent accidents","authors":"Elisio Carvalho Silva","doi":"10.1002/prs.12542","DOIUrl":"https://doi.org/10.1002/prs.12542","url":null,"abstract":"Abstract This article discusses some accidents and uses consequence analysis as well as layer of protection analysis (LOPA) and bow‐tie to establish the best approach for safely controlling the process to avoid loss of containment due to overfilling. Four accidents and their aftermaths are examined, considering current investigations. Consequence analysis was used with 12 products to demonstrate how to determine the level of protection of the systems to reduce the likelihood of containment loss due to overflow. Finally, LOPA and bow‐tie were used to ensure that the systems have adequate protection at an acceptable level of risk tolerance and will be correctly maintained throughout their life cycle. The analyses indicated that an independent layer of protection with safety integrity level 2 was required to achieve the risk tolerance requirement of <10 −4 /year, which is a known and widely accepted frequency when an accident has the potential to result in a fatality. Furthermore, a study of degradation factors and controls was performed to enhance the reliability of all the components that interfere with the frequency of the top event. This will improve process safety throughout the system's lifecycle, and the results will also be input for safeguards audits.","PeriodicalId":20680,"journal":{"name":"Process Safety Progress","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135917857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Retrospective on the risk matrix, part 1","authors":"James A. Moseman","doi":"10.1002/prs.12540","DOIUrl":"https://doi.org/10.1002/prs.12540","url":null,"abstract":"Abstract A review of historic mathematical, risk, and engineering science information was conducted to find the roots of the risk matrix. The objective was to locate and evaluate information surrounding its use. A three‐tiered (low, medium, high) system is historical, if not biologically programmed into human physiology. The Risk Matrix is a Likert preference system that has migrated into engineering and science. No testing or mathematical foundation was found.","PeriodicalId":20680,"journal":{"name":"Process Safety Progress","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136211202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Human factors analysis of a fatal gas explosion on June 13, 2021 in Shiyan City, China","authors":"Ling Yang, Mengmeng Chen, Weisong Fan","doi":"10.1002/prs.12538","DOIUrl":"https://doi.org/10.1002/prs.12538","url":null,"abstract":"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.","PeriodicalId":20680,"journal":{"name":"Process Safety Progress","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135925719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Application of quantitative risk analysis to fireproofing","authors":"Jeffrey D. Marx, Benjamin Ishii","doi":"10.1002/prs.12539","DOIUrl":"https://doi.org/10.1002/prs.12539","url":null,"abstract":"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.","PeriodicalId":20680,"journal":{"name":"Process Safety Progress","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136062023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"<scp>Environmental, social, governance</scp>: The future of <scp>process safety management</scp> or repeat of the past?","authors":"Rainer Hoff, Kathy Shell","doi":"10.1002/prs.12535","DOIUrl":"https://doi.org/10.1002/prs.12535","url":null,"abstract":"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.","PeriodicalId":20680,"journal":{"name":"Process Safety Progress","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135305848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}