INCIDENT:
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Transcript of INCIDENT:
INCIDENT:On 16th July Kauther Gas Plant tripped on ESD initiated by fire & gas detection at the condensate holding
area. Loss of containment was caused by shearing of a pressure gauge instrument tubing on the discharge line of the running pump. The system pressure at this point is 88 barg, causing a jet of liquid/ vapour to hit the roof of the holding pit 15m overhead – most of the liquid fell back into the pit, but some of it contaminated the surrounding area. Estimated loss of liquid containment is ca 10m3 (estimated 25% and 75% water). The incident occurred at night, with the facility unmanned. After 2 hrs local gas detectors picked up the leak, registering gas above 100% LFL.
POTENTIAL – C3A/PNo ignition source was encountered (all Ex-rated equipment). A pool or jet fire could have resulted in the
loss of the condensate pumping facility in the pit, with replacement costs of up to 1 MMUSD, but would not affect KGP production.
Potential injury to operator due to fire, or slips/trips.
ROOT CAUSES:Pump vibration led to ‘fretting’ of the instrument tubing at the compression fitting, with eventual stress
failure leading to full-bore flow to the surrounding environment via the ½” instrument fitting. The most likely cause of high vibration is blockage within the suction strainer of the duty pump.
LEARNINGS:Vibration:• Suction/ discharge dampers on positive displacement pumps to be checked at least 6-monthly• Suction strainers should have dP indication installed, set to alarm when pump NPSH
requirements are not met• Always remove commissioning filters from pump suctions• Consider low flow alarm for pumps
Detection:• Gas detectors in pits should be located at low elevation to aid early detection• Consider installing level switches (float switch) in pits/sumps for rapid indication of leaks
Leak path reduction:• Consider Pressure Transmitters with local indication instead of pressure gauges
HSE LEARNING
Use this Alert: Discuss in Tool Box Talks and HSE Meetings Distribute to contractors Post on HSE Notice Boards Include in site HSE Induction
Contact: MSE511 for further information or visit the HSE Website Alert No 71 August, 2011
Process Safety Incident
Key Learning:
Design and Maintenance of (positive displacement) pumps must ensure adequate safeguards for avoiding blockage and early detection of vibration.