Professional Documents
Culture Documents
DTM 30.09.2014/07.10.2014
i. Mechanical Risks
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FTUI Worked example KI-KE
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FTUI KI-KE
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FTUI KI-KE
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I suppose that I
should have done that
HAZOP Study!
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Buncefield Incident (UK) December 2005.
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Buncefield Incident
Off-Site Consequences
Significant damage to commercial and residential neighbours
2000 people evacuated
Sections of M1 Motorway closed
Very large smoke plume over Southern England Air pollution
Large quantities of foam and water contaminated water courses
and ground water
HSE/EA investigation determined the direct cause (initiating event) as
follows:
Tank 912 . overflowed at around 05.30 hours .. while
being filled at a high rate
Large vapour cloud formed and flowed off-site
First explosion at 06.01 hours
There were multiple root causes (failures) identified
Many related to management system failures
Still some unanswered questions
Why was there so much explosive force?
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FTUI KI-KE
DTM
Dubai Dry Dock Incident
Several vessels were set on blocks inside the dry dock at the
time of the failure. The vessels included the large vessel "Key
Bermuda," a cargo barge and the accommodation barge "SEP
350.
The dry dock gates failed at 09.30 during a working day.
The dock is 500 metres long by 100 metres wide and 11 metres
deep.
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Dubai Dry Dock Incident
Everything looks normal!!
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Dubai Dry Dock Incident
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Dubai Dry Dock Incident
Larger vessels coming off the blocks
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Dubai Dry Dock Incident
Cargo barge getting ready to roll. Many trapped
inside, a few on deck getting ready to jump
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Dubai Dry Dock Incident
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Dubai Dry Dock Incident
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Dubai Dry Dock Incident
The aftermath. Official reports account for 26
persons killed.
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FTUI HAZOPS KI-KE
DTM
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FTUI KI-KE
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Kenapa harus dilakukan ?
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FTUI KI-KE
DTM
Kapan harus dilaksanakan ?
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FTUI KI-KE
DTM
Process HAZOP
Teknik HAZOP pada dasarnya dikembangkan untuk menilai (assess)
plant dan sistem proses
Human HAZOP
- Salah satu jenis HAZOP yang lebih spesifik
- Lebih fokus pada human errors daripada technical failures
Procedure HAZOP
- Tinjauan dari prosedur yang digunakan atau rangkaian operasional
- Biasa juga disebut SAFOP = SAFe Operation Study
Software HAZOP
Identifikasi berbagai kemungkinan kesalahan yang
dikembangkan dalam bentuk software
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FTUI KI-KE
DTM
Proses HAZOP
Standardisasi guide-words
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FTUI KI-KE
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Terminologi HAZOP
Design Intent :
Fungsi yang telah ditetapkan/dirancang agar proses operasi dapat berjalan
normal.
Guide Word :
Kata-kata singkat yang membantu untuk mengarahkan jalannya diskusi pada
saat meninjau suatu parameter proses / membantu brainstorming saat
mengidentifikasi process hazards. Contoh : NO, MORE, LESS, HIGH, dll.
Parameter :
Rujukan/ukuran proses tertentu yang ditinjau. Misal : TEMPERATURE,
PRESSURE, FLOW, dll.
Deviation :
Penyimpangan proses dari design intent yang ada (merupakan gabungan
dari Guide Word dan Parameter)
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Terminologi HAZOP
Cause :
Alasan yang dikemukakan mengapa suatu penyimpangan dapat terjadi.
Consequence :
Akibat atau sesuatu yang dihasilkan dari penyimpangan yang terjadi.
Safeguards / Control :
Sistem yang dibuat atau pengendalian secara administratif untuk mencegah
suatu penyimpangan terjadi atau mengurangi consequences yang terjadi
sebagai akibat penyimpangan (deviation).
Hazard Category :
Nilai / bobot risiko bahaya yang ada. Biasanya digunakan Hazard Risk
Assessment Matrix
Recommendations :
Rekomendasi untuk perubahan design, prosedur operasi atau untuk study
lebih lanjut.
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FTUI KI-KE
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Process HAZOP Guide-words
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HAZOP STUDY METHODOLOGY
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Deviation
The keyword combination being applied (e.g. Flow/No).
Cause
Potential causes that would result in the deviation occurring. (e.g.
"Strainer S1 blockage due to impurities in Dosing Tank T1" might be a
cause of Flow/No).
Consequence
The consequences that would arise, both from the effect of the
deviation (e.g. "Loss of dosing results in incomplete separation in V1")
and, if appropriate, from the cause itself (e.g. "Cavitation in Pump P1,
with possible damage if prolonged").
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F2
Liquid
butane F4
feed
P1 v3
F1
compressor
A1
v1 %C
4 M
motor
L1
F3
T1 v4
steam
v2 T
P3
P2
v5
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Steps in a HAZOP
1. Select a node, define its purpose and determine the process safe limits.
2. Select a process guideword.
3. Identify the hazards and their causes using the deviation guidewords.
4. Determine how the hazard is "announced", i.e., how the operator knows
a safe limit has been exceeded.
5. Estimate the consequences (safety, environmental, economic) of each
identified hazard.
6. Identify the safeguards.
7. Estimate the frequency of occurrence of the hazard.
8. Risk rank the hazard, with and without safeguards.
9. Develop findings and potential recommendations.
10. Move on to the next process guideword, or to the next node if the
guideword discussion is complete.
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Example of Node Selection
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Node Purpose Descriptions
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Flow Rate;
Flow Quantity (for batch operations);
Pressure;
Temperature;
Level (when vessels and tanks are a part of the node);
Composition; and
Phase.
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Hazard Causes
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Consequences
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