Professional Documents
Culture Documents
Igor Santos Araujo1,, Salvador Ávila Filho1, Jefferson dos Santos Mascarenhas1,
Danillo Ramos Camargo1
1 Introduction
In the current global situation, where environmental resources are scarce, it is necessary
to seek solutions in the energy field, to make these processes more efficient and more
reliable. This implies a scenario with energy savings and reduction of CO2 and green-
house gas emissions, which impacts society. According to [1], the carbon emissions in
the world from energy use grew by 0.5% in 2019, less than half 10-year average growth
of 1.1% per year. This means that the world is changing, and large energy companies
need to adapt and improve efficiency in their processes to be competitive in this sector.
The petrochemical industry has great relevance in the global energy scenario. In Brazil,
the oil production grew by 7.8% in 2019 and the national refineries processed 1.8 mil-
lion barrels per day [2]. Due to its high complexity, it is important to monitor its pa-
rameters and study reliability solutions including human and technological factors with
real cases.
This article aims to investigate the causes for the failure of a turbogenerator located in
a fluidized catalytic cracking (FCC) unit of an oil refinery in Brazil. When this equip-
ment is operating continuously, it produces electrical energy from the heat generated in
the process itself. This work is based on reliability tools, human factors, and analysis of
critical variables, to identify the causes of failure, mainly the root cause of the event.
2 Literature Review
Oil is basically composed of a mixture of hydrocarbons. Its chemical composition may
vary widely. The combustion of petroleum products generates energy to power automo-
biles, trains, ships and airplanes. There are numerous possible applications using petro-
leum products and refineries are responsible for transforming oil into its products that
are consumed by the society [3]. According to [4], the different refining processes pre-
sent in a refinery can be classified according to the transformation that aggregate the
input stream, which can be separation, conversion and treatment processes. One of the
most profitable conversion processes is catalytic cracking. The main purpose of the unit
is to convert high-boiling petroleum fractions called gas oil to high-value, high-octane
gasoline and heating oil [5].
A catalytic cracking unit operates under severe temperature conditions and uses a cata-
lyst based on silica and alumina in the process. In these units, the energy contained in a
flue gas stream in the regenerator can be used to generate steam in boilers and electrical
energy in turbogenerators. The role of this equipment integrates the demand for power
in this industry with the process of expansion of flue gases. This machine is complex,
large and has auxiliary systems that are essential for its continuous operation. Common
causes of failure of turbogenerators are discussed in [6], where we highlight: failures
due to expander support, unit vibration, rotor rubbing and catalyst deposition and plug-
ging.
The search for operational excellence and operational continuity of the turbogenerator
involves the study of reliability to achieve good results. Complex systems involve sev-
eral factors that can contribute to the failure of a component or equipment. According
to [7], a study of accidents in Petrochemical and refining units identified the following
causes: equipment and design failures (41%), operator and maintenance (41%), inade-
quate or improper procedures (11%), inadequate or improper inspection (5%) and mis-
cellaneous causes (2%). This guide aims to understand the causes of human errors and
suggest ways to reduce them. The PSF (Performance shaping factor) is anything that
affect a worker’s performance. So, managers can improve the PSF’s and reduce the
frequency of human errors.
Human error is discussed in [8] by the traditional view and by the systemic view. Ac-
cording to the traditional view, errors occur due to negligence, lack of commitment and
failure to observe rules or procedures. Meanwhile, the systemic view of human error
says that they occur due to the complex relationship between factors such as: environ-
ment, culture, inadequate guidelines and systems. It is a challenge to create an environ-
ment of antecedents appropriate to the behavior that one wishes to achieve in the or-
ganization [9]. A model of human reliability analysis is SPAR-H, which is a model that
combines elements of the stimulus-response and the information processing approaches
and acknowledges the role of environmental factors upon diagnosis and action [10].
Thus, it is possible to identify human factors that contribute to the occurrence of a fail-
ure.
3 Methodology
The methodology for investigating this failure was based on technological and human
factors. The development process involved: reading and analyzing manuals, books and
procedures; interviewing specialists, operators and engineers; application of reliability
tools and analysis of the causes of equipment failures. For this, the methodology is
described in figure 1. In the first step, the operational context of the process in which
the turbogenerator is presented and of the equipment itself was defined. In the second
step, critical variables and tools were defined and we investigated operational reliability
with the appropriate tools applied in the process. In the third step, we discussed the
human factors that influenced the failure of the turbogenerator. In the fourth step, a
mental map with human and technological factors that led to the failure of the equip-
ment was drawn up and a discussion of the results was made.
4 Case
From this screen, at each shutdown of the turbogenerator, the rate of increase in equip-
ment vibration is higher. This occurs until the limit of vibration supported by the ma-
chine is reached. The operational instability of the FCC contributed to the reduction of
the turbogenerator's campaign time.
The figure below shows the relationship between the vibration of the turbogenerator
and the temperature of the day. There is a significant variation in vibration. This graph
shows that the vibration variations with the temperature were not absorbed by the ex-
pansion joints, as well as by the pipe support design.
Fig. 3: Variation of the vibration (blue and green) and the temperature (red) of the day during the
campaign.
The photos below were taken after the turbogenerator interlocked by vibration. The
image on the right shows the blades of the turbogenerator. This picture shows the pro-
cess of erosion that these blades have suffered. The low efficiency in separating the flue
gas from the catalyst caused excess catalyst particles in the flue gas to go to the turbo-
generator, and this erosive jet caused severe unbalancing of the assembly and continu-
ous increase in vibration. The image on the left shows that there was an opening in the
closing of the high-pressure box. This indicates that the machine has been over ten-
sioned.
HUMAN TECH/HUMAN
HUMAN
Monitoring of Operational insta-
Deficient Procedures
Engineering bility of the FCC
and communication unit
Fig. 5: Root cause map.
5. Conclusion
Failures resulting from the design of the turbogenerator are mixed with human errors
due to deficiencies indicated in human factors. The mechanical stress of solids on the
blades of the turbogenerator is a technological issue accompanied by undue human fac-
tors. The root cause map presented in 4.4 shows the causes contributing to the shutdown
of the turbogenerator due to high vibration. This work showed that the failure of the
turbogenerator comes from human and technological factors. In human factors, insuf-
ficient training, deficient procedures, automatic check list and decision making to main-
tain the projects of the third stage of the cyclone and the pipes may have contributed to
the event. In technological factors, the main contributions were the low efficiency of
the third stage of cyclones and error of piping design, in addition to the operational
instability of the FCC unit. Because it is a complex machine, it is difficult to determine
the root cause. This will be for a future study.
References
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