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Node No. Node Deviation Cause Consequence Effective Safeguards Recommendations Responsibility
S L RR
1 Blowdown degassing vessel X89-D- 1. No Flow 1. Inadvertent closure of 6'' manual 1. Over pressurization of the upstream 1. Existing system has available protection for 5 1 5 1. 6-inch manual isolation valve SLFE
0038A and degassing pumps X89-P- isolation valve (line 6"-BD-XXX2- condensate surge drum/other sources blocked flow (Line 6"-BD-XXX2-1CA1P) to be
0016A/B 1CA1P) connected to common blowdown header CSO
leading to LOC, fire & explosion causing
multiple fatalities
2. Loss of level in the degassing drum (X89-D- 1. LIC-1001 will stop the pump (X89-G- 5 2 8
0038A), more fuel gas flow & possible gas 0016A/B) on low level
blowby to the pump (X89-G-0016A/B), pump 2. LALL-1003 will trip the pump (X89-G-
cavitation, pump damage, LOC, fire/explosion 0016A/B) on LL level
causing multiple fatalities
2. Stuck closure of NRV (line 6"-BD- 1. Over pressurization of the upstream 1. Existing system has available protection for 5 1 5 2. Evaluate removing NRV (line 6"- SLFE
XXX2-1CA1P) condensate surge drum/other sources blocked flow BD-XXX2-1CA1P) on inlet line to
connected to common blowdown header Blowdown degassing vessel X89-
leading to LOC, fire & explosion causing D-0038A
multiple fatalities
2. Loss of level in the degassing drum (X89-D- 1. LIC-1001 will stop the pump (X89-G- 5 2 8
0038A), More fuel gas flow & possible gas 0016A/B) on low level
blowby to the pump (X89-G-0016A/B), pump 2. LALL-1003 will trip the pump (X89-G-
cavitation, pump damage, LOC, fire/explosion 0016A/B) on LL level
causing multiple fatalities
3. Spurious closure of ZV-1002 (6"-BD- 1. Over pressurization of the upstream 1. Existing system has available protection for 5 1 5
XXX2-1CA1P) condensate surge drum/other sources blocked flow
connected to common blowdown header
leading to LOC, fire & explosion causing
multiple fatalities
2. Loss of level in the degassing drum (X89-D- 1. LIC-1001 will stop the pump (X89-G- 5 2 8
0038A), More fuel gas flow & possible gas 0016A/B) on low level
blowby to the pump (X89-G-0016A/B), pump 2. LALL-1003 will trip the pump (X89-G-
cavitation, pump damage, LOC, fire/explosion 0016A/B) on LL level
causing multiple fatalities
4. Inadvertent closure of MOV-1005 (6"- 1. Over pressurization of the upstream 1. Existing system has available protection for 5 1 5
BD-XXX2-1CA1P) condensate surge drum/other sources blocked flow
connected to common blowdown header
leading to LOC, fire & explosion causing
multiple fatalities
2. Loss of level in the degassing drum (X89-D- 1. LIC-1001 will stop the pump (X89-G- 5 2 8
0038A), More fuel gas flow & possible gas 0016A/B) at low level
blowby to the pump (X89-G-0016A/B), pump 2. LALL-1003 will trip the pump (X89-G-
cavitation, pump damage, LOC, fire/explosion 0016A/B) at LL level
causing multiple fatalities
5. PIC-1001A malfunction causing PCV- 1. Level buildup in the degassing drum (X89-D- 1. LAHH-1003 will close the ZV-1002 and cut 5 1 5
1001A closure 0038A) overfilling and vessel over feed to degassing vessel
pressurization, & liquid carryover to the Flare, 2. PAHH-1010
damage to the flare header and flare
package, LOC, fire, and explosion with 3. PZV-1001/1002
possible multiple fatalities
6. PIC-1001A malfunction causing PCV- 1. Over pressurization, LOC, fire, and explosion 1. PAHH-1010 will open the ZV-1001 5 1 5 3. PCV-1001B (2"-RL-XX24- SLFE
1001B closure with possible multiple fatalities 2. PZV-1001/1002 1CA1P) to flare KO drum shall be
AFO
7. Inadvertent closure of 4'' manual 1. Level buildup in the degassing drum (X89-D- 1. LAHH-1003 will close the ZV-1002 and cut 5 1 5 4. 4-inch manual isolation valve (at SLFE
isolation valve at Degassing Tank 0038A) overfilling and vessel over feed to degassing vessel Degassing Tank outlet
outlet condensate line pressurization, & liquid carryover to the Flare, 2. PAHH-1010 condensate line 4"-BD-XXX3-
damage to the flare header and flare 1CA1P) to be CSO
package, LOC, fire, and explosion with 3. PZV-1001/1002
possible multiple fatalities
2. Possible pump (X89-G-0016A/B), cavitation 1. PALL-1030 will trip the pump on LL Suction 5 1 5 5. Configure low suction pressure SLFE
and damage, LOC, fire, and single fatality Pressure alarm on PIT-1022/1024 for
blowdown degassing vessel
pumps X89-P-0016A/B
8. Spurious closure of ZV-1003/1005 1. Level buildup in the degassing drum (X89-D- 1. LAHH-1003 will close the ZV-1002 and cut 5 1 5
0038A) overfilling and vessel over feed to degassing vessel
pressurization, & liquid carryover to the Flare, 2. PAHH-1010
damage to the flare header and flare
package, LOC, fire, and explosion with 3. PZV-1001/1002
possible multiple fatalities
2. Possible pump (X89-G-0016A/B), cavitation 1. PALL-1030 will trip the pump on LL Suction 5 1 5 5. Configure low suction pressure SLFE
and damage, LOC, fire, and single fatality Pressure alarm on PIT-1022/1024 for
2. Standby pump available based on auto blowdown degassing vessel
selector pumps X89-P-0016A/B