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Preliminary Incident Report

NAR1
1. Preliminary Incident Report of BBS Leakage
Date 17.07.2012
 Symptom
- 16 July 13:00 Start to replace diaphragm pump due to leakage in diaphragm
flange area
- 16 July 15:15 Repair done, BBS circulation test around 15 minutes by day shift
crew. The result was no leakage
- 16 July 17:46 start BBS to Kiln Burner, the range rate was 1.2 – 1.5 tph
- 17 July 07:06 stop BBS due to information from local if BBS was overflowing in
the pump room area
- The leakage was about 20 tons, which identified from level drop very fast from
04:46 to 07:06 about 23 % level (78 to 55 %)
- Overflowing from pump room passed to the ditch behind BBS pump room via rest
room drainage
 Root Cause
- Leakage in BBS Pump room, which the current finding is due to ball valve bolt
loose

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Preliminary Incident Report

 Action
Immediate Action
- Stop Kiln to reduce impact from dilute water
- Cleaning overflow in pump room area, ditch, and settling pond
- Isolated rest room drainage to stop BBS going to the ditch
- Purchase oil skimmer
- Conduct water analysis (pH, COD, TDS, and TSS) before and after settling pond
every 2 hours (for next 48 hrs)
Action Log
- Install CCTV for BBS Pump room
- Install higher dam to avoid overflow to shower and rest room
- Increase routine inspection and improve awareness
- Improve Emergency Response in Oil Spillage Procedure & Responsibility
- Conduct training of emergency Response in Oil Leakage

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- Relocate Shower and rest room to outside BBS facility building


- Install two permanent water gates equipped with ladders
- Install material level sensor in the BBS Pump room
- Review the water leakages source from all unit area to ditch

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Replaced
diaphragm
in 16 July
Leakage
position
before repair
16 July

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Leakage
position at 17
July morning
due to this bolt
was loose

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Location
of leakage

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Overflow via
rest room
drainage

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Leakage
Leakage found, BBS
90 happen 3directly be
stopped
85
Start 2.5
80 BBS
Tank 1 Level, ton

BBS rate, tph


2
75
70 1.5
65
1
Unloading
60
BBS delivery
0.5
55
50 0
8:00
9:00

0:00
1:00
2:00
3:00
4:00
5:00
6:00
7:00
10:00
11:00
12:00
13:00
14:00
15:00
16:00
17:00
18:00
19:00
20:00
21:00
22:00
23:00
LA3-3B1.L1:PV_AVG Level indicator tanki 1 %
LA3-VA3.F1:PV_AVG BBS rate to kiln (new log) t/h

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