Chevron Fire 1

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    November 2013 Lessons to be Learnt

    John Evans, g3baxi Partnership

    The Chevron Richmond Refinery Fire,

    Aug 6th2012

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    A PrefaceTrevor Kletz (19222013)

    The best way to reduce risk is to avoid the hazard.

    What you dont have cant leak. Trevor was instrumental in instituting the HAZOP

    concept (50 years old this year)

    He also was among the first to propose techniques

    such as High Integrity Protection systems as

    alternatives to relief valves

    He was a proponent of the primacy of inherent

    safety over protection systems

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    Chevron statement regarding CSB Video

    We also note that the CSB has released an animation with respect to

    the events of August 6, 2012. After we previewed the animation, westrongly urged the CSB not to release it. We informed the CSB that the

    animation contains numerous, material factual inaccuracies, the impact

    of which is to oversimplify, and in some instances trivialize, decisions that

    were made on that day. The animation also focuses on the actions of

    specific individuals, which we believe has the effect, surely not intended,

    of demeaning the challenges faced by the responding personnel. The

    reasons behind the incident are far more complex than depicted in the

    animation and we are disappointed with the CSB's decision to go forward

    with this unfair depiction.

    One must have some sympathy with this view, above all to recognise

    that one learns from accidents in the full awareness that emergency

    decisions are never made with complete knowledge.

    At key points in the animation we should put ourselves in the position of

    the individuals and ask what we would have done.

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    Chevron Richmond - the Incident

    Failure of a side cut in the Crude Distillation Unit (CDU)

    Ignition of a vapour cloud Caused by corrosion

    Consequences,

    CDU out of action for months (may still be in this state)

    Major damage to unit

    Fortunate that no one was killed

    15,000 people sought medical attention with breathing complaints

    CSB investigation

    State of California Investigation

    Planned refinery expansion on hold

    This presentation takes a lot of information from the CSB interim report,

    some of the conclusions and analysis may be disputed.

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    Chevron Investigation

    Measurements in 2002 indicating thinning were not documented

    properly to guide future inspections Information from industry experts concerning the processes leading to

    failure and means of guarding against such failures, including component

    by component inspections, was not shared effectively

    2011 inspections during major maintenance did not include all

    components vulnerable to sufidation corrosion After discovery of leaking pipe, the response teams did not recognise the

    risk of rupture and fire.

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    CSB Investigation

    Currently at Interim Report stage Concludes the cause of the release was due to sulfidation corrosion

    Identifies weaknesses in:

    Inspection

    Hazard assessment

    Application of the inherently safe principle

    Weaknesses in Management of Change

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    Results from the Metallurgical Investigation

    Anamet, Feb 11 2013, found:-

    The 8 4-sidecut was schedule 40 carbon steel from the 1970s. 8 samples of 8 line taken, 5 samples from 12 including samples from

    12 pipe replaced in 2011.

    Nominal thickness 8 line 0.322 in, of 12 line 0.4 in

    Sulfidation corrosion (leading to iron sulphide, FeS)

    Wall thinning correlates to low silicon content (

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    Rates of Corrosion with Silicon Content

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    Susceptibility of US Refineries to Sulfidation

    In the mid 1980s, pipe manufacturers began to simultaneously complywith all three manufacturing specifications (ASTM A53B, ASTM A106, and

    API 5L) when manufacturing carbon steel piping. The majority of carbon

    steel piping purchased following this time period likely has a minimum of

    0.10 wt. % silicon content.

    Over 95 percent of the 144 refineries in operation in the U.S., includingthe Chevron Richmond Refinery were built before 1985

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    Inspection Techniques

    One must inspect low silicon steel (in fact all steel, but Low Si in

    particular) Inspection generally is done on elbows and fittingswhich are usually

    the bits of the low Si pipework made of higher Si steel

    There were no condition monitoring locations on the section of pipework

    that failed

    Even where accelerated corrosion was identified, on the 52 line in 2002,this was not followed up

    (will PMI pick up low Si?)

    And yet..

    Chevron employees have authored industry papers on sulfidation

    corrosion and had significant influence in the development of the

    industry sulfidation corrosion recommended practice, API RP 939-C. This

    recommended practice, first published in 2009, was developed under

    Chevron leadership. So the expertise is in house.

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    Corrosion Rate Influences

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    http://www.ogj.com/articles/print/vol-110/issue-10/transportation/accurate-

    corrosion-modeling-improves.html

    Corrosion rates may be quite

    complex As pipe wall loses thickness it may

    flex more, promoting crack growth

    and further corrosion

    Change in composition will alter

    corrosion rate Change in process P/T conditions

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    Move to Processing Sourer Crudes

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    From the CSB report

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    Management of Change

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    Source: CSB interim report

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    Pinhole Corrosion?

    Corrosion is characterised by pinhole

    pitting Sulfidation corrosion has caused

    severe fires and fatalities in the refining

    industry, primarily because it causes

    corrosion over a relatively large area, so

    failures tend to involve ruptures or large

    leaks rather than pinhole leaks. It can be

    insidious in that moderately high

    corrosion rates can go undetected for

    years before failure. Finally, process

    changes that increase the temperature

    or sulfur content can creep up over timeand multiply corrosion rates so that

    what was thought to be a low corrosion

    rate system becomes corrosive enough

    to fail before the increased corrosion

    rate is recognized.

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    Chevrons measurements on the

    pipework around the crude unit

    indicated an increased rate of

    corrosion with a change to higher

    sulphur crudes

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    Consequences of Release

    The release from the full bore rupture of the pipe was a cloud that

    partially vapourised;

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    Consequences of Release

    Why would a diesel type fuel, not collect as a pool?

    Distillation unit reflux lines will always have their process fluids attheir boiling points

    These fluids are also at pressure and at height, so have potential

    energy

    They may have other dissolved components in them

    Note also: as their vapour pressure is high (they are boiling) they willbe above their flash point

    The natural state of this liquid on release will be a mist

    Long chain hydrocarbons have higher flame speeds and are more

    prone to deflagration and detonation (diesel engines dont need spark

    plugs)

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    Human Impact18

    B

    A

    C

    15,000 health complaints is probably

    one of the highest from an industrial

    accident, especially a non-lethal one,

    but..

    which refinery is

    Chevron Richmond?

    (the red line represents a distance of

    1 km)(images courtesy Google Earth)

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    Other Refinery Fires Caused by Sulfidation

    The Chevron refinery fire is not the first to be attributed to sulfidation as a

    cause. There are also:-

    1988 - Chevron El Paso

    1988 & 1993Chevron Pascagoula

    2002Chevron Salt Lake City

    2007Chevron Richmond (shelter in place alert)

    2009Silver Eagle Woods Cross, Utah (damaging 100 homes)

    2011Regina Canada

    2012bp unit in Cherry Point, Washington

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    The State of Refineries in the US

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    US Industrial Process Safety Regulation Issues

    West, Texas

    Lack of knowledge and oversight of AN safety AN stored on pallets

    No deluge systems

    Plant siting a cause of the high fatality rate

    Kleen Energy Connecticut

    Gas blows in buildings?

    Inability of the authorities to enforce common sense safety practices

    Gas blows are still legal, though they are banned in Connecticut

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    What is a Gas Blow

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    The State of Refineries in Europe

    KPMG report 2012

    Over supply Competition from newer refineries

    As it was a market report it did not mention high sulphur fuels or the age

    of plant.

    Margins are lower even with FCC to monetise low value feeds

    Refineries are only an accident away from being a tank farm

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    EU Refineries on the Edge

    Grangemouth

    Petroplus: inc. Reichstett and Coryton, both now tank farms ConocoPhilips Wilhelmshaven (tank farm)

    EU refineries might be one industrial dispute, or fire, away from a change

    of use.

    Such events can have local political impact

    They can also affect the economics of downstream industrial enterprises

    such as petrochemical plants

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    Conclusions

    This fire was caused by a problem that can affect every refinery over a

    certain age

    It is hard to detect using standard techniques, even by industry leaders

    Response to early indications and replacement is the only cure

    Sensitivity to corrosion stressing mechanisms should feature in

    inspection programs

    It is difficult to distinguish between minor and major consequencescaused by corrosion leaks.

    Precautionary shutdowns may be needed (though transients can also

    cause problems)

    Consequences may be vastly different to those that the refinery plans for

    and fire fighting equipment may be lost Aged refineries are a world wide problem, operators need to be aware of

    their heritage, and regulators need to be aware, too.

    Some argument to say they are better regulated outside the US

    (remember it is the same multinationals who operate them)

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