Page 33 - Serious Incident Prevention How to Achieve and Sustain Accident-Free Operations in Your Plant or Company
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CH01pp001-020  4/10/02  12:49 PM  Page 14

             14         Serious Incident Prevention




               Potential Preventative   Actions  More effective permit system for  maintenance activities Process to positively identify lines/equipment prior to start of  work Remote-operated emergency shut-  off valves on wellheads.  More effective prestartup inspec- tion and test practices for tanks  Adequate diking  Accurate process for monitorin















               Probable Cause  Cutting into line that contained  pressure  Failure of tank Failure to use the most stringent standard hydrostatic test practices prior to filling with diesel (tested by filling only 5´ of tank with water instead of entire tank)  Failure of system designed to au- tomatically close valves on cav- ern wellhead in event of











               Known Consequences  Property damage:  $43 M  Specific loss estimate not avail- able. Fees for cleanup and legal  claims were substantial.  Fatalities: 3 (off-site)  Property damage: $9 M Facility operating permit re-  voked  Civil jury judgment:  $143 M












               Incident Description   A contractor accidentally cut into a 10˝ propane line at a storage terminal. Flammables from 5 un- derground storage caverns were released, and a large vapor cloud  formed and exploded.   An estimated 3.9M gallons of diesel fuel spilled when a 40- year-old 120´ diameter tank that had recently been reassembled sud












               Location and Year   (References)  Hydrocarbon Storage  Terminals  Texas  USA  1985 (38)  Pennsylvania  USA  1988 (39)  Texas  USA  1992 (40, 41)
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