major fire at ongc hazira plant 24.09.2020 incident analysis
TRANSCRIPT
MAJOR FIRE AT ONGC HAZIRA
PLANT – 24.09.2020
INCIDENT ANALYSIS
HAZIRA PLANTONGC Gas received from Mumbai
Offshore Fields of ONGC
Critical supplier to domestic industries; Power & Fertilizer, receiving gas from Hazira-Vijaipur-Jagdishpur (HVJ) trunkline.
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02
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India's largest Gas-Processing facility ; 32 MMSCMD processed at Hazira.
SEQUENCE OF MAJOR EVENTS
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0730
HRS
0700
HRS
0600
HRS
0330
HRS
0311
HRS
0310
HRS
0308
HRS
0304
HRS 0220 HRS
0218
HRS
0215
HRS
0215
HRS
VAPOUR CLOUD OBSERVED
& CISF MAIN GATE CONTROL
ROOM, FIRE STATION & MAIN
LPG CONTROL ROOM
INTIMATED
CCTV CONTROL ROOM
INTIMATED GAS
TERMINAL CONTROL
ROOM (GTCR). FURTHER
INFORMED GSP & LPG
SHIFT INCHARGES &
MAIN CONTROL ROOM OUTBREAK OF FIRE FIRE FIGHTING
BEGUN
CISF OBSERVED
HEAVY LEAKAGE &
FORMATION OF GAS
CLOUD VIA CCTV.
CLOSURE OF
PRESSURE CONTROL
VALVE AT 36”
PRESSURE
REDUCING SKID
GSP CONTROL ROOM
OFFSHORE
INFORMED TO STOP
GAS SUPPLY AT
GAVIER 36” & ABHWA
42”
CLOSURE OF
SECTIONALIZING
VALVE AT GAVIER
36” & ABHWA 42”
CLOSURE OF
ISOLATION VALVE-
MOV 3 IN 36”s INLET
CISF FURTHER
INFORMED CCTV
CONTROL ROOM
ALL CLEAR
DECLARED
FIRE SUBSIDED &
CONTROLLED
ANALYSIS Heavy leakage of HC
commenced around 0212 hrs.
Inspection indicated that
leakage occurred from the
retaining plate of orifice in
the condensate metering
skid.
Gas cloud development in
the absence of wind .
Gas cloud ignition by
exposed flameproof lamp.
ROOT CAUSES
USE OF NONSTANDARD “O” RING
LACK OF CONTROL OVER MATERIAL SOURCING
LOSS OF CONTAINMENT IN THE CONDENSATE METERING AREA DUE TO FAILURE OF O RING OFTHE RETAINING PLATE OF
ORIFICE IN THE CONDENSATE METERING SKID.
IGNITION OF GAS CLOUD DUE TO EXPOSED ELECTRICAL FITTING
INADEQUATE PREVENTIVE MAINTENANCE SYSTEMS
NON ISOLATION OF 36”PIPELINE OPERATION
“ Safety should never be a
priority,
It should be a PRECONDITION
-Paul O’Neill
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KEY REMEDIAL ACTIONS
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FIREFIGHTING
CAPACITY TEST OF
EACH FIRE PUMP TO
BE EXECUTED AS PER
OISD STANDARD.
PERIODIC
INSPECTION &
MAINTENANCE OF
FIRE WATER PUMPS &
PRESERVATION OF
RECORDS TO BE
CARRIED OUT AS
PER OISD STANDARD
SAFETY
FIRE DRILL DATA i.e.
ACTIONS
TAKEN/OBSERVATION
S &
RECOMMENDATIONTO
BE FILLED/
UPLOADED IN SAP.
ACTION PLAN FOR
HEAVY PRODUCT
/GAS LEAKAGES
FROM PIPELINE/
TANK RUPTURE BE
DOCUMENTED IN
ERDMP
SAFETY
DEVELOPMENT OF
CHECKLIST FOR
SSA AUDIT.
AUDIT FOR 3-4
DAYS BIANNUALLY
BE CONDUCTED
STATUS REPORTS
OF ESA
RECOMMENDATIO
NS & COMPLIANCE
TO BE MADE
AVAILABLE.
P&ID TO BE CHECKED AND APPROVED WITH AS BUILT CONFIGUARATION & PREFERABLY DIGITISED.
FIELD INSTRUMENTS TO BE CONFIGURED IN DCS WITH PROPER ALARMS, EVENTS & HISTORY ARCHIVING
FACELITIES
KEY REMEDIAL ACTIONS
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ELECTRICAL
MAINTENANCE
ALL FLAME PROOF
ELECTRICAL FITTING
& JUNCTION BOXES
TO HAVE PROPER
IDENTIFICATION
TAGS.
PERIODIC
INSPECTION &
PREVENTIVE
MAINTENANCE OF
ELECTRICAL
FITTINGS TO BE
DONE &
DOCUMENTED.
PIPELINES
PROMPT CORRECTIVE ACTION TO BE TAKEN WHERE METAL LOSS IS BEYOND ACCEPTABLE LIMITS
PIPELINES
PIPELINE THICKNESS DATA FOR YEAR 2011 & 2017 MAY ACT AS BASELINE DATA & THICKMESS MEASUREMENT TO BE DONE IN 2020 & 2021 .
CORRELATION STUDY TO BE DONE TO IDENTIFY CORROSION AREAS.
METERS
PROPER SOP TO BE DEVELOPED ALONG WITH CHECKLIST FOR MAINTENANCE WORK ON HIGH PRESSURE GAS/LIQUID PIPELINE METERING SYSTEM.
MAINTENANCE MAINTENANCE MAINTENANCE
THANK YOU
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