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MEASURING PROCESS SAFETY
API RP-754
SECTION 4
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Measuring Process Safety
What is behind API RP-754?
In the CSB report after the Texas City Explosion
• 2005-4-I-TX-R6 to API, Unions et al“In the first standard, create performance indicators for process safety in the refinery and petrochemical industries. Ensure that the standard identifies leading and lagging indicators for nationwide public reporting as well as indicators for use at individual facilities. Include methods for the development and use of the performance indicators.”
From an article on financial management
• “You can't manage what you don't measure. It is an old management adage that is accurate today. Unless you measure something you don't know if it is getting better or worse. You can't manage for improvement if you don't measure to see what is getting better and what isn't.” --- Paraphrase of Lord Kelvin’s statement on measuring applied to management
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You get what you inspect not what you expect
ØAuthor unknown
Business Case for PSM• PS Incidents have the highest
potential for:o Multiple injuries & deathso Environmental disasterso Vast property damageo Debilitating damage to reputation and market
share
Text• Guidelines for Process
Safety Metrics ©2010• Chapters 1-4• Excerpts from later chapters
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Lagging IndicatorsAn event that occurs because of gaps in barriers (holes in the cheese)
Pyramid of Process Safety Process Safety
Incident(s)
Other Incidents
Near Misses
Unsafe Behaviors/ Insufficient Operating Discipline
Other Leading Indicators
Why??• Hazards may not be readily evident• Status of containment is not generally visible• Must maintain reliable Process Safety management
practices• Most effective approach
Page 10
The key process safety objective is to identify failures, gaps or conditions and to correct them before they contribute to a major process safety incident.
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Goal• Eliminate process safety incidents and the
catastrophic impacts on the environment, people, and equipment
• Enable safe process design• Enhance reliable process operations
Process Safety Incidents Disrupt
• Lose time and production• Severe incidents cause loss of life, property and
damages the environment and adjacent infrastructure
Benefield Oil Terminal U.K. 2005 losses ₤ 1 Billion (1.8 USD)BP Texas City Refinery Explosion 2005 $2.18 Billion + $71 million in fines + 3years loss of production
Benefits of MeasurementPlan
Do
Check (measure)
Correct
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Challenges Remaining in PSM• Comprehensive solutions to strengthen process
safety systems• Data to develop comprehensive strategies and
plans• Financial justifications• Tendency to focus on a single improvement area
“squeaky wheel” and distract resources• Complacency in “lucky” companies
If you are not managing process safety well, you
are probably not managing other things
well
Page 16
Lagging Metric
Near Misses
Lesser Near Misses
System Performance Indicators (leading metrics)
MetricsA process safety metric” is an observablemeasure that provides insights into a concept --process safety– that is difficult to measure directly. [page 19]
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Lagging indicators• Outcome oriented retrospective [history]
measureso Must be easily and objectively measured
• Fire• Explosion• Product release or spill
“Near Miss”• “Almost” an incident • A broad and clear definition is necessary• Examples
o Activation of a relief valveo Interlock activatedo External barrier impacted but not breached
• Can be both Leading and Lagging Indicatoro Historical – laggingo Indicative of system weaknesses - leading
Good Leading Indicators are:• Forward looking• Indicate performance of key work processes• Indicates operational discipline• Evaluates performance of layers of protection• Forecasts future performance in lagging indicators
Regardless of whether a particular metric is classified as lagging, leading, or a near miss, the purpose of the metric is to establish good indicators of
conditions that could ultimately lead to a severe event. Page 21
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Swiss Cheese
BarriersIncident
Damages
Weakness or “holes”
Activity Metrics• Leading indicators• Measure compliance with the
prescribed management system
Outcome Indicators• Lagging Indicator (history)• Measure “Is the system working?:
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Internal vs. External• Internal
o In the organizationo Compare facilities with in a companyo Self comparison over time
• Externalo Broadly reportedo Primarily lagging indicators
Absolute vs. Normalized• Absolute
o Count of data
• Normalized o Catalyst for comparisono Differing organizations expressed the same wayo Expressed per some normalizing factor
• Per labor hours• Per tons of product• % inspections acceptable• Etc.,
o Use of per 200.000 labor hours very standard
Using only normalized data to evaluate process safety
performance should be approached cautiously
Page 27
Good Metrics are:
• Reliable• Repeatable• Consistent• Independent of other
metrics• Relevant• comparable
• Appropriate for the company
• Robust (have enough data)
• Appropriate for the intended audience
• Timely• Easy to use• auditable
Pages 28-30
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Choosing Appropriate Metrics
It is a process
Set Goals• Define the Process Safety Goals for the Organization
o High level goalso Related to the elements of Process Safety
• E.g. For Hazard Identification Goal: Find and Correct all process hazards which could cause Loss of Primary Containment (LOPC).
GOALSfeed
OBJECTIVESfeed
STRATEGIES
“ZERO process safety incidents” is a powerful, long-term inspirational goal for the processing
industries.
Page 34
Set Objectives• Stages of progress toward the goal• Use risks of the process to define objectives• Consider regulatory requirements as minimums• Use baselines• Use investigation results• Utilize audit results
• Example objective for process hazards: Review and update all Hazards Analyses within a 3 year period.
A process that frequently challenges
quality limits will eventually challenge
the process safety limits.
Page 41
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Validate Objectives• Do the objectives deal with the highest priority risks?• Do objectives deal with identified hazards and the
search to identify all hazards?• Do objectives deal with safeguard weaknesses?• Have objectives been reviewed and endorsed by
the stakeholders?• Do objectives address improvement trends within
the industry?
Metrics Strategy• Define improvement areas• Define responsibilities• What are the indicators of performance?• How can those be measured?
Metrics must relate directly to process safety objectives and provide accurate performance
information
Page 43
Inappropriate Metrics can Hurt
• Give the wrong picture• Lead to poor or incorrect decisions• Give low value to the program
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Test First• Pilot test at one location• Set “proper” expectations• Collect by using available resources
Choose Metrics Appropriate for the Organization
• Should reflect problems most likely to arise
• Considers staff to collect and analyze the data
Example 1 Large highly automated continuous operation
o PSEs and Near Misseso Status of mech. Integrity systemo Adequacy of PHAso Reliability of automationo Percent of critical instruments calibrated on
time…o Percentage of critical instruments found to be out
of correct calibration..o Interlocks found bypassed
(page 47)
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Example 2 Large less automated continuous
operation with reliance on procedures
• PSEs and near Misses• Timely training and competency
demonstration• Mechanical integrity system status• Adequacy of PHAs• Metrics on “MOC”
(page 47)
Use Barrier Concept
Barriers
Incident
Damages
Weakness or “holes”
Leading
Lagging
Page 49
Implementation of Metrics
Management Support
Implement. Strategy
Develop a Framework
Implement. Analysis
Prepare for Rollout Rollout Evaluate
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Management Support
Management Support• Understanding Need• Leadership• Resources
Implementation Strategy• Goals and objectives• Management Strategy• Implementation
milestones
Develop a Framework• Scope• ID Leaders• Stakeholder support
and commitment
Implementation Analysis• System and Logistics• Existing Data• Validated• Resources ID• Communicate
Prepare for Rollout• Secure Resources• Train and
communicate• Trial collection of data
Rollout• Collect data• Mgmt. review of data• Monitor and adjust
Evaluate
Implementation Strategy
Management Support• Understanding Need• Leadership• Resources
Implementation Strategy• Goals and
objectives• Management
Strategy• Implementation
milestones
Develop a Framework• Scope• ID Leaders• Stakeholder support
and commitment
Implementation Analysis• System and Logistics• Existing Data• Validated• Resources ID• Communicate
Prepare for Rollout• Secure Resources• Train and
communicate• Trial collection of
data
Rollout• Collect data• Mgmt. review of data• Monitor and adjust
Evaluate
Develop a Framework
Management Support• Understanding Need• Leadership• Resources
Implementation Strategy• Goals and objectives• Management Strategy• Implementation
milestones
Develop a Framework
• Scope• ID Leaders• Stakeholder
support and commitment
Implementation Analysis• System and Logistics• Existing Data• Validated• Resources ID• Communicate
Prepare for Rollout• Secure Resources• Train and
communicate• Trial collection of data
Rollout• Collect data• Mgmt. review of data• Monitor and adjust
Evaluate
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Implementation Analysis
Management Support• Understanding
Need• Leadership• Resources
Implementation Strategy• Goals and
objectives• Management
Strategy• Implementation
milestones
Deve lop a Framework• Scope• ID Leaders• Stakeholder
support and commitment
Implementation Analysis
• System and Logistics
• Existing Data• Validated• Resources ID• Communicate
Prepare for Rollout• Secure Resources• Train and
communicate• Trial collection of
data
Rollout• Collect data• Mgmt. review of
data• Monitor and adjust
Evaluate
Potential Data systems to leverage:• MI inspection and testing• Process control historians
(challenges)• Environmental release and loss
of containment events
Page 62
Prepare for Rollout
Management Support• Understanding
Need• Leadership• Resources
Implementation Strategy• Goals and objectives• Management
Strategy• Implementation
milestones
Develop a Framework• Scope• ID Leaders• Stakeholder support
and commitment
Implementation Analysis• System and
Logistics• Existing Data• Validated• Resources ID• Communicate
Prepare for Rollout• Secure Resources• Train and
communicate• Trial collection of
data
Rollout• Collect data• Mgmt. review of
data• Monitor and adjust
Evaluate
Implementation Rollout
Management Support• Understanding Need• Leadership• Resources
Implementation Strategy• Goals and objectives• Management
Strategy• Implementation
milestones
Deve lop a Framework• Scope• ID Leaders• Stakeholder support
and commitment
Implementation Analysis• System and Logistics• Existing Data• Validated• Resources ID• Communicate
Prepare for Rollout• Secure Resources• Train and
communicate• Trial collection of
data
Rollout• Collect data• Mgmt. review
of data• Monitor and
adjust
Evaluate
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Audit
Management Support• Understanding Need• Leadership• Resources
Implementation Strategy• Goals and objectives• Management
Strategy• Implementation
milestones
Deve lop a Framework• Scope• ID Leaders• Stakeholder support
and commitment
Implementation Analysis• System and Logistics• Existing Data• Validated• Resources ID• Communicate
Prepare for Rollout• Secure Resources• Train and
communicate• Trial collection of
data
Rollout• Collect data• Mgmt. review of
data• Monitor and adjust
Evaluate
Communication
Communicating process safety results is a
critical element for a process safety
improvement strategy
Who, What, Why, When, Where?
• What is the value for a given audience?• What is the correct amount of data?• Should metrics be aggregated or detailed
o Percentage or normalized?o Absolute or Δ
• What frequency of communication?• Most effective communication strategy
o Emailo Formal hard copy reportso Other means
• Balance of effort and value
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Communication Analysis•PS Metrics
summarized across a corporation
Corp
• PS Metrics summarized across a business segment. E.g. refining. E&P
Business Segment
•PS metrics collected in detail;
Operating site
• Target Audience• Interpretations for
metrics data• Reporting Results
o Frequencyo Timing
• Characteristics• Report differently for
different audiences• Tools
Using Metrics to Drive Performance Improvements
Identify weakness
Accountability
Management review Safety culture
Commitment
Managements visible responses to problems identified by metrics
are as important—if not more important– than the metrics
themselves
Using Metrics to Drive Performance Improvements
Accountability
Identify weakness
Management review Safety culture
Commitment
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Using Metrics to Drive Performance Improvements
Identify weakness
Accountability
Management review Safety culture
Leadership Commitment
Using Metrics to Drive Performance Improvements
Identify weakness
Accountability
Management review
Safety culture
Commitment
Using Metrics to Drive Performance Improvements
Identify weakness
Accountability
Management review Safety culture
Commitment
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Using Metrics to Drive Performance Improvements
Identify weakness
Accountability
Management review Safety culture
Commitment
Communicate
Using Metrics to Drive Performance Improvements
Identify weakness
Accountability
Management review Safety culture
Commitment
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METRICS FOIR INDUSTRY-WIDEIMPROVEMENT
• BENCHMARKING• COMPARISONS• SHARING DATA ACROSS THE INDUSTRY
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By the numbers
1.1 GeneralThis recommended practice (RP) identifies leading and lagging process safety indicators useful for driving performance improvement, As a framework for measuring activity, status or performance, this document classifies process safety indicators into four tiers of leading and lagging indicators. Tiers 1 and 2 are suitable for nationwide public reporting and Tiers 3 and 4 are intended for internal use at individual sites…
1.2 Applicability» Refining and petrochemical industries˃ May be useful to others where loss of containment has the potential
to cause harm˃ Individual companies where colocated+ Applies to joint ventures
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» Releases form pipelines out side the facility
» Marine transport» Truck and rail transport» Routine emissions
allowed by regs/permit» Personal safety events
» Non-process facility events (shop, office, etc.)
» LOPC from non-process equipment
» Laboratories» Retail service stations» On-site fueling
Indicators should:» Drive process safety performance improvement
and learning» Be relatively easy to implement and easily
understood by all stakeholders» Be statistically valid» Be appropriate for the industry
» Incidents rarely are caused by a single catastrophic event but rather multiple events that coincide.
Flixborough, UK 1974
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» API 521/ISO 23251 Guide for Pressure Relieving and Depressuring Systems.
» AIChE Process Safety Leading and Lagging Metrics, Appendix B, 2008
» Regulatory documents from Europe and the US
Selected Definitions» Containment, primary – a tank, vessel, pipe, truck,
rail car or equipment intended to serve as the primary container or used for processing or transfer of a material
» Containment, secondary – Exists to contain or control a release from primary containment. Secondary containment systems include dikes, curbing, drainage collection systems, the outer wall of double walled tanks, etc.
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» Loss of Primary Containment (LOPC) – an unplanned or uncontrolled release of any material from primary containment including non-flammable and nontoxic materials
» Process Safety Event (PSE) -- An unplanned or uncontrolled LOPC of any material including non-flammable and nontoxic materials(e.g. steam, hot condensate, nitrogen, compressed CO2 or compressed air) from a process or an undesired event conditions that under slightly different circumstances could have resulted in a LOPC of a material.
» LOPC– loss of primary containment» MOC— management of change» PRD– pressure relief device» PSE– Process Safety Event» SIS– Safety Instrumented System» SOL– Safe Operating Limit
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Tier 1 & Tier 2 EventsOutline• Pyramid Review• Criteria for selection• Tier 1 PSE
• Definition• Key terms
• Identifying a Material Threshold Release Category• Applicability
Outline (Continued)• Tier 2 PSE Indicators• Data Capture for Tier 1 and 2 PSE• Examples
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BROAD ACCESS PUBLIC REPORTING
Tiers 1 & 2 are standardized definitions (RP-754)
Tiers 3 & 4 are company defined indicators
5.1 Indicator Purpose• The count of Tier 1 process safety events is the most lagging
performance indicator and represents incidents with greater consequence resulting from actual losses of containment due to weaknesses in the barriers. When used with lower tier indicators, it can provide a company with an assessment of its process safety performance.
Selection of Indicators• Objective, few and simple• Well defined and capable of being applied consistently• Useful to drive performance improvement• Allows internal and external benchmarking• Statistically valid
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5.2 Tier 1 Indicator Definition and Consequence• A Tier 1 Process Safety Event (T-1 PSE) is a loss of primary
containment (LOPC) with the greatest consequence as defined by this RP. A T-1 PSE is an unplanned or uncontrolled release of any material, including non-toxic and non-flammable materials (e.g. steam, hot condensate, nitrogen, compressed CO2 or compressed air), from a process that results in one or more of the consequences listed below:
Consequences• An employee, contractor or subcontractor days away from
work injury and/or fatality.• Hospital admission and/or fatality of a third party• Officially declared community evacuation or community
shelter in place;• A fire or explosion resulting in greater than $25000 (USD) of
direct cost to the company
And…• A pressure relief device (PRD) discharge to the atmosphere whether
directly or via a downstream destructive device that results in one or more of the following consequences:• Liquid carryover• Discharge to a potentially unsafe location• An on-site shelter in place• Public protective measures (e.g. road closure)
• PRD discharge greater thatn threshold quanities in Table 1 or• Release of a material greater than the threshold quantities in Table
1 in any one-hour period.
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Table 1
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5.3 Calculting Tier 1 PSE rate• Tier 1 PSE rate = ( Total Tier 1 PSE Count/ Total Work Hours) x
200,000 hours
5.4•Optional Severity Rate --
Tier 2 Performance Indicator• 6.1 The count of Tier 2 process safety events represents LOPC
events with lesser consequence. Tier 2 PSEs, even those that have been contained by secondary systems, indicate barrier system weaknesses that may be potential precursors of future more significant incidents. In that sense Tier 2 PSEs can provide a company with opportunities for learning and improvement of its safety performance,
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6.2 Tier 2 Process Safety Event• An unplanned or uncontrolled release of any material, including
non-toxic and non-flammables materials from a process which results in one or more of the consequences listed below and is not reported in Tier 1:
Tier 2 Consequences• An employee, contractor or subcontractor recordable injury; or• A fire or explosion resulting in greater than or equal to $2,500 of
direct cost to the Company; or• A pressure relief device (PRD) discharge to atmosphere whether
directly or via a downstream destructive device that results in one or more of the following four consequences:
• Liquid carryover, or • Discharge to a potentially unsafe location, or• On-site shelter-in-place, or• Public protective measures (e.g., road closure); • and a PRD discharge quantity greater than the threshold quantities
in Table 2; or • A release of material greater than the threshold quantities described
in Table 2 in any one-hour period
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