In the Netherlands there are around 400 “Seveso” sites that fall under the Dutch Major Hazards Decree (BRZO) 1999. Between 2006 and 2010 the Dutch Labour Inspectorate's Directorate for Major Hazard Control completed investigations of 118 loss of containment incidents involving hazardous substances from this group. On the basis of investigation reports the incidents were entered in a tailor-made tool called Storybuilder developed for the Dutch Ministry of Social Affairs and Employment for identifying the dominant patterns of technical safety barrier failures, barrier task failures and underlying management causes associated with the resulting loss of control events. The model is a bow-tie structure with six lines of defence, three on either side of the central loss of containment event. In the first line of defence, failures in the safety barriers leading to loss of control events were primarily equipment condition failures, pre start-up and safeguarding failures and process deviations such as pressure and flow failures. These deviations, which should have been recovered while still within the safe envelope of operation, were missed primarily because of inadequate indication signals that the deviations have occurred. Through failures of subsequent lines of defence they are developing into serious incidents. Overall, task failures are principally failures to provide adequate technical safety barriers and failures to operate provided barriers appropriately. Underlying management delivery failures were mainly found in equipment specifications and provisions, procedures and competence. The competence delivery system is especially important for identifying equipment condition, equipment isolation for maintenance, pre-start-up status and process deviations. Human errors associated with operating barriers were identified in fifty per cent of cases, were mostly mistakes and feature primarily in failure to prevent deviations and subsequently recover them. Loss of control associated with loss of containment was primarily due to the containment being bypassed (72% of incidents) and less to material strength failures (28%). Transfer pipework, connections in process plant and relief valves are the most frequent release points and the dominant release material is extremely flammable. It is concluded that the analysis of a large number of incidents in Storybuilder can support the quantification of underlying causes and provide evidence of where the weak points exist in major hazard control in the prevention of major accidents. 相似文献
Objective: The present article identifies and assesses the effect of critical factors on the risk of motorcycle loss-of-control (LOC) crashes.
Method: Data come from a French project on road crashes, which include all fatal road crashes and a random sample of 1/20th of nonfatal crashes in France in 2011, based on police reports. A case–control study was carried out on a sample of 903 crashes for 444 LOC motorcycle riders (case) and 470 non-LOC and nonresponsible motorcycle riders (control). The sample was weighted due to the randomization of nonfatal crashes. Missing values were imputed using multiple imputation.
Results: Road alignment and surface conditions, human factors, and motorcycle type played important roles in motorcycle LOC crashes. Riding in a curve was associated with a 3-fold greater risk of losing control of motorcycle than riding in a straight line. Poor road adhesion significantly increased the risk of losing control; the risk increased more than 20-fold when deteriorated road adhesion was encountered unexpectedly, due to loose gravel, ice, oil, bumps, road marking, metal plates, etc. For motorcyclists, riding with a positive blood alcohol concentration (over or equal to the legal limit of 0.5 g/L) was very dangerous, often resulting in losing control. The risk of LOC crash varied for different types of motorcycle: Riders of roadsters and sports bikes were more likely to have an LOC crash greater than that of riders of basic or touring motorcycles. In addition, LOC risk increased with speed; a model using the square of the traveling speed showed better fit than one using speed itself.
Conclusion: The LOC crash factors related to riders, vehicles, and road infrastructure identified here were expected but were rarely identified and taken simultaneously into account in previous studies. They could be targeted by countermeasures to improve motorcyclist safety. 相似文献
In Europe, the Directive 2012/18/EU (Seveso III) strengthens the obligation to adopt a program assuring the integrity of critical equipment at major hazard establishments, by taking into account actual deterioration mechanisms (internal and external corrosion, erosion, thermal and mechanical fatigue, etc.). The program must cover all phases of the lifecycle and ensure a safe ageing of equipment, particularly when these are reaching the final stage of life. The effectiveness of the integrity program must be carefully assessed during the audits planned by the establishment's operator as well as by inspectors on behalf of the Competent Authorities. The adoption of a Risk Based Inspection scheme provides a valuable help to face this matter. The operator is, anyway, required a considerable effort to face at least three issues related to: (i) the understanding of concurring physical and chemical phenomena; (ii) the management of information associated with each individual component and its history, (iii) the appropriate measurement, including acquisition and management of data. There is a considerable difficulty in understanding these issues during Seveso inspections and external audits, because time and resources are often limited. For this reason, models and methods supporting the definition of the ageing status and trend in industrial sites are needed. This paper analyses the main factors affecting ageing. A framework for “ageing” assessment in complex industrial sites, including “Seveso” establishments, is proposed; then, its validation, by means of data collected during a testing phase carried out in Italy, is also given. 相似文献
丙烯直接氨氧化制丙烯腈工艺由于反应温度高,且反应器内的气相空间存在丙烯、丙烷、丙烯腈、乙腈、氧气、氮气等可燃性气体混合物,极易发生燃爆危险。为研究和评估该工艺装置反应器尾气的燃爆特性,采用11 L爆轰管测试在400℃、40 k Pa (G)工艺条件下,装置开车进料及反应过程中不同进料配比时反应器尾气组成的爆炸极限,并以此绘制爆炸极限三元相图,最终得到爆炸极限和极限氧体积分数。结果表明:反应器内可燃尾气的爆炸上限随氧气体积分数增加而升高,爆炸下限没有明显变化;在开车进料及反应过程中,反应器可燃尾气的极限氧体积分数LOC范围在8. 0%~8. 5%。因此,为避免反应器气相空间在开车过程中发生燃爆危险,需监测反应器内氧气体积分数,并设置氧体积分数报警值小于8. 0%。 相似文献