Summary report on the OSD Hydrocarbon Release Reduction
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Summary report on the OSD Hydrocarbon Release Reduction
Hazardous Installations Directorate Offshore Division SPC/TECH/OSD/27 (Partially Open) Summary report on the OSD Hydrocarbon Release Reduction Campaign, April 2000 to March 2004 Date of issue: March 2005 Executive summary Introduction Release severity classification Overall hydrocarbon numbers and severity distribution Benchmarking Size distributions Analytical taxonomy Operation mode Hydrocarbon type Release sites Release causes Failed safeguards Additional safeguards Remedial measures put in place during the campaign Industry support The way ahead References Table 1 - Numerical severity classification criteria Table 2 - Offshore hydrocarbon releases reported under RIDDOR from 1st April 2003 to 31st March 2004 Table 3 - Annual number of major, significant and minor offshore releases reported under RIDDOR from 1993 / 1994 to 2003 / 2004 ÎTable 4 – Major / significant release rates per manned production installation Table 5 – Installations with 3 or more major and significant hydrocarbon release in the reference periodÍ Table 6 – Release analysis taxonomy Fig 1 – Minor liquid releases – size distribution Fig 2 – Significant liquid releases – size distribution Fig 3 - All releases by operating mode Fig 4 – All releases by hydrocarbon type Fig 5 – All releases by release site Fig 6 – Immediate causes – all releases Fig 7 – Underlying causes – all releases Annex 1 - Summary of 2003/4 Major Releases Summary Report on the OSD Hydrocarbon Release Reduction Campaign Mar 05 1 3 4 4 5 6 7 8 8 8 9 11 11 11 12 13 14 15 16 17 18 19 20 21 22 23 23 24 25 26 27 Executive summary This document summarises the results from a four year campaign by the Offshore Division (OSD) of the UK Health and Safety Executive to reduce the number of major and significant offshore hydrocarbon releases by 50% compared to a 1999 / 2000 baseline when there were 139 such releases, 12 majors and 127 significants. It also summarises the analysis of data regarding the size, type and cause of releases which was obtained over two 12 month mandatory release investigation projects in 2000/1 and 2003/4. Remedial measures put in place to try to improve the position with respect to the most frequent causes of hydrocarbon release are also discussed, as is the contribution made by the industry in support of the campaign. The ‘end of campaign’ results showed a 56% reduction in major releases, a 28% reduction in significant releases and a 30% reduction in the two categories combined. The overall reduction shows a deterioration from the position at the end of 2002/3 when the reduction had reached nearly 40%. Over-confidence that the target would be met is seen as a significant factor influencing the 2003/4 increase in release numbers. Minor releases have risen over the course of the campaign but this is seen predominately as a correction to earlier years when there was significant under-reporting of this class of release. Comparison on the relatively crude ‘per manned installation’ basis shows that over two thirds of companies had seen an improvement in release performance from 2000/1 to 2003/4. Indications from both this data and from information on the individual installations with the highest number of major and significant releases in years 2000/1 and 2003/4 suggest that the improvement in performance has been most marked amongst smaller companies. Both the 2000/1 and 2003/4 releases were analysed by operating mode, release site, release mechanism, immediate and underlying causes, and failed safeguarding systems. Potential additional safeguarding systems were also identified in some cases. The majority of releases in both years involved gas and occurred during normal production. Pipework was the main release site, with small bore piping a significant contributor. The most frequent immediate cause in 2003/4 was corrosion / erosion at 23% of all releases, followed by degradation of material properties and incorrect installation both at 16%. Operator error and procedural problems accounted for around 70% of the 2003/4 releases from pipes or valves opened to the atmosphere. Nearly 60% of all the 2003/4 releases had hardware related immediate causes, the remainder being ‘software’ or human-factor related. Comparative figures for the 2000/1 releases are given. Inadequate inspection / condition monitoring featured strongly in the 2003/4 underlying causes, as did inadequate design. The main failed safeguard identified in both years was inspection / condition monitoring, suggesting that effective plant and operation status checks, along with good personnel supervision, are significant factors in preventing releases. Page 1 of 27 Summary Report on the OSD Hydrocarbon Release Reduction Campaign Mar 05 The report documents the industry ‘good practice’ guides produced during the campaign as remedial measures to try to improve standards in identified problem areas and comments on their initial impact whilst noting that many have only been issued relatively recently. Finally, the report notes the excellent co-operation from the offshore industry with the campaign and describes some of the supporting activities at both the company and trade association level. Page 2 of 27 Summary Report on the OSD Hydrocarbon Release Reduction Campaign Mar 05 Introduction 1. In April 2000, OSD launched an Offshore Hydrocarbon Release Reduction Campaign. This was targeted at obtaining a 50% reduction in the annual number of RIDDOR reportable offshore hydrocarbon releases in the major and significant categories (see Para 6 below) by April 2004, compared with the comparable baseline figures of 12 ‘majors’ and 127 ‘significants' in year 1999 / 2000. 2. The campaign consisted of two parallel projects: a) one based on the mandatory investigation of all RIDDOR reportable incidents involving hydrocarbon release on offshore installations, b) the second involving a programme of planned process integrity inspections for all normally attended production platforms. 3. The purpose if this report is to: a) provide the offshore industry with the results on hydrocarbon release numbers for the duration of the campaign, b) provide the offshore industry and OSD inspectors with analysis data from the incident investigation reports. In this context, the document should be seen as an initial reports as there are many additional factors which time and data processing constraints have currently excluded from the analysis, c) highlight broad problem areas which during the life of the project have led to release of hydrocarbon, as a means of prioritising those areas where further work on formulating and sharing good practice within the industry would be most beneficial. d) provide an indication of the initial impact achieved by the various industry ‘good practice’ guides put in place over the duration of the campaign. 4. The investigation project ran for two separate 12 month periods from 1st April 2000 to 31st March 2001 and again from 1st April 2003 to 31st March 2004. During this period OSD inspectors were required to investigate all offshore RIDDOR reportable hydrocarbon releases, the extent of the investigation varying with the size of the releases. To concentrate on the more serious releases, the main offshore effort was directed at the investigation of gas and 2 phase releases greater than 25kg and liquid releases greater than 250kg (this broadly equates to releases in the ‘major’ category and upper quartile ‘significant’ releases as described below). Smaller releases were investigated by gathering information from the dutyholder’s own investigations. In order to obtain a description of the release mechanism and identify the root causes and proposed remedial measures. 5. The inspection project operated over the full 4 years of the campaign and involved a 10 element rolling inspection programme for all normally attended production platforms. The elements addressed included aspects such as the general arrangements for the management of process safety, the control of small Page 3 of 27 Summary Report on the OSD Hydrocarbon Release Reduction Campaign Mar 05 bore tubing and flexible hoses and the management of isolations and change control. Full details of all the elements together with a summary of the main generic findings relating to each of the elements are given in Ref 1. Release severity classification 6. All hydrocarbon releases reported to OSD under RIDDOR are classified in terms of 3 severity categories: major, significant and minor. The definitions of the categories are as follows: Major – those with the potential to quickly impact outwith the local area e.g. affect the Temporary Refuge, escape routes, or escalate to other areas of the installation causing serious injury or fatalities. Significant – those with the potential to cause serious injury or fatality to personnel within the local area and to escalate within that local area, e.g. by causing structural damage, secondary leaks or damage to safety systems. Minor – those with the potential to cause serious injury to personnel in the immediate vicinity, but no potential to escalate or cause multiple fatalities. 7. Classification of releases is achieved through the use of numerical severity criteria (in terms of release size, release rate and duration). The criteria used were agreed with the offshore industry some years ago in conjunction with the development of the Hydrocarbon Release Database, and are given in Table 1. Overall hydrocarbon numbers and severity distribution 8. The number of offshore hydrocarbon releases reported to OSD for 2003/4 under RIDDOR are shown in Table 2 together with the respective severity classifications. Comparative figures for the ten previous years including the baseline year 1999 / 2000 are shown in Table 3. 9. In terms of major and significant releases, the figures indicate: a) A fairly steady reduction in the number of major releases from 12 in the baseline year to 5 in 2003/4. The four years of the campaign were in fact the first ones that single figure major release numbers had been achieved. Overall, there was a 56% reduction in the number of major releases. Given that it is the major releases which have the greatest potential to give rise to rapidly escalating events, this is a particularly encouraging improvement especially when compared to the long term average of 15 to 20 major releases per year. b) The number of significant releases fell from 127 in 1999 / 2000 to 92 in 2003/4 representing a 28% reduction against baseline. However the overall picture was more complicated in that the first 3 years of the campaign saw a rapid reduction in the number of significant releases. The 2002/3 year end total of 79 gave a reduction against baseline of just under 40%. Performance then fell away in 2003/4, the final year of the campaign. Possible reasons for Page 4 of 27 Summary Report on the OSD Hydrocarbon Release Reduction Campaign Mar 05 the 2003 / 2004 deterioration are discussed in Para 12. c) The combined number of major and significant releases fell from 139 in 1999 / 2000 to 97 in 2003/4, a 30% overall reduction against baseline. Again the overall reduction was marred by a deteriorating performance in 2003/4, the reduction having been 39% at the end of 2002/3. 10. The number of minor releases reported in 2003/4 was 172 having seen a steady rise from 99 in 1999 / 2000. However is believed that the result mainly represents an increase in reporting activity as a result of greater awareness and scrutiny of the reporting process, rather than an increase in the number of such incidents actually taking place. The OSD Hydrocarbon Release Reduction Campaign has been supplemented by campaigns from a number of individual companies and this undoubtedly increased awareness of reporting requirements across the industry. Anecdotal evidence suggests that minor release reports have been received for a wide range of small releases which would not have been considered for reporting prior to the commencement of the campaign. 11. There have also been doubts in the past as to the completeness and reliability of the reporting of minor releases. For example, minor releases have shown by far the greatest year-to-year variability, with swings of up to 50% being recorded. This uncertainty was one of the major reasons that the release reduction target was formulated just in terms of major and significant releases. In order to try to promote both greater clarity and consistency in the RIDDOR reporting of smaller hydrocarbon releases, a joint UKOOA / HSE reporting guide (Ref 2) was produced during the course of the campaign. 12. As noted in Para 9, one disappointing feature of the campaign has been the pronounced deterioration in performance of the final year. A possible significant reason behind the deterioration is considered to be a degree of over-confidence that the targets would be met following the excellent progress made over the first 3 years and that it was time for some dutyholders to focus on new challenges elsewhere in their offshore operations. This attitude manifested itself in actions such as the early abandonment of leak reduction teams and removal of reduction targets by individual companies. Benchmarking 13. An output from the initial 2000/1 release investigation project was the production of a comparative table of major and significant hydrocarbon release rates on a ‘per manned installation’ basis for different dutyholders. It was recognised that the rates derived only gave a fairly crude measure of safety performance in that, for example, they treated all normally manned platforms as having an equal number of potential leak sources, whereas in reality the installations varied in size and complexity and hence in the number of potential leak sources. 14. Subject to these caveats the data indicated a wide range in performance between dutyholders, the worst having a release rate more than 6 times that of the best. 57% of dutyholders had a release rate of 1 or below, 30% a rate of 2 or above. On the basis of this information, it appeared that significant reductions in overall Page 5 of 27 Summary Report on the OSD Hydrocarbon Release Reduction Campaign Mar 05 hydrocarbon release numbers could be secured if the performance of the worst dutyholders could be brought up to that of the best, through methods such as intercompany benchmarking, sharing of good practice etc. 15. Significant company mergers and ownership changes have made it difficult to monitor performance trends for all the companies identified in the 2000/1 survey. However, for those dutyholders where trend monitoring is possible, the figures are given in Table 4. 16. This indicates a general narrowing of performance differentials between dutyholders and a broadly improving trend for release rates over the duration of the campaign. For example, only three dutyholders had higher release rates in 2003/4 than in 2000/1, whilst eleven of the sixteen showed an improvement. 17. Table 5 lists those installations experiencing 3 or more major or significant hydrocarbon releases in 2000/1 and 2003/4. 18. No installation appears in both the 2000/1 and 2003/4 lists. As a broad generalisation, there are a disproportionate number of installations from smaller dutyholders in the 2000/1 list whereas the 2003/4 has a greater proportion of installations from larger dutyholders. This produces a good measurement of agreement with data from Table 4 in that in 2000/1 the higher hydrocarbon release rates were mainly associated with smaller dutyholders but since then their performance has improved significantly to the extent of their equalling or even surpassing some of their larger counterparts. It would appear that the ‘over confidence’ factor mentioned in Para 12 has been largely centred around the larger dutyholders, who initially were ‘well ahead of the game’ with respect to leak reduction programmes. Size distributions 19. The three different severity categories (major, significant and minor) into which the hydrocarbon releases are classified have quite wide size bands (see Table 1). For example, the ‘significant liquid release’ category ranges from 60 to 9000kg of liquid. In practice, the release sizes reported during the project have been heavily skewed toward the bottom end of the relevant ranges. 20. The effect for 2000/1 minor and significant liquid releases can be seen in Figs. 1 and 2. For minor releases, 86% of releases were smaller than half the upper limit for the category (60kg), and 65% of releases were smaller than one sixth the upper limit. For significant liquid releases, 96% of releases were less than half the upper limit (9000kg), and 80% were less than one sixth the upper limit. The corresponding 2003/4 figures are 83% and 63%, for minor releases and 88% and 83% for significant releases. 21. A similar pattern was found for significant gas and 2 phase releases, although for a minor gas and 2 phase releases the distribution was more even across the size range. The average size of a significant gas release in 2000 / 2001 was 42kg as compared with 39.1kg in 2003/4. Page 6 of 27 Summary Report on the OSD Hydrocarbon Release Reduction Campaign Mar 05 22. The largest gas or 2 phase release on a manned installation was around 3350kg of hydrocarbon in 2000/1 and 2500kg in 2003/4. The largest liquid release on a manned installation was around 6000kg in 2000/1 and 5000kg in 2003/4. Analytical taxonomy 23. To try to make maximum use of the information from the incident investigation reports, the data in the reports has been classified in terms of causal factors relating to: a) Operating mode, b) Release site, c) Release mechanism d) Immediate cause(s) e) Underlying cause(s) f) Failed safeguarding system g) Potential new or additional safeguarding systems that could have prevented the incident. 24. Each of these primary factors has then been developed in terms of secondary factors. For example, the following secondary factors have been associated with the primary factor ‘operating mode’. a) Start-up / re-instatement b) Normal production c) Abnormal production d) Maintenance e) Shutdown / shutting down f) Construction g) Well operations / drilling h) Testing / sampling i) Pigging 25. The complete taxonomy employed is given in Table 6. It is essentially the same as that employed in the earlier OTH 2001 055 (Ref 3) report but with the addition of a small number of additional fields (e.g. temporary repair) under release Page 7 of 27 Summary Report on the OSD Hydrocarbon Release Reduction Campaign Mar 05 sites. Where relevant, an attempt has been made to harmonise the taxonomy with that used in the current OIR 12 reporting system. Nevertheless it is recognised that there are many different taxonomies (in terms of primary and secondary factors) that could be used, and that the current system may be modified for the purposes of more detailed analysis – see para 3(b). 26. Annex 1 contains a summary of each of the 5 major incidents that occurred in 2003/4. Operation mode 27. The percentage of incidents occurring during different operating modes in 2000/1 and 2003/4 are indicated in Fig 3. As might be expected, incidents occurring during normal production provided the majority of releases. The 2003/4 normal production proportion was 61% as against 57% in 2000/1. The next highest category was start-up / re-instatement with 21% in 2003/4 as compare with 13% in 2000/1. Then followed maintenance at 8% (13% in 2000/1) and well operations / drilling at 5% (8%in 2000/1). The increase in the start-up / re-instatement category is noticeable and raises questions as to the adequacy of some pre-start up checks. 69% of releases in this category had operator error / incorrect installation or inadequate isolation / procedures as immediate causes. Hydrocarbon type 28. The distribution of incidents by hydrocarbon type is shown in Fig 4. 51% of the 2003/4 incidents were gas releases and 29.5% oil releases. The proportion of oil releases has risen slightly in recent years (c.f 23% oil in 2000/1) in line with the increases in the number of reported minor releases which tend to be predominately oil. Release of other hydrocarbon types were much less frequent, the most common being diesel at 6% (6% in 2000/1), condensate at 9% (8% in 2000/1) and 2 phase fluids 2.6% (3% in 2000/1). In terms of major releases, all of the 5 reported in 2003/4 were either gas (4) or 2 phase (1), indicating that it is generally releases of these types that pose the greatest threat, given their potential to form flammable vapour clouds. 76% of the significant releases in 2003/4 also involved gas or 2 phase fluids (68% in 2000/1), compared with just 14% involving release of oil. Release sites 29. The 2003/4 incidents were analysed for the site of each release, differentiating between major components such as vessels, pipework and valves, and between generic site types such as flanges, seals and open ends. The results are shown in Fig 5 which also shows the comparative 2000 / 2001 figures. The proportions are generally similar between the two years. Pipework was the largest contributor, being involved in 56% of all releases. Within that category small bore piping was associated with 20% of releases. Valves were involved in 17% of releases and vessels in 8%. 30. The detailed findings also indicate the following: a) despite issuance in 2000 of the UKOOA / Institute of Petroleum ‘good Page 8 of 27 Summary Report on the OSD Hydrocarbon Release Reduction Campaign Mar 05 practice’ guide on small bore tubing systems (Ref 4) releases associated with small bore tubing systems actually rose both in percentage terms (from 18% in 2000/1 to 20% in 2003/4) and in terms of overall numbers. This is particularly disappointing and indicates that much more needs to be done to improve standards and competency in this important area. 70% of the associated releases were from connections and the rest from the pipe body. 75% of the releases were classified as minor and 25% as significant. b) 12.4% of all releases were from flanges. This represents a decrease in terms of both percentage (15% in 2000/1) and overall numbers and indicates that the UKOOA / Institute of Petroleum guide on bolted pipe joints (Ref 5) may be beginning to have a beneficial effect. c) 21.9% of the 2003 / 2004 releases were from the body of a pipe, vessel or valve, mostly caused by mechanical degradation including, for examples, corrosion and erosion (20% in 2000/1). d) 16.7% of 2003/4 releases were from seals and packing (14% in 2000/1). e) 3.8% of 2003/4 releases were from flexible hoses compared to 4% in 2000/1. The joint UKOOA / Institute of Petroleum good practice guide on flexible hoses (Ref 6) was only issued in January 2003 so it was probably too early to expect any impact from the document. f) the percentage of releases associated with the temporary repairs was 3% which included one major release. This is a problem area that appears to be growing in importance as there were no corresponding releases from this source reported in 2000/1. Release causes 31. Analysis of the immediate causes of the 2003/4 releases is shown in Fig 6 which also displays the corresponding figures for 2000/1. Discussion of the analysis needs to be immediately prefaced with comments on its depth. Analysis of most releases usually indicates that there are many inter-related causes, i.e. it is multidimensional in terms of causation factors. However time and resource constraints mean that the analysis reported here is essentially ‘one dimensional’ and attributes the cause to that considered to have had the largest influence whilst recognising that other causes probably also contributed. To gain maximum insight from the present data would require a future full ‘multi dimensional’ analysis. 32. The biggest single immediate cause in 2003/4 was corrosion / erosion at 23% followed by degradation of material properties (16%), incorrect installation (16%), fatigue / vibration (12%) and operator error (12%). In this context ‘degradation of material properties’ means loss of integrity by failure of equipment which was originally fit for purpose and was operated correctly, but excluding the specific causes of corrosion, erosion, fatigue and vibration, which are recorded as separate categories. For example, the category would include causation factors such as loss of flexibility in flange gaskets and valve stem packing and general ‘wear and tear’. Page 9 of 27 Summary Report on the OSD Hydrocarbon Release Reduction Campaign Mar 05 33. The greater importance seen in 2000/1 of ‘operator error’ and ‘failure to follow procedures’ as immediate cause of major releases was not repeated in 2003/4 and the immediate causes were evenly spread around factors such as erosion, fatigue / vibration, incorrect installation, degraded material properties and blockage. 34. In terms of some of the principal release sites: a) the immediate cause of 40% of flange releases was incorrect installation with degradation of material properties contributing a further 20%, (28% and 20% respectively in 2000/1). b) the immediate cause of 35% of releases from small bore tubing was fatigue / vibration, with a further contribution of 18% from incorrect installation (29% and 15% respectively in 2000/1). c) 47% of releases from open ends were due to inadequate procedures and 25% to operator error d) the number of valve stem releases increased significantly from 2000/1 and 70% of the total were due to hardening of the stem packing (degradation of material properties). 35. The immediate causes can be divided into hardware-related and software related issues: Hardware Internal corrosion External corrosion Erosion Fatigue / vibration Degradation of material properties Inadequate equipment Line blockage Software Inadequate isolation Inadequate installation Inadequate procedures Operator error Procedural violation Nearly 60% of the releases had hardware-related immediate causes. Their biggest single underlying cause was inadequate inspection / condition monitoring, contributing to 48% of these incidents. Inadequate design was the next biggest underlying cause at 26%, followed by inadequate maintenance (11%) and inadequate installation (4%). 36. For the remaining releases with software-related immediate causes, the largest associated underlying cause was inadequate procedures at 26%. Thereafter, the causes were more scattered with six contributing between 10% and 4%. In decreasing order these were inadequate design, inadequate inspection / compliance monitoring, procedural violation, risk assessment, inadequate installation and inadequate task specification. 37. Of the underlying causes (Fig 7) the largest category in 2003/4 was inadequate inspection / condition monitoring (35%) followed by inadequate design Page 10 of 27 Summary Report on the OSD Hydrocarbon Release Reduction Campaign Mar 05 (21%), inadequate procedures (13%), inadequate competency (12%) and inadequate maintenance (8%). The ‘inadequate design’ category frequently related to inadequate piping support systems which left the pipes vulnerable to vibration and fatigue problems. Failed safeguards 38. An attempt was made to identify safeguards which if they had operated correctly might have prevented the releases. Failure to operate an effective corrosion / erosion monitoring system was implicated in 28% of the 2003/4 releases where identification was possible (10% in 2000/1). This confirms the increasing importance of the issue of corrosion / erosion with ageing plant. Inadequate inspection / condition monitoring was identified in a further 26% of incidents (32% in 2000/1), 12% of incidents in 2003/4 had procedural review as a failed safeguard 18% in 2000/1, 11% competency assurance (10% in 2000/1) and 8% design review (15%in 2000/1). Additional safeguards 39. In some cases additional safeguards were suggested which might help prevent future incidents. The main safeguards identified in both 2000/1 and 2003/4, were improved implementation of the UKOOA guide on small bore pipeline and the UKOOA joint integrity verification scheme. Remedial measures put in place during the campaign 40. One of the principal objectives for analysing release data during the campaign has been to identify recurrent problem areas leading to release of hydrocarbons and determine what measures could be put in place to try to reduce the frequency of their occurrence. The main vehicle for potential remedial measures has been the production of ‘good practice’ guides. These collate and publish information considered to represent good practice in the industry with respect to the treatment of particular issues, as a means of promoting better standards across all companies. 41. It was recognised at the outset of the campaign that for maximum impact and take-up any proposed remedial measures should be formulated and agreed as a collaborative venture with the industry. The conduit for discussions with industry has been the Release Reduction Workgroup set up by the United Kingdom Offshore Operators Association (UKOOA). 42. As discussed, the normal form of remedial measure has been the production of industry ‘good practice’ guides addressing each of the individual problem areas, supplemented where relevant by appropriate training. The format adopted to produce good practice guides has been either a) The task to be undertaken by a dedicated group of industry nominees, trade representatives and HSE. b) The work to be carried out by specialist consultancies jointly funded by both industry and HSE. Page 11 of 27 Summary Report on the OSD Hydrocarbon Release Reduction Campaign Mar 05 References 4 to 8 are examples of good practice guides produced via this route. The guides were produced to specifically address a prioritised list of problem areas identified by the investigation project. An important mechanism for promoting awareness and usage of the documents has been for them to be incorporated into HSE’s offshore inspection programmes. Industry support 43. An important feature of the campaign has been the degree of support that it has received from the industry itself. From the outset of the campaign, every effort was made to communicate to industry what was planned and why in order to proceed as far as possible on a collaborative basis. This is a stance that has been maintained throughout, with numerous talks being given to individual companies and trade associations, annual feedback seminars being organised with the United Kingdom Offshore Operators Association (UKOOA) and all documentation relating to the campaign (such as the HSE Inspection Guidance Notes) being made freely available. 44. Some of the corresponding industry inputs include a) The setting up by UKOOA of a Release Reduction Workgroup to support the campaign with representation from all operating companies. b) The production by the Release Reduction Workgroup of a ‘Reducing Leaks – Raising Awareness’ video which was shown to the workforce on all installations. c) Provision of staff to support the various workgroups set up to formulate good practice in different problem areas. 45. A summary of the output from the overall campaign has been produced in a joint UKOOA / HSE publication ‘Hydrocarbon Release Reduction Toolkit’ (Ref 9). This highlights the main problem areas identified during the campaign and indicates the measures that companies can adopt to minimise the impact of these problem areas on their own operations. 46. Several individual companies also set up their own internal release reduction campaigns to operate in parallel with HSE’s campaign. By the way of an example of the level of effort that went into some of these individual campaigns, one company a) Produced a quarterly Leak Reduction Bulletin which was sent to all staff. b) Provided monthly status reports on release numbers for all installations which were issued across the company. c) Purchased portable ultrasonic leak detectors for all installations, employed in the context of regular co-ordinated leak surveys on each installation. Page 12 of 27 Summary Report on the OSD Hydrocarbon Release Reduction Campaign Mar 05 d) Sent 700 offshore personnel on a bolted joint assembly course designed to supplement the UKOOA ‘good practice’ guide. e) Sent 900 offshore personnel on a compression fitting course and made successful completion of the course a mandatory condition for future working on such fittings. f) Sent 400 selected offshore personnel on a corrosion awareness refresher courses and also produced a compact disk on the subject to promote further platform discussion. The way ahead 47. Experience from the campaign clearly suggests that a sustained and continuous improvement in annual offshore hydrocarbon release numbers can only be achieved by a targeted and continuing effort by all relevant parties. Without this focus, release numbers are likely to gradually increase back to previous levels. 48. With this in mind, OSD will continue to regard annual offshore hydrocarbon release numbers as a key performance indicator for the effectiveness of offshore management controls. Accordingly annual release number targets have been agreed with the industry for the period 2005/6 and 2006/7. These targets together with many of the topics examined during the course of the inspection project will be fed forward into a new 3 year Key Programme (KP3) which will address hydrocarbon release issues under the slightly wider remit of ‘installation integrity’. It is clear from the analysis of release sites and immediate and underlying causes that the new programme will need to target issues such as a) the continuing high level of hydrocarbon release associated with small bore tubing systems. (An increasing proportion of which seem to be associated with vendor packages such as turbines). b) the high percentage of releases where corrosion / erosion was the immediate cause. The monitoring of corrosion / erosion control systems will become increasingly important as the offshore infrastructure continues to age. c) the effectiveness of systems for condition / inspection monitoring of the plant including the relevant maintenance regimes. Page 13 of 27 Summary Report on the OSD Hydrocarbon Release Reduction Campaign Mar 05 References 1. Report on the findings from HSE’s process integrity National Inspection Project (NIP), 2000 – 2004, SPC/TECH/OSD/28. 2. Supplementary guidance for reporting hydrocarbon releases, UKOOA, September 2002. 3. Offshore Technology Report – OTO 2001/055. Report on the hydrocarbon release incident investigation project . 1st April 2000 to 31st March 2001. 4. Guidelines for the management of integrity of bolted pipe joints, UKOOA / Institute of Petroleum, June 2002. ISBN 1903003148. 5. Guidelines for the management, design, installation and maintenance of small bore tubing systems, UKOOA / Institute of Petroleum, June 2000. ISBN 0852932758. 6. Flexible hose management guidelines, UKOOA / Institute of Petroleum, January 2003. ISBN 1903003210. 7. Guideline for the Avoidance of Vibration Induced Fatigue in Process Pipework, Marine Technology Directorate. ISBN 1870553373. 8. Review of Corrosion Management for Offshore Oil and Gas Processing, UK Health and Safety Executive, Report OTO 2001/044, August 2001. ISBN 0717620964. 9. Hydrocarbon release reduction toolkit, UKOOA / HSE, August 2004. Page 14 of 27 Summary Report on the OSD Hydrocarbon Release Reduction Campaign Mar 05 Table 1 - Numerical severity classification criteria TABLE 1 NUMERICAL SEVERITY CLASSIFICATION CRITERIA MAJOR RELEASES (i) Gas releases EITHER OR Quantity released > 300 kg Mass release rate > 1kg/s AND Duration > 5 min (ii) Liquid releases (Oil / Condensate / Non-process) EITHER Quantity released > 9000kg OR Mass release rate > 10kg/s AND Duration > 15 min (iii) 2-phase releases EITHER OR Quantity of liquids released > 300kg Liquids mass release rate > 1kg AND Duration > 5 min MINOR RELEASES (i) Gas release EITHER OR Quantity released < 1kg Mass release rate < 0.1kg/s AND Duration < 2 min (ii) Liquid releases (Oil / Condensate / Non-process EITHER Quantity released < 60kg OR Mass release rate < 0.2kg/s AND Duration < 5 min (iii) 2-phase releases EITHER OR Quantity of liquids released < 1kg Liquid release rate < 0.1kg AND Duration < 2 min SIGNIFICANT RELEASES Those releases lying between the limits for major and minor releases. Page 15 of 27 Summary Report on the OSD Hydrocarbon Release Reduction Campaign Mar 05 Table 2 - Offshore hydrocarbon releases reported under RIDDOR from 1st April 2003 to 31st March 2004 By Process Type and Severity Type Severity Release Type Total Major Significant Minor Non Process 0 5 28 33 Oil 0 13 63 76 Condensate 0 4 17 21 Gas 4 66 61 131 2-phase 1 4 3 8 GRAND TOTAL 5 92 172 269 Page 16 of 27 Summary Report on the OSD Hydrocarbon Release Reduction Campaign Mar 05 Table 3 - Annual number of major, significant and minor offshore releases reported under RIDDOR from 1993 / 1994 to 2003 / 2004 93/94 94/95 95/96 96/97 97/98 98/99 99/00 00/01 01/02 02/03 03/04 Major 24 20 20 19 13 15 12 8 4 6 5 Significant 151 194 134 129 139 134 127 117 105 79 92 Minor 96 111 58 78 66 85 99 145 134 144 172 Severity BASELINE YEAR Page 17 of 27 Summary Report on the OSD Hydrocarbon Release Reduction Campaign Mar 05 Table 4 – Major / significant release rates per manned production installation RELEASE RATE PER MANNED INSTALLATION YEAR OPERATOR 2000 / 2001 2001 / 2002 2002 / 2003 2003 / 2004 A 2.50 1.25 0.50 0.00 B 2.50 1.00 0.50 1.00 C 2.33 3.00 2.33 1.66 D 2.25 0.75 1.00 1.25 E 2.00 2.00 2.00 1.00 F 2.00 2.00 1.00 1.00 G 2.00 1.50 1.00 1.00 H 1.57 1.71 0.71 1.14 I 1.52 1.23 0.55 1.00 J 1.33 0.33 0.00 0.33 K 1.00 0.00 1.5 1.00 L 1.00 0.00 2.00 1.00 N 1.00 1.00 2.00 2.66 P 1.00 0.83 1.00 0.33 Q 0.82 0.73 0.31 0.94 T 0.43 0.11 0.44 0.55 Î Notes 1. Manned production installations only (i.e. excludes NUI’s) 2. All companies retain the same operator identification letter as per OTO 2001 055 except: (i) Merged companies (i.e. Chevron Texaco, Conoco Phillips) retain identity of first named company (ii) Exxon Mobil retains Mobil identity (iii) Shell retains Shell identity but also includes Enterprise data Page 18 of 27 Summary Report on the OSD Hydrocarbon Release Reduction Campaign Mar 05 Table 5 – Installations with 3 or more major and significant hydrocarbon release in the reference period Year 2000 / 2001 Installation Year 2003 / 2004 No of Releases Installation No of Releases Brent A 9 Ravenspurn N 4 Alba 5 N. Cormorant 4 Curlew 5 Cormorant A 4 Triton 4 Brae B 4 Rough 47/3B 4 Thistle 4 Murchison 4 Judy 4 Anasuria 4 Gryphon 4 Dunbar 4 Inde 49/23 3 AH001 3 Dunlin 3 N. W. Hutton 3 Brae A 3 Clipper 3 Janice 3 Tern 3 Tartan 3 Í FOI exemption s.43 commercial interests Page 19 of 27 Summary Report on the OSD Hydrocarbon Release Reduction Campaign Mar 05 Table 6 – Release analysis taxonomy OPERATING MODE* RELEASE SITE (1) 1. Start-up / reinstatement 2. Normal Production 3. Maintenance 4. Shut down / shutting down 5. Construction 6. Well operations / drilling 7. Testing / sampling 8. Pigging 1. Pipe flange 2. Pipe Weld 3. Pipe body 4. Pipe open end 5. Valve stem 6. Valve body 7. Valve flange 8. Valve open end 9. Vessel body 10. Vessel flange 11. Vessel open end 12. Small bore piping 13. Small bore connection 14. Instrument connection 15. Pump / compressor flange 16. Pump / compressor seal 17. Hose body 18. Swivel stack 19. Other equipment seal 20. Heat exchanger 21. Turbine 22. Sighting glass * For the system where the release occurred RELEASE SITE (2) 1. Crack 2. Split 3. Hole 4. Pinhole 5. Temporary repair 6. Grease nipple RELEASE MECHANISM IMMEDIATE CAUSES UNDERLYIKNG CAUSES 1. Internal explosion 2. Overpressurisation 3. Under – pressurisation 4. Open pathway 5. Degraded containment envelope 1. Corrosion / internal 2. Corrosion / external 3. Erosion 4. Fatigue / vibration 5. Incorrect installation 6. Operator error 7. Degradation of material properties 8. Procedural violation 9. Inadequate isolation 10. Blockage 11. Inadequate procedures 12. Defective equipment 13. Impact / excessive movement 1. Inadequate compliance monitoring 2. Inadequate risk assessment 3. Inadequate design 4. Inadequate procedures 5. Inadequate competency 6. Inadequate supervision 7. Incorrect material specification / usage 8. Inadequate task specification 9. Excessive workload 10. Outdated information / data 11. Incorrect installation 12. Inadequate maintenance 13. Inadequate communication 14. Inadequate inspection / condition monitoring Page 20 of 27 Summary Report on the OSD Hydrocarbon Release Reduction Campaign Mar 05 FAILED SAFEGUARDIN G SYSTEM 1. Locked valve 2. Permit to work 3. Isolation 4. Change control 5. Procedural review 6. Design review (incl. HAZOP) 7. Competency assurance 8. Inspection / condition monitoring 9. Corrosion / erosion monitoring 10. Construction / commissioning review 11. Operational review (older installations) POTENTIAL NEW / ADDITIONAL SAFEGUAR DS 1. UKOOA / IP small-bore piping guide 2. Flange verification scheme 3. Regular drawing upgrades 4. HAZOP Fig 1 – Minor liquid releases – size distribution Page 21 of 27 Summary Report on the OSD Hydrocarbon Release Reduction Campaign Mar 05 Fig 2 – Significant liquid releases – size distribution Page 22 of 27 Summary Report on the OSD Hydrocarbon Release Reduction Campaign Mar 05 Fig 3 - All releases by operating mode Fig 3 All Releases by Operating Mode Normal Production Start Up / Re-instatement Maintenance Well Operation / Drilling Abnormal Production Shutdown / Shutting Down Pigging 2000/1 Testing / Sampling 2003/4 Construction 0 10 20 30 40 50 60 Percentage of Releases Fig 4 – All releases by hydrocarbon type Fig 4 All Releases by Hydrocarbon Type Helifuel Lube Oil 2003/2004 Tw o-Phase 2000/2001 Diesel Gas 0 10 20 30 40 Percentage of Releases Page 23 of 27 Summary Report on the OSD Hydrocarbon Release Reduction Campaign Mar 05 50 60 Fig 5 – All releases by release site Fig 5 All Releases by Release Site Pipe Open End Pipe Body Pipe Flange Pipe Weld Small Bore Piping Small Bore Connection Instrument Connection Valve Body Valve Stem Valve Open End Valve Flange Vessel Body Vessel Flange Vessel Open End Pump/Compressor Seal Pump/Compressor Flange Hose Body Other Equipment Seal Swivel Seal Temporary Repair 2003/4 2000/1 0 2 4 6 8 10 12 Percentage of Releases Page 24 of 27 Summary Report on the OSD Hydrocarbon Release Reduction Campaign Mar 05 14 16 Fig 6 – Immediate causes – all releases Fig 6 Immediate Causes - All Releases Internal Corrosion External Corrosion Inadequate Procedures Degradation of Properties Errosion Fatigue / Vibration Inadequate Equipment Inadequate Isolation Inadequate Installation Line Blockage Operator Error Procedural Violation 2000/1 Inadequate Communication 2003/4 Impact / Excessive Movement 0 5 10 15 20 Percentage of Total Incidents Page 25 of 27 Summary Report on the OSD Hydrocarbon Release Reduction Campaign Mar 05 25 30 Fig 7 – Underlying causes – all releases Fig 7 Underlying Causes - All Releases Excessive Workload Inadequate Communication Inadequate Competency Inadequate Compliance Monitoring Inadequate Design Inadequate Inspection / Condition Monitoring Inadequate Installation Inadequate Procedures Inadequate Risk Assessment Inadequate Supervison Inadequate Task Specification Incorrect Material Specification Incorrect Material Usage Outdated Information Inadequate Maintenance 0 5 10 15 20 25 30 2000/1 2003/4 Percentage of Total Incidents Page 26 of 27 Summary Report on the OSD Hydrocarbon Release Reduction Campaign Mar 05 Annex 1 - Summary of 2003/4 Major Releases There were 5 major releases in 2003/4, with a size range of between 350kg and 2640kg of hydrocarbon. Two were on the same installation, the other three were on different installations with different operators. All occurred on manned production installations. Four were gas releases and one a two-phase release, indicating that the biggest releases were also of the most dangerous type, in terms of their ability to form flammable vapour clouds. The immediate causes of the five releases were blockage, fatigue / vibration, erosion, inadequate inspection / condition monitoring and degraded material properties respectively. Outline summaries for each incident are as follows: 1. 350kg of gas escaped over a 2½ hour period from a fractured section of small bore pipework. The section of pipework involved was not adequately supported and was subject to vibration. Over a period of time, the vibration caused the pipework to fracture. The incident was exacerbated by the correct emergency response procedures not being followed. 2. Loss of liquid level in a production separator led to a gas blow-by condition allowing gas to flow via the closed drain caisson into the LP vent system. Partial obstruction of the flame arrestor in the LP vent stack due to a combination of internal deposits and a covering of dead birds, resulted in a restriction to gas flow and increased back-pressure in the vent header. The rise in pressure led to glycol being expelled from a glycol sump tank connected to the vent header. This led to glycol being spilled into the open drains system and the resulting loss of level in the sump tank allowed gas from the vent header to flow directly to atmosphere via the tank’s overflow line. In all an estimated 1000kg of gas was released. 3. A door seal on the zinc oxide filter failed whilst on trial resulting in release of gas into the gas treatment module. The blow down valve covering the part of the system which included the filter failed to open. This led to the size of the release being much larger than should have been the case. An estimated total of 2540kg of gas was released. 4. An unapproved temporary pipework repair failed allowing release of hydrocarbon. During the subsequent surface process blowdown, a series of valve failures and malfunctions resulted in the flow of process hydrocarbon fluids under pressure into the location of the failed repair. This resulted in an estimated overall release of 2500kg of hydrocarbon. 5. A 2600kg two-phase release occurred from the outlet pipework of a gas test separator. The pipework failure resulted from rapid erosion due to gas blow-by following a failure to remove an inhibit on a low level trip. The gas had entrained propane, which had accumulated in the base of the separator following its use as part of a perforation and clean up campaign associated with a ‘frac’ job on one of the wells. The potential consequences of the release were increased by the lack of a non-return valve in the line which allowed significant quantities of condensate to flow back to the release site from vessels higher in the system. Page 27 of 27 Summary Report on the OSD Hydrocarbon Release Reduction Campaign Mar 05