Inherent Safety: It's Common Sense, Now For Common Practice!
Inherent Safety: It's Common Sense, Now For Common Practice!
Inherent Safety: It's Common Sense, Now For Common Practice!
We describe some of the barriers to more widespread adoption of Inherently Safer Design (ISrD) and how we
have overcome them in Granherne. We have found that it is essential to educate engineers about the benefits of
ISrD and to promote ISrD as an attitude of mind. Committed project leadership is also crucial to success. It is
important to recognise that ISrD has most benefit early in the design process and that it is an essential first step
in the demonstration of ‘ALARP’ and the safety risk management process. We have developed practical,
workshop-based methods that follow the early project stage sequence, for identifying, assessing and recording
ISrD features of designs. We provide examples of the significant benefits of the methods to the projects that
have used them.
Keywords: inherently safer design, oil and gas, ALARP, risk management, workshop
Introduction
Inherent Safety (IS) is often described as common sense and, according to a comprehensive survey of the field [Gupta, 2002],
it is common knowledge. However, as Professor Paul Amyotte comments in his Preface to the Second Edition of the classic
book on the subject, ‘Process Plants: A Handbook for Inherently Safer Design’ [Kletz, 2010], Inherently Safer Design (ISrD)
needs to move ‘into the realm of common application and practice’.
According to a recent review of progress since 2001 and opportunities ahead [Srinivasan, 2012]: ‘While there is a large body
of research on various inherent safety assessment methods, there has been relatively little said on the best ways to
incorporate them into the work processes of practicing engineers.’
This paper firstly sets out why ISrD must now be routinely applied (not least because regulations are increasingly requiring
it) and then describes how the engineers at Granherne, which is the conceptual design and consultancy division of KBR,
practise ISrD in our designs of upstream oil and gas installations. This has been achieved by making IS an attitude of mind,
by the safety discipline working with engineers as part of the mainstream design effort and employing tools to assess the
existing features of designs and challenge projects to incorporate further features, where practicable.
We do not give a detailed explanation of IS here; there are many excellent papers and books for reference, such as: the classic
work by Kletz [Kletz, 2010], an American Institution of Chemical Engineers Center for Chemical Process Safety (CCPS)
guide book [CCPS, 2009], [Srinivasan, 2012] (which has an extensive reference list) and there is a training package available
from the Institution of Chemical Engineers (IChemE). Very briefly:
Trevor Kletz had the idea after the Flixborough accident in 1974, developed it in his many books and papers and
tirelessly promoted IS and ISrD right up to his death in 2013;
Edwards and Lawrence, [Edwards, 1993] were the first to publish a method for assessing IS and they have been
followed by many others – but mostly aimed at chemical processes; and
Graham Dalzell [Dalzell, 2004] put the onus for ISrD back with the people, whether they be leaders – project or
otherwise, designers, operators, suppliers, etc. and maintains that it is an ‘attitude of mind’.
Simply put, Inherently Safer (ISr) designers render a plant safer by implementing four principles of ISrD:
1. Eliminate the potential for harm (hazards);
2. Reduce the severity or scale of the consequences of the hazards;
3. Reduce the likelihoods of the hazards occurrence; and
4. Separate or protect people from the hazards.
They achieve this by careful attention to the fundamental design and layout, with less reliance placed on ‘added-on’,
engineered safety systems and procedural controls, which can and do fail. However, it is difficult to eliminate the major
hazard from oil and gas production – it is the oil and gas! Therefore ISrD principles 2, 3 and 4 should be more practised.
An example of an incident where many lives might have been saved by the implementation of principle 4 is provided by the
Piper Alpha disaster. Figure 1 shows that the Living Quarters (LQ) of this platform was on top of what became a huge blow
torch, which killed 167 people. As Paul Davison, Chairman of the Safety and Reliability Society (SaRS) has pointed out in
their Newsletter, number 278 [SaRS, 2014], ‘No Lifeboats were used to save the 67 survivors…’ and helicopters could not
have helped either. Paul concludes: ‘… lifeboat evacuation will never be as reliable as escaping from a hazardous event
onshore or on a bridge-linked platform, where you could run away from the danger’.
If the LQ had been on a separate platform, bridge-linked to the production platform, most would not have died. Therefore, if
you cannot eliminate a hazard, then separate people from it. In a case like this, reducing the likelihood of a catastrophic
event is not an adequate safeguard, because the consequences are too dire and must be avoided.
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ISrD is the foundation of Granherne’s hazard-focussed, risk-based approach to design. Where, risk is the combination of an
estimate of the consequences of a realised hazard and an estimate of the likelihood of this happening.
Risk = function(estimated realised hazard consequence, estimated likelihood of realisation)
Risk is often expressed as fatalities per year. For example:
Risk = (Potential Fatalities) X (Estimated Occurrences per Year)
Figure 1. The Piper Alpha platform before and after the disaster
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and ‘Inherently safer design requires the hazard management strategy to be developed at a very early stage in the design
process’.
The HSE ‘Safety Report Assessment Manual’ (SRAM) [HSE, 2007] for onshore safety reports states that: ‘Operators should
therefore demonstrate that they have looked at ways of avoiding the hazards or reducing them at source through the
application of the principles of inherent safety. It is more likely to be reasonably practicable to take measures to avoid or
reduce hazards at source during the design stage of new plant and equipment and as early as possible during the design
process. It is at this stage that assessors particularly need to look for evidence of the use of principles of inherent safety to
remove or reduce hazards to people and the environment.’
The need to demonstrate a proactive approach during the design process has been strengthened in the recent EU Offshore
Safety Directive [EU, 2013], which requires the Competent Authority to: ‘…ensure that the risk management … have
anticipated all foreseeable situations including: how the design decisions described in the design notification have taken
account of risk management so as to ensure inherent safety and environmental principles are incorporated’.
Furthermore, authorities are focussing on IS during accident investigations. For example, the US Chemical Safety and
Hazard Investigation Board (CSB) investigation into the 2012 Richmond refinery fire found that serious sulphidation
corrosion was the root cause of the accident due to using an inherently unsafe material of construction for a pipe. The report
states that: ‘Chevron did not regularly or rigorously apply inherently safer technology, which provides an opportunity for
preventing major accidents, in its PHAs [Process Hazard Analysis], MOCs [Management of Change], incident investigation
recommendations, or during turnarounds’, [CSB, 2014].
Standards and Company Requirements
It is notable that one of the widely used, ‘added-on’ safety standards, ‘Functional Safety: Safety Instrumented Systems for the
Process Industry Sector – Part 1 (IEC 61511)’ [ISA, 2004], encourages ISrD:
‘In most situations, safety is best achieved by an inherently safe process design. If necessary, this may be
combined with a protective system or systems to address any residual identified risk.’ (Introduction); and
‘If the analysis results in a safety integrity level of 4 being assigned to a safety instrumented function, consideration
shall be given to changing the process design in such a way that it becomes more inherently safe or adding
additional layers of protection.’ (Allocation of safety functions to protection layers).
ISrD appears in most company standards and guidance, for example:
Statoil GL0282, ‘Guidelines for risk and emergency preparedness analysis’, [Statoil, 2010], states: ‘Safety achieved
through inherently safe process design (see I.1) should always be applied whenever reasonably practicable.’
ISrD is mentioned in many BP Engineering Technical Practices (ETP), including one dedicated to ISrD, ‘48-04
Inherently Safer Design (ISD)’, [BP, 2008].
Cost and Weight Reduction
One of Trevor Kletz’s favourite slides was of a Model T Ford, which was the world’s first affordable motor car because of its
simple, uncluttered design. Henry Ford said: “what you don’t fit costs you nothing and needs no maintenance”. Safety
systems are costly to install and maintain. However, designs often factor in the safety equipment, accepting the capital cost
but ignoring the lifecycle cost. Reducing maintenance increases uptime, reduces plant disturbances and reduces exposure of
maintenance personnel to hazards. Also, many accidents happen during or after maintenance. Offshore, not fitting
equipment also saves weight.
Cost and weight can be saved by designing with smaller inventories, which reduce the hazards. Fully rating vessels and
pipework for the highest possible pressure that might be encountered will increase the cost and weight of the process
equipment but it will not require heavy and costly pressure relief valves, which will also reduce maintenance.
Preservation of Reputation
The major benefit of ISrD is the preservation of reputation by removal of risk. People who are separated from a hazard
cannot be hurt by it. Fully rated pipes and vessels cannot be over-pressurised. This is good for the operators – their lives are
not at risk and good for the shareholders – their money is not at risk. An ISrD installation should promote healthy sleep
patterns for the Chief Executive too!
A Practical Approach
Inherently Safer Design is Better Done Early
As stated in the HSE SRAM, ISrD has the most impact when applied at the conceptual design stage. Another of Trevor
Kletz’s favourite slides, Figure 2 illustrates that the cost of making a design change is relatively inexpensive at the concept
phase but it can have a significant impact on reducing risk. Changes further along the process design chain through FEED
and detailed design will cost far more once key equipment choices have been made but the potential risk reduction is
reduced. This is why it is particularly important that conceptual design specialists, such as Granherne, practice ISrD.
However, ISrD measures can be implemented at any time.
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An accident during operation will dwarf any costs due to design changes and, as Trevor has said: “There's an old saying that
if you think safety is expensive, try an accident. Accidents cost a lot of money. And, not only in damage to plant and in claims
for injury, but also in the loss of the company's reputation.”
Inherently Safer Attitude and Leadership
Although there are many methods for assessing designs for IS [Ahmad, 2014], none take cognizance of design as an
interactive team activity, whereas everyone involved in the design: engineers, technicians, operators, management, etc., must
be involved in identifying hazards and achieving an ISrD. A mind-set, which is similar to that promoted by many current
company behavioural safety programs, such as ‘Incident and Injury Free’ or ‘Zero Harm’, is required. These programs are
founded on the belief that ‘zero accidents’ is an achievable goal and that everyone is responsible for safety. Analogously,
ISrD provides the means to eliminate the hazards that cause the accidents; it is up to all, designers and others, to achieve the
goal of zero accidents by implementing the ISrD principles.
As illustrated in Figure 3, improvements in engineering and hardware, for example the introduction of machinery guarding,
over time lead to a reduction in the number of incidents. However, major accidents continued to occur. After the
Flixborough explosion in 1974, the Health and Safety at Work etc. Act 1974 [UK Government, 1974] was enacted. This
required mandatory reporting of incidents and active risk management. This has led to a further reduction in incident rates,
which have again plateaued and, nevertheless, major accidents still occur.
Figure 2. Benefits of ISrD early in the project
The National Commission on the BP Deepwater Horizon Oil Spill and Offshore Drilling (NCDH), in its Report to the [USA]
President, ‘Deep Water The Gulf Oil Disaster and the Future of Offshore Drilling’, [NCDH, 2011], highlighted the
observation made by the Board that investigated the loss of the Columbia space shuttle that: ‘complex systems almost always
fail in complex ways’. Major accidents still happen, because we cannot anticipate or estimate (design) for every eventuality –
complex systems, whether technical or human, also fail in unpredictable ways. We cannot reduce the incident rate further by
systems alone.
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However, the combination of improved safety culture – the belief that we can achieve zero accidents and the ISrD principles
should drive the incident rate further down.
Bringing ISrD ‘into the realm of common application and practice’ has two pre-requisites:
Knowledge of and commitment to ISrD by the design team; and
Leadership to make it happen.
Building knowledge and commitment is a continual process and requires an ISrD champion. In Granherne, the lead author of
this paper has a long-standing involvement with ISrD and he takes every opportunity to educate people and promote the
application of ISrD. This began with presentations at ‘lunch and learn’ sessions and using meeting safety moments.
Participants at workshops, such as HAZard IDentification (HAZID), Design Review and HAZard and OPerability (HAZOP),
are now given an IS and ISrD briefing at the start and are encouraged to seek Inherently Safer (ISr) solutions. Members of
the safety department are encouraged to engage with the designers, particularly process and layouts, at the start of a project,
in order to influence the design and avoid hazards, rather than wait to be asked to address identified safety issues in the
design.
Knowledge and commitment fosters an ISrD attitude, in which everyone asks, [Dalzell, 2004]:
What is dangerous;
Why is it dangerous; and
Is there a safer way?
Having built the attitude and commitment to ISrD, strong project leadership is needed to ensure that opportunities for ISrD
are identified, assessed and implemented, if practicable.
To deploy the knowledge and commitment Granherne employs workshops, as recommended by the Energy Institute,
‘Guidance on applying inherent safety in design: Reducing process safety hazards whilst optimising CAPEX and OPEX’,
[Energy Institute, 2014].
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The discussions are recorded in a spreadsheet, which provides the structure for the event. We use the traditional keyword
approach that started with Kletz. However, the 4 principles, which are listed in the Introduction, were recast into 3
categories: hazards, plant and people, with associated keywords, and 3-letter mnemonics, which are presented in Table 1.
These keywords are a permanent part of the workshop spreadsheet display.
Table 1. ISrD Keywords and Mnemonics
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Concept Description
3 Limited (by lower pipeline operating pressure) compression facilities at the onshore reception
facilities
Weighting Definition
H Eliminate / Minimise additional helicopter transport (helicopters account for about 1/3 of all
offshore risk)
M Optimise control room and Integrated Control and Safety System (ICSS)
- multiple control points - point of command
- conflict between old / new systems.
L Other - to be defined
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The ISrD Aspects were given a ‘Weighting’ which is based on coarse impact and frequency categories, which were:
Impact
o High = multiple fatality
o Low = single fatality / injury
Frequency
o High = constant / frequent activity
o Low = intermittent / rare activity
The Aspect ‘Weighting’ is according to the matrix shown in Table 5.
Consequently, Concept 2 was further developed when more information on future prospects was available and this was the
recommended concept for transition to the next project stage.
Project 2
The Project 2 ISrD workshop considered four concepts for the addition of a new bridge-linked platform and associated
subsea flowlines for enhanced oil recovery, using new technology, to an existing installation in the North Sea. The workshop
began with a presentation by the facilitator about IS and ISrD. The Project 1 list of guidewords was not used, in order to
enable a more free flowing brainstorming session. The workshop was guided by the Table 1 keywords and the aspects of the
design were considered in categories, such as: Field configuration, Environment and the project engineering disciplines
(process, mechanical, etc.).
A comparative coarse ranking system with associated scores, which is shown in Table 6, was used to capture the workshop
participants’ consensus about the level of IS in the design of each concept for each aspect. The aspect weightings were
assigned ‘Multipliers’, which are listed in Table 7. A total weighted score for each concept was obtained by summing the
product of the Coarse Rank Scores and Aspect Multipliers over all the aspects.
Table 6: Coarse Ranks for Impact of Design Feature on Safety
+ 4 Marginal benefit
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Define
The purpose of the project Define activities is to develop further, define and document the business case based on the
selected concept to such a level that final project sanctioning can take place, the applications to the authorities can be
submitted and the FEED made, which establishes the basis for detail engineering.
The aims of the Define ISrD workshop are to:
Record existing ISr features of the design;
Generate ideas for making the design ISr;
Contribute to a robust justification for the selected concept; and
Provide the basis for the ALARP demonstration.
The features which have been identified in previous project stages should be entered in the worksheet before this workshop,
together with any subsequently identified features.
A fragment of the worksheet for Project 2 is shown in Table 8. The worksheet is split into sections (by the green dividers),
such as Field configuration and the main disciplines, which are considered in turn. The Existing Features can be positive or
negative for safety. Key is the key word which best describes the feature; it is not vitally important to record this attribute of
a feature but it is useful for classification and later analysis. The Ranks, which are listed in Table 6, express the consensus of
the meeting about the contribution to IS (or not) of the feature.
If the IS of the facility could be improved, then the further measures are described under Possible Improvement (PI), are
categorised by Key (word) and the resulting new Rank relative to the existing design is determined. Where a possible
improvement exists but is not deemed feasible, a Justification for keeping current (J) is provided. The Action that must be
taken to make the improvement and who should do it, the Actionee, are decided by the workshop team.
Sufficient time must be allowed to review the pre-populated items in the worksheet, follow up any ideas that are generated
from these items and brainstorm further ISr improvements.
During the Define stage of Project 2, two workshops were held; the second reviewed the design as updated after the first
workshop and made further recommendations.
Future Work
We see four main areas for further work. The first is to develop better tools for ISrD analysis. Better methods for evaluating
designs for IS are needed, for which three pieces of information are required.
The number of people at risk on the proposed development – we are working on a concept POB estimator, which will
provide approximate numbers of people located in the areas of a facility, over the field life and taking into account reservoir
depletion and asset ageing.
The Major Accident Scenarios (MAS) for the proposed development – these should be based on what has happened in the
past (and can therefore happen again) for similar facilities, as well as postulated high consequence events.
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Key Words: ELIminate / REDuce Hazards :: SIMple / RELiable Plant :: SEParate / PROtect People ESCape
No Area Existing Inherently Key Rank Possible Improvement (PI)/ Key Rank Action Actio
(/Less) Safer Feature Justification for keeping nee
current (J)
Field Configuration
2 Bridge landings on - PI: Make bridge landings ELI + Remove steps AKA
top of decks, require flush from bridge
steps BUT: Additional support links.
structure required - additional
fabrication and construction
risks and possibly non-direct
evacuation route, if a dogleg
is required.
The combination of these two pieces of information provides the potential worst loss of life for the installation. The
maximum monetary loss, due to loss or damage to asset and production interruption, could also be estimated. Quantification
of reputational damage should also be attempted.
The Likelihood of the MASs should be estimated based upon statistical data for past incidents. The combination of the
estimates for: the potential loss of life, likelihoods and the life of the installation provides an idea of the risk of catastrophe.
The above estimates for the alternative concepts could be presented to the ISrD workshops for discussion and to stimulate
further debate about the relative IS of the concepts.
The workshop processes need further development, for example in use of checklists and provision of guidewords to
participants, which may be too prescriptive, versus allowing ‘space’ for brainstorming and lateral thinking.
More promotional work is needed to foster the zero accidents / harm mind-set for design work. Design team leadership must
be encouraged to think beyond up-front cost and schedule and to embrace the practicality of removing the possibility of
MASs and to set this as a project goal.
In a wider project context, life-cycle costing is essential for demonstrating that ISrD measures are cost effective over the life
of a facility.
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Conclusions
This paper has described some of the barriers to more widespread adoption of ISrD and how we are overcoming them in
Granherne. We have found that it is essential to educate engineers about the benefits of ISrD and to promote ISrD as an
attitude of mind. Committed project leadership is also crucial to success.
It is important to recognise that ISrD has most benefit early in the design process and that it is an essential first step in the
demonstration of ALARP and the safety risk management process. We have developed practical workshop-based methods
that follow the early project stage sequence, for identifying, assessing and recording ISrD features of designs. These methods
have provided significant benefits to the projects that have used them.
Maybe one of the reasons for the success of the workshop approach is that design is a social activity and, as Trevor Kletz
maintained, people perform much better when they are actively involved with a task.
Piper Alpha was not just a catastrophe for the people who died and their families; it was also a huge production and financial
loss. The accident knocked out 10 percent of UK oil and gas production, which was 1 percent of United Kingdom gross
domestic product at the time. The total insured loss was $3.6 billion (2013 prices) [Lloyd’s, 2013]. Similarly, The
Deepwater Horizon incident is still having a huge cost impact on BP. We really cannot afford such accidents – let us strive to
make them impossible by ISrD.
To this end, we are currently working on methods for evaluating IS which use the offshore installation POB, MASs potential
number of fatalities and likelihoods.
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