Safety Alert #13 - Weekly FS Publication

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Panipat Refinery & Petrochemical Complex

Issue #13 Fire & Safety Department 24.08.2021

SAFETY ALERT!
WEEKLY FIRE & SAFETY PUBLICATION

SAFETY THEME AUGUST 2021:


SAFETY DURING CONFINED SPACE ENTRY
Indian Oil Corporation Limited
Panipat Refinery & Petrochemical Complex
Fire & Safety Department

Issue #13 Safety Alert 23.08.2021

Collapse of Electrical Panel (HVLRM) due to


Mudslide from Road Berm
In one of the refineries, remote operation panel of HVLRM got
collapsed due to cave-in of berm (slanted) portion of the footpath
along the road side. Incident led to outage of HVLRM. The incident
could have resulted into electrocution /personal injury if taken place
during emergency handling and fire fighting would have been severely
jeopardized.
Similar conditions were found at other locations where soil has got
eroded from the road berm causing unstable foundations. This
phenomenon occurred due to absence of retention wall normally
provided to prevent mudslides. During your plant rounds, everyone
must spot such hazards and report them to avert any serious incidents.
Indian Oil Corporation Limited
Panipat Refinery & Petrochemical Complex
Fire & Safety Department

Issue #13 Safety Alert 23.08.2021

What Went Wrong - By Trevor Kletz

UNAUTHORIZED ENTRY
Contractors unfamiliar with a company’s rules have often enter vessels
without authority. For example, in one of the petroleum refineries, a
contractor’s workman was found inside a tank, which was disconnected
and open, ready for entry, but not yet tested. He had been asked to
estimate the cost of cleaning the tank. The workman said that he did
not realize that a permit was needed just for inspection. He had been
given a copy of the plant rules but had not read them. If vessels are
open but entry is not yet authorized, the manhole should be covered by
a barrier. Do not rely on contractors reading rules. Explain the rules to
them.

ACCIDENT
In another incident, a process foreman had a last look in a vessel before
it was boxed up. He saw an old gasket lying on the floor. He decided to
go in and remove it. Everyone else was at lunch, so he decided to go in
alone. On the way out, while climbing a ladder, he slipped and fell and
was knocked out. His tongue blocked his throat, and he suffocated.
Indian Oil Corporation Limited
Panipat Refinery & Petrochemical Complex
Fire & Safety Department

Issue #13 Safety Alert 23.08.2021

HSD header rupture in absence of TSV


In one of the refineries, one tank was under
M&I & Hot work was in progress inside the
tank having roof already in open condition.
Suddenly, at around 1320 hrs., fish mouth
opening took place in 20” HSD suction
header ( in idle condition) passing just
outside the tank dyke led to diesel jet
which got sprayed into the the Tank under
shell cutting (M&I) (approx 45 mts away
from the line).
As the shell cutting job was in progress, the
spray diesel got ignited and 3 workers got
severe burn injury.
Reason of failure
Over-pressurization of the header much beyond its design pressure
due to thermal expansion.
Safeguard
Ensure provision/healthiness of TSV in the header
to take care of temperature rise in stagnant
header ( valves closed condition).

Prepared By: Krishna Mohan S, MFS Reviewed By: K K Jha, DGM (F&S)

Panipat Refinery, Fire & Safety Department

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