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Clean Hydrogen Partnership

Near miss on a flange of a heat exchanger in a refinery

Event

Event ID
600
Quality
Description

An operator noted a loose tube sheet flange stud on a high temperature, high pressure heat exchanger in an hydrodealkylation unit.
The stud was found to be cracked through. Analysis proved to be made of standard steel instead of the alloy type specified. Some of the other studs had started to crack.
The studs had been replaced on the previous shutdown when the heat exchanger was opened up to clean the tube bundle.

Event Initiating system
Classification of the physical effects
No Hydrogen Release
Nature of the consequences
Macro-region
Europe
Country
United Kingdom
Date
Component involved
heat exchanger (generic)
Failure mode
rupture, no ignition
Initiating cause
wrong material choice
Root CAUSE analysis

Incorrect component material

Root causes
Date entry in HIAD
01/01/2020

Facility

Application
Petrochemical industry
Sub-application
Hydrodealkylation unit
Hydrogen supply chain stage
All components affected

shell and tube heat exchanger

Location type
Unknown
Location
industrial area
Operational condition
Pre-event occurrences

The failed studs had been replaced on the previous shutdown when the heat exchanger was opened up to clean the tube bundle.

Description of the facility/unit/process/substances

DESCRIPTION OF THE CHEMICAL PROCESS
Hydrodealkylation is a chemical reaction that often involves reacting an aromatic hydrocarbon, such as toluene, in the presence of hydrogen gas to form a simpler aromatic hydrocarbon devoid of functional groups. An example is the conversion of 1,2,4-trimethylbenzene to xylene. This chemical process usually occurs at high temperature, at high pressure, or in the presence of a catalyst. These are predominantly transition metals, such as chromium or molybdenum. [Source: Wikipedia, accessed December 2022]

Emergency & Consequences

Number of fatalities
0
Number of injured persons
0

Lesson Learnt

Lesson Learnt

It is critical to have in place a Quality Control system for the consumables or parts replaced during maintenance or repair. Especially because these activities are often performed by contractors, there is always the possibility of a mismatch. The Quality Control could take the form of a check list to be executed by a plant supervisor, and/or consist in a full fledged quality control system agreed along the supply chain (for example based on ISO 9000 standard series).
It is critical to have in place a Quality Control system for the consumables or parts replaced during maintenance or repair. Especially because these activities are often performed by contractors, there is always the possibility of a mismatch. The Quality Control could take the form of a check list to be executed by a plant supervisor, and/or consist in a full-fledged quality control system agreed along the supply chain (for example based on ISO 9000 standard series).

In-depth data

Release type
no release
Released amount (kg)
0
Probable IGNITION SOURCE

References

Sources categories
ICHEME
Reference & weblink

Event 9873 of the UK database ICHEME in PDF

https://www.icheme.org/knowledge/safety-centre/resources/accident-data/
(accessed October 2020)