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Engineering Research Center of Chemical Technology Safety of the Ministry of Education, Beijing University of Chemical Technology, Beijing 100029, China
Research Center of the Ministry of Education for High Gravity Engineering and Technology, Beijing University of Chemical Technology, Beijing 100029, China
a r t i c l e i n f o
a b s t r a c t
Article history:
Received 13 July 2008
Received in revised form
17 December 2008
Accepted 14 January 2009
A method of preventing misoperations in the process of producing light magnesium carbonate with
a rotating packed bed (RPB) is proposed in this paper. The main problem in this process is that the
carbonization reaction and the purity of light magnesium carbonate are easily affected by misoperations,
which result in the waste of materials and energy, low quality of the product, and so on. A hazard and
operability analysis method was used to analyze misoperations in the process of producing light
magnesium carbonate. It was found that the situations caused by misoperations, such as the operation
step neglect and inversion, can be detected and arranged properly by a misoperation hazard and
operability (MO-HAZOP) analysis program according to the probability of the misoperation occurrence.
Based on the analysis results, the measures in terms of full automatic mechanism, programmed control
system, interlock mechanism can be adopted to reduce and prevent misoperations and to maintain the
normal production. The use of this method in the production of light magnesium carbonate has shown
that the occurrences of misoperations and accidents were reduced drastically, and the security and
protection system in this process was improved considerably.
2009 Elsevier Ltd. All rights reserved.
Keywords:
Misoperation prevention
Misoperation hazard and operability
Light magnesium carbonate
Rotating packed bed
Probability
1. Introduction
Process security is concerned with the potentially catastrophic
consequences of security threats that are not probable, but possible.
Security in chemical industry means that there is no risk or danger,
and also no doubt, anxiety, or fear. Due to the signicance of security
in many processes, systematic and effective methodologies for
process security analysis are a must (Uygun, Huang, & Lou, 2006).
Most petrochemical plants, especially batch plants, are
frequently started up from a cold and empty state. The performance
of the startup from these initial conditions will impact the whole
operation, and misoperations will result in capital or production
losses, even the explosion accidents. According to statistics from
those accidents, the vast majority of explosion accidents in chemical production processes are mainly caused by misoperations.
In chemical production processes, especially during the startup
and shutdown stages, there is easily confronted with the situations
that the operator misses an operation step or does some operation
(1) Basic HAZOP analysis for the process. The signed direct graph
(SDG)-HAZOP program, a computer-aided HAZOP analysis
program, plays an important role in the basic HAZOP analysis.
(2) Misoperations analysis by the misoperation hazard and operability (MO-HAZOP) program. The MO-HAZOP program is used
mainly to analyze the operation step neglect and inversion.
0950-4230/$ see front matter 2009 Elsevier Ltd. All rights reserved.
doi:10.1016/j.jlp.2009.01.005
238
F. Wang et al. / Journal of Loss Prevention in the Process Industries 22 (2009) 237243
Table 1
Results of factorial 116.
Number
Factorial
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
1
2
6
24
120
720
5040
40,320
362,880
3,628,800
39,916,800
479,001,600
6,227,020,800
87,178,291,200
1,307,674,368,000
20,922,789,888,000
(1) The probability of each factor is not the same. For example,
after the rst step, the operator is more likely to start the
second step immediately, so the probability of starting the
second step immediately after the rst step is higher than those
of starting others.
(2) The probability of the factor is 1 if a step is operated in the right
sequence, and the probability is otherwise more than 0 and less
than 1 if the step is operated in a wrong sequence.
(3) The more mistakes happen in an event, the less the probability
of the event will be.
(4) The probability is affected by the complexities of the event. The
more complex the event is, the less the probability of the event
will be.
(5) The probabilities of a huge number of events are so limited that
these events might be ignored. For example, after the rst step
the operator may not start the 19th step immediately, which
means that the probability of starting the 19th step immediately after the rst step is very limited and the event can be
ignored.
Fig. 1 shows the analysis procedure of the MO-HAZOP program,
which generates the total permutations of all the operation steps
and calculates the probability of each event. The events are
arranged in terms of the probability, with high probability events
assigned as the critical situations. The probability of each event,
calculated according to the internal arithmetic of the MO-HAZOP
program, should be more than 0 and no more than 1.
Fig. 2 describes the number of situations resulting from operation step neglect and inversion for 220 steps, of which the probability is no less than 0.6. The equations representing the curves in
F. Wang et al. / Journal of Loss Prevention in the Process Industries 22 (2009) 237243
(1)
0:7 :
(2)
0:8 :
y 0:5x2 1:5x 3
(3)
0:9 :
y x
(4)
As shown in Fig. 2, the four curves exhibit that the more the
number of the situations caused by the step neglect and inversion,
the less the probability.
2.3. Easily encountered problems summarized from the
accident cases
The presentation forms of misoperations are shown in Table 3
and the categorization of reasons of the misoperations is exhibited
in Table 4. After studying these tables, the easily encountered
problems during the startup process could be identied with
priority.
239
Table 2
Combinations of unit operation with the probabilities of no less than 0.8.
ID
Sequences
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
1
1
1
2
1
2
2
1
1
3
2
1
1
1
3
1
1
Probability
2
2
2
1
3
1
1
3
4
1
3
3
2
2
2
2
4
3
3
4
3
2
4
3
2
2
2
1
4
4
5
1
5
3
4
5
3
4
4
3
5
5
3
4
4
2
5
3
4
4
2
5
4
5
5
5
5
4
4
5
5
5
5
3
4
5
3
5
1
0.903
0.903
0.903
0.903
0.815
0.815
0.815
0.812
0.812
0.812
0.812
0.812
0.812
0.81
0.81
0.81
(5)
240
F. Wang et al. / Journal of Loss Prevention in the Process Industries 22 (2009) 237243
Table 3
Presentation forms of the misoperations.
Table 4
Categorization of the reasons of the misoperations.
Aspects
Sections (4 sections)
Engineering
design;
Make plan;
Manufacture;
Installation
Operation
Maintenance
Management
Presentation forms
1. Equipment
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
2. Medium
1.
2.
3.
4.
12.
13.
14.
15.
16.
17.
18.
High viscosity;
Liquids with dust nes;
Corrosion/erosion;
High-temperature;
High pressure;
Flow too rapidly;
Air suspended particles;
3. Operating and
controlling
1.
2.
3.
4.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
Operate frequently;
Forget to close;
Fail to open;
Forget to open;
Fail to close;
Turn the valve up;
Turn the valve down;
Changes ow rate too rapidly;
Changes ow rate too slowly;
Close the valve too slowly;
Open the valve too early;
Open the valve too lately;
Close the valve too early;
Close the valve too lately;
4. System and
environment
33.
34.
35.
36.
37.
Bad weather;
Thermal radiation sources;
Acid rain;
Vibration;
External impact;
(dash line) means that an increase in the value of the starting node
will result in a decrease in the value of the ending node. Then,
causal relationships between these identied nodes are
determined.
F. Wang et al. / Journal of Loss Prevention in the Process Industries 22 (2009) 237243
241
Table 5
Category descriptions of likelihood, severity and risk rank.
Category Likelihood
Severity
Risk rank
Value
Monthly.
Occurs
frequently,
e.g. weekly.
Major
accidents/
deaths
Major material
or energy losses
Major
Environment
pollution
Fig. 4. Flowchart of the process of producing light magnesium carbonate with the RPB.
Table 6
Operating step of the process of producing light magnesium carbonate with the RPB.
ID
1
2
3
4
5
6
7
R
Addition amount of
dolomite slurry
R
Liquid level
Mixing effect
C
Mass fraction of Mg
in dolimite slurry
Speed of the
RPB Rotor
Mass transfer
efficiency of RPB
Reaction time
Flow rate of
dolomite slurry
CO2-air ratio
Fig. 5. SDG analysis model of the process of producing light magnesium carbonate
with the RPB.
242
F. Wang et al. / Journal of Loss Prevention in the Process Industries 22 (2009) 237243
Table 7
Part of the MO-HAZOP analysis report for the process of producing light magnesium carbonate.
ID CS
EP
L S R
Consequence
4 1 1
1 2 3 4 5 7 6 No CO2 gas feeding will result in no carbonization reaction. It is impossible to close a closed valve.
0.903 3 2 2
1 2 3 5 7 4 6 No CO2 gas feeding will result in no carbonization reaction. It is impossible to close a closed valve.
0.731 2 2 1
1 3 5 2 4 6 7 Power loss.
0.731 2 2 1
0.729 2 2 1
1 3 4 5 2 6 7 The pH value is not monitored in time, and the carbonization reaction will be affected by the neglect of initial pH values.
0.729 2 2 1
1 3 5 4 2 6 7 The pH value is not monitored in time, and the carbonization reaction will be affected by the neglect of initial pH values.
0.727 2 2 1
1 3 4 2 7 5 6 No CO2 gas feeding will result in no carbonization reaction. It is impossible to close a closed valve.
0.66
2 2 1
1 3 5 2 4 7 6 No CO2 gas feeding will result in no carbonization reaction. It is impossible to close a closed valve.
0.66
2 2 1
10 1 3 4 2 6 7 5 Real reaction time is less than contact time, and then it is difcult to separate magnesium from the dolomite slurry.
0.66
2 3 2
11 1 3 4 2 7 6 5 No CO2 gas feeding will result in no carbonization reaction. It is impossible to close a closed valve.
0.658 2 2 1
0.658 2 2 1
13 1 3 4 5 2 7 6 The pH value is not monitored in time, and the carbonization reaction will be affected by the neglect of initial pH values.
If no CO2 gas feeding, then no carbonization reaction. It is impossible to close a closed valve.
0.658 2 2 1
14 1 3 5 4 2 7 6 No CO2 gas feeding will result in no carbonization reaction. It is impossible to close a closed valve.
0.656 2 2 1
0.656 2 2 1
16 1 3 4 6 2 5 7 The pH value is not monitored in time, and the carbonization reaction will be affected by the neglect of initial pH values.
0.656 2 2 1
0.654 2 2 1
18 1 3 6 4 2 5 7 CO2 gas loss; the pH value is not monitored in time, and the carbonization reaction will be affected by the neglect of initial pH values. 0.652 2 3 2
19 1 2 5 4 6 7 3 Operator forgets to run the RPB. The reaction rate is slow and there may be no products generated.
0.65
2 3 2
20 1 3 5 4 6 2 7 The pH value is not monitored in time, and the carbonization reaction will be affected by the neglect of initial pH values.
0.65
2 3 2
21 1 3 6 4 5 2 7 CO2 gas loss; The pH value is not monitored in time, and the carbonization reaction will be affected by the neglect of initial pH values. 0.646 2 3 2
CS-Current sequence; EP-Event probability; L-Likelihood; S-Severity; R-Risk rank.
Unknown
Disturbance
Known
Disturbance
Equipment
PLC
DCS
Other
Control Layer
Knowledge Base of
Diagnosis and Prediction
Documents of equipment and
Real-time Database
of states and
conditions
Real-time calculations
of non-monitoring
variables
its maintenance
Result of HAZOP analysis
NO
warning limitation?
YES
Warning
Causes
Safeguards
Uncontrolled
Consequences
Suggestions
C ontrollable
Control Measures
Fig. 6. Security and protection system for the process of producing light magnesium carbonate with the RPB.
ESD
F. Wang et al. / Journal of Loss Prevention in the Process Industries 22 (2009) 237243
243
Fig. 7. pH value change vs. time in the startup process (CO2 gas was fed at 0 min).
Acknowledgment
This work was supported by the National Key Technologies R&D
Program, Grant No. 2006BAK01B01 & the National Natural Science
Foundation of China, Grant No. 50635010.
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