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Firefighting
response was delayed because the explosion had broken the fire main piping,
causing a loss of fire water pressure.
Nonessential
personnel were soon evacuated by helicopter. Later, the bodies of the third
assistant engineer and chief engineer were discovered near the pumproom where
the explosion occurred.
The Investigation
The U.S. Coast Guard (USCG) and the National Transportation Safety Board (NTSB) both investigated the incident because Arctic II was registered in the United States; at the time, it was owned and operated by Global Marine North Sea, Inc., in Houston, Texas.
The NTSB's Marine Accident Report2 stated that after being cleaned, the burner nozzle was improperly reassembled (reusing the already compressed gaskets instead of new ones) and was not fully seated. This caused the fracture in the burner tip, allowing hydrocarbons from the well to contaminate the rig's compressed air system through the fracture in the burner tip. Wax and other solids in the crude oil obstructed nearly half of the air outlets in the burner nozzle and the crude oil backflowed through the atomizing air piping and into the main compressed air piping system. The overpressured air receiver opened the pressure relief valve, releasing crude oil vapor into the pumproom. This vapor ignited.
The burners were portable, temporary pieces of equipment brought onboard and installed by the well-testimg company. Such portable, temporary industrial equipment, at the time of the incident, was not under the authority of any U.S. or U.K. regulatory requirements or any classification society rules addressing inspection, certification, or approval. And only permanent equipment on mobile offshore drilling units (MODUs) was addressed by USCG regulations.
Also, because the pumproom and propulsion room were not classified as hazardous locations, they did not require explosion-proof enclosures on electrical equipment. With numerous ignition sources, fire and explosion were virtually inevitable in the event of a gas leak.
NTSB Findings
The
Board’s findings included:
-
No operations or maintenance manuals were onboard
for the burners or nozzle assemblies
-
Otis maintenance procedures were inadequate and
permitted reinstallation of compression gaskets that lose effectiveness
after initial installation and compression
-
Otis inspection procedures were nonexistent, and
no U.S. or U.K. regulations or classification society rules addressed
inspection, certification, or approval of portable, temporary industrial
equipment
-
Inspection, maintenance, and proper assembly of
the crude oil burner and its components were left to the discretion and
sole responsibility of the owner and operator of the equipment—Otis and its employees
-
Otis failed to establish or require quality
control procedures of the burner tips for strict adherence to their design
specifications during manufacture
NTSB Recommendations
The
Board’s recommendations included:
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Otis develop and implement:
o
Comprehensive inspection, maintenance, and
assembly procedures
o
Quality control standards and procedures
o
Revised operating procedures requiring a
dedicated, separate compressed air source and a device that prohibits backflow
of hydrocarbons
o
Amend rules to include a requirement for
certification and inspection of crude oil burners and their components
o
Require that compressed air supplied to such
equipment is from a dedicated, separate compressed air source
Lessons Learned
The
primary lesson here is “pay now or pay later.” Invest now in developing and
implementing policies and procedures, in training and re-training, and in
regular maintenance to avoid potentially larger future payouts in human lives,
damaged or destroyed assets, environmental damage, ruined corporate reputation,
or regulatory fines.
Many
tools exist to help in these areas, such as:
-
Hazard identification (HAZID) analyses
-
Hazard and operability (HAZOP) analyses of
procedures
-
Job-site risk analyses (JSAs)
-
Safety-critical element (or system)
identification
-
Development of associated performance standards
and written schemes of examination
-
Safety cases
-
Accident and incident investigations
IRC
Risk and Safety can help your safety program with these and other risk
assessment tools and health, safety, and environment (HSE) management plan.
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