Natech Accident
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Type
Natech Accident
Date
1983/08/30
Time
10:50
Duration
53 hour(s)
Status
Published

Units Involved

  1. Name
    Tank TO11
    Type
    Storage: Atmospheric storage tank
    Year of Construction
    1976
    Description
    Biggest tank of the site, made of steel and with a single-deck floating roof (annular pontoon type roof with 24 radial pontoons).

    Particulars of the tank:
    Height= 20 m
    Diameter = 78 m
    Capacity = 94110 m3

    Containment dike:
    Capacity = 16222 m3
    Dimensions = 90 meters wide and 180 meters long

    Bund wall:
    Height = 5 m

    All materials conform to British Standard 4360.
  2. Name
    Fixed roof tanks 1,2
    Type
    Storage: Atmospheric storage tank
    Description
    Two fixed roof storage tanks with an individual capacity of 13,000 m3 containing distillate are implanted in a containment area next to that of the tank TO11.
  3. Name
    Flare Stack
    Type
    Process: Stack
    Description
    An 83 m flare is located at 99 m of the bund wall closest to the tank TO11’s containment dike.
  4. Name
    Compressor
    Type
    Process: Reactor
    Description
    Compressor of the catalytic cracker

Event Sequences

  1. Name
    Fire - Tank TO11
    Unit
    1. Tank TO11
    Description
    A fire originated from the ignition of flammable vapours at the floating roof of the crude oil storage tank TO11. The ignition was triggered by incandescent ash transferred with the breeze from a nearby flare stack, which was activated due to a compressor failure.
    The resulting colossal fire was associated with the recurring problems of degradation of the permeability of the floating roof and it was linked with several organisational and technical issues.
    Substances Involved
    1. Name
      Crude oil
      Involved Quantity
      47000 ton
      Description
      On the day of the accident the tank was half full and contained 47000 tonnes of light crude oil (flash point of 38 degrees Celcius) from the North Sea. No transfer of crude oil was carried out during the last 24 hours.
    Initiating EventCritical EventMajor Event
    Component (Non-structural): Other
    On 30th August, 1983 at 10:45 a.m, significant quantities of gas were diverted to the flare stack, following a compressor failure (i.e., a compressor of the catalytic cracker broke down).
    Substance: Other
    Incandescent carbon particles discharged from the tip of the flare stack were blown onto the roof of tank TO11 and ignited the flammable vapour accumulation.
    Contributing Factors
    Equipment: Corrosion / fatigue:
    The presence of flammable vapours on the surface of the floating roof formed by the small quantities of crude oil that trickled through the fatigue cracks caused by violent winds. Although cracks were regularly repaired, a roof inspection carried out few days before the accident revealed cracks as long as 28 cm, and leaked crude oil was observed on the surface of the pontoon’s membrane.
    -
    Fire: Pool fire
    Once the vapour had been ignited, the cracks would allow further release of vapour. As metalwork became heated in the fire, these cracks opened, released further vapour/oil to the fire while the roof sank a bit further down, and the accident worsened: flames as high as 12 m covered half of the surface of the tank and spread to the entire surface within an hour.
    Contributing Factors
    Organisational: Design of plant / equipment / system: Non-existent
    Lack of fixed fire protection device.
    Organisational: Design of plant / equipment / system: Unavailable
    Shortage of foam compound (the fire fighters were short of 40m³ of foam compound to the 160 m³ collected).
    Organisational: Design of plant / equipment / system: Inadequate
    The access ladder to the roof was exposed to the radiation from the furnace and, thus, could not be used for emergency response purposes, preventing the firemen from pulling fire hoses till the roof.
    Event Sequence: First Boilover of Tank TO11 and Fire Spread
  2. Name
    First Boilover of Tank TO11 and Fire Spread
    Unit
    1. Tank TO11
    Initiating EventCritical EventMajor Event
    Event Sequence: Fire - Tank TO11
    The limited foam application split the flames into two causing a slop-over. Shortly after, the tank overflowed causing the first classical boil-over that resulted in a fireball with a radius of 90 m and a flame attaining 150 m in height.
    Contributing Factors
    Measure: Portable fire extinguishers: Inadequate
    The delayed fire-fighting operations due to obstacles encountered during the emergency response operations contributed to the development of a hot zone inside the tank that distilled the crude oil, which reached the decanted water layer at the bottom of the tank and caused the boil-over.
    -
    Fire: Fire spread
    A large quantity of fiery crude oil was ejected spreading the fire to the containment dike, destroying most of the fire fighting equipment and forcing the response team to stop operations.
    Event Sequence: Second Boilover of Tank TO11 and Fire Spread
  3. Name
    Second Boilover of Tank TO11 and Fire Spread
    Unit
    1. Tank TO11
    Initiating EventCritical EventMajor Event
    Event Sequence: First Boilover of Tank TO11 and Fire Spread
    A less intense second boilover occurred and the connection between the shell and the tank bottom gave in at four points.
    Release: Liquid release to ground
    Due to the tank's damage, fiery crude oil was released into the dike. The bund wall (over 5m high) was able to retain all the released quantity.
    Fire: Fire spread
    The thermal insulating material of the distillate tanks in the adjacent containment dikes caught fire and one of the tanks gave in, spreading the fire to the second containment dike.

Weather Conditions

Description
Slight breeze

Emergency Response

Response Planning
Emergency response plan is sufficient in taking Natech events into consideration: No
Response Planning Activities
- Foam compound supplies were planned to fight only the floating roof joint fire, which was the main accident scenario retained for such tanks at that time.
Difficulties in Response to the Natech Event
Insufficient personnel and equipment to respond to both emergencies: Yes
Response Teams and Equipment Involved
  • On-site fire fighting team
  • Regional / national fire fighting teams
Response to the Natech Event
The fire department of the refinery sprayed the tank roof with foam liquid using a canon fixed onto an aerial platform. The firemen required up to 26 water canons to cool down the tank shell and protect the two adjacent distillate tanks with a water curtain.

Couple of hours after the onset of the accident, the tank TO11 started to empty at a rate of 1,700 tonnes per hour while the crude oil burnt at 300 tonnes/hour, however it was deemed easier to empty the two adjacent tanks. Draining the tank TO11 completely while its shell was swelling seemed unpractical (i.e., the draining the tanks at the beginning of the accident would have been risky as small quantities tend to heat up sooner and are likely to cause an explosion due to overpressure in the fixed roof distillate tanks and hasten the boil-over of the tank O11).

As the fire was raging and aggravating, the internal response team was no longer in a position to control the fire and the regional fire-fighters took on the management of the operations. The security guards limited the number of response workers in the high risk zone to a strict minimum.

The intense heat destroyed the fire fighting equipment on several occasions, disintegrated the foam in the tank TO11 during the attack on the second night, and contributed to difficult conditions of operation for firemen who could only maintain the front line for a few minutes.

The fire was brought under control on the 1st of September at 10.00 am, and declared extinguished at around 3.00 pm. More than two days and 765 m³ of foam compound diluted at 3% and 6% were required to extinguish the fire.

The operation called for 150 firemen, 50 fire engines, 44 fire-fighting pumps, 6 aerial platforms and 70 foam tanker trucks.
A backup of firemen from the neighbouring counties helped relay the teams exhausted due to the heat and length of the operation.

Consequences

On-site Injured
6
Human Health Impacts
Six firemen sustained mild injuries during the first boil-over. One of them was hospitalised.
Environmental Impacts
17800 tonnes of light crude oil from the North Sea (classified as flammable by the Seveso directive, flash point 38 °C) were released.
There is no indication available for any possible environmental consequences.
On-site Material Losses
6.7 M USD
Economic Impacts
The tank TO11 was destroyed, the adjacent tanks were seriously damaged and 17800 tonnes of crude oil were released.
The cost of this accident was assessed at about 10 M GBP in 1983, equivalent to 6.7M USD (or 17.8 M EUR) based on the exchange rate on 30/08/1983 (i.e., about 26 M EUR in 2007).
There were no production losses.
Community Disruption
An evacuation plan was organised but not implemented since very few residents lived in the vicinity or were exposed.

The thick column of black smoke that rose several hundred metres above the refinery resulted in “soot rains” in the villages and the surroundings.

Lessons Learned

Lessons Learned on Equipment
- The containment dike of tank TO11 was conservatively designed with redundancy, as the rules in force would allow three tanks identical to the TO11 to be implanted in the same containment dike.

- The absence of a fixed fire protection system on the tank (fixed water spray systems, foam box, etc.) enabled the fire spread. This leads to the lesson learned that the presence of fixed fire protection devices on the tanks would have facilitated the response operations. A foam box would have probably put out the joint fire and the fixed water spray system would have prevented the empty portion of the tank from deformation and folding. The fixed and mobile fire protection devices must be adapted to the site’s configuration. After the accident, the operator equipped the tanks with fixed fire extinguishing devices (foam boxes, fixed water spray systems, etc.).

- The planned foam compound supplies to fight only the floating roof joint fire (the main accident scenario considered for tanks like TO11 at that time) contributed to less efficient fire fighting operation during the 12 hours preceding the first boil-over. As a lesson learned, the presence of sufficient foam compound stocks is necessary for major accidents together with appropriate fire extinguishing devices suited to the surface area and the quantities of product likely to catch fire.

- The huge size of the tank TO11, 4 778 m² of surface area and 20m high, rendered the access with foam nozzles difficult.

- Accident feedback generally show that hydrocarbon fires involving large surface areas and a product volume of several thousand meter cubes are specially hard to control and require significant extinguishing and cooling resources. Failing which, these fires can last for long durations and spread to adjacent facilities.

- The presence of fire pockets made it hard to access behind the metal folds of the tank, forcing the firemen to mount a wagon pipe and a foam canon on a refinery crane to spray foam.

- Due to connection problems between the fire-fighting pumps and the foam tanker trucks sent on site, the firemen were forced to design a new joint on site.
Lessons Learned on Organisational Aspects
- Exhaustive risk analysis by taking the cascade effects into account and not ruling out certain phenomena such as floating roof tank on fire.

-Studying the advantages and shortcomings inherent to large capacity storage sites and to surface areas of the corresponding containment dikes.

- Adapt the distance between the flare and other facilities especially according to weather conditions.

- Adapt the flare clean up frequency to its use to avoid incandescent particles from being projected onto the other facilities of the refinery.

- When a malfunctioning is known or detected, take into account the risk associated with any degradation of the situation and plan out measures to face or overcome the crisis while giving priority to repair operations rather than waiting for scheduled maintenance operations.

- Share feedback: positive and negative aspects, problems in rescue operations, etc.
Lessons Learned on Emergency Response Aspects
- Perform fire drills for such extreme scenarios and clearly define the responsibilities of the operator and the public authorities during emergency response operations.

- Weigh the advantages and shortcomings of quick emergency response operations with limited resources against waiting for additional resources to launch a massive attack.
ID: 106, Created: Kyriaki GKOKTSI, 2023-10-19 08:14:51 – Last Updated: Kyriaki GKOKTSI, 2023-10-19 11:22:51

Attachments

NoDescriptionFile Size
1.Aria 607771.33KB
2.Investigation Report10.67MB
3.The Institute of Fire Engineers8.47MB