Title: Lessons Learned From Chemical Accidents Reported to MARS
 1Lessons Learned From Chemical Accidents Reported 
to MARS
Institute for the Protection and Security of the 
Citizen
The Use of HarsMeth As A Tool For Accident 
Analysis
Jaime Sales, EC-JRC-MAHB
Ispra - 2 February 2007 
 2Analysis of Chemical Accidents
- Runaway reactions are known to be hazardous 
(Seveso).  - Generally unexpected  lack of chemical 
knowledge.  - Possible consequences of process failures 
underestimated  Process analysis.  - Hazards of chemical substances. 
 - Companies not always ready to cope with the 
effects of loss of control of chemical reactions 
 Mitigation, response.  - A selection of 132 accidents from MARS involving 
chemical reactivity has been analysed.  - Accidents involving chemical reactions. 
 - Accidents related to decomposition of unstable 
substances or unexpected mixing of incompatible 
substances.  
  3Consequences of chemical accidents (I)
- Chemical accidents can happen anywhere in a 
chemical establishment.  - Maintenance and cleaning accidents generate the 
most serious consequences. 
  4Consequences of chemical accidents (II)
- Chemical accidents can happen anywhere in a 
chemical establishment.  - Maintenance and cleaning accidents generate the 
most serious consequences. 
  5Main causes leading to chemical accidents (I) 
 6Main causes leading to chemical accidents (I) 
 7Lessons learned from Chemical Accidents
- Process analysis Process conditions (and 
possible variations) must be studied in order to 
identify hazards related to a process.  - Stability of substances 
 - Compatibility of reactants 
 - Critical parameters for a reaction (dosing, 
agitation, etc.).  - Safety measures and control systems It must be 
assured that any parameter identified as critical 
for the safety of the process will always be kept 
under safe conditions no matter what deviation 
may occur (reliability, design).  - Interlocks for chemical reactors (T-dosing, 
T-cooling, Agitation-Dosing, etc.)  - Pressure relief systems 
 - Organisational measures The development of a 
safety management system is indispensable in 
order to spread an appropriate safety culture in 
a chemical establishment.  
  8HarsMeth What is it?
- Hazard Assessment of Highly Reactive Systems 
Methodology.  - Developed by EC funded network HarsNet 
(1998-2002). Followed by Safety2Safety (S2S) 
(2002-2006).  - Currently under development by Institut Quimic de 
Sarria, Ramon LLull University, Barcelona 
(Spain).  - Checklist based system to identify thermal 
hazards of batch or semi-batch chemical reactions 
for Small  Medium Industrial Companies.  - Available at 
 - http//www.harsnet.net  http//www.s-2-s.org 
 
  9HarsMeth Structure 
 10Failure Scenario Diagram
Decomposition or secondary reactions triggered
Loss of process control 
 11Stoessel Diagram 
 12Objectives of Accident Analysis With HarsMeth
- To match accidental causes from MARS reports with 
the issues covered by the methodology to enhance 
accident analysis.  - To identify how the use of HarsMeth could have 
helped to avoid accidents.  - To improve the methodology by identifying common 
failure modes in chemical reactions by means of 
lessons learned.  - To provide recommendations for reporting of 
chemical accidents.  
  13Safety Management Systems
- Related to routine operations  Work permits 
 - Independent from process
 
  14Preliminary Safety Analysis
- Substances and mixtures 
 - Usually related to storage and handling operations
 
  15Bench Scale Analysis
- Critical parameters for the reaction 
 - Analysis of possible deviations from expected 
process conditions 
  16Industrial Scale Analysis
- General recommendations in relation to previous 
hazard identification  - First action should be to try to eliminate the 
hazard 
  17Conclusions
- Could accidents in MARS have been avoided with 
the use of HarsMeth?  - Identification of key issues to be reported to 
MARS in case of chemical accidents  - Study has clear benefit for the methodology as 
testing exercise  - Necessity to increase awareness of chemical 
hazards (not only operators, but senior 
management)  - Dissemination of results to companies to improve 
their safety culture 
  18Lessons Learned From Chemical Accidents Reported 
to MARS
Institute for the Protection and Security of the 
Citizen
The Use of HarsMeth As A Tool For Accident 
Analysis
Jaime Sales, EC-JRC-MAHB
Ispra - 2 February 2007 
 19Lessons learned from Chemical Accidents Process 
Analysis
- Identification of properties of the substances 
involved in the process related to chemical or 
physical stability, including safety margins for 
temperature, humidity, storage time, etc.  - Identification of incompatibility of the mixtures 
that could be generated (intentionally or 
unintentionally) in the chemical establishment. 
Compatibility with auxiliary and construction 
materials must also be studied.  - Identification of those physical and chemical 
parameters (temperature, pH, reaction time, 
etc.), the variation of which could lead to a 
loss of control of a chemical reaction or other 
process operations.  - Identification of possible actions (inhibition, 
extra cooling, containment, etc.) that could be 
taken in order to stop a runaway event.  - Identification of possible physical consequences 
(toxic release, explosion and/or fire) that could 
be originated as a result of a runaway.  
  20Lessons learned from Chemical Accidents Safety 
Measures and Control Systems (I)
- Whenever a hazardous substance has been 
identified, it should be replaced, if possible, 
with a less hazardous one, or at least its use 
should be minimized.  - For storage and transport, the control and 
monitoring of critical parameters of unstable 
substances must be made available. These may 
include, among others, temperature and humidity 
control, and verification of storage periods.  - Measures must be introduced to ensure that 
incompatible substances will not come into 
contact at any stage of the process.  - When using flammable materials, if their use 
cannot be avoided, two conditions are of great 
importance.  - To avoid oxidant atmospheres that may trigger an 
explosion, this can be achieved by the use of 
inert gases like nitrogen.  - To avoid ignition sources such as static 
electricity, hot surfaces, or sparks originating 
from other operations such as welding works.  
  21Lessons learned from Chemical Accidents Safety 
Measures and Control Systems (II)
- For reaction and process operations, sensors to 
monitor the evolution of critical safety 
parameters identified during process analysis 
should be incorporated into the plant equipment.  - Sensors should be interlocked with the equipment 
devices (such as cooling system, dosing devices, 
agitation system, etc.), so that the control 
system can act to restore appropriate process 
conditions.  - The correct functioning of the control system 
must always be guaranteed, for this reason it 
should be a policy to provide redundant control 
systems. These must also be effective and 
reliable when called upon.  - If a loss of process control should happen, it 
must always be possible to stop the activity. 
Systems to kill a reactive process, such as 
inhibitors, addition of solvent to quench a 
reaction, or transfer of reaction mass to 
catchment tanks should be provided. 
  22Lessons learned from Chemical Accidents Safety 
Measures and Control Systems (III)
- The implementation of mitigation measures should 
also be considered in case the risk analysis has 
identified the potential for an accident to 
occur, even if it is considered unlikely. Some 
possibilities would include  - Use of water curtains or foam sprays to dilute 
toxic releases.  - Relief valves or rupture disks or other devices 
to deal with pressure increases in order to avoid 
explosions  - Fire containment and extinguishing systems. 
 - It must be guaranteed that, in case they should 
be necessary, safety measures are always 
effective and correctly designed.  - It must be granted that supply lines such as 
electrical power, cooling circuits, air, steam or 
nitrogen feeds will always be operational. 
  23Lessons learned from Chemical Accidents 
Organisational Measures
- Preparation of training systems is of primary 
importance. Workers must be aware at any point of 
the hazards involved in chemical processes.  - Detailed maintenance and cleaning procedures must 
be implemented. These have to take into account 
the incompatibility of substances used for these 
operations.  - Emergency plan systems must include the 
activation of defence systems, evacuation routes, 
identification of personnel on site during an 
accident, correct alarm systems, etc.  - Appropriate operating procedures must be 
provided, according to the process analysis. 
After evaluating the hazards of a chemical 
process, the appropriate methods to perform 
common operations should be decided. Some 
examples are  - Implement correct labelling rules and procedures, 
including verification, to avoid mishandling of 
chemicals.  - Provide description of requirements for safe 
handling of chemicals for transport and loading 
operations. This should include personal 
protection measures and equipment (isolation, 
connections, etc).  - Ensure fluent communication throughout a process. 
 - Ensure appropriate supervision of hazardous 
activities. 
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