Line Break gone bad (pyrophoric materials)

Two workers were injured on an offshore platform while installing a skillet, the steel circular joining plate inside a section of piping. The incident occurred while the workers were on scaffolding and unbolting a 10-inch flange (Figure 1). After determining the skillet was the wrong size, the supervisor instructed a third worker to join the initial two workers on the scaffolding to take skillet measurements to verify the pipe size.

Upon arrival, the third worker saw that the other two had already unbolted the flange to install the skillet. The third worker instructed them to pass down the gasket so he could verify the pipe size, then exited the scaffolding and relocated to the tool shed to retrieve a fall protection harness.  During this time, the two workers on the scaffolding became alarmed when a handheld gas detector signaled the presence of gas. Simultaneously, they heard pressure escaping between the pipe flange opening. The third worker, who was still in the tool shed, heard a rumbling and loud noise and looked toward the noise to see a black plume of smoke. The third worker noticed the other two workers were exposed to the material emitted from the gap in the parted flange (Figure 2). The two workers on the scaffolding experienced smoke inhalation and described feeling a burning sensation. They were quickly transported to the nearest hospital by air transport for further evaluation.

On Sept. 16, 2022, BSEE personnel conducted an on-site investigation and searched for any isolation sources near the verified isolation points. BSEE found no isolated sources or ignition sources in the incident area. BSEE also determined that all equipment was properly installed per the hazardous area classification drawings. BSEE inspected the tools and equipment personnel on board reported using and determined these were correctly rated for the area.

The BSEE incident investigation revealed that:

  • Workers were not aware of the possible hazards within the piping.
  • No purging or flushing of the piping was done before the work was done. Personnel failed to identify the possibility of pyrophoric materials within the piping.

BSEE recommends that operators and contractors consider the following:

  • Implementing and following a fire and explosion management plan and safe work procedures when working with tanks and vessels where pyrophoric iron may be present.
  • The plan and procedures should address ignition sources, oxygen, and fuel sources.
  • Identifying possible ignition sources, including pyrophoric materials that can form in both sour and sweet sites, automatic flare stack igniters, electrical discharge from improper
    bonding/grounding, and lightning.
  • Determining how oxygen could enter the tank through possible entry points like the thief hatch, extinguished flare stack, open valves, pipes, and hatches.

 

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