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Step 8 Rate Consequence of Failure (CoF):
Below the Step 8 Methodology is described. See also Software Step 8.
The Consequence assessment should be based on the most Credible Failure Scenario (Step 4). Make sure to include the Barriers on the right-side of the bowtie in the Consequence assessment. Also note that the affected area may be larger than the Equipment and its direct vicinity.
For more information see Risk Based Inspection (RBI) - Theory.
In IMS Asset and People Consequence of Failure (CoF) assessments have three levels of detail. At least once per CL do the detailed People (Health & Safety) assessment to maintain consistency across the unit/plant/site.
Specific Guidance Summary
Where required, see the specific guidance on Consequence of Failure for Special Emphasis Components and DMs (see the table below). For all other DMs, refer to the general information provided in this section.
Specific guidance summary - Consequence of Failure:
DM / Special Emphasis Component | Description |
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Use an equivalent hole size that represents the leak; see also equivalent hole sizes per cracking mechanism in the appendices. |
Asset Consequence (Economic)
Here the financial effect of a failure on assets and production is considered in terms of:
- Damage (repair/replacement of Equipment and labor),
- Consequential Business Loss:
- Direct production loss (due to shut-down, off-spec products, reprocessing costs, etc.;) and
- Addition failure-related costs, e.g., fines (for excessive flaring or exceeding maximum sound levels, etc.), demurrage, etc.
Note: Costs associated with the consequences of the other three categories (people, environment, and community) should not be considered in this category (for example: clean-up costs of spillage or medical costs of an injury).
Direct Assessment
For the Direct Assessment, an estimate of the total costs of the specific failure should be made (see the table below).
Asset Consequence (RAM) definitions (direct assessment guidance):
Class | Potential Impact | Description |
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N | Slight damage: < 100 kUSD | No/slight disruption to operation |
L | Minor damage: 100k -1 MUSD | Brief disruption |
M | Local damage: 1 - 10 MUSD | Partial shutdown |
H | Major damage: 10 - 100 MUSD | Partial operation loss (up to 2 weeks shutdown / reduced throughput) |
E | Extensive damage: > 100 MUSD | Substantial or total loss of operation |
Simple Assessment
The simple economic questionnaire considers the three main cost elements as shown in the table below. IMS determines the class from the total cost of these 3 elements, using the RAM matrix in Risk Based Inspection (RBI) - Theory.
Asset Consequence simple assessment guidance:
Cost Element | Description |
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Production Loss | Deferred income (loss or downgrading of product) plus product wasted (e.g., flared or spilled), usually calculated as margin loss plus manpower cost. |
Repair Costs | The costs other than labour (but including fixed contractor costs) incurred to have the damage repaired. |
Labour Costs | The costs (hours) of own personnel or contractor staff on reimbursable contracts. |
Detailed Assessment
The detailed questionnaire should be used when more guidance is required to estimate the separate cost elements. Refer to the table below for guidance on each cost element. IMS determines the class from the total cost, Cec =CTPL + Crepair + Clabour, using the RAM matrix in Risk Based Inspection (RBI) - Theory.
Asset Consequence detailed assessment guidance:
Cost Element | Description |
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(Total) Production Loss CTPL = Cprod + Cmisc | First, the Production Loss Equation (PLE) should be predefined (see Configuring the Toplevel via Settings). The PLE defines production loss rate in different time intervals. You can input the Downtime period, Tdown, and the period and percentage of Reduced Throughput, Tred, and Pred: Tlost = Tdown + Tred ´ Pred IMS then uses the PLE to calculate the production losses, Cprod, from Tlost. Except for downtime and reduced throughput, you can also specify other Miscellaneous costs, Cmisc, e.g., reprocessing costs (energy), efficiency losses, etc. |
Repair Costs Crepair= Cmat+Ccontr+Cmrep | These are all costs (excluding labour) required to restore a failed item back to its desired performance. Three elements are considered in the questionnaire.
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Labour Costs Clabour = Tcraft ´ Rcraft + Tops ´ Rops + Tstaff ´ Rstaff + Tcontr ´ Rcontr. | Variable labour costs of internal and contractor personnel are calculated for a specific failure. The labour rates for each discipline are predefined (see Common Data Settings): Craftsmen, Rcraft, Operators, Rops, Staff, Rstaff, and Contractors, Rcontr. These are very generic and can probably be used for all units on one site. Failure specific input are the time each discipline needs as a response to the failure: Craftsmen, Tcraft, Operators, Tops, Staff, Tstaff, and Contractors, Tcontr. |
People Consequence (Health and Safety)
Failure of Equipment can result in health and safety consequences when hazardous substances and/or high pressures/temperatures are involved. Injuries might be the result of the thermal, toxic or impact effects on humans resulting from an Equipment failure.
Direct Assessment
The severity of the People Consequence can be estimated with the table below, provided that any mitigating factors are taken into account (refer to the below Detailed Assessment - Mitigation).
People Consequence (RAM) definitions (direct assessment guidance):
Class | Potential Impact | Description |
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N | Slight injury |
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L | Minor injury or health effect |
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M | Major injury or health effect |
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H | Permanent total disability or up to three fatalities |
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E | More than three fatalities |
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Simple Assessment
The simple questionnaire is a small extension of the above descriptions. For all three possible effects (fire, explosion and toxic) it relates the magnitude of these effects to a potential impact.
As an example, the description for a medium (M) fire safety Consequence class is: “fire which could cause major injuries (LTI >1 week and/or partial disability)”. Lost Time Injury (LTI) is the time-period lost, due to an injury disabling a person to work.
The overall People Consequence is the maximum of the three categories, with the mitigation score subtracted from this. The mitigation score ranges from no reduction to a reduction of two classes.
The advantage of the simple questionnaire over the direct assessment is that it forces the team to consider and classify all three effects and mitigation. It also documents the results of this analysis, which is very helpful for audits and/or future reviews.
Detailed Assessment
The detailed questionnaire provides further guidance. It uses product, Equipment, and location data as input. Note:
- The Operating Conditions tab can be used to lookup the specific product’s parameters (Nf, Nh, FP, AIT) – see Step 4.
- The Default Hole Size per DM section contains a list from which the typical hole size can be determined for a specific DM’s (failure). The graphs in the Release Rate Calculations section can then be used to determine the release rate from the hole size and the pressure, as well as the energy for high pressure gas pipes (rupture). Take note that this information is partially available via the Liquid Release Calculator, which can be opened from the Operating Conditions tab.
The overall People Consequence is defined as the maximum of fire, explosion (VCE, rupture), and toxic Consequence, minus any mitigating factors. See the table below for guidance.
People Consequence detailed assessment guidance:
People Consequence Effects | Guidance | |||||||||||||||||||||||||||||||||||
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Fire | ||||||||||||||||||||||||||||||||||||
Flammability and the amount of fuel available, after the release into the atmosphere, are used as input parameters to estimate the fire safety Consequence. | Flammability The flammability index, Nf, originating from the American NFPA (National Fire Protection Association) standard 704, is used as a factor in flammability. It ranges from 0 to 4. Substances with a Nf > 1 are considered flammable. Another factor is product temperature, Tproduct, in relation to the product’s Flash Point (FP)*, and Auto Ignition Temperature (AIT). A flammable cloud originates from:
(if it immediately sets fire, no explosion takes place)
(evaporation should lead to a flammable cloud).
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Released quantity Available fuel is estimated by the released quantity, or in case of a continuous release the released quantity per hour. Alternatively, the Equipment inventory can be used instead (e.g., rapture case). | ||||||||||||||||||||||||||||||||||||
IMS combines the Released quantity and Flammability (property) in the Fire Consequence matrix to determine the Consequence score. The highest possible score for fire is “H” (high), which corresponds to “≤3 fatalities”.
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Explosion | ||||||||||||||||||||||||||||||||||||
Two scenarios can cause impact (blast) effects:
The severity of both incidents must be estimated. The maximum of the two is the overall Consequence. | VCE Possibility A VCE is only possible if a flammable gas cloud is ignited in a congested or confined area. This cloud can come from released flammable gas or a flammable vapor from flashing or evaporating volatile liquid. Delayed ignition of the cloud in an open area will cause a flash fire (also called cloud fire or deflagration) with a very small or no pressure wave. A congested area shapes the explosion, which may trigger transition from deflagration to detonation (supersonic) with much larger pressure wave. The Consequence of a vapor cloud explosion is determined by the degree of congestion and /or confinement which is determined by the number of obstacles (e.g., pipe work) that a flame front must pass during combustion. Congestion is difficult to assess, but most process plant areas can be defined as medium congested. Only a few are heavily congested, e.g., all enclosed spaces, dark (no sunlight) areas in the middle of a plant, and units with a lot of Equipment (e.g., Crude Distiller Units). Congestion should not only be assessed at the area of release, but also for areas where the cloud can travel to. | |||||||||||||||||||||||||||||||||||
Release vapor mass The other important parameter, needed to determine VCE Consequence, is the amount of fuel available. This is estimated by the released quantity or, in case of a continuous release, the released quantity per hour. Note: First determine the typical hole size for a particular DM’s failure. Then determine the release rate from the hole size and the pressure. IMS combines the Released vapor mass (quantity) and VCE Possibility (property) in the Common Consequence matrix to estimate the VCE Consequence.
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Other explosion Other forms of impact effects, particularly rupture (e.g., runaway reactions, or BLEVE (Boiling liquid expanding vapor explosion), severe over pressurization), resulting in failure of high-pressure Equipment, potentially causing flying debris (e.g., pipeline rupture, high speed compressors, brittle fracture). This “high pressure” consequence part is specifically meant to deal with Equipment rupture (and usually dominates for non-flammable, non-toxic (e.g., air and steam) pressure events). The severity of a rupture depends on the potentially stored energy, which, in turn, depends on pressure and volume (Energy = p x V). For pipes, the effective volume is estimated by taking a section with a length of fifty times the diameter, D, i.e., V=50D ´ ¼pD2. Thus, in this case, the Consequence is determined by the energy content. See Release Rate Calculations (High Pressure Consequence of Gas Pipes).
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Toxic | ||||||||||||||||||||||||||||||||||||
Toxic effects to people may occur when a failure results in the release of a toxic substance into atmosphere. Typical examples in a refinery, are containment failures of Equipment holding hydrogen sulphide (H2S) or hydrogen fluoride (HF). The dose received by a person is determined by the concentration of the toxic agent in atmosphere, and short-term exposure time. Dose and toxicity, together, determine the health effects. Note: A release of a fluid that is corrosive to the skin is also considered as a toxic effect. | Toxicity The toxicity index (or health index), Nh, originating from the American NFPA standard 704, is used as a measure of toxicity. It ranges from 0 to 4. Substances with an Nh > 1 are considered toxic. | |||||||||||||||||||||||||||||||||||
Concentration To accurately calculate a toxic dose is outside the scope of this assessment, since it requires a lot of detailed information (leak size, atmospheric conditions, dispersion models, location, exposure, etc.). Instead, the dose is estimated by the concentration of the toxic substance within the Equipment item (e.g., vessel or pipe). It is a coarse estimate, but at least provides a handle to rule out combinations of toxicity and concentration, which do not lead to health effects. The released quantity is not considered, but it is assumed that it is large enough to cause harm. The mitigation analysis can be used to correct the outcome for cases where only a small amount of toxic gas is released. | ||||||||||||||||||||||||||||||||||||
IMS combines the Concentration (quantity) and Toxicity (property) in the Toxic Consequence matrix to estimate the toxic Consequence. For most of the contaminations involving liquid “sprays “, where liquid burns (strong acids - corrosive burns) can happen, or other special effects (phenol), the Consequence is max (class High). The same applies for the release of a hot liquid, like steam or heating oil.
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Mitigation | ||||||||||||||||||||||||||||||||||||
A hazardous event will only lead to health & safety consequences if people are present in the hazardous zone and have no means of averting or protecting themselves. Thus, to be realistic, these two mitigating factors must be considered. In this context, mitigation has a more limited meaning than in general HSE guidelines, where it also includes hardware measures to reduce consequences (e.g., water screens, foam systems, safety relief valves etc.). | Exposure The frequency of presence and duration of exposure of people in the hazardous zone is one mitigating factor. This should be estimated with the failure mode scenario in mind rather than just calculating an average exposure. In the questionnaire the figures for average exposure are given between brackets but should only be used for loss of containment with a short duration which occur purely randomly. Some examples to clarify this concept:
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Possibility to avert danger In estimating the possibility for averting, or self-protection against, the hazardous situation due to a failure mode, the following should be considered:
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Both Exposure and Possibility to avert danger may decrease the People Consequence. They are expressed as numbers (1, 2 or 3) and their combination leads to either no Consequence reduction or a reduction by one to two classes, see below.
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Environmental Consequence
Two important mechanisms for damage to the environment should be considered:
- Release of liquids, which may lead to soil and water (surface and aquifer/ground water) pollution; and
- Release of gas which may result in pollution of the atmosphere and complaints.
When environmental effects are difficult to assess, external experts from the site or company should be consulted.
Consider specifics of the local situation, like environmental toxicity of the product, the location of the release and the local environmental sensitivities in terms of environmental values, environmental regulations, and probability of complaints. Examples are presence of sensitive species, habitats, drinking water sources, regulatory discharge and emission limits, nearby population, etc.
Direct Assessment
The table below describes potential environmental consequences. This table can be used for the direct assessments. Note: The examples are generic and for guidance only.
Environmental Consequence (RAM) definitions (direct assessment guidance):
Class | Potential Impact | Description | Liquid spill (L) or Gas emission (G) |
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N | Slight effect | Slight environmental damage - contained within the premises. Example:
| L & G |
L | Minor effect | Minor environmental damage, but no lasting effect. Examples:
| L & G L L L & G L & G |
M | Moderate effect | Limited environmental damage that will persist or require cleaning up. Examples:
| L & G L L L L & G L & G |
H | Major effect | Severe environmental damage that will require extensive measures to restore beneficial uses of the environment. Examples:
| L & G L L L & G L & G |
E | Massive effect | Persistent severe environmental damage that will lead to loss of commercial, recreational use or loss of natural resources over a wide area. Example:
| L |
Community Consequence (Reputation)
A Community category is included for those cases where failures could lead to an impact on a site or company’s reputation that is higher than Asset, People, or Environmental Consequences. In cases where the Community impact is difficult to assess by the people, typically present in the RBI team, external experts from the site or company should be consulted.
Direct Assessment
The table below can be used for direct assessment of consequences to the Community.
Community Consequence (RAM) definitions (direct assessment guidance):
Class | Potential Impact | Description |
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N | Slight effect |
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L | Minor effect |
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M | Moderate effect |
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H | Major effect |
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E | Massive effect |
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Detailed Assessment
Use the detailed questionnaire when the team needs more guidance.
Notes on using Detailed Assessments
The detailed questionnaires are meant to provide guidance and consistency in a Consequence Assessment, especially if no HSE staff is in the team. However, there are limitations:
- It is meant to provide an estimate of Consequence class (i.e., one out of five) with the associated degree of accuracy. The risk assessment in S-RBI is a semi-quantitative. It is not a Quantitative Risk Assessment (QRA) method, which requires detailed physical modelling to determine Consequence.
- It is specifically geared to assess potential incidents related to maintenance, inspection and safeguarding of process plants and it is not meant for use outside of S-RBI.
- It is a rather mechanistic procedure, with the benefit of being consistent, but with the risk of being applied thoughtlessly. The team should always review the outcome and consider seeking specialist advice in case of doubt.
- In case of high or extreme criticalities the use of a more quantitative Consequence Assessment method should be considered.
The S-RBI methodology should not be used for cases with a potential Consequence outside the matrix, i.e., with a very high Consequence that is, for instance, more than a factor 10 higher than the dividing line between High and Extensive, e.g., for Asset Consequences larger than 1,000 Million US Dollars. These cases should be covered by a dedicated risk analysis involving HSE/QRA specialists.