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Lecture-11
So far.
So far.
Risk assessment
Paradigm shift
Accident Investigation as problem solving
Exxon Valdez
Common contributors to accidents
Problem solving process, 5 steps
Heuristic Approach
Process Chart
So far.
So far.
Petri Nets
Decision Trees, Binary Decision Trees
FTA
ETA
Solution implementation
Approval
Planning
Evaluate Solution
Implement Solution
Decide Course of Action
Generate Solutions
Define the Problem
BEWARE!
Lets examine
these in turn
1. Approval
In some cases, the first step to
implementation is getting approval from
your organization to proceed with the
selected solution.
You may have to sell your ideas to
management:
What you want to do
Why you want to do it
How you are going to do it
How your project will benefit the organization
Automation
Notifications
Approvals hierarchy, budget
Risk management, MOC
2. Planning
Once you have approval, the most
important step of implementation is
planning.
The best way to plan is to sketch the
pathway through to the finished solution.
There are many ways to plan
Let us build upon concepts we already are
familiar with.
Planning
KT
Situation
Analysis
Gantt and
Deployment
Charts
Time &
Resource
Allocation
Critical
Path
Management
KT Potential
Problem
Analysis
Necessary
Resources
Steps to Planning
We can use a form of KT Situation
Analysis to help identify critical elements
and prioritize them.
Gantt charts, deployment charts, critical
path charts, budgets, etc. will help us do
time and resource allocation.
We can use a form of KT Potential
Problem Analysis to help us identify what
could go wrong
600 MW
Steam
Generator
H2O scale
D2O scale
Gantt Chart
Deployment Chart
Team Member
Task
1. Disassemble heat
exchanger
2. Analyze the scale
and find extent
3. Determine best
way to remove scale
4. Arrange for scale
to be removed
5. Reassemble heat
exchanger
Worker
A
Worker
B
Worker
C
Worker
D
Advisor
Everyone
Advisor
Critical Path
Critical path analysis helps to identify
critical points in the process.
Critical points are generally readily
identified as tasks that will cause a
substantial delay in the implementation of
a solution if the schedule is not met.
Disassemble
heat
exchanger
Don PPE
Sample
D2O
scale
Determine
extent
D2O scale
Sample
H2O
scale
Recover
D2O and 3H
water
Determine
extent
H2O scale
Remove
H2O
scale
Critical Path
Remove
D2O
scale
Reassemble
heat
exchanger
Necessary Resources
Available personnel;
Equipment;
Travel;
Supplies; and
Overhead
Personnel
Worker A
Worker B
Worker C
Worker D
Supervisor
Subtotal - salaries
Sample
Budget
Days
10
10
10
10
10
Daily rate
$640.00
$640.00
$640.00
$640.00
$880.00
Cost
% Budget
$6,400.00
$6,400.00
$6,400.00
$6,400.00
$8,800.00
$34,400.00
33.8%
$6,364.00
$40,764.00
6.2%
Equipment
PPE
High pressure sprayers
$2,000.00
$10,000.00
2.0%
9.8%
$8,000.00
7.9%
$500.00
$500.00
0.5%
0.5%
Travel
Attend sprayer training
Supplies
Sample bottles
Chemicals
Sub-Total
$61,764.00
Overhead (65%)
$40,146.60
39.4%
TOTAL BUDGET
$101,910.60
100.0%
Personnel
Worker A
Worker B
Worker C
Worker D
Supervisor
Subtotal - salaries
Sample
Budget
with
Contingency
Days
10
10
10
10
10
Cost
% Budget
$6,400.00
$6,400.00
$6,400.00
$6,400.00
$8,800.00
$34,400.00
32.7%
$6,364.00
$40,764.00
6.1%
Equipment
PPE
High pressure sprayers
$2,000.00
$10,000.00
1.9%
9.5%
$8,000.00
7.6%
$500.00
$500.00
0.5%
0.5%
Travel
Attend sprayer training
Supplies
Sample bottles
Chemicals
ODC = Other
Direct Cost
(not labour)
Daily rate
$640.00
$640.00
$640.00
$640.00
$880.00
Sub-Total
$61,764.00
Overhead (65%)
$40,146.60
38.2%
$3,150.00
3.0%
$105,060.60
100.0%
3. Carry Through
This is the Just do it phase
For example, you may be:
Carrying out a design
Fabricating a product
Performing experiments
Doing calculations (finite difference; Monte
Carlo, etc)
Writing a report
etc etc etc
Monitor Progress
All the planning in the world will not
save you if the carry through phase is
done poorly
Various parameters of the carry through
must be monitored to ensure that the
goals of the project are being met.
Prevents problems from escalating
Monitoring Check-List
Find limits of solution (over- and under- estimate
the answer)
Make educated guess at solution
Conduct quick experiment to see if solution
works under simple conditions
Continue to learn more about the chosen
solution
Continue to validate the solution, and ensure
physical laws are not violated
Carefully plan computer simulations (as you
would a laboratory experiment)
Evaluation
Try to verify your solution(s)
Synthesis
Take all your ideas and formulate (synthesize) a way (or
ways) to test your solution(s)
Analysis
Apply rules & knowledge to the sub-problems to
generate solutions. Identify missing parts.
Application
Determine which sets of rules, principles and ideas
should be applied to the sub-problems.
Comprehension
Manipulation or extrapolation of knowledge to classify
into sub-problems.
Knowledge
Recalling previously learned material and using it (this is
used in each step of the unraveling).
4. Follow Up
Inspect what you Expect
Follow up to check that you are
Following the solution plan
Proceeding on schedule
Proceeding within budget
Producing acceptable quality
Tracking solution that is still relevant to the
original problem
Examine the
need for the
experiment
Define
objectives for
the experiment
Choose
responses to
measure
Identify the
important
variables
Design the
experiment
Basic Building
Blocks for
Experimental
Design
IMPORTANT: Error Analysis
Perform
experiment
Analyze
results
Act upon
results
Report !
Example
Implementation of safety and control
systems of process industry
Example
Implementing Disaster Management
System
Control of
Escalation
Control of
Escalation
Escalation
factor
Cause-1
Cons-1
Recovery
Recovery
preparednes
preparedness
s
Barriers to
prevent threat
Cause-2
Cause-3
Top
Event
Cons-2
Cons-3
Control of Threat
Excessive
Pressure
System
Strength Tested
Threat
Automatic High
Pressure
Shutdown
Barriers
Pressure Relief
Valve
Loss of
Containment
Top Event
Ventilation
Ignition Sources
Control
Explosion
Consequence
System
Strength
Tested
Barrier
Automatic
High Pressure
Shutdown
Barrier
Pressure
Relief Valve
Barrier
Procedure
Administration
Control
Control
Down for
Maintenance
Escalation Factor
Loss of
Containment
Leak
Detection
and Alarm
Preventive
Maintenance
Control
Sensor Failure
Escalation Factor
Blowdown
Facilities
Recovery
Ventilation
Procedural
Control
Down for
Maintenance
Escalation Factor
Ignition
Sources
Control
Recovery
Explosion
Location
Condition
Propagation
Prevention
Measures
Mitigation
Measures
Emergency
Response Plan
Emergency
Response Team
Emergency
Response
Equipment
Corporate Level
Team
Region Level Team
Emergency
Response Report
Root
Cause
Analysis
Like icebergs, most of the problems
are usually below the surface!
Triggers of RCA
Audit Outcomes
Operation
Incident
HAZOP Study
Maintenance /
Repair
RCA
Near Miss
Reliability
Analysis
Large Accident
Equipment
Incident
51
Maintenance /
Repair
Management
Change
RCA
Human Training
Recovery
Operation
Process Design
Equipment
Design
Equipment
Setting
52
Plant Control
Variables
Site
Production
Control Variables
Plant
Controllers
Work Control
Variables
Process
Process Control
Variables
Equipment
Equipment
Control Variables
53
54
Process
Lifecycle
Supplier-1
On-Site Process
(Refinery)
Customer-1
Off-Site Process
Supplier -2
Customer-2
Internal Operation
External Operation
POOM Modeling
Methodology
Process Design
Define
Operation
Design
Structure
Behavior
Coordinator
Operation
Evaluate
Simulate
Life-cycle Engineering
Product
Supply Chain
- Commerce
- Material
POOM
Behavior
Material
Demand Chain
Process
- Customer
- Social
Function
Operation
Production Chain
- Manufacturing
- Product
Plant
LCA
Manufacturing Strategy
Enterprise
VE
Structure
Control
Management
SS
SU
RSU
SD
PSU
ESD
PSD
Safety
Maintenance
Human
Environment
Materials
Quality
Cost
Optimize Resources
Simulate
Next Operation
Category
Design
Rationales
Another Oper.
Scenario
Next
Operation
Engineering Lifecycles
Plant
Virtual Enterprise
Enterprise
Process
Product
Data Repository
Behavior
Operation
Topology
State
Method
Structure Unit
Transition
Purpose
Flow2
Flow6
Flow8
Flow11
Flow1
Heat1
MP2
MP2
MP1
FLD12
MP1
MP1
TK15
MP2
MP2
MP1
CV13
MP2
CV16
MP1
Flow7
MP3
HEX4
Inventory2
MP1
MP4
Flow9
CV14
DST3
Flow3
Flow4
Flow5
Inventory1
Flash
Flow10
MP2
POOM
PS1
Material- 1
Material- 2
M1
P1 P3 - SI P5
M2
P2 P4 - SI P6
CV1 MNF- 1
CV3
P7
CV2
P1P8
SO
P9
Product- 1
Material Port
Manufacturing PS
Stock- In PS
Stock- Out PS
MNF- 1
BV1
CV1
TK1
SP1
BV2
CV2
TK2
CV3
BV3
TK3
Hierarchical Modeling
CAPE-ModE
Material
Function
Cell
Unit
Topology
Product
Failure
Graph
OIA
EIA
OIA Boundaries
TNK4
V4
T-IN9
TNK5
V5
mp1 mp2
PUMP3
CV3
Process
Constraint
Inventory
Constraint
Process
Constraint
Inventory
Constraint
Process
Constraint
CV1
CV2
CV0
OIA1
OIA2
OIA3
Material
Material
Energy
- Navigate the topology
(Upstream / Downstream)
- Resolve the Conflict
- Operation Instructions
Conflict
CV3
Material
Energy
Control Layer
Inventory
Constraint
Upstream
Instructions
Process
Constraint
Up/Downstream
Instructions
OIA
BIA Boundaries