On June 3, 1993, an explosion occurred at the Mediterranea refinery, in Milazzo, Sicily. Seven people died and eighteen people were injured with burns. An explosion in the accumulation tank 27V-16 involved hot-oil circuits subserving the refining units Topping 3, Topping 4, and HDT-RC. The explosion was caused by a sudden overpressure in the 27V-16 tank, probably as a result of the sudden vaporization of a small quantity of water. Shortcomings in the process design and in the management were at the origin of the accident, in particular: Some process choices undertaken a couple of years before the accident, such as the use of gas oil from a Topping column in place of diathermic oil and the use of a combustible gas in place of nitrogen. Some operational mistakes in the 13F-2 oven conduction and the failure (or inadequacy or exclusion) of control systems or automatic and manual safety devices. A detailed Fault Tree connects the process, design and management shortcomings identified.
Explosion of a hot-oil circuit as a consequence of process, plant engineering and management shortcomings / Demichela, Micaela; Piccinini, N.. - In: PROCESS SAFETY PROGRESS. - ISSN 1066-8527. - STAMPA. - 25/1(2006), pp. 21-32.
|Titolo:||Explosion of a hot-oil circuit as a consequence of process, plant engineering and management shortcomings|
|Data di pubblicazione:||2006|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1002/prs.10108|
|Appare nelle tipologie:||1.1 Articolo in rivista|
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