CICCC Update—7 May 2019 Meeting
Reporting of Incidents to CICCC
At each quarterly meeting of the CICCC, Terminals Pty Ltd provides a report of activities at the Terminal over the preceding three months. The report provides a list of every incident (including “near misses”), complete with management actions designed to avoid repetition of the incident. The Committee values this candid reporting by Terminals, which does much to reassure the Committee Members that Terminals management is vigilant and committed to continuous improvement.
The incident reporting is held on the Integrum electronic incident management system, which also manages actions, audits and management of change. The electronic format of the incidents provides a system for tracking the incidents, the investigation of issues associated with them, solutions to those issues and management actions to minimise the risk if the incident being repeated.
As an example of the incidents reported, three incidents discussed at the May meeting are described below. The incidents are headed by their Integrum Reference Number.
IRF-0319-0019 At the start of loading caustic soda into a truck, a kink in the line cause a blowout near the nozzle, and some 20 or 30 litres of caustic spayed out towards the tanker. Operators at the loading bay immediately pressed the stop button. No-one was injured and the site was cleaned. The hose that kinked was 3 or 4 years old. In future Terminals Pty Ltd will replace these hoses after 12 months of use.
IRF-0419-0025 Traces of water were found by the client in a tanker load of paraffin. On analysis it was found to be sea water, originating from the ship that brought it to the Terminal. The Customer is now taking action through the Shipping Company and the Surveyor at the ship discharge. The amount of salt water was about half a cup in 20,000 litres.
IRF-0319-0044 The sensor which monitors the oxygen content in the inert (nitrogen) lines passing to the combustor has reacted in situations where no excess of oxygen is anticipated. Oxygen is a necessary ingredient of the nitrogen blanketing process, to inhibit polymerization of some products. The oxygen level should be kept below 5%. The problem of “false” readings has occurred in conditions where there is no diurnal breathing from the tanks, and it is posited that the problem is associated with back pressure from the combustor.
The problem is exacerbated by a feature of the sensor, which when faced by a problem will send a significant high oxygen signal as a fail-safe, even if that is not the real problem. It is proposed to install a low pressure regulator in the lines to normalize pressure in the lines.
Next meeting of the CICCC
The next meeting will be held at the Terminals Site Office at McKenzie Road, Coode Island, on Tuesday 13 August 2019 at 3pm. The meeting will be attended by Cathy Wilkinson, CEO of the Victorian EPA, who will address the meeting.
Robin Saunders, Chair CICCC, 10/05/2019