March, 1990

This is a repeating event

199020MarAll DayShell Stanlow Explosion 1990Shell Stanlow (GB)Lessons:Asset integrity,Operational Integrity,Process Knowledge,Risk AssessmentIndustry:RefiningCountry:United KingdomLanguage:ENLoC:Overpressure Origin: HSE Incident:VCEHazards:Flammable,ToxicImpact:HUMAN (On Site Fatalities)Effects:1-10 FatalitiesMaterial:ChlorofluoroanilineTopics:Chemical Reaction

Summary

On 20 March 1990 the halogen exchange reactor on the Fluoroaromatics plant was ruptured by the pressure generated by a runaway reaction. The plant was partially destroyed and missiles were projected over 500m. Six employees were injured and one subsequently died from post-operative complications.

A batch had been charged into the vessel and was being heated up as normal. When it reached 165oC, the temperature continued to rise and the operators adjusted the jacket temperature. The display screen in use did not display pressure and they were unaware of a corresponding rise in pressure. By the time they were alerted to the rise in pressure the pressure relief valves had lifted. Before any other corrective action could be taken, the reactor exploded. The pressure in the vessel reached a value of about 60-80 barg compared with the relief valve set pressure of 5 barg.

The resulting blast was enhanced by the formation of a fireball, which occurred when the contents of the reactor ignited within the plant structure. This started local fires and initiated what became a major conflagration in an adjacent unit where vessels containing xylene were damaged by the blast/missile effects. The ensuing fires were brought under control in four hours by the Shell fire team and Cheshire fire service.

The initial cause of the incident was the ingress of excessive water into the process leading to the formation of acetic acid which, upon recycle to the reactor, reacted vigorously with the reactor contents initiating the explosion. Water was present as a part of the process, however a massive incursion led to the formation of a separate layer in the process vessel which was not removed but recycled back into reactor.

KEY ISSUES:
• CONTROL ROOM DESIGN
• RAW MATERIALS CONTROL / SAMPLING
• REACTION / PRODUCT TESTING
• RELIEF SYSTEMS / VENT SYSTEMS


Image Credit: The Leader

Origin

HSEUK Health & Safety Executive

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