July, 2015

This is a repeating event

201526JulAll DayCNPC (QINYANG) EXPLOSION 2015China National Petroleum Corp. Qinyang, Gansu (CN)Lessons:Commitment & Culture,Competency,Compliance with Standards,Control of Work,Emergency Preparedness,Operating Procedures,Operational Integrity,Operational Readiness,Process Knowledge,Risk Assessment,Stakeholder Engagement,Workforce InvolvementIndustry:RefiningCountry:ChinaLanguage:ENLoC:Deterioration Origin: MKOPSC Incident:VCEHazards:FlammableContributory Factors:Component MalfunctionImpact:HUMAN (On Site Fatalities)Effects:1-10 FatalitiesMaterial:Oil derivatives

Summary

A leak and explosion occurred in a distillation unit with a 3 million ton annual capacity in China National Petroleum corporation Qin Yang Location. This incident happened after a 9 days inspection and maintenance

Proximate causes:
• Inadequate tools, equipment & vehicles (mechanical failure of a small component caused the leak of oil)

Source: A web-based collection and analysis of process safety incidents (https://www.sciencedirect.com/science/article/abs/pii/S0950423016302285)

Origin

MKOPSCMary Kay O'Connor Process Safety Center

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