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Assessment of Approaches for Using Process Safety Metrics at the Blue Grass and Pueblo Chemical Agent Destruction Pilot Plants (2011)
Board on Army Science and Technology (BAST)

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. "Front Matter." Assessment of Approaches for Using Process Safety Metrics at the Blue Grass and Pueblo Chemical Agent Destruction Pilot Plants. Washington, DC: The National Academies Press, 2011.

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Assessment of Approaches for Using Process Safety Metrics at the Blue Grass and Pueblo Chemical Agent Destruction Pilot Plants

ASSESSMENT OF APPROACHES FOR USING PROCESS SAFETY METRICS AT THE BLUE GRASS AND PUEBLO CHEMICAL AGENT DESTRUCTION PILOT PLANTS

Committee to Assess Process Safety Metrics for the Blue Grass and Pueblo Chemical Agent Destruction Pilot Plants

Board on Army Science and Technology

Division on Engineering and Physical Sciences

NATIONAL RESEARCH COUNCIL
OF THE NATIONAL ACADEMIES

THE NATIONAL ACADEMIES PRESS

Washington, D.C.
www.nap.edu

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Assessment of Approaches for Using Process Safety Metrics at the Blue Grass and Pueblo Chemical Agent Destruction Pilot Plants ASSESSMENT OF APPROACHES FOR USING PROCESS SAFETY METRICS AT THE BLUE GRASS AND PUEBLO CHEMICAL AGENT DESTRUCTION PILOT PLANTS Committee to Assess Process Safety Metrics for the Blue Grass and Pueblo Chemical Agent Destruction Pilot Plants Board on Army Science and Technology Division on Engineering and Physical Sciences NATIONAL RESEARCH COUNCIL OF THE NATIONAL ACADEMIES THE NATIONAL ACADEMIES PRESS Washington, D.C. www.nap.edu

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Assessment of Approaches for Using Process Safety Metrics at the Blue Grass and Pueblo Chemical Agent Destruction Pilot Plants THE NATIONAL ACADEMIES PRESS 500 Fifth Street, N.W. Washington, DC 20001 NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance. This study was supported by Contract No. W911NF-10-C-0066 between the National Academy of Sciences and the U.S. Army. Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the views of the organizations or agencies that provided support for the project. International Standard Book Number-13: 978-0-309-16345-3 International Standard Book Number-10: 0-309-16345-5 Limited copies of this report are available from Board on Army Science and Technology National Research Council 500 Fifth Street, N.W., Room 940 Washington, DC 20001 (202) 334-3118 Additional copies are available from The National Academies Press 500 Fifth Street, N.W. Lockbox 285 Washington, DC 20055 (800) 624-6242 or (202) 334-3313 (in the Washington metropolitan area) Internet, http://www.nap.edu Copyright 2011 by the National Academy of Sciences. All rights reserved. Printed in the United States of America

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Assessment of Approaches for Using Process Safety Metrics at the Blue Grass and Pueblo Chemical Agent Destruction Pilot Plants THE NATIONAL ACADEMIES Advisers to the Nation on Science, Engineering, and Medicine The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Ralph J. Cicerone is president of the National Academy of Sciences. The National Academy of Engineering was established in 1964, under the charter of the National Academy of Sciences, as a parallel organization of outstanding engineers. It is autonomous in its administration and in the selection of its members, sharing with the National Academy of Sciences the responsibility for advising the federal government. The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. Charles M. Vest is president of the National Academy of Engineering. The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Harvey V. Fineberg is president of the Institute of Medicine. The National Research Council was organized by the National Academy of Sciences in 1916 to associate the broad community of science and technology with the Academy’s purposes of furthering knowledge and advising the federal government. Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Ralph J. Cicerone and Dr. Charles M. Vest are chair and vice chair, respectively, of the National Research Council. www.national-academies.org

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Assessment of Approaches for Using Process Safety Metrics at the Blue Grass and Pueblo Chemical Agent Destruction Pilot Plants COMMITTEE TO ASSESS PROCESS SAFETY METRICS FOR THE BLUE GRASS AND PUEBLO CHEMICAL AGENT DESTRUCTION PILOT PLANTS OTIS A. SHELTON, Chair, Praxair, Inc., Danbury, Connecticut ROBERT A. BEAUDET, University of Southern California, Pasadena MAURICIO FUTRAN (NAE), Independent Consultant, Westfield, New Jersey J. ROBERT GIBSON, Gibson Consulting, LLC, Wilmington, Delaware RANDAL J. KELLER, Murray State University, Murray, Kentucky TIM OVERTON, TOPS Consulting, Angleton, Texas CAROL A. PALMIOTTO, E.I. du Pont de Nemours and Company, Wilmington, Delaware STYRON N. POWERS, U.S. Foodservice, Rosemont, Illinois Staff BRUCE A. BRAUN, Director JAMES C. MYSKA, Senior Research Associate DEANNA P. SPARGER, Program Administrative Coordinator

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Assessment of Approaches for Using Process Safety Metrics at the Blue Grass and Pueblo Chemical Agent Destruction Pilot Plants BOARD ON ARMY SCIENCE AND TECHNOLOGY ALAN H. EPSTEIN, Chair, Pratt & Whitney, East Hartford, Connecticut DAVID M. MADDOX, Vice Chair, Independent Consultant, Arlington, Virginia DUANE ADAMS, Carnegie Mellon University (retired), Arlington, Virginia ILESANMI ADESIDA, University of Illinois at Urbana-Champaign RAJ AGGARWAL, University of Iowa, Coralville EDWARD C. BRADY, Strategic Perspectives, Inc., Fort Lauderdale, Florida L. REGINALD BROTHERS, BAE Systems, Arlington, Virginia JAMES CARAFANO, The Heritage Foundation, Washington, D.C. W. PETER CHERRY, Independent Consultant, Ann Arbor, Michigan EARL H. DOWELL, Duke University, Durham, North Carolina RONALD P. FUCHS, Independent Consultant, Seattle, Washington W. HARVEY GRAY, Independent Consultant, Oak Ridge, Tennessee CARL GUERRERI, Electronic Warfare Associates, Inc., Herndon, Virginia JOHN H. HAMMOND, Lockheed Martin Corporation (retired), Fairfax, Virginia RANDALL W. HILL, JR., University of Southern California Institute for Creative Technologies, Marina del Rey MARY JANE IRWIN, Pennsylvania State University, University Park ROBIN L. KEESEE, Independent Consultant, Fairfax, Virginia ELLIOT D. KIEFF, Channing Laboratory, Harvard University, Boston, Massachusetts LARRY LEHOWICZ, Quantum Research International, Arlington, Virginia WILLIAM L. MELVIN, Georgia Tech Research Institute, Smyrna ROBIN MURPHY, Texas A&M University, College Station SCOTT E. PARAZYNSKI, The Methodist Hospital Research Institute, Houston, Texas RICHARD R. PAUL, Independent Consultant, Bellevue, Washington JEAN D. REED, Independent Consultant, Arlington, Virginia LEON E. SALOMON, Independent Consultant, Gulfport, Florida JONATHAN M. SMITH, University of Pennsylvania, Philadelphia MARK J.T. SMITH, Purdue University, West Lafayette, Indiana MICHAEL A. STROSCIO, University of Illinois, Chicago JOSEPH YAKOVAC, JVM LLC, Hampton, Virginia Staff BRUCE A. BRAUN, Director CHRIS JONES, Financial Associate DEANNA P. SPARGER, Program Administrative Coordinator

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Assessment of Approaches for Using Process Safety Metrics at the Blue Grass and Pueblo Chemical Agent Destruction Pilot Plants Preface The Assembled Chemical Weapons Alternatives program was mandated to use nonincineration technologies to destroy the chemical weapons stockpiles at the Pueblo Chemical Depot (PCD) in Colorado and the Blue Grass Army Depot (BGAD) in Kentucky. These two storage sites together account for about 10 percent of the original U.S. chemical agent stockpile that is in the process of being destroyed in accordance with the international Chemical Weapons Convention treaty. Disposal operations at six other sites in the continental United States and Johnston Island in the Pacific near Hawaii have already destroyed over 80 percent of the stockpile. Incineration technology was used by the now closed disposal facility on Johnston Island, and at a facility in Pine Bluff, Arkansas, which has completed operations and has entered closure. Chemical neutralization (hydrolysis) technology was used to destroy bulk mustard agent and VX nerve agent at the now closed facilities in Aberdeen, Maryland, and Newport, Indiana, respectively. Disposal campaigns at the three other currently operating facilities, which use incineration technology, are nearing completion. The Pueblo site contains the larger portion of the remaining stockpile inventory in the form of various mustard agent projectiles. While the Blue Grass inventory is relatively small, it is more diverse and contains both mustard agent in various projectiles and the nerve agents GB and VX in various projectiles and M55 rockets. The two facilities being built at these sites, the Pueblo and Blue Grass Chemical Agent Destruction Pilot Plants (PCAPP and BGCAPP, respectively), will use chemical neutralization to destroy chemical agent, followed by different downstream processes to treat the resulting waste streams. PCAPP will use biotreatment to treat waste streams from chemical agent disposal, and BGCAPP will use supercritical water oxidation. PCAPP and BGCAPP will also employ a number of pieces of first-of-a-kind equipment. Both facilities have been designed using established engineering codes and principles and have incorporated lessons learned from the operation of earlier chemical agent disposal operations to ensure safe operation. PCAPP is currently under construction and is planned to start agent disposal operations in 2014. BGCAPP is also under construction, with operations to commence in 2018. As part of its focus on safe operation of the planned facilities, the Program Manager for Assembled Chemical Weapons Alternatives asked the National Research Council (NRC) to conduct a study to offer guidance on the application of process safety metrics at PCAPP and BGCAPP. The committee that was assembled by the NRC held a number of meetings, virtual meetings, and teleconferences. It also visited the offices of staff working on the PCAPP and BGCAPP projects. Among the process safety considerations discussed in this report is the applicability of the James Reason barrier model’s concept of layers of protection to the chemical processes being designed at PCAPP and BGCAPP. Also discussed extensively is the use of leading and lagging process safety metrics1 that could provide feedback on the effectiveness of controls to mitigate risks and minimize consequences of potential 1 “Leading metric” and “lagging metric” are defined in Appendix A.

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Assessment of Approaches for Using Process Safety Metrics at the Blue Grass and Pueblo Chemical Agent Destruction Pilot Plants incidents and, it is hoped, prevent incidents that might otherwise occur. Several recommendations are made to facilitate the development and application of process safety metrics at both sites. As chair of this committee, I want to express my sincere thanks to the members of this committee. Their insights on safety culture, especially as it relates to process safety management, were invaluable in executing the statement of task. James Myska, senior research associate at the Board on Army Science and Technology, assisted Bruce Braun, director of the Board on Army Science and Technology, in running this study. Mr. Myska excelled at keeping the committee focused and ensuring that work was accomplished in a timely manner. C.T. Anderson, a safety and surety engineer at the Program Manager for Assembled Chemical Weapons Alternatives, was very helpful in providing timely responses to numerous committee requests for information. Raj K. Malhotra, deputy, Risk Directorate at the Chemical Materials Agency (CMA), approved committee access to records of incidents at CMA facilities to identify incident casual factors. This access was instrumental in allowing the committee to identify several leading process safety metrics. Lastly, I want to thank Deanna Sparger and Nia Johnson for their administrative and research support to the committee. Without their assistance, the preparation of the report would have been much more difficult. Otis A. Shelton, Chair Committee to Assess Process Safety Metrics for the Blue Grass and Pueblo Chemical Agent Destruction Pilot Plants

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Assessment of Approaches for Using Process Safety Metrics at the Blue Grass and Pueblo Chemical Agent Destruction Pilot Plants Acknowledgment of Reviewers This report has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise, in accordance with procedures approved by the National Research Council’s (NRC’s) Report Review Committee. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published report as sound as possible and to ensure that the report meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the deliberative process. We wish to thank the following individuals for their review of this report: Scott Berger, American Institute of Chemical Engineers Center for Chemical Process Safety; Deborah L. Grubbe, Operations and Safety Solutions, LLC; Alexander MacLachlan, NAE, E.I. du Pont de Nemours and Co. (retired); M. Sam Mannan, Mary Kay O’Connor Process Safety Center; James F. Mathis, NAE, Exxon Corporation (retired); George W. Parshall, NAS, E.I. du Pont de Nemours and Co. (retired); Ian Travers, United Kingdom Health and Safety Executive; and Ronald Willey, Northeastern University. Although the reviewers listed above have provided many constructive comments and suggestions, they were not asked to endorse the conclusions or recommendations nor did they see the final draft of the report before its release. The review of this report was overseen by Elisabeth M. Drake, NAE, MIT Laboratory for Energy and the Environment. Appointed by the National Research Council, she was responsible for making certain that an independent examination of this report was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this report rests entirely with the authoring committee and the institution.

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Assessment of Approaches for Using Process Safety Metrics at the Blue Grass and Pueblo Chemical Agent Destruction Pilot Plants Contents     SUMMARY   1 1   INTRODUCTION   7      The Chemical Weapons Stockpile Disposal Program,   7      The Safety Challenge—Process Safety Metrics,   8      Statement of Task,   9      Process Safety Management,   9      Process Safety Management at PCAPP and BGCAPP,   10      Committee Makeup and Meeting Schedule and Report Scope and Approach,   10      Overview of Report,   11      Reference,   12 2   OVERVIEW OF AGENT DESTRUCTION PROCESSES AT PUEBLO CHEMICAL AGENT DESTRUCTION PILOT PLANT AND BLUE GRASS CHEMICAL AGENT DESTRUCTION PILOT PLANT   13      PCAPP Process Overview,   13      BGCAPP Process Overview,   18      Rocket Processing,   18      Projectile Processing,   20      Neutralization of Chemical Agent,   20      First-of-a-Kind Process Equipment,   20      Systemization,   20      References,   22 3   REVIEW AND ASSESSMENT OF PROCESS SAFETY INCIDENTS AT OTHER CHEMICAL DEMILITARIZATION SITES   23      Reference,   25

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Assessment of Approaches for Using Process Safety Metrics at the Blue Grass and Pueblo Chemical Agent Destruction Pilot Plants 4   IDENTIFICATION AND USE OF PROCESS SAFETY METRICS   26      Introduction,   26      Process Safety Metrics from Industry and Organizations,   26      American Institute of Chemical Engineers’ Center for Chemical Process Safety Metrics,   26      American Petroleum Institute Metrics,   27      United Kingdom Health and Safety Executive Metrics,   29      Applicability of Published Chemical and Petroleum Industry Metrics to PCAPP and BGCAPP,   30      Process Safety Metrics Derived from Prior Operating Experience at Chemical Agent Disposal Facilities,   30      Other Process Safety Metrics That May Be Relevant to PCAPP and BGCAPP,   31      Process Safety Near-Miss Events,   31      Action Item Closure,   32      Completion of Emergency Response Drills,   32      Management of Change,   32      Metrics Related to Other Management Systems,   32      Examples of ACWA Process-Specific Metrics,   33      Management of Best Practices of Process Safety Metrics in Industry,   35      Process Safety Competency,   35      References,   36     APPENDIXES          A  Glossary   39      B  Committee Meetings and Activities   40      C  Biographical Sketches of Committee Members   42

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Assessment of Approaches for Using Process Safety Metrics at the Blue Grass and Pueblo Chemical Agent Destruction Pilot Plants Tables, Figures, and Box TABLES S-1   First-of-a-Kind Equipment and Processes That Could Pose Significant Challenges for PCAPP and BGCAPP,   2 2-1   Physical Properties of Nerve Agents,   14 2-2   Physical Properties of Mustard Agents,   14 2-3   Chemical Weapons Stockpile Stored at PCD,   17 2-4   Chemical Weapons Stockpile Stored at BGAD,   18 2-5   First-of-a-Kind Equipment and Processes That Could Pose Significant Challenges for PCAPP and BGCAPP,   21 3-1   Frequency of Causal Factors in the 81 Chemical Events Reviewed by the Chemical Events Committee in 2002,   24 3-2   Frequency of Causal Factors in the 121 Events at Chemical Agent Disposal Facilities Since 2001,   24 FIGURES 2-1   A 105-mm howitzer projectile,   15 2-2   A 155-mm howitzer projectile,   15 2-3   A 4.2-inch mortar cartridge,   15 2-4   An 8-inch projectile,   16 2-5   An M55 rocket,   16 2-6   PCAPP process flow chart,   17 2-7   BGCAPP process flow chart,   19 2-8   Overview of the systemization process,   22 4-1   Hierarchy of leading and lagging metrics illustrated by the James Reason barrier model (left) and the Pyramid model of incident categories (right),   28 4-2   Illustration of the Swiss cheese model,   28 4-3   Process flow diagram for agent neutralization,   33 4-4   Diagram of EBH,   34 BOX 4-1   Definitions of Tier 1-4 Process Safety Events from API Recommended Practice (RP) 754,   29

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Assessment of Approaches for Using Process Safety Metrics at the Blue Grass and Pueblo Chemical Agent Destruction Pilot Plants Acronyms and Abbreviations ACWA Assembled Chemical Weapons Alternatives ANCDF Anniston Chemical Agent Disposal Facility ANR agent neutralization reactor ANS agent neutralization system ANSI American National Standards Institute APB agent processing building API American Petroleum Institute BGAD Blue Grass Army Depot BGCAPP Blue Grass Chemical Agent Destruction Pilot Plant BRS brine reduction system BTA biotreatment area CAM cavity access machine CCPS Center for Chemical Process Safety CMA Chemical Materials Agency CSB Chemical Safety Board EBH energetics batch hydrolyzer EDT explosive destruction technology ENR energetics neutralization reactor ERB enhanced reconfiguration building FOAK first of a kind GB a nerve agent, also known as sarin H mustard agent HD distilled mustard agent HSE United Kingdom Health and Safety Executive HT mustard agent with an additive to lower its freezing point IOD integrated operational demonstration JACADS Johnston Atoll Chemical Agent Disposal System LOPC loss of primary containment LPMD linear projectile mortar disassembly MOC management of change MPT metal parts treater MSM munitions storage magazine MTU munitions treatment unit MWS munitions washout system NRC National Research Council ORR operational readiness review OSHA Occupational Safety and Health Administration OTE offgas treatment system for EBH OTM offgas treatment system for MPT OTS offgas treatment system PCAPP Pueblo Chemical Agent Destruction Pilot Plant PCD Pueblo Chemical Depot

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Assessment of Approaches for Using Process Safety Metrics at the Blue Grass and Pueblo Chemical Agent Destruction Pilot Plants PMACWA Program Manager for Assembled Chemical Weapons Alternatives PMD projectile mortar disassembly PSI process safety incident PSM process safety metrics RCM rocket cutter machine RO reverse osmosis RSM rocket shear machine SCWO supercritical water oxidation SDU supplemental decontamination unit SFT shipping and firing tube SOP standard operating procedure VX a nerve agent WRS water recovery system