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This paper reviews the progress in inherent safety. A summary of the historical developments up to the year 2000 is
first presented which sets the stage for a review of the key developments during the first 11 years of the 21st century.
A landscape of inherent safety is developed by mapping publications on two coordinates. The first coordinate, the
risk coordinate, indicates if the focus of a paper relates to inherent hazard or to the likelihood of events. The second
coordinate, the management coordinate, focuses on the ways and means to understand and assess inherent safety.
Out of the 187 papers that have appeared over this 11-year period, 131 pertained to developments in inherently safer
design; these have been organized on the proposed landscape. The rest introduce the basic concepts of inherent
safety and address its incorporation into regulation, education and accident investigation. These along with the
application of inherent safety in industry are also discussed. We conclude with a discussion on recent trends in
industry and suggest directions for future research.
© 2012 The Institution of Chemical Engineers. Published by Elsevier B.V. All rights reserved.
1. Introduction inherent safety literature over the first 11 years of the 21st
century. We conclude with a discussion of recent trends and
“What you don’t have can’t leak”, said Trevor Kletz (Kletz, 1978) suggest directions for future research.
and laid the foundation of a new approach for risk manage-
ment in chemical processes. Since then, the concept called 1.1. Risks in chemical processes
inherent safety has been the subject of much attention, with
an explosion of ideas, methods, and examples as described Any accident in a chemical process is a product of three fac-
in several books and publications (Bollinger and Crowl, 1996; tors – an inherent hazard in the technology for converting
CCPS, 2009; Kletz, 1998). It is now also incorporated into safety raw materials to products, one or more events that instan-
regulations (McKeon-Slattery, 2010; Sawyer, 2010). The key tiate a failure mode which leads to the undesired outcome. A
principles of inherent safety are now well described. This hazard is a condition or practice that has the potential to
paper seeks to review the major developments over the last cause harm, including human injury, damage to property,
11 years and suggest some topics requiring further attention. damage to the environment, or some combination of these
This review of inherent safety is organized around process (Sutton, 2010). The keyword in the definition is ‘potential’.
risk management. The risks involved in chemical processes Hazards exist in all human activities but rarely result in an
are discussed next. The evolution of inherent safety in the incident. An event defined as any occurrence in the process,
20th century is summarized in Section 2. Next, in Section 3 such as an error, caused by equipment performance or human
we describe a risk management based framework for analyz- action or an occurrence external to the process (e.g. tsunami,
ing inherent safety. We use this framework for reviewing the earthquake, etc.) is necessary to translate a hazard into an
∗
Corresponding author at: Department of Chemical and Biomolecular Engg, National University of Singapore, 10 Kent Ridge Crescent,
Singapore, 119260, Singapore. Tel.: +65 65168041.
E-mail address: chergs@nus.edu.sg (R. Srinivasan).
Received 12 March 2012; Received in revised form 15 May 2012; Accepted 14 June 2012
0957-5820/$ – see front matter © 2012 The Institution of Chemical Engineers. Published by Elsevier B.V. All rights reserved.
http://dx.doi.org/10.1016/j.psep.2012.06.001
390 Process Safety and Environmental Protection 9 0 ( 2 0 1 2 ) 389–403
accident. The first event in an accident sequence is called Until the mid-20th century, risk management in chemical
the initiating event. Examples include equipment or software plants was performed only after the detailed design of the
failures, human errors, etc. A series of events link an initiat- plant had been established, by which time it is too late to
ing event to the outcome. These intermediate events could be make changes to the process technology (materials, reactions,
responses from engineered safety features and administra- unit operations, etc.), the key determinants of overall risk.
tive controls to an initiating event or knock on effects such as Moreover, risk management primarily focused on reducing the
secondary explosions. It is important to view an accident as likelihood of events by providing layers of protection.
a discrete sequence of events because each individual event
represents an opportunity to terminate the accident sequence.
The likelihood of each event is a measure of the probability or 2. The early years of inherent safety:
frequency of its occurrence. The undesired outcome is an uncon- principles and metrics
trolled release of material or energy that results in damage
to humans, the plant and the environment. Fire, explosion, On December 14, 1977, inspired by the Flixborough disaster,
and release of toxic chemicals are common examples of out- Dr. Trevor Kletz, presented the Annual Jubilee Lecture to the
comes in the refining and petrochemical industries (Marsh, Society of Chemical Industry in Widnes, England. His lec-
2001). ture titled “What You Don’t Have, Can’t Leak” was the first
Consider the accident in the BP Texas City refinery (CSB, clear and concise discussion of the concept of inherently safer
2007). The outcome of the accident were two explosions that design in chemical processes. Kletz proposed to change or
resulted in 15 deaths, injury to 180 others, and losses of about alter the process to either eliminate the hazard completely or
$1.5 billion. The hazard in this case was the presence of a large sufficiently reduce its magnitude or likelihood of occurrence,
amount of flammable material in the isomerization tower. rather than controlling them. He argued that the greatest
During startup, operations personnel pumped flammable liq- potential opportunities for impacting the risk profile occur
uid hydrocarbon into the isomerization tower for over 3 h early during process design as there is a great deal of freedom
without removing any liquid out. This is the initiating event in the selection of chemistry, solvents, raw materials, interme-
in this accident. Critical alarms and control instrumentation diates, unit operations, plant location and process parameters.
failed to alert the operator of the high level in the tower. Con- For instance, during the research stage significant reduc-
sequently, unknown to the operators liquid overflowed from tion in risk can be achieved using benign raw materials and
the top of tower and formed a flammable vapor cloud. The reaction chemistry, thereby eliminating hazards inherent in
failure of the instruments and mistakes from operators were the process. Risk reduction during the process development
the intermediate events in this accident. The flammable vapor stage can be achieved by using forgiving or robust unit opera-
cloud was ignited by backfire from an idling truck that resulted tions. In the detailed design stage, opportunities to eliminate
in two explosions. the hazards are minimal. But likelihood of events can be min-
Risk management is the term given to the collective efforts imized using layers of protection. Risk reduction during the
to manage risks in order to prevent accidents. Risk is defined operation stage can be achieved using administrative controls,
formally as the probability that an exposure to a hazard would emergency planning, evacuation procedures, etc. to reduce the
lead to an undesired outcome. Risk management involves a severity of an undesired outcome. The effectiveness of the
variety of techniques to (a) minimize the hazards, (b) decrease various risk reduction strategies in the different stages of the
the likelihood of events, and (c) minimize the severity of the process is shown in Fig. 1. Kletz enumerated certain princi-
undesired outcome. Hazards can be eliminated or minimized ples that can be followed to design inherently safer processes,
by choosing less hazardous materials, benign reaction chem- key among which are minimize, substitute, moderate and simplify
istry and forgiving process design. The likelihood of an event (Kletz, 1985).
can be decreased by providing layers of protection using safety Minimize, also called intensification, means to reduce the
devices or work processes. The severity of the outcome can be quantity of material or energy contained in a manufactur-
minimized using operating procedures, training, emergency ing process or plant. Substitute, as the name implies, means
response, etc. to replace a hazardous material or process with an alterna-
Different risk management strategies are suitable in differ- tive that eliminate or reduces the hazard. Examples include
ent stages of the plant lifecycle. The lifecycle of a chemical solvents, materials of construction and heat transfer media.
plant can be divided into the following stages (CCPS, 2009): Moderate, also called attenuate, means using materials under
research, process development, detailed design, operations, less hazardous conditions. Moderation of conditions can be
maintenance and modifications and finally decommission- accomplished by strategies that are either physical (i.e., lower
ing. During the research stage, process chemists choose the temperatures) or chemical (i.e., development of a reaction
raw materials, intermediates, synthesis routes and specify the chemistry which operates at less severe conditions). Simplify,
basic operating parameters for producing the product. In the as the word suggests, is to design the process to elimi-
process development stage, process engineers use the infor- nate unnecessary complexity making it robust and forgiving,
mation provided by chemists to design unit operations in thereby reducing the opportunities for error and wrong opera-
which necessary chemical transformations are realized. The tion. While the above four strategies are the major ones, others
process flowsheet is also developed at this stage. During the such as Limitation of effects, Avoiding incorrect assembly and Mak-
detailed design stage, process engineers develop P&IDs, lay- ing status clear were also proposed (Kletz, 1998). It is often
out of the plant and specify the operating procedures to be argued that these are sub-categories of the main principles
followed for startup, shutdown, etc. Meanwhile, control engi- described above.
neers design the control system along with suitable safety Application of inherent safety principles helps gener-
instrumented systems (SIS). In the operations stage, the oper- ate modified process designs. However, design modifications
ating procedures are created or updated based on experience rarely result in a monotonic reduction of risk. Design options
and retrofits to the plant. with alternate chemistries, materials and unit operations will
Process Safety and Environmental Protection 9 0 ( 2 0 1 2 ) 389–403 391
Hazard
elimination or
reduction
Effectiveness of risk
reduction
Safety systems
Procedures
Research Operations,
Process Detailed design maintenance and
Development
modifications
likely pose different hazards, as well as different degrees of During 1990s, inherent safety also started receiving some
the same hazard. For example, consider substitution of a toxic attention from both industry and regulatory organizations,
but non-volatile solvent with a non-toxic but volatile one. The especially in the United States and Europe (Ashford, 1993).
risks in handling the solvent are eliminated by replacing the A survey across the European process and chemical sector
toxic solvent. But the new volatile solvent could cause high in the early 1990s revealed that the awareness of these con-
pressures in the reactor and the potential for the reaction to cepts and the benefits they offered was primarily restricted
have a runaway is greater. Hence, it was recognized during to safety specialists. As a result, few organizations actually
the mid-1990s that some form of quantification was necessary recognized, promoted, or used the concept in process develop-
to evaluate the trade-offs among various design options. This ment and design. Good examples of inherently safer processes
led to the development of metrics for measuring the inherent had generally risen from economic pressures or as a result
safeness of design options. of accidents or near-misses in the past, rather than a sys-
Edwards and co-workers (Edwards and Lawrence, 1993; tematic application of the inherent safety principles (Schabel,
Lawrence, 1996) proposed the Prototype Index for Inherent Safety 1997). Hence, the Inherent SHE in Design (INSIDE) project was
(PIIS) primarily for use in the research and process develop- established in 1994 to promote inherently safer chemical pro-
ment (route selection) stages of design. Their index considers cesses. The result of this project was a collection of tools and
reaction conditions and material properties through seven methods, called the INSET toolkit, to assist process designers
parameters of the process route – inventory, temperature, incorporate inherent safety principles during chemistry route
pressure, yield, toxicity, flammability, and explosiveness. The selection, route evaluation, process design optimization and
first four parameters are considered to reflect the ‘process’ plant design (Mansfield, 1997; Schabel, 1997). As the decade
and the last three the ‘chemical’. The total range for each of progressed, companies such as Bayer (Falke and Kuschnerus,
these parameters was divided into 10 sub-ranges and numer- 1994), Dow (Scheffler, 1996), and Exxon Chemicals (French
ical scores assigned for each of these sub-ranges. The score et al., 1996) recognized the importance of inherent safety and
of the worst chemical in terms of flammability, toxicity, and developed internal standards for their use within their safety
explosiveness was chosen for each route and added together management program. Against this backdrop, the develop-
to form its ‘chemical score’. Similarly, the scores for pressure, ments in the field of inherent safety in the 21st century are
temperature and yield were combined as the ‘process score’. reviewed next.
These two scores were added together to derive a score for
each route. The route with the highest numerical value was 3. Developments in inherent safety during
considered to be the worst route. PIIS primarily focusses on 2001–2011
the risks posed by materials and reactions. Hurme and co-
workers (Heikkila, 1999; Heikkila et al., 1996) extended the PIIS A survey of the literature in the 21st century was conducted,
to consider a wider range of factors including layout, type aimed at understanding the issues, concepts, methodologies,
of equipment, process structures, side reactions and other and applications receiving attention under the broad moniker
chemical interactions. Their index, called the inherent safety of inherent safety. The survey involved a search for the terms
index (ISI), is therefore applicable during detailed design (flow- ‘Inherent Safety’ or ‘Inherently Safe’ in the title, abstract or
sheet development) stage as well. The Dow Fire & Explosion keywords of publications in the Scopus database appearing
(F&EI) index is widely used for evaluating the hazard cate- from 2001 to 2011. Inherent safety, as a concept, has broad cur-
gory of a process plant (Dow, 1994). Kletz (1998) suggested rency today ranging from agricultural and biological sciences,
that the F&EI can also be used for inherent safety assess- medicine, and nuclear industry. This review focuses primar-
ment. ily on the chemical process industry; hence the search was
392 Process Safety and Environmental Protection 9 0 ( 2 0 1 2 ) 389–403
20
Inherent
safety
15
Praccal
Fundamentals Assessment
10 applicaons
Qualitave
0 Metrics Models
reviews
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Fig. 2 – Distribution of papers over the years. Fig. 4 – Taxonomy of the management coordinate.
Process Safety and Environmental Protection 9 0 ( 2 0 1 2 ) 389–403 393
Table 2 – Classification of papers discussing material Table 3 – Classification of papers addressing chemistry
hazards. hazards.
Paper Management Paper Management
coordinate coordinate
Table 7 – Classification of papers discussing process Table 9 – Citation counts for some inherent safety
control, safety systems and human factors. indices.
Paper Management Metric Citations
coordinate
PIIS (Edwards and Lawrence, 1993) 70
Luyben and Hendershot (2004) ISI (Heikkila, 1999; Heikkila et al., 1996) 85
Murphy (2011) Fundamentals i-Safe (Palaniappan et al., 2002a,b) 53
Pekalski et al. (2005) I2SI (Khan and Amyotte, 2004) 52
Chemical Plant Security (CCPS, 2009) and the US congress integrated, with subtle cause-and-effect, and non-apparent
enacted the Chemical Facilities Anti-Terrorism Act (Hess, temporal effects). New processes based on bio- and nano-
2009). Both called for consideration of full range of inherent technologies are entering the process industry. These are often
safety options for chemical plant. characterized by insufficient process and safety knowledge.
The applicability of inherent safety to these has to be demon-
strated. The detail and dynamic complexity of modern-day
5. Discussion plants also pose challenges to the human, who is simul-
taneously both the weakest and the strongest link, in the
The above reviews of the state of inherent safety, both from loop. Ensuring that human actions would be inherently safe
new developments point-of-view as well as from the appli- through holistic consideration of human factors in every
cations point-of-view, lead to the following conclusions. The aspect of design (from occupational health, to control system
primary foundation of the field, the principles first expounded schematics and plant layout) is also necessary for a sustain-
by Kletz, is well understood. They are widely accepted as pro- able plant, that is friendly to people, planet, and profit.
viding a sound philosophy for making better design decisions.
Numerous examples abound, many simple and easy-to-
understand ‘toy’ problems, and some of applications to real,
large-scale plants exist. References
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