FLIXBOROUGH EXPLOSION
At @4:53 p.m. on June 1, 1974, a huge Cyclohexane vapour cloud of about 200 m diameter
and around 100 m high, rose from the Nypro Chemical plant in Flixborough, England. The base of cloud extended into the furnace
area of the adjacent Hydrogen plant where it probably ignited suddenly. There
was a devastating explosion of the vapours, heard 27 miles away, 28 persons
were killed and over 36 injured. The 72 million dollar Nypro plant was totally
destructed and varying degrees of damage to 2,488 surrounding homes, shops and
factories within an eight mile radius also resulted.
The cause of the disaster was found by the Court
of Inquiry to be the failure of the 20 inch bypass pipe. The failure, as per
Mr. D.M. Tucker of the Fire Research Station, was a very noisy event, specially
the release of the Cyclohexane from the stub pipes and the rumbling of
Cyclohexane boiling in the reactors. The vapour cloud that formed exploded
after 45 seconds of the leak. The Court ultimately theorised that the 20inch
assembly failed in one step because of weak points in its own design. Hence,
the Court of Inquiry felt that the omissions in design consideration of the
temporary modification destroyed the integrity of a well designed and
constructed plant. The Court of Inquiry
concluded that "There was no Mechanical Engineer on the site of sufficient
qualification, status, or authority to deal with complex or novel engineering
problems and insist on necessary measures being taken". Nypro management
recognised this lack and had arranged for consulting service on any
modification that was identified as decidedly hazardous.
The primary cause of Flixborough disaster was an
attempt to bypass reactor No. 5. The manner of bypassing revealed serious
shortcomings in management procedures. The plant integrity was destroyed. Other
weaknesses were : no detailed drawing, no stress analysis of the bypass line,
not following BS 3351, the bellows and bypass assembly were not pressure tested
before it was fitted and the testing of the bypass at a pressure lower than the
safety valve release pressure (II bar) which were the sheer foolishness.
The three main lessons of Flixborough disaster
are:
1. Management
system deficiencies i.e. no skilled and
qualified engineer, no
standard modification procedure, no clearly defined role of safety
officer etc.
2. Need to notify hazards on site to the
local authorities and their guidance to the industry and
3. Restriction (licensing) on storage of
hazardous chemicals on site.
This disaster led directly to the CIMAH
regulations in the UK.
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