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A safety case is simply the case that the management of a facility makes to demonstrate that the facility is as safe as can be reasonably expected. It is
analogous to the case that management may have to make to a court following a serious accident. If the safety case is accepted then a safety case regime is
implemented.
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In principle a safety case can be developed for any activity.
However, in practice they are generally only prepared for large, complex industrial or technical systems such as nuclear power
plants, military and civilian aviation and offshore oil and gas installations. Such systems are complex, and, in the event of an accident, the consequences could be very severe.
Such high consequence events are sometimes referred to as Major
Accident Events, or MAEs. For offshore work the UK Health and Safety
Executive states that an MAE would generally involve one or more of
the following events.
-
A fire, explosion or the release of a dangerous substance
involving death or serious personal injury to persons on the
installation or engaged in an activity on or in connection with
it;
-
Any event involving major damage to the structure of the
installation or plant affixed thereto or any loss in the
stability of the installation;
-
The collision of a helicopter with the installation;
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The failure of life support systems for diving operations in
connection with the installation; or
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Any other event arising from a work activity involving death or
serious personal injury to five or more persons on the
installation or engaged in an activity in connection with it.
Principles of a Safety Case
A safety case is built upon the following three principles.
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Those who create risks are responsible for controlling those risks.
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Safe operations are achieved by setting and achieving goals
rather than by following prescriptive rules.
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All risks must be reduced such that they are below a threshold of acceptability.
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Lord Cullen
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The Cullen
Report (1990) that
analyzed the
Piper Alpha disaster in detail stressed that the quality of the offshore safety cases in use at that time needed much improvement (indeed, it could be said that
it was the Cullen report that initiated present day safety cases. The report stated,
Primarily the safety case is a matter of ensuring that every
company produces a formal safety assessment to assure itself
that its operations are safe.
Two aspects of the above quotation are particularly noteworthy.
First, the company that owns and operates a platform has "to assure
itself" that the facility is safe. At root, a safety case is
developed for the facility personnel and company management - not
for outside parties. A safety case is not fundamentally a regulatory
tool - although it is often used by regulators. For example,
operators of large and expensive deepwater facilities in the Gulf of
Mexico (GoM) frequently develop analyses and reports which are very
similar to safety cases. They do this - in spite of the lack of
regulatory requirements - simply to assure themselves that they have
identified the factors that could lead to the loss of their very
expensive facilities.
A second key feature of the above quotation is that the
facility management has to develop a
Formal
Safety Assessment of
the facility for which it is responsible. This means that a framework for understanding risk, and what levels of risk are
acceptable, has to be developed. Just following the appropriate
regulations and standards is not sufficient. This requirement
means that safety cases are basically non-prescriptive and
performance based - in the same manner as for process safety
management programs onshore. Instead of following detailed rules, the owner (duty holder) of the facility set his or her
own standards. The duty-holder's performance is then assessed
against that standard. Although the term "Safety Case" is
not widely used in the United States, the safety case approach
to the development and application of Safety Management Systems
is, in fact, used in a wide range of American industries. For
example, the nuclear and space industries prepare Safety
Analysis Reports (SARs) and Mission Safety Evaluations (MSEs)
respectively. These documents have the same intent and general
structure as a safety case. One major oil and gas company
develops "HSE cases" that are essentially the same as a safety
case; they just choose to use a different name.
Safety Case Definition
A safety case can be defined as follows:
A documented body of evidence that provides a demonstrable
and valid argument that a system is adequately safe for a given
application and environment over its lifetime.
Another definition, provided by the UK Ministry of Defence (MOD
2004) is:
A structured argument, supported by a body of evidence that
provides a compelling, comprehensive and valid case that a
system is safety for a given application in a given operating
environment.
Yet another definition is provided by the Government of Western
Australia (Department of Consumer and Employment Protection 2005):
A safety case regime is an objective-based regime whereby legislation sets broad safety objectives and the operator, who accepts direct responsibility
for the ongoing management of safety, develops the most appropriate methods to achieve those objectives.
It can be seen that, although the above definitions have much in common, there is not a single, agreed-upon definition as to what
constitutes a safety case. Heiler
(2005) states,
Arguably, then, the question is not what is a
safety case regime - but rather what kind of safety case regime
is being contemplated . . .
In other words, each operator and regulator must determine the nature of the safety case for their particular situation. There
is no "one size fits all" safety case structure or design.
Types of Safety Case
An industrial facility will generally generate a series of
safety cases — one for each of the major phases in its design,
construction, operation and decommissioning/abandonment. Updates
to safety cases may also be required if there is a significant
change in conditions, such as follows a major expansion or the
introduction of a new highly hazardous chemical.
A safety
case should not focus on promoting a particular design or
operations option. Instead it should provide a discussion on the
merits of different options and a justification that the chosen
option is indeed the one that reduces risk to a level that is
acceptable. For facilities that are already operating the safety
case should go beyond the original design information — it
should incorporate actual operating experience.
Purpose of a Safety Case
The principal reason for developing and implementing a safety
case is, of course, to ensure that the people on a facility are
safe. However, a safety does have additional justifications,
some of which are discussed by Maguire
(2006). These additional reasons, particularly
those that apply to offshore installations, are discussed below.
Defense in Law
If the worst happens, and the facility does have a serious
accident then it is likely that litigation will follow. A
well-constructed and maintained safety case provides the basis
of an excellent defense. Even though an accident has occurred,
the safety case can demonstrate that management had given
serious consideration to understanding the risk that their
system posed, and that an appropriate Safety Management System
was in place.
Even if an accident has not occurred, it
is useful to design and organize the safety case as if it were
being used in a legal defense. The advantage of doing this
before an accident takes place is that management has the time
and flexibility that it would not have were it having to prepare a court defense.
Business Case
A safety case is also a business case, i.e., it
can be used to show investors, customers, insurers and corporate
managers that the risk associated with an expensive facility,
such as a deepwater offshore platform, has been analyzed, and that it is at an acceptable level.
Different Industries
This discussion on this web page focuses on the development and use of safety cases within the offshore oil and gas industries. However, the general
principles can be applied much more broadly. Safety cases were first developed in the nuclear and aerospace industries, and
can, in principle, be developed for any type of complex industrial activity that poses a high risk to workers or the
community. For example, in addition to nuclear and aviation, safety cases have been developed for pipelines, railways and
mining operations.
The nuclear power industry was probably the first to use safety cases. In the United Kingdom
the Nuclear Installations Act of 1965 required covered facilities to create and maintain a safety case in order to
obtain a license to operate. The nuclear industry has placed particular emphasis on the use of Quantitative Risk Assessment
(QRA) with the use of techniques such as Fault Tree and Event Tree Analysis. Because nuclear power plants are technically
quite similar to one another, this industry has also been able to set up reliability data bases to which they most facilities
contribute.
Within the onshore process industries the safety case approach was introduced in Europe to onshore process
plants as part of the ‘Seveso Directive’ in 1986. It has since
been replaced by the Seveso II Directive of 2003. The Seveso
Directives apply to industrial establishments where dangerous
substances are present in quantities exceeding their threshold
levels.
In the UK the Directives led to the creation of
the CIMAH (Control of Industrial Major Accident Hazards)
regulations in 1984. These regulations required manufacturers of
hazardous chemicals to create a safety report — in effect a
safety case. They also had to show how the hazards were being
effectively managed. CIMAH was replaced by COMAH (Control of Major Accident Hazards) in 1999.
Safety Cases in U.S. Waters
Companies operating in U.S. waters have not traditionally prepared safety cases. Following the Piper Alpha disaster of
1988 the offshore industries in the United States and Europe
(primarily the UK) developed different approaches to the
management of safety. The European approach, which was
encouraged by the Cullen report (discussed above) was to develop
and implement safety cases. In the United States the approach
was to follow the relatively prescriptive guidance in documents
such as API RP 75.
Following the Deepwater Horizon event
the Bureau of Ocean Energy Management, Regulation and
Enforcement implemented a requirement that safety cases be
prepared for drilling operations. Companies can use the template
from the International Association of Drilling Contractors
(IADC) has a template that is widely used. It is possible that
safety cases will also be legislated for deepwater production
platforms, but no information about this possibility is
currently available.
However, operators in the U.S.
(primarily the Gulf of Mexico) raise the following objections
and concerns regarding this potential trend.
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The Gulf of Mexico (GoM) has between five and six thousand
platforms — many of them small and in shallow water. It is
simply not economically feasible to write a safety case for
each platform. Nor does it really make sense, since they are
so similar to one another.
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The use of API standards and related documents has been
proven successful. Although the Deepwater Horizon event was
extremely serious, it was the first major blowout in U.S.
waters since 1969 and the Santa Barbara blowout. The much
more recent Montara event that occurred in 1999 occurred on
a platform that operated under a safety case regime.
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The development of safety cases and the application of the subsequent safety case regimes is expensive, time consuming
and creates a large amount of paper work. If it could be
demonstrated that this investment truly improves safety then
there would be no argument. However, as noted in the
previous paragraph, there is no convincing evidence that
either approach if clearly better than the other.
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When all platforms are designed and operated to the same
standards (mostly from the API) it is relatively easy to
audit them. The auditor simply has to look up the
appropriate code or rule, and he or she can come to a quick
conclusion. Such is not the case with a safety case system,
where each platform has its own unique program against which
it has to be evaluated.
Even if safety cases do become a regulatory requirement for
production platforms (N.B., effective October 2010 Safety Cases are not a part of the new
SEMS rule) it will not be necessary for the managers
of facilities in U.S. waters to throw away all the work that
they have done and to start again. Moreover, the legal
requirements to meet the elements of API RP 14C, for example,
will remain in place. A safety case will, however, provide
operators with an opportunity to pull together all the work that
has already been done into one, integrated document. If safety
cases are introduced to U.S. waters it is essential that they
are seen in this integration role rather than as an add-on
activity that is perceived as being expensive, but adding no
value.
Although different approaches to offshore safety
have developed in the North Sea and the Gulf of Mexico (GoM) it
is important to recognize that there has always been
considerable overlap between them. In particular, many of the
API standards are used in the development of safety cases.
Moreover, the two cultures would appear to be moving toward one
another. In the North Sea declining production has resulted in
small companies taking over platforms from industry majors.
These new owners do not have the financial depth to prepare
elaborate safety cases — instead they simply want to be told
what the rules are, and what they are expected to do, just like
the smaller operators in the GoM.
In the Gulf of Mexico,
on the other hand, the trend has been to deep water, high volume
platforms. These platforms are expensive. Hence, as already
noted, there is a tendency for the operators of these platforms
to develop safety cases — often under a different name — so as
to limit their financial risk.
Effectiveness of Safety Cases
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The Nimrod
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The development of a safety case does not, in and of itself, improve safety. Safety cases are only as good as the commitment made to their preparation
and implementation - an observation that is illustrated by the crash of a
Royal Airforce Nimrod airplane in the year 2006 in which fourteen crew members died.
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A safety case had been prepared for the Nimrod. It
turned out, however, that the quality of that safety case
was gravely inadequate, leading to the following
statements,
. . . the Nimrod safety case was a lamentable job
from start to finish. It was riddled with errors. . . Its production is a story of incompetence, complacency, and cynicism.
The Nimrod Safety Case process was fatally undermined by a general malaise: a widespread assumption by those involved that the Nimrod was
'safe anyway' (because it had successfully flown for 30 years)
and the task of drawing up the Safety Case became essentially a paperwork and 'tickbox' exercise.
Comments such as these emphasize that, for a safety case to
be effective, the following three points must always be
considered.
Commitment
The development and on-going implementation of a safety case is expensive and time-consuming. It also requires the
commitment of substantial amounts of time from key personnel - people whose services are always in demand elsewhere in the
organization.
In addition, just as employee participation is the key element of process safety management systems, so worker involvement is crucial to the effective application of
safety cases.
On-Going Activity
Once written, the safety case should be used as an on-going operational and training tool. There are all too
many cases where a comprehensive safety case is written, and
then it sits on a shelf, gathering dust, with no one paying
attention to it. In such situations there is a danger that
operations personnel may take the attitude, “We know we are
safe because we have a safety case”.
Up to Date
A safety case should be kept up to date. This is not too difficult when a major change to a facility is being
made. However it is possible that a succession of minor
changes over a period of years could materially affect the
safety of a facility such that the safety case needs to be
updated.
Features of a Safety Case
The following are the core features of a safety case.
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Duty-Holder
Responsibility;
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Participation and
Commitment;
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Information
Availability;
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Non-Prescriptive and
Performance Based;
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Risk Management
System;
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Management Systems;
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Living Document; and
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Auditor/Assessor
Responsibility.
At the heart of the safety case approach is an understanding that is the operator of a facility — not the regulator — who
decides how to ensure safe operations. The organization that
prepares and manages the safety case is known as the
“duty-holder”. Generally the duty-holder is the
owner/operator of the facility. However this responsibility
can be delegated. For example, in the North Sea, many of the
larger oil companies have sold some of their older fields to
smaller organizations. These organizations, in turn,
frequently do not have the internal resources develop or
manage a safety case. Therefore, these companies may choose
to hire a third party to act as duty-holder. One of the
responsibilities of the third party will be to develop and
manage the safety case.
The ultimate responsibility for preparing the safety case
lies with the duty holder. Part of his responsibility is to
make sure that the employees are fully involved in the
preparation of the safety case. However, the detailed
development of the information to be used in the safety
case, and of the technical analyses, will generally be done
by specialist personnel hired for the purpose. For the
highly specialized parts of the work, such as blast
analysis, it is likely that the services of a consulting
company will be required.
Participation and Commitment
The active participation of all employees and contract
workers is the key to the success of any safety program -
including safety cases. This means that not only are
employees informed and trained about the safety case, but
they also actively participate in its application and are
encouraged to think of ways of improving system safety.
Ideally the safety case will lead to the creation of a
safety culture.
The commitment of management is also
required. Given that the development and implementation of a
safety case is expensive and time-consuming, management must
commit the necessary funds and time of key personnel -
people whose services are always in demand elsewhere in the
organization - to the development and implementation of the
safety case.
Although the goal of high employee
participation is commendable, it has to be recognized that
many sections of a safety case are highly technical;
realistically these sections are only going to be understood
by safety specialists.
Information
The safety case contains within itself all the information that is needed to support the arguments that are presented.
In some ways it is analogous to the case that attorneys make after an accident in which they make the case that the
facility operator did or did not do an adequate job of managing safety.
Non-Prescriptive and Performance Based
Safety cases are largely non-prescriptive; that is, rather
than listing the detailed regulations, codes and standards
that have to be followed, they basically address the
requirement, "Do whatever it takes on your facility not to
have accidents". It is up to the managers, technical experts
and the operations/maintenance personnel to determine how
this should be done. (Of course, detailed rules do have to
be followed when they apply; the safety case is not a
justification or excuse for avoiding compliance.)
Non-prescriptive management programs are always
performance-based because the only measure of success is
success. Hence success is only achieved by not having
incidents. But, from a theoretical point of view, such a
goal is impossible to achieve. No matter how well run a
facility may be accidents will occur; risk can never be
zero. Accidents can always occur.
The success of
prescriptive programs is measured, at least in the short
term, by compliance with relatively detailed rules. One
difficulty that a prescriptive approach faces is that
technology changes very fast, particularly in deep water
work, whereas the writing of rules and regulations is a slow
and painstaking process. This means that prescriptive
standards may not be sufficiently up to date to address
current issues. Such a problem does not occur with
non-prescriptive programs, such as safety cases. The
management of the risk is the responsibility of the
organization that creates the risk. If the organization has
developed the technology that creates the risk, then that
same organization can create the risk management systems
that are needed to control the risk.
The use of
prescriptive standards does, however, offer a number of
advantages. First, given that the standards were developed
by experts in the field their use will ensure that high
levels of safety will be achieved, even if the persons
designing and running the platform are not themselves
industry experts.
Second, the use of prescriptive
standards increases efficiency and reduces design time.
Rather than having to develop safety concepts and standards
from scratch, the designers and operators of a platform can
quickly and efficiently apply recognized rules.
Finally, a prescriptive system allows for facilities to be
audited more quickly and more consistently. The quality of
the audit does not depend as much on the training and
knowledge of the auditor as it would in a non-prescriptive
environment. Moreover, when all platforms are designed and
operated to the same standards (mostly from the API) it is
relatively easy to audit them. The auditor simply has to
look up the appropriate code or rule, and he or she can come
to a quick conclusion. Such is not the case with a safety
case system, where each platform has its own unique program
against which it has to be evaluated.
Risk Management System
The risk management system, which includes both technical
and managerial systems, is generally organized as follows:
Determine the level of
risk associated with each hazard;
Describe how the risks
are controlled; and
Describe the safety
management system that ensures that the controls are
effectively and consistently applied.
The risk management system usually includes a quantitative
analysis, i.e., the risk associated with each of the hazards
in a facility is estimated numerically and given a value -
typically in the form of so many fatalities or environmental
releases per thousand years. These individual risks are then
added to one another to give an estimate of the overall
risk.
Management Systems
Systems for controlling risk should concentrate on management systems rather than just on hardware and
instrumentation. Therefore the safety case must show that
the correct management system for controlling safety is in
place. Such a system is often referred to as a Safety
Management System (SMS). It is the system by which hazards
are identified and risks are continually and systematically
assessed. These risks can then be either eliminated or
controlled at the appropriate points in the facility’s life,
ranging from initial design through construction,
commissioning, operation and abandonment of the facility.
The SMS must be comprehensive, integrated and contain
feedback loops that continually measure performance and
drive change.
The components of an SMS have been defined by the UK
Ministry of Defence (MOD 1996) as:
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Policy;
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Organization;
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Implementation;
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Measuring; and
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Review and
development.
An SMS will include items such as the following:
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Safety policies
and the organizational and facility safety
objectives;
-
Organization
reporting structures - roles and responsibilities;
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Risk assessment
and risk management;
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Methods of
employee involvement in risk management;
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Employee
selection, competency, training and induction;
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Integration of
contractor and support services in risk management;
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Design,
construction and commissioning procedures;
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Safe operational
procedures for normal and abnormal circumstances;
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Systems of
maintenance, inspection and modification;
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Systems of
managing change to ensure safety;
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Methods, systems
and procedures for ensuring the occupational health
of employees;
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Emergency response
including controls, personnel evacuation , escape
and rescue;
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Incident
investigation and reporting, corrective and
follow-up action; and
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The method of
performance review and audit including review in the
light of external experience.
The SMS should ensure that all necessary linkages between system elements are identified and, where
appropriate, should draw on the principles of quality
management.
Living Document
A safety case is a living document that describes the safety of an operation from the initial concept design, all the way
through normal operations, to the eventual termination and
shut down/abandonment of the facility. The safety case needs
to be modified and upgraded as needed in order to ensure
that risk and safety are properly managed at all times.
It is relatively easy to update the safety case when a
major change to a facility is being made. However it is
possible that a succession of minor changes over a period of
years could materially affect the safety of a facility such
that the safety case needs to be updated.
Auditor / Assessor Responsibility
All
management systems must be audited. As one plant manager
said, "There is always news about safety - and some of that
news will be bad". The only way to find that bad news is to
carry out audits and reviews.
Auditors fall into one
of three types. The first is someone from within the
immediate organization who is charged with checking the
quality of the program. The second type of auditor works for
the company or duty-holder that owns the facility but is in
a separate (often corporate) organization. This type of
auditor may also be a company hired by the facility
management to mimic a regulatory audit. The third type of auditor is a government agency or other regulatory
authority.
With respect to safety cases, the auditor
or assessor, who can represent either a government agency or
a non-governmental body, has three key roles:
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Provide guidance to
the owner as to what is required in the safety case.
-
Formally accept (or
reject) the safety case after it has been prepared and
presented by the operator. Not only must the safety case
as written be accepted, the operator has to demonstrate
that his organization has the ability, management
commitment and resources to implement the safety case’s
requirements.
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Ensure that the
operator is actually doing what he said he would do in
the safety case once operations commence. Such reviews
should occur on a regular basis. The UK HSE (Health &
Safety Executive), for example, requires that, "the duty
holder must carry out a 'thorough review' of the current
safety case at least every 5 years or as directed by
HSE".
Implicit in the safety case regulatory approach is that the
safety case be evaluated and accepted (or rejected) by the
regulator. Having a regulator accept a safety case regime
can be tricky because, if there is an accident, the company
involved can claim that some of the responsibility for the
event lies with the regulator. To get around this dilemma,
the UK HSE states that,
. . . "acceptance" requires satisfaction with the
duty holder's approach to identifying and meeting health
and safety needs. HSE "accepts" the validity of the
described approach as being capable, if implemented as
described, of achieving the necessary degree of risk
control, but HSE does not confirm the outcomes of that
approach.
The acceptance or rejection of a safety case implies that the regulator has personnel who are qualified to evaluate
the complex and sophisticated analyses that are a part of
any safety case.
The active participation of the regulator in this manner differs from other standards such as OSHA's process safety
management program or Recommended Practice 75 from the API.
In these cases the regulator does not check or validate the
program; it merely requires that a program exists. Only if
there is an accident is the program scrutinized by the
regulator.
Overall, the assessor's job is to ensure
that management systems are in place, that they are
effective, and they are being followed. Rather than checking
on the details of the safety program, the assessor will
evaluate management systems, and their effectiveness.
Structure of a Safety Case
Given that safety cases are prepared for individual
facilities, there is no single structure that
applies across the board. The risks and management
activities associated with a nuclear power plant,
for example, are quite different from those for a
freight railroad. Therefore the respective safety
cases will be quite different from one another.
In spite of the fact that each safety case will have
its own structure, level of detail and format, most
safety cases are typically organized in a manner
similar to that shown in Table 1 below.
Table 1 Representative Safety Case Structure
Section I
Executive Summary
Section II Introduction
Section III
Policies, Objectives, Regulations and Standards
Section IV
Facility Description
Section V
Safety Management System
Section VI
Formal Safety Assessment
Section VII Audit
and Review
Section I - Executive Summary
This section should provide the reader with an
overview of why the safety case was developed, the
facilities and operations that it covers and who it was
written for. The summary should provide a brief
statement as to the assumptions, conclusions and
recommendations that were made.
Section II - Introduction
The safety case should start with a description of the systems and methods used in its development.
Section III -
Policies, Objectives, Regulations and Standards
In this section of the safety case the company management outlines its goals, and the parameters within
which it is working.
Objectives for the facility can include targets for the number of safety events,
system reliability and maintenance costs. Such objectives can affect the structure of the safety case.
The use of the safety case approach does not mean
that regulations, codes and standards can be ignored. A
regulation is a legal requirement — no matter how
sophisticated a risk analysis may be, the regulatory
requirements must be met. Therefore the safety case
should summarize those rules, show how they are being
complied with and how they are integrated into the
overall safety case management system.
Standards
from the API and other professional bodies such as the
American Society of Mechanical Engineers (ASME) and the
Institute of Electrical and Electronics Engineers (IEEE)
can be referred to by the safety case.
Section IV -
Facility Description
The safety case should contain sufficient information
about the facility to verify that the design and
operating philosophy is consistent with the safety
management system and with the assumptions and outputs
of the formal risk analysis.
The safety case
need not contain detailed procedures, calculations,
drawings or plans, but should contain sufficient
information to allow the regulator to assess whether the
systems and conclusions presented in the safety case are
reasonable. General documentary evidence that supports
the conclusions reached in the safety case should be
referenced. An assessor or regulator should be given
access to the relevant documentation as necessary.
For offshore platforms, the safety case will
generally contain the following minimum information.
-
An overview of the
facility, highlighting key assumptions and phases of
development and any unique features;
-
A summary of key
design parameters with cross references to key
technical documents (covering storm/wave/current
conditions, wind, seawater/air temperatures,
earthquakes, cyclones/hurricanes, other extreme
conditions and seabed stability);
-
A description of
the process flow and operations;
-
Equipment layout
for all decks;
-
A description of
the functions of the facility with reference to key
processes, wellhead and utility systems, drilling,
workover, wireline systems, and marine and
helicopter operations;
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A summary of
hazardous substances that are used or stored at the
facility, along with an estimate of the inventory of
these substances:
-
A description of
the design safety philosophy, features and systems
provided on the installation with emphasis on safety
philosophy.
Not only should the safety case describe the facility
itself, it should also discuss interactions with
existing and planned facilities.
Section V -
Safety Management System
The management of safety can be divided into three
broad categories: Technical Safety, Process Safety and
Occupational Safety (there is a lot of overlap between
them). The safety case should outline how each of these
topics was addressed.
Technical safety is covered by the Formal Safety
Assessment (FSA) described in the next section. Process
Safety Management (PSM) is described in detail here.
Occupational safety (and the related topic of Behavior
Based Safety) focuses on "trips and falls". It would not
normally be discussed in a safety case.
Section VI - Formal
Safety Assessment
Once the facility description is finalized and
guidance for allowable risk is provided, a Formal Safety
Assessment (FSA) can commence. An FSA requires the
identification and evaluation of hazards over the life
of the project from the initial feasibility study
through the concept design stage, to construction and
commissioning, then to operation, decommissioning and
abandonment of the facility.
As with everything else to do with safety cases, the
content and scope of an FSA will depend on the facility
in question and the goals that have been set. What is
shown in Table 2 is representative.
Table 2
Elements of a Formal Safety Assessment
-
Project HSE Plan
-
Safety in Design
Philosophy
-
Assumptions
Register
-
Hazards Register
-
Hazard
Identification
-
Layout Hazard
Review
-
Major Accident
Events/Safety Critical Elements
-
MAE Register and
Bow-Ties
-
MAE Fire and
Explosion Analysis (including gas and smoke
dispersion studies)
-
Non-hydrocarbon
Analysis
-
Emergency escape,
evacuation and rescue analysis
-
Emergency Systems
Survivability Analysis (ESSA)
-
Temporary refuge
impairment analysis
-
Environmental analysis
-
Quantitative risk assessment
-
ALARP
-
Noise
-
Material Handling
-
Health Risk
Assessment
-
Human Factors
Engineering Analysis
Section VII - Audit and Review
Auditing a safety case is difficult. The requirement to demonstrate that an organization has successfully
identified potential major accident events and assessed and demonstrated that risk has been reduced to as low as
is reasonably practicable creates complex problems for
drafters and assessors of safety cases.
Risk
analysis, while it can employ scientific methodologies,
is very much based in the experiences of those involved
in undertaking the analysis, and, where qualitative
analysis is undertaken, by the data used in the
assumptions made about likelihood and consequences of
events. Therefore, the high degree of uncertainty
inherent in most risk analyses means that the results
are most useful for comparing alternate strategies — not
for coming up with an unequivocal measure of risk.
Review Factors
Factors that will be considered in the assessor’s reviews
include:
-
The operator's
incident/accident experience and causal factors,
complaints, legislative compliance reviews and the
operator's internal audit results;
-
The combined national
experience of operators;
-
National and
international trends and experience;
-
General industry
experience and developing standards;
-
The effectiveness with
which the commitments in the safety case are being
implemented;
-
Monitoring the
effectiveness of SMS and operator audits of them;
-
The degree to which
the work force is involved in implementing the safety
case regime.
-
Overall, the
assessor’s job is to ensure that management systems are
in place, that they are effective, and they are being
followed. Rather than checking on the details of the
safety program, the assessor will evaluate management
systems, and their effectiveness.
Inspectors will be required to be involved in both in
onsite appraisal of the delivery of improvements and
assessing the complex technical arguments put forward for
alternative approaches. They must be able to review and
evaluate the quality and effectiveness of the safety case
without duplicating the work.
Performance Measurement
Performance standards are the key to an effective safety system. They specify what has to
be done, when, by whom and to what extent and ensure
that the system is operating as planned in the
achievement of objectives through linking roles and
responsibilities to actions in a measurable way.
Measurement of performance has traditionally been focused on ‘lagging' indicators such as Lost Time Injury Frequency Rates. There are severe limitations in relying
on such historical data, and instead is examining the
use of ‘lead' indicators. Lead indicators (such as the
number and quality of safety audits conducted, the
measurement of management commitment to safety through
employee perception studies, and the quality of the
facility safety plan), will hopefully provide a real-time measure of the effectiveness of the safety
management arrangements. They measure pro-activity,
represent management's commitment to identify potential loss events, and signal the presence of management
systems, which can uncover weaknesses before they develop into full-fledged problems.
Section VIII - References
Although a safety case will generally be large and comprehensive, not all the information that it uses can
be included. Therefore a list of references is required.
These references will generally be of three types:
-
Supporting
documentation and calculations for detailed
items in the safety case such as blast and
dispersion analyses.
-
External
references such as regulations and guidance from
government agencies.
-
Internal
references such as company codes and standards.
Bridging Documents
When two or more installations have their own safety cases bridging documents help link them. For example, a
floating production platform may have a floating
drilling rig connected to it. Each facility has its own
safety case, so a bridging document is needed to align
them. The bridging documents needs to consider problems
at the interfaces such as the possibility that the
anchors from one platform may interfere with the subsea
equipment from the other.
Bridging documents are
also used to create facility-specific versions of
generic safety cases. For example, it has already been
noted that the International Association of Drilling
Contractors (IADC) has prepared a safety case template
for a wide range of drilling operations (both onshore
and offshore). A bridging document can be prepared to
match the needs of a particular facility to the general
template structure.
The Update Process
The safety case can be updated in one of two ways. First, it
can be linked to the facility’s Management of Change (MOC)
program. A system can be put in place to review all MOCs on
a regular basis. Those that are deemed significant are used
to update the safety case.
The second way of
updating the safety case is to implement a review cycle
process — typically on an annual basis.
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