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Australia:
Sit-in at Esso gas plant after worker blamed for explosion
By Will Marshall
28 April 1999
Control operators at the Esso gas plant in the Australian state
of Victoria staged a sit-in on Tuesday after the company sought
to blame an individual worker for an explosion in September 1998
that killed two men, seriously injured eight others and cut gas
supplies to the state for two weeks.
The Esso workers passed a resolution deploring the company's
actions in singling out James Ward, a panel operator at the time
of the accident, in its final submission to the Longford Royal
Commission, which was established by the Kennett state government
to probe the disaster.
The operators said they would refuse to return to work until
Esso agree to reinstate Ward and another operator, Ron Rawson,
to their former jobs and to retrain all operations staff. In its
submission, Esso claimed that Ward failed to adequately respond
to equipment failures and "just waited" for others to
investigate. This accusation appears to be in retaliation for
damaging evidence that Ward and other workers gave to the royal
commission.
In its own final submission, the Kennett government said Esso
was "solely responsible" for the fatal explosion and
there were no guarantees a repeat emergency would be avoided,
endangering the state's gas supplies again. Whatever the Liberal
Party government's reasons for attacking the company, workers
and technical experts presented the inquiry with compelling evidence
of a comprehensive breakdown of safety at the plant.
Workers' testimony pointed to lack of training, equipment failure,
unsafe processes and maintenance cost-cutting over a decade. They
also expressed the fears they held on the day of the tragedy.
Two maintenance fitters for instance, revealed that they had left
the scene of the accident before it happened, sensing imminent
danger.
Throughout the morning of 25 September, personnel had worked
on the 922 heat exchanger, attempting without success to repair
a dangerous leak of between 1,000 and 3,000 litres of inflammable
condensate. Bruce Robinson, who was a temporary maintenance supervisor,
testified that before the explosion he told more senior supervisors
that the 922 exchanger should be shut down for a thorough examination.
One of the supervisors, John Lowery, had tended to agree with
him, but was later killed in the blast.
The lack of knowledge and training afforded to Esso employees
was critical. As many as 15 experienced men had been gathered
prior to the explosion to discuss what action to take on the leaking
exchanger and the cold temperatures inside it, but none had any
idea of the impending dangers they confronted.
One key factor was that the circulation of lean oil had been
off for at least three hours prior to the explosion because key
pumps had stopped. The area operator had made unsuccessful attempts
to restart the pumps. Without the lean oil, equipment that normally
operates at 120 Centigrade was iced over. All the workers testified
that they were concerned by the situation, but none knew that
the combination of hot oil with the cold temperatures could cause
the metal casing of the 14 tonne 905 exchanger to burst open and
release high pressure gas.
Circulation of lean oil is vital to remove certain impurities
from the incoming gas from the off-shore Bass Strait wells. At
the same time, it is a heating medium. There is great danger if
its supply is cut off for even 15 minutes. Yet from the plant
supervisor to the plant operators, none knew of the importance
of this to the safe running of Gas Plant 1, where the explosion
erupted.
James Ward, the victimised panel operator, was among those
giving the most revealing testimony. He explained: "It's
my estimation that on 25 September, probably up to and including
15 people realised there was a loss of lean oil circulation for
some length of time, and not one of them ever raised the issue
that this was critical".
Their lack of safety training had been reinforced by management's
reaction to a similar situation only a month earlier. At that
time, the plant had been run without a flow of lean oil due to
a machinery breakdown. Fortunately, pumps were restarted successfully
without incident.
In his testimony, Ward also referred to the pressure placed
on the operators to meet production targets. Recalling a previous
question, he said: "Earlier you mentioned troubleshooting.
That is not our foremost responsibility. Our first job is to provide
gas on time, on spec at a given pressure."
Wayne Olssen, the plant operator on the night prior to the
explosion, revealed another major factor in the lead up to the
disaster. A demand for increased gas output caused a change in
the composition of the product flowing through the plant. Higher
amounts of condensate and water created problems.
He said such disruption had been experienced before. "This
is due to an increased demand for gas in the plant to satisfy
the daily gas order. This extra requirement can be due to a shortfall
in the gas rate or the amended daily gas order by Vencorp [the
authority supplying natural gas to Victoria]. The extra gas being
sent in from offshore will sweep the pipes of liquid lying in
low areas and bring the liquid into the plant."
This was known to have occurred in several incidents in the
months prior to the explosion, with an ice-blockage in June, and
the formation of a hydrate in August. On the night prior to the
accident, three times the normal amount of condensate was being
pushed through the plant.
To make matters worse, maintenance has been severely cut back
in recent years. Many workers pointed out how deeply Esso had
cut back on maintenance and on experienced staff.
Stephen Bennett, a process technician of 16 years, testified
that: "The maintenance, itself, has been very slowly being
undertaken. Equipment is out of service for longer periods than
I can recall in the past."
Robert Elliot, another panel operator, said: "Esso is
tightening up on their budgets, and in doing so they are trying
to tighten up on the maintenance budgets. In the process, they
have to prioritise the work that needs to be done in the plant.
So if we put in a work request on a piece of equipment that we
want fixed, say five years ago the job would have been done within
a week, on occasions this job might not get done for months. The
circumstances have arisen where people are not putting in work
orders for job requests that are required."
The cuts to maintenance were most graphically shown with the
delay in repairing the TRC3B valve, which is crucial to maintaining
the temperature of the condensate. A repair order was submitted
on 15 September--just 10 days before the explosion--after the
valve had been faulty for months. But under the Matrix system
of maintenance, if an item is not classified as requiring immediate
attention, it is set down for work in 15 days. Despite the importance
of this valve to the functioning of the plant, it was not due
for internal inspection until 1 October.
The systematic nature of Esso's cost-cutting in maintenance
was shown by its cancellation in 1995 of what is termed in the
petro-chemical industry, a HAZOP (Hazard and Operability) review.
This looks specifically for design shortcomings, and is regarded
by engineers as the most thorough and therefore essential program
of safety checks for dangerous industries. The HAZOP for Gas Plant
1 was never carried out, although similar checks were made in
the more modern plants, 2&3.
When, in the lead up to the inquiry, Esso was asked by the
Victorian WorkCover Authority why a HAZOP had not been carried
out on Gas Plant 1, it replied: "During 1995 the decision
was made not to undertake the HAZOP ... because of the length
of time it would take and the fact that it would pick up too many
little items".
The legal counsel for the Commission reported that a central
factor in other major accidents had been a lack of "hazard
awareness". This included the 1988 disaster at Occidental
Petroleum's Piper Alpha oil Platform in the North Sea, where at
least 167 lives were lost.
In the face of this evidence, Esso has attempted to blame workers
for the tragedy. One of its witnesses, Kenneth Baker, a chemical
engineer, testified that the explosion was caused by operators'
errors. Despite all the testimony to the contrary, he claimed
that the workers did know of the dangers involved with the lack
of lean oil flow. When asked to explain their conflicting evidence,
he said: "I think they were trained. I think for an unknown
reason, they didn't perform... They have completely blocked certain
things from their minds so they can go ahead and sleep at night".
Yet the workers were not alone in reporting a dangerous lack
of knowledge. Supervisors and two Esso managers also explained
that they had no understanding of the possible dangers inherent
in the situation.
The 70 operators at the plant responded to Baker's testimony
by calling a 48-hour strike. They pointed out that they were being
scapegoated by Esso and called for an apology. Instead, Esso has
gone further in its final submission by singling out James Ward.
Whatever the outcome of the Royal Commission, the conditions
in which companies such as Esso put workers and the general community
at risk in the pursuit of profit will continue. The Kennett government
allows the major companies to undertake "self-regulation".
They carry out their own safety checks. The Victorian WorkCover
Authority completed just 37 inspection reports at the Longford
plant over the past two years. By comparison, 120 reports were
compiled each year on average over the previous decade.
Almost two-thirds of the major hazardous sites in Victoria
operated with pre-dated dangerous goods licenses at the time of
the explosion--that is, there had been no external checks on their
equipment. Esso itself was unlicensed at the time of the explosion.
There had been no comprehensive inspection for the purpose of
renewing its licence under the Dangerous Goods Act. And, as Esso's
own testimony illustrated, continual cost-cutting means that safety
procedures and equipment maintenance are often seen as unbearable
overheads in the petrochemical industry.
See Also:
Gas inquiry
designed to obscure Victoria's disaster
[11 November 1998]
Australian
gas disaster raises many questions
[1 October 1998]
Former
Esso plant worker speaks out
"It was only a matter of time before this happened"
[1 October 1998]
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