Flixborough Disaster
Explosion of a Cyclohexane Cloud
Summary
data:
Date: June 1st, 1974
Place: Flixborough, United Kingdom
Type of accident: Explosion in a cyclohexane
processing plant
Outcome: 28 deaths (workers), 89 injured (36 on site, 53 off-site), 1821 damaged
houses. Loss about $66 million which is
equivalent to $200 million today .
Almost 40 years after
the explosion at the Flixborough chemical plant, the mystery remains as to the
true causes of this accident.
View of the
Flixborough chemical plant after the explosion
The story began in 1938 when a plant to produce
fertilisers was built near the village of Flixborough. Then, it evolved in 1964
to produce caprolactam, a precursor for the manufacture of Nylon. The process used the hydrogenation of
phenol. In 1972, a new unit was implemented to increase the production to 70000
tons per year. The technology was based on the oxidation of cyclohexane into
cyclohexanone : this process was known to be more hazardous than the phenol
process.
Nevertheless, the company Nypro, owner of the
site, was experiencing serious economic problems. In reality, the unit only
produced 47 000 tons of caprolactam per year. Last but not least, the
government had been with a miners’ strike since 1973. They declared a state of
emergency and established a three day working week to save electricity. It was
not possible to operate the process on this basis. So emergency generators were
used to run the essential equipment and other equipment, such as the six
stirrers in the cyclohexane reactors, was stopped.
Overview of
the accident: The largest industrial explosion ever in the UK
To understand the accident, the diagram below
represents the unit concerned and its process.
In the six in-line stirred reactors, the
cyclohexane is oxidized by injecting compressed air. The process operates at
8,8 bar and 155°C and produces cyclohexanone and cyclohexanol. But this
reaction yield is low, therefore, the cyclohexane is recirculated to feed it
again.
Configuration of the
cyclohexane oxidation process
On Saturday 1 June 1974 at 4:53 pm, the plant
and all the surrounding buildings within 600 meters were devastated. The
deflagration was heard up to 50 kms away. This accident caused the death of 28
workers, with no survivors from the control room, and 89 people were injured: 36 on site, 53 off-site. The fires
burned for several days. The only ‘positive’ point in this tragedy is the
accident happened during the week-end. On a regular weekday, 550 employees
worked there.
By-pass pipe between reactors 4 and 6 |
The immediate cause of the main
explosion was the rupture of the 20 inch by-pass assembly between reactors 4
and 6. 40 to 60 tons of cyclohexane
escaped and were ignited 30 seconds after by the reforming tower forming a
cloud two hundred meters in diameter and 100 meters in height. Before this
explosion, on 27 March, a vertical crack in reactor 5 had been discovered
leading to a cyclohexane leak. A serious problem was identified, so this
reactor was removed and replaced by a simple by-pass between reactors 4 and 6.
Causes: No
witnesses … Several theories
Despite the investigation lead by the Secretary
of State for Employment, no unanimous conclusion could be drawn. However several
theories were born to explain the rupture of the 20 inch by-pass assembly between
reactors 4 and 6.
The 20 inch pipe theory
According to the inquiry, the 20 inch pipe
broke because of temperature and pressure conditions higher than usual, even if
they were within the range of operating conditions. Simulation tests could not replicate
failure at similar conditions, so an ambiguity remained. The real cause
remained the assembly pipe between reactors 4 and 6 since no study and no test
were launched before its installation. The problem on reactor 5 should have
been studied before running the unit again. In fact, the reactors had been sprayed
with water to dilute the cyclohexane leaks to limit flammability, but the
nitrates of the water dripped into the steel pipe and caused to corrosion.
The 8 inch hypothesis
An alternative theory was studied, based on the
8 inch pipe hypothesis. It stated that the first explosion could have been due
to a cyclohexane leak on an 8 inch pipe causing failure of the main 20 inch
by-pass. The problem on the 8 inch pipe could have been due to faulty seals or
check valve, bad fitting of two bolts, contact between zinc and steel, leading
to a double leak of cyclohexane and then the cracking of the 20 inch pipe.
This theory was abandoned because the
succession of events was too improbable.
The water theory
The last theory was not considered by the
inquiry since it was formulated by scientists who continued to work on it after its closure. The rupture of
the 20 inch pipe could be due to a sudden rise of pressure because of the water
presents in reactor 4. An azeotrope could have formed between the water and the
cyclohexane. Normally there is no water in the reactors but on the day of the
accident, the stirrer (reactor 4) had a mechanical problem and was
stopped: water may have been present.
Cyclohexane and water are normally immiscible.
The stirrers normally prevent the water from having a low solubility in the cyclohexane
but, that day, two phases may have occurred with an unstable interfacial layer,
the azeotrope. At start-up, the temperature increased, the boiling point of the
azeotrope was reached and this may have led to a sudden pressure rise and the
cyclohexane ejection. The bypass failed under the high pressure in the reactor.
Lessons from
the accident
Facilities design: The place and the structure of the
control room have to be carefully chosen. The best solution is to be as far
away as possible from the more hazardous units and to minimize the quantity of
dangerous products on the site.
Process modifications: For hazardous processes, every little change has to follow the same
standards. Good industry practices require that modifications should not be
carried out without having undertaken a safety, engineering and technical
review. In this case, there was no professional engineer in the plant at the time
of the accident. For example, they needed a 28 inch pipe to join reactors 4 and
6, but they only had a 20 inch pipe… they fitted it with strapping and a plate
instead of shutting down the unit.
Maintenance planning (anticipation): It is essential to establish a planning to
anticipate the problems. If a problem occurs temporary repairs are not the
solution, particularly if it stays in place 2 months (as was the case). The
startup of a unit after a problem must only take place after identifying the
causes.
Human analysis: The employees who are responsible
for the unit should know the unit, the risks and how to find the basic
documents in case of a problem (technical documents, design specifications …).
Experienced people may recognize the precursors of an accident.
Last but not least, the employees do not have
to choose between safety and production: safety comes first.
Sources:
- Explosion catastrophique d’un nuage de cyclohexane, le 1er
juin 1974, Aria - Ministère chargé de l'environnement, fiche mai 2008,
available at http://www.aria.developpement-durable.gouv.fr/ressources/5611_flixborough_eb_fr1.pdf
- Major
Technological Risk, An assessment of Industrial Disasters – P. Lagadec,
translated by H. Ostwald, available at http://www.patricklagadec.net/fr/pdf/Amoco_Cadiz_EN.pdf
What is the 8 inch pipe connected to? It's a little confusing.
ReplyDeleteIt's a good summary with clear and well organized causes and lessons learnt.
Was there any security department in charge of validating the work replacement that was done. There is usually procedures to follow, was it the case here ?
ReplyDeleteThe different theories are clear and all seems plausible !
Glass cutters don't work by actually cutting surface, they make a very fine score that begins the break. Getting a good score is key to getting a very clean break. I think the basic cutter with a straight shaft and oil reservoir is a good option. gözlüğü
ReplyDeleteMovie leaks vs cyclohexane leaks
ReplyDelete