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Animation of Explosion at Tesoro's Anacortes Refinery
WEBVTT Kind: captions Language: en
00:00:07.567 --> 00:00:12.728 Narrator: April 2, 2010, the Tesoro Refinery in Anacortes, Washington. 00:00:12.728 --> 00:00:20.975 A nearly 40-year-old heat exchanger violently ruptures, causing an explosion and fire that kills seven workers, 00:00:20.975 --> 00:00:25.703 the largest loss of life at a U.S. refinery since 2005. 00:00:25.703 --> 00:00:28.607 The Chemical Safety Board launched an investigation 00:00:28.607 --> 00:00:31.896 and determined that the heat exchanger catastrophically failed 00:00:31.896 --> 00:00:38.335 due to long-term damage from what is known as high temperature hydrogen attack. 00:00:38.335 --> 00:00:46.759 The Tesoro Refinery in Anacortes is an 800-acre facility located approximately 70 miles northwest of Seattle. 00:00:46.759 --> 00:00:54.447 The refinery produces a variety of products including gasoline, diesel, jet fuel and asphalt. 00:00:54.447 --> 00:00:58.736 Within the refinery's naphtha hydrotreater unit, raw naphtha, 00:00:58.736 --> 00:01:05.271 a light component of crude oil, is treated to remove nitrogen, sulfur and oxygen impurities. 00:01:05.271 --> 00:01:07.280 Before entering the unit's reactor, 00:01:07.280 --> 00:01:13.112 the raw naphtha and hydrogen and preheated inside pressure vessels called heat exchangers. 00:01:13.112 --> 00:01:19.279 The unit contains two banks of three heat exchangers supported by a three-level steel structure. 00:01:19.279 --> 00:01:24.375 Each heat exchanger consists of a bundle of tubes inside a steel shell. 00:01:24.375 --> 00:01:28.304 Hot fluid exiting the reactor flows through the heat exchanger shell 00:01:28.304 --> 00:01:33.951 while cool fluid headed for the reactor flows inside the tubes. 00:01:33.951 --> 00:01:37.503 Heat is exchanged through the walls of the tubes. 00:01:37.503 --> 00:01:42.279 Every six months the heat exchangers are taken offline to be cleaned because of fouling, 00:01:42.279 --> 00:01:46.463 a common occurrence when operating heat exchangers in this type of service. 00:01:46.463 --> 00:01:52.551 As the raw naphtha is heated, a scale-like material forms and deposits onto the inside of the tubes, 00:01:52.551 --> 00:01:57.943 hindering the transfer of heat in the exchangers. 00:01:57.943 --> 00:02:04.767 On March 28, 2010, one bank of heat exchangers was taken offline and disassembled for cleaning 00:02:04.767 --> 00:02:07.551 while the other bank remained in service. 00:02:07.551 --> 00:02:11.254 This allowed the unit to continue to operate. 00:02:11.254 --> 00:02:14.791 By mid-afternoon on April 1, the cleaning was complete 00:02:14.791 --> 00:02:21.007 and operators initiated the startup of the offline bank of heat exchangers. 00:02:21.007 --> 00:02:27.390 The procedure required an inside board operator monitoring the control console and one outside operator 00:02:27.390 --> 00:02:31.438 opening and closing large manually-operated valves. 00:02:31.438 --> 00:02:35.189 But the heat exchangers had a history of developing leaks during startup, 00:02:35.189 --> 00:02:39.357 something that refinery personnel had come to see as normal. 00:02:39.357 --> 00:02:44.325 Additional operators from other nearby units were called upon to assist with the startup, 00:02:44.325 --> 00:02:47.333 including mitigation of potential leaks. 00:02:47.333 --> 00:02:53.509 By 10:30 p.m. the outside operator was joined by six workers from other units within the refinery. 00:02:53.509 --> 00:02:59.821 The seven workers were located around the heat exchangers where startup activities continued past midnight. 00:02:59.821 --> 00:03:05.286 But unknown to the workers, the steel shells of the middle vessels in both banks of heat exchangers 00:03:05.286 --> 00:03:10.957 had been severely weakened due to cracking caused by high temperature hydrogen attack. 00:03:10.957 --> 00:03:16.005 This occurs when tiny hydrogen atoms diffuse into steel at a high temperature, 00:03:16.005 --> 00:03:20.262 then react with carbon in the steel to form methane gas. 00:03:20.262 --> 00:03:25.454 The larger methane molecules, unable to diffuse out of the steel, accumulate, 00:03:25.454 --> 00:03:29.220 stressing the steel and over time causing fissures. 00:03:29.220 --> 00:03:35.781 In both of the middle heat exchangers the fissures grew and connected to form large internal cracks. 00:03:35.781 --> 00:03:40.669 One such crack was 48 inches long and extended more than one-third of the way 00:03:40.669 --> 00:03:43.206 through the vessel's one-inch thick shell. 00:03:43.206 --> 00:03:48.805 Shortly after midnight the temperature of the fluid exiting the tubes of the online bank of exchangers 00:03:48.805 --> 00:03:52.710 increased about 75 degrees over the span of three minutes, 00:03:52.710 --> 00:03:56.797 a temperature increase that was typical and observed in previous startups. 00:03:56.797 --> 00:04:01.557 But the middle heat exchanger was so severely weakened from high temperature hydrogen attack 00:04:01.557 --> 00:04:06.854 that it likely could not withstand the stress caused by the rapid temperature increase. 00:04:06.854 --> 00:04:12.573 At 12:35 a.m. employees working at a nearby process unit heard a loud hissing noise, 00:04:12.573 --> 00:04:17.437 and vapor began to leak as the heat exchanger cracked at its weakest point. 00:04:17.437 --> 00:04:21.397 Seconds later the exchanger violently ruptured. 00:04:21.397 --> 00:04:28.285 Hot hydrogen and naphtha vapor rapidly vented from the exchanger and spontaneously ignited upon contact with air, 00:04:28.285 --> 00:04:33.349 resulting in a massive fire that consumed the heat exchanger structure. 00:04:33.349 --> 00:04:36.253 Three of the seven operators died at the scene. 00:04:36.253 --> 00:04:40.735 The other four operators were transported to local burn centers with severe injuries. 00:04:40.735 --> 00:04:42.717 Two died within hours. 00:04:42.717 --> 00:04:45.653 The other two succumbed within days.
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