The document provides an overview of fault tree analysis (FTA). FTA is a logic diagram approach used to analyze system failures by beginning with a potential upset event and diagramming how it can result from lower level events or failures. It describes constructing a fault tree by defining the top event and identifying necessary and sufficient lower level events, conditions, and units to cause it. The connections are made via logic gates like AND and OR. The purpose of FTA is to help analyze potential system and component failures. It requires understanding the system to identify cause-and-effect relationships represented in the fault tree.
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Fault Tree
The document provides an overview of fault tree analysis (FTA). FTA is a logic diagram approach used to analyze system failures by beginning with a potential upset event and diagramming how it can result from lower level events or failures. It describes constructing a fault tree by defining the top event and identifying necessary and sufficient lower level events, conditions, and units to cause it. The connections are made via logic gates like AND and OR. The purpose of FTA is to help analyze potential system and component failures. It requires understanding the system to identify cause-and-effect relationships represented in the fault tree.
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L09 Fault Tree Analysis
Quantitative Risk Analysis L09
Fall 2013 Fault Tree Analysis 1 L09 Fault Tree Analysis Logic Diagram Analysis Risk assessment includes frequencies or probability estimates of scenario outcome events. Values of Pr (system failure|c 1 , c 2 , ) usually are not known and must be estimated from simpler or base events: Pr (unit failure|c 1 , c 2 ,) Quantification of outcome events are based on primary or base events or components for which occurrence data (specific, generic, expert opinion) exist. Logic diagrams link base and intermediate events and units that occur in event sequences or scenarios for quantification of outcome events. 2 L09 Fault Tree Analysis Fault Tree Analysis Fault tree analysis (FTA) is a logic diagram approach to analyze system failures. A fault tree (FT) begins with a potential upset (top event), and diagrams through deduction how the top event can result from lower level events or failures. An event tree (ET) diagram events that are initiated by and result through induction from a FT top event. A FT top event is connected to lower level events through logic gates such as: OR (union operation,), AND (intersection operation, ). FT and ET events are analyzed and quantified based on fail- success (binary). 3 L09 Fault Tree Analysis FTA Purpose FTA requires an understanding of the system and potential failures aided by a system block diagram or functional diagram and a system hazard analysis of potential failure causes. FTA can help to analyze system design, component and system operation, human actions, and effects of the external environment on the system Cause and effect relationships leading to the top event are identified, analyzed, and represented in the FT. 4 L09 Fault Tree Analysis FTA Requirements Identify the physical boundaries of the system to be included in the FTA System conditions at start of top event External conditions at start of top event Decide on the depth and resolution of the deductive analysis from top event to lower level events. FTA team tasks 5 L09 Fault Tree Analysis FTA Construction Define the top event, example: What, Fire Where, in the process oxidation reactor When, during normal operation Identify necessary and sufficient events, conditions, and units to cause the top event. 6 L09 Fault Tree Analysis FTA Construction Connect events and conditions via logic gates such as AND, OR Continue with underlying events to an appropriate event level called primary or base events to include components or human actions Connection to base events: Simple, independent events Events for which sufficient data exist (such as failure data) to explain and quantify top event of FT 7 L09 Fault Tree Analysis AND-Gate Independent basic events E 1 and E 2 at time t The TOP event failure probability, Q T , at time t is Q T = P(E 1 E 2 ) = P(E 1 |E 2 )P(E 2 ) = P(E 1 )P( E 2 ) With a single AND-gate and n independent basic events occurring at time t, 8 TOP E 1 E 2 (independent) L09 Fault Tree Analysis OR-Gate Independent basic events E 1 and E 2 at time t The TOP event probability at time t is Q T = P(E 1 E 2 ) = P(E 1 ) + P(E 2 ) P(E 1 E 2 ) = Q 1 +Q 2 Q 1 Q 2 With a single OR-gate and n basic independent events occurring at time t, 9 TOP E 1 E 2 (independent) L09 Fault Tree Analysis Combining OR with AND Gates with Logic 10 L09 Fault Tree Analysis Analysis of Logic Trees Logical (qualitative) evaluation: Find cut sets (for failure) or path sets (for success) by Boolean manipulations, or use logical information to rearrange the tree for easy computation. Probabilistic (quantitative) evaluation: Use estimates of probabilities or frequencies for event occurrences. 11 L09 Fault Tree Analysis Fault Trees Identification Fault trees help to identify how a system can fail through one or more of component failures or human failures. FT help to analyze the causes of failures in complex systems from sequence of failure/success events. Minimum cut sets determined from a reduced FT show the scenarios of minimum failures that lead to failure indicated by the top event occurrence, T. 12 L09 Fault Tree Analysis FTA Main Symbols Basic Event A basic initiating fault (component failure) Intermediate or top Event Occurs as a result of events at a lower level acting through logic gates And Gate Output occurs if all input events occur Or Gate Output occurs if at least one input event occurs L09 Fault Tree Analysis Flashlight Fault Tree for a Flashlight Switch Bulb + - + - Battery Battery Event: No light L09 Fault Tree Analysis Fault Tree for a Flashlight Battery Switch Bulb Basic Event No light Top Event Or Gate L09 Fault Tree Analysis Symbols L09 Fault Tree Analysis 17 FE, flow transducer FC, flow controller FS, flow switch FAL, low flow alarm SV, solenoid valve FCV, flow control TE, T transducer TC, T controller TSH, high T switch GIV, gas isolation valve MBV, manual bypass valve TCV, T control valve Hot Oil Heating System L09 Fault Tree Analysis Hot Oil Heating System scope Supply hot oil plus solvent to bitumen (asphalt solution) tanks Flow through heater must be maintained or heater coils may overheat, rupture, and cause a fire. Flow control valve, FCV, opens progressively if flow to heater drops, e.g., flow to a bitumen tank reduced, and returns oil back to pump. Manual bypass valve, MBV, for FCV maintenance. 18 L09 Fault Tree Analysis Hot Oil Heating System HAZID What are hazards of this oil heating system? 19 L09 Fault Tree Analysis Hot Oil Heating System FTA for Heater Coil Burn Out For heater coil burn out as an upset event, identify initial triggering events or system demands, each to be analyzed separately. 20 L09 Fault Tree Analysis Hot Oil Heating System FTA for Heater Coil Burn Out events or demands: No or low oil flow demands Pump failure Flow control system failure Oil leak (large) Pipeline blockage Valve closed Excess gas flow (e.g. at a time of low oil flow) Fuel gas control 21 L09 Fault Tree Analysis Hot Oil Heating System Heater Coil Burn Out -Frequency each of this demands should be analyzed separately Frequency of coil burn out is based on frequencies from each of the demands: Pump failure OR flow control system failure OR oil leak OR pipeline blockage OR valve closed OR Can pump failure by itself cause top event? 22 L09 Fault Tree Analysis Pump Failure Demand Fault Tree, 1 The heater coils burn out if both the pump fails AND the protective response fails. The protective response fails if both the automatic response fails AND the manual response fails. Causes of automatic response failure: either FE fails OR FS fails OR SV fails OR TCV fails. Causes of manual response failure: either FE fails OR FS fails OR FAL fails OR the operator fails OR GIV fails. For this system, construct a fault tree based on your knowledge of the system operation. 23 L09 Fault Tree Analysis T = A[(BCDE)(BCFGH)] Automatic response Manual response State the logic expression in words. Initial FT and Logic Based on Understanding of System Pump Failure Demand Fault Tree, 1 24 Represent the mishap or top event by T. Events leading to T are represented by letters for system components L09 Fault Tree Analysis T = A[(B+C+D+E)(B+C+F+G+H)] Automatic Manual Boolean Algebra Logic Pump Failure Demand Fault Tree, 1 25 which makes what assumptions? L09 Fault Tree Analysis Pump Failure Demand Fault Tree, 1 comments Over-temperature protection system, (TSH, SV) does not operate if pump stops, because there is no flow to the TSH sensor. (auto response system failure) But the oil in the heater can overheat and cause heater coil burn out if pump stops, and FS fails, or FAL fails, or operator, OP, fails to cut off fuel to the heater. 26 L09 Fault Tree Analysis Pump Failure Demand Fault Tree, 1 27 L09 Fault Tree Analysis Pump Failure Demand Fault Tree, 1 comments From the initial fault tree construction, there are two components, FE and FS, that appear more than in one branch of the tree. As discussed, the initial fault tree is based on our understanding of how the system works. An initial fault tree should be therefore reduced to avoid repetitions, which can lead to over counting of failures and inaccurate top event frequency or probability calculation. From the initial FT prepare a reduced fault tree. 28 L09 Fault Tree Analysis FT Reduction with Boolean Algebra, To simplify, the logic expression is expanded and reduced: T = A (B+C+D+E) (B+C+F+G+H) = = A(BB+BC+BF+BG+BH+CB+CC+CF+ CG+CH+DB+DC+DF+DG+DH+ EB+EC+EF+EG+EH) 29 L09 Fault Tree Analysis FT Reduction with Boolean Algebra Boolean Identities (Idempotent, Absorption) A A = A A AND A = A A A = A A OR A = A A (A B) = A A OR (A AND B) = A B 30 L09 Fault Tree Analysis FT Reduction with Approximations Boolean Identities (Idempotent, Absorption) Fill in spaces to quantify , and identify approximation used (RE rare event, or SI independent). Exact Approximate A A = A A A = A A A = A A + A = A A (A B) = A A + (A B) = A 31 L09 Fault Tree Analysis Fault Tree Reduction T = A (BB + BC + BF + BG + BH + CB + CC + CF + CG + CH + DB + DC + DF + DG + DH + EB + EC + EF + EG + EH) 32 based on the previous assumptions and identities simplify the equality L09 Fault Tree Analysis Fault Tree Reduction T = A(B+C+DF+DG+DH+EF+EG+EH) Factor and categorize this logic expression of T to highlight system functions T = A{B + C + (D + E)(F + G + H)} State the logic expression in words. 33 auto auto manual L09 Fault Tree Analysis A D E F G H Manual Auto Auto B C State the logic of the reduced FT using the same assumptions as for the initial FT: Pump Failure Demand Fault Tree after reduction, 2 34 T = A{B+C+(D+E)(F+G+H)} protective response L09 Fault Tree Analysis Pump Failure Demand Fault Tree after reduction, 2 The heater coils will burn out if both the pump fails AND the protective response fails. The protective response fails if either FE fails OR FS fails OR a combination of failures occurs. A combination of failures leading to failure of the protective response occurs if there is (a failure of either SV OR TCV) AND (a failure of either FAL OR the operator OR GIV). 35 L09 Fault Tree Analysis A D E F G H Manual Auto Auto B C Pump Failure Demand Fault Tree after reduction, 2 36 T = A{B+C+(D+E)(F+G+H)} What are the minimum failures that result in T? L09 Fault Tree Analysis Fault Tree Success Paths A FT success path is a component or group of components that prevents the FT top event from occurring. A FT can exhibit one or more success paths. Success paths form a success tree ST, which is the complement of a FT with all events and operations changed to their logical complements (fail/success, /). 37 L09 Fault Tree Analysis Success Trees Shows how a system can perform without failure based on performance of components and human actions Facilitate understanding of minimum success requirements, with minimal path sets leading to system performance, for system designers, operators, and managers. 38 L09 Fault Tree Analysis FT Cut Sets A fault tree cut set is an event or set of basic failure events, the simultaneous occurrence of which causes the top event to occur. Each cut set inactivates or cuts all success paths. A minimum cut set is a set that cannot be reduced in size (number of components). Minimum cut sets are determined directly from the reduced fault tree. A minimal cut set fails (cuts all success paths) when all components of the cut set fail simultaneously or co-fail within a short time period. 39 L09 Fault Tree Analysis Cut Sets, Path Sets Success Path Components 1 PU 2 FE, FS, SV, TCV 3 FE, FS, FAL, OP, GIV Single component to inactivate all paths? Two-component combinations: are minimal cut sets with 2 components that by co- failure cut all success paths. How many are there? 40 L09 Fault Tree Analysis Cut Sets Path Sets Success Path Components 1 PU 2 FE, FS, SV, TCV 3 FE, FS, FAL, OP, GIV Three-component cut sets: How many? Four-component cut sets: How many? 41 L09 Fault Tree Analysis FT, Cut Sets, and ST, Path Sets 42 ( ), (B,C) A cut sets Input Output
A+ B C = A (B +C) = A B+ A C [Independent, REA] Logic: path sets ( , ), ( , ) A B A C L09 Fault Tree Analysis Cut Set Evaluation 43 Cut set fails E 2 E r E 1 . . . A minimal cut set fails if (and only if) all the basic events in the set simultaneously fail. The probability that cut set s, with r independent events, fails at time t is L09 Fault Tree Analysis TOP Event Probability 44 The TOP event occurs if at least one of the k minimal cut sets, SI, fails. The upper bound approximation of the TOP event probability is TOP CS 2 CS k CS 1 . . . for independent events (Rausand, 2004) REA approximation failure scenarios: Cut sets are not mutually exclusive! L09 Fault Tree Analysis Top Event Assessment How can events and paths leading to the top event, i.e., cut sets, be assessed with regard to their quantitative contribution to the top event frequency or probability? This risk source quantification is needed to identify cost effective direction of resources to lower risk and manage risk within acceptable ranges. 45