Piper Alpha
Piper Alpha
LESSONS LEARNT
Piper Alpha was designed to produce and export oil. Exporting gas - and separating
condensate - was an afterthought and required extensive modifications. The new facilities
were located beside the control room, under the electrical power, radio room, and
accommodation modules, so when the disaster struck, it did so with so much effect on the
entire rig. In the first explosion, the control room suffered severe damage, the radio room was
rendered useless; communications were lost almost at once.
Personal safety over process safety:
Despite the extensive fixed fire protection system on Piper Alpha, not a single drop of water
was applied from Piper Alpha itself to any of the fires. Water alone would not have put the
oil fires out (and with gas fires one should not even attempt to do so) but it might have cooled
the structure and pipelines and have prevented — or at least significantly delayed — the gas
line rupture which was the major escalating factor in the Piper Alpha disaster. After the
rupture of the first gas line, Piper Alpha was doomed.
For many years, the practice on Piper Alpha was to switch the fire pumps from automatic to
manual when divers were in the sea. As diving was such a regular part of normal operation,
in practice the pumps remained manual most of the time.
When the fire broke out on Piper Alpha, the only way to activate the fire-fighting system was
to start the pumps locally. Despite valiant attempts, dense smoke and fire prevented anyone
from reaching them.
It is not known whether the initial explosion on Piper ruptured the fire water ring main or
damaged the control system for the fire pumps. Electrical power was likely knocked out, but
there was a diesel backup. It is not known how effective the deluge would have been had it
deployed as the nozzles were often blocked with scale and the fire-water pipework on Piper
Alpha was undergoing phased replacement
Handover:
On Piper Alpha, communications between departments, between shifts, and between crews
were personal, informal, and tailored to the job. While bespoke communications can have
some benefits, minimum standards were not set or met.
Incoming crews were supposed to be given safety induction training by the safety
department. There was a huge gap between what the safety department intended to convey,
and what they conveyed. Communication is a two-way thing. According to witnesses, if the
newcomer had worked offshore before, then training was brief to the point of non-existent.
The safety induction consisted of being handed a booklet and told to read it. Much of the
information was out of date or inapplicable to Piper Alpha.
Operators kept a log but often failed to record maintenance activities. Shift handover was a
busy time. The Occidental procedure required maintenance and operations to meet, inspect
the work site and sign off permits together. However, the operators were busy with their
handovers at the same time, and the practice developed where maintenance would sign off
the permit and leave it in the control room or safety office. At shift changeover, lead
production operators would not review or discuss suspended permits.
Interconnections:
Communications between Piper Alpha, Claymore, Tartan, and MCP-01 were lost from the
first explosions. This delayed shut-down on the other platforms, particularly on Claymore and
Tartan, shutting the inter-platform oil lines would probably have made a difference.
Safety culture:
There were many warnings that all was not well with safety management systems on Piper
Alpha long before the accident.
Less than a year earlier, on 07 September 1987, a contract rigger was killed in an accident on
Piper Alpha. The accident highlighted the inadequacies of both the permit to work and the
shift handover procedures. A golden opportunity to put this right was missed.
When the disaster occurred, offshore safety was governed through the use of prescriptive
regulations. Such regulations have their uses, provided all eventualities have been considered.
But a regulations-bound system falls because practices not covered by regulations are simply
not addressed. People become complacent when they are encouraged to think that safety can
be ensured by rules enforced by inspectors: it is impossible to cover all eventualities in a set
of general rules.
Safety Training:
Some workers who ignored what they were taught survived, by not entering the
accommodation block, which eventually failed and sank into the sea, but in general training
in emergency procedures on and off the platform was lacking. In particular, management
leadership was especially inadequate in dealing with such emergencies.
Safety Audits:
As in all areas of offshore operations, audits are many and complex. The audits in Occidental
Petroleum’s North Sea field were in place and carried out regularly, but they were not carried
out satisfactorily. They identified few problems, possibly even overlooking issues such as
corroding sprinkler deluge pipework. Some issues highlighted in audits were just ignored.