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Report 'Lessons Learnt from Accidents'

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Report 'Lessons Learnt from Accidents' Lessons learnt from industrial accidents Seminar in Paris - France 3-4 June 2009 Final Project Report 2009-01 Introduction to IMPEL The European Union Network for the Implementation and Enforcement of Environmental Law (IMPEL) is an international non-profit association of the environmental authorities of the EU Member States, acceding and candidate countries of the European Union and EEA countries. The association is registered in Belgium and its legal seat is in Bruxelles, Belgium. IMPEL was set up in 1992 as an informal Network of European regulators and authorities concerned with the implementation and enforcement of environmental law. The Network’s objective is to create the necessary impetus in the European Community to make progress on ensuring a more effective application of environmental legislation. The core of the IMPEL activities concerns awareness raising, capacity building and exchange of information and experiences on implementation, enforcement and international enforcement collaboration as well as promoting and supporting the practicability and enforceability of European environmental legislation. Projects within the IMPEL annual programme are co-financed by the European Commission. During the previous years IMPEL has developed into a considerable, widely known organisation, being mentioned in a number of EU legislative and policy documents, e.g. the 6th Environment Action Programme and the Recommendation on Minimum Criteria for Environmental Inspections. The expertise and experience of the participants within IMPEL make the network uniquely qualified to work on both technical and regulatory aspects of EU environmental legislation. Information on the IMPEL Network is also available through its website at: www.impel.eu 2 Lessons learnt from industrial accidents Report number: 2009/01 Seminar in Paris – France - 3-4June 2009 Report adopted at IMPEL Project Manager/Authors General Assembly Jérôme GOELLNER –Head of the Department for technological Meeting Córdoba risks 15-16 April 2010 Project Group Members Denis DUMONT – Gérard CARTAILLAC- Adèle HEUDIER Number of pages French Ministry for Sustainable Development / General Introductory pages: 4 department of risks prevention / Department for technological Report: 112 risks / Bureau for Analysis of Industrial Risks and Pollution Annexes: 73 (BARPI) Executive Summary The collection of the accidents and their analysis is necessary in order to prevent new accidents from occurring again. As a consequence, it is necessary for inspectors to have illustrations of accidents situations, in order to understand what happened actually and what measures were finally taken in such situations. During the meeting, each presentation is carried out by an inspector concerned by the accident - technical description of the accident, the effects, the measures taken, the systems or material that failed, the organisational aspects and particularly the lessons learnt from the accident. The different levels of the accidents are investigated and presented, technical but also judicial or organizational approaches may be carried out. A glance on the regulations in force is also possible. So, the interest is the share of experience with a high number of inspectors. Apart from the presentations, time is left for exchanges of points of view. The aim is the enrichment of the knowledge for the participants based both on the discussions and the presentations. The last meeting took place on 3-4 June, 2009 in Paris (France): 19 countries involved, including France – registration of 270 persons including 44 participants coming from EU countries apart from France including Turkey and Croatia - presentations of 21 recent accidents. Various kinds of recent accidents concerning different fields were presented : e.g. 3 accidents in refineries, major release of oil in a tank farm in Ambes in 2007 in France, major mercury release in Belgium in 2008, blaze at an ethylene pipeline and a nearby acrylonitrile tank in Germany in 2008, fire and explosion of ammonia synthesis gas in 2006 in the UK, transboundary pollution in Latvia, leakage of a hydrogen-pipeline in the Netherlands … A few topics were emphasized during the seminar: ageing of industrial facilities, communicating under difficult circumstances, accidents with transboundary effects, domino effects, gas distribution pipelines, effects of water pollution by hydrocarbons ... A report of the 2009 conference in French and English (paper version and CD Rom) includes the different presentations, speeches and some short analysis about transversal issues. Disclaimer This report on “Lessons learnt from industrial accidents” is the result of a project within the IMPEL Network. The content does not necessarily represent the view of the national administrations or the Commission. 3 Agenda of IMPEL conference 2009 Lessons learnt from industrial accidents 3-4 June, 2009 1. Petit Couronne accident - 18/07/2007 - France– DREAL Haute Normandie 2. Limay accident (78) - 31/07/2007 - France- DRIRE Ile de France 3. Köln accident - 17/03/2008 – Germany - Köln district government 4. Binnenmaas accident - 12/10/2007 – Netherlands - Dutch Ministry of environment 5. Vivier-au-Court accident - 15/05/ - France2006 - DREAL Champagne-Ardennes 6. Billingham accident - 06/01/2006 - United Kingdom - The Health and Safety Executive 7. Chateau-Arnoux-Saint-Auban accident - 14/02/2008 – France - DREAL Provence Alpes Côte d’Azur 8. Noisy-le-Sec accident - 22/12/2007 – France - DRIRE Ile-de-France and BSEI 9. Accident in Germany - 16/08/2006 - State Institute for Environment of Baden- Württemberg 10. Antwerp accident - 16/09/2008 - Belgium - Dutch Ministry of environment 11. Saint-Hilaire-sur-Puiseaux accident - 19/08/2008 – France - DRIRE Centre 12. Ambes accident - 12/01/2007 – France - DRIRE Aquitaine 13. Donges accident - 16/03/2008 – France - DREAL Pays de la Loire 14. Linz accidents - 13/08/2003 and 09/08/2004 - Austria - Municipal authorities of the state capital Linz 15. Renaison accident - 30/07/2007 – France - DDSV Loire 16. Anderlecht accident - 22/01/2008 – Belgium - Brussels Institute for Management of the Environment 17. Frankfurt am Main accident - 05/10/2007 – Germany - Regional council of Hesse 18. Accident in Belarus and Latvia - 23/03/2007 - Latvia Coast Guard Service 19. Sillamäe accident - 12/09/2008 - Estonia - Estonian Environmental Inspectorate 20. Saint-Germain-Laprade accident - 01/11/2008 – France - DRIRE Auvergne 21. Laneuveville-Devant-Nancy accident - 20/12/2007 – France - DRIRE Lorraine 4 LESSONS LEARNT from industrial accidents IMPEL Seminar Paris, 3 and 4 June 2009 - Table of contents --- Welcome address to seminar participants........................................................................................Page 1 Irreversible sinking of the floating roof on a crude oil tank.............................................................Page 5 Petit-Couronne (Seine-Maritime) - France 18 July 2007 Degassing of a tanker truck containing waste .................................................................................Page 9 Limay (Yvelines) - France 31 July 2007 Blaze at an ethylene pipeline and a nearby acrylonitrile tank ......................................................Page 15 Köln (North-Rhine-Westphalia) - Germany 17 March 2008 Leakage of a hydrogen-pipeline due to an inadequate inspection philosophy ............................Page 23 Binnenmaas (South Holland) - The Netherlands 12 October 2007 Explosion during a cupola drop inside a foundry........................................................................... page 27 Vivier-Au-Court (Ardennes) - France 15 May 2006 Fire and explosion of ammonia synthesis gas............................................................................... page 33 Billingham - United Kingdom 1st June 2006 Chlorine leak during connection of a rail tanker to prepare for an unloading operation .............Page 37 Château Arnoux - Saint Auban - (Alpes-de-Haute-Provence) - France 14 February 2008 Perforation of a gaseous fuel distribution pipe ..............................................................................Page 41 Noisy-le-Sec (Seine-Saint-Denis) - France 22 December 2007 Release of SO2 from a cellulose factory caused by an electrical power failure............................Page 45 Germany 16 August 2006 Release of hydrogen sulfide in a refinery with transboundary effects ......................................Page 49 Antwerp - Belgium 2 September 2008 Wall rupture of a cereal storage silo and "domino effect" on a propane tank .............................Page 53 Saint-Hilaire-sur-Puiseaux (Loiret) - France 19 August 2008 Sudden opening of a crude oil tank bottom ...................................................................................Page 59 Ambès (Gironde) – France 12 January 2007 Fuel oil spill in an estuary during a transfer operation...................................................................Page 65 Donges (Loire Atlantique) - France 16 March 2008 Explosions in a pharmaceutical plant ..............................................................................................Page 71 Linz – Austria 13 August 2003 and 09 August 2004 Fire within a food processing plant.................................................................................................Page 77 Renaison (Loire) – France 30 July 2007 Major mercury release by a battery recycling plant.......................................................................Page 81 Brussels - Belgium 21-26 January 2008
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