Risk analysis of the accelerator, instruments and target station of the European Spallation Source Report no. 210650-R-002 Date 12 July 2012 Client ESS AB Scandpower AB Carl Gustafs väg 46 SE-214 21 MALMÖ, SWEDEN www.scandpower.com www.riskspectrum.com Tel. +46 (0)40 680 64 00 Fax +46 (0)40 680 64 29 Report no.: 210650-R-002 _ Open distribution Distribution only after client´s acceptance Rev. no.: Prepared by: Reviewed by: Approved by: Date: U1 Erik Persson Sunde Consultant Ivan Mares Senior Principal Consultant Anders Olsson Manager 2012-07-12 Jim Kronhamn Senior Consultant Title: RISK ANALYSIS OF THE ACCELERATOR, INSTRUMENTS AND TARGET STATION OF THE EUROPEAN SPALLATION SOURCE Client: ESS AB Client specification: To perform a risk analysis of the spallation neutron source ESS. The analysis shall consider both normal operation and maintenance aspects. Summary: A Hazard Identification (HAZID) study has been carried out for the target station, the accelerator and the instruments of the European Spallation Source. The work has included a number of workshops and the documentation of findings in a report. The analysis has resulted in a HAZID protocol where the identified risks are specified with risk ranking, which can be used in the future risk management activities at ESS. In addition, 159 recommendations have been brought forward that need to be considered and evaluated. Risk analysis of the accelerator, instruments and target station Page i TABLE OF CONTENTS Page 1. INTRODUCTION 1 2. DEFINITIONS 1 3. PURPOSE 1 4. LIMITATIONS 2 5. SYSTEM DESCRIPTION 5.1 Brief overview 5.1.1 Accelerator 5.1.2 Target station 5.1.3 Instruments 5.2 Containment barriers 5.3 Documents describing the system 3 3 3 4 6 8 8 6. METHODOLOGY AND EXECUTION 6.1 Risk assessment 6.2 HAZID protocol 6.3 Sub systems 6.4 Hazards 6.5 Execution 6.6 Participants 9 10 11 13 14 14 15 7. RESULTS 7.1 Target Station 7.2 Accelerator 7.3 Instruments 18 18 26 28 8. DISCUSSION AND CONCLUSIONS 29 9. REFERENCES 32 Appendix A: Appendix B: HAZID Protocol Recommendations 210650-R-002_U1 12 July 2012 Scandpower is a member of the Lloyd's Register Group Risk analysis of the accelerator, instruments and target station 1. Page 1 INTRODUCTION Scandpower has been assigned to carry out a qualitative risk analysis at a conceptual design stage of the planned European Spallation Source (ESS) facility in Lund, Sweden. This is a report of the Hazard Identification (HAZID) analysis of the facility under normal operation and under maintenance. The top-down approach used in the analysis is appropriate in this early design phase before the whole system structure is decided. 2. DEFINITIONS Abbreviations ATEX Be BEW CDR ESS I&C HAZID He HEBT HVAC (L)H2 N2 NBW PBW PMR RF RGEC SMHI SSE TDR TS W - Explosive atmosphere directive Beryllium Beam Entrance Window Conceptual Design Report European Spallation Source Instrumentation and Control HAZard IDentification Helium High Energy Beam Transport Heating, Ventilation and Air Conditioning (Liquid) Hydrogen Nitrogen Neutron Beam Window Proton Beam Window Pre-moderator, Moderator, Reflector Radio Frequency Radioactive Gaseous Effluent Confinement Sweden's Meteorological and Hydrological Institute Safety Shutdown Earthquake Technical Design Report Target Station Tungsten For risk analysis/method terminology see chapter 6 3. PURPOSE The qualitative risk analysis presented in this report is carried out to identify possible risks with the suggested conceptual design. This work ties together with future work where more detailed assessments of risk areas will be undertaken. It also feeds into the detailed design process in that it creates awareness of safety issues in the proposed conceptual design. The analysis is meant to be part of a long term risk management process in the ESS project. Figure 3-1 presents possible future risk analysis activities tied to the design process. 210650-R-002_U1 12 July 2012 Scandpower is a member of the Lloyd's Register Group Risk analysis of the accelerator, instruments and target station Page 2 Figure 3-1 - Context of current risk analysis activity (HAZID) The work process of and the result from the risk analysis will be used to: 1. Outline where detailed assessments need to be carried out to create a better understanding of the risks. These will typically be reported as recommendations in the risk analysis protocol. 2. Identify the need for safety barriers in the facility 3. Help set the prerequisite for the containment barriers that need to be defined 4. Provide input to the base design of the facility. The risk analysis process of systematically discussing the different parts of the facility generates this. 4. LIMITATIONS The work carried out is limited to identifying and assessing the risks at the facility during normal operations and planned/exceptional maintenance once the facility is operational. Specific construction/commissioning and de-commissioning risks are not considered. The parts of the facility covered in this analysis are the target station, the accelerator and one generic instrument. The conventional facilities, office and other peripheral parts, as well as transport of activated material to and from the facility are not analysed. The identification of risks is focused on radiological risks. Other direct risks to people and the external environment are recorded when identified, but are not systematically sought. The identification methodology is highly dependent on the knowledge and ability of the participants in the workshops. The completeness of the risk identification cannot be guaranteed from a qualitative analysis because of this, although having a wide range of skills and knowledge represented during the workshops ensures best possible result. The analysis was carried out over a prolonged period of time, during which design assumptions changed and varying levels of information was available for the different 210650-R-002_U1 12 July 2012 Scandpower is a member of the Lloyd's Register Group Risk analysis of the accelerator, instruments and target station Page 3 sub-systems that were studied. This means that the level of detail in the assessments of the identified events varies between different sub-systems and operational modes. 5. SYSTEM DESCRIPTION 5.1 Brief overview ESS has the aim of becoming the world's leading facility for research using neutrons. ESS will be located in Lund, Sweden, co-hosted by both Sweden and Denmark and will be funded and operated by a partnership of 17 European countries. At full specification, to be achieved in 2025, the ESS will deliver millisecond-long pulses of intense neutron beams to 22 independent experimental stations. ESS will employ approximately 500 people. Figure 5-1 - Visualisation from east. Photo credit: ESS AB 5.1.1 Accelerator The purpose of the accelerator is to accelerate protons to very high energies and route them into the target station. The starting point of the accelerator is an ion source that produces protons by subjecting hydrogen gas to a strong magnetic field. The protons are accelerated through an approximately 580m long vacuum tube resided inside a tunnel building (see Figure 5-2). The accelerator tunnel is placed under ground level and is covered by soil. The protons are accelerated to close to the speed of light by electromagnetic fields generated by klystrons situated along the accelerator. A long stretch of the accelerator is cooled down to very low temperatures in order to use superconducting technology (blue items in Figure 5-2). In the last stage of the accelerator (section S3 in HEBT, see Figure 5-3) the proton beam is brought up to the same level as the target and expanded to match a desired beam footprint. 210650-R-002_U1 12 July 2012 Scandpower is a member of the Lloyd's Register Group Risk analysis of the accelerator, instruments and target station Page 4 Figure 5-2 – Block diagram of the ESS accelerator (HS_2011_11_23 layout) indicating the energy of the proton beam and the length of the accelerator. The orange items (such as the Low Energy Bean Transport – LEBT, the Radio Frequency Quadrupole – RFQ, the Medium Energy Beam Transport – MEBT, the Drift Tube Linac – DTL, and the High Energy Beam Transport – HEBT) are normal conducting, while blue items (the spoke resonators and the medium and high beta elliptical cavities) are superconducting. Figure 5-3 – Schematic picture of the accelerator to target (A2T) interface 5.1.2 Target station The target station performs three key functions in a spallation neutron source: a) transforms the proton beam radiation impinging on the heavy metal target into fast neutrons as the desired product, and a large amount of radioactive isotopes and radiation as largely undesirable by-products, b) transforms the fast neutrons emitted by the target into slow neutrons via moderators and reflectors, which are the final form of radiation provided by the source, while further radioactive by-products are produced by the adsorption of these neutrons by various facility components, and c) provides intense slow neutron beams through beam ports accessible at the exit of the target shielding for delivery and use at the neutron scattering instruments around the target, fed by these beam ports. In short the target station consists of the following main components (see Figure 5-4 and Figure 5-5): 1. 2. 3. 4. the target itself, a rotating tungsten wheel liquid hydrogen neutron moderators water pre-moderators beryllium reflectors 210650-R-002_U1 12 July 2012 Scandpower is a member of the Lloyd's Register Group Risk analysis of the accelerator, instruments and target station 5. 6. 7. 8. Page 5 Proton beam window Neutron bream window cooling systems several thousand tons of shielding material inside the target monolith Figure 5-4 - Schematic drawing of the Target Station Figure 5-5 – General view of the target Station monolith 210650-R-002_U1 12 July 2012 Scandpower is a member of the Lloyd's Register Group Risk analysis of the accelerator, instruments and target station Page 6 In addition to the above, multiple support- and ancillary systems are in place to ensure efficient and safe operations. For more information about the system a reference is made to the documentation listed in section 5.3. 5.1.2.1Hot Cells The hot cells system (Maintenance cell, storage cell and decontamination cell) is designed to maintain, process, package and store used components and other waste items of the target station considering a rotating tungsten helium cooled target concept. The operations are performed remotely and the cells are built to prevent unintentional escape of radioactivity through the barriers provided by its design configuration and its contaminated waste/components management. The hot cells are located in the target station building, behind the monolith considering the proton beam direction, see Figure 5-4. They are limited on the top by the high bay floor, and on the bottom by the 2 meters concrete slab. The hot cells are composed of 2 main cells, see Figure 5-6: the processing cell and the maintenance cell. The processing cell is used to process the irradiated wastes (cutting, package in trashes). The maintenance cell is used to perform hands on maintenance on the active cells equipment and eventually to perform hands on decontamination of tools or other materials. A regular access to the maintenance cell is foreseen. Figure 5-6 - Illustration of the hot cells showing the processing cell to the right, the maintenance cell in the middle together with storage pits and the intra bay shielded door (in yellow). 5.1.3 Instruments The science at the ESS facility is carried out at a number of instruments positioned around the target station in instrument halls; refer to Figure 5-7. Currently 22 instruments are planned with lengths varying between 12 to 300 meters. Figure 5-7 illustrates the major components present in an instrument. Along the instrument line, there will be a number of different choppers. The heavy choppers (of type T0) are designed to stop high energy neutrons from entering the instrument. The lighter choppers with lesser mass are designed to shape the neutron beam. For each instrument line, there will also be two types of neutron beam shutters. The primary shutter positioned at the monolith interface will be designed to strongly attenuate (by a 210650-R-002_U1 12 July 2012 Scandpower is a member of the Lloyd's Register Group Risk analysis of the accelerator, instruments and target station Page 7 actor 1E-6) all type of radiation coming from the target. It will be composed of a large mass of steel and concrete. The secondary shutter positioned close to the instrument will stop low energy neutrons and prevent gamma radiation from the target and other secondary sources from entering the instrument. Figure 5-7 – Preliminary neutron beamline and instrument layout (upper right) and schematic layout of an instrument showing the main components that were discussed during the analysis session (lower left). There will be up to 9 choppers of different types spread along the beam line as well as beam collimators, beam monitors, slits and jaws. 210650-R-002_U1 12 July 2012 Scandpower is a member of the Lloyd's Register Group Risk analysis of the accelerator, instruments and target station Page 8 5.2 Containment barriers Based on the legislative requirements in Sweden as well as good practices from research reactors and similar facilities all over the world, the ESS facility shall be designed with physical barriers for radioactive containment; in this report referred to as containment barriers. These are constructed in order to contain the radioactive inventory of the ESS facility in case of different events. The containment barriers will not be equal with regard to strength but will be used to mitigate a possible event/incident/accident at different parts of the facility. The containment barriers will be defined according to the operational mode of the facility. During maintenance flexible containment barriers can be established depending on the type of maintenance carried out. During normal operation the barriers are envisaged to be fixed and look as follows. Two containment barriers are currently envisaged for the accelerator: 1st 2nd LINAC tunnel entrance Accelerator shielding Three containment barriers are currently envisaged for the target station: 1st 2nd 3rd Target envelope Monolith envelope Target building Two containment barriers are currently envisaged for the instruments: 1st 2nd Instrument shielding Instrument building The exact extent and layout of each of the containment barriers was not established at the time of the analysis, as part of the purpose with the risk analysis work is to help set the prerequisite for the containment barriers. 5.3 Documents describing the system The risk analysis has utilised a number of information sources that describe the analysed system. The primary ones are listed here: - Target Station Design Update Baseline December 2011 (Ref./1/) ESS Conceptual Design Report (Ref./2/) General Safety Objectives for ESS (Ref./3/) Risk Analysis – Initiating Events (Ref./4/) Guidance for External Events Analysis (Ref./5/) Draft drawings from target station baselines Draft drawings of active cells Draft drawings of cryogenic plant Early drafts of maintenance procedures Early draft of Technical Design Report for active cells Undocumented updated knowledge with the analysis team on the status of the system 210650-R-002_U1 12 July 2012 Scandpower is a member of the Lloyd's Register Group Risk analysis of the accelerator, instruments and target station Page 9 Where the design hasn't been established at the time of the analysis and more than one design option has been under consideration, the approach has been either to identify the risks with all the considered options or to prompt for further analysis work. 6. METHODOLOGY AND EXECUTION The risk analysis has been carried out with a so called Hazard Identification (HAZID) methodology with the purpose of identifying possible hazardous events associated with the activities at ESS. The method is qualitative and is normally used at an early stage of a project or during a review of an existing facility (Ref./6/). The procedure is based on a critical review of the analysed object by a group of experts with broad knowledge about the object using experience, imagination and check lists. The risk analysis is scenario based where the object is analysed focusing on identifying possible accidents, incidents and disruptions with consequences to life and health, the environment or large property damages/losses. The sought attributes of an event can be described according to Figure 6-1. Events are typically identified by a question arising "what if...?". To focus the analysis, and because of the uncertainty in the conceptual design, a few nominated attributes have been considered as required in the assessment process. These are Top Event, Consequence and Risk Ranking. The rest of the attributes have been captured when appropriate and feasible to do so. Figure 6-1 - Overview of methodology and terminology A brief explanation for each of the sought attributes in the analysis is given below Hazard – A circumstance that can lead to undesired consequences and cause harm. If the hazard was to be eliminated, the risk would be eliminated. Lists of hazards are used as check lists to identify possible top events. Top Event – An undesired event that poses a risk to people or to the environment. The top event is typically chosen to be the situation or occurrence that happens to be 210650-R-002_U1 12 July 2012 Scandpower is a member of the Lloyd's Register Group Risk analysis of the accelerator, instruments and target station Page 10 brought up by the analysis group and thus hasn't got a fixed point along the chain of events from initiating event to final consequence. Initiating event – An event or circumstance that is an initiating step towards a top event occurring. A top event can have one or many initiating events. An initiating event can trigger a top event on its own or in combination with other initiating events. Consequence – A possible outcome from a top event that describes the impact on people or the environment. The severity of the consequence and the probability of having it are sought in a risk analysis. Preventive and mitigating barrier – Safety barriers (in this report referred to simply as "barriers") are measures that are in place to reduce the residual risk by preventing, controlling and mitigating undesirable events. Barriers can be physical, functional, symbolic, organisational etc. The containment barriers described in section 5.2 are of the physical barrier type. A preventive barrier stops the initiating event(s) from developing into the top event. A mitigating barrier lessens the effect from a top event leading to less severe or no consequences. Risk – The probability of a consequence occurring combined with the severity of the damage from the consequence. Risk Ranking – An assessment of the risk that takes into consideration the probability and severity of a described consequence. 6.1 Risk assessment A qualitative estimation of the severity of a consequence and the probability of it happening forms the basis for the risk assessment. The assessment is done through a risk matrix (matrix assessment) where the severity and probability are weighted together. The chosen risk matrix for ESS can be found in Figure 6-2. Three levels of risk are defined; "Unacceptable", "Risk Reduction Recommended" and "Tolerable". Unacceptable risks require risk reducing measures in order for the suggested design to be accepted. Risks Reduction Recommended require a demonstration that the suggested barriers are as effective as reasonably can be achieved considering alternatives and additions. Tolerable risks require no additional barriers, but need to be monitored, for example when design changes, to be kept at a low level. 210650-R-002_U1 12 July 2012 Scandpower is a member of the Lloyd's Register Group Risk analysis of the accelerator, instruments and target station Page 11 Figure 6-2 - Specification of the risk matrix applied A methodology that allows for an assessment in two stages has been taken. In a first assessment stage the impact of the barriers are not taken into consideration. This results in an assessment with the probability of the initiating events occurring and the severity of the worst unmitigated consequence. In a second assessment the impact of the specified barriers are accounted for and thus the severity and the probability of the mitigated consequence is assessed. Making two assessments allows conclusions to be drawn with regards to strength requirements of the barriers and the criticality of having knowledge about the frequency of initiating events. A simplified risk ranking method is used for events where the uncertainty is significant or where it is obvious that the risk from the identified top event is insignificant from a radiological perspective. With this method a traffic light indication (red, yellow, green) is directly applied to the event to indicate that the risk is Unacceptable, Risk Reduction Recommended or Tolerable. When making a simplified risk ranking, the identified barriers are accounted for. It should be noted that depending on the nature of the hazards, the risk focuses on the "first" person and for other the risk focuses on the "third" person1. Because of this, any comparison of the risk ranking between different hazards should be performed with precaution. 6.2 HAZID protocol Identified top events, the associated initiating events and consequences, as well as planned barriers are discussed and documented in a HAZID protocol. 1 Personnel working at the station are defined as 1st persons and people working or living in the proximity of the station and with no relations to the spallation station are defined as 3rd persons (this includes also environemental consequences). 210650-R-002_U1 12 July 2012 Scandpower is a member of the Lloyd's Register Group Risk analysis of the accelerator, instruments and target station Page 12 Recommendations to reduce risks or uncertainty about the risks are given where appropriate and possible. Each analysed sub-system of the facility has its own section in the HAZID protocol and the chosen columns are modified between these in order to best reflect the result from that particular analysis session. In order to show what the estimated consequences are with respect to impact on the containment barriers, the HAZID protocol has columns to indicate which containment barriers are affected. If an impact means the containment barrier is sufficiently damaged to allow significant spread of radioactive inventory, it is shown in dark blue, and if it has lost some of its tightness, it is shown in light blue. This only applies for the target station in normal operation as the other parts of the facility and during maintenance in general the containment barriers are not as well defined. The risk assessments with and without barriers are presented under separate headings, Risk Ranking – Before Safety Barriers and Risk Ranking – After Safety Barriers respectively. The column P stands for Probability, C for Consequence and RR for Risk Ranking. The simplified risk ranking is indicated in a separate column with traffic light (red, yellow, green) that directly ranks the risk according to what is described in section 6.1. Some reported barriers in the HAZID protocol have a clarification with regards to being credited protection system or not, which is done in order to keep target safety systems separate from machine protection systems in the interface between target and accelerator divisions. For certain sub-systems an additional column stating the risk focus as "first" or "third" person is used. This is to avoid confusion as to what the consequence from the event concerns and to enable a different severity rating for the different exposed groups. An example of the HAZID protocol structure is given in Figure 6-3. Figure 6-3 - Example of an analysed top event in a HAZID protocol for the target station in normal operation. The main element in the HAZID protocol is the Top Event. Each top event can have one or many hazards, initiating events, consequences, barriers and recommendations associated with it. For each consequence, being a possible outcome from the Top Event, a risk ranking is made and thus the element Containment barriers affected, Risk Ranking – Before Safety Barriers and Risk Ranking – After Safety Barriers are associated with a consequence, not directly to a Top Event. 210650-R-002_U1 12 July 2012 Scandpower is a member of the Lloyd's Register Group Risk analysis of the accelerator, instruments and target station Page 13 6.3 Sub systems In order to systematically analyse the facility it has been divided into a number of physical areas and associated operational mode, called sub systems, which are treated sequentially. The list of sub systems is derived from the plant breakdown structure in the Target Station Design Update Baseline (Ref./1/) for the target station and in discussions with the analysis groups for the rest of the facility. One sub system is added for the target station where overall effects from external events and common cause failures are analysed in order to close gaps between the target station sub systems. The full list of sub systems used are found in Table 6-1 to Table 6-3. Table 6-1 - Target station sub-systems Normal Operations Maintenance 1-2. Target Wheel Assembly x x 3-4. Proton Beam Window Plug x x 5-6. Moderator Reflector Plug x x 7-8. Neutron Beam Systems x x 9. Monolith - Shielding, Structural Part and Envelope x 10. Connection Cells x 11. High bay x 12. Ancillaries x Sub-System 13. Other Target Station - maintenance n/a x 14. Overall Target Station - External Events and Common Cause Failure x 15. Active Cells x x 16. Accelerator to Target Interface x x Table 6-2 - Accelerator sub-systems Normal Operations Maintenance 17. Ion Source x x 18. Berm x x 19. Accelerator Tunnel x x 20. Klystron Gallery x x Normal Operations Maintenance x x Sub-System Table 6-3 - Instruments sub-system Sub-System 21. Instruments 210650-R-002_U1 12 July 2012 Scandpower is a member of the Lloyd's Register Group Risk analysis of the accelerator, instruments and target station Page 14 6.4 Hazards Hazards are usually 'normal' conditions in the facility - that have a potential to develop into undesired consequences and cause harm upon initiating events - if not safeguarded against with safety barriers. In the analysis a facility specific list of hazards has been created as a supporting check list for the target station in operational mode. The list of hazards follows: - Reactive chemicals Hydrogen Water Proton Beam Neutron Beam Accumulated energy Radioactive inventory Radiation Mass - Vacuum Toxic chemicals Inerts Cryogenic conditions Pressure Heat Combustible materials As the hazards are primarily used to identify hazardous events other than radiological risks and because other risks than radiological risks have not been focused on, no attempt has been made to make further hazard lists for the other sub-systems of the facility. 6.5 Execution Analysis workshops have been held in January to June 2012 on several occasions. The workshops have been led and documented by Scandpower in an analysis group with representatives from relevant departments with expert knowledge of the facility and the Safety, Health and Environment department. The sub systems listed in section 6.3 have been treated sequentially in the analysis starting with a presentation of the sub system by someone from the group who has certain expertise/responsibility for the given area. After the presentation a hazard identification session has followed. For the target station in operational mode the identification of hazardous events has been supported by the check list presented in section 6.4. For the other sub-systems, logical paths through the systems supported by drawings or flow diagrams has been taken. For each identified top event an assessment has been carried out and documented into a HAZID protocol. Relevant drawings have been available on poster-size printouts or projected on canvases to support the identification and assessment process. 210650-R-002_U1 12 July 2012 Scandpower is a member of the Lloyd's Register Group Risk analysis of the accelerator, instruments and target station Page 15 6.6 Participants First Name Surname Title (role) / Company Christine Darve Cryogenics / ESS AB Mohammad Eshraqi Scientist Accelerator Division / ESS AB Date 201112-16 201201-13 201201-20 201201-26 201201-30 201202-27 Gallimore System Engineer / ESS AB Magnus Göhran System Engineer / ESS AB X X X X X X Thomas Hansson Nuclear Safety Engineer / ESS AB X X X X X X Peter Hees Jacobsson Environment / ESS AB Andreas Jansson Beam Diagnostics / ESS AB Fredrik Jörud Fire Protection / FNC 210650-R-002_U1 12 July 2012 201204-13 X X 201204-23 201204-24 201205-31 201206-14 201206-18 201207-03 X X X X X X Group Leader Cryogenics & Vacuum / ESS AB Head of Safety, Health, 201204-12 X Stephen Wolfgang 201203-01 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X Scandpower is a member of the Lloyd's Register Group Risk analysis of the accelerator, instruments and target station First Name Cyril Surname Kharoua Title (role) / Company Page 16 Date 201112-16 Research Engineer Target Division / ESS AB X 201201-13 Kronhamn Consultant / Scandpower AB X X Rikard Linander System Engineer / ESS AB X X Christian Lundtofte Consultant / Scandpower AB Ivan Mares Consultant / Scandpower AB Dave McGinnis RF System / ESS AB Per Nilsson System Engineer / ESS AB Jörgen Persson Tech Infrastructure / ESS AB Francois Mathieu Pascal Plewinski Reungoat Sabbogh 210650-R-002_U1 12 July 2012 Head of Target Engineering group / ESS AB Active Cells / Research Centre Rez Mechanical Engineer / ESS AB X X X 201201-26 201201-30 201202-27 201203-01 201204-12 201204-13 201204-23 201204-24 201205-31 201206-14 201206-18 201207-03 X Jim X 201201-20 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X Scandpower is a member of the Lloyd's Register Group Risk analysis of the accelerator, instruments and target station First Name Surname Title (role) / Company Atefeh Sadeghzadeh Control Engineer / ESS AB Thomas Shea Senior Scientist Beam Instrumentation / ESS AB Page 17 Date 201112-16 201201-13 201201-20 201201-26 201201-30 201202-27 201203-01 201204-12 201204-13 201204-23 201204-24 201205-31 201206-14 201206-18 201207-03 X X Peter Sievers Target Expert / CERN Erik Sunde Consultant / Scandpower AB Garry Trahern Integrated Controls / ESS AB Rob Connatser Chief Instrument Project Engineer / ESS AB X Chopper systems group leader / ESS AB X Ian Sutton 210650-R-002_U1 12 July 2012 X X X X X X X X X X Scandpower is a member of the Lloyd's Register Group Risk analysis of the accelerator, instruments and target station 7. Page 18 RESULTS The raw results from the risk analysis are presented in HAZID protocols in Appendix A and Recommendations in Appendix B. The recommendations were categorised after the analysis and a category breakdown is presented in Figure 7-1. Figure 7-1 – Summary of the recommendations given throughout the analysis. It shows the categories and subcategories that the recommendations have been split into. It also shows the number of recommendations for each category and subcategory. The results in the following sections are split between the target station, the accelerator and the instruments and focus on the identified risk events and their assessed risk level in a summarized form. 7.1 Target Station This section includes a summary of the results from the risk analysis of the target station. In Table 7-1, Table 7-2 and Table 7-3 the number of assessed events at the different risk levels are presented. 210650-R-002_U1 12 July 2012 Scandpower is a member of the Lloyd's Register Group Risk analysis of the accelerator, instruments and target station Page 19 Table 7-1 shows the number of risk ranked events that have been assessed as Unacceptable, Risk Reduction Recommended or Tolerable. The table also shows the number of events where safety barriers have been considered in the assessment (postbarrier matrix assessment), the number of events where safety barriers haven't been considered in the assessment (only pre-barrier assessment) and the number of events where a matrix assessment haven't been done at all and a simplified risk ranking has been applied instead. The events summarised in the first two columns of Table 7-1 are then further split up according to the matrix assessments made in Table 7-2 and Table 7-3. Table 7-4 to Table 7-7 list the number and the description of all the events that have been assessed as Unacceptable or with Risk Reduction Recommended in the analysis. Table 7-4 lists the events deemed as Unacceptable with consideration taken to safety barriers. Table 7-5 lists the events where no assessment has been made that considers any barriers, but where the assessments without barriers have been Unacceptable. Table 7-6 lists the events with Risk Reduction Recommended when consideration has been taken to safety barriers. Table 7-7 lists the events where no assessment has been made that considers any barriers, but where the assessments without barriers have been that Risk Reduction Recommended. Towards the end, two tables provide summaries that aren't directly specifying the assessed risk level. Table 7-8 presents the number of consequences leading to damage of each of the specified containment barriers for the target station during normal operations. Finally Table 7-9 lists the specified safety barriers that relate to instrumentation and control. Table 7-1 - This table is an overview of all the assessed events in the target station analysis. The numbers in the cells show the number of events assessed to different risk levels and has a split between the varying levels of detail in the event assessments. OnlypreͲbarrier WithpostͲ Simplifiedrisk RiskRankingLevel matrix Total barriermatrix ranking assessment2 assessment3 9 3 2 14 Unacceptable RiskReduction 28 8 29 65 Recommended 10 30 43 83 Tolerable 47 41 74 162 Total 2 3 These are further specified in Table 7-3 These are further specified in Table 7-2 210650-R-002_U1 12 July 2012 Scandpower is a member of the Lloyd's Register Group Risk analysis of the accelerator, instruments and target station Page 20 Table 7-2 – This table shows the number of events in the analysis where a given matrix assessment was made taking safety barriers into consideration (a postbarrier assessment). Table 7-3 - This table shows the number of events in the analysis where a given matrix assessment was made where safety barriers weren't taken into consideration (a pre-barrier assessment). 210650-R-002_U1 12 July 2012 Scandpower is a member of the Lloyd's Register Group Risk analysis of the accelerator, instruments and target station Page 21 Table 7-4 - List of events at Unacceptable level where barriers have been taken into consideration explicitly (post-barrier assessment) in either a matrix assessment or a simplified risk ranking. If the hazard is related to a 1st person, this is indicated in parenthesis. Nbr. Top Event 2.6 Dropping of W-wheel 6.7 Dropping of cooled steel shielding blocks 6.10 Dropping of MR plug (1st) 10.4 Leakage in heat exchanger from primary LH2 to interm. He circuits 10.7 Leakage of H2O in interm. circuit Table 7-5 - List of events at Unacceptable level where barriers haven't been taken into consideration (only pre-barrier assessment). If the hazard is related to a 1st person, this is indicated in parenthesis. Nbr. Top Event 5.1 Local overheating of the Be reflector 5.2 Misalignment of the beam hitting the MR plug (3 consequences from this top event) 5.7 Water leak from MR plug 12.12 Bypass of filtering system (RGEC) 12.13 Leaking pipes after filters (RGEC) 12.16 Poor performance of filtering system (RGEC) 14.12 Lightning Table 7-6 - List of events with Risk Reduction Recommended where barriers have been taken into consideration explicitly (post-barrier assessment) in either a matrix assessment or a simplified risk ranking. If the hazard is related to a 1st person, this is indicated in parenthesis. Nbr. Top Event 1.4 Wheel stops instantaneously 2.2 Leakage of gas and dust when opening first barrier, removing equipment from shaft - opening the gas circuits (1st) 2.7 Dropping of W-wheel 4.1 Release He (slightly/highly contaminated) into the connections cells during maintenance work (1st) 210650-R-002_U1 12 July 2012 Scandpower is a member of the Lloyd's Register Group Risk analysis of the accelerator, instruments and target station Page 22 Nbr. Top Event 4.3 Opening the lid while PBW plug is still pressurized (1st) 4.5 Unexpected activated shielding during lifting (1st) 4.8 Unintentional opening/leaking of downstream valve after that the PBW is removed 4.9 Plug gets stuck at vertical guide during the lift (1st) 4.11 Maintenance of the horizontal flange between proton beam window and 2nd barrier valve upstream of proton beam window (1st) 5.1 Local overheating of the Be reflector 5.5 All containments out of two or three of the cryogenic circuit ruptures 6.3 Dropping of non cooled steel shielding blocks 6.5 Person falls from the connection cells on to cooled steel shielding block when the non cooled shielding block has been removed (1st) 6.9 MR-plug gets stuck (can't be pulled out remotely) when being pulled out from close to target wheel (1st) 6.13 High temperature in MR plug when being pulled up (1st) 6.16 Failure of cask containment (1st) 6.17 Cask deviates from transport route (1st) 6.19 Failure to close all monolith lids/hatches in connection cell during maintenance procedures (1st) 6.20 Failing to evacuate personnel from connection cells when inserting component block back into the monolith e.g. MR plug (1st) 8.1 NBW damage or removed during maintenance operation (1st) 8.3 Personnel need to take manual action (1st) 8.4 Drop handling flask while moving to Hot Cells 8.5 Damaging other components inside monolith when putting a guide back in place 12.3 Malfunction of irradiation plugs (mechanical failure or lost cooling) 12.8 Loss of coolant for tuning beam dump system (when in used) 12.9 Full power pencil or distributed beam on beam dump system 12.10 Target Station Specific control system – classified 210650-R-002_U1 12 July 2012 Scandpower is a member of the Lloyd's Register Group Risk analysis of the accelerator, instruments and target station Page 23 Nbr. Top Event 13.1 Personnel enters connection cells without sufficiently low activity level having been reached (1st) 13.2 Extraction of water-cooled block situated below Target 14.16 Impact from heavy (e.g. radiological waste) transportation within site. 14.18 Office/support buildings fire 15.4 The cask is moved while doors unintentionally are left open (1st) 15.9 Intra bay shielding door between maintenance cell and process cell is opened when cutting the target wheel and there is a person in the maintenance cell (1st) 15.10 Failure associated with transporting the cask away from maintenance cell (1st) 15.12 Explosion of escaped residual hydrogen in MR-plug (1st) 15.14 Ventilation/pressure cascade system in active cell fails 15.15 Personal protection equipments for decontamination personnel fail (1st) Table 7-7 - List of events with Risk Reduction Recommended where barriers haven't been taken into consideration (only pre-barrier assessment made). If the hazard is related to a 1st person, this is indicated in parenthesis. Nbr. Top Event 1.2 Loss of helium cooling of target wheel - with release of helium 1.6 Wheel stops with simultaneous loss of cooling 3.2 Leak of helium cooling fluid of the proton beam window 3.5 Debris hits the proton beam window from the accelerator side 5.1 Local overheating of the Be reflector 5.2 Misalignment of the beam hitting the MR plug 5.3 Pencil beam hits outside the wheel - hits the MR plug. 5.4 First containment out of two or three of the cryogenic circuit ruptures 5.6 Proton beam hits outside the wheel - hits the gap between the wheel and the plug 5.8 Loss of vacuum in MR plug 7.3 NBW rupture, assuming air outside of the window 210650-R-002_U1 12 July 2012 Scandpower is a member of the Lloyd's Register Group Risk analysis of the accelerator, instruments and target station Page 24 Nbr. Top Event 7.4 NBW rupture, assuming vacuum outside of the window 7.6 Unintentional closing of beam shutter 7.7 False indication of shutter being open when closed 9.1 Shaking/rattling monolith steel blocks. Dislocation and rupture of the envelope. 9.2 Dislocation and rupture of the envelope by external aggressors 9.6 High pressure in monolith from other initiating event 9.11 Unexpected static forces on target 10.2 Leakage in heat exchanger between primary PBW He and interm. H2O circuits 10.3 Leakage in heat exchanger to monolith He from interm. H2O circuits 12.12 Bypass of filtering system (RGEC) 12.13 Leaking pipes after filters (RGEC) 12.14 Uncontrolled deltaP (RGEC) 12.16 Poor performance of filtering system (RGEC) 14.4 Explosion within plant, but outside Target Station. 14.13 Air plane (Boeing 737) crash on Target station.(2 consequences from this top event) 14.14 Safety shutdown earthquake (SSE) Table 7-8 - Number of consequences affecting containment barriers – only for target station in normal operation Table 7-9 Safety barriers relating to Instrumentation and Control Safety barrier Place(s) used Automatic shutdown of proton beam 210650-R-002_U1 12 July 2012 Top Events: 1.1, 1.2, 1.3, 1.4, 1.5, 1.6, 1.7, 3.1, 3.2, 3.3, Scandpower is a member of the Lloyd's Register Group Risk analysis of the accelerator, instruments and target station Page 25 Safety barrier Place(s) used 5.1, 5.2, 5.3, 5.4, 5.5, 5.6, 5.7, 5.8, 7.1, 7.3, 7.5, 9.1, 9.2, 9.3, 9.4, 9.5, 9.6, 9.8, 9.9, 9.10, 10.1, 10.2, 10.3, 12.8, 14.14 Monitoring of helium flow in cooling circuit. Top Events: 1.1, 1.2 Target beam monitoring system Top Events: 1.3 Target instrumentation monitoring Top Events: 1.5, 1.7 Synchronisation control Top Events: 1.5 Monitoring Top Events: 2.2, 2.3, 2.4, 2.6, 2.7 Monitoring load cell Top Events: 2.6, 2.7, 6.3, 6.4, 6.7, 6.8, 6.10, 6.11 Valve upstream of proton beam window shuts on failure to protect against spread of secondary inventory Top Events: 3.1, 3.2 Monitoring of the PBW helium cooling circuit Top Events: 3.1, 3.2 Pressure is monitored but the accuracy is not enough to detected slight overpressure. Top Events: 4.3 Pressure is monitored but the accuracy is not enough to detected slight underpressure. Top Events: 4.4 Monitor activity of shielding Top Events: 4.5 Controlled access to lifting area Top Events: 4.5 Monitoring load cell Top Events: 4.10 MR monitoring instruments - monitors the cooling flow (not the temperature). Top Events: 5.1, 5.3, 5.6, 5.7 Rupture disk to relief overpressure in monolith. Top Events: 5.2 Target instrumentation - detecting broken vacuum Top Events: 5.2, 5.4, 5.5 He is injected in the water stream to allow detection of water in vacuum. Top Events: 5.2 Stopping of the flow in circuit Top Events: 5.4, 5.5 Video camera Top Events: 6.20 Warning siren Top Events: 6.20 Monitoring of pressure in the monolith Top Events: 7.1, 7.3, 9.5, 9.6, 9.8, 9.9, 9.10, 10.3 Monitoring during startup and commissioning would detect this problem and rectify before starting operations. Top Events: 7.2 Monitoring of the active content / contamination of helium Top Events: 7.3, 7.5, 9.4, 9.8, 9.9, 10.3 Shutdown of neutron guide vacuum system on failure. Top Events: 7.4 Redundant cables, springs and other control systems mitigating against the event Top Events: 7.6 210650-R-002_U1 12 July 2012 Scandpower is a member of the Lloyd's Register Group Risk analysis of the accelerator, instruments and target station Page 26 Safety barrier Place(s) used Check tightness before reconnection with gas Top Events: 8.2 Personal protection equipment Top Events: 8.3 Control of heavy lifting Top Events: 8.4 Regular pressure testing of monolith Top Events: 9.4 Monitoring of temperature in the monolith Top Events: 9.8, 9.9, 10.3 Monitoring of radiation activity in the monolith Top Events: 9.8, 9.9 Alignment of monitoring systems Top Events: 9.11 Monitoring activity in intermediate loop. Top Events: 10.1, 10.2 Loss of pressure indicator. Top Events: 10.1 Monitoring activity of intermediate loop. Top Events: 10.3 Misalignment of proton beam will be detected and the ion source will automatically shut off. Top Events: 11.4 Activity monitoring of ventilation system. Top Events: 12.5 Controlled entrance: ID, permits, double doors Top Events: 13.1 Monitoring of activity in Connection Cells Top Events: 13.1 Monitoring systems Top Events: 15.5 Alarm system to indicate that door has been opened when it shouldn't Top Events: 15.9, 15.13 7.2 Accelerator This section includes a summary of the results from the risk analysis of the accelerator. In Table 7-10 and Table 7-11 the numbers of assessed events at the different risk levels are presented. Table 7-10 shows the number of risk ranked events that have been assessed as Unacceptable, Risk Reduction Recommended or Tolerable. The table also shows the number of events where safety barriers have been considered in the assessment (postbarrier matrix assessment), the number of events where safety barriers haven't been considered in the assessment (only pre-barrier assessment) and the number of events where a matrix assessment haven't been done at all and a simplified risk ranking has been applied instead. The events summarised in the second column of Table 7-10 are then further split up in Table 7-11 according to the matrix assessments made in the analysis. Table 7-12 and Table 7-13 list the number and the description of all the events that have been assessed as Unacceptable or with Risk Reduction Recommended in the analysis. 210650-R-002_U1 12 July 2012 Scandpower is a member of the Lloyd's Register Group Risk analysis of the accelerator, instruments and target station Page 27 Table 7-10 - This table is an overview of all the assessed events in the accelerator analysis. The numbers in the cells show the number of events assessed to different risk levels and has a split between the varying levels of detail in the event assessments. OnlypreͲbarrier WithpostͲ Simplifiedrisk RiskRankingLevel matrix barriermatrix Total ranking assessment assessment 0 2 2 4 Unacceptable RiskReduction 0 6 8 14 Recommended 0 3 11 14 Tolerable 0 11 21 32 Total Table 7-11 - This table shows the number of events in the analysis where a given matrix assessment was made taking safety barriers into consideration (a post-barrier assessment). Table 7-12 - List of events at Unacceptable level where barriers have been taken into consideration explicitly (post-barrier assessment) in either a matrix assessment or a simplified risk ranking. If the hazard is related to a 1st person, this is indicated in parenthesis. Nbr. Top Event 16.2 First bending magnets fail at full power 16.3 Second bending magnet fail at full power 19.1 The interlock system is defeated during a shorter proton beam stop. An unauthorized person is in the accelerator tunnel (1st) 210650-R-002_U1 12 July 2012 Scandpower is a member of the Lloyd's Register Group Risk analysis of the accelerator, instruments and target station Page 28 Nbr. Top Event 19.2 The interlock system is defeated after a longer proton beam stop. An unauthorized person is in the accelerator tunnel (1st) Table 7-13 - List of events with Risk Reduction Recommended where barriers have been taken into consideration explicitly (post-barrier assessment) in either a matrix assessment or a simplified risk ranking. If the hazard is related to a 1st person, this is indicated in parenthesis. Nbr. Top Event 16.5 Hitting the collimator with concentrated high power beam 16.6 Hitting the collimator by offsetting the beam footprint (lower energy than event above) 16.7 Fire of graphite in beam dump 16.12 Maintenance of components in the last downstream part of the HEBT (S3 segment) (1st) 16.13 Failure to put gamma shutter in place after tuning (1st) 16.16 High temperature in beam dump/collimator/instrumentation package when being pulled up 18.1 Damage to berm caused from soil work on the berm - for example in connection to the installation of a signal cable 19.3 Personnel gets radiated through contact with radioactive material in tunnel (1st) 19.4 Contaminated material is brought out of the accelerator tunnel 19.7 Someone enters the tunnel when beam is on (1st) 20.1 Personnel gets a direct view of the accelerator tunnel while operational (1st) 20.2 Radiation from X-rays in Klystron gallery (1st) 20.3 Radiation from X-ray in the tunnel if klystrons are on when accelerator beam is turned off (1st) 20.4 Shielding of the wave guides is modified and forgotten to be putted back (there are numerous shields) (1st) 7.3 Instruments This section includes a summary of the results from the risk analysis of the instruments. 210650-R-002_U1 12 July 2012 Scandpower is a member of the Lloyd's Register Group Risk analysis of the accelerator, instruments and target station Page 29 Table 7-14 shows the number of risk ranked events that have been assessed as Unacceptable, Risk Reduction Recommended or Tolerable. The table also shows the number of events where safety barriers have been considered in the assessment (postbarrier matrix assessment), the number of events where safety barriers haven't been considered in the assessment (only pre-barrier assessment) and the number of events where a matrix assessment haven't been done at all and a simplified risk ranking has been applied instead. Table 7-15 and Table 7-16 list the number and the description of all the events that have been assessed as Unacceptable or with Risk Reduction Recommended in the analysis. Table 7-14 - This table is an overview of all the assessed events in the instruments analysis. The numbers in the cells show the number of events assessed to different risk levels and has a split between the varying levels of detail in the event assessments. WithpostͲ OnlypreͲbarrier Simplifiedrisk Total barriermatrix RiskRankingLevel matrix ranking assessment assessment 0 0 2 2 Unacceptable RiskReduction 0 0 1 1 Recommended 0 0 3 3 Tolerable 0 0 6 6 Total Table 7-15 - List of events at Unacceptable level where barriers have been taken into consideration explicitly (post-barrier assessment) in either a matrix assessment or a simplified risk ranking. If the hazard is related to a 1st person, this is indicated in parenthesis. Nbr. Top Event 21.1 False indication of shutter being closed when open (1st) 21.5 Unexpected opening of neutron beam shutter while personnel working in detector or sample area (1st) Table 7-16 - List of events with Risk Reduction Recommended where barriers have been taken into consideration explicitly (post-barrier assessment) in either a matrix assessment or a simplified risk ranking. If the hazard is related to a 1st person, this is indicated in parenthesis. Nbr. Top Event 21.4 8. Maintenance of heavy choppers (1st) DISCUSSION AND CONCLUSIONS The risk analysis presented in this document has been a step in the ESS risk analysis process. It shall be seen as the first step of a continuous process going along the 210650-R-002_U1 12 July 2012 Scandpower is a member of the Lloyd's Register Group Risk analysis of the accelerator, instruments and target station Page 30 whole ESS project; construction, commission, operation and decommission. The identified risks shall not been seen as final but as a working list of potentially hazardous events that need to be managed in the future design work and eventually in operation of the facility. The results are presented in HAZID protocols and summarised in section 7 of this report. Uncertainty As the design is at a conceptual stage, the processing of the event chains has been challenging at times and led to risk assessments associated with significant uncertainty. Uncertainties are inherent to the current stage of the design process and have been handled and highlighted in the analysis by: 1) Using two levels of risk matrix assessment where possible and practicable, one with safety barriers in place and one without 2) Recommending future detailed assessments to gain more knowledge about the system and hazardous event mechanisms For several events it hasn't been possible or meaningful to make an assessment both before and after accounting for barriers, which also relates to uncertainty in the design. For those events a simplified risk assessment has been made. The intense design process at ESS has meant that the facility layout and system design has changed during the risk analysis and it has proven to be a challenge to keep the original system definition fixed when identifying hazardous events. The uncertainty in the design has also varied between the different parts of the facility as some parts are based on more novel technology than others. This brought together has meant that the consistency of the applied methodology and reporting has been less than expected. The overall result of the analysis is still considered to be of good quality and purposeful. Recommendations Recommendations to help decrease uncertainty and manage the risks have been given throughout the analysis associated with the identified events. The summary in Figure 7-1 shows that most recommendations were with regards to further risk analysis and radiological calculations. In retrospect further generic recommendations, based on the risk ranking done, have categorically been added to events to highlight the ones that need special attention. This has been done according to what is outlined in Figure 8-1. 210650-R-002_U1 12 July 2012 Scandpower is a member of the Lloyd's Register Group Risk analysis of the accelerator, instruments and target station Page 31 Figure 8-1 – Generic recommendations based on the risk ranking. In addition to recommendations that decrease uncertainty, a number of firm recommendations for improving safety have been proposed. It should be ensured that all of the recommendations brought forward in this analysis are considered. Conclusions Further work has to be done in order to expand the list of barriers (actual systems, instructions, safety culture) and to verify their effectiveness, especially for risks that are labelled "Unacceptable". Ffor low frequency combined with severe consequences it will be crucial to demonstrate that the barriers ensuring a low frequency have high integrity levels. To achieve this, it would be helpful to use agreed risk acceptance criteria ensuring adequate risk reduction levels. An important note is that the lists of barriers and initiating events are not necessarily exhaustive from this analysis. The lists capture possible barriers and can be used to aid in more detailed barrier analysis in the future. The result of the analysis clearly indicates the need of developing the risk matrix. The risks, which today are classified as unacceptable, vary in consequences from personal injuries of the ESS staff/visiting scientist to possible effects of people outside the ESS site. An overall recommendation is to continue the risk management process when the technical design report is finalised with a more systematic and process oriented risk analysis e.g. hazard and operability analysis (HAZOP). This would help ensure that risks are being handled and that introduced new risks are managed at a tolerable level. 210650-R-002_U1 12 July 2012 Scandpower is a member of the Lloyd's Register Group Risk analysis of the accelerator, instruments and target station 9. Page 32 REFERENCES /1/ Plewinski F., "Target Station Design Update Baseline December 2011", EDMS ID Number 1166507 v.2, ESS, 2011 /2/ Peggs S., "ESS Conceptual Design Report", ISBN 978-91-980173-0-4, 2012 /3/ Jacobsson P., "General Safety Objectives for ESS", EDMS ID Number 1148774 v.A5, ESS, 2011 /4/ Jacobsson P., "Risk Analysis – Initiating Events", v. A3, 2011 /5/ Knochenhauer M., "Guidance for External Events Analysis", SKI Report 02:27, ISSN 1104–1374, 2003 /6/ ISO Standard " Petroleum and natural gas industries — Offshore production installations — Guidelines on tools and techniques for hazard identification and risk assessment", 17776:2000 210650-R-002_U1 12 July 2012 Scandpower is a member of the Lloyd's Register Group
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