Environment Protection Authority v Orica Australia Pty Ltd
[2014] NSWLEC 105
At a glance
Source factsCourt
Land and Environment Court (NSW)
Decision date
2012-12-12
Before
Pepper J
Source
Original judgment source is linked above.
Judgment (36 paragraphs)
Background to the Incident 17In 2004, Orica began a program to upgrade drainage infrastructure in the Ammonia Plant, which involved the replacement of all effluent drainage systems. As part of this upgrade, Orica had identified that underground pipelines should be moved aboveground where possible. The program also identified that pipes which could not be moved aboveground should be placed in dedicated concrete launders to provide secondary containment. The purpose of these changes was to facilitate easier integrity inspections, including maintenance of the pipelines and inspection of the pipelines for corrosion. 18Around June 2011 Orica was proposing to undertake a significant number of modifications to the Ammonia Plant ("the Ammonia Plant Turnaround") during a period in which the Ammonia Plant was to be shut down. 19Excavation work was being undertaken to expose underground ammonia drainage piping. The work was to enable replacement of a section of carbon steel pipeline that was welded to a stainless steel pipeline in the ammonia drainage system. The project was, somewhat ironically, a safety and environmental risk reduction measure to ensure that weld failure did not occur as a result of dissimilar metal corrosion at the site of the weld. 20The work involved excavating a length of Ammonia Drainage Pipeline running east/west on the Ammonia Plant. The Ammonia Drainage Pipeline and associated drainage network is used to recover residual liquid ammonia from vessels prior to major maintenance outages. The Pipeline is isolated from the ammonia-containing vessels by single isolation valves and in the period between major maintenance outages would normally only contain a small amount of residual ammonia vapour. The Pipeline was not designed to have double isolation valves as the pipework in the system was connected to other ammonia storage vessels and was not able to be opened directly into the atmosphere. 21Personnel involved in organising the work understood that the Pipeline was buried in soil and in one location it passed beneath a concrete effluent launder (a concrete trough covered by a steel grate). As the personnel organising the work thought that the Ammonia Drainage Pipeline was located in soil beneath the concrete effluent launder, the work required the removal of the launder to enable hand digging to be undertaken to expose the Ammonia Drainage Pipeline in the soil below. 22The Incident identified that a section of the Ammonia Drainage Pipeline had been encased in concrete as a result of the construction of the concrete effluent drain launder, which was installed years after the Ammonia Drainage Pipeline had been installed. There is no record of the decision to encase this section of the Ammonia Drainage Pipeline in concrete. However, it is suspected that the encasing occurred around 2005-2006, when a series of concrete effluent drains were laid throughout the Ammonia Plant as part of the effluent management improvements. 23Orica had an engineering drawing of the Ammonia Drainage Pipeline which showed its general location. 24Orica kept photos on an electronic project file of the project to improve and update the effluent drains in the Ammonia Plant. The work in 2005 or 2006 to install the concrete effluent drain launder was part of this improvement project. After the Incident, in the course of replying to a s 193 notice issued to Orica by the prosecutor, the Environment Protection Authority ("the EPA"), Orica reviewed the photos kept on the electronic project file. There were approximately 1,240 photos on the project file. 25In the course of reviewing the photos, Orica identified one photo that showed the excavation undertaken to install the concrete effluent launder in 2005 or 2006 over the section of the Ammonia Drainage Pipeline that was sought to be excavated in June 2011. This photo was taken before any concrete for the effluent launder was poured. The photo was taken by the Orica Project Manager overseeing the effluent drain improvement project. 26The Orica employees planning the work to excavate the Ammonia Drainage Pipeline in June 2011 were not aware of the photo. The photo does not indicate that the Ammonia Drainage Pipeline was encased in concrete, however, the photo did give an indication of the approximate depth of the Ammonia Drainage Pipeline. 27Orica identified that the work the subject of the Incident could be completed prior to the Ammonia Plant being shut down as part of the Ammonia Plant Turnaround. It is common practice in the industry to complete as much work as possible outside a turnaround, reserving the turnaround for work that can only be completed at that time. 28The carrying out of the work was contracted to Programmed Facilities Management Pty Ltd pursuant to ongoing maintenance arrangements, who in turn sub-contracted the specific job to GJA Iuliano Pty Ltd, a concreting company. 29On 15 September 2010, a Hazard and Operability study known as a 'HAZOP' study was undertaken. A Plant Modification assessment process was also undertaken, on 3 June 2011. 30The valves that isolated the Ammonia Drainage Pipeline were closed prior to the works commencing. The Ammonia Drainage Pipeline is part of a pipe network that is only used during major maintenance periods to drain residual liquid ammonia from vessels in the Ammonia Plant. After residual liquid ammonia is drained from the vessels, the network of drainage lines, including the Ammonia Drainage Pipeline, is purged and, prior to the completion of the maintenance period, the valves are closed to isolate the pipes from the vessels containing ammonia. The Pipeline was not checked prior to work commencing to confirm the isolation because this was not possible while the Ammonia Plant was operating. 31Orica's incident investigation identified that a valve isolating one of the ammonia-containing vessels ("Vessel 129C") from the Ammonia Drainage Pipeline was not fully sealed, resulting in ammonia liquid being present in the Ammonia Drainage Pipeline. 32The general location of the Ammonia Drainage Pipeline was identified by a combination of hand digging to expose the Pipeline, which was undertaken in soil to the west of the area where the Incident occurred, and the use of a "wand" device. The device was not able to accurately detect the depth of the Pipeline and only detected the general location of the Pipeline at ground level (that is to say, on a horizontal axis). Hand digging in the vicinity of the Ammonia Drainage Pipeline was used to provide additional information as to its location. 33On 17 June 2011 Orica's Ammonia Shift Supervisor issued the following permits for the work giving rise to the Incident (pursuant to a Work Clearance): (a)a cold work permit; and (b)a hot work permit. 34The employees who issued these permits were trained in the KI premises' procedures relevant to the issuing of work permits. 35In addition, a break-in authority was issued by an Ammonia Plant Maintenance Technician who was authorised to issue it. Under the procedure in place at the time of the Incident, authorisation from the KI Site Manager was required before an Orica employee could be authorised to issue break-in authorities. Employees were not authorised until the KI Site Manager was satisfied that they had been properly trained. A break-in authority authorised Orica personnel and contractors to undertake excavation work at the KI premises. 36In order to issue hot and cold work permits and break-in authorities, a risk assessment must be undertaken for the proposed work, including the identification of hazards and risk control measures. All three permits were issued for the first day of work and were extended for subsequent days' work. 37A Job Safety and Environmental Risk Analysis ("JSERA") was also completed prior to the work commencing and was attached to a separate Work Order. 38On 17 June 2011 Mr John Iuliano and Mr Josh Iuliano from GJA Iuliano Pty Ltd carried out the work under the supervision of Mr Peter Young, Technical Assistant, Programmed Facility Management. The JSERA referred to above was prepared by Mr Young. It is common industry practice for a JSERA to be prepared by the person or persons actually carrying out the work, rather than the occupier or owner of the premises where the work is to be carried out. Mr John Iuliano and Mr Josh Iuliano were not involved in the preparation of the JSERA, however, they signed the JSERA acknowledging that they had read and understood it. The information given to both men was to the effect that the Ammonia Drainage Pipeline was in the soil below the concrete drain. 39Mr Winstone deposed in his affidavit sworn 1 November 2012 that Orica provided competency based training on JSERA, and generally on emergency response management. Also, at the time of the Incident, Orica had started to implement, but had not yet completed, a contractor accreditation program to assess the performance of companies undertaking work at the KI premises for Orica. 40Each work task being undertaken by a contractor required the presence of an appropriately accredited person to ensure experienced personnel with knowledge of the KI premises' safety, health and environmental systems were working in the field with the team carrying out the contracted work.