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Emergency Scenario
Use this form to develop a credible emergency scenario that can be stress-tested by your incident management team in an internal desktop or fully integrated simulation.
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1
Name
*
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First Name
Last Name
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2
Email
*
This field is required.
example@example.com
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3
Date
*
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-
Date
Year
Month
Day
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4
Name your incident
*
This field is required.
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5
Where does your incident take place?
*
This field is required.
Engine-room
Roof of engine-room
External areas
Production
Chiller
Freezer
Ceiling spaces
Engine-room
Roof of engine-room
External areas
Production
Chiller
Freezer
Ceiling spaces
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6
What was the source of the release?
*
This field is required.
Compressor Shaft Seal
Pipe corrosion
Flexible Hose
Fitting
Valve gland
Plate Heat Exchanger
Plate Freezer
Condensor
Evaporator
Flange Gasket
O-ring failure
Pressure Safety Valve
Hydraulic Rupture
Operational error
Other
Compressor Shaft Seal
Pipe corrosion
Flexible Hose
Fitting
Valve gland
Plate Heat Exchanger
Plate Freezer
Condensor
Evaporator
Flange Gasket
O-ring failure
Pressure Safety Valve
Hydraulic Rupture
Operational error
Other
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7
Provide credible detail about the leak. (Some of this information should be withheld from the Incident management/response team as it will be unknown to them until further inspection and investigation)
*
This field is required.
Example: 1400hrs (or thereabouts), An electrician was tasked to repair a pressure transducer on the IP liquid pump. During the course of his analysis, he has attempted to remove the transducer under pressure. The result is a release of liquid Anhydrous Ammonia. He has advised the receptionist who has promptly contacted the IMT who initiate a call to the engineers
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8
How is the leak discovered?
*
This field is required.
Worker
Fixed Gas Detection alarm.
Neighbour
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9
What pressure is the release?
*
This field is required.
High pressure
Low pressure
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10
What phase is the Ammonia released?
*
This field is required.
Low pressure liquid (dripping & pooling)
Visible aerosol (two phase flow)
Invisible gas plume
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11
Is it raining?
*
This field is required.
YES
NO
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12
Is it Hot or Cold?
*
This field is required.
The temperature will affect the dispersion of Ammonia as well as the welfare of the evacuees.
Hot
Cold
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13
Is it Day or Night?
*
This field is required.
Night
Day
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14
What effect does the wind have on the situation?
*
This field is required.
Is it credible - check your local windpatterns
wwww.meteoblue.com
or use the Windy app above.
Not affecting the site or neighbouring properties
Not affecting the site but poses risk to neighboring
Affecting assembly areas or building evacuations
Affecting buildings evacuation
Affecting Emergency services access
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15
At the time of the incident, who is onsite to assist in the management of the leak?
*
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All appropriate managers are available
Some key contacts are unavailable
The site is only covered by 'night staff' personnel
Security only
No-one isonsite
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16
At the time of the incident, what workers are available to review the severity of the leak?
*
This field is required.
On-site Plant Operators
Management
External Contractors (60min away)
Supervisors
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17
Is anybody seriously harmed?
*
This field is required.
YES
NO
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18
Can the concentration of the space in question be reviewed remotely?
YES
NO
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19
At the time of the incident, does your facility have an incident management team on-site?
YES
NO
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20
At the time of the incident, are all members of the IMT available?
YES
NO
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21
At the time of the incident, does your facility have fully staffed incident response team?
YES
NO
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22
Does your facility possess respiratory protective equipment? (RPE)?
YES
NO
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23
What personal protective equipment types are available on your site?
Full face Negative Pressure
Self Contained Breathing Apparatus
Fully encapsulated SCBA Gas Suits
Ammonia rated gloves
Escape hoods
Portable Gas Detection
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24
At the time of the incident is the equipment ready and compliant?
YES
NO
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25
At the time of the incident, does the site have a welfare kit? (Shelter, blankets, food, water)
Outside Shelter or mutual aid
Fresh water
Blankets
Food
Lighting
First aid kit
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26
What things at your facility are likely to interfere with the response effort during the incident?
List at least five injects ideas on the next slide.
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27
Inject ideas:
Note: These have all happened during real incidents.
Wind directional change
Rain
Power cut
Directors on holiday
Large group of visitors on site
SCBA cylinders are low on air
No batteries in the radio transmitters
Emergency services are unable to entersite due to the gas plume
Ammonia technicians are stuck in traffic
Incorrect valve closed during response
No filters for respirators
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28
Upload any relevant drawings or images
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