Incident details
Operator, cause, commodity and consequences with raw source fields.
HL incident on 2023-11-17 — TX
Operator
Jefferson Railport Terminal I Texas Llc
Cause
Incorrect Operation
Commodity
Crude Oil
Program
HL
Damage and Injuries
0 fatalities
0 injuries
Property damage (nominal)
$0
Incident datetime
2023-11-17 00:00 UTC
Report number
Location
TX
Narrative
While make a pipeline transfer into tank 2307 a contract software programmer inadvertently closed the motor operated valve at the inlet to the tank. The software programmer did not know the control room operator was making a transfer into tank 2307 at the time. The programmer did not check with the control room and assumed no transfers. Investigation into the causes of the incident fatigue was not determined to be an issue. The control room operator had the system lined up according to procedures. The third-party programmer was at fault for not reporting into the control room operator prior to beginning work. Procedure has been updated for anyone doing any work associated with the control room is now required to obtain a safe work permit from the control room operator and sign by the operation's supervisor prior to beginning work. As noted, drug and alcohol testing were not collected. The site is new to the requirements and did not realize the requirement. Since the incident jefferson is establishing the drug and alcohol testing instructions to supervision
Detailed record list
Report Received Date
2023-11-17 00:00:00
Iyear
2023
Report Number
20230278
Supplemental Number
40134
Report Type
Supplemental Final
Operator Id
40775
Name
Jefferson Railport Terminal I Texas Llc
Operator Street Address
811 Louisiana Street Suite 2300
Operator City Name
Houston
Operator State Abbreviation
TX
Operator Postal Code
77002
Time Zone
Central
Daylight Savings Ind
No
Location Latitude
30.081541
Location Longitude
-94.08026
Commodity Released Type
Crude Oil
Unintentional Release Bbls
0.47
Recovered Bbls
0.47
Fatality Ind
No
Fatal
0
Injury Ind
No
Injure
0
Accident Identifier
Controller
Operator Type
Operator Employee
System Part Involved
Onshore Terminal/tank Farm Equipment And Piping
On Off Shore
Onshore
Status When Identified
Normal Operation, Includes Pauses Between Batches And During Maintenance
Shutdown Due Accident Ind
Yes
Communication State Fed Ind
No
Nrc Rpt Num
Nrc Notification Not Required
Ignite Ind
No
Notify Qualified Indiv Ind
Yes
Oil Spill Removal Org Ind
No
Num Pub Evacuated
0
Pipe Fac Name
Jefferson Railport Terminal I Texas Llc
Segment Name
2300 Manifold
Onshore State Abbreviation
Tx
Onshore Postal Code
77642
Onshore City Name
Not Within A Municipality
Onshore County Name
Orange
Designated Location
Survey Station No.
Designated Name
Tank 2300
Federal
No
Location Type
Totally Contained On Operator-Controlled Property
Incident Area Type
Aboveground
Incident Area Subtype
Typical Aboveground Facility Piping Or Appurtenance
Crossing
No
Pipe Facility Type
Intrastate
Item Involved
Valve
Valve Type
Mainline
Valve Mainline Type
Ball
Valve Manufacturer
Unknown
Installation Year
2020
Manufactured Year
Unknown
Material Involved
Carbon Steel
Release Type
Leak
Leak Type
Seal Or Packing
Wildlife Impact Ind
No
Soil Contamination
No
Long Term Assessment
No
Remediation Ind
No
Water Contam Ind
No
Could Be Hca
No
Commodity Reached Hca
No
Est Cost Oper Paid
0
Est Cost Gas Released
0
Est Cost Prop Damage
0
Est Cost Emergency
13000
Est Cost Environmental
0
Est Cost Other
0
Est Cost Other Details
Cleanup Inside Concrete Containment Area Will Be An Estimated $5,000
Prpty
13000
Num Persons Hosp Not Ovnght
0
Num Injured Treated By Emt
0
Num Resident Building Affctd
0
Num Business Building Affctd
0
Accident Psig
575
Mop Psig
150
Mop Cfr Section
Subpart E Pressure Test �195.406(A)(3)
Maop Established Date
2020-07-01 00:00:00
Maop Reversal Flow Ind
No
Accident Pressure
Pressure Exceeded 110% Of Mop
Pressure Restriction Ind
No
Pipeline Function
> 20% Smys Regulated Transmission
Scada In Place Ind
Yes
Scada Operating Ind
Yes
Scada Functional Ind
Yes
Scada Detection Ind
Yes
Scada Conf Ind
Yes
Cpm In Place Ind
No
Investigation Status
Yes, specify investigation result(s): (select all that apply)
Invest Schedule Ind
Yes
Invest No Controller Ind
Yes
Invest Incorrect Procedure Ind
Yes
Invest Maint Ind
Yes
Employee Drug Test Ind
No
Contractor Drug Test Ind
No
Cause
Incorrect Operation
Cause Details
Pipeline Or Equipment Overpressured
Operation Type
Pipeline Or Equipment Overpressured
Related Inadequate Proc Ind
Yes
Category Type
Non-Routine Operating Conditions (Abnormal Operations Or Emergencies)
Operator Qualification Ind
No
Io Equipment Overpressure Ind
Yes
Io Inadequate Procedure Ind
Yes
Preparer Name
P***** T***
Preparer Email
P****@s********.net
Preparer Telephone
9037331548
Prepared Date
2024-10-22 00:00:00
Local Contact Name
P***** T***
Local Contact Email
P****@s********.net
Local Contact Telephone
9037331548
Authorizer Name
P***** T***
Authorizer Telephone
9037331548
Authorizer Title
Sr Director Ehss
Authorizer Email
P****@s********.net
Narrative
While make a pipeline transfer into tank 2307 a contract software programmer inadvertently closed the motor operated valve at the inlet to the tank. The software programmer did not know the control room operator was making a transfer into tank 2307 at the time. The programmer did not check with the control room and assumed no transfers. Investigation into the causes of the incident fatigue was not determined to be an issue. The control room operator had the system lined up according to procedures. The third-party programmer was at fault for not reporting into the control room operator prior to beginning work. Procedure has been updated for anyone doing any work associated with the control room is now required to obtain a safe work permit from the control room operator and sign by the operation's supervisor prior to beginning work. As noted, drug and alcohol testing were not collected. The site is new to the requirements and did not realize the requirement. Since the incident jefferson is establishing the drug and alcohol testing instructions to supervision
Report Received Date | 2023-11-17 00:00:00 |
---|---|
Iyear | 2023 |
Report Number | 20230278 |
Supplemental Number | 40134 |
Report Type | Supplemental Final |
Operator Id | 40775 PHMSA Enforcement |
Name | Jefferson Railport Terminal I Texas Llc |
Operator Street Address | 811 Louisiana Street Suite 2300 |
Operator City Name | Houston |
Operator State Abbreviation | TX |
Operator Postal Code | 77002 |
Time Zone | Central |
Daylight Savings Ind | No |
Location Latitude | 30.081541 Google Maps OpenStreetMap |
Location Longitude | -94.08026 Google Maps OpenStreetMap |
Commodity Released Type | Crude Oil |
Unintentional Release Bbls | 0.47 |
Recovered Bbls | 0.47 |
Fatality Ind | No |
Fatal | 0 |
Injury Ind | No |
Injure | 0 |
Accident Identifier | Controller |
Operator Type | Operator Employee |
System Part Involved | Onshore Terminal/tank Farm Equipment And Piping |
On Off Shore | Onshore |
Status When Identified | Normal Operation, Includes Pauses Between Batches And During Maintenance |
Shutdown Due Accident Ind | Yes |
Communication State Fed Ind | No |
Nrc Rpt Num | Nrc Notification Not Required NRC Report How to search |
Ignite Ind | No |
Notify Qualified Indiv Ind | Yes |
Oil Spill Removal Org Ind | No |
Num Pub Evacuated | 0 |
Pipe Fac Name | Jefferson Railport Terminal I Texas Llc |
Segment Name | 2300 Manifold |
Onshore State Abbreviation | Tx |
Onshore Postal Code | 77642 |
Onshore City Name | Not Within A Municipality |
Onshore County Name | Orange |
Designated Location | Survey Station No. |
Designated Name | Tank 2300 |
Federal | No |
Location Type | Totally Contained On Operator-Controlled Property |
Incident Area Type | Aboveground |
Incident Area Subtype | Typical Aboveground Facility Piping Or Appurtenance |
Crossing | No |
Pipe Facility Type | Intrastate |
Item Involved | Valve |
Valve Type | Mainline |
Valve Mainline Type | Ball |
Valve Manufacturer | Unknown |
Installation Year | 2020 |
Manufactured Year | Unknown |
Material Involved | Carbon Steel |
Release Type | Leak |
Leak Type | Seal Or Packing |
Wildlife Impact Ind | No |
Soil Contamination | No |
Long Term Assessment | No |
Remediation Ind | No |
Water Contam Ind | No |
Could Be Hca | No |
Commodity Reached Hca | No |
Est Cost Oper Paid | 0 |
Est Cost Gas Released | 0 |
Est Cost Prop Damage | 0 |
Est Cost Emergency | 13000 |
Est Cost Environmental | 0 |
Est Cost Other | 0 |
Est Cost Other Details | Cleanup Inside Concrete Containment Area Will Be An Estimated $5,000 |
Prpty | 13000 |
Num Persons Hosp Not Ovnght | 0 |
Num Injured Treated By Emt | 0 |
Num Resident Building Affctd | 0 |
Num Business Building Affctd | 0 |
Accident Psig | 575 |
Mop Psig | 150 |
Mop Cfr Section | Subpart E Pressure Test �195.406(A)(3) View CFR 49 §192 |
Maop Established Date | 2020-07-01 00:00:00 |
Maop Reversal Flow Ind | No |
Accident Pressure | Pressure Exceeded 110% Of Mop |
Pressure Restriction Ind | No |
Pipeline Function | > 20% Smys Regulated Transmission |
Scada In Place Ind | Yes |
Scada Operating Ind | Yes |
Scada Functional Ind | Yes |
Scada Detection Ind | Yes |
Scada Conf Ind | Yes |
Cpm In Place Ind | No |
Investigation Status | Yes, specify investigation result(s): (select all that apply) |
Invest Schedule Ind | Yes |
Invest No Controller Ind | Yes |
Invest Incorrect Procedure Ind | Yes |
Invest Maint Ind | Yes |
Employee Drug Test Ind | No |
Contractor Drug Test Ind | No |
Cause | Incorrect Operation |
Cause Details | Pipeline Or Equipment Overpressured |
Operation Type | Pipeline Or Equipment Overpressured |
Related Inadequate Proc Ind | Yes |
Category Type | Non-Routine Operating Conditions (Abnormal Operations Or Emergencies) |
Operator Qualification Ind | No |
Io Equipment Overpressure Ind | Yes |
Io Inadequate Procedure Ind | Yes |
Preparer Name | P***** T*** |
Preparer Email | P****@s********.net |
Preparer Telephone | 9037331548 |
Prepared Date | 2024-10-22 00:00:00 |
Local Contact Name | P***** T*** |
Local Contact Email | P****@s********.net |
Local Contact Telephone | 9037331548 |
Authorizer Name | P***** T*** |
Authorizer Telephone | 9037331548 |
Authorizer Title | Sr Director Ehss |
Authorizer Email | P****@s********.net |
Narrative | While make a pipeline transfer into tank 2307 a contract software programmer inadvertently closed the motor operated valve at the inlet to the tank. The software programmer did not know the control room operator was making a transfer into tank 2307 at the time. The programmer did not check with the control room and assumed no transfers. Investigation into the causes of the incident fatigue was not determined to be an issue. The control room operator had the system lined up according to procedures. The third-party programmer was at fault for not reporting into the control room operator prior to beginning work. Procedure has been updated for anyone doing any work associated with the control room is now required to obtain a safe work permit from the control room operator and sign by the operation's supervisor prior to beginning work. As noted, drug and alcohol testing were not collected. The site is new to the requirements and did not realize the requirement. Since the incident jefferson is establishing the drug and alcohol testing instructions to supervision |
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