REL异构化装置开工时脱异丁烷塔溢流,安全阀开启将可燃液体泄至放空罐及 1950 年代放空烟囱,该烟囱未接入安全火炬系统而直排大气,溢流物喷溅落地形成蒸气云遇火源爆炸(15 死 180 伤)
放空系统过时且不安全——放空烟囱未连接至安全火炬系统;BP 2002 年曾考虑连接但放弃;PHAs 未充分识别该风险
The mechanism code REL shown on this card is the KB's internal damage-mechanism abbreviation (not an ISO 14224 code); it describes how the equipment failed. The 'ISO 14224 Mapping' block above maps it to the correct ISO functional failure code (which describes what the equipment failed to do) — these are two distinct dimensions in ISO 14224. The mechanism follows the narrative in the card body.
MECH-OXIDATION湿硫化氢损伤 MECH-WET-H2S安全仪表拒动 MECH-SIS-FAIL-TO-ACT蠕变与应力破裂 MECH-CREEP酸性水腐蚀 MECH-SOUR-WATER高温硫化氢/氢腐蚀 MECH-HT-H2S结垢/堵塞 MECH-FOULING热疲劳 MECH-THERMAL-FATIGUE硫化腐蚀 MECH-SULFIDATION冲蚀/冲刷腐蚀 MECH-EROSION硫氢化铵腐蚀 MECH-ABS均匀/局部减薄(通用减薄) MECH-THINNING大气腐蚀 MECH-ATMOS机械疲劳 MECH-MECH-FATIGUE球化(软化) MECH-SPHEROIDIZATION