Where Technology Shapes Solutions. Alarm management : Wasn t that problem already solved years ago?

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Honeywell Users Group 2011 Where Technology Shapes Solutions. Luc De Wilde, Total Petrochemicals Dal Vernon Reising, Human Centered Solutions Alarm management : Wasn t that problem already solved years ago?

Outline The Historical context What is the state of Alarm System performance today? The ASM Effective Alarm Management Practices Guidelines Critical guidelines vs. State of practice Review of Critical Few guidelines Current ASM Consortium alarm management research Conclusions 2

Some history 1975 : the first DCS was born 3

With the DCS came Endless Possibilities We can actually see the Process Value, the Setpoint, the Output Value We can control much more accurately the process We can reduce the number of operators We can give the operator all the information he needs We can give the operator all the alarms he needs, and moreover : they are free of charge 4

The hangover Help, we are drowning in information (even without alarms) Needed a better HMI approach than single screen-single display, drill-in approach Help, we are continuously bombarded with alarms, even when the plant is stable Still need a better approach to alarm design Help, we are swept away by alarm floods when the plant is not stable Still need a better approach to alarm design 5

The taskforce Review alarm limits Fix instrumentation errors Don t spend too much time on it : Operators will get used to it 6

It got worse New units, expansions => more alarms Larger control centers Several accidents related to alarm floods, missed alarms 7

The solution (?) Structured approach, laid out in guidelines and industry standards : ASM Consortium Guideline : Effective Alarm Management Practices EEMUA 191 ISA 18.02 ALARM MANAGEMENT PROJECTS : Alarm rationalization Advanced techniques Based on the guidelines and standards 8

Still problems : some quotes Each department has their own ideas about the alarm system Alarm rationalization only has impact on standing alarms, we still experience alarm floods Very soon after the alarm management project, the number of alarms went up again Alarm management is a problem for the DCS engineer 9

Still problems : some quotes Does anybody still know why the alarm limit of that tag is set on that value? Every time we expand the unit, we are again drowned in alarms We think our operators don t always act on alarms The operators are still feeling uncomfortable : they rather prefer to see too many alarms than to have an alarm removed 10

2878 2391 2886 2189 2902 2463 1568 1446 2950 2127 1766 1058 1258 1472 1828 1030 1788 1055 1408 2446 1655 1011 1730 2162 1899 1465 2129 2730 1450 1456 2737 2766 2783 1530 1959 1482 1340 Alarm Rate (No. per 10 Min.) ASM Alarm System Performance Benchmarking 10.0 9.0 Monthly Overall Average Alarm Rate per Console EEMUA Acceptability Very likely unacceptable 8.0 7.0 6.0 5.0 4.0 3.0 The median overall avg. alarm rate for the ASM Phase 1 and 2 studies = 1.77 alarms/ 10 min Likely over demanding Possibly over demanding 2.0 1.0 0.0 Manageable Very likely acceptable Console ID Overall Average Alarm Rates The overall average alarm rate across the ASM studies was 2.3 alarms per 10 minute window; the median was 1.8 alarms per 10 minute window Sites can meet and sustain the EEMUA Manageable and Very likely to be acceptable levels of overall average alarm rate performance 11

>5x >5x 3x-5x 3x-5x 3x-5x 2.0-2.9x 2.0-2.9x 2.0-2.9x 2.0-2.9x 2.0-2.9x 2.0-2.9x 2.0-2.9x Alarm Rate (No. per 10 Min.) ASM Alarm System Performance Benchmarking 10.0 9.0 8.0 7.0 6.0 5.0 4.0 3.0 2.0 1.0 0.0 Low-Avg-Hi Overall Avg. Alarm Rate per Console EEMUA Acceptability Very likely unacceptable Likely over demanding Possibly over demanding Manageable Very likely acceptable Actual Configured Alarms vs. EEMUA Recommendation for Configured Alarms Overall Average Alarm Rates The average alarm rate was not closely correlated with the number of configured alarms 12

0-20% 0-20% 0-20% 0-20% >5x >5x 3x-5x 3x-5x 3x-5x 0-20% 2.0-2.9x 0-20% 2.0-2.9x 0-20% 2.0-2.9x 0-20% 2.0-2.9x 21-40% 2.0-2.9x 21-40% 2.0-2.9x 2.0-2.9x 21-40% 21-40% 41-60% 41-60% 61-80% 61-80% 61-80% 61-80% Alarm Rate (No. per 10 Min.) % of 10 minute periods in month ASM Alarm System Performance Benchmarking 10.0 100.00 9.0 8.0 10.00 7.0 6.0 1.00 5.0 4.0 0.10 3.0 2.0 1.00.01 0.0 0.00 Low-Avg-Hi Average Peak Overall Alarm Avg. Alarm Rate Rate Distribution per Console EEMUA Acceptability Very likely unacceptable Likely over demanding % with < 1 % with 21-30 % with 31-50 Possibly over % with 51-100 demanding % with > 100 Manageable % with 1-10 % with 11-20 Very likely acceptable Actual Configured Alarms vs. EEMUA Recommendation for Configured Alarms % Points on Console Rationalized Overall Average Peak Alarm Rate Distributions Peak alarm rates exceeding 100 alarms per 10 minute window were experienced at least once by 60% of the consoles The peak alarm rate is not closely correlated with the degree of rationalization 13

ASM Alarm System Performance Benchmarking Performed a Best-subsets (i.e., multivariate) regression for Overall Average Alarm Rate with 14 metrics (out of the more than 30 collected) The resulting multivariate regression model accounted for only ~50% of the variance in the data The factors considered significant were: Degree of rationalization (negative coefficient) Frequency of monitoring average alarm rate (positive coefficient; a surprising result) Degree of control sophistication (negative coefficient) Frequency of monitoring worst actors (negative coefficient) Average number of standing alarms (positive coefficient) There is no single Silver Bullet to alarm system performance 14

15 We have been working on alarm management since years. Why do we then still feel that we haven t solved the problem...?

We have been working on alarm management since years. Why do we then still feel that we haven t solved the problem...? Are we taking a systems-approach to our Alarm System Performance problems? Or, are we only doing a subset of the recommended practices? 16

Effective Alarm Management Practices ASM Guidelines document Three main practice areas Management Practices Alarm System Design & Implementation Training 42 guidelines in total across these practice areas Priority 1 one of the minimum set of guidelines for achieving an ASM good quality practice. Priority 2 one of the comprehensive set of guidelines for achieving an ASM high quality practice. Priority 3 one of the advanced set of guidelines for achieving an ASM best practice. Which are Critical for Success and which are Sites Practicing today? (The following slides are based on presenter experience & opinion, not a scientific survey.) 17

ASM Guidelines Critical to Success * Management Practices * GL # GL Priority GL Statement Critical to Success Sites Doing It Management Practices Yes Maybe No Most Some Few 1.1 1 Establish company management support for alarm management. 1 1 1.2 1 Develop a plant-wide philosophy for alarm management. 1 1 1.3 1 Establish an owner for the alarm system and ensure adequate staffing. 1 1 1.4 1 Use a Management of Change (MOC) process for alarm changes. 1 1 1.5 1 Capture and integrate alarm requests generated from plant reviews. 1 1 1.6 1 Establish an alarm system's worst actors monitoring program. 1 1 1.7 1 Ensure that plant personnel understand and comply with the alarm management philosophy. 1 1 1.8 1 Run frequent backups and inspections of electronic journals. 1 1 1.9 2 Ensure that alarm management is a part of an integrated safety program. 1 1 1.10 2 Establish an alarm system performance monitoring program. 1 1 1.11 2 Periodically validate/enforce alarm settings. 1 1 1.12 2 Perform periodic alarm rationalization revalidations. 1 1 1.13 3 Perform periodic alarm impact assessments. 1 1 1.14 3 Ensure that incident reviews include alarm system impact. 1 1 18

ASM Guidelines Critical to Success vs. Site Practices * Management Practices * GL # GL Priority GL Statement Critical to Success Sites Doing It Management Practices Yes Maybe No Most Some Few 1.1 1 Establish company management support for alarm management. 1 1 1.2 1 Develop a plant-wide philosophy for alarm management. 1 1 1.3 1 Establish an owner for the alarm system and ensure adequate staffing. 1 1 1.4 1 Use a Management of Change (MOC) process for alarm changes. 1 1 1.5 1 Capture and integrate alarm requests generated from plant reviews. 1 1 1.6 1 Establish an alarm system's worst actors monitoring program. 1 1 1.7 1 Ensure that plant personnel understand and comply with the alarm management philosophy. 1 1 1.8 1 Run frequent backups and inspections of electronic journals. 1 1 1.9 2 Ensure that alarm management is a part of an integrated safety program. 1 1 1.10 2 Establish an alarm system performance monitoring program. 1 1 1.11 2 Periodically validate/enforce alarm settings. 1 1 1.12 2 Perform periodic alarm rationalization revalidations. 1 1 1.13 3 Perform periodic alarm impact assessments. 1 1 1.14 3 Ensure that incident reviews include alarm system impact. 1 1 19

ASM Guidelines Critical to Success * Alarm System Design & Implementation * GL # GL Priority GL Statement Critical to Success Sites Doing It Alarm System Design & Implementation Yes Maybe No Most Some Few 2.1 1 Ensure instrument reliability and accuracy. 1 1 2.2 1 Develop design rules to accommodate all common alarm types. 1 1 2.3 1 Use common alarms for groups of instruments that have common responses. 1 1 2.4 1 Provide access to the alarm rationalization information. 1 1 2.5 1 Minimize chattering alarms. 1 1 2.6 1 Integrate alarms into process graphics. 1 1 2.7 1 Provide effective alarm annunciation. 1 1 2.8 1 Ensure alternative support is available for alarm response. 1 1 2.9 1 Integrate multiple alarm systems. 1 1 2.10 1 Install an alarm and event historian. 1 1 20

ASM Guidelines Critical to Success vs. Site Practices * Alarm System Design & Implementation * GL # GL Priority GL Statement Critical to Success Sites Doing It Alarm System Design & Implementation Yes Maybe No Most Some Few 2.1 1 Ensure instrument reliability and accuracy. 1 1 2.2 1 Develop design rules to accommodate all common alarm types. 1 1 2.3 1 Use common alarms for groups of instruments that have common responses. 1 1 2.4 1 Provide access to the alarm rationalization information. 1 1 2.5 1 Minimize chattering alarms. 1 1 2.6 1 Integrate alarms into process graphics. 1 1 2.7 1 Provide effective alarm annunciation. 1 1 2.8 1 Ensure alternative support is available for alarm response. 1 1 2.9 1 Integrate multiple alarm systems. 1 1 2.10 1 Install an alarm and event historian. 1 1 21

ASM Guidelines Critical to Success * Alarm System Design & Implementation * GL # GL Priority GL Statement Critical to Success Sites Doing It Alarm System Design & Implementation Yes Maybe No Most Some Few 2.11 2 Establish an alarm improvement project plan. 1 1 2.12 2 Perform a comprehensive alarm rationalization review. 1 1 2.13 2 Provide an alarm configuration database. 1 1 2.14 2 Establish a new project execution protocol. 1 1 2.15 2 Provide safety system design and safety-related alarm handling. 1 1 2.16 2 Segregate diagnostic information and notifications from annunciated alarms. 1 1 2.17 2 Implement an alarm shelving/disabled application. 1 1 2.18 3 Provide online access to alarm rationalization information. 1 1 2.19 3 Define operating targets and limits appropriate to the mode of operation. 1 1 2.20 3 Provide dynamic alarm management. 1 1 2.21 3 Provide a system for user-initiated notifications. 1 1 2.22 3 Provide advanced applications to support situation awareness. 1 1 22

ASM Guidelines Critical to Success vs. Site Practices * Alarm System Design & Implementation * GL # GL Priority GL Statement Critical to Success Sites Doing It Alarm System Design & Implementation Yes Maybe No Most Some Few 2.11 2 Establish an alarm improvement project plan. 1 1 2.12 2 Perform a comprehensive alarm rationalization review. 1 1 2.13 2 Provide an alarm configuration database. 1 1 2.14 2 Establish a new project execution protocol. 1 1 2.15 2 Provide safety system design and safety-related alarm handling. 1 1 2.16 2 Segregate diagnostic information and notifications from annunciated alarms. 1 1 2.17 2 Implement an alarm shelving/disabled application. 1 1 2.18 3 Provide online access to alarm rationalization information. 1 1 2.19 3 Define operating targets and limits appropriate to the mode of operation. 1 1 2.20 3 Provide dynamic alarm management. 1 1 2.21 3 Provide a system for user-initiated notifications. 1 1 2.22 3 Provide advanced applications to support situation awareness. 1 1 23

ASM Guidelines Critical to Success * Training * GL # GL Priority GL Statement Critical to Success Sites Doing It Training Yes Maybe No Most Some Few 3.1 1 Provide operators with information and training on alarm system 1 1 changes. 3.2 1 Ensure alarm rationalization team members understand the alarm management philosophy. 1 1 3.3 1 Establish scenario reviews and what if training. 1 1 3.4 2 Enhance training programs to include situation support tools. 1 1 3.5 2 Enhance training programs to include process control operators' 1 1 routine alarm management duties. 3.6 2 Educate process design personnel in alarm management. 1 1 3.7 3 Use dynamic simulators as alarm management training tool. 1 1 24

ASM Guidelines Critical to Success vs. Site Practices * Training * GL # GL Priority GL Statement Critical to Success Sites Doing It Training Yes Maybe No Most Some Few 3.1 1 Provide operators with information and training on alarm system 1 1 changes. 3.2 1 Ensure alarm rationalization team members understand the alarm management philosophy. 1 1 3.3 1 Establish scenario reviews and what if training. 1 1 3.4 2 Enhance training programs to include situation support tools. 1 1 3.5 2 Enhance training programs to include process control operators' 1 1 routine alarm management duties. 3.6 2 Educate process design personnel in alarm management. 1 1 3.7 3 Use dynamic simulators as alarm management training tool. 1 1 25

So what are the Take-Aways? There is no one magic thing that can be done to fix your alarm system performance problems Alarm Management needs to be seen as a Continuous Improvement commitment that is always done as part of a Lifecycle Maintenance work process Being successful requires a systems approach, not a pick-and-choose approach to what guidelines are practiced Being successful also means going beyond minimum practices 26

ASM Alarm Management Research History ASM Member Sharing Sessions ASM Practices ASM Site Studies Best Practices Benchmarking ASMC Formed NIST Funding Collaborative Decision Support Not By Technology Alone 1994 Operator Notifications AEGIS Mixed Initiative Systems Operator Experience Alarms From Ops Perspective ASM Metrics Alarm Metrics ASM Metrics Framework 1999 Alarm Suppression Nuisance Alarms Operator Advice Alarm Rationalization Work Processes Benefits/ROI Alarm Management Task Force Improve DCS Capabilities Recognized ASM Problem 1992 Alarm Floods Mitigation Techniques Typical Practices Characteristics 1997 Alarm System Monitoring Alarm Metrics Benchmarking 2000 27

ASM Alarm Management Research History ASM Member Sharing Sessions Operator Display Guidelines First Publication Visualizing Alarms Alarm Summary Displays Human Performance Models for Alarm Response ISA SP18 Committee ASM Representation Interactive Alarm System Analysis Workflows Interaction Requirements Correlated Alarms Algorithms Alarm Rationalization Work Processes Tools Guidelines Mobile Devices Mobile Alarming Work Flows 2002 Audible Alarm Design Alarm Acoustics Alarm Sounds Alarm Management Guidelines First Publication Best Practices Operator Cockpit Integrated User Interface Work Processes Proactive Monitoring 2004 Visual Thesaurus Visualizing Limits Situation Awareness Alarm Floods Mitigation Techniques (Config) Typical Practices Characteristics Addressing Alarm Flooding Mitigation Techniques (UI) Alarm Throttling 2008 Information Integration Methods for Information Cohesion Alarm Tuning Deadband/Timer Algorithms Addressing Alarm Flooding Mitigation Techniques (Real-Time) Alarm Flooding Mitigation Techniques (Real-Time) Continued from 2010 2010 2011 2003 2006 28

29 ASM 2008 Addressing Alarm Flooding UI Mitigation Technique example

Conclusions We all know that the Alarm System Performance problem is not solved yet Good alarm system performance in terms of Average Alarm Rate and Alarm Flood Rates is a continuous improvement commitment Therefore, Alarm Management is a DCS Lifecycle Maintenance activity e.g., it s not a one-shot rationalization effort Addressing Average Alarm rates likely requires different practices than addressing Alarm Flood rates To be successful, sites cannot pick and choose recommended practices and expect to achieve good alarm system performance The ASM Consortium continues to research alarm problems and pioneer solutions for Alarm Management 30