1. Process Safety, the journey is never complete Making Process Safety ‘real’ in the field
Loss Prevention Symposium 2019
Delft Technical University, 17th June 2019
Jos van Winsen
VP Manufacturing NL & DK, GM Shell Pernis Manufacturing Complex
Copyright of Shell International

2. Copyright Shell Global Solutions International B.V. 2015.
Cautionary note
The companies in which Royal Dutch Shell plc directly and indirectly owns investments are separate entities. In this announcement "Shell", "Shell Group" and "Royal Dutch Shell" are sometimes used for convenience where references are made to Royal Dutch Shell plc and its subsidiaries in general. Likewise, the words "we", "us" and "our" are also used to refer to subsidiaries in general or to those who work for them. These expressions are also used where no useful purpose is served by identifying the particular company or companies. "Subsidiaries", "Shell subsidiaries" and "Shell companies" as used in this announcement refer to companies in which Shell either directly or indirectly has control, by having either a majority of the voting rights or the right to exercise a controlling influence. The companies in which Shell has significant influence but not control are referred to as "associated companies" or "associates" and companies in which Shell has joint control are referred to as "jointly controlled entities". In this announcement, associates and jointly controlled entities are also referred to as "equity-accounted investments". The term "Shell interest" is used for convenience to indicate the direct and/or indirect (for example, through our 23 per cent shareholding in Woodside Petroleum Ltd.) ownership interest held by Shell in a venture, partnership or company, after exclusion of all third-party interest. This announcement contains forward looking statements concerning the financial condition, results of operations and businesses of Shell and the Shell Group. All statements other than statements of historical fact are, or may be deemed to be, forward-looking statements. Forward-looking statements are statements of future expectations that are based on management's current expectations and assumptions and involve known and unknown risks and uncertainties that could cause actual results, performance or events to differ materially from those expressed or implied in these statements. Forward-looking statements include, among other things, statements concerning the potential exposure of Shell and the Shell Group to market risks and statements expressing management’s expectations, beliefs, estimates, forecasts, projections and assumptions. These forward looking statements are identified by their use of terms and phrases such as "anticipate", "believe", "could", "estimate", "expect", "goals", "intend", "may", "objectives", "outlook", "plan", "probably", "project", "risks", "seek", "should", "target", "will" and similar terms and phrases. There are a number of factors that could affect the future operations of Shell and the Shell Group and could cause those results to differ materially from those expressed in the forward looking statements included in this announcement, including (without limitation): (a) price fluctuations in crude oil and natural gas; (b) changes in demand for Shell's products; (c) currency fluctuations; (d) drilling and production results; (e) reserves estimates; (f) loss of market share and industry competition; (g) environmental and physical risks; (h) risks associated with the identification of suitable potential acquisition properties and targets, and successful negotiation and completion of such transactions; (i) the risk of doing business in developing countries and countries subject to international sanctions; (j) legislative, fiscal and regulatory developments including regulatory measures addressing climate change; (k) economic and financial market conditions in various countries and regions; (l) political risks, including the risks of expropriation and renegotiation of the terms of contracts with governmental entities, delays or advancements in the approval of projects and delays in the reimbursement for shared costs; and (m) changes in trading conditions. All forward looking statements contained in this announcement are expressly qualified in their entirety by the cautionary statements contained or referred to in this section. Readers should not place undue reliance on forward looking statements. Additional factors that may affect future results are contained in Shell's 20-F for the year ended 31 December 2016 Royal Dutch Shell’s 20-F (available at and factors also should be considered by the reader. Each forward looking statement speaks only as of the date of this presentation. Neither Shell nor any of its subsidiaries nor the Shell Group undertake any obligation to publicly update or revise any forward looking statement as a result of new information, future events or other information. In light of these risks, results could differ materially from those stated, implied or inferred from the forward looking statements contained in this announcement. Shell may have used certain terms, such as resources, in this announcement that the SEC strictly prohibits Shell from including in its filings with the SEC. U.S. investors are urged to consider closely the disclosure in Shell's Form 20-F, available on the SEC website You can also obtain these forms from the SEC by calling SEC-0330.
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3. Society’s Expectation
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Date Month 2016

4. Process Safety, when getting it wrong
Chernobyl 1986
Process Safety, when getting it wrong
Flixborough 1974
Longford 1988
Thunderhorse 2005
Moerdijk 2014
Petrobras 2001
Buncefield 2005
Texas City 2005
Chuandongbei 2003
Moerdijk 2014
Piper Alpha 1988

5. What process safety hazards do we manage at Shell?
Gas liquifaction & re-gasification facilities
Oil & Gas production
& treating facilities
Refineries &
Chemical plants
Maritime
storage &
transport
Depots & pipelines
Wells
GTL
Oil Sands
& Upgrader
Coal
gasification
CBM shale
gas, tight gas
Road & Rail transport

6. Process Safety in Shell
We manage Process Safety through combining our Asset Integrity Principles with a Risk Management Approach, supported by a commitment to visible safety leadership to strengthen our safety culture to achieve Goal Zero – No Harm, No Leaks !

7. GOAL
ZERO. NO
HARM. NO
LEAKS.

8. Goal Zero in action: Life-Saving Rules are saving lives
FATAL INCIDENTS HAVE REDUCED BY OVER 80%
THIS MEANS OVER 50 LIVES MAY HAVE BEEN SAVED
LOST TIME INJURIES HAVE REDUCED BY OVER 60%

9. Our Integrity Principles
Design HSE case
Ops. HSE case
Design & engineering
practices
Processes and
procedures

10. Risk assessment approach
The multiple independent barriers to prevent release, or respond and recover after an incident are derived from our Hazard and Effects Management Process (HEMP).
The Risk Assessment Matrix helps us in consistent decisions on acceptable level of residual risk.
The critical tasks of making barriers effective are performed by competent personnel who understand the importance of their role.

11. Learning from incidents – Process Safety Basic Requirements
Texas City, 2005
Piper Alpha, 1988
PSBR 1 Safe siting of occupied portable buildings PSBR 2 Emergency Shutdown (ESD) valves on platform risers PSBR 3 Temporary refuges PSBR 4 Permit To Work PSBR 5 Management Of Change PSBR 6 Avoid liquid release relief to atmosphere PSBR 7 Avoid tank overfill followed by vapour cloud release PSBR 8 Avoid brittle fracture of metallic materials PSBR 9 Alarm management PSBR 10 Sour Gas (H2S) PSBR 11 Deepwater Well Design and Construction
1, 4, 5, 7, 9
4, 5, 6, 3, 2, 9
Macondo, 2010
Longford, 1998
5, 9, 4, 11
5, 8, 9, (4), (6)
Gao Qiao, 2003
Brent Bravo, 2003
(1), 4, 5, 10
4, 5, 6, 9

12. Analysis of Process Safety at Shell
API Tier-1
API Tier-2
Technical Integrity
Operating Integrity
Design Integrity

13. Shell Process Safety Fundamentals: getting the basics right, always
Always use two barriers for hydrocarbon and chemical drains & vents
Do not leave an open drain or critical transfer unattended
Take interim mitigating measures in case of failure of
Safety Critical Equipment
For all defined high risk activities, follow the procedures and sign off after each step
Walk the Line –
Verify and validate any line up change 1 2 3 4 5 6 7 8 9 10
Do not make a change without a proper MOC
Verify for complete tightness after maintenance work
Always check that equipment is pressure free and drained, and provides safe isolation before starting maintenance work
Perform MOC and install backflow protection when connecting utilities to process
Respond to critical alarms

14. Intent of Process Safety Fundamentals
No new requirements … but a reset in behaviours
Emphasis on critical Front Line tasks
Role clarity how supervisors and leaders provide support
Gives visibility to dilemmas that frontline may face to comply
Makes Process Safety an everyday frontline conversation with an involved leadership
Attention on risk normalization and substandard practice
Only when needed, individual consequence management applies

15. Rollout “What Good Looks Like” Reference Document
Front Line Engagement pack
Diagram of Supervisor Engagement with Frontline
Deviations Guidance
Observations Guidance
Posters, handouts, icon graphics
Learnings from other businesses
FAQs

16. Outcomes
Impact of PSFs in Manufacturing
Tier 1 Process Safety Events

17. In summary … Process Safety, the journey is never complete

18. Thank you, be safe!