This paper provides a brief discussion of BDD and its application. The case study is presented in detail using flammability diagrams for the system to demonstrate where the CatOx was intended to operate versus where it actually operated during the incident. The discussion leads the reader through the incident lifecycle, from the conceptual design of the CatOx, through the Engineering and Commissioning phases, and into the Incident Investigation. The conclusions drawn from this incident further emphasize the value of accurate BDD to the design and operation of Fired Equipment.
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