“... served to highlight to WSP something that they should already have been aware of, namely the potential of the booster set to generate significant pressure surges and, the need to satisfy itself that the selected pumps in the system as a whole had all the necessary controls to ensure safe performance in all foreseeable circumstances.”
“Axima advised that they would not turn on the system immediately, as they were concern (sic) that air may now be in the system, which would cause excess pressure build up, and they would rather investigate the situation prior to turning on the system. What this investigation would consist of has not been determine (sic). Prior to the investigation taking place the pumps were switched on, it has not been ascertained by whom. Axima advised that they were concern (sic) that the pumps had been switched on, and surveyed levels 11, 10 and 9, no leaks were found Axima advised that they suggested Hyatt monitor the system.”
“It’s like anything. People don’t like change. So initially it was quite hard to sell the idea [of anti-surge valves] but even harder to find a site that people would try the valve out on to see if it actually worked.”
“It should also be pointed out that the use of variable speed drive technology was, at the time, in its infancy and that practically all manufacturers were learning how best to use and control frequency inverters in booster set applications. It wasn’t until after several similar instances, such as the one at Knightsbridge, that booster set manufacturers started to incorporate automatic protective control features such as low pressure restart and high pressure shut down along with the recommendation of pressure relief/anti-vacuum valves such as the RBX on high rise installations.”
“When the power was subsequently restored, the set tried to replace the lost water as quickly as possible. This sudden increase in flow rapidly pressurised the partial vacuum in the empty pipework. This (was) then stopped the liquid flow suddenly just like a fast-acting valve. The resulting surge then passed through the liquid until it found something to absorb force, like a weak joint. The result was catastrophic flooding.”
“As buildings become reliant on pumps to provide the water supply, the risk of damage to the system and equipment due to ‘TRANSIENT PRESSURES’ has also increased. THE PROBLEM Parts of a pipeline may sometimes experience transient sub-atmospheric pressures, caused by pumps shutting down under a fault condition (e.g. loss of power, low level in break tank), in these conditions air can be drawn into the system through open orifices as the system drains due to continued demand. When the pumps are re-started, the rising columns of water expels the air in an uncontrolled manner; if the expulsion is violent enough, the returning water enters the system at a high velocity and is brought to a sudden rest, which will at best cause water hammer, but also may result in a dangerous surge in pressure causing damage to equipment and/or pipe bursts …”
“Surge Rarely considered the natural and largely unavoidable characteristic of surge in pipes occurs whenever a tap or valve is closed. If not properly controlled surge can, and frequently does, caused damage to pipes, fittings and appliances. Solenoid valves and quarter turn ceramic disc type taps are prone to exaggerate surge in plumbing systems simply because they can instantly stop the flow of water. The effect of surge is further exaggerated where check valves are fitted in the system, as they prevent the surge spike from dissipating back along the service pipe toward the water main.”
“Usually not as destructive due to the presence of air, surge also occurs when any system is filled with water from new or after an interruption for repair, renewal or any situation where the system has been drained and refilled.”
“… exercise a reasonable level of care and skill as [was to be] expected of a qualified Consultant in the same profession, experienced and competent in carrying out work of similar size, scope and complexity to the Project.”
“… is not guilty of negligence if he has acted in accordance with a practice accepted as proper by a responsible body of medical men skilled in that particular art …. Putting it the other way round, a man is not negligent, if he is acting in accordance with such a practice, merely because there is a body of opinion who would take a contrary view …”
“Where there is a conflict as to whether he has discharged that duty, the courts approach the matter on the basis of considering whether there was evidence that at the time a responsible body of architects would have taken the view that the way in which the subject of enquiry had carried out his duties was an appropriate way of carrying out the duty, and would not hold him guilty of negligence merely because there was a body of competent professional opinion which held that he was at fault.”
“… exonerated simply by proving that other[s] … are just as negligent, but … the standard of what is negligent is influenced, although not decisively, by the practice in the industry as a whole.”
“… in general it can be said that the Bolam test is typically appropriate where the neglect is said to lie in a conscious choice of available courses made by a trained professional, and that it is typically inappropriate where it is in oversight that the neglect is said to lie.”
‘The Court is not bound to hold that a defendant doctor escapes liability for negligent treatment or diagnosis just because he leads evidence from a number of medical experts who are genuinely of opinion that the defendant’s treatment or diagnosis accorded with sound medical practice … the court has to be satisfied that the exponents of the body of opinion relied upon can demonstrate that such opinion has a logical basis. In particular in cases involving, as they so often do, the weighing of risks against benefits, the judge before accepting a body of opinion as being responsible, reasonable or respectable, will need to be satisfied that, in forming their views, the experts have directed their minds to the question of comparative risks and benefits and have reached a defensible conclusion on the matter.’
“I emphasise that in my view it will seldom be right for a judge to reach the conclusion that views genuinely held by a competent medical expert are unreasonable. The assessment of medical risks and benefits is a matter of clinical judgment which a judge would not normally be able to make without expert evidence. As the quotation from Lord Scarman makes clear, it would be wrong to allow such assessment to deteriorate into seeking to persuade the judge to prefer one of two views both of which are capable of being logically supported. It is only where a judge can be satisfied that the body of expert opinion cannot be logically supported at all that such opinion will not provide a benchmark by reference to which the defendant’s conduct falls to be assessed.”
“Pumped pipe water supplies are also liable to water hammer if provision is not made at the design stage .... Gravity water installations do not as a rule give rise to the problem but when water velocities exceed 3 m/s water hammer conditions may exist.”
“… the membrane vessel [the accumulator] cushions the water system from abrupt pressure changes and also provides for tap drippages and draw-offs when no pumps are operating.”
“… it was known by reasonably competent engineers, at the time of the WSP design, that if adequate precautions were not taken surge conditions of sufficient magnitude to cause the premature failure of pipework or failure of fittings could occur in piped water systems.”
“Mr. Dix’s view is that at the time the industry considered that the installation of VSD controlled booster sets and appropriately sized accumulators were sufficient to safeguard systems against pressure surges, of the magnitude that were known about at the time. Before the end of 2005, competent building services engineers would not have known about the risk of the kind of catastrophic pressure surges that appear to have occurred at 199 Knightsbridge following a partial drain down.”
“… upon commissioning of the cold water system prior to handover, it is likely, that the Defendant would have identified appropriate settings for the pump set through discussions with Grundfos and/or Axima and/or it would have made provision in the O&M manuals for a slow filling of the risers in any of these circumstances.”
“MR. SEARS: What I am suggesting to you is you nowhere go on in your report to consider the question whether WSP should have asked itself: what if the failure in the water supply carries on long enough to empty the water tank? Is that something you think they didn’t have to consider? A. No. Q. You think that is something they should have considered? A. Well, I don’t know whether they did. Q. Sorry is it something they should have considered? A. Yes. Q. If they had considered it, they would have very quickly realised, wouldn’t they, that in those circumstances water may continue to be drained down by occupants of the flats with the result there may be a partial drain down of the system? A. Agreed. Q. That is something they should have considered? A. Yes. Q. It is your evidence, I know, that if there was a partial drain down a partial vacuum was likely? A. Yes. Q. That is what you said on Friday. So if they had considered, as they should have done, that a partial drain down might occur, then they should also have realised, should they not, that a partial vacuum was likely? A. Yes. Q. If that is right - well, two things. First of all, as a matter of fact if they had considered that a partial drain down was likely, then as a matter of fact they would have realised or should have realised that when the system started again it was likely that the system would be at least partly empty? A. Yes. Q. And they would also or should also have considered, should they not - they should have also known in those circumstances should they not, that if there was a partial drain down and a partial vacuum, if the system restarted water would be being forced into a partial vacuum? A. Well, it follows from that, yes, that would happen. Q. Right. I am just trying to identify where in the process you say WSP should have stopped. They should have realised, they should have identified the failure of the incoming water supply as a possibility? A. Yes. Q. They should have realised that the water tank might actually be exhausted? A. Yes. Q. They should have realised that a partial vacuum might then be present? A. Well, that is a possibility, whether they realised it or not. As I say, it naturally flows from that, but I don’t know whether - Q. You said on Friday that if there was a partial drain down it was likely there would be a partial vacuum? A. Under those circumstances, yes. Q. And that is something that any reasonable competent engineer would know? A. In reviewing the system, yes. Q. So if they were carrying out this process, and again I am just trying to identify where you say they should have stopped in this process, so should have realised failure of the water supply; should have realised tank might be exhausted; should have realised the risk of partial drain down; should therefore have realised the risk of a partial vacuum; should have realised that when the system restarted it was likely that water would be forced into a partial vacuum? A. As I say, it follows that that will happen. If the term ‘when they should have stopped’, stopped what - Q. Stopped the thought process. Why, having got to the point, where as I think you concede, they should have addressed their mind to what would happen in the failure of an incoming water supply in the event the water tank is exhausted, in the event there is a partial drain down and a partial vacuum, and they just leave it at that or do they not then have to consider what’s going to happen when the system restarts? A. Well, it follows from that, yes, they ought to. The reason I am struggling with it is that they, and Terry Dix and Arup and it would seem most of the building services industry, did not consider this to be a problem at the time. VSD controls, as you say, I repeat, ad infinitum and accumulators and I think that has been backed up by some of the oral evidence were seen to be a robust installation against those occurrences. There was no knowledge, there was no body of knowledge, there was nobody saying: Hang on a second chaps. This is all going to go terribly wrong. Q. So it was certainly foreseeable that parts of the system would be empty by the time the water supply was restored and the time the pumps started running again? A. Yes. Q. I would suggest to you, Mr. Dix that any reasonably competent engineer addressing his or her mind to that possibility should have realised that that might have consequences when refilling the system? A. Well, as I say, it seems perhaps remarkable.”
“But AR 08, where failure on the sixth floor occurred, is of equal height to AR 10, so they are both up to the eleventh floor aren’t they on this drawing? So if the drain down was only to the ninth floor they both drained down to the same extent and we do have a failure on AR 10 when it refilled, so in that scenario why didn’t AR 08 also fail at the top floor? A good explanation as to why AR 08 didn’t fail at the top floor was because there was already a burst on the sixth floor which had taken the sting out of the force of the water refilling the riser.”
“i. design out the risk of pressure surges causing damage to pipework and fittings by failing to specify the use of anti-surge valves at the top of each of the risers and/or the use of a surge safety valve, adjacent to the pump set on the pipework leading to the risers; ii. specify that the pump set did not restart automatically and required manual intervention in the event of a shutdown following power failures, water supply failures etc. iii. warn the Claimant that the system it had designed and the pump settings selected gave rise to a foreseeable risk of damage being caused by pressure surges.”
“You have confirmed … that a 20 second full speed run of one pump will normally occur following re-instatement of electrical power, even after ‘latching off’ on loss of system pressure …. This full speed run potentially compromises the ability to safely re-start the system following a power reconnection, as without operator intervention and depending upon the extent of the drain-down, it remains possible for a rapid increase of system pressure to occur. You have confirmed that the 20 second run is a basic function of the control system re-instatement and can only be avoided by modification of the control panel. It is essential that the necessary modification is carried out as soon as possible.”
“When the modified panel (with potentiometers) was demo’d my understanding (and I am sure Hyatt’s. I’ll confirm this and their continuing readiness to restart manually after power interruption/pressure loss etc tomorrow) was that any re-start would be carried out manually using the potentiometers. Wasn’t that why they were fitted? I am not sure why Grundfos are now recommending re-start against closed valves instead of progressively raising pressure as demonstrated using the potentiometers. They should be asked to explain. There is nothing wrong with the method now given but the point about potentiometers was to come up with something as fool-proof as possible. The point raised about the risk of an auto re-start following a power interruption is disingenuous and a distortion of what was discussed during the demo. It was agreed that Hyatt (even John Browne himself) would necessarily have to attend site following any interruption to ensure that under no circumstances would an auto restart occur. Some sort of latching mechanism would be required to achieve this and this is what should now be being offered. This could prevent a re-start after either a timed period from power interruption or in the event of loss of pressure to a predetermined value.”
“The Claimant does not allege that the Defendant should have ‘advised’ that potentiometers should be installed. The Claimant alleges that the Defendant should have recognised the risk and designed the system accordingly. The Claimant submits that if the Defendant had identified the risk (as it ought to have done), it should have taken whatever steps were necessary to safeguard against that risk. One option was to prescribe a procedure which was the same as or similar to the procedure set out in the Grundfos document.”
“Cla-Val came up to our headquarters to do a presentation on the products and David Humphries, who was a sales manager or director at the time, I took him to one side, sat down with them for an hour and just discussed the situation and it was at that point that he came up with the anti-shock that we are talking about this last couple of days, but it had never been used in the building industry up to that point. So he wasn’t sure whether it would work, but he thought it would work. He got me thinking, gave it to my company for them to do a check on it because we can’t just start sending someone else’s product if Grundfos hadn’t approved it, and they went through the product, tested it and we felt that it was the answer and it was around about July, August 2005 that it was decided that I go to London and talk to consultants to see if we can get some in some building somewhere just to prove the point that it did work.”
“At that time WSP had just recently moved from their previous office in Wimbledon to London so I wasn’t that au fait with WSP at the time. But Leigh suggested I contact Ron Bellinger and I do remember making a phone call but I can’t be 100% sure if I spoke to Ron or not, but that is who I would have asked for, to suggest the valves, go through the sales process with them, to explain how they work and they were declined because the job was finished basically.”