Incidents

Equipment Identification - Incidents

cms_chrip — Thu, 30 May 2019 17:18:40 +0000

Toxic gas cloud affecting nearby community due to a mixed connection at MGPI processing facility, Kansas.

https://www.csb.gov/mgpi-processing-inc-toxic-chemical-release-/

Excavation - Incidents

cms_chrip — Wed, 29 May 2019 16:15:08 +0000

•Manslaughter verdict after trench collapse death | Construction Enquirer www.constructionenquirer.com/.../building-boss-guilty-of-manslaughter-af...

Scaffolding - Incidents

cms_chrip — Fri, 24 May 2019 16:22:22 +0000

Field Review of Permits - Incidents

cms_chrip — Mon, 18 Mar 2019 13:58:58 +0000

The following losses occurred due to inadequate Permit to Work system management or control. In all cases there were other factors also involved.

Equipment Filling and Mixing - Incidents

cms_chrip — Mon, 11 Mar 2019 20:00:37 +0000

Inadvertent mixing of sulfuric acid and sodium hypochlorite produced a cloud containing chlorine and other compounds. The cloud impacted workers onsite and members of the public in the surrounding community. The incident occurred during a routine chemical delivery of sulfuric acid from a chemicals cargo tank vehicle (CTMV) at the MGPI facility tank farm.

Hot Tapping - Incidents

cms_chrip — Wed, 09 Jan 2019 20:30:23 +0000

The US 91��˶��Ƶ Safety Board site has documented several incidents involving hot work activities. However, none of these appear to be from “hot tapping”. The incidents in the US CSB site are all related to hot work (welding and line opening) in or around tanks that contained flammable vapors. The hot work ignited the vapors causing a fire and/or explosion in these cases. While these incidents are not 100% analogous to “hot tapping”, they are included here as they clearly illustrate the inherent

Confined Space Entry - Incidents

cms_chrip — Fri, 21 Sep 2018 21:04:58 +0000

Test atmosphere

Surface Nonmetal Plant Kaolin Clay, Fatal Other Accident July 2015

Provide rescue plan and equipment

Surface Nonmetal Plant Kaolin Clay, Fatal Other Accident July 2015

Surface Nonmetal Mine (Limestone CB), Fatal Sliding Material Accident March 11, 2005

Line Opening - Incidents

John Vasko — Wed, 21 Feb 2018 16:42:28 +0000

Line not drained or cleaned
- Tosco Avon refinery Petroleum Naphtha Fire 2/23/1999 – CSB
  
  https://www.csb.gov/exxonmobil-refinery-chemical-release-and-fire/

Energy Isolation - Incidents

John Vasko — Wed, 21 Feb 2018 16:20:10 +0000

Have at least one incident for each unique “failure mode” of the Lock-Out/Tag-Out SWP? For example, failure to:

Properly de-energize equipment
Identify potential source of stored energy
Execute properly the Lock-Out/Tag-Out procedure
Recognize hazard

Temporary Instrumentation and Controls Bypass - Incidents

John Vasko — Tue, 14 Nov 2017 18:49:14 +0000

Improper start-up bypass use
- CSB. 2017. Investigation report – Airgas. Report 2016-04-I-FL. Washington, D.C.: U.S. 91��˶��Ƶ Safety Board.
Insufficient access control of safeguard bypass and lack of timely response to prior audit findings and near-miss incidents involving bypass
- CSB. 2007. Investigation report - vinyl chloride monomer explosion at Formosa Plas-tics Corporation. Report 2004-10-I-IL. Washington, D.C.: U.S. 91��˶��Ƶ Safety Board.

Hot Work - Incidents

John Vasko — Fri, 10 Nov 2017 17:12:54 +0000