OSHA Accident Investigation · Summary #14391049

BURN,FLAMMABLE LIQUID,FIRE,WORK RULES,GASOLINE,MAINTENANCE,CONSTRUCTION,WELDING,REFINERY

1987-03-20T00:00:00

Event: BURN,FLAMMABLE LIQUID,FIRE,WORK RULES,GASOLINE,MAINTENANCE,CONSTRUCTION,WELDING,REFINERY
Linked inspection: No inspection record linked to this accident's victims.
Summary number: 14391049
Report ID: 625700

Event description

One employee killed, eleven injured in refinery fire

Investigation abstract

Employees #1 through #12, who worked for several contractors, were engaged in a mployees #4 through #8, #10, and #11 were injured. maintenance turnaround in a coker unit of an oil refinery while an adjacent gaso line processing unit was still in operation. A process upset caused the console operator to direct the outside operator to block the gasoline from going to the reformers and to direct it to a slop tank system. The slop tank system was suppo sed to have been blinded off, but approximately 50 to 60 gallons of gasoline wer e dumped into the welding and burning unit, either through an open line or throu gh the sewer system. A fire resulted, which lasted approximately 20 minutes. Emp loyee #1 was killed; Employees #2, #3, #9, and #12 were critically burned; and E

Victims (23)

#1 Fatality Age 42 M

Nature of injury
5

Part of body
19

Event type
14

Source
16

Occupation code
999

Human factor
4

Environmental factor
10

Hazardous substance
1340

Task assigned
1
#10 Hospitalized Age 26 M

Nature of injury
12

Part of body
16

Event type
14

Source
16

Occupation code
999

Human factor
4

Environmental factor
10

Hazardous substance
1340

Task assigned
1
#11 Hospitalized Age 22 M

Nature of injury
5

Part of body
19

Event type
14

Source
16

Occupation code
999

Human factor
4

Environmental factor
10

Hazardous substance
1340

Task assigned
1
#12 Hospitalized Age 33 M

Nature of injury
5

Part of body
19

Event type
14

Source
16

Occupation code
999

Human factor
4

Environmental factor
10

Hazardous substance
1340

Task assigned
1
#13 Hospitalized Age 27 M

Nature of injury
5

Part of body
19

Event type
14

Source
16

Occupation code
999

Human factor
4

Environmental factor
10

Hazardous substance
1340

Task assigned
1
#14 Hospitalized Age 27 M

Nature of injury
5

Part of body
19

Event type
14

Source
16

Occupation code
999

Human factor
4

Environmental factor
10

Hazardous substance
1340

Task assigned
1
#15 Hospitalized Age 22 M

Nature of injury
5

Part of body
19

Event type
14

Source
16

Occupation code
999

Human factor
4

Environmental factor
10

Hazardous substance
1340

Task assigned
1
#16 Hospitalized Age 24 M

Nature of injury
12

Part of body
16

Event type
14

Source
16

Occupation code
999

Human factor
4

Environmental factor
10

Hazardous substance
1340

Task assigned
1
#17 Hospitalized Age 35 F

Nature of injury
5

Part of body
19

Event type
14

Source
16

Occupation code
999

Human factor
4

Environmental factor
10

Hazardous substance
1340

Task assigned
1
#18 Hospitalized Age 31 M

Nature of injury
5

Part of body
19

Event type
14

Source
16

Occupation code
999

Human factor
4

Environmental factor
10

Hazardous substance
1340

Task assigned
1
#19 Hospitalized Age 26 M

Nature of injury
5

Part of body
19

Event type
14

Source
16

Occupation code
999

Human factor
4

Environmental factor
10

Hazardous substance
1340

Task assigned
1
#2 Hospitalized Age 41 M

Nature of injury
5

Part of body
19

Event type
14

Source
16

Occupation code
999

Human factor
4

Environmental factor
10

Hazardous substance
1340

Task assigned
1
#20 Hospitalized Age 28 M

Nature of injury
5

Part of body
19

Event type
14

Source
16

Occupation code
999

Human factor
4

Environmental factor
10

Hazardous substance
1340

Task assigned
1
#21 Hospitalized Age 21 M

Nature of injury
5

Part of body
19

Event type
14

Source
16

Occupation code
999

Human factor
4

Environmental factor
10

Hazardous substance
1340

Task assigned
1
#22 Hospitalized Age 31 M

Nature of injury
5

Part of body
19

Event type
14

Source
16

Occupation code
999

Human factor
4

Environmental factor
10

Hazardous substance
1340

Task assigned
1
#3 Hospitalized Age 28 M

Nature of injury
5

Part of body
19

Event type
14

Source
16

Occupation code
999

Human factor
4

Environmental factor
10

Hazardous substance
1340

Task assigned
1
#4 Hospitalized Age 36 M

Nature of injury
5

Part of body
19

Event type
14

Source
16

Occupation code
999

Human factor
4

Environmental factor
10

Hazardous substance
1340

Task assigned
1
#5 Hospitalized Age 31 M

Nature of injury
12

Part of body
16

Event type
14

Source
16

Occupation code
999

Human factor
4

Environmental factor
10

Hazardous substance
1340

Task assigned
1
#6 Hospitalized Age 21 M

Nature of injury
5

Part of body
19

Event type
14

Source
16

Occupation code
999

Human factor
4

Environmental factor
10

Hazardous substance
1340

Task assigned
1
#7 Hospitalized Age 22 M

Nature of injury
12

Part of body
11

Event type
14

Source
16

Occupation code
999

Human factor
4

Environmental factor
10

Hazardous substance
1340

Task assigned
1
#8 Hospitalized Age 27 M

Nature of injury
5

Part of body
19

Event type
14

Source
16

Occupation code
999

Human factor
4

Environmental factor
10

Hazardous substance
1340

Task assigned
1
#9 Hospitalized Age 26 M

Nature of injury
5

Part of body
19

Event type
14

Source
16

Occupation code
999

Human factor
4

Environmental factor
10

Hazardous substance
1340

Task assigned
1
#981 Degree 0 Age 0

Nature of injury
0

Part of body
0

Event type
0

Source
0

Occupation code
0

Human factor
0

Environmental factor
0

Task assigned
0

Codes shown verbatim from OSHA's accident-investigation database. A human-readable decoder is coming in a future release once the accident_lookup2 dictionary is loaded.