OSHA Accident Investigation · Summary #14402705
LEAK,EXPLOSION,BURN,FLAMMABLE LIQUID,FIRE,WORK RULES,CHEMICAL BURN,PROPANE,FRACTURE,REFINERY
Event description
Thirteen injured in refinery explosion and fire
Investigation abstract
At approximately 1:30 p.m. on May 20, 1989, Employee #1 was opening a bleeder va , they suffered sprains, fractures, and bruises from jumping off the scaffold an d running from the area. Employee #1 was under the impression that the line, whi ch was at a pressure of 275 psi, was inactive and that it was ready to be bled d own. In all, 13 employees were injured, three of them seriously enough to requir e hospitalization. lve when propane gas was released from the line. Employees #2 and #4 were insula ting a feed drum from a scaffold above the bleeder valve; and, as they attempted to evacuate the area, an explosion and flash fire occurred. Employees #1, #2, a nd #4 suffered burns and were hospitalized. Employees #5 through #8, members of an emergency response fire fighting company, sustained chemical burns to their l ower limbs and hands from an unknown substance in the water on the ground after it seeped into their personal protective equipment. Employees #9 through #13 had been working from a scaffold 19 ft above the ground. In their efforts to escape
Victims (12)
-
#1 Hospitalized Age 46 M
- Nature of injury
- 5
- Part of body
- 19
- Event type
- 2
- Source
- 35
- Occupation code
- 999
- Human factor
- 4
- Environmental factor
- 10
- Task assigned
- 1
-
#10 Non-hospitalized injury Age 42 M
- Nature of injury
- 20
- Part of body
- 11
- Event type
- 5
- Source
- 42
- Occupation code
- 999
- Human factor
- 7
- Environmental factor
- 6
- Task assigned
- 1
-
#11 Non-hospitalized injury Age 20 M
- Nature of injury
- 12
- Part of body
- 11
- Event type
- 5
- Source
- 42
- Occupation code
- 999
- Human factor
- 7
- Environmental factor
- 6
- Task assigned
- 1
-
#12 Non-hospitalized injury Age 34 M
- Nature of injury
- 3
- Part of body
- 24
- Event type
- 5
- Source
- 42
- Occupation code
- 999
- Human factor
- 7
- Environmental factor
- 6
- Task assigned
- 1
-
#13 Non-hospitalized injury Age 58 M
- Nature of injury
- 20
- Part of body
- 16
- Event type
- 5
- Source
- 42
- Occupation code
- 999
- Human factor
- 7
- Environmental factor
- 6
- Task assigned
- 1
-
#2 Hospitalized Age 46 M
- Nature of injury
- 5
- Part of body
- 19
- Event type
- 2
- Source
- 35
- Occupation code
- 999
- Human factor
- 14
- Environmental factor
- 10
- Task assigned
- 1
-
#4 Hospitalized Age 32 M
- Nature of injury
- 5
- Part of body
- 19
- Event type
- 2
- Source
- 35
- Occupation code
- 999
- Human factor
- 14
- Environmental factor
- 10
- Task assigned
- 1
-
#5 Non-hospitalized injury Age 45 M
- Nature of injury
- 4
- Part of body
- 18
- Event type
- 10
- Source
- 9
- Occupation code
- 999
- Human factor
- 10
- Environmental factor
- 9
- Task assigned
- 1
-
#6 Non-hospitalized injury Age 35 M
- Nature of injury
- 4
- Part of body
- 18
- Event type
- 10
- Source
- 9
- Occupation code
- 999
- Human factor
- 10
- Environmental factor
- 9
- Task assigned
- 1
-
#7 Non-hospitalized injury Age 26 M
- Nature of injury
- 4
- Part of body
- 18
- Event type
- 10
- Source
- 9
- Occupation code
- 999
- Human factor
- 10
- Environmental factor
- 9
- Task assigned
- 1
-
#8 Non-hospitalized injury Age 22 M
- Nature of injury
- 4
- Part of body
- 18
- Event type
- 10
- Source
- 9
- Occupation code
- 999
- Human factor
- 10
- Environmental factor
- 9
- Task assigned
- 1
-
#9 Non-hospitalized injury Age 36 M
- Nature of injury
- 3
- Part of body
- 11
- Event type
- 5
- Source
- 42
- Occupation code
- 999
- Human factor
- 7
- Environmental factor
- 6
- Task assigned
- 1
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.