Line Break gone bad (fluorocarbon)

At 7:30 p.m. on July 2, 2021, Employee #1, Employee #2, and Employee #3 performed two maintenance tasks in the M2 crude rectification section on the ground and second levels at tower M2-T250 and vessel V-207. On July 2, 2021, during the night shift, three (3) gas monomer chemical operators were exposed to toxic fluorocarbons and other hazardous chemicals while performing the maintenance tasks at M2-T250, which resulted in delayed respiratory failure.

When returning T250 to normal operations, three employees were exposed to unknown and known acute toxic chemicals, due to inadequate safe work practices and respiratory protection, identified as expected to be in the process streams such as, but not limited to:

  • Perfluorocyclobutane (C318),
  • Perfluoroisobutene (PFiB),
  • Octafluoroisomethylether (OIME), and/or
  • Hydrogen Fluoride (HF)

On July 4 after Employee #1 and Employee #2 ‘s shift ended, they had problems breathing that progressively worsened and they went separately to the hospital where they were admitted for respiratory failure.

Employee #2 later died from respiratory failure.

Then, Employee #3 worked his shift on July 3, and on July 4, the employee had trouble breathing, which was worsening when he walked to his car.

The employee was admitted for respiratory failure.

Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 7 1       8
Current Violations 6   1     7
Initial Penalty $95,571 $136,532 $0 $0 $0 $232,103
Current Penalty $65,000 $0 $110,000 $0 $0 $175,000
FTA Penalty $0 $0 $0 $0 $0 $0

 

Violation Items
# Citation ID Citaton Type Standard Cited Issuance Date Abatement Due Date Current Penalty Initial Penalty Contest Latest Event Note
1. 01001A Serious 5A0001 12/30/2021 03/28/2022 $10,835 $13,653 01/14/2022 F – Formal Settlement  
2. 01001B Serious 19101200 G01 12/30/2021 03/28/2022 $0 $0 01/14/2022 F – Formal Settlement  
3. 01002 Serious 19100119 D03 I G 12/30/2021 01/27/2022 $13,653 $13,653 01/14/2022 F – Formal Settlement Citation has been deleted.
4. 01003A Serious 19100119 F01 III B 12/30/2021 03/28/2022 $10,835 $13,653 01/14/2022 F – Formal Settlement  
5. 01003B Serious 19100134 D01 I 12/30/2021 03/28/2022 $0 $0 01/14/2022 F – Formal Settlement  
6. 01004 Serious 5A0001 12/30/2021 03/28/2022 $10,835 $13,653 01/14/2022 F – Formal Settlement  
7. 01005 Serious 5A0001 12/30/2021 03/28/2022 $10,835 $13,653 01/14/2022 F – Formal Settlement  
8. 01006 Serious 19100134 D01 III 12/30/2021 03/28/2022 $10,830 $13,653 01/14/2022 F – Formal Settlement  
9. 01007 Serious 19101200 G11 12/30/2021 03/28/2022 $10,830 $13,653 01/14/2022 F – Formal Settlement  
10. 02001 Repeat 5A0001 12/30/2021 03/28/2024 $110,000 $136,532 01/14/2022 F – Formal Settlement  

 

 

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