Line Break Gone Bad (Cl2)

This event is a perfect example of why all piping openings are hazardous.

At approximately 7:00 p.m. on November 15, 2006, Employee #1 was a process operator at the Chlorine Liquefaction Unit, Block A-19. He was preparing to bleed off chlorine on a process line to clear the line for maintenance work. The valve handle indicated that it was in a closed position.

Employee #1 opened the cap to the bleed valve to insert a tube to clear the chlorine. However, the bleed valve was not completely closed, and the pressure on the chlorine line caused the cap to blow off, releasing chlorine.

Employee #1 was exposed to the inhalation hazard of chlorine gas when his airline became caught on a nearby pipe, and his mask was pulled away. He continued to work until his shift was over. He went to a coworker’s home after leaving the plant because he was too tired to go home.

Employee #1 was hospitalized approximately one hour later. He was pronounced dead at 10:00 a.m. on November 16, 2006.

Violations/PenaltiesSeriousWillfulRepeatOtherUnclassTotal
Initial Violations22
Current Violations22
Initial Penalty$10,000$0$0$0$0$10,000
Current Penalty$10,000$0$0$0$0$10,000
FTA Penalty$0$0$0$0$0$0
#Citation IDCitaton TypeStandard CitedIssuance DateAbatement Due DateCurrent PenaltyInitial PenaltyFTA PenaltyContestLatest EventNote
1.01001ASerious19100119 F01 IB04/30/200705/24/2007$0$5,000$005/17/2007R – Review CommissionCitation has been deleted.
2.01001BSerious19100119 F0404/30/200705/24/2007$5,000$0$005/17/2007R – Review Commission 
3.01002ASerious19100119 D03 II04/30/200705/24/2007$0$5,000$005/17/2007R – Review CommissionCitation has been deleted.
4.01002BSerious19100119 J06 II04/30/200705/24/2007$5,000$0$005/17/2007R – Review Commission

Source: https://www.osha.gov/ords/imis/establishment.inspection_detail?id=310259437

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