Chemical Process Safety (PSM/RMP)

Line Break Gone Bad (Isolated the WRONG Cl2 RD and Contractor Work Permitting Failures leading to an 8K pound release)

On May 20, 2025, at approximately 8:15 a.m., approximately 8,000 pounds of toxic chlorine were released, seriously injuring one employee. The community was ordered to shelter in place, and the facility estimated that the incident resulted in approximately $23 million in property damage. On the day of the incident, the facility planned to replace a…...

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Line Break w/ Hot Work Gone Bad (1/2 gallon of Flammable Liquid)

On March 22, 2021, at approximately 12:30 p.m., an explosion and fire occurred at a Refinery. The explosion and fire seriously injured one contract worker Leading up to the incident, the refinery was shut down for turnaround maintenance. The planned maintenance work included removing a section of carbon steel piping in the Fluidized Catalytic Cracking…...

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OSHA has issued a final decision to remove several withdrawn HAZLOC test standards from the NRTL Program’s List of Appropriate Test Standards

OSHA has issued a final decision to remove several withdrawn HAZLOC test standards from the NRTL Program’s List of Appropriate Test Standards. These final actions are detailed below in Table 1. Additionally, Table 1 lists the replacement test standard that OSHA has already incorporated into the NRTL Program’s List of Appropriate Test Standards (for informational…...

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Line Break Gone Bad (Failure to evacuate Hot Condensate)

A big part of an energy isolation/control plan for Line Break/Equipment Opening tasks is how to EVACUATE the stored energy after the isolation. In this case, it was STEAM that had cooled into hot condensate, which was NOT drained from the piping before work began to fix the steam leak. A VERY COMMON error made,…...

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Line Break Gone Bad (Steam with single valve isolation)

In many Line & Equipment Opening (LEO) safe work practices, some leeway will be granted to the workers AFTER the INITIAL “break” based on the level of ISOLATION they have protecting them. For example: A LEO has a double block and bleed arrangement on BOTH sides of the opening. During the initial “break,” the worker(s)…...

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Panic Hardware for EXIT Doors

I recently participated in a LinkedIn discussion about “panic hardware” for EXIT doors from an NH3 Refrigeration mechanical room. The image shared (which the poster acknowledged fell short) was a push pad about the size of an adult’s hand. Here are the specifics for our (USA-based) panic hardware on EXIT doors:… Membership Required You must...

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Line Break Gone Bad (H2S when changing pressure gage)

On May 4, 2023, at 6:25 a.m., approximately 790 pounds of a hydrocarbon mixture containing about 7,000 parts per million (ppm) of hydrogen sulfide were accidentally released at a Refinery. Exposure to the toxic hydrogen sulfide vapor seriously injured one employee. The facility’s investigation found that, on the day of the incident, pressure in a…...

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Hot Work on Vessel Bolts leads to explosion

On Friday, February 3, 2023, at approximately 10:46 p.m., a flash fire was accidentally released from a product purge vessel (“vessel”) flange during planned maintenance activities. The fire seriously injured four (4) contract workers. On January 29, 2023, the facility shut down its polyethylene unit for planned maintenance. Following the shutdown procedure, operators purged and…...

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Line Break Gone Bad (toxic/corrosive liquid containing aniline, formalin, and HCL)

On September 22, 2022, at approximately 9:00 a.m., a liquid mixture comprised of aniline, formalin, and hydrochloric acid was accidentally released, seriously injuring one contractor at a chemical manufacturing facility in Geismar, Louisiana. On September 20, 2022, two days before the incident, an off-site power outage caused an immediate loss of process flow into the…...

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Response to “fugitive emission” of Cl2 leak goes catastrophically bad (CUI)

On October 1, 2020, at approximately 9:00 a.m., approximately 554 pounds of chlorine gas were accidentally released. Exposure to the toxic chlorine vapors seriously injured one employee. At the time of the incident, four (4) workers (two unit employees and two contractors) were trying to stop a chlorine leak (described as a fugitive emission) from…...

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Line Break Gone Bad (Silicon tetrachloride)

At the time of the event, contract workers were disassembling a 2-inch flange to remove a blind (a solid metal plate used to isolate equipment) before reinstalling a section of piping that had been removed and cleaned. This type of equipment opening is commonly referred to as a “line opening” or “performing a line break.”…...

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