Line Break/Equipment Opening GONE BAD (185F water)

Another example shows us that serious hazards can be found OUTSIDE of chemical processes, and applying the Line Break/Equipment Opening Procedure and Permit to these hazards could go a long way in controlling these recognized hazards. DEFINING and QUANTIFYING “hazardous energy” sources is STEP 1 in ensuring the process/system can be safely opened. Step 2 is applying LOTO to these tasks to ensure the process/system is at a Zero Energy State (ZES) BEFORE opening the system/process.

On May 7, 2024, at 1:40 p.m., Employee #1, a Production Engineer, 42, was performing daily assigned tasks when the Maintenance Coordinator requested that the employee replace a gasket on a wash tank camlock. While disconnecting a high-pressure hose from the bulk wash tank, the hose ejected water at 185F.

The hot water burned 98% of the employee’s body, resulting in fatal chemical burns.

Emergency services were called, but the employee died from the injuries.

Violations/PenaltiesSeriousWillfulRepeatOtherUnclassTotal
Initial Violations11
Current Violations11
Initial Penalty$4,850$0$0$0$0$4,850
Current Penalty$4,850$0$0$0$0$4,850
FTA Penalty$0$0$0$0$0$0
#Citation IDCitaton TypeStandard CitedIssuance DateAbatement Due DateCurrent PenaltyInitial PenaltyFTA PenaltyContestLatest EventNote
1.01001ASerious19100147 C04 I09/10/202409/18/2024$4,850$4,850$0Z – Issued 
2.01001BSerious19100147 C07 I09/10/202410/11/2024$0$0$0Z – Issued 
3.01001CSerious19100147 D0309/10/202409/18/2024$0$0$0Z – Issued 
4.01001DSerious19100147 D0609/10/202409/18/2024$0$0$0Z – Issued 

Source: https://www.osha.gov/ords/imis/establishment.inspection_detail?id=1747558.015

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