Line Break gone BAD (Phosgene)

At 2:30 p.m. on September 13, 2010, Employee #1, Employee #2, and Employee #3 were tasked with the dismantling of a scaffold level within a phosgene containment dome. During their dismantling work, at approximately 80 feet above the ground, alarms specific to phosgene gas were triggered. The process within this Dome was the manufacturing and use of phosgene to facilitate the production of PMDI (an isocyanate). The leak occurred when an employee of another contractor, working below the three scaffolding employees, removed a “slip blind” between a valve and a downstream section of pipe. The valve and subsequent piping were used to transport liquid phosgene. After the bolts connecting the valve and line were broken, the valve continued to leak phosgene, triggering the alarms. The phosgene dosimeter badges worn by Employee #1, Employee #2, and Employee #3, provided by the host facility, turned a color indicating exposure to between 50 to 100 ppm of phosgene. The host facility ERT transported these employees to the hospital where they stayed for at least eighteen hours for treatment.

Violation Summary
  Serious Willful Repeat Other Total
Initial Violations 2       2
Current Violations 1     1 2
Initial Penalty $6,000 $0 $0 $0 $6,000
Current Penalty $1,500 $0 $0 $4,500 $6,000

 

Violation Items
# ID Type Standard Issuance Abate Curr$ Init$ LastEvent
1. 01001 Other 19260021 B06 I – 01/20/2011 02/22/2011 $4,500 $4,500 I – Informal Settlement
2. 01002A Serious

19100134 C01 – In any workplace where respirators are

necessary to protect the health of the employee or

whenever respirators are required by the employer,

the employer shall establish and implement a written

respiratory protection program with worksite-specific

procedures. The program shall be updated as necessary

to reflect those changes in workplace conditions that

affect respirator use. The employer shall include in the

program the following provisions of this

section, as applicable

01/20/2011 02/22/2011 $1,500 $1,500 I – Informal Settlement
4. 01002C Serious

19100134 E05 I – The following information must be provided

to the PLHCP before the PLHCP makes a recommendation

concerning an employee’s ability to use a respirator

01/20/2011 02/22/2011 $0 $0 I – Informal Settlement
5. 01002D Serious

19100134 K01 VI – How to recognize medical signs and

symptoms that may limit or prevent the effective use of

respirators

01/20/2011 02/22/2011 $0 $0 I – Informal Settlement
6. 01002E Serious

19100134 K01 III – How to use the respirator effectively in

emergency situations, including situations in which the

respirator malfunctions

01/20/2011 02/22/2011 $0 $0 I – Informal Settlement
7. 01002F Serious 19100134 K01 VII – The general requirements of this section 01/20/2011 02/22/2011 $0 $0

I – Informal Settlement

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