Line Break/Process Opening GONE BAD (NH3)

This incident involved issues with LOTO and PPE with the line break/process opening.  OSHA issued citations against 1910.111, .147, .134, and .1200.

At 4:00 p.m. on March 13, 2017, in preparation of a new pump arriving, a worker started draining lines leading to a 30,000-gallon liquid anhydrous ammonia tank. After the tank had been drained, the worker started loosening the bolts that held the pump down; however, he heard gas escaping and immediately stopped the work. He left the area, as well as the bolts in a loosened state. Later, he was assigned to get a truck while they waited for the tank to finish draining. Unaware of the potential gas leak, another employee returned from lunch and noticed the loosened bolts. So, this employee continued where the coworker had left off in removing the pump. As the employee used an impact wrench to finish removing the bolts, the pump came loose and released anhydrous ammonia. The caustic liquid contacted the employee’s hands, arms, and chin, where he sustained chemical burns.

Violation Summary
  Serious Willful Repeat Other Unclass Total
Initial Violations 7         7
Current Violations 7         7
Initial Penalty $73,153         $73,153
Current Penalty $73,153         $73,153

 

Violation Items
Type Standard Curr$ Init$
Serious

1910.111(c)(2)(iii)

Each storage container shall be provided with a pressure gage

graduated from 0 to 400 p.s.i.  Gages shall be designated for use

in ammonia service.

$12,675 $12,675
Serious

1910.134(e)(1) General.

The employer shall provide a medical evaluation to determine the employee’s

ability to use a respirator before the employee is fit tested or required to use

the respirator in the workplace.   The employer may discontinue an employee’s

medical evaluations when the employee is no longer required to use a respirator.

$7,967 $7,967
Serious

1910.134(f)(1)

The employer shall ensure that employees using a tight-fitting

facepiece respirator pass an appropriate qualitative fit test (QLFT) 

or quantitative fit test (QNFT) as stated in this paragraph.

$9,959 $9,959
Serious

1910.134(k) Training and information.

This paragraph requires the employer to provide effective training to

employees who are required to use respirators.  The training must be

comprehensive, understandable, and recur annually, and more often

if necessary.  This paragraph also requires the employer to provide the

basic information on respirators in Appendix D of this section to

employees who wear respirators when not required by this section or

by the employer to do so.

$9,959 $9,959
Serious

1910.147(c)(4)(ii)

The procedures shall clearly and specifically outline the scope, purpose,

authorization, rules, and techniques to be utilized for the control of

hazardous energy, and the means to enforce compliance including, 

but not limited to, the following:…

$9,959 $9,959
Serious

1910.147(d)(5)(i)

Following the application of lockout or tagout devices to energy isolating

devices, all potentially hazardous stored or residual energy shall be

relieved, disconnected, restrained, and otherwise rendered safe.

$9,959 $9,959
Serious

1910.1200(h)(1)

Employers shall provide employees with effective information and training on

hazardous chemicals in their work area at the time of their initial assignment,

and whenever a new chemical hazard the employees have not previously been

trained about is introduced into their work area. Information and training may

be designed to cover categories of hazards (e.g., flammability, carcinogenicity)

or specific chemicals. Chemical-specific information must always be available

through labels and safety data sheets.

$12,675 $12,675

 

CLICK HERE for the OSHA case file

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