When reading this, think about the “Swiss cheese model” from Reason and the “domino model” from Heinrich. “Disasters are essentially organized events. To occur, they typically require the systemic and prolonged neglect of varying signs and signals of danger, creating deep pockets of organizational ignorance, organizational silence, and organizational blindness. When signals...

At 12:45 p.m. on July 5, 2022, Employee #1, 46, and his coworker cleaned a baghouse on a roof. The employee was wearing a Tyvek suit, KN95 respirator, and a safety harness when he made an entry into a steel baghouse, which is a confined space. National Weather Service reported conditions of 93 degrees F, Dew Point 70, and a heat index of 100 degrees at the time of the incident. The ambient air temperature,...

At 1:30 p.m. on April 19, 2022, an employee, 35, was back welding inside a spool vessel (titanium pipe) that was 24 inches in diameter. The employee was asphyxiated due to the displacement of oxygen by argon gas. … HomeRead More »

At 4:15 p.m. on June 14, 2022, two employees entered a 21-inch sewer manhole to conduct vacuum testing, not knowing that it was oxygen deficient. Both employees were overcome and died. … HomeRead More »

At 8:00 a.m. on June 26, 2022, two employees, 45 and 46, were emptying and cleaning an open-topped frack tank (Tank #4) at an oil and gas services site. There were no eyewitnesses and the employees were working at a remote site by themselves, so few details are known about what occurred. … HomeRead More »

At 1:45 p.m. on July 18, 2022, an employee, 51, was preparing to replace an ice machine at a retail store. The employee searched for the electrical panel to de-energize the ice machine but could not locate it. The employee was employed by a refrigeration equipment company and did not work at the retail store. The employee asked a supervisor at the store to help find the electrical panel, but the supervisor...

At 1:30 p.m. on August 7, 2022, an employee worked as a production supervisor in his office when the deluge system alarm was activated. Approximately 30 seconds after the audible alarm was engaged, the foam generators were activated and began to disperse 2.2% high expansion foam.  The employee attempted to exit his office to reach a safe point but was trapped in the foam. … HomeRead More...

At 4:00 p.m. on July 4, 2022, an employee was cutting off a motor and base of a dust collection system using an oxygen-acetylene torch at a farm machinery and equipment manufacturing facility. When the employee moved the cutoff motor base, a dust cloud formed and ignited, causing an explosion. The employee sustained second and third-degree burns to the head, both arms, and torso and was killed.’...

At approximately 9:00 a.m. on March 15, 2022, an employee, 30, disconnected nuts to a line for service and repair work. The employee was working to depressurize lines of ammonia for service work. The team had isolated, performed proper lockout/ tagout, and bled the line assigned for work off. The employee began disconnecting nuts on the WRONG LINE WITH PRESSURE STILL ON IT. … HomeRead More...

This is a great synopsis of how serious accidents build within an organization over time because of the lack of a functioning SMS. When reading this, think “swiss cheese model” from Reason and the “domino model” from Heinrich. Disasters are essentially organized events. To occur, they typically require the systemic and prolonged neglect of varying signs and signals of danger,...

This is a great synopsis of how serious accidents build within an organization over time because of the lack of a functioning SMS. When reading this, think “swiss cheese model” from Reason and the “domino model” from Heinrich. Disasters are essentially organized events. To occur, they typically require the systemic and prolonged neglect of varying signs and signals of danger,...

When a facility’s hazardous materials piping is assembled with bolted flanged joints, it needs a maintenance procedure to properly assemble and disassemble these flanged joints.  Along with this procedure, a means to pressure/leak test the bolted flanged joint must be used to ensure leak tightness. Subject to code/regulatory requirements, the worker should establish: … HomeRead More...