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I am proud to announce that SAFTENG and The Chlorine Institute have renewed our partnership for another year (through 2026).  Members of The Chlorine Institute receive a FREE SAFTENG membership.  If you qualify, please contact me

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Line Break Gone Bad (Cutting into live NH3 pipe)
This stunt has to be one of the riskiest I have seen in my 30+ years in Process Safety. They knew it was a live line, but why it was live is anyone’s guess. It looks as if this may be a “Demolition” job without a pump down, or maybe the plant was just down for a period of time, as there was no activity in the area (LUCKILY). … HomeRead More »
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Worker Fatality During Attempted Removal of Blind Flange on Cooling Water System
On October 21, 2015, two mechanical technicians were involved in an incident while attempting to remove a blind flange from supply piping on a Magnet Cooling Water (MCW) System. The mechanical technicians were assisting a welder in obtaining final measurements to make the final connections from the MCW system to a new Cell 14 cryostat as part of the Series-Connected Hybrid magnet project. When loosening...
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NH3_purge hose_1
Worker seriously injured when sprayed by anhydrous ammonia after failure of flexible rubber hose (WorkSafe Western Australia)
A process worker and colleague were preparing for a scheduled maintenance task in the ammonia storage area of a processing plant.As part of a routine purging operation, the process worker connected a flexible rubber hose via a coupling to a purge connection point. The purge hose was charged with nitrogen, and the valve was being opened slowly, allowing nitrogen to flow into the system, when the hose...
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What are the causes of ammonia release? (WorkSafe NZ)
The two (2) leading causes of ammonia releases are: Equipment Failure, Human Factors … HomeRead More »
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Trust and distrust in safety leadership: Qualities of importance (study by Natalie Abiodun)
This is a GREAT study, although it was not an extensive study. But when I learned of it from Pete Cutbush, I found the research and thought it was spot on; although that may be my biases shining through. As I was taught by all my former business leaders, leading with safety can influence ALL aspects of the organization. So learning that CARING was found to be the most important precursor of trust...
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Butterfly valve(s) & energy isolation (NH3 process)
Some industries’ RAGAGEPs will call out the risk of using a butterfly valve as an energy isolation device due to its propensity to “leak by”. In this incident, the valve catastrophically failed, releasing NH3, resulting in a worker and a contractor being hospitalized. I do not know if the valve was locked out, but that does not matter in this case, as the valve internals failed,...
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EPA RMP Citations @ Cold Storage facility (NH3 & $85K)
Respondent is the owner and operator of a facility that stores and circulates anhydrous ammonia through two refrigeration systems at its facility and, therefore, is engaged in a process at its facility. On or about September 13, 2023, a representative of the EPA conducted an inspection of the Respondent’s Facility to determine compliance with Section 112(r) of the CAA and 40 C.F.R. Part 68....
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Behavior-Based Safety Process (BBSP) and Incident Management
One of the most prominent mistakes organizations make when implementing their Behavior-Based Safety Process (BBSP) is that they still operate under 1990s-era assumptions regarding how they view and manage incident reporting and investigation and the behaviors of personnel involved in those undesired events. An improperly implemented and managed BBSP can create numerous biases, with the primary bias...
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Tanker Truck PRCS Fatality (Fatal Fall)
On January 30, 2025, Employee #1 was working at a trailer truck wash business and had been subcontracted to clean out a trailer tank using a water hose. The business specialized in washing out livestock haulers. Employee #1 entered the tank to continue cleaning. A coworker noticed Employee #1 lying on his side at the bottom of the tank. The local fire department responded and retrieved Employee #1...
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PRCS (Railcar) Fatality (5% O2 Atmosphere)
UPDATED on 8/8/25 with OSHA Citations (All are being contested) At approximately 9:34 a.m. on January 10, 2025, an employee, 35, was directed to enter a 23,737-gallon rail tank car containing residues of PCBs and transformer oil to obtain wipe samples of the interior surfaces. The rail tank car was a permit-required confined space. The employee wore a full-face air-purifying respirator, chemical...
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Flaws in using a manufacturer's SWPF study
Disclaimer: I am NO LONGER a fan of Powered-Air Purifying Respirators (PAPRs). It is not the PAPR’s fault; it is the science behind the increased desire to use PAPRs for all the wrong reasons and how this could be bad news for the users. PAPRs have become increasingly popular over the past decade or so (at least in the facilities I visit and work with). I would love to see sales data to...
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Simple "safety maturity" or dare I say "culture" test…
Auditing! Whether it’s internal (1st party), 2nd party, or 3rd Party, auditing at a CONSISTENT FREQUENCY is a true sign that management is committed to safety. If the management team asks… “Does OSHA require this audit?” … HomeRead More »
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