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Oxygen deficient atmosphere in Control Atmospheric (CA) room asphyxiates worker
This is why I question society’s ability to manage Oxygen deficient atmospheres in warehouses as a means of fire protection.  At 10:00 a.m. on February 7, 2023, an employee was found unresponsive in the Control Atmospheric (CA) room. The typical oxygen level when the room is active is between 1.2% to 1.6%. The room has a main door and a smaller man-door; the man-door was open and the employee...
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Argon asphyxiates two autoclave operators
At 5:00 p.m. on January 30, 2023, two employees, 24 and 48, were performing operations pertaining to an autoclave. The atmosphere was oxygen deficient due to the presence of argon gas. The employees were asphyxiated and killed. Source: https://www.osha.gov/ords/imis/accidentsearch.accident_detail?id=153529.015
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Oxygen Deficient/Nitrogen Enriched reactor asphyxiates entrant during catalyst change
At 6:45 a.m. on February 18, 2023, an employee, 31, was removing trays from a hydrogen reactor. The employee was on SUPPLIED BREATHING AIR. The employee attempted to exit the confined space at the end of the shift when he reported to the attendant that he could not breathe. The attendant told the employee to turn on his emergency escape bottle. The employee then reported that he was on the bottle. The attendant...
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Hazards of thickness testing on live piping
At 12:30 p.m. on January 31, 2023, Employee #1, 45, performed cathodic protection maintenance on a 4-inch natural gas pipeline. Employee #1 removed the resin coating off the external portion of the pipeline to test the hull thickness of the pipeline. While removing the coating, the pipeline exploded. Employee #1 was killed by immolation. Employee #2 and Employee #3 were injured from the heat, blast,...
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Water Valve Pit fatality due to lack of proper energy isolation (Drowning)
At 11:45 a.m. on February 23, 2023, an employee, 20, working for a city water department, was repairing a leaking 12-inch PVC waterline main valve. The valve was located in a utility vault approximately 5 feet deep. The employee turned off the water to the WEST of the valve by opening multiple fire hydrants. He and a coworker closed the valve, stopping the water from flowing from the west. The employee(s)...
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Another H2S fatality in a "well shack"
At approximately 12:00 p.m. on February 24, 2023, an employee, 35, was performing “well site pumping operations” for an oil and gas producer. A coworker had been trying to contact the employee unsuccessfully, so he went to the oil and gas well site where the employee was working to check on him. The coworker found the employee unresponsive in the small 9-foot by 10-foot well shack. The...
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Sampling hazards
SAMPLING a LIVE process
One of the worst injury accidents of my career occurred in a PSM/RMP-covered process but involved a non-HHC/EHS.  The chemical was “hot caustic,” a byproduct from the process used in another process’s scrubber.  A sister facility had an incident in which it was discovered that the caustic was too weak. Thus in a process upset, the scrubber failed to perform correctly, leading...
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PRCS incident kills 5; 2 entrants and 3 would be rescuers (HAZ ATM)
Five (5) workers died after inhaling suspected poisonous gas emanating from a tank at a food factory in Madhya Pradesh’s Morena district. The incident happened in the Sakshi Food Products factory. Gas began emanating from a tank at the factory that makes food products around 11 am, and two (2) workers entered it to investigate. Both workers lost consciousness after they entered the tank and were inside...
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LOTO, "Energy From More Than One Source", and critical labeling
We are seeing more and more of this type of set-up, where an auxiliary piece of equipment on an assembly/production line has two (2) electrical supplies.  One is from the main SWITCH on the line, and one is from a separate source.  This is usually done when the auxiliary equipment may need to stay energized during interruptions. An excellent example is a hot glue machine used in packaging...
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Safety Thought of the Week... Certain configurations increase the risk of error
If we reverse the brake and accelerator pedals on your car, even if you are warned, and a sign reminds you, you can be sure that sooner or later you will press the accelerator when you meant to brake. Source: Human and organizational factors of safety: a state of the art, Daniellou, F., Simard, M. and Boissières, I. (2011)
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In a mature LOTO program, "SCOPE of WORK" matters
Most facilities will have a few pieces of equipment that require using a dozen or more energy isolation devices to achieve a full LO’ed situation.  Most businesses, at least early on in their implementation of LOTO for these pieces of equipment, will state ALL energy isolation devices will be utilized regardless of the scope of work being performed.  This may seem like the “safest”...
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Our first look at the "refrigeration code" from the 2024 International Mechanical Code (IMC)
1101.1 Scope. This chapter shall govern the design, installation, construction, and repair of refrigeration systems. Permanently installed refrigerant storage systems and other components shall be considered as part of the refrigeration system to which they are attached. 1101.1.1 Refrigerants other than ammonia. Refrigeration systems using a refrigerant other than ammonia shall comply with this chapter,...
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