WRONG CHEMICAL – WRONG TANK (sodium hypochlorite and ferric chloride)

Last week we saw a HAZMAT incident where over 50 workers were transported to medical facilities after ferric sulfate and sodium hypochlorite (bleach) were mixed together.  From recent press updates, what happened on Wednesday (2/27/19) sure does sound like a truck carrying one of these chemicals was unloaded into a tank of the other chemical.  The details of how this happened have not been disclosed,  but we were told this today:

The two chemicals – Ferric Sulfate and Sodium Hypochlorite are used to treat water but are meant to be kept separate. Deliveries of the chemicals from contractors occur at different parts of the plant. On Wednesday they were delivered to the same location.  “It was an immediate reaction and that’s why we were immediately able to contain it. We knew right off the bat once this had happened we would need to seek medication for those who were in close proximity,” said Birmingham Water Works spokesman Rick Jackson.  Interim General Manager Michael Johnson informed the Birmingham Water Works of the cause Thursday during a regularly scheduled board meeting. Utility officials were not able to explain why the chemicals were mistakenly delivered to the same location.  Johnson told the board a new dual sign-off policy would be enforced at the plants to ensure the chemicals are properly delivered in the future.

This, of course, is NOT the first time these two chemicals have been accidentally mixed and it seems that injuries are sure to follow as the off-gas of this reaction is Chlorine gas.  There is a sister to ferric sulfate… ferric chloride; and in 2001 the same type of accident occurred and sent all seven (7) workers to the hospital.  Here is how OSHA says it all went down:

On June 13, 2001, Employees #1 through #7 were working near a sodium hypochlorite tank.

Employee #1 was operating a tanker truck containing 4000 gallons of ferric chloride. He drove his truck onto the facility and stopped at the administration and control building. After talking with the receptionist, she contacted the supervisor of the facility and asked him to take Employee #1 to the delivery site. However, the supervisor escorted him to the sodium hypochlorite building and pump station, which was near the ferric chloride delivery building. The supervisor told the Employee #1 to hook up to the middle fitting on the side of the sodium hypochlorite building. The middle fitting had a sign with “hypo” written on it hanging from the fitting. Employee #1 asked the supervisor several times about whether this was the correct place to unload the ferric chloride, and he was told it was the correct place. Employee #1 hooked up to the hypo fitting and began unloading the ferric chloride into sodium hypochlorite tank.

About 400 gallons of ferric chloride were unloaded before he noticed a cloud forming around the hookup. He ran into the cloud to stop the unloading and then went for help. Chlorine gas had formed from the reaction between ferric chloride and the sodium hypochlorite. Other employee observed the cloud formation and informed the supervisor. The supervisor got his respirator and went to the hypochlorite building to check the situation out. The supervisor put on the respirator, which was a full-face chemical respirator with chlorine cartridges but donned no other personal protective equipment. However, the respirator was not suitable for the situation; as he got close to the scene, the supervisor smelled something through his mask. He left the area and went to find another employee, who was the chief of operations, to report the problem.

The chief of operations responded by donning just a self-contained breathing apparatus and went into the building to check the tanks for leaks. The chief of operations felt the skin on his legs begin to get hot within a short time, so he left the building and went back to the administration building to wait for the hazardous material responders to arrive.

Employees and management said the chlorine alarm at the building sounded, but no one knew at what level the alarm was set to go off. Hazmat teams and fire departments arrived at the building and gained control of the situation.

Four employees were exposed to the chlorine gas and were experiencing minor health effects. They were transported to the hospital for observation. Two of these employees showered and changed clothes at the plant before they went to the hospital. A fifth employee who had been near the incident site had left the plant after his shift and went to the hospital. At the hospital, all employees exposed to the hazardous vapors were medically evaluated for dermal and inhalation toxicity and treated for the injuries suffered from contact with the chlorine vapors.

Violation Summary
  Serious Willful Repeat Other Total
Initial Violations 14     10 24
Current Violations 14     10 24
Initial Penalty $0 $0 $0 $0 $0
Current Penalty $0 $0 $0 $0 $0

 

Violation Items
# ID Type Standard Issuance Abate Curr$ Init$ Fta$
1. 01001 Serious 19100120 Q01 10/05/2001 11/07/2001 $0 $0 $0
2. 02001 Serious 19100132 A 10/05/2001 10/10/2001 $0 $0 $0
3. 02002 Serious 19100132 F01 10/05/2001 11/07/2001 $0 $0 $0
4. 03001 Serious 19100134 C03 10/05/2001 10/10/2001 $0 $0 $0
5. 03002 Serious 19100134 E01 10/05/2001 10/10/2001 $0 $0 $0
6. 03003 Serious 19100134 F01 10/05/2001 10/10/2001 $0 $0 $0
7. 03004 Serious 19100134 G01 III 10/05/2001 10/11/2001 $0 $0 $0
8. 03005 Serious 19100134 G03 I 10/05/2001 10/10/2001 $0 $0 $0
9. 03006 Serious 19100134 K01 10/05/2001 11/07/2001 $0 $0 $0
10. 03007 Serious 19100134 K01 II 10/05/2001 11/07/2001 $0 $0 $0
11. 03008 Serious 19100134 L01 10/05/2001 10/10/2001 $0 $0 $0
12. 04001 Serious 19100138 A 10/05/2001 10/10/2001 $0 $0 $0
13. 05001 Serious 19101200 E01 10/05/2001 11/07/2001 $0 $0 $0
14. 05002 Serious 19101200 H01 10/05/2001 11/07/2001 $0 $0 $0
15. 06001 Other 19100132 F04 10/05/2001 11/07/2001 $0 $0 $0
16. 06002 Other 19100134 H03 IVA 10/05/2001 10/10/2001 $0 $0 $0
17. 06003 Other 19100134 H03 IVB 10/05/2001 10/10/2001 $0 $0 $0
18. 06004 Other 19100151 B 10/05/2001 11/07/2001 $0 $0 $0
19. 06005 Other 50405 C01 10/05/2001 10/10/2001 $0 $0 $0
20. 06006 Other 50405 E 10/05/2001 10/11/2001 $0 $0 $0
21. 06007 Other 50406 A01 10/05/2001 10/23/2001 $0 $0 $0
22. 06008 Other 09122102 E B II 10/05/2001 10/11/2001 $0 $0 $0
23. 06009 Other 09122303 B 10/05/2001 10/10/2001 $0 $0 $0
24. 06010 Other 09123302 A01 10/05/2001 10/11/2001 $0 $0 $0

 

SOURCE: https://www.osha.gov/pls/imis/accidentsearch.accident_detail?id=202349858

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