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Archive for November 5th, 2007

CSB Investigation at Barton Solvents Des Moines, Iowa, Facility Progressing; Immediate Cause was Ignition of Spraying Ethyl Acetate During Loading Operation; Agency Continues Examination of July, 2007 Barton Accident in Wichita, Kansas

Monday, November 5th, 2007

A new release from the Chemical Safety Board:

Des Moines, Iowa, November 1, 2007 -  Investigators for the U.S. Chemical Safety Board (CSB) said today progress is being made in the investigation of a large explosion and fire which occurred at the Barton Solvents facility in Des Moines, Iowa on October 29.  The company packages, stores, and delivers solvents and other chemical products, many of which are widely used in the paint and coatings industry.

Lead Investigator Randy McClure said the accident occurred when an as-yet unidentified source ignited the ethyl acetate solvent being loaded into a 330 gallon square tank, called a tote. Mr. McClure said the operator who was filling the tote had turned away momentarily when he heard what was described as a popping sound, which witnesses believe was a pressure relief device.

Mr. McClure said, ‘A fireball then erupted from the tote.  Pressure from the eruption knocked the filling nozzle out of the tank, spraying ethyl acetate into the room and onto the operator. His clothing ignited, but he quickly removed the ignited clothing and escaped serious injury. Another operator tried to use a hand held extinguisher to battle the blaze, but it emptied before the fire could be extinguished.  He then shut off all power to the area and the plant was successfully evacuated.  The flames spread quickly and eventually consumed and destroyed a large portion of the facility.’

Mr. McClure said, ‘We will conduct tests to determine if the solvent could have produced enough static electricity to be the ignition source.  We will also evaluate the design and maintenance of equipment in the area to determine its suitability for use in a flammable environment.’

(more…)

Job Opening: Jeddah, Saudi Arabia - MGC - Site Engineer (Mechanical) - Needs Root Cause Analysis Skills

Monday, November 5th, 2007

See the job posting at:

http://www.bayt.com/job/job.adp?xid=653596

Monday Accident & Lessons Learned - Sometimes a Repeat Failure IS NOT a Repeat Failure…

Monday, November 5th, 2007

Last Monday I published an article titled:

Monday Accidents & Lessons Learned: Third Accident in 2 Months - When is an Accident a Repeat Failure?

The Danish Accident Investigation Board has published a report that suggests that this third Dash-8 Q400 accident was NOT a Repeat Failure but rather a failure of the landing gear from a totally separate cause.

To see the Danish Accident Investigation Report go to:

http://www.hcl.dk/graphics/Synkron-Library/hcl/dokumenter/Redegorelser/2007/510-000449%20LN-RDI%20Preliminary%20Report%20UK_03112007.pdf

The investigation shows that this accident could have been caused by an o-ring failure and prior landing gear replacements (although the investigation is not complete).

Lesson Learned: You can’t assume that a failure is a Repeat Failure until the investigation is complete and you are sure that the cause is indeed the same.

One more note: The o-ring failure might be a Repeat Failure. The difference is that this time they moved a component from one system to another that allowed the failed o-ring to enter the landing gear system. (See the report for more info.)

200711051217
Drawing from Report