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Naphtha Spill Incident Report.pdf

1999-02-23-Avon-Incident-Summary.pdf
Preview of Naphtha Spill Incident Report
🔗 Source: toolbox.energyinst.org
📊 Size: 198 KB
👤 Author: Peter Marsh CEng MIChemE
⬇️ Downloads: 114

Summary

A naphtha spill occurred during maintenance at a crude distillation unit in the USA on February 23, 1999, resulting in a fire that killed 4 workers and injured 1. The incident was caused by ignition of naphtha released from process piping onto nearby hot surfaces while breaking containment during on-line maintenance. Critical factors included operating beyond design limits, extensive plugging and valve issues, and routine operation of a bypass valve. Root causes included inadequate hazard identification, preventative maintenance, risk assessment, work planning, control of work, judgement, supervision, management of change, and process safety management.

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Description

A naphtha spill occurred during maintenance at a crude distillation unit in the USA on February 23, 1999, resulting in a fire that killed 4 workers and injured...

Technical Information

  • File Format: PDF
  • File Size: 198 KB
  • Pages: 1
  • Language: EN
  • Author: Peter Marsh CEng MIChemE
  • Total Downloads: 114
  • Last Updated: 2 days ago

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