LoC Maintenance error

October

202202OctAll DayXcel Energy Hydroelectric Tunnel Fire 2007Xcel Energy Georgetown (US-CO)Lessons:Contractor Management,Control of Work,Emergency PreparednessIndustry:Renewable PowerCountry:United StatesLanguage:ENLoC:Maintenance error Origin: CSB Incident:FIREHazards:FlammableContributory Factors:Electrostatic AccumulationImpact:HUMAN (On Site Fatalities)Effects:1-10 FatalitiesMaterial:Methyl Ethyl Ketone

202216OctAll DaySodegaura Refinery Explosion 1992Fuji Oil Co. Sodegaura (JP)Industry:RefiningCountry:JapanLanguage:ENLoC:Maintenance error Origin: Marsh Incident:VCEHazards:FlammableImpact:HUMAN (On Site Fatalities)Effects:1-10 FatalitiesMaterial:Hydrocarbons

202217OctAll DayBASF (Ludwigshaven) Explosion 2016BASF Ludwigshaven (DE)Lessons:Contractor Management,Control of WorkIndustry:PetrochemicalsCountry:GermanyLanguage:ENLoC:Maintenance error Origin: ARIA Incident:VCEHazards:FlammableContributory Factors:ErrorImpact:HUMAN (Offsite Fatalities)Effects:1-10 FatalitiesMaterial:Butylene

202221OctAll DayNew Castle Explosion 1980Amoco New Castle (US-DE)Industry:PetrochemicalsCountry:United StatesLanguage:ENLoC:Maintenance error Origin: Marsh Incident:VCEHazards:FlammableImpact:HUMAN (On Site Fatalities)Effects:1-10 FatalitiesMaterial:Hexane

202223OctAll DayPhillips 66 Explosion 1989Phillips 66 Pasadena (US-TX)Lessons:Asset integrity,Control of Work,Emergency Preparedness,Operational Integrity,Risk AssessmentIndustry:PetrochemicalsCountry:United StatesLanguage:ENLoC:Maintenance error Origin: HSE Incident:VCEHazards:FlammableImpact:HUMAN (On Site Fatalities)Effects:11 – 100 FatalitiesMaterial:EthyleneTopics:Occupied Buildings

202225OctAll DayPULAU MERLIMAU FIRE 1988Singapore Refinery Co. Pulau Merlimau (SG)Industry:RefiningCountry:SingaporeLanguage:ENLoC:Maintenance errorIncident:FIREHazards:FlammableImpact:HUMAN (On Site Injuries)Effects:< 100 InjuriesMaterial:Naptha

November

202205NovAll DayValero (Delaware) Refinery Asphyxiation 2005Valero Delaware City (US-DE)Lessons:Competency,Control of WorkIndustry:RefiningCountry:United StatesLanguage:ENLoC:Maintenance error Origin: CSB Incident:AsphyxiationHazards:AsphyxiantContributory Factors:ViolationImpact:HUMAN (On Site Fatalities)Effects:1-10 FatalitiesMaterial:Nitrogen

202209NovAll DayE. I. Dupont De Nemours Explosion 2010E.I. duPont de Nemours and Co. Buffalo (US-NY)Lessons:Control of Work,Operational IntegrityIndustry:Plastics & PolymersCountry:United StatesLanguage:ENLoC:Maintenance error Origin: CSB Incident:VCEHazards:Flammable,ToxicContributory Factors:MaintenanceImpact:HUMAN (On Site Fatalities)Effects:1-10 FatalitiesMaterial:Vinyl Fluoride

202222NovAll DayExxonmobil (Baton Rouge) Fire 2016ExxonMobil Baton Rouge (US-LA)Lessons:Asset integrity,Competency,Operating ProceduresIndustry:RefiningCountry:United StatesLanguage:ENLoC:Maintenance error Origin: CSB Incident:FIREHazards:FlammableContributory Factors:MaintenanceImpact:HUMAN (On Site Injuries)Effects:< 100 InjuriesMaterial:Isobutane

January

202311JanAll DayBethune Point Explosion 2006City of Daytona Beach Bethune Point (US-FL)Lessons:Asset integrity,Control of Work,Process Knowledge,Workforce InvolvementIndustry:Water TreatmentCountry:United StatesLanguage:ENLoC:Maintenance error Origin: CSB Incident:VCEHazards:Flammable,ToxicContributory Factors:MaintenanceImpact:HUMAN (On Site Fatalities)Effects:1-10 FatalitiesMaterial:Methanol

202311JanAll DayRuwais Refinery Fire 2017ADNOC Ruwais (AE)Industry:RefiningCountry:Abu DhabiLanguage:ENLoC:Maintenance error Origin: Marsh Incident:FIREHazards:FlammableImpact:HUMAN (On Site At Risk)Effects:EnvironmentalMaterial:Crude Oil

202330JanAll DayLittle General Store Explosion 2007Little General Store Ghent (US-WV)Lessons:Emergency Preparedness,Process Knowledge,Stakeholder EngagementIndustry:MiscellaneousCountry:United StatesLanguage:ENLoC:Maintenance error Origin: CSB Incident:VCEHazards:FlammableContributory Factors:SupervisionImpact:HUMAN (Offsite Fatalities)Effects:1-10 FatalitiesMaterial:Propane

February

202302FebAll DayBethlehem Steel Fire 2001Bethlehem Steel Corp. Chesterton (US-IN)Lessons:Control of Work,Operational Integrity,Operational ReadinessIndustry:Metal ProcessingCountry:United StatesLanguage:ENLoC:Maintenance error Origin: CSB Incident:FIREHazards:FlammableContributory Factors:MaintenanceImpact:HUMAN (On Site Fatalities)Effects:1-10 FatalitiesMaterial:Coke gas

202307FebAll DayKleen Energy Explosion 2010Kleen Energy Middletown (US-CT)Lessons:Competency,Compliance with Standards,Control of Work,Incident InvestigationIndustry:Fossil PowerCountry:United StatesLanguage:ENLoC:Maintenance error Origin: CSB Incident:EXPLOSIONHazards:FlammableContributory Factors:MaintenanceImpact:HUMAN (On Site Fatalities)Effects:1-10 FatalitiesMaterial:Methane

202308FebAll DayLIAOCHENG EXPLOSION 2015Liaocheng, Shandong (CN)Lessons:Commitment & Culture,Competency,Compliance with Standards,Control of Work,Operating Procedures,Operational Integrity,Operational Readiness,Performance Indicators,Process Knowledge,Risk Assessment,Workforce InvolvementIndustry:PetrochemicalsCountry:ChinaLanguage:ENLoC:Maintenance error Origin: MKOPSC Incident:VCEHazards:FlammableContributory Factors:Organization Inadequate,Organized Procedures,Training/InstructionImpact:HUMAN (On Site Fatalities)Effects:1-10 FatalitiesMaterial:Ethanol

202308FebAll DayPCA (Deridder) Explosion 2017PCA DeRidder (US-LA)Lessons:Asset integrity,Commitment & Culture,Control of Work,Risk AssessmentIndustry:Pulp & PaperCountry:United StatesLanguage:ENLoC:Maintenance error Origin: CSB Incident:VCEHazards:FlammableContributory Factors:MaintenanceImpact:HUMAN (On Site Fatalities)Effects:1-10 FatalitiesMaterial:Hydrocarbons

202323FebAll DayTosco Avon (Crude Unit) Fire 1999Tosco Avon Martinez (US-CA)Lessons:Asset integrity,Commitment & Culture,Control of Work,Management of ChangeIndustry:RefiningCountry:United StatesLanguage:ENLoC:Maintenance error Origin: CSB Incident:FIREHazards:FlammableContributory Factors:MaintenanceImpact:HUMAN (On Site Fatalities)Effects:1-10 FatalitiesMaterial:Naptha

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