LoC Operator error

October

202220OctAll DayMGPI Processing Toxic Release 2016MGPI Atchison (US-KS)Lessons:Asset integrity,Competency,Emergency Preparedness,Operating Procedures,Stakeholder EngagementIndustry:Food & DrinkCountry:United StatesLanguage:ENLoC:Operator error Origin: CSB Incident:Gas/vapour/mist/etc release to airHazards:Environmental,Oxidising,ToxicContributory Factors:Design of PlantImpact:HUMAN (Offsite Injuries)Effects:≥ 100 InjuriesMaterial:Chlorine

202229OctAll DayBarton Solvents (Des Moines) Explosion 2007Barton Solvents Des Moines (US-IA)Lessons:Asset integrity,Operating Procedures,Operational IntegrityIndustry:ChemicalsCountry:United StatesLanguage:ENLoC:Operator error Origin: CSB Incident:FIREHazards:FlammableContributory Factors:Electrostatic AccumulationImpact:HUMAN (On Site Injuries)Effects:< 100 InjuriesMaterial:Ethyl Acetate

November

202214NovAll DayPampa Explosion 1987Celanese Chemicals Pampa (US-TX)Lessons:Competency,Operational Integrity,Risk AssessmentIndustry:PetrochemicalsCountry:United StatesLanguage:ENLoC:Confined explosion,Operator error Origin: Marsh Incident:VCEHazards:FlammableImpact:HUMAN (On Site Fatalities)Effects:1-10 FatalitiesMaterial:Butane

202215NovAll DayDupont (La Porte) Toxic Release 2014DuPont La Porte (US-TX)Lessons:Commitment & Culture,Emergency Preparedness,Management of Change,Operating Procedures,Process Knowledge,Risk Assessment,Stakeholder EngagementIndustry:ChemicalsCountry:United StatesLanguage:ENLoC:Operator error Origin: CSB Incident:Gas/vapour/mist/etc release to airHazards:Flammable,ToxicContributory Factors:MaintenanceImpact:HUMAN (On Site Fatalities)Effects:1-10 FatalitiesMaterial:Methyl MercaptanTopics:Natural Hazards

202222NovAll DayCAI / Arnel Explosion 2006CAI/Arnel Danvers (US-MA)Lessons:Compliance with Standards,Operating ProceduresIndustry:ChemicalsCountry:United StatesLanguage:ENLoC:Operator error Origin: CSB Incident:VCEHazards:FlammableContributory Factors:ErrorImpact:HUMAN (Offsite Injuries)Effects:< 100 InjuriesMaterial:Hydrocarbons

December

202209DecAll DayAL Solutions Dust Explosion 2010A.L. Solutions New Cumberland (US-WV)Lessons:Incident Investigation,Process Knowledge,Risk AssessmentIndustry:Metal ProcessingCountry:United StatesLanguage:ENLoC:Operator error Origin: CSB Incident:Dust explosionHazards:FlammableContributory Factors:Component MalfunctionImpact:HUMAN (On Site Fatalities)Effects:1-10 FatalitiesMaterial:TitaniumTopics:Chemical Reaction,Combustible Dust

January

202304JanAll DayFeyzin LPG Explosion 1966Total Feyzin (FR)Lessons:Asset integrity,Emergency Preparedness,Operating ProceduresIndustry:LPGCountry:FranceLanguage:ENLoC:Operator error Origin: HSE Incident:VCEHazards:FlammableImpact:HUMAN (On Site Fatalities)Effects:11 – 100 FatalitiesMaterial:Propane

202306JanAll DayHorizon Oil Sands Explosion 2011Horizon Oil Sands Fort McKay (CA-AB)Industry:RefiningCountry:CanadaLanguage:ENLoC:Operator error Origin: Marsh Incident:VCEHazards:FlammableImpact:HUMAN (On Site Injuries)Effects:< 100 InjuriesMaterial:Hydrocarbons

202307JanAll DayTexas Tech University Explosion 2010Texas Tech University Lubbock (US-TX)Lessons:Audits & Reviews,Commitment & Culture,Operating Procedures,Risk AssessmentIndustry:LaboratoryCountry:United StatesLanguage:ENLoC:Operator error Origin: CSB Incident:Runaway reaction explosionHazards:ReactiveContributory Factors:Organized ProceduresImpact:HUMAN (On Site Injuries)Effects:< 100 InjuriesMaterial:NHP

202313JanAll DayBLSR Operating Fire 2003BLSR Rosharon (US-TX)Lessons:Compliance with Standards,Contractor Management,Operating Procedures,Process KnowledgeIndustry:Waste TreatmentCountry:United StatesLanguage:ENLoC:Operator error Origin: CSB Incident:VCEHazards:FlammableContributory Factors:Training/InstructionImpact:HUMAN (On Site Fatalities)Effects:1-10 FatalitiesMaterial:BS&W

202320JanAll DaySURVIVAL INDUSTRIES EXPLOSION 2015Survival Technologies, Ankleshwar (IN)Lessons:Asset integrity,Audits & Reviews,Commitment & Culture,Competency,Compliance with Standards,Contractor Management,Control of Work,Incident Investigation,Management of Change,Operating Procedures,Operational Integrity,Operational Readiness,Performance Indicators,Process Knowledge,Risk Assessment,Workforce InvolvementIndustry:ChemicalsCountry:IndiaLanguage:ENLoC:Operator error Origin: MKOPSC Incident:EXPLOSIONHazards:Harmful/IrritantContributory Factors:Component MalfunctionImpact:HUMAN (On Site Fatalities)Effects:1-10 FatalitiesMaterial:4-hydroxybenzohydrazide

202325JanAll DayASCO Explosion 2005Acetylene Services Company (ASCO) Perth Amboy (US-NJ)Lessons:Asset integrity,Competency,Operating Procedures,Operational IntegrityIndustry:ManufacturingCountry:United StatesLanguage:ENLoC:Operator error Origin: CSB Incident:EXPLOSIONHazards:FlammableContributory Factors:Component MalfunctionImpact:HUMAN (On Site Fatalities)Effects:1-10 FatalitiesMaterial:Acetylene

202329JanAll DayWest Pharmaceutical Services Dust Explosion 2003West Pharmaceutical Services Kinston (US-NC)Lessons:Compliance with Standards,Process KnowledgeIndustry:Plastics & PolymersCountry:United StatesLanguage:ENLoC:Operator error Origin: CSB Incident:Dust explosionHazards:FlammableContributory Factors:HousekeepingImpact:HUMAN (On Site Fatalities)Effects:1-10 FatalitiesMaterial:PolyethyleneTopics:Combustible Dust

202331JanAll DayHoeganaes Fires 2010Hoeganaes Gallatin (US-TN)Lessons:Compliance with Standards,Incident Investigation,Process KnowledgeIndustry:Metal ProcessingCountry:United StatesLanguage:ENLoC:Operator error Origin: CSB Incident:Dust explosionHazards:FlammableContributory Factors:MaintenanceImpact:HUMAN (On Site Fatalities)Effects:1-10 FatalitiesMaterial:IronTopics:Combustible Dust

February

202307FebAll DayImperial Sugar Dust Explosion 2008Imperial Sugar Co. Port Wentworth (US-GA)Lessons:Asset integrity,Competency,Compliance with Standards,Incident Investigation,Management of Change,Operational Integrity,Risk AssessmentIndustry:Food & DrinkCountry:United StatesLanguage:ENLoC:Operator error Origin: CSB Incident:Dust explosionHazards:FlammableContributory Factors:HousekeepingImpact:HUMAN (On Site Fatalities)Effects:11 – 100 FatalitiesMaterial:SugarTopics:Combustible Dust

202312FebAll DaySIMAR TOXIC RELEASE 2015Simar, Igualad (ES)Lessons:Audits & Reviews,Competency,Control of Work,Emergency Preparedness,Operating Procedures,Operational Integrity,Process Knowledge,Risk Assessment,Stakeholder Engagement,Workforce InvolvementIndustry:ChemicalsCountry:SpainLanguage:ENLoC:Operator error Origin: MKOPSC Incident:Runaway reaction explosionImpact:HUMAN (Offsite Injuries)Effects:< 100 Injuries

202320FebAll DayCTA Acoustics Dust Explosion 2003CTA Acoustics, Inc. Corbin (US-KY)Lessons:Asset integrity,Control of Work,Process Knowledge,Risk AssessmentIndustry:ManufacturingCountry:United StatesLanguage:ENLoC:Operator error Origin: CSB Incident:Dust explosionHazards:FlammableContributory Factors:HousekeepingImpact:HUMAN (On Site Fatalities)Effects:1-10 FatalitiesMaterial:Phenolic resinTopics:Chemical Reaction

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