Contributory Factors PLANT/EQUIPMENT

December

202303DecAll DayMarcus Oil & Chemical Explosion 2004Marcus Oil and Chemical Houston (US-TX) Lessons:Asset integrity,Operating ProceduresIndustry:ChemicalsCountry:United StatesLanguage:ENLoC:Deficiency Origin: CSB Incident:VCEHazards:FlammableContributory Factors:Containment FailureImpact:HUMAN (Offsite Injuries)Effects:< 100 InjuriesMaterial:Polyethylene

202307DecAll DayNDK Crystal Explosion 2009NDK Crystal Belvidere (US-IL)Lessons:Commitment & Culture,Compliance with Standards,Incident InvestigationIndustry:ManufacturingCountry:United StatesLanguage:ENLoC:Deficiency Origin: CSB Incident:Pressure burstHazards:Mechanical/Kinetic/PotentialContributory Factors:Corrosion/Erosion/FatigueImpact:HUMAN (Offsite Fatalities)Effects:1-10 FatalitiesMaterial:Quartz

202309DecAll 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

202311DecAll DayBuncefield Explosion 2005Hertfordshire Oil Storage Ltd (GB)Lessons:Asset integrity,Commitment & Culture,Compliance with Standards,Management of Change,Operating Procedures,Risk Assessment,Stakeholder EngagementIndustry:StorageCountry:United KingdomLanguage:ENLoC:Component malfunction Origin: HSE Incident:VCEHazards:FlammableContributory Factors:Component MalfunctionImpact:HUMAN (Offsite Injuries)Effects:< 100 InjuriesMaterial:Petroleum/GasolineTopics:Functional Safety,LOPA

202319DecAll DayT2 Laboratories Reactive Chemical Explosion 2007T2 Laboratories Inc. Jacksonville (US-FL)Lessons:Commitment & Culture,Competency,Compliance with Standards,Emergency Preparedness,Incident Investigation,Management of Change,Risk AssessmentIndustry:ChemicalsCountry:United StatesLanguage:ENLoC:Overpressure Origin: CSB Incident:Runaway reaction explosionHazards:ReactiveContributory Factors:Loss of Process ControlImpact:HUMAN (On Site Fatalities)Effects:1-10 FatalitiesMaterial:MCMTTopics:Chemical Reaction

January

202409JanAll DayFreedom Industries Toxic Release 2014Freedom Industries Charleston (US-WV)Lessons:Asset integrity,Compliance with Standards,Emergency PreparednessIndustry:StorageCountry:United StatesLanguage:ENLoC:Deterioration Origin: CSB Incident:Fluid release to waterHazards:Harmful/IrritantContributory Factors:Containment FailureImpact:HUMAN (Offsite Injuries)Effects:≥ 100 InjuriesMaterial:MCHM

202412JanAll DaySilver Eagle Refinery Explosion 2009Silver Eagle Refinery Woods Cross (US-UT)Lessons:Asset integrityIndustry:RefiningCountry:United StatesLanguage:ENLoC:Deterioration Origin: CSB Incident:Flash fireHazards:FlammableContributory Factors:Corrosion/Erosion/FatigueImpact:HUMAN (On Site Injuries)Effects:< 100 InjuriesMaterial:Hydrogen,Naptha

202418JanAll DayPETROBRAS (RLAM) EXPLOSION 2015Petrobras, Landulpho Alves Refinery, Salvador (BR)Lessons:Asset integrity,Audits & Reviews,Competency,Compliance with Standards,Control of Work,Emergency Preparedness,Incident Investigation,Management of Change,Operating Procedures,Operational Integrity,Operational Readiness,Performance Indicators,Process Knowledge,Risk Assessment,Stakeholder Engagement,Workforce InvolvementIndustry:RefiningCountry:BrazilLanguage:ENLoC:Deterioration Origin: MKOPSC Incident:EXPLOSIONHazards:FlammableContributory Factors:Corrosion/Erosion/Fatigue,Health,Maintenance,Organized ProceduresEffects:< 100 InjuriesMaterial:Hydrogen

202420JanAll 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

202422JanAll DayPryor Trust Blowout & Fire 2018Pryor Trust Pittsburg County (US-OK)Lessons:Asset integrity,Commitment & Culture,Compliance with Standards,Operating Procedures,Operational Integrity,Operational ReadinessIndustry:Onshore Oil & GasCountry:United StatesLanguage:ENLoC:Overpressure Origin: CSB Incident:EXPLOSIONHazards:FlammableContributory Factors:Containment FailureImpact:HUMAN (On Site Fatalities)Effects:1-10 FatalitiesMaterial:Methane

202423JanAll DayDupont (Belle) Toxic Release 2010DuPont Belle (US-WV)Lessons:Asset integrity,Audits & Reviews,Competency,Compliance with Standards,Emergency Preparedness,Incident Investigation,Operating Procedures,Risk AssessmentIndustry:ChemicalsCountry:United StatesLanguage:ENLoC:Deterioration Origin: CSB Incident:Gas/vapour/mist/etc release to airHazards:Corrosive,Flammable,ToxicContributory Factors:Containment FailureImpact:HUMAN (On Site Fatalities)Effects:1-10 FatalitiesMaterial:Methyl Chloride,Oleum,Phosgene

202425JanAll 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

February

202416FebAll DayValero (Sunray) Refinery Fire 2007Valero Sunray (US-TX)Lessons:Compliance with Standards,Management of Change,Risk AssessmentIndustry:RefiningCountry:United StatesLanguage:ENLoC:Undertemperature Origin: CSB Incident:FIREHazards:FlammableContributory Factors:Containment FailureImpact:HUMAN (On Site At Risk)Effects:< 100 InjuriesMaterial:PropaneTopics:Natural Hazards

202419FebAll DayConcept Sciences Explosion 1999Concept Sciences Allentown (US-PA)Lessons:Emergency Preparedness,Process Knowledge,Risk Assessment,Stakeholder EngagementIndustry:ChemicalsCountry:United StatesLanguage:ENLoC:Overpressure Origin: CSB Incident:Runaway reaction explosionHazards:ReactiveContributory Factors:Loss of Process ControlImpact:HUMAN (Offsite Fatalities)Effects:1-10 FatalitiesMaterial:HydroxylamineTopics:Chemical Reaction,Occupied Buildings

March

202404MarAll DaySonat Exploration Vessel Overpressurization 1998Sonat Exploration Co. Pitkin (US-LA)Lessons:Asset integrity,Operating Procedures,Risk AssessmentIndustry:Onshore Oil & GasCountry:United StatesLanguage:ENLoC:Overpressure Origin: CSB Incident:FIREHazards:FlammableContributory Factors:Containment FailureImpact:HUMAN (On Site Fatalities)Effects:1-10 FatalitiesMaterial:HydrocarbonsTopics:Pressure Systems

202410MarAll DayCHANGZHOU FIRE 2015Changzhou, Jiangsu (CN)Lessons:Asset integrity,Audits & Reviews,Commitment & Culture,Competency,Control of Work,Emergency Preparedness,Incident Investigation,Operating Procedures,Operational Integrity,Operational Readiness,Process Knowledge,Risk AssessmentIndustry:WarehouseCountry:ChinaLanguage:ENLoC:Fire exposure Origin: MKOPSC Incident:ConflagrationContributory Factors:Component Malfunction,Organized ProceduresImpact:HUMAN (On Site At Risk)Effects:Environmental

202417MarAll DayITC Tank Fire 2019ITC Deer Park (US-TX)Lessons:Emergency Preparedness,Operational Integrity,Stakeholder EngagementIndustry:StorageCountry:United StatesLanguage:ENLoC:Deterioration Origin: CSB Incident:FIREHazards:FlammableContributory Factors:Containment FailureImpact:HUMAN (Offsite At Risk)Effects:EnvironmentalMaterial:Naptha

202421MarAll DayCarbide Industries Fire 2011Carbide Industries Louisville (US-KY)Lessons:Compliance with Standards,Operational Integrity,Risk Assessment,Workforce InvolvementIndustry:ChemicalsCountry:United StatesLanguage:ENLoC:Overpressure Origin: CSB Incident:Rapid phase-transition explosionHazards:ReactiveContributory Factors:Component MalfunctionImpact:HUMAN (On Site Fatalities)Effects:1-10 FatalitiesMaterial:Calcium CarbideTopics:Occupied Buildings

April

202402AprAll DayKMCO Explosion 2019KMCO Crosby (US-TX)Lessons:Asset integrityIndustry:ChemicalsCountry:United StatesLanguage:ENLoC:Deterioration Origin: CSB Incident:VCEHazards:FlammableContributory Factors:Component MalfunctionImpact:HUMAN (On Site Fatalities)Effects:1-10 FatalitiesMaterial:Isobutylene

202402AprAll DayTesoro (Anacortes) Refinery Explosion 2010Tesoro Anacortes (US-WA)Lessons:Asset integrity,Commitment & Culture,Compliance with Standards,Control of WorkIndustry:RefiningCountry:United StatesLanguage:ENLoC:Deterioration Origin: CSB Incident:VCEHazards:FlammableContributory Factors:Containment FailureImpact:HUMAN (On Site Fatalities)Effects:1-10 FatalitiesMaterial:Naptha

202403AprAll DayLoy Lange Box Co. Pressure Vessel Explosion 2017Loy-Lange Box Company St. Louis (US-MO)Lessons:Asset integrityIndustry:ManufacturingCountry:United StatesLanguage:ENLoC:Overpressure Origin: CSB Incident:Rapid phase-transition explosionHazards:Mechanical/Kinetic/PotentialContributory Factors:Corrosion/Erosion/FatigueImpact:HUMAN (On Site Fatalities)Effects:1-10 FatalitiesMaterial:Steam

202408AprAll DayMorton International Runaway Chemical Reaction 1998Morton International Inc. Paterson (US-NJ)Lessons:Commitment & Culture,Risk Assessment,Workforce InvolvementIndustry:ChemicalsCountry:United StatesLanguage:ENLoC:Overpressure Origin: CSB Incident:Runaway reaction explosionHazards:Reactive,ToxicContributory Factors:Loss of Process ControlImpact:HUMAN (On Site Injuries)Effects:< 100 InjuriesMaterial:Ortho-NitrochlorobenzeneTopics:Chemical Reaction

202409AprAll DayWEIFANG FATALITIES 2015Weifang, Shandong (CN)Lessons:Audits & Reviews,Commitment & Culture,Competency,Compliance with Standards,Control of Work,Emergency Preparedness,Management of Change,Operating Procedures,Operational Integrity,Operational Readiness,Performance Indicators,Process Knowledge,Risk Assessment,Workforce InvolvementIndustry:Water TreatmentCountry:ChinaLanguage:ENLoC:Operator error Origin: MKOPSC Incident:AsphyxiationHazards:Environmental,Flammable,ToxicContributory Factors:Component MalfunctionImpact:HUMAN (On Site Fatalities)Effects:1-10 FatalitiesMaterial:Hydrogen Sulfide

202410AprAll DayDALIAN FIRE 2015Dalian, Liaoning (CN)Lessons:Audits & Reviews,Competency,Risk AssessmentIndustry:PipelinesCountry:ChinaLanguage:ENLoC:Deterioration Origin: MKOPSC Incident:FireballHazards:FlammableContributory Factors:Component MalfunctionImpact:HUMAN (On Site At Risk)Effects:EnvironmentalMaterial:Crude Oil,Methane

202411AprAll DayD.D. Williamson Catastrophic Vessel Failure 2003D.D. Williamson Louisville (US-KY)Lessons:Asset integrity,Competency,Operating Procedures,Risk AssessmentIndustry:Food & DrinkCountry:United StatesLanguage:ENLoC:Overpressure Origin: CSB Incident:Pressure burstHazards:Corrosive,Environmental,ToxicContributory Factors:Loss of Process ControlImpact:HUMAN (On Site Fatalities)Effects:1-10 FatalitiesMaterial:AmmoniaTopics:Pressure Systems

202412AprAll DayMFG Chemical (Dalton) Toxic Release 2004MFG Chemical, Inc. Callahan Rd. Dalton (US-GA)Lessons:Emergency Preparedness,Process Knowledge,Stakeholder EngagementIndustry:ChemicalsCountry:United StatesLanguage:ENLoC:Genuine release Origin: CSB Incident:Runaway reaction explosionHazards:FlammableContributory Factors:Loss of Process ControlImpact:HUMAN (Offsite Injuries)Effects:≥ 100 InjuriesMaterial:Allyl alcohol,Allyl chlorideTopics:Chemical Reaction

202417AprAll DayWest Fertilizer Explosion 2013West Fertilizer Co. West (US-TX)Lessons:Commitment & Culture,Compliance with Standards,Emergency Preparedness,Process Knowledge,Risk Assessment,Stakeholder Engagement,Workforce InvolvementIndustry:AgricultureCountry:United StatesLanguage:ENLoC:Fire exposure Origin: CSB Incident:Dust explosionHazards:ExplosiveContributory Factors:Runaway ReactionImpact:HUMAN (Offsite Fatalities)Effects:11 – 100 FatalitiesMaterial:Ammonium NitrateTopics:Occupied Buildings

202420AprAll DayDeepwater Horizon Blowout & Explosion 2010BP Macondo (US-GM)Lessons:Asset integrity,Commitment & Culture,Compliance with Standards,Contractor Management,Incident Investigation,Management of Change,Operating Procedures,Operational IntegrityIndustry:OffshoreCountry:United StatesLanguage:ENLoC:Overpressure Origin: CSB Incident:VCEHazards:FlammableContributory Factors:Containment FailureImpact:HUMAN (On Site Fatalities)Effects:11 – 100 FatalitiesMaterial:Crude Oil

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