CTA Report, Draft 1, ISP Review - US Chemical Safety and Hazard ...
CTA Report, Draft 1, ISP Review - US Chemical Safety and Hazard ...
CTA Report, Draft 1, ISP Review - US Chemical Safety and Hazard ...
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
Subtree B<br />
Fire in 405 oven<br />
Oven has<br />
openings to allow<br />
process material<br />
to pass through it<br />
405 oven doors<br />
open<br />
Combustible<br />
material in 405<br />
oven caught on<br />
fire<br />
Normal<br />
Fire in oven 405<br />
not detected<br />
405 oven<br />
operating too hot<br />
<strong>Safety</strong><br />
consequence of<br />
operation with<br />
oven doors open<br />
not evaluated<br />
Crew involved in<br />
cleaning<br />
elsewhere<br />
No fire detection/<br />
suppression<br />
system in oven<br />
Corrective<br />
actions for<br />
previous oven<br />
fires LTA<br />
Heat produced by<br />
405 oven caused<br />
ignition of<br />
material<br />
Buildup of<br />
combustible<br />
material in 405<br />
oven<br />
405 oven<br />
temperature<br />
control was<br />
malfunctioning<br />
Nonroutine<br />
operations<br />
management LTA<br />
Normal<br />
Oven safety<br />
guidelines such<br />
as NFPA 86 not<br />
followed<br />
Identification of<br />
underlying<br />
causes LTA<br />
405 oven on<br />
Oven cleaning<br />
frequency LTA<br />
Oven<br />
temperature<br />
control problem<br />
not repaired<br />
<strong>CTA</strong> incident<br />
investigation<br />
program LTA<br />
Normal<br />
Maintenance<br />
program LTA<br />
126