CTA Report, Draft 1, ISP Review - US Chemical Safety and Hazard ...

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Subtree B Fire in 405 oven Oven has openings to allow process material to pass through it 405 oven doors open Combustible material in 405 oven caught on fire Normal Fire in oven 405 not detected 405 oven operating too hot Safety consequence of operation with oven doors open not evaluated Crew involved in cleaning elsewhere No fire detection/ suppression system in oven Corrective actions for previous oven fires LTA Heat produced by 405 oven caused ignition of material Buildup of combustible material in 405 oven 405 oven temperature control was malfunctioning Nonroutine operations management LTA Normal Oven safety guidelines such as NFPA 86 not followed Identification of underlying causes LTA 405 oven on Oven cleaning frequency LTA Oven temperature control problem not repaired CTA incident investigation program LTA Normal Maintenance program LTA 126
Subtree C Most CTA personnel had a lack of understanding of explosive hazards of combustible dusts CTA hazard communication program did not address combustible dusts Borden Chemical did not explicitly communicate the explosive hazards of phenolic resins to CTA CTA did not implement effective measures to prevent combustible dust explosions Borden Chemical product stewardship program LTA CTA did not obtain and apply NFPA 654 guidelines 127
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KEY ISSUES: U.S. CHEMICAL S AFETY A
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5.1.2 Line 405 Oven Temperature Con
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9.1 FM Global Guidelines...........
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Figures 1 Simplified Layout of CTA
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ACC American Chemistry Council Acro
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Executive Summary A February 20, 20
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1.0 Introduction At approximately 7
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2.0 Key Findings 1. Combustible phe
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3.0 Facility Description 3.1 CTA Ac
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eams. Nonload-bearing masonry block
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Thirteen-foot-high freestanding enc
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4.0 Process Description The product
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4.1.2 Mat-former and Baghouse In th
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Circulating fans and dampers direct
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• Manually striking baghouse bags
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5.0 Incident Description 5.1 Pre-In
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• The line was one week past due
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forklift with a semi-enclosed cab d
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panels and lights down inside the b
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occurred in the southeast corner of
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5.3.3 Firefighting Activities 5.3.3
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5.4 Incident Aftermath The CTA inci
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6.0 Understanding Combustible Dust
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As depicted in Figure 11 (Eckhoff,
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Figure 12. Mechanism for a dust fir
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7.0 Reconstructive Analysis To dete
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urned clean but otherwise intact an
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7.1.2 Other Possible Initiating Eve
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Table 3 Borden Chemical Black Pheno
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7.3 Line 405 Equipment Testing CSB
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determine if those products are haz
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that the phenolic resin could explo
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A 1998 internal Borden Chemical mem
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• Characterize new and existing p
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CTA that phenolic resins, when susp
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CTA department supervisors were res
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8.5 Work Practices 8.5.1 Production
Page 75 and 76: operating the oven with the doors o
Page 77 and 78: 8.7 Incident Investigations The inc
Page 79 and 80: • Excessive accumulations of comb
Page 81 and 82: Data Sheet 6-9 also states: Clean o
Page 83 and 84: Table 5 Insurance Company Dust Issu
Page 85 and 86: standards (Appendix D). Kentucky OS
Page 87 and 88: 10.2.2 Division of Building Codes E
Page 89 and 90: 11.0 Combustible Dust Hazard Study
Page 91 and 92: 4. The Borden Chemical product stew
Page 93 and 94: 13.0 Recommendations CSB developed
Page 95 and 96: Kentucky Office of Occupational Saf
Page 97 and 98: BY THE U.S. Chemical Safety and Haz
Page 99 and 100: Lawson, Robert G., 1984. Beverly Hi
Page 101 and 102: APPENDIX A: Fire and Explosion Dama
Page 103 and 104: APPENDIX B: Laboratory Testing of P
Page 105 and 106: B.2 Minimum Explosible Concentratio
Page 107 and 108: B.4 Propagating Brush Discharge Ign
Page 109 and 110: Material Corona Charge Voltage (kV)
Page 111 and 112: APPENDIX C: Equipment Testing Line
Page 113 and 114: II controllers, only manufactured a
Page 115 and 116: Therefore, at any given time, it wa
Page 117 and 118: APPENDIX D: NFPA Guidelines In prom
Page 119 and 120: D.2 Other Pertinent NFPA Codes D.2.
Page 121 and 122: APPENDIX E: HMIS Rating System The
Page 123 and 124: APPENDIX F: Simplified Organization
Page 125: Subtree A Second dust explosion abo
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