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 ...
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7.0 Reconstructive Analysis<br />
To determine the origin <strong>and</strong> cause of the fire <strong>and</strong> explosions, CSB examined <strong>and</strong> documented the scene.<br />
Appendix A provides a detailed listing of the fire <strong>and</strong> explosion damage. Laboratory testing was<br />
conducted to measure the explosibility of the phenolic resins used by <strong>CTA</strong> (Appendix B), <strong>and</strong> equipment<br />
was tested to determine if it was involved in causing the incident (Appendix C). Through this<br />
reconstructive analysis, CSB determined that a combustible phenolic resin dust fueled the fire <strong>and</strong><br />
explosions. Natural gas was also considered a possible ignition fuel but was ruled out following a<br />
detailed investigation.<br />
7.1 Fire <strong>and</strong> Explosion Scene Investigation<br />
CSB initiated its investigation on the morning of February 21, the day after the incident. The West Knox<br />
Fire Department had secured the plant site. ATF, the Kentucky State Fire Marshal, <strong>and</strong> the Arson<br />
Division of the Kentucky State Police Department also conducted investigations during the first few days.<br />
These organizations determined that the fire <strong>and</strong> initial explosion originated near production line 405.<br />
They found no evidence of criminal involvement. Kentucky OSH conducted an inspection <strong>and</strong> issued<br />
citations.<br />
7.1.1 Origin <strong>and</strong> Cause Determination<br />
The purpose of the CSB origin <strong>and</strong> cause determination was to identify the following:<br />
• First material ignited (the initial fuel).<br />
• Possible source of ignition.<br />
• Event(s) that brought the fuel <strong>and</strong> energy source together to produce the initiating event.<br />
CSB determined the origin of the fire <strong>and</strong> explosions by analyzing the following information:<br />
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