10.03.2017 Views

INVESTIGATION

2mrt9Hr

2mrt9Hr

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

Incident Summary (Reference #5605124)<br />

Incident Date September 22, 2016<br />

Location<br />

Regulated industry sector<br />

Chilliwack<br />

Gas / Propane system<br />

SUPPORTING INFORMATION<br />

Impact<br />

Injury<br />

Damage<br />

Incident rating<br />

Qty injuries 0<br />

Injury<br />

description<br />

Injury rating<br />

Damage<br />

description<br />

Damage rating<br />

Incident overview<br />

None<br />

None<br />

Fire damage to appliance installed outdoors next to fifth wheel trailer. Some charring and<br />

heat damage to the fiberglass exterior of the trailer slide out, trailer exterior and awning.<br />

Appliance total loss.<br />

Minor<br />

Minor<br />

A propane fired on demand water heater was installed in an old refrigerator on the outside of<br />

a fifth wheel trailer. During the operation of the heater a fire started at its installed location.<br />

The fire destroyed the water heater, the refrigerator it was installed in, and damaged the<br />

exterior of the fifth wheel trailer.<br />

Gas appliances installed in British Columbia require a certification mark from a recognised<br />

testing agency. The testing agency reviews the appliance and it’s components as well as the<br />

manufactures installation instructions.<br />

The on demand water heater: Make - Marey<br />

Model – GA10LPDP<br />

<strong>INVESTIGATION</strong> CONCLUSIONS<br />

Site, system and<br />

components<br />

The on demand water heater is fired by propane gas. Propane regulators on a fixed gas<br />

system lower the pressure of the gas in two separate stages. The first stage lowers the<br />

pressure from tank pressure to 10 psi, and the second stage lowers the gas pressure from 10<br />

psi to approximately 0.5 psi which is the inlet pressure required for most appliances. No<br />

hardwired electricity is required for its operation. When water flow is sensed a battery<br />

powered spark ignitor lights the main burners. The water passes through a series of tubes<br />

around the burners combustion chamber that heat the water for its end use. When the water<br />

flow stops the burners shut off and the unit sits idle until it senses water flow again. The<br />

water heater is designed to be permanently installed indoors. It should be piped into a<br />

permanent propane gas system and the flue exhaust of the unit should travel to the outdoors<br />

using an approved venting system.<br />

Failure scenario(s)<br />

The owner purchased the new uncertified water heater online. The owner installed the water<br />

heater himself in an old upside down RV refrigerator outdoors at the rear left hand corner of<br />

the fifth wheel behind the slide out portion of the trailer. The door of the refrigerator was left<br />

in the open position when the incident occurred.<br />

Propane gas was supplied to the unit from a 20lb propane cylinder using a single stage<br />

propane regulator on the cylinder and a 10 foot long 5/16 inside diameter propane hose. The<br />

hose had a 3/8 female brass flared fitting factory crimped on the end. The hose was<br />

connected to a 3/8” x 1/2” male flare brass fitting. The 1/2“ flared portion of the brass fitting<br />

BRITISH COLUMBIA SAFETY AUTHORITY<br />

www.safetyauthority.ca


Incident Summary (Reference #5605124)<br />

was incorrectly installed into a 1/2” female black iron coupling. The coupling is designed to<br />

accept 1/2 male iron pipe thread which is larger than the 1/2 brass fitting threads.<br />

A tight fitting hole was cut in refrigerator above the heater and a 4 foot long 4” diameter<br />

piece of double wall galvanized B-vent was placed on the flue outlet of the heater unsecured.<br />

The hot water tap was turned on in the trailer for the shower and within a minute or two a<br />

sound was heard and the occupant looked outside and saw smoke and flames coming from<br />

the water heater.<br />

Facts and evidence<br />

Appliance installation instructions<br />

- Unit designed for indoor installation<br />

- Venting should be secured to appliance using a vent connector<br />

Statement from the owner<br />

- He purchased the heater online and installed it himself with help from his neighbor.<br />

The fire incident report from the fire department<br />

- The appliance venting was sticking out of the refrigerator at an approximately 45<br />

degree angle when they arrived.<br />

Photos indicate<br />

- The most amount of wood charring was at the top of the wood frame installed in the<br />

refrigerator indicating fire source location<br />

- The fire pattern on the B-vent indicates the vent was on an angle when the fire was<br />

burning<br />

- The brass fitting on the gas line was incorrectly installed in the black iron coupling<br />

Causes and<br />

contributing factors<br />

It is likely that the unsecured venting for the unit became dislodged allowing the high<br />

temperature flue gasses to ignite the plastic and foam insulation of the refrigerator to. The<br />

resulting fire may have melted the rubber gas hose allowing gas to escape contributing to the<br />

fire damage.<br />

It is also plausible that the incorrect connection of the brass flare gas fitting into the black iron<br />

coupling leaked gas when the propane cylinder was turned. The gathering gas could have<br />

ignited when the hot water to the shower was turned on and the heater lit the main burners<br />

creating a source of ignition..<br />

Photos or diagrams (if necessary)<br />

BRITISH COLUMBIA SAFETY AUTHORITY<br />

www.safetyauthority.ca


On demand water heater installed in old refrigerator outdoors<br />

BRITISH COLUMBIA SAFETY AUTHORITY<br />

www.safetyauthority.ca


Burn Pattern from top down<br />

BRITISH COLUMBIA SAFETY AUTHORITY<br />

www.safetyauthority.ca


Fire pattern angle on B-vent<br />

BRITISH COLUMBIA SAFETY AUTHORITY<br />

www.safetyauthority.ca


Gas hose and fittings<br />

BRITISH COLUMBIA SAFETY AUTHORITY<br />

www.safetyauthority.ca


Incorrect brass fitting ( ½” flare fitting threaded into a ½” iron pipe thread<br />

coupling)<br />

BRITISH COLUMBIA SAFETY AUTHORITY<br />

www.safetyauthority.ca

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!