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Inspection Detail
Inspection: 100949288 - Tosco Corporation
Inspection Information - Office: Region 09; San Francisco
Site Address:
Tosco Corporation
Avon Refinery
Martinez, CA 94553
Mailing Address:
, , 00000
Union Status: Union
SIC:2911
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 04/06/1989
Planning Guide: Safety-Manufacturing
Emphasis:
Case Closed: 08/01/1989
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 360439020 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | 2 | |||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $1,000 | $0 | $0 | $0 | $0 | $1,000 |
| Current Penalty | $1,000 | $0 | $0 | $0 | $0 | $1,000 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001A | Serious | 5A0001 | 05/09/1989 | 07/30/1989 | $1,000 | $1,000 | $0 | I - Informal Settlement | ||
| 2. | 01001B | Serious | 19100145 C02 | 05/09/1989 | 06/30/1989 | $0 | $0 | $0 | I - Informal Settlement | ||
| 3. | 02001 | Other | 19100101 B | 05/09/1989 | 05/12/1989 | $0 | $0 | $0 | I - Informal Settlement |
Investigation Summary
On March 25, 1989, Employee #1 was operating a vacuum truck that was emptying a 5,682-liter lube oil reservoir for the compressor on an alkalization unit. Due to a mechanical failure of the compressor, isobutane mixed with seal oil and approximately 1135 liters of contaminated oil was pumped into the lube oil reservoir. The flash point of the oil was lowered from 198 degrees to 23 degrees Celsius. Employee #1 had not grounded or bonded the truck to control static electricity, and the flammable vapors ignited. The resulting explosion killed Employee #1, and caused first-, second-, and third-degree burns over the face, head, hands, and arms of Employee #2. Employee #2 was hospitalized for his injuries.
Keywords: BURN, COMPRESSOR, E GI V, STATIC ELECTRICITY, ELECTRICAL, FLAMMABLE VAPORS, LOW FLASH POINT, EXPLOSION, BONDING, MECH MALFUNCTION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 100949288 | Hospitalized injury | Burn/Scald(Heat) | Occupation not reported | ||
| 2 | 100949288 | Fatality | Other | Occupation not reported |