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Inspection Detail
Inspection: 115410169 - Texaco Refining & Marketing
Inspection Information - Office: Dosh Everett Service Location, Everett, Wa
Site Address:
Texaco Refining & Marketing
600 S Texas Rd
Anacortes, WA 98221
Mailing Address:
Po Box 622, Anacortes, WA 98221
Union Status: Union
SIC:2911
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 07/01/1996
Emphasis:
Case Closed: 04/02/1998
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 361037195 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 1 | 3 | |||
| Current Violations | 2 | 1 | 3 | |||
| Initial Penalty | $5,390 | $0 | $0 | $0 | $0 | $5,390 |
| Current Penalty | $5,390 | $0 | $0 | $0 | $0 | $5,390 |
| 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 | 0240002001 A | 07/22/1996 | 07/01/1996 | $4,200 | $4,200 | $0 | - | ||
| 2. | 01001B | Serious | 0240004001 A 07 | 07/22/1996 | 07/01/1996 | $0 | $0 | $0 | - | ||
| 3. | 01001C | Serious | 0240002001 C | 07/22/1996 | 07/01/1996 | $0 | $0 | $0 | - | ||
| 4. | 01002 | Serious | 0240007302 | 07/22/1996 | 07/01/1996 | $1,190 | $1,190 | $0 | - | ||
| 5. | 02001 | Other | 0240004001 A 07 | 07/22/1996 | 08/04/1996 | $0 | $0 | $0 | - |
Investigation Summary
Employee #1 was applying pressurized steam heat to a small area between the shell cover and the floating head of a heat exchanger. The vent for this area had been blocked off because the exchanger had been taken out of service. The distance between the shell cover and the floating head was less than that specified by the manufacturer. Because of this small gap, the steam could not adequately escape when the other vent was blocked. This caused pressurized steam to build up until the 700 lb shell cover blew off the exchanger and struck Employee #1. She was killed instantly.
Keywords: AIR PRESSURE, VENTING, WORK RULES, STEAM, HEAT EXCHANGER, HIGH PRESSURE, STRUCK BY, FLYING OBJECT, PRESSURE RELEASE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 115410169 | Fatality | Fracture | Occupation not reported |