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Inspection Detail
Inspection: 125869420 - Tosco Refining Company
Inspection Information - Office: American Canyon District Office
Site Address:
Tosco Refining Company
150 Solano Way
Martinez, CA 94553
Mailing Address:
Avon Refinery, Martinez, CA 94553
Union Status: Union
SIC:2911
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 08/04/1999
Emphasis:
Case Closed: 12/14/2001
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362085441 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 13 | 16 | 4 | 33 | ||
| Current Violations | 8 | 5 | 5 | 18 | ||
| Initial Penalty | $76,000 | $730,000 | $0 | $4,750 | $0 | $810,750 |
| Current Penalty | $41,000 | $350,000 | $0 | $9,000 | $0 | $400,000 |
| 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. | 01001 | Other | 5189 J040000B | 08/04/1999 | 11/08/2001 | $250 | $250 | $0 | 08/20/1999 | F - Formal Settlement | |
| 2. | 01002 | Other | 5218 D01 | 08/04/1999 | 11/08/2001 | $1,500 | $1,500 | $0 | 08/20/1999 | F - Formal Settlement | |
| 3. | 01003 | Other | 5218 E050000A | 08/04/1999 | 11/08/2001 | $1,500 | $1,500 | $0 | 08/20/1999 | F - Formal Settlement | |
| 4. | 01004 | Other | 5218 E050000B | 08/04/1999 | 11/08/2001 | $750 | $1,500 | $0 | 08/20/1999 | F - Formal Settlement | |
| 5. | 02001 | Serious | 1930 A01 | 08/04/1999 | 09/21/1999 | $0 | $7,000 | $0 | 08/20/1999 | F - Formal Settlement | Citation has been deleted. |
| 6. | 03001 | Serious | 3329 B | 08/04/1999 | 11/08/2001 | $7,000 | $7,000 | $0 | 08/20/1999 | F - Formal Settlement | |
| 7. | 04001 | Serious | 3329 D | 08/04/1999 | 09/21/1999 | $0 | $7,000 | $0 | 08/20/1999 | F - Formal Settlement | Citation has been deleted. |
| 8. | 05001 | Serious | 5189 D020000D | 08/04/1999 | 09/21/1999 | $0 | $7,000 | $0 | 08/20/1999 | F - Formal Settlement | Citation has been deleted. |
| 9. | 06001 | Serious | 5189 D030000C | 08/04/1999 | 09/21/1999 | $0 | $7,000 | $0 | 08/20/1999 | F - Formal Settlement | Citation has been deleted. |
| 10. | 07001 | Serious | 5189 E020000A | 08/04/1999 | 11/08/2001 | $7,000 | $7,000 | $0 | 08/20/1999 | F - Formal Settlement | |
| 11. | 08001 | Serious | 5189 J010000A | 08/04/1999 | 09/21/1999 | $0 | $7,000 | $0 | 08/20/1999 | F - Formal Settlement | Citation has been deleted. |
| 12. | 09001 | Serious | 5189 J020000C | 08/04/1999 | 09/21/1999 | $0 | $7,000 | $0 | 08/20/1999 | F - Formal Settlement | Citation has been deleted. |
| 13. | 10001 | Serious | 5189 K01 | 08/04/1999 | 09/21/1999 | $0 | $7,000 | $0 | 08/20/1999 | F - Formal Settlement | Citation has been deleted. |
| 14. | 11001 | Serious | 5189 O | 08/04/1999 | 11/08/2001 | $7,000 | $7,000 | $0 | 08/20/1999 | F - Formal Settlement | |
| 15. | 12001 | Serious | 5218 G010000B | 08/04/1999 | 11/08/2001 | $2,000 | $2,000 | $0 | 08/20/1999 | F - Formal Settlement | |
| 16. | 13001 | Serious | 5218 G010000D | 08/04/1999 | 11/08/2001 | $2,000 | $2,000 | $0 | 08/20/1999 | F - Formal Settlement | |
| 17. | 14001 | Serious | 5218 H | 08/04/1999 | 11/08/2001 | $2,000 | $2,000 | $0 | 08/20/1999 | F - Formal Settlement | |
| 18. | 15001 | Willful | 3204 E030000A | 08/04/1999 | 09/21/1999 | $0 | $5,000 | $0 | 08/20/1999 | F - Formal Settlement | Citation has been deleted. |
| 19. | 16001 | Willful | 5218 M020000B | 08/04/1999 | 09/21/2001 | $0 | $5,000 | $0 | 08/20/1999 | F - Formal Settlement | Citation has been deleted. |
| 20. | 17001 | Willful | 6857 H | 08/04/1999 | 09/21/1999 | $0 | $5,000 | $0 | 08/20/1999 | F - Formal Settlement | Citation has been deleted. |
| 21. | 18001 | Willful | 6857 H01 | 08/04/1999 | 09/21/1999 | $0 | $5,000 | $0 | 08/20/1999 | F - Formal Settlement | Citation has been deleted. |
| 22. | 19001 | Willful | 6857 H02 | 08/04/1999 | 09/21/1999 | $0 | $5,000 | $0 | 08/20/1999 | F - Formal Settlement | Citation has been deleted. |
| 23. | 20001 | Willful | 6857 H04 | 08/04/1999 | 09/21/1999 | $0 | $5,000 | $0 | 08/20/1999 | F - Formal Settlement | Citation has been deleted. |
| 24. | 21001 | Other | 5189 F010000B1 | 08/04/1999 | 11/08/2001 | $5,000 | $70,000 | $0 | 08/20/1999 | F - Formal Settlement | |
| 25. | 22001 | Willful | 5189 F04 | 08/04/1999 | 11/08/2001 | $70,000 | $70,000 | $0 | 08/20/1999 | F - Formal Settlement | |
| 26. | 23001 | Serious | 5189 H01 | 08/04/1999 | 11/08/2001 | $7,000 | $70,000 | $0 | 08/20/1999 | F - Formal Settlement | |
| 27. | 24001 | Willful | 5189 L01 | 08/04/1999 | 09/21/1999 | $0 | $70,000 | $0 | 08/20/1999 | F - Formal Settlement | Citation has been deleted. |
| 28. | 25001 | Serious | 6775 A | 08/04/1999 | 11/08/2001 | $7,000 | $70,000 | $0 | 08/20/1999 | F - Formal Settlement | |
| 29. | 26001 | Willful | 6815 A | 08/04/1999 | 11/08/2001 | $70,000 | $70,000 | $0 | 08/20/1999 | F - Formal Settlement | |
| 30. | 27001 | Willful | 6815 B | 08/04/1999 | 11/08/2001 | $70,000 | $70,000 | $0 | 08/20/1999 | F - Formal Settlement | |
| 31. | 28001 | Willful | 6815 C | 08/04/1999 | 11/08/2001 | $70,000 | $70,000 | $0 | 08/20/1999 | F - Formal Settlement | |
| 32. | 29001 | Willful | 6851 A | 08/04/1999 | 11/08/2001 | $70,000 | $70,000 | $0 | 08/20/1999 | F - Formal Settlement | |
| 33. | 30001 | Willful | 6857 B | 08/04/1999 | 09/21/1999 | $0 | $70,000 | $0 | 08/20/1999 | F - Formal Settlement | Citation has been deleted. |
Investigation Summary
On February 23, 1999, Employees #1 and #2, pipefitters, were engaged in a maintenance activity to remove and replace the naphtha draw piping, which had developed a leak, due to ammonium chloride corrosion. The employer decided to make the repair, while the process unit remained in operation, but failed to isolate the naphtha piping from the operating process prior to cutting into the line. The highly flammable gasoline-line, benzene-containing hydrocarbon flowed through openings in the line and onto the hot surfaces in the operating unit. The naphtha ignited, causing a fire near the bottom of the tower, which spread up and down the tower, engulfing both employees. Employee #1 was hospitalized for his burns, but Employee #2 died.
Keywords: BURN, MAINTENANCE, REPAIR, FIRE, LOCKOUT, NAPHTHA, PIPE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 125869420 | Hospitalized injury | Burn/Scald(Heat) | Plumbers, pipefitters and steamfitters | ||
| 2 | 125869420 | Fatality | Burn/Scald(Heat) | Supervisors; plumbers, pipefitters & steamfitters |