Inspection Detail
Inspection: 303081145 - Cf Industries, Inc.
Inspection Information - Office: Baton Rouge Area Office
Site Address:
Cf Industries, Inc.
39018 Hwy 3089
Donaldsonville, LA 70346
Mailing Address:
P.O. Box 468, Donaldsonville, LA 70346
Union Status: NonUnion
SIC:2873
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: Y
Ownership: Private
Safety/Health: Safety
Close Conference: 11/17/2000
Emphasis: N:Psmpqv
Case Closed: 02/26/2002
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 100551571 | ||
| Accident | 100551589 | ||
| Accident | 100551613 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 12 | 2 | 14 | |||
| Current Violations | 12 | 2 | 14 | |||
| Initial Penalty | $149,850 | $0 | $0 | $0 | $0 | $149,850 |
| Current Penalty | $149,850 | $0 | $0 | $0 | $0 | $149,850 |
| 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 | Serious | 19100119 D03 II | 11/22/2000 | 11/30/2000 | $149,850 | $149,850 | $0 | - | ||
| 2. | 01002 | Serious | 19100119 E05 | 11/22/2000 | 03/26/2001 | $0 | $0 | $0 | - | ||
| 3. | 01003 | Serious | 19100119 J04 IV | 11/22/2000 | 11/30/2000 | $0 | $0 | $0 | - | ||
| 4. | 01004 | Serious | 19100119 K01 | 11/22/2000 | 11/30/2000 | $0 | $0 | $0 | - | ||
| 5. | 01005 | Serious | 19100119 L01 | 11/22/2000 | 11/30/2000 | $0 | $0 | $0 | - | ||
| 6. | 01006A | Serious | 19100119 M01 | 11/22/2000 | 11/30/2000 | $0 | $0 | $0 | - | ||
| 7. | 01006B | Serious | 19100132 A | 11/22/2000 | 02/28/2001 | $0 | $0 | $0 | - | ||
| 8. | 01007 | Serious | 19100119 M03 | 11/22/2000 | 11/30/2000 | $0 | $0 | $0 | - | ||
| 9. | 01008A | Serious | 19100119 O03 | 11/22/2000 | 01/24/2001 | $0 | $0 | $0 | - | ||
| 10. | 01008B | Serious | 19100119 O04 | 11/22/2000 | 01/24/2001 | $0 | $0 | $0 | - | ||
| 11. | 01009 | Serious | 19100120 Q03 I | 11/22/2000 | 12/27/2000 | $0 | $0 | $0 | - | ||
| 12. | 01010A | Serious | 19100146 E05 II | 11/22/2000 | 12/11/2000 | $0 | $0 | $0 | - | ||
| 13. | 01010B | Serious | 19100252 C04 I | 11/22/2000 | 11/30/2000 | $0 | $0 | $0 | - | ||
| 14. | 01011A | Serious | 19100146 E05 I | 11/22/2000 | 12/11/2000 | $0 | $0 | $0 | - | ||
| 15. | 01011B | Serious | 19100146 E06 | 11/22/2000 | 12/11/2000 | $0 | $0 | $0 | - | ||
| 16. | 01011C | Serious | 19100146 F02 | 11/22/2000 | 12/11/2000 | $0 | $0 | $0 | - | ||
| 17. | 01011D | Serious | 19100146 F06 | 11/22/2000 | 12/11/2000 | $0 | $0 | $0 | - | ||
| 18. | 01011E | Serious | 19100146 F10 | 11/22/2000 | 12/11/2000 | $0 | $0 | $0 | - | ||
| 19. | 01012A | Serious | 19100146 I01 | 11/22/2000 | 02/28/2001 | $0 | $0 | $0 | - | ||
| 20. | 01012B | Serious | 19100146 I02 | 11/22/2000 | 02/28/2001 | $0 | $0 | $0 | - | ||
| 21. | 01012C | Serious | 19100146 J01 | 11/22/2000 | 02/28/2001 | $0 | $0 | $0 | - | ||
| 22. | 01012D | Serious | 19100146 J02 | 11/22/2000 | 12/11/2000 | $0 | $0 | $0 | - | ||
| 23. | 02001 | Unclass | 19100119 J02 | 11/22/2000 | 05/31/2001 | $0 | $0 | $0 | - | ||
| 24. | 02002A | Unclass | 19100119 J04 II | 11/22/2000 | 11/30/2000 | $0 | $0 | $0 | - | ||
| 25. | 02002B | Unclass | 19100119 J05 | 11/22/2000 | 11/30/2000 | $0 | $0 | $0 | - |
Investigation Summary
At approximately 11:30 p.m. on May 24, 2000, Employees #1 through #12 were working in the #3 ammonia plant. Employee #7 was vacuuming desiccant from inside mole sieve vessel #109D-B, which was adjacent to vessel 109D-C. The 109D-C was one of three identical vessels at the facility that removed moisture and carbon monoxide from a synthesis gas used in the manufacture of ammonia. The 109D-C, which had been taken off line to replace its desiccant material, had been online for approximately 11 1/2 hours when the vessel exploded into flame. Employee #7 was killed instantly in the explosion. Employees #2 through #4 and #8 through 11, who were working as his attendants or were conversing with the client's representatives, all suffered severe burns. No information on injuries was provided for Employee #5. Employee #12, a forklift driver, was thrown during the blast and suffered injuries to his neck and back. Employee #6, a crane operator for the permanent maintenance contractor, suffered from severe burns and was hospitalized for several weeks before he died. Employee #1, an ammonia operator, was standing on the catwalk above the 109D-C when it exploded. He also suffered severe burns and died several weeks later. Subsequent inspection of the vessel revealed a cracked weld. Apparently, an inadequate repair job had been made to the weld two days before the accident.
Keywords: EXPLOSION, BURN, EJECTED, FIRE, BROKEN WELD, AMMONIA, STORAGE TANK, INADEQUATE MAINT
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 303081145 | Hospitalized injury | Burn/Scald(Heat) | Occupation not reported | ||
| 2 | 303081145 | Hospitalized injury | Burn/Scald(Heat) | Occupation not reported | ||
| 3 | 303081145 | Hospitalized injury | Burn/Scald(Heat) | Occupation not reported | ||
| 4 | 303081145 | Fatality | Burn/Scald(Heat) | Occupation not reported |
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