Inspection Detail

Inspection: 102796919 - Montana Refining Co.

Inspection Information - Office: Billings Area Office

Inspection Nr: 102796919

Report ID: 0830100

Date Opened: 03/14/1994

Site Address:
Montana Refining Co.
1900 10th St
Great Falls, MT 59404

Mailing Address:
, , 00000

Union Status: Union

SIC:2911

NAICS: 0

Inspection Type: Planned

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Health

Close Conference: 10/14/1994

Planning Guide: Health-Manufacturing

Emphasis:

Case Closed: 09/18/1997

Related Activity
Type	Activity Nr	Safety	Health
Accident	360330336
Referral	901401497	Yes	Yes

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	43	1		2	11	57
Current Violations				3	11	14
Initial Penalty	$269,600	$70,000	$0	$0	$170,000	$509,600
Current Penalty	$0	$0	$0	$0	$170,000	$170,000
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event	Note
1.	01001	Willful	19100134 B08	09/13/1994	09/16/1994	$70,000	$70,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
2.	02001	Serious	19100119 F01	09/13/1994	09/16/1994	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
3.	02002	Serious	19100119 G01 I	09/13/1994	09/16/1994	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
4.	02003	Serious	19101000 B02	09/13/1994	09/16/1994	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
5.	02004	Serious	19100132 A	09/13/1994	09/16/1994	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
6.	02005	Serious	19100134 B09	09/13/1994	10/15/1994	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
7.	02006	Serious	19100134 E03	09/13/1994	10/15/1994	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
8.	02007	Serious	19100119 C01	09/13/1994	10/15/1994	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
9.	02008	Serious	19100119 G02	09/13/1994	10/15/1994	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
10.	02009	Serious	19100119 G03	09/13/1994	10/15/1994	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
11.	02010	Serious	19100119 H02 III	09/13/1994	10/15/1994	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
12.	02011	Serious	19100119 H02 IV	09/13/1994	10/15/1994	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
13.	02012	Serious	19100119 J02	09/13/1994	11/14/1994	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
14.	02013	Serious	19100119 J04 III	09/13/1994	11/14/1994	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
15.	02014	Serious	19100120 Q02 X	09/13/1994	10/15/1994	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
16.	02015	Serious	19100120 Q02 XI	09/13/1994	10/15/1994	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
17.	02016	Serious	19101200 F05 I	09/13/1994	10/15/1994	$900	$900	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
18.	02017	Serious	19101200 F05 II	09/13/1994	10/15/1994	$900	$900	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
19.	02018	Serious	19101200 G02 VI	09/13/1994	10/15/1994	$900	$900	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
20.	02019	Serious	19101200 G02 VII	09/13/1994	10/15/1994	$900	$900	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
21.	03001	Other	19260058 N02 II	10/14/1994	10/15/1994	$0	$0	$0	10/20/1994	F - Formal Settlement
22.	03002	Other	19101200 F09	10/14/1994	10/15/1994	$0	$0	$0	10/20/1994	F - Formal Settlement
23.	03003	Other	19101200 G02 IV	10/14/1994	10/15/1994	$0	$0	$0	10/20/1994	F - Formal Settlement
24.	04001	Serious	19100119 E01	10/14/1994	04/15/1995	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
25.	04002	Serious	19100119 E03 I	10/14/1994	01/15/1995	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
26.	04003	Serious	19100119 E03 III	10/14/1994	01/15/1995	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
27.	04004	Serious	19100119 E03 IV	10/14/1994	01/15/1995	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
28.	04005	Serious	19100119 E03 V	10/14/1994	01/15/1995	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
29.	04006	Serious	19100119 E03 VI	10/14/1994	01/15/1995	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
30.	04007	Serious	19100119 E03 VII	10/14/1994	01/15/1995	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
31.	04008	Serious	19100119 E05	10/14/1994	12/16/1994	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
32.	04009	Serious	19100119 F01 IB	10/15/1994	12/16/1994	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
33.	04010	Serious	19100119 F01 IC	10/14/1994	12/16/1994	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
34.	04011	Serious	19100119 F01 ID	10/14/1994	12/16/1994	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
35.	04012	Serious	19100119 F01 IF	10/14/1994	12/16/1994	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
36.	04013	Serious	19100119 F01 IG	10/14/1994	12/16/1994	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
37.	04014	Serious	19100119 F01 II	10/14/1994	12/16/1994	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
38.	04015	Serious	19100119 F01 IIIA	10/14/1994	12/16/1994	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
39.	04016	Serious	19100119 F01 IIIB	10/14/1994	12/16/1994	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
40.	04017	Serious	19100119 F01 IV	10/14/1994	12/16/1994	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
41.	04018	Serious	19100119 L02 I	10/14/1994	11/16/1994	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
42.	04019	Serious	19100119 L02 II	10/14/1994	11/16/1994	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
43.	04020	Serious	19100119 L02 V	10/14/1994	11/16/1994	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
44.	04021	Serious	19100119 M03	10/14/1994	11/16/1994	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
45.	04022	Serious	19100119 M04 IV	10/14/1994	11/16/1994	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
46.	04023	Serious	19100119 M06	10/14/1994	11/16/1994	$7,000	$7,000	$0	10/20/1994	F - Formal Settlement	Citation has been deleted.
47.	05001A	Unclass	19100134 B08	06/17/1996	12/31/1996	$70,000	$70,000	$0		-
48.	05001B	Unclass	19100132 A	06/17/1996	12/31/1996	$0	$0	$0		-
49.	05001C	Unclass	19100134 B09	06/17/1996	12/31/1996	$0	$0	$0		-
50.	05001D	Unclass	19100134 E03	06/17/1996	12/31/1996	$0	$0	$0		-
51.	05001E	Unclass	19101000 B02	06/17/1996	12/31/1996	$0	$0	$0		-
52.	06001A	Unclass	19100120 Q02 X	06/17/1996	12/31/1996	$6,000	$6,000	$0		-
53.	06001B	Unclass	19100120 Q02 XI	06/17/1996	12/31/1996	$0	$0	$0		-
54.	06002A	Unclass	19101200 F05 I	06/17/1996	12/31/1996	$1,000	$1,000	$0		-
55.	06002B	Unclass	19101200 F05 II	06/17/1996	12/31/1996	$0	$0	$0		-
56.	06002C	Unclass	19101200 G02 VI	06/17/1996	12/31/1996	$0	$0	$0		-
57.	06002D	Unclass	19101200 G02 VII	06/17/1996	12/31/1996	$0	$0	$0		-
58.	07001	Unclass	19100119 C01	06/17/1996	12/31/1996	$3,000	$3,000	$0		-
59.	07002A	Unclass	19100119 E01	06/17/1996	12/31/1996	$24,000	$24,000	$0		-
60.	07002B	Unclass	19100119 E03 I	06/17/1996	12/31/1996	$0	$0	$0		-
61.	07002C	Unclass	19100119 E03 III	06/17/1996	12/31/1996	$0	$0	$0		-
62.	07002D	Unclass	19100119 E03 IV	06/17/1996	12/31/1996	$0	$0	$0		-
63.	07002E	Unclass	19100119 E03 V	06/17/1996	12/31/1996	$0	$0	$0		-
64.	07002F	Unclass	19100119 E03 VI	06/17/1996	12/31/1996	$0	$0	$0		-
65.	07002G	Unclass	19100119 E03 VII	06/17/1996	12/31/1996	$0	$0	$0		-
66.	07002H	Unclass	19100119 E05	06/17/1996	12/31/1996	$0	$0	$0		-
67.	07003A	Unclass	19100119 F01	06/17/1996	12/31/1996	$30,000	$30,000	$0		-
68.	07003B	Unclass	19100119 F01 IB	06/17/1996	12/31/1996	$0	$0	$0		-
69.	07003C	Unclass	19100119 F01 IC	06/17/1996	12/31/1996	$0	$0	$0		-
70.	07003D	Unclass	19100119 F01 ID	06/17/1996	12/31/1996	$0	$0	$0		-
71.	07003E	Unclass	19100119 F01 IF	06/17/1996	12/31/1996	$0	$0	$0		-
72.	07003F	Unclass	19100119 F01 IG	06/17/1996	12/31/1996	$0	$0	$0		-
73.	07003G	Unclass	19100119 F01 II	06/17/1996	12/31/1996	$0	$0	$0		-
74.	07003H	Unclass	19100119 F01 IIIA	06/17/1996	12/31/1996	$0	$0	$0		-
75.	07003I	Unclass	19100119 F01 IIIB	06/17/1996	12/31/1996	$0	$0	$0		-
76.	07003J	Unclass	19100119 F01 IV	06/17/1996	12/31/1996	$0	$0	$0		-
77.	07004A	Unclass	19100119 G01 I	06/17/1996	12/31/1996	$9,000	$9,000	$0		-
78.	07004B	Unclass	19100119 G02	06/17/1996	12/31/1996	$0	$0	$0		-
79.	07004C	Unclass	19100119 G03	06/17/1996	12/31/1996	$0	$0	$0		-
80.	07005A	Unclass	19100119 H02 III	06/17/1996	12/31/1996	$6,000	$6,000	$0		-
81.	07005B	Unclass	19100119 H02 IV	06/17/1996	12/31/1996	$0	$0	$0		-
82.	07006A	Unclass	19100119 J02	06/17/1996	12/31/1996	$6,000	$6,000	$0		-
83.	07006B	Unclass	19100119 J04 III	06/17/1996	12/31/1996	$0	$0	$0		-
84.	07007A	Unclass	19100119 L02 I	06/17/1996	12/31/1996	$9,000	$9,000	$0		-
85.	07007B	Unclass	19100119 L02 II	06/17/1996	12/31/1996	$0	$0	$0		-
86.	07007C	Unclass	19100119 L02 V	06/17/1996	12/31/1996	$0	$0	$0		-
87.	07008A	Unclass	19100119 M03	06/17/1996	12/31/1996	$6,000	$6,000	$0		-
88.	07008B	Unclass	19100119 M04 IV	06/17/1996	12/31/1996	$0	$0	$0		-
89.	07008C	Unclass	19100119 M06	06/17/1996	12/31/1996	$0	$0	$0		-

Investigation Summary

Investigation Nr: 882605

Event: 04/06/1994

Employee dies when overcome by hydrogen sulfide gas

Employee #1 was draining a fuel gas knockout drum in the hydrotreating unit of a petroleum refinery. He was overcome and killed by hydrogen sulfide gas.

Keywords: HYDROGEN SULFIDE, WORK RULES, TOXIC FUMES, OVEREXPOSURE, REFINERY

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	102796919			Fatality	Poisoning(Systemic)	Occupation not reported

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