Inspection Detail

Inspection: 108729682 - Clark Oil Refining Corporation

Inspection Information - Office: Chicago South Area Office

Inspection Nr: 108729682

Report ID: 0521700

Date Opened: 03/13/1995

Site Address:
Clark Oil Refining Corporation
131st & Kedzie
Blue Island, IL 60406

Mailing Address:
, , 00000

Union Status: Union

SIC:2911

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Health

Close Conference: 08/23/1995

Planning Guide: Health-Manufacturing

Emphasis:

Case Closed: 03/16/2001

Related Activity
Type	Activity Nr	Safety	Health
Accident	360428304

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations					62	62
Current Violations					62	62
Initial Penalty	$0	$0	$0	$0	$1,257,000	$1,257,000
Current Penalty	$0	$0	$0	$0	$1,257,000	$1,257,000
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	Latest Event
1.	01001	Unclass	5A0001	09/13/1995	09/12/1996	$70,000	$70,000	$0	-
2.	01002	Unclass	5A0001	09/13/1995	09/12/1996	$70,000	$70,000	$0	-
3.	01003A	Unclass	5A0001	09/13/1995	02/01/1996	$5,000	$5,000	$0	-
4.	01003B	Unclass	5A0001	09/13/1995	04/01/1996	$0	$0	$0	-
5.	01004A	Unclass	5A0001	09/13/1995	09/25/1995	$5,000	$5,000	$0	-
6.	01004B	Unclass	5A0001	09/13/1995	04/01/1996	$0	$0	$0	-
7.	01005	Unclass	5A0001	09/13/1995	12/15/1995	$5,000	$5,000	$0	-
8.	01006	Unclass	19100023 C01	09/13/1995	11/01/1995	$5,000	$5,000	$0	-
9.	01007	Unclass	19100106 C05	09/13/1995	06/03/1996	$3,500	$3,500	$0	-
10.	01008	Unclass	19100119 C02	09/13/1995	10/02/1995	$2,000	$2,000	$0	-
11.	01009	Unclass	19100119 D03 IB	09/13/1995	11/01/1995	$2,000	$2,000	$0	-
12.	01010	Unclass	19100119 D03 ID	09/13/1995	05/01/1996	$70,000	$70,000	$0	-
13.	01011A	Unclass	19100119 D03 IE	09/13/1995	01/02/1996	$3,500	$3,500	$0	-
14.	01011B	Unclass	19100119 D03 IF	09/13/1995	01/02/1996	$0	$0	$0	-
15.	01012A	Unclass	19100119 E01	09/13/1995	11/01/1995	$70,000	$70,000	$0	-
16.	01012B	Unclass	19100119 E05	09/13/1995	10/16/1995	$0	$0	$0	-
17.	01013	Unclass	19100119 E03 I	09/13/1995	09/17/1995	$5,000	$5,000	$0	-
18.	01014	Unclass	19100119 E03 II	09/13/1995	01/02/1996	$5,000	$5,000	$0	-
19.	01015	Unclass	19100119 E05	09/13/1995	10/16/1995	$3,500	$3,500	$0	-
20.	01016	Unclass	19100119 F01 I	09/13/1995	04/01/1996	$55,000	$55,000	$0	-
21.	01017	Unclass	19100119 F01 II	09/13/1995	04/01/1996	$55,000	$55,000	$0	-
22.	01018	Unclass	19100119 F01 III	09/13/1995	12/01/1995	$55,000	$55,000	$0	-
23.	01019	Unclass	19100119 F01 IV	09/13/1995	12/01/1995	$55,000	$55,000	$0	-
24.	01020	Unclass	19100119 F02	09/13/1995	10/16/1995	$5,000	$5,000	$0	-
25.	01021	Unclass	19100119 F04	09/13/1995	04/01/1996	$5,000	$5,000	$0	-
26.	01022	Unclass	19100119 G01 I	09/13/1995	04/01/1996	$70,000	$70,000	$0	-
27.	01023	Unclass	19100119 G02	09/13/1995	04/01/1996	$5,000	$5,000	$0	-
28.	01024	Unclass	19100119 G03	09/13/1995	01/02/1996	$3,500	$3,500	$0	-
29.	01025	Unclass	19100119 H02 I	09/13/1995	01/02/1996	$55,000	$55,000	$0	-
30.	01026	Unclass	19100119 H02 IV	09/13/1995	12/01/1995	$2,500	$2,500	$0	-
31.	01027	Unclass	19100119 H02 V	09/13/1995	01/02/1996	$5,000	$5,000	$0	-
32.	01028	Unclass	19100119 J02	09/13/1995	06/03/1996	$55,000	$55,000	$0	-
33.	01029	Unclass	19100119 J03	09/13/1995	04/01/1996	$70,000	$70,000	$0	-
34.	01030A	Unclass	19100119 J04 II	09/13/1995	11/01/1995	$70,000	$70,000	$0	-
35.	01030B	Unclass	19100119 J04 III	09/13/1995	01/02/1996	$0	$0	$0	-
36.	01031	Unclass	19100119 J04 IV	09/13/1995	10/16/1995	$5,000	$5,000	$0	-
37.	01032	Unclass	19100119 J05	09/13/1995	06/03/1998	$70,000	$70,000	$0	A - Amendment
38.	01033	Unclass	19100119 J05	09/13/1995	11/01/1995	$2,500	$2,500	$0	-
39.	01034	Unclass	19100119 J06 II	09/13/1995	09/12/1996	$3,500	$3,500	$0	-
40.	01035	Unclass	19100119 K02	09/13/1995	01/02/1996	$2,500	$2,500	$0	-
41.	01036	Unclass	19100119 L01	09/13/1995	11/01/1995	$5,000	$5,000	$0	-
42.	01037	Unclass	19100119 L04	09/13/1995	11/01/1995	$2,000	$2,000	$0	-
43.	01038	Unclass	19100119 M01	09/13/1995	10/16/1995	$5,000	$5,000	$0	-
44.	01039	Unclass	19100119 M04 IV	09/13/1995	01/02/1996	$2,500	$2,500	$0	-
45.	01040	Unclass	19100119 O01	09/13/1995	10/16/1995	$2,000	$2,000	$0	-
46.	01041	Unclass	19100120 Q01	09/13/1995	11/15/1995	$5,000	$5,000	$0	-
47.	01042	Unclass	19100120 Q02 VII	09/13/1995	04/01/1996	$5,000	$5,000	$0	-
48.	01043	Unclass	19100120 Q06	09/13/1995	04/01/1996	$5,000	$5,000	$0	-
49.	01044	Unclass	19100120 Q08 I	09/13/1995	11/01/1995	$5,000	$5,000	$0	-
50.	01045A	Unclass	19100132 A	09/13/1995	10/16/1995	$5,000	$5,000	$0	-
51.	01045B	Unclass	19100132 D01	09/13/1995	06/03/1996	$0	$0	$0	-
52.	01046	Unclass	19100146 C02	09/13/1995	10/16/1995	$2,500	$2,500	$0	-
53.	01047A	Unclass	19100146 D14	09/13/1995	12/01/1995	$1,500	$1,500	$0	-
54.	01047B	Unclass	19100146 E05 I	09/13/1995	10/16/1995	$0	$0	$0	-
55.	01047C	Unclass	19100146 F04	09/13/1995	10/16/1995	$0	$0	$0	-
56.	01047D	Unclass	19100146 F09	09/13/1995	10/16/1995	$0	$0	$0	-
57.	01048A	Unclass	19100147 C04 I	09/13/1995	04/01/1996	$70,000	$70,000	$0	-
58.	01048B	Unclass	19100147 C06 I	09/13/1995	11/30/1995	$0	$0	$0	-
59.	01048C	Unclass	19100147 F03 I	09/13/1995	04/01/1996	$0	$0	$0	-
60.	01049A	Unclass	19100147 C05 II	09/13/1995	12/01/1995	$5,000	$5,000	$0	-
61.	01049B	Unclass	19100147 C05 IIC2	09/13/1995	11/01/1995	$0	$0	$0	-
62.	01050A	Unclass	19100147 D03	09/13/1995	10/02/1995	$70,000	$70,000	$0	-
63.	01050B	Unclass	19100147 D04 I	09/13/1995	10/16/1995	$0	$0	$0	-
64.	01050C	Unclass	19100147 D05 I	09/13/1995	10/02/1995	$0	$0	$0	-
65.	01050D	Unclass	19100147 D06	09/13/1995	10/02/1995	$0	$0	$0	-
66.	01051	Unclass	19100147 F02 I	09/13/1995	10/16/1995	$5,000	$5,000	$0	-
67.	01052A	Unclass	19100156 C01	09/13/1995	04/01/1996	$5,000	$5,000	$0	-
68.	01052B	Unclass	19100156 C02	09/13/1995	10/16/1995	$0	$0	$0	-
69.	01053	Unclass	19100307 B	09/13/1995	03/15/1996	$55,000	$55,000	$0	-
70.	01054A	Unclass	19101001 D02 I	09/13/1995	01/02/1996	$5,000	$5,000	$0	-
71.	01054B	Unclass	19260058 F02 I	09/13/1995	01/02/1996	$0	$0	$0	-
72.	01055	Unclass	19101001 D07 I	09/13/1995	01/02/1996	$2,500	$2,500	$0	-
73.	01056	Unclass	19101001 F01 I	09/13/1995	11/01/1995	$2,500	$2,500	$0	-
74.	01057	Unclass	19101001 J02 I	09/13/1995	06/03/1996	$2,500	$2,500	$0	-
75.	01058	Unclass	19101028 E02 I	09/13/1995	06/03/1996	$2,500	$2,500	$0	-
76.	01059	Unclass	19101028 F02 I	09/13/1995	06/03/1996	$2,500	$2,500	$0	-
77.	01060	Unclass	19101028 J01 II	09/13/1995	01/02/1996	$2,500	$2,500	$0	-
78.	01061A	Unclass	19101200 F06	09/13/1995	09/26/1995	$5,000	$5,000	$0	-
79.	01061B	Unclass	19101200 H02 IV	09/13/1995	11/01/1995	$0	$0	$0	-
80.	01062	Unclass	19261101 E02	09/13/1995	01/02/1996	$2,500	$2,500	$0	-

Investigation Summary

Investigation Nr: 14355879

Event: 03/13/1995

Two employees killed, three injured in explosion

Employees #3, #4, and #5 were attempting to replace a 4 in. gate valve without draining the system, locking out, or relieving the pressure. When the last bolt on the face of the gate valve was removed, a naphtha-gasoline mixture, which was under approximately 70 psig, was released. Fumes from the mixture entered a building approximately 65 ft away. The fumes ignited and caused the deaths of Employees #1 and #2 in the building and the injury of Employees #3, #4, and #5 working on the gate valve.

Keywords: BURN, REPAIR, VAPOR, WORK RULES, GAS, LOCKOUT, NAPHTHA, EXPLOSION, VALVE, GASOLINE

Investigated Inspection
#	Inspection	Degree of Injury	Nature of Injury	Occupation
1	108729682	Fatality	Burn/Scald(Heat)	Occupation not reported
2	108729682	Fatality	Burn/Scald(Heat)	Occupation not reported
3	108729682	Hospitalized injury	Burn/Scald(Heat)	Occupation not reported
4	108729682	Hospitalized injury	Burn/Scald(Heat)	Occupation not reported
5	108729682	Hospitalized injury	Burn/Scald(Heat)	Occupation not reported

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