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Occupational Safety and Health Administration OSHA

Inspection Detail

Inspection: 120337290 - Kern Oil And Refining Company

Inspection Information - Office: Ca Concord (Psm N.)

Nr: 120337290Report ID: 0950627Open Date: 01/19/2005

Kern Oil And Refining Company
7724 East Panama Lane
Bakersfield, CA 93307
Union Status: NonUnion
SIC: 2911/Petroleum Refining
NAICS: 324110/Petroleum Refineries

Inspection Type:Accident
Scope:Partial Advanced Notice:N
Ownership:Private
Safety/Health:Safety Close Conference:06/14/2005
Close Case:06/01/2008

Related Activity:TypeIDSafetyHealth
 Accident362329252    

Violation Summary
Serious Willful Repeat Other Unclass Total
Initial Violations 10 9 19
Current Violations 5 6 11
Initial Penalty $78,740 $0 $0 $4,445 $0 $83,185
Current Penalty $29,250 $0 $0 $4,545 $0 $33,795
FTA Amount $0 $0 $0 $0 $0 $0

Violation Items
# ID Type Standard Issuance Abate Curr$ Init$ Fta$ Contest LastEvent
  1. 01001 Other 770 A 06/17/2005 03/31/2008 $375 $375 $0 06/27/2005 W - Empr Withdrew
Deleted 2. 01002 Other 5189 D03 A6 06/17/2005 07/20/2005 $0 $375 $0 06/27/2005 D - Govt Dismissed
Deleted 3. 01003 Other 5162 E 06/17/2005 07/20/2005 $0 $420 $0 06/27/2005 D - Govt Dismissed
  4. 01004 Other 5189 D01 D 06/17/2005 03/31/2008 $420 $420 $0 06/27/2005 W - Empr Withdrew
Deleted 5. 01005 Other 5189 D02 D 06/17/2005 07/20/2005 $0 $420 $0 06/27/2005 D - Govt Dismissed
  6. 01006 Other 5189 D02 E 06/17/2005 03/31/2008 $750 $750 $0 06/27/2005 W - Empr Withdrew
Deleted 7. 01007 Other 5189 E04 06/17/2005 07/20/2005 $0 $750 $0 06/27/2005 D - Govt Dismissed
  8. 01008 Other 5189 G01 06/17/2005 03/31/2008 $750 $750 $0 06/27/2005 W - Empr Withdrew
Deleted 9. 01009 Other 5189 P 06/17/2005 07/20/2005 $0 $185 $0 06/27/2005 D - Govt Dismissed
Deleted 10. 02001 Serious 5162 C 06/17/2005 06/27/2005 $0 $5,060 $0 06/27/2005 D - Govt Dismissed
  11. 03001 Other 5189 B03 D 06/17/2005 03/31/2008 $1,125 $5,060 $0 06/27/2005 J - ALJ Decision
  12. 04001 Serious 5189 E01 06/17/2005 03/31/2008 $6,750 $6,750 $0 06/27/2005 W - Empr Withdrew
  13. 05001 Serious 5189 E02 F 06/17/2005 03/31/2008 $0 $6,750 $0 06/27/2005 J - ALJ Decision
  14. 06001 Serious 5189 F01 06/17/2005 03/31/2008 $22,500 $8,435 $0 06/27/2005 J - ALJ Decision
  15. 07001 Serious 5189 F01 A3 06/17/2005 03/31/2008 $0 $18,000 $0 06/27/2005 J - ALJ Decision
  16. 08001 Serious 5189 F01 B 06/17/2005 03/31/2008 $0 $6,750 $0 06/27/2005 J - ALJ Decision
Deleted 17. 09001 Serious 5189 F01 C4 06/17/2005 06/27/2005 $0 $6,750 $0 06/27/2005 D - Govt Dismissed
Deleted 18. 10001 Serious 5189 J01 A 06/17/2005 06/27/2005 $0 $6,750 $0 06/27/2005 D - Govt Dismissed
  19. 11001 Other 5189 J02 C 06/17/2005 03/31/2008 $1,125 $8,435 $0 06/27/2005 J - ALJ Decision

Accident Investigation Summary
Summary Nr: 201487519Event: 01/19/2005One Employee Dies, Two Are Injured In Refinery Explosion
At approximately 9:30 a.m. on January 19, 2005, Employee #1 and Employee #2, of the Kern Oil & Refining Co., were isolating and cleaning a series of three pumps at the Kern refinery in Bakersfield, California, while Employee #3 observed the cleaning operation from a distance. The three workers were starting up the refinery's crude unit. They were experiencing screen plugging from crude unit particles inside the crude unit's prefractionator reboiler pump (pump). The screens commonly become plugged during start-up operations. After the charge pump is isolated, workers clean the pump body by injecting pressurized steam into it. Normally the mix of residual crude oil and pressurized steam is removed through a small outlet in the valve body. Employee #1 connected a 40 psi steam line to the top of the pump body. The flexible removable steam line connects to a Chicago fitting on the top of the pump. Just before the explosion, Employee #1 had cracked open the steam line, letting steam into the pump. An uncontrolled pressure event immediately ensued. The overpressurization of the pump body assembly caused the pump suction flange, strainer outlet flange, and flex connector to blow out violently. The spraying hot oil and the fire started by the explosion caused burns to Employees #1, #2, and #3. Employee #1 sustained third and second degree burns over 50 percent of his body and later died. Employee #2 suffered first and second degree burns over his back. Employee #3 suffered first degree burns on his face. Employees #1 and #2 were treated at the Grossman Burn Center at Sherman Oaks Hospital. Employee #3 was treated locally in Bakersfield.
Keywords: burn, steam, back, explosion, face, pump, refinery
Inspection Degree Nature Occupation
1 120337290 Hospitalized injury Burn/Scald(Heat) Occupation not reported
2 120337290 Fatality Burn/Scald(Heat) Occupation not reported
3 120337290 Hospitalized injury Burn/Scald(Heat) Mechanical controls and valve repairers

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