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Occupational Safety and Health Administration OSHA

Inspection Detail

Inspection: 300756822 - Arco Products Company

Inspection Information - Office: Ca Long Beach District Office

Nr: 300756822Report ID: 0950635Open Date: 10/08/1998

Arco Products Company
1801 E Sepulveda Blvd
Carson, CA 90745
Union Status: Union
SIC: 2911/Petroleum Refining
Mailing: P O Box 6210, Carson, CA 90749

Inspection Type:Accident
Scope:Partial Advanced Notice:N
Ownership:Private
Safety/Health:Safety Close Conference:04/06/1999
Close Case:11/24/2003

Related Activity:TypeIDSafetyHealth
 Accident362030900    

Violation Summary
Serious Willful Repeat Other Unclass Total
Initial Violations 6 7 13
Current Violations 3 6 9
Initial Penalty $12,965 $0 $0 $1,910 $0 $14,875
Current Penalty $11,405 $0 $0 $1,915 $0 $13,320
FTA Amount $0 $0 $0 $0 $0 $0

Violation Items
# ID Type Standard Issuance Abate Curr$ Init$ Fta$ Contest LastEvent
  1. 01001 Other 761 A 04/06/1999 05/05/1999 $0 $185 $0 05/28/1999 J - ALJ Decision
  2. 01002 Other 766 04/06/1999 05/05/1999 $185 $185 $0 05/28/1999 J - ALJ Decision
Deleted 3. 01003 Other 3277 J03 04/06/1999 05/05/1999 $0 $375 $0 05/28/1999 J - ALJ Decision
  4. 01004 Other 5189 D03 A2 04/06/1999 05/05/1999 $0 $185 $0 05/28/1999 J - ALJ Decision
Deleted 5. 01005 Other 5189 E04 04/06/1999 05/05/1999 $0 $185 $0 05/28/1999 J - ALJ Decision
  6. 01006 Other 5189 J02 B 04/06/1999 05/05/1999 $375 $375 $0 -
  7. 01007 Other 5189 F01 04/06/1999 05/05/1999 $420 $420 $0 -
  8. 02001 Serious 23400001 04/06/1999 04/23/1999 $1,405 $1,405 $0 -
  9. 03001 Other 3325 D 04/06/1999 05/05/1999 $935 $935 $0 05/28/1999 J - ALJ Decision
  10. 04001 Serious 3328 C 04/06/1999 04/09/1999 $5,000 $5,000 $0 05/28/1999 J - ALJ Decision
  11. 05001 Serious 5189 F01 A3 04/06/1999 05/05/1999 $5,000 $1,875 $0 05/28/1999 J - ALJ Decision
Deleted 12. 06001 Serious 5189 F01 B1 04/06/1999 05/05/1999 $0 $1,875 $0 05/28/1999 J - ALJ Decision
Deleted 13. 07001 Serious 5189 F01 C2 04/06/1999 05/05/1999 $0 $1,875 $0 05/28/1999 J - ALJ Decision

Accident Investigation Summary
Summary Nr: 201031960Event: 10/08/1998Employee Injured In Fall While Escaping Oil Refinery Fire
At 1:55 a.m. on October 8, 1998, Employee #1, a refinery operator, and his coworker assistant, were trying to stop a leak from the bottom head of a coke drum. Instead, the bottom head opened, releasing super-heated petroleum liquid that was above the auto-ignition temperature. A fire broke out and Employee #1, who had been standing by the bottom head, ran past an exit ladder, which was 16 ft from the bottom head flange periphery, to the west end of the platform. He jumped 40 ft to the ground and sustained internal injuries and multiple fractures on the right side of his body. The bottom head had a Hahn and Clay FACT (Force Actuated Closure Technology) system instead of the usual flanges. The FACT system worked somewhat like an hydraulically-driven Mason jar lid and consisted of the bottom flange of the coke drum, a sealing plate under that, and a force plate under that. There was a gasket between the bottom flange and the sealing plate. The force plate was suspended from the bottom flange by long retaining bolts. Between the sealing plate and the force plate were two sets of opposing wedges (which acted like the threads of a Mason jar), and an annular metallic balloon. The FACT could be closed by inflating the balloon with nitrogen, which pushed the sealing plate up against the gasket. The lower set of wedges were then rotated about 1-1/4 in. to tighten the wedges up against the sealing plate. The balloon was then deflated. Retightening was essentially a repeat of this procedure. A locking safety cam, which was supposed to fall into place when the system was in the closed position, had not been functioning for two weeks. The hydraulic controls, where the operator was working, were 26 ft from the bottom flange periphery. In order to help the hydraulics of the system, Employee #1 stood by the bottom head, encouraging the closing action by pounding on the hydraulic cylinder force tabs with a sledge hammer. The hydraulic valves which survived the fire (the cylinders did not) were tested for leaks and malfunctions, and none were found. After the fire, the FACT system was found in the open position. No explanation was evident, other than that Employee #1 had pushed the hydraulic lever in the 'open' direction when he was supposed to be retightening it. The FACT system manual stated that during retightening, "when the balloon is vented, the possibility of process stream leakage exists. Observe site safety precautions." The refinery's operating procedures did not discuss how the FACT was to be retightened or what the "site safety precautions" were.
Keywords: leak, fracture, repair, fire, oil line, coke drum, fall, spill, refinery, high temperature
Inspection Degree Nature Occupation
1 300756822 Hospitalized injury Fracture Miscellaneous plant and system operators

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