Case Study - BLSR OPERATING, LTD Fire Incident - Rev.0
Case Study - BLSR OPERATING, LTD Fire Incident - Rev.0
Case Study - BLSR OPERATING, LTD Fire Incident - Rev.0
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In January 2003
Source :
U.S. C HEMICAL S AFETY AND H AZARD I NVESTIGATION B OARD
CONTENTS
THE INCIDENT
PRE-INCIDENT SCENARIO
INCIDENT SCENARIO
ANALYSIS
LEARNINGs
The Incident
The Incident
INCIDENT :
RESULT :
Incident Place
The Unit, Equipment & Process
The Unit
Pre-Incident :
Truck drivers collected BS&W from the storage tanks from two sites
One truck 46 barrels & other one 50 barrels
Relied on the truck sight gauges to determine volume of liquid removed from
the storage tanks
Both trucks arrived within minutes of each other
Employees were clearing earlier delivery mud
deposits from the pad area by cleaning water
Drivers left the engines running & went to shed for paper works
Two BLSR employees opened valves to drain the truck tanks
One employee climbed one truck to remove the manway cover bolts
Deflagration occurred
BS & W & other waste liquid are higher density & settle to the
tank bottom, higher tank temp. promotes hydrocarbon separation.
Accumulated BS&W
Incident Analysis
No accurate measurement of how much hydrocarbon is
included in the BS&W loaded into the trucks
Root Cause:
BS&W Material safety datasheet (MSDS) was not provided,
unaware of hazard involved in the material to be drained
Unsafe handling practices, when offloading flammable liquid onto
mud disposal or washout pad
Truck engines were not equipped with Over speed protection
devices in the intake or exhaust systems
Backfiring caused by the engine over speed is more likely ignition
source
Incident Analysis
Key Findings: