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The CSB investigated a reactive chemical explosion at the First Chemical Corp. facility in Pascagoula, MS. The investigation found that the First Chemical facility did not have an adequate management system for evaluating the hazards of processing MNT, an explosive material. Furthermore, the facility did not have an adequate system for ensuring sufficient layers of protection, consistent work practices when isolating equipment, and the integrity of isolation valves. The investigation also found that the control room construction and its proximity to the process was not evaluated, and that the community emergency notification system was inadequate. The CSB issued safety recommendations based on these root and contributing causes.
E. I. du Pont de Nemours and Company2003-01-I-MS-R1
Conduct audits to ensure that the First Chemical Pascagoula facility addresses the issues detailed below, under Ã??DuPontÃ??First Chemical Pascagoula Facility.Ã?? Communicate results of these audits to the workforce.
2003-01-I-MS-R3
Evaluate the need for layers of protection and install appropriate safeguards, such as alarms and interlocks, to reduce the likelihood of a runaway reaction and catastrophic release of material.
Status: Closed - Acceptable Action
2003-01-I-MS-R4
Review and revise as necessary procedures for units that process highly energetic material, effectively communicate the updated procedures, and train workers appropriately. Revised procedures should include:
Specific steps for isolation of energy sources.
Warnings and cautions concerning process chemicals and consequences of deviations from operating limits.
Critical operating limits and guidance when the limits are exceeded.
Instruction on how to perform a shutdown for all foreseeable causes, to ensure proper isolation, and to continue monitoring critical parameters (such as temperature) while the column is shut down; in addition, review conditions under which material must be deinventoried (such as during extended shutdowns).
Status: Open - Acceptable Response or Alternate Response
2003-01-I-MS-R5
Conduct a facility-wide survey of pressure vessels to ensure that all equipment that processes reactive materials has appropriate overpressure protection.
Status: Closed - Acceptable Action
2003-01-I-MS-R6
Identify equipment critical to safe operation of processes containing reactive materials. Upgrade the maintenance program and establish inspection schedules to ensure the integrity of such equipment.
Status: Closed - Acceptable Action
2003-01-I-MS-R7
Survey and take appropriate action to ensure that buildings occupied by plant personnel are of adequate construction and are located so as to protect people inside in the event of an explosion in equipment processing reactive materials.
Status: Open - Acceptable Response or Alternate Response
Immediately alert residents in the Moss Point community when an incident occurs that could affect their health and safety.
Determine when a community response should be initiated.
Communicate the nature of the incident and the appropriate response by residents.
Alert residents when the incident is over (i.e., the all-clear has sounded).
Status: Open - Awaiting Response or Evaluation/Approval of Response
2003-01-I-MS-R9
Conduct an awareness campaign to educate residents on the proper steps for a shelter-in-place and orderly evacuation.
Status: Open - Awaiting Response or Evaluation/Approval of Response
American Chemistry Council (ACC)2003-01-I-MS-R10
Amend the Technical Specifications guidelines in the Responsible Care Management System to explicitly require facilities to identify findings and lessons learned from process hazard analyses and incident investigations in one unit and apply them to other equipment that processes similar material.
Status: Closed - Acceptable Action
2003-01-I-MS-R11
Ensure that ACC members understand the audit requirements of Responsible Care and accurately identify and address gaps in facility process safety programs.
Status: Closed - Acceptable Action
2003-01-I-MS-R12
Communicate the findings of this report to your membership.
Status: Closed - Acceptable Action
Synthetic Organic Chemical Manufacturers Association (SOCMA)2003-01-I-MS-R13
Amend the Technical Specifications in the Responsible Care Management System to explicitly require facilities to identify findings and lessons learned from process hazard analyses and incident investigations in one unit and apply them to other equipment that processes similar material.
Status: Open - Awaiting Response or Evaluation/Approval of Response
2003-01-I-MS-R14
Ensure that SOCMA members understand the audit requirements of Responsible Care and accurately identify and address gaps in facility process safety programs.
Status: Open - Awaiting Response or Evaluation/Approval of Response
2003-01-I-MS-R15
Communicate the findings of this report to your membership.