Event
- Event ID
- 938
- Quality
- Description
The event occurred in a silicon hydride (SiH) emulsion production process inside an enclosed production building. The reaction was ongoing when one of the tank started overflowing with foam.
The process generated a flammable gas cloud gas. The shift supervisor ordered to open the garage doors and to turn on forced ventilation to remove the hazy vapour which had started to form. Before these two actions could take place, the gases ignited causing an explosion and fire.At the time of the incident there were nine employees onsite. The explosion caused four fatalities and one injured worker, heavily damaged the production building and its force was felt up to 20 miles away.
- Event Initiating system
- Classification of the physical effects
- Hydrogen Release and Ignition
- Nature of the consequences
- Macro-region
- North America
- Country
- United States
- Date
- Component involved
- reactor / oven / furnace / test chamber
- Failure mode
- rupture & ignition
- Initiating cause
- run-away reaction
- Root CAUSE analysis
The most plausible INITIATING CAUSE was the generation of a flammable mixture (hydrogen) by the run-away of a chemical reaction. Short before the start of the accidents, the reactor tanks were seen producing a large quantities of foam, typically induced by bulk production of hydrogen in viscous liquids.
Contributing cause were the absence of flammable gas detectors or hydrogen gas detectors able to warn workers. Also the position of the main air mover near the process location and the decision to open the door of the building to remove smoke increased the potential of explosion from flammable gases.
The ROOT CAUSE is very probably to be found in the absence of preventive and mitigating measures tailored to that specific chemical process. This implies an inadequate risk assessment.
- Root causes
- Date entry in HIAD
- 01/01/2018
Facility
- Application
- Chemical industry
- Sub-application
- silicone products manufacturing plant
- Hydrogen supply chain stage
- All components affected
silicon-hydrogen reaction tanks
- Location type
- Confined
- Location
- industrial area
- Operational condition
- Description of the facility/unit/process/substances
DESCRIPTION OF THE PROCESS
The emulsion in the reactor was made of silane (SiH4) and siloxane polymers. One of the raw materials used to make was emulsion is a methyl-hydrogen polysiloxane copolymer, which is a SiH compound. All these chemicals have the capability of producing large amounts of hydrogen gas under certain conditions (pH, temperature, chemical bonds, total mass, catalysts presents).The production process had a highly manual was character. It used two atmospheric tanks equipped with agitators. These vessels did not have automatic feeds, requiring operators to add raw materials into the tanks manually. Also the assessment of the quality of the reaction required visual operation.
Emergency & Consequences
- Number of fatalities
- 4
- Number of injured persons
- 1
- Post-event summary
The explosion heavily damaged the production building. The force from the explosion
was felt up to 20 miles away in the surrounding communities, and some nearby businesses sustained damage from the blast. Post-incident, the plant owner has resumed some of its operations at another location.- Official legal action
The OSHA (see OHSA news release in References) had issued 12 willful regulations violations and proposed a penalty of approximately $1.6 million, due to alleged multiple incidences of electrical violations, including the incorrect electrical classification of the area where the explosion likely originated.
The plant operator contested the allegations.- Emergency action
The local fire department responded to the scene 13 after the start of the fire.
Mutual Aid from surrounding areas responded and provided support, as swell as the Hazardous Materials and Special Technical Rescue
The fire was mostly extinguished after one and a half days.
Lesson Learnt
- Lesson Learnt
The CSB report (see references) says that the root cause investigation is still ongoing (checked October 2020).
Nevertheless, from the absence of flammable gas (hydrogen) detection, it can be already concluded that the risk assessment of this process was not foreseeing the possibility of hydrogen evolution, suggesting an inadequate risk inventory and/or the failing of setting the related preventive measures. One of these measure (compliance of electrical equipment and installations in the production approved for hazardous locations) is the reason of the OHSA legal penalty request..
In-depth data
- Release type
- gas
- Involved substances (% vol)
- H2 100%
- Probable IGNITION SOURCE
- Explosion type
References
- Sources categories
- CSB
- Reference & weblink
CBS report "AB Specialty Silicones, LLC"
entry page at https://www.csb.gov/ab-specialty-silicones-llc/
https://www.csb.gov/ab-specialty-silicones-llc/
(accessed December 2024)CBS presentation "AB Specialty Silicones, LLC"
entry page at https://www.csb.gov/ab-specialty-silicones-llc/
https://www.csb.gov/ab-specialty-silicones-llc/
(accessed December 2024)