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Safety

Bulletin
U.S. Chemical Safety and Hazard Investigation Board
No. 2006-01-B | January 2006

EXPLOSION AT ASCO: DANGERS OF FLAMMABLE GAS ACCUMULATION

Figure 1. North side of ASCO


Summary facility. Damage to building 46
and debris around the decant

A ccumulation of flammable gas in an enclosed space can produce a


powerful explosion, destroying lives and property. On
January 25, 2005, acetylene flowed into the lime shed at Acetylene Services
water tanks.

Company (ASCO), a Perth Amboy, New Jersey, acetylene manufacturer and


packager. This resulted in just such an explosion, which killed three
workers and seriously injured a fourth (Figure 1). The shed was destroyed
and the nearby manufacturing building severely damaged.

The U.S. Chemical Safety and Hazard Investigation Board (CSB) issues this
Safety Bulletin to focus attention on flammable gas hazards. It recommends
specific actions that companies generating acetylene, and others, should
take to prevent similar incidents, which include: Facility Layout
· Maintain up-to-date operating procedures and checklists for the entire The ASCO manufacturing facility
operating process. was located in an industrial area
northwest of the Outercrossing
· Train staff on the operating procedures and require them to
Bridge which connects New Jersey
demonstrate their ability to correctly follow them.
to Staten Island, NY. The
· Relocate drains and vents connected to flammable gas-containing acetylene generating process
equipment to safe, preferably outside, locations. equipment (manufactured by
Rexarc2), cylinder filling
· Ensure that buildings and enclosures that could potentially contain operations, offices, and break room
acetylene meet the requirements of National Fire Protection were housed in Building 46 (Figure
Association (NFPA) Standard 51A. 2). Directly outside Building 46
were six decanting tanks that
· Inspect, test, and maintain check valves and block valves.
surrounded a wood-framed shed.
· Provide positive isolation on lines connected to the process to ensure The shed contained water pumps
that back flow of explosive gases cannot occur. and related piping. Receiving
docks used to offload purchased
acetylene, an adjacent building
used for cylinder refurbishing, and
ASCO History an acetone storage tank were also
part of the operation at ASCO.
employed 14 workers. ASCO
manufactured acetylene at the 1
Acetylene is also a by-product of certain
ASCO, a family-owned business,
Perth Amboy site. In July 2004, petrochemical processes and may be
began generating and packaging purchased from such sources when the
ASCO also began purchasing
acetylene in 1982 for sale in the economics are favorable.
acetylene directly from a
New York and Philadelphia 1
petrochemical facility to 2
Rexarc International, Inc. is a manufacturer
metropolitan areas. At the time of and provider of compressed gas
supplement their production.
the incident, the company processing equipment.
2

Acetylene Figure 2. ASCO layout. Drawing is not to scale.

Acetylene is a colorless, highly


reactive, and extraordinarily
flammable gas. It has a sharp
garlic-like odor and is slightly
lighter than air. It is flammable
over a wide range of
concentrations, from about 2.5% to
82% in air. Gaseous acetylene can
explosively decompose3 with
extreme violence if pressurized to
more than 14.5 psig. It is also
unstable and prone to explosive
decomposition if liquefied.
Consequently, acetylene is
distributed in steel cylinders that
are packed with a high surface area
porous media and filled with liquid
4
acetone. The acetylene is
dissolved in the acetone at low
pressure, stabilizing it against
decomposition.
Acetylene process could run continuously.
CSB Investigation Reports are
formal, detailed reports on Generation
significant chemical accidents and In the ASCO operation, gaseous Compressors transferred the
include key findings, root causes, acetylene (C2H2) was made by acetylene through additional
and safety recommendations. CSB equipment where impurities were
mixing calcium carbide, (CaC2)
Hazard Investigations are broader
with water (H2O). Lime (Ca(OH)2) removed. The purified gas then
studies of significant chemical
hazards. CSB Safety Bulletins are was a by-product of the reaction flowed to the filling room where it
short, general-interest publications which also liberated heat. was packaged in cylinders. The by-
that provide new or noteworthy product lime (Ca(OH)2) slurry was
information on preventing chemical continuously drained from the
CaC2 + 2H2O J C2H2 (acetylene
accidents. CSB Case Studies are generator to a pit located outside
gas) + Ca(OH)2 (lime) + heat
short reports on specific accidents the building. The lime slurry was
and include a discussion of relevant then pumped from the pit into the
good practices for prevention. All The mixing took place in a
horizontal vessel called a decanting tanks.
reports may contain include safety
recommendations when generator (Figure 3). The generator
appropriate. CSB Investigation was partially filled with water.
Digests are plain-language Calcium carbide was metered in at
3
Decomposition is the breakdown of a
summaries of Investigation chemical into less complex molecules.
a controlled rate based on Acetylene can decompose violently to a
Reports. generator pressure. The process mixture of hydrogen, simple hydrocarbons
was partially automated. If the and carbon soot.
calcium carbide hoppers feeding 4
Examples of porous media include: balsa
the generator were kept full the wood, charcoal, finely shredded asbestos,
corn pith, and calcium silicate.
3

The shed housed two electrically


Figure 3. A. ASCO acetylene generator. The area (circle) enlarged in B driven pumps: one to off-load
shows a check valve on the water supply line. settled lime sludge from the
decanting tanks and the other to
recycle the decanted water to the
generator. It also contained
electrical breakers, pump control
switches and an overhead
fluorescent light. The shed was
heated by a wall mounted propane
space heater that prevented
freezing of the pumps and
associated piping. The shed had
no mechanical ventilation.

Decanting Tanks The water that accumulated in


tanks #5 and #6 was pumped back Propane Heater
ASCO used six open-top decanting to the generator as needed. This
tanks, connected in series, to hold recycled water was the lowest-cost A direct-vent propane space heater
lime by-product and also to source for the generator, although rated for residential use was
prepare and store water for re-use city water could also be used and mounted on the wall of the shed
in the generator. The six steel was required to make up losses. (Figure 5).5 The heater drew in
atmospheric storage tanks were
outside air for combustion through
approximately 20 feet tall by 10 feet
in diameter and were arranged in
Wooden Shed the outer of two concentric pipes.
Exhaust gases exited through the
two rows of three tanks, aligned
north to south.
(Lime Shed) inner pipe. The combustion
chamber was completely sealed
The lime slurry was pumped from The ASCO facility included a from the shed interior. The air in
the lime pit into tank #1. The lime wooden shed constructed in- the shed did not come in contact
particles settled and the water between the six decant tanks. It with the flame or the products of
overflowed into tank #2. Further was approximately 15 feet wide by combustion.
separation of lime and water 28 feet long and had a roof that
continued in subsequent tanks. sloped from 8 feet to 6 feet in The heater warmed the room by
When the water reached tanks #5 height. The shed was constructed natural convection.6 The outer skin
and #6 it contained minimal using the tank shells to make up of the combustion chamber was
amounts of lime (Figure 4). Settled portions of the walls, as shown in approximately 1100°F during
lime sludge was pumped from the Figure 2. The concrete pad that operation. The heater was also
bottom of the tanks, from time to supported the tanks served as the equipped with an automatic shut-
time, and removed by a contractor. shed floor. off valve designed to stop the
supply of propane to the
Figure 4. Decant Tank Arrangement. combustion chamber if the pilot
light went out. Testing after the
incident found that this automatic
shut-off valve functioned as
designed.
5
The heater was rated for residential use by
the Canadian Standards Association.
6
Natural convection is the transfer of heat
due to buoyancy-induced flow across a
heated surface.
4

Figure 5. A. An exemplar of the ASCO shed heater (same make and model).
B. Schematic diagram of the heater.
Fuel Source
The two explosive materials
potentially present were acetylene
and propane. Acetylene from the
generator could have reached the
shed via a drain valve on the
decanted water line at the south
end of the shed. This valve was
commonly opened and left open at
the end of work each day during
the winter months to protect the
water line from freezing. Propane
could have leaked from the
propane heater located at the north
The Incident The medical examiner identified
extensive fragmentation, laceration,
end of the shed or from the propane
supply tubing. Analysis of the
and pulverization of internal damage pattern indicated that the
During the early morning hours of
organs, bones, and muscles in the explosion was a detonation or at
January 25, ASCO employees filled
victims. Injuries of this type are the least a high-speed deflagration.
cylinders with purchased
consistent with exposure to a shock The evidence overwhelmingly
acetylene. At approximately 9:30
wave from a high-speed supports acetylene as the explosive
am, with the depletion of the
deflagration or detonation.7 material in this incident (Table 1).
supply of purchased acetylene,
they began to produce acetylene
The shed was completely
from calcium carbide in the
destroyed. Its walls were highly
generator.
fragmented, essentially reduced to
splinters. Debris was hurled as far
INCIDENT
Because of heavy snowfall, workers
were shoveling snow in the area
as 450 feet from the site. The SCENARIO
explosion blew two large holes in
south of the decant tanks near the
the masonry wall of Building 46, Acetylene produced in the
loading dock. At 10:36 am, an
toppling several cylinder generator flowed back past the
explosion occurred, centered in the
manifolds and scattering acetylene check valve through the recycled
shed. Two of the workers
cylinders across the filling room water line into the shed by way of
immediately south of the shed were
floor. Windows were shattered the open drain valve (Figures 6 and
killed instantly. A third worker
and several doors were blown into 7). The acetylene gas accumulated
farther south, closer to the loading
the building or knocked off their inside the shed, ignited, and
dock, was severely injured and was
hinges or rails. No fire occurred
pronounced dead shortly after exploded.
after the explosion.
arriving at the Newark Medical
Center. A fourth worker who was
in the loading dock/lime pit area
was very seriously injured by the
blast. 7
A detonation is a rapid explosion that
generates supersonic pressure waves (shock
waves) in the surrounding area. Pressure
waves from a deflagration are subsonic.
5

Table 1. Fuel source for the Explosion


Acetylene Propane

· Easily capable of detonation or high-speed · Not capable of detonation or high-speed deflagration


deflagration in the shed by BST Method.8 in the shed by BST method

· Leak path into shed demonstrated by post- · No evidence of leak path into shed.
incident testing.9 History
. of reverse flow
through check valve.

· Explosion shortly after start-up of acetylene · Heater had run without evidence of leakage for
generator.10 several weeks.
· Leakage into shed at location remote from · Any leakage from the short length of propane supply
heater facilitated gas cloud accumulation. tubing would be in close proximity to an ignition
source (the heater) — accumulation unlikely.

8
The Baker-Strehlow-Tang (BST) method
predicts vapor cloud explosion Figure 6. Simplified acetylene system flow diagram. The red line shows the
characteristics based on the reactivity of leak path of acetylene from the generator into shed.11
the fuel and the degree of confinement and
congestion in the area of the explosion.
The reactivity is related to the flame speed
of the material being evaluated. Acetylene
is classified as a high-reactivity material,
while propane is considered to be of
moderate reactivity. Confinement and
congestion are key geometrical parameters
in the BST method. Low confinement
means that the gases produced in an
explosion are free to expand, while high
confinement means they are constrained, as
inside a pipe. Low congestion is associated
with open rooms, such as the shed at
ASCO, while highly congested areas are
typically packed with pipes, equipment, or
structural supports, few of which were
present in this case.

9
Flow testing conducted by the CSB and 11
CSB could not positively ascertain the
OSHA after the explosion demonstrated
position of the valve labeled “Found
that acetylene could flow from the
Closed”. The plant manager stated after
generator into the shed through the water
the incident that he closed “some” valves
recycle line.
immediately after the explosion, one of
10
The acetylene generator was started which may have been the valve labeled
approximately 66 minutes before the “Found Closed”. This valve was later
explosion. This produced a pressurized tested at OSHA’s Utah laboratory. The
source of acetylene that could then flow to testing confirmed that this valve leaked
the shed through the open or leaking significantly in the closed position.
valves on the recycle water line.
6

INCIDENT designed for the presence of


acetylene. This potential hazard
Sequence of
ANALYSIS was not recognized by ASCO. Operations
· Acetylene Leak Path—Freeze
protection practices created a The drain valve on the recycled
Figure 7. Post explosion – view of
Figure 6. water
Post explosion – view water line (discussed above) was
potential flow path from the recycled line to/from the of
acetylene generator to the shed recycle water line to/from the found in the open position following
generator and open drain.
through the open drain valve. generator and open drain. Leak path the explosion. This indicates that the
highlighted. recycle system was not operating at
· Sequence of Operations—The the time of the incident. The CSB
sequence of operation the day believes that the operators closed the
of the incident pressurized the city water supply valve prior to
generator with acetylene gas starting up the recycled water
before establishing the recycle system, leaving the generator with
water supply to the generator. no source of pressurized water to
prevent the reverse flow of acetylene.
Closing the drain valve and placing
· Check Valve Back Flow—The the recycled water system into
check valve, supplied by service before shutting off the city
Rexarc Inc., in the water line at Process hazards analysis (PHA)12 supply would likely have prevented
the acetylene generator did not is a team-based technique for the backflow of acetylene into the
prevent back flow, as it should identifying hazards and is a shed.
have done. The design of the required element under the OSHA
check valve made it susceptible Process Safety Management ASCO had an operator’s manual for
to malfunction. Regulation (PSM).13 PHAs assist in the Rexarc generator. However, it
identifying potential hazards, the did not address the recycled water
· Building Design/Ignition potential consequences of hazards, system. Consequently, the operators
Source—Acetylene flowed into and the safeguards that are in had no written guidance on the
the unventilated shed, which place to protect against identified correct operation of the recycle
contained multiple potential hazards. They also facilitate the system or on the consequences of
ignition sources, accumulated, systematic generation of deviation from the intended
and exploded. The hot surface recommendations to help eliminate operating sequence.
of the wall mounted propane or control identified hazards.
heater was the most likely Some general procedures were
ignition source. The ASCO 1996 PHA did not posted on the wall in the generator
identify the hazards created by the room. However, they gave no
Acetylene Leak Path location of the decant water line
drain in the shed. The PHA was
guidance on the appropriate
sequence for adding water, city or
It was normal practice at ASCO to not updated in 2001, as required recycled, to the generator. Staff
leave the decant water line open at under PSM. In failing to update the training was not adequately
night to drain to the shed floor PHA, a second opportunity to documented and the sequence of
through a low-point valve. This identify the conditions that led to how each worker operated the
protected the outside section of the the explosion was missed. process was not consistent.
line from damage due to freezing 12
Process Hazards Analysis (PHA) is the
13
ASCO’s Perth Amboy acetylene generating
during cold weather. The open identification of undesired events that lead facility contained flammable liquids or gases
valve created a potential pathway to the materialization of a hazard, the in quantities greater than 10,000 pounds
analysis of the mechanisms by which these (acetylene and acetone). This required
for acetylene to flow from the ASCO to comply with the Occupational
undesired events could occur, and usually
generator into the shed; an the estimation of the consequences Safety and Health Administration (OSHA)
enclosed space that was not (CCPS). 29 CFR 1910.119 Standard.
7

Check Valve Figure 8. Diagram of Rexarc-supplied check valve. Left view shows the plug
Backflow open and water flowing. Center shows the plug properly seated. Right shows
the probable failure mode with the plug not fully seated because the guide pin is
The Rexarc Inc. designed and “hung up”.
supplied check valve installed in
the recycled water line (Figures 3B,
6) failed to prevent backflow of
acetylene from the generator and
out the open drain valve in the
shed. Testing performed “in place”
after the explosion demonstrated
reverse gas flow through the valve,
while x-rays taken by OSHA
suggest that the valve guide pin
was “hung up” on the lower pipe
nipple (see Figure 8). The check
valve had been observed to leak on
at least one occasion in the past by
an ASCO employee, who
disassembled, cleaned, and
a safe location, in addition to the The electrical equipment in the
reassembled the valve.
check valve to ensure that backflow shed was of general industrial
of explosive gases does not occur. construction and was not safe for
· The valve depends on use in an environment that could
gravity and back pressure contain acetylene. As a result, other
to seal. No springs are sources of ignition could have been
used to assist seating of the Lime Shed Design present, such as a spark from an
plug. electric switch, or from an
The shed was not designed or unidentified electrical fault. CSB
· The plug is not effectively constructed for the presence of found no evidence that any of the
guided and is prone to acetylene. It was not ventilated, electrical equipment in the shed
misalignment. contained a heater with surfaces was energized at the time of the
hot enough to ignite acetylene, and explosion. Thus, the heater was the
· The check valve internal was equipped with electrical most probable ignition source.
surfaces are susceptible to equipment suitable only for general
solids build up, such as industrial service. This created
scale or from lime particles conditions highly conducive to a
entrained in the recycled gas cloud explosion in the event of
water. an acetylene leak.

While check valves are valuable in Due to the extremely cold weather
preventing backflow in process and the lack of insulation in the 14
Autoignition Temperature (AIT): The
lines, they should not be solely shed, the heater was likely running temperature at which an air/fuel mixture
relied on in hazardous or frequently cycling on and off at will spontaneously ignite in a standardized
applications. It is good practice to the time of the incident. Acetylene test apparatus without exposure to a
is reported to autoignite14 at 580°F, spark or flame. AIT is measured in
provide a positive means of accordance with the American Society for
isolation, such as a double-block well below the heaters combustion Testing and Materials (ASTM) Standard
valve arrangement with a bleed to chamber surface temperature of E659.
1100°F.
8

The shed did not meet electrical


requirements for areas that could LESSONS The shed in this incident
was not designed or
contain acetylene. The National
Electric Code (NEC), published by LEARNED: constructed in accordance
with NFPA 51A.
the National Fire Protection
The lessons learned from the tragic
Association, specifies that electrical · Maintain check valves and
equipment meet specific explosion at ASCO can help
block valves in good
requirements based on the similar facilities avoid damaging
working order through
properties of the flammable incidents in the future. Acetylene
periodic inspections and
materials that could be present. facilities should ensure the
tests.
Each room, section, or area must be following:
considered individually (2002 · Examine lines connected to The check valve and block
NEC). The NEC has two Divisions acetylene containing valve that failed at ASCO
(1 and 2) and four Groups (A, B, C, equipment and piping to and allowed backflow
and D) for Class I materials identify vent and drain were not on a testing or
(flammable gases and vapors). points that could create inspection schedule. The
NEC defines Division 1 locations hazards in the event of an single block valve on the
as areas that contain ignitable acetylene backflow or leak. recycle water line, which
concentrations of flammable gas/ Relocate all such vents and was found closed after the
vapor under normal operating drains to safe locations, explosion, leaked during
conditions. Division 2 locations preferably to the outside. post-incident testing.
are defined as areas that handle
flammable materials in closed At ASCO, a line that could
· Provide an engineered,
systems, with ignitable potentially contain
positive means of isolation
concentrations present only due to acetylene drained into an
in addition to check valves,
failures of containment or to the enclosed wooden shed.
to ensure that backflow of
abnormal operation of equipment.
· Ensure that buildings or explosive gases cannot
enclosures that could occur.
All flammable gases or vapors are
potentially contain
assigned to specific groups based At ASCO the check valve
acetylene are suitable for
on their explosion characteristics. was relied upon to prevent
acetylene service. Provide
Acetylene is the only material listed backflow. An example of
ventilation, appropriately
in Group A due to its positive isolation is a
classified electrical
extraordinarily explosive double-block valve
components, and low
properties (Table 2). The shed arrangement equipped
temperature heating
should have been constructed, and with a bleed valve venting
methods in accordance
electrical equipment installed, to to a safe location.
with the National Fire
meet NEC Class I, Division 2,
Protection Association
Group A requirements.
(NFPA) 51A Standard for · Confirm that written
Acetylene Cylinder operating procedures and
Charging Plant; Current checklists are in place for
Edition.15 the entire operating
process, including
auxiliary systems such as
recycled water. Train
15
OSHA has a standard for acetylene, operators on written
1910.102. However it is out of date
because it refers to an obsolete CGA operating procedures and
standard. Current industry practice follows
NFPA 51A.
9

Implement an effective Process


Safety Management program,
Table 2. Flammable gas/vapor groupings. in accordance with OSHA
Group Typical Materials 1910.119. Include written
operating procedures and
A Acetylene (only member) checklists that are understood
by the workers responsible for
B Hydrogen, Ethylene Oxide, using them. Train workers on
1,3-Butadiene, and others the procedures and
periodically confirm that they
C Ethylene, Butyl Mercaptan, are being properly followed.
Acetaldehyde, Carbon Monoxide, and (CSB2006-03-I-NJ-2)
others Rexarc, Inc.
D Propane, Methane, Alcohol (ethanol), Immediately inform existing
acetylene generator users that
Gasoline, and others the check valve did not prevent
(NFPA 70, Article 500, 500.6 Material Groups) acetylene gas backflow in this
incident. Recommend interim
actions be taken to ensure that
require them to generator or recycled water Rexarc check valves in service
demonstrate their ability to system at this facility. on acetylene production
correctly follow them. equipment will operate
Many of these suggested actions reliably. (CSB2006-03-I-NJ-3)
o Procedures and are mandatory for facilities covered
checklists should be under OSHA 29 CFR 1910.119, Replace check valves of this or
current, correct, and in Process Safety Management (PSM) similar design supplied by
a language that can be such as the ASCO acetylene Rexarc with valves that will
readily understood by process. These actions are perform more reliably in
operating personnel. considered to be good practice for recycle water service.
all facilities handling hazardous (CSB2006-03-I-NJ-4)
o Operating instructions materials and should be
need to address the implemented, even in facilities not Occupational Safety and
sequence for each step covered under the PSM regulation. Health Administration
of the operating phase, (OSHA)
the operating limits of
the process, including
Recommendations: Update the OSHA 1910.102
Acetylene Standard
the consequences of (a. Cylinders, b. Piped Systems,
exceeding these limits;
Acetylene Services Company
and c. Generators and filling
relevant safety and (ASCO) cylinders) to remove the
health considerations; existing references to
and the presence and Improve isolation on acetylene unavailable and obsolete
function of any safety generator water lines by Compressed Gas Association
systems. incorporating a double-block- Pamphlets (CGA G-1-1966, G
and-bleed with a vent to a safe 1.3-1959, G 1.4-1966). As an
Operators did not use location, or other isolation alternative, consider
either written operating means of comparable incorporating by reference
procedures or check lists effectiveness. (CSB2006-03-I- NFPA 51A Standard for
for start up of the acetylene NJ-1) Acetylene Cylinder Charging
Plants. (CSB2006-03-I-NJ-5)
10

For Further Reading Baker, Quentin, A., et al., 1997. National Fire Protection
Association (NFPA), 2004.
Recent Developments in the Baker
Strehlow VCE Analysis Recommended Practice for the
Center for Chemical Process Safety
Methodology, 31st Loss Prevention Classification of Flammable
(CCPS), 1994. Guidelines for
Symposium, American Institute of Liquids, Gases, Vapors and of
Evaluating the Characteristics of
Chemical Engineering (AIChE), Hazardous (Classified) Locations
Vapor Cloud Explosions, Flash
March 1997. for Electrical Installations in
Fires, and BLEVEs, American
Chemical Process Areas, NFPA
Institute of Chemical Engineers
Baker, Quentin, A., et al., 1994. 497.
(AIChE).
Vapor Cloud Explosion Analysis,
28th Loss Prevention Symposium, Occupational Safety and Health
Miller, S.A. 1965. Acetylene, Ernest
American Institute of Chemical Administration (OSHA), 1996.
Ben Limited, London.
Engineering (AIChE), April, Regulation (Standards – 29CFR)
1994.Center for Chemical Process Acetylene. – 1910.102
Mine Safety and Health
Administration (MSHA), 2005. Safety (CCPS), 1993. Guidelines for
Safe Automation of Chemical Occupational Safety and Health
Special Hazards of Acetylene,
Processes, American Institute of Administration (OSHA), 1992.
www.msha.gov.
Chemical Engineers (AIChE). Regulation (Standards – 29CFR)
Process Safety Management. –
National Fire Protection Association
FM Global Property Loss 1910.119.
(NFPA), 2001. Standard for
Acetylene Cylinder Charging Plants, Prevention Data Sheets, 2001.
Pierorazio, Adrian J., et al., 2005. An
NFPA 51A. Compressed Gas in Cylinders.
Update to the Baker-Strehlow-Tang
Vapor Cloud Explosion Prediction
Reference Green, Dan W. (ed.), 1984. Perry’s
Chemical Engineers’ Handbook, Methodology Flame Speed Table,
6th Edition, McGraw-Hill. Process Safety Progress, Vol. 24, No.
Babrauskas, Vytenis, 2003. Ignition 1, pp. 59-65.
Handbook, Fire Science Publishers, Lees, F. P., 1995. Loss Prevention in
Society of Fire Protection the Process Industries (2nd Edition),
Engineers. Section 12.

The U.S. Chemical Safety and Hazard Investigation Board (CSB) is an independent Federal agency whose mission is to ensure the
safety of workers, the public, and the environment by investigating and preventing chemical incidents. CSB is a scientific
investigative organization; it is not an enforcement or regulatory body. Established by the Clean Air Act Amendments of 1990, CSB
is responsible for determining the root and contributing causes of accidents, issuing safety recommendations, and studying chemical
safety issues.
No part of the conclusions, findings, or recommendations of CSB relating to any chemical incident may be admitted as evidence or
used in any action or suit for damages arising out of any matter mentioned in an investigation report (see 42 U.S.C. § 7412(r)(6)(G)).
CSB makes public its actions and decisions through investigation reports, summary reports, safety bulletins, safety
recommendations, case studies, incident digests, special technical publications, and statistical reviews. More information about CSB
may be found at www.csb.gov.
CSB publications may be downloaded at www.csb.gov or obtained by contacting:
U.S. Chemical Safety and Hazard Investigation Board
Office of Congressional, Public, and Board Affairs
2175 K Street NW, Suite 400
Washington, DC 20037-1848
(202) 261-7600

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