Investigation Report
Formosa Plastics Vinyl Chloride Explosion — Final Investigation Report
Formosa Plastics Vinyl Chloride Explosion — Final Investigation Report
- CSB
- Investigation Report
- ExplosionFunctional safetyHuman factorsLearning from incidentsLoss of containment
- Fluid transfer
- Pressure vesselValve
- Emergency responseFire protectionOperating and work proceduresRisk assessment
- Downstream and process industries
- Onshore facility
Summary
Investigation of the fatal vinyl chloride release, explosion and fire at an Illinois PVC plant. It examines reactor valve interlock bypassing, operator access to status information, safeguard assessment and missed learning from earlier incidents. Emergency procedures, training and deluge limitations underpin recommendations for stronger process safeguards and preparedness.
Classifications: Explosion; explosive atmospheres.
Classifications: Functional safety; safety instrumented systems; SIS.
Classifications: Human factors; human performance; ergonomics.
Classifications: Learning from incidents; incident learning; lessons learnt; lessons learned.
Classifications: Loss of containment; containment loss.
Classifications: Fluid transfer; fluid loading; fluid offloading.
Classifications: Pressure vessel; pressure vessels.
Classifications: Valve; valves.
Classifications: Emergency response; emergency preparedness.
Classifications: Fire protection; fire suppression; fire detection.
Classifications: Operating and work procedures.
Classifications: Risk assessment; hazard assessment.
Classifications: Downstream and process industries; refining; petrochemicals.
Classifications: Onshore facility; onshore plant.