Investigation Report
Delaware City Refining Company
Delaware City Refining Company
- CSB
- Investigation Report
- Process Safety
- FireHydrocarbon releaseProcess safety
- Inspection and maintenance
- Valve
- Energy and process isolationLockout and tagoutManagement of changeOperating and work procedures
- Downstream and process industries
Summary
CSB safety bulletin examines a flash fire during maintenance preparation at Delaware City Refining Company. Hydrocarbons backflowed through a leaking closed valve while vessels were being emptied. It discusses isolation integrity, informal preparation instructions and management of change, with lessons on more protective isolation and an appendix reviewing other maintenance-related incidents.
Classifications: Fire; fire safety.
Classifications: Hydrocarbon release; hydrocarbon leak; oil and gas release.
Classifications: Process safety; major accident hazards.
Classifications: Inspection and maintenance; asset inspection; equipment maintenance.
Classifications: Valve; valves.
Classifications: Energy and process isolation; isolation; energy isolation.
Classifications: Lockout and tagout; LOTO; lockout/tagout.
Classifications: Management of change; MOC; change management.
Classifications: Operating and work procedures.
Classifications: Downstream and process industries; refining; petrochemicals.
Summary
An investigation into a process safety incident at an oil refinery.
Themes: process safety.