Investigation Report
Foundation Food Group Fatal Chemical Release
Foundation Food Group Fatal Chemical Release
- CSB
- Investigation Report
- Hazardous Substances
- Functional safetyLoss of containmentOxygen deficiencyProcess safetyRegulation and legislation
- Inspection and maintenance
- Gas detectorValve
- Emergency responseManagement of changeRisk assessmentVentilation
- Onshore facility
Summary
Investigation of a fatal liquid nitrogen overflow at Foundation Food Group’s poultry plant. A deformed bubbler tube disabled freezer level control and overflow protection, producing an oxygen-deficient room atmosphere. The report examines design dependencies, missing monitoring and ventilation, emergency preparedness, process safety management and regulatory gaps.
Classifications: Functional safety; safety instrumented systems; SIS.
Classifications: Loss of containment; containment loss.
Classifications: Oxygen deficiency; oxygen deficient; oxygen displacement; oxygen depletion.
Classifications: Process safety; major accident hazards.
Classifications: Regulation and legislation; safety legislation; regulatory requirements.
Classifications: Inspection and maintenance; asset inspection; equipment maintenance.
Classifications: Gas detector; gas monitor; gas detection instrument.
Classifications: Valve; valves.
Classifications: Emergency response; emergency preparedness.
Classifications: Management of change; MOC; change management.
Classifications: Risk assessment; hazard assessment.
Classifications: Ventilation; forced ventilation.
Classifications: Onshore facility; onshore plant.
Summary
On January 28, 2021, a liquid nitrogen release at the Foundation Food Group’s Prepared Foods Division in Gainesville, GA, lead to 6 fatalities and multiple injuries.
Themes: hazardous substances.