The Bureau of Safety and Environmental Enforcement (BSEE) has released the panel investigation report into the November 20, 2014 explosion and fatality on a platform. The explosion occurred on West Delta Block 105 Platform E, resulting in the tragic death of Jerrel Hancock. Mr. Hancock, a Turnkey Cleaning Services supervisor, died after an explosion occurred inside the electrostatic heater treater located on the platform while the contract cleaning crew personnel were engaged in activities related to cleaning the vessel. The five member investigation panel identified a number of failures in the application of basic safety management practices which may have contributed to Mr. Hancock’s death. The report concludes that there were apparent inadequacies in:
Crushed by and caught-in between machinery (TN-OSHA Inspection #1041324)
A 54 year old male employee was fatality injured while cleaning the de-stacker area of the mogul machine in the gummies department when he was crushed between a tray of product, and the frame of the de-stacker mechanism of the mogul machine. The mogul machine would become obstructed during the day with falling and shifting gummy trays, and starch. The track that moved the trays would get covered with these materials and would need to be cleaned with a pneumatic air wand. The victim performed the company lockout/tagout procedure for the mogul machine, and locked out the vertical movement of the de-stacker. As the victim entered the machine for cleaning, he inadvertently struck a positional sensor inside of the track system, and advanced the candy trays into the machine. The victim was standing directly adjacent to the metal frame of the de-stacker mechanism when a stack of trays began to advance into the machine, crushing him between a tray of product and the frame of the de-stacker.
Caught in Auger Fatality (TN-OSHA Inspection #1040935)
A 38 year old male was fatality injured when his arm, and upper body was pulled into an operating auger as he leaned over the catwalk railing to clean, and sanitize a poultry processing chiller tank. The victim, along with other employees, were cleaning, and sanitizing the reverse flow, cold water chillers in a poultry processing plant. The victim was told to stay on the central catwalk, and left alone to spray down the tank interior of Chiller #2 with hot water, and sanitizing solution while the auger was in operation. During the cleaning process, a nearby employee heard a noise, and saw the victim’s legs extending from beneath the guard rail positioned approximately 15 inches above the top of the tank. The emergency pull cable was activated immediately. The victim was fatality injured by blunt force trauma to the body. There were no witnesses to the actual incident, but it remains a possibility the employee moved from the central catwalk, to the outer catwalk of Chiller #2 reaching in with his arm, and body to clean the interior of the tank, and was caught by the auger blade, pulling the employee into the tank from the catwalk. This was his sixth day of employment.
Did you know... almost every single energy isolation REQUIRES a WRITTEN ENERGY ISOLATION PLAN
So does every single energy isolation REQUIRE a written procedure/plan that identifies the types of energy, their magnitude, the means used to isolate them, and the means used to verify zero energy state (ZES)? YES... there is ONLY ONE (1) special exemption that excuses us from having a task specific isolation procedure/ plan and that exemption can be found in 1910/147(c)(4)(i). But before we get too excited about OSHA giving us a loophole to having a WRITTEN ISOLATION PLAN for every LOTO, we need to see the eight (8) criteria that OSHA has set forth for the "exception" to apply and I do think many will be sorely disappointed...
For goodness sake - LOCK IT OUT people! (Willful w/ $70K)
This week OSHA issued a willful violation for Lockout/Tagout (LOTO) deficiencies involving a spray dryer absorber (SDA) at a power generation plant. What is shocking is the fact that a 46 year old worker lost four (4) fingers on his right hand in the December 2015 accident and during the course of its investigation into the December 2015 accident, OSHA found that multi-finger amputations also occurred on this SAME SDA in August 2011 and October 2012. Folks this happened, not at a "mom and pop shop", but rather a power company with generating capacity of 26 GW, capable of supplying more than 21 million households, operates 35 Power Plants across 8 states, has 830,000 retail customers, residential customers and 23,000 commercial, industrial and municipal customers, and Annual Revenues of over $5 billion! (Source) And here we sit in 2016 not able to comply with one of the most fundamental OSHA standards that is now over 25 years old and three (3) workers have suffered debilitating - life changing injuries.
Here is a look at the citations: