MJU-8 IR Flare Mix Fire at Longhorn AAP, 28 September 1991
Abstract
The incident is best characterized by noting that meeting compliance requirements is not sufficient to prevent accidents. In this case, a death and a serious injury resulted from an operation which was well analyzed and thought to be well protected. The operation is explained to provide a basic understanding of the factors which came into play during the fire. Details on building layout and construction, the installed deluge system, operator location, hexane use and properties, bonding and grounding, and the hazard analysis effort are covered to demonstrate how individual factors were addressed. Significant interrelationships are identified to illustrate the failures involved in the fire. Significant lessons learned are covered, concentrating on the solutions to the identified areas of failure. The most significant lesson is that regulatory compliance is only the first step toward accident prevention.
Document Details
- Document Type
- Technical Report
- Publication Date
- Aug 01, 1992
- Accession Number
- ADA506941
Entities
People
- Ralph A. Knape