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Press
Release
U.S. Chemical Safety Board
Issues Preliminary Findings for Danvers, Massachusetts Explosion
May
9, 2007
In Preliminary Findings, CSB Investigators
Say 2006 Danvers, Massachusetts, Explosion Caused by Solvent Vapor
Accumulation, Lack of Ventilation inside Building; Flammable Liquid
Safety Standards Were Not Implemented, CSB Investigators Find.
Danvers, Massachusetts, May 9, 2007
- In preliminary findings released today, U.S. Chemical Safety Board
(CSB) investigators said that the November 2006 explosion which
destroyed a local ink and paint manufacturing plant and damaged
scores of nearby buildings was most likely caused by the inadvertent
overheating of solvents left stirring overnight in an unsealed mixing
tank, releasing flammable vapor which accumulated and ignited.
The vapor built up in the facility
because the solvent ventilation system was routinely turned off
when workers departed the facility at the close of business each
evening, an unsafe practice which investigators called the 'immediate
cause' of the accident. The explosion occurred at approximately
2:45 a.m. on November 22, long after all employees had departed
the facility for the night. All fuel sources for the explosion other
than flammable solvent vapor - including natural gas - were ruled
out.
The findings are set to be presented
at a community meeting this evening in Danvers, beginning at 7 p.m.
at the Sheraton Ferncroft Resort, 50 Ferncroft Road, with the five
CSB board members in attendance. CSB Chairman Carolyn W. Merritt
will preside. Following the presentation of findings, the Board
will take comments from the public.
The explosion during the overnight
hours injured ten community members, damaged or destroyed more than
100 homes and businesses up to one mile away, and damaged numerous
vehicles and boats. More than 50 families still have been unable
to return to their homes, CSB investigators said. No workers were
injured in the blast.
'The Danversport explosion caused the
most serious community damage of any U.S. chemical accident since
the CSB was established in 1998,' said Chairman Merritt. 'But for
the fortuitous timing of the explosion, nearby residents could have
easily been killed by flying debris or the collapse of heavy building
structures. We all have a strong stake in preventing such devastating
accidents that disrupt communities.'
The Danvers facility housed two independent,
privately held firms that split from a single company in 1985. CAI
Inc. produced solvent-based commercial printing inks, while Arnel
Corporation produced solvent-based stains and coatings. Only CAI
was operating a solvent-based process the night of the explosion,
when the facility was unattended, witnesses stated. The CSB investigation
team noted that the facility did not comply with federal and state
regulations concerning the storage and use of flammable liquids
and solids and also lacked related permits and licenses required
under the state fire code.
The building lacked floor-level ventilation
systems to prevent the spread of flammable atmospheres from process
equipment, as required under the OSHA flammable and combustible
liquid standard. In addition, Massachusetts fire regulations require
that flammable liquid storage equipment located inside buildings
must be vented to the outside and must have approved automatic shutoff
valves, and fire-resistant materials must be used for attached piping.
These safeguards were not in place, CSB investigators said.
Investigators said that the mixing
tank likely overheated because steam heating valves either malfunctioned
or were left open due to an operator error. The steam valves were
evidently destroyed in the massive fire that followed the explosion,
making it impossible to confirm an exact mechanism for the presumed
overheating. However, it was determined that during the work day
on November 21, a 3,000-gallon mixing tank operated by CAI had been
charged with powdered resin and flammable solvents, including heptane
and propyl alcohol, and heated by opening two manual valves on a
connected steam piping system. The mixer was then left stirring
overnight.
'The operator told CSB investigators
he believes he closed the steam valves before leaving for the evening,
but because the valves were never recovered their actual position
and functional condition cannot be determined,' said CSB Supervisory
Investigator John Vorderbrueggen, P.E. If the steam valves either
leaked or remained open, 240-degree steam would have continued to
heat the tank without restriction, evaporating off large quantities
of highly flammable solvent vapor. During the overnight hours, vapor
continued to flow out of the tank and throughout the building, eventually
finding an ignition source, such as a spark from an electric device.
'By the process of elimination, that's
likely to be what happened,' Mr. Vorderbrueggen said. 'If the ventilation
system had been left on, however, the accumulation of flammable
vapor would have been greatly reduced. The practice of turning off
the ventilation system at night - which was unsafe in a facility
that handled large volumes of flammable solvents - was the immediate
cause of the accident.'
'We noted that the companies lacked
important safeguards for operating solvent-based processes. Such
safeguards are critical to prevent a single foreseeable error or
mechanical failure from leading to a catastrophic event,' Mr. Vorderbrueggen
said. For example, neither company used checklists or formal written
procedures to help ensure the correct sequence of operator actions.
There were no automatic alarms, shutdown systems, or interlocks
to prevent overheating of the mixing tank. 'When hazardous processes
are intended to be left running unattended, it is particularly important
to use multiple safeguards, sometimes called layers of protection,
to prevent catastrophic accidents,' Mr. Vorderbrueggen said.
Investigators ruled out all other possible
fuel sources for the initial explosion, including industrial-grade
nitrocellulose stored on-site; heating oil that was stored inside
the building; and all potential sources of natural gas.
CSB Supervisory Investigator Robert
Hall, PE, an engineer who formerly participated in Department of
Transportation pipeline investigations, said, 'We found no evidence
to suggest that natural gas could have caused this accident. No
gas line ran into the facility, and there is no evidence of any
sufficiently large gas leak near the facility prior to the explosion.'
Mr. Hall said that the nearest the gas line was at least 150 feet
away from the CAI/Arnel building, and that there was no credible
scenario by which gas could travel along or inside a sewer pipe
into the facility.
'Even in the remote possibility of
a low-pressure natural gas leak into the sewer system, gas would
have flowed toward the houses on nearby Bates Street as well as
the CAI/Arnel facility, and there was no indication that any of
the Bates Street properties were affected by gas. In addition, structures
have roof-level plumbing vents that would be expected to safely
release any natural gas to the atmosphere before it entered the
interior of a building,' Mr. Hall said. 'Furthermore, there was
no tell-tale natural gas fire of the kind that almost always follows
a major natural gas leak and explosion. Gas leaks simply don't heal
themselves.'
Mr. Hall stated that the CSB's blast
modeling confirmed the conclusion that the explosion was not fueled
by natural gas. CSB investigators mapped hundreds of blast damage
markers throughout the community and used these measurements to
perform computer modeling of the explosion. At the community meeting
tonight, investigators plan to show a diagram estimating the size
and extent of the sudden blast wave that caused the widespread community
damage. None of the damage to offsite buildings was caused by fire.
Mr. Hall stated, 'Even under optimal
conditions for an explosion - with an ideal natural gas-air mixture
filling the entire available building volume - a natural gas explosion
would not yield sufficient energy to account for the community damage
offsite. The CSB's blast modeling indicates that a natural gas explosion
could not account for the blast effects that severely damaged dozens
of buildings hundreds of feet from the explosion. However, flammable
solvent vapor from the mixing tank would contain enough energy to
account for the observed community damage, according to our calculations.'
Chairman Merritt said, 'We are acutely
aware of how this accident affected the Danvers community. It is
our hope that these preliminary findings will help inform citizens
about what happened and provide information that will help other
communities assure that companies handling hazardous materials are
operating safely. We are committed to an open and transparent investigation
and are keenly interested in the community's comments tonight.'
Mr. Vorderbrueggen said the CSB investigation
will continue and that activities will include laboratory analysis
of the volatility of ink mixtures produced at the facility, further
explosion modeling, and analysis of opportunities to improve applicable
codes, regulations, inspections, and enforcement. He said the team
hopes to complete its final report within six months.
The CSB is an independent federal agency
charged with investigating industrial chemical accidents. The agency's
board members are appointed by the president and confirmed by the
Senate. CSB investigations look into all aspects of chemical accidents,
including physical causes such as equipment failure as well as inadequacies
in regulations, industry standards, and safety management systems.
For
more information, contact a member of the CSB public affairs staff:
Sandy Gilmour 202-251-5496, Kate Baumann 202-725-2204, Jennifer
Jones 202-577-8448, Hillary Cohen 202-446-8094, or Dr. Daniel Horowitz,
202-441-6074.
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