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- REPORT CHARACTERISTICS:
DONOR: Alberta Community and Occupational Health
Occupational Health and Safety Division
JURISDICTION: ALBERTA
REPORT TITLE: Fatality Investigation Data Base
INFORMATION ABOUT DECEASED:
NAME: Confidential SEX: Male AGE: 22
OCCUPATION: pipefitting, plumbing and related occupations
INDUSTRY:
construction of pipe lines
Industrial sector: construction
ACCIDENT INFORMATION:
DATE OF ACCIDENT: Confidential
PLACE: DEVON AREA: Edmonton region
NATURE OF INJURY:
burn or scald (electric burns not electric shock)
TYPE OF ACCIDENT:
explosions
SOURCE OF INJURY:
coal and petroleum products
flame, fire, smoke
ACCIDENT DESCRIPTION:
While in the process of flushing an eight inch (203mm) pipeline
between valve
blocks, a cold cut was required to expedite the insertion of
a pig. Hazardous
vapours escaped at the cut, impregnating the air with combustible
material.
The combustible material was ignited causing an explosion and
fire, killing one
worker and injuring several workers.
INVESTIGATION:
DATE: 1983-10-05
UNSAFE ACT(S):
operating without authority, failure to secure or warn
unsafe loading, placing, mixing, combining, etc
unsafe position/posture, inappropriate operational position
UNSAFE CONDITION(S):
improper ventilation
INDIRECT CAUSE(S):
worker's deliberate disregard of known safe procedures
EMPLOYER ACTION(S):
eliminate unsafe procedure
provide instruction, training, supervision to workers
OHSO ACTION(S):
inspections
meeting with company representatives
issue a requisition or order
OTHER'S ACTION(S):
safe-t-gram/bulletin issued by OHSD, magazine publicity
REGULATION(S): 26776163 26776379
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