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Bulletin
U.S. Chemical Safety and Hazard Investigation Board No. 2005-05-B|June 2006
W
MMV, CBS Broadcasting Inc.
hen exposed to high temperatures and direct sunlight, All rights reserved.
Incident
Figure 2. Praxair Facility Layout Before the Incident.
Description
St. Louis was experiencing a heat CHO
wave with bright sunlight and UTE
AU A
temperatures reaching 97oF (36oC) VE
on June 24, 2005. Praxair
operations proceeded normally
OFF
during the morning and early ICE
LAB
.
STOR
I AVE
E
OUR
REA
recommendations when
appropriate. CSB Investigation N s
Digests are plain-language
summaries of Investigation
Reports.
Propane/Propylene Storage Area
3
Emergency
Response
The St. Louis Fire Department
arrived at about 3:35 pm; by this
time, a large number of flammable Figure 4. Spreading Fire (three minutes after ignition)
gas cylinders were already
involved in the fire. With
explosions propelling cylinders in
all directions inside and outside
the facility, firefighters set up a five-
block perimeter, evacuated local
residents, directed a water stream
on the fire, and extinguished
secondary fires started by cylinders
propelled offsite. The fire was
finally controlled at about 8:30 pm.
Community
Impact
Dozens of cylinders and cylinder
parts were propelled into the z With explosions propelling cylinders in all
community and were found on directions . . . firefighters set up a five-block
sidewalks, front yards, backyards,
courtyards, parking lots, and under
perimeter, evacuated local residents, directed a
cars. Damage included a burned- water stream . . .
4
Facility Damage
While the facility was damaged
extensively by fire and water, 22
employees and two customers
evacuated safely in accordance
with Praxairs procedures. A
corner of the main production
building and store area was
heavily fire-damaged. Inside, the
Incident z The returned cylinders,
containing less gas than full
office and store areas were water-
and smoke-damaged. In all, the fire
Analysis cylinders, heated at a faster rate
than full cylinders;
consumed nearly the entire
inventory of flammable gas, or
Incident Scenario z As the cylinder wall
temperatures rose, the internal
about 8,000 cylinders (Figure 6). pressures increased causing the
The CSB used physical evidence, relief device on a cylinder valve
surveillance video recording, to open and vent propylene;
interviews, and information from
Praxairs internal investigation to z The venting propylene ignited
establish the likely failure (most likely from a static
sequence: discharge) at about 3:20 pm;
concluded that although the Propylene and propane cylinders pressure curves and minimum
official cause is undetermined, the are manufactured to U. S. relief valve setpoints for propylene
most likely cause was propylene Department of Transportation and propane.
venting due to the prolonged (DOT) standards.10 The DOT Following several of the fires
exposure to excessive heat. standards require that each described, including the St. Louis
cylinder be equipped with a fire, the affected companies
Comparing pressure relief device that meets the
requirements of Compressed Gas
investigated the performance of the
propylene cylinders CG-7 relief
Propylene and Association, Inc. (CGA) Pamphlet
S-1.1, Pressure Relief Device
valves. In 2003, Battelle12 released
Lesson Recommendations
Learned Compressed Gas
Association (CGA)
The lesson learned from these fires
2005-I-MO-R1
can help similar facilities avoid
damaging incidents. High ambient Communicate with your
temperatures, in combination with low members who operate gas
relief valve opening pressure, increase repackaging facilities the details
the risk of catastrophic fires at facilities of this incident and the best
handling propylene cylinders. practices for handling and
Adopting best practices for storing storing cylinders.
and handling propylene cylinders
2005-I-MO-R2
can reduce this risk at gas
distribution facilities. Revising Revise CGA standards for the
current practices to provide a CG-7 relief valves used in
greater margin between the propylene service to require:
minimum relief opening pressure
1) a greater margin between
and the vapor pressure of
vapor pressure and relief valve
propylene will reduce the risk even
setpoint (similar to propane);
when best practices are not
and
followed.
2) that valves be capable of
multiple operations within the
specified setpoint tolerance or be
furnished with an indicator that
alerts users that the valve has
operated.
The U.S. Chemical Safety and Hazard Investigation Board (CSB) is an independent Federal agency whose mission is to ensure
the safety of workers, the public, and the environment by investigating and preventing chemical incidents. CSB is a scientific
investigative organization; it is not an enforcement or regulatory body. Established by the Clean Air Act Amendments of
1990, CSB is responsible for determining the root and contributing causes of accidents, issuing safety recommendations, and
studying chemical safety issues.
No part of the conclusions, findings, or recommendations of CSB relating to any chemical incident may be admitted as
evidence or used in any action or suit for damages arising out of any matter mentioned in an investigation report (see 42
U.S.C. 7412(r)(6)(G)). CSB makes public its actions and decisions through investigation reports, summary reports, safety
bulletins, safety recommendations, case studies, incident digests, special technical publications, and statistical reviews. More
information about CSB may be found at www.csb.gov.