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Sierra Chemical Co. High Explosives Accident
Location: Mustang, NV
Accident Occurred On: 01/07/1998
Final Report Released On: 09/23/1998
Accident Type: Chemical Manufacturing - Fire and Explosion
Company Name: Sierra Chemical Company

statistics

Total # of Recommendations
16
Total # of Open Recommendations
0
Total # of Closed Recommendations
16
Total % of Open 0 vs. Closed 100

investigation information

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Accident Description
On January 7, 1998, two explosions in rapid succession destroyed the Sierra Chemical Company Kean Canyon plant near Mustang, Nevada, killing four workers and injuring six others.
Investigation Status
The final report on this investigation was approved on September 23, 1998.


 

Recommendations

Institute of Makers of Explosives (IME)
1998-001-I-NV-11

Develop and disseminate process and safety training guidelines for personnel involved in the manufacture of explosives that include methods for the demonstration and maintenance of proficiency.

Status: Closed - Acceptable Action
Closed - Acceptable Action (C - AA) - The recipient has completed action on the recommendation. The action taken meets the objectives envisioned by the Board.
 

1998-001-I-NV-12

Distribute the CSB report on the incident at Sierra to IME member companies.

Status: Closed - Acceptable Action
Closed - Acceptable Action (C - AA) - The recipient has completed action on the recommendation. The action taken meets the objectives envisioned by the Board.
 

1998-001-I-NV-13

Develop safety guidelines for the screening of reclaimed explosive materials.

Status: Closed - Exceeds Recommended Action
Closed - Exceeds Recommended Action (C - ERA) - Action on the recommendation meets and surpasses the objectives envisioned by the Board.
 

Nevada Occupational Safety and Health Enforcement Section
1998-001-I-NV-14

Increase the frequency of safety inspections of explosives manufacturing facilities due to their potential for catastrophic incidents. (Note: Nevada Governor Bob Miller signed an Executive Order on June 10, 1998, that will require inspections at least twice a year.)

Status: Closed - Acceptable Action
Closed - Acceptable Action (C - AA) - The recipient has completed action on the recommendation. The action taken meets the objectives envisioned by the Board.
 

Sierra and Explosives Manufacturers
1998-001-I-NV-1

Explosives manufacturers should evaluate the effectiveness of their explosives safety programs using the following recommendations (numbered for identification) to ensure that: - Process hazard analyses include examination of quantity-distance requirements, building, design, human factors, incident reports, and lessons learned from explosives manufacturers.

Status: Closed - No Longer Applicable
Closed - No Longer Applicable (C - NLA) - Due to subsequent events, the recommendation action no longer applies (e.g., the facility was destroyed or the company went out of business).
 

1998-001-I-NV-2

Explosives manufacturers should evaluate the effectiveness of their explosives safety programs using the following recommendations (numbered for identification) to ensure that: - Written operating procedures are specific to the process being controlled and address all phases of the operation.

Status: Closed - No Longer Applicable
Closed - No Longer Applicable (C - NLA) - Due to subsequent events, the recommendation action no longer applies (e.g., the facility was destroyed or the company went out of business).
 

1998-001-I-NV-3

Explosives manufacturers should evaluate the effectiveness of their explosives safety programs using the following recommendations (numbered for identification) to ensure that: - Procedures, chemical hazards, and process safety information are communicated in the language(s) understood by personnel involved in manufacturing or handling of explosives.

Status: Closed - No Longer Applicable
Closed - No Longer Applicable (C - NLA) - Due to subsequent events, the recommendation action no longer applies (e.g., the facility was destroyed or the company went out of business).
 

1998-001-I-NV-4

Explosives manufacturers should evaluate the effectiveness of their explosives safety programs using the following recommendations (numbered for identification) to ensure that: Explosives training and certification programs for workers and line managers provide and require demonstration of a basic understanding of explosives safety principles and job specific knowledge.

Status: Closed - No Longer Applicable
Closed - No Longer Applicable (C - NLA) - Due to subsequent events, the recommendation action no longer applies (e.g., the facility was destroyed or the company went out of business).
 

1998-001-I-NV-5

Explosives manufacturers should evaluate the effectiveness of their explosives safety programs using the following recommendations (numbered for identification) to ensure that: - Process changes, such as the construction or modification of buildings, or changes in explosive ingredients, equipment, or procedures are analyzed and PSM elements are updated to address these changes.

Status: Closed - No Longer Applicable
Closed - No Longer Applicable (C - NLA) - Due to subsequent events, the recommendation action no longer applies (e.g., the facility was destroyed or the company went out of business).
 

1998-001-I-NV-6

Explosives manufacturers should evaluate the effectiveness of their explosives safety programs using the following recommendations (numbered for identification) to ensure that: - Pre-startup safety reviews are performed to verify operational readiness when changes are made.

Status: Closed - No Longer Applicable
Closed - No Longer Applicable (C - NLA) - Due to subsequent events, the recommendation action no longer applies (e.g., the facility was destroyed or the company went out of business).
 

1998-001-I-NV-7

Explosives manufacturers should evaluate the effectiveness of their explosives safety programs using the following recommendations (numbered for identification) to ensure that: - All elements of OSHA's Process Safety Management Standard are verified by performing periodic assessments and audits of safety programs.

Status: Closed - No Longer Applicable
Closed - No Longer Applicable (C - NLA) - Due to subsequent events, the recommendation action no longer applies (e.g., the facility was destroyed or the company went out of business).
 

1998-001-I-NV-8

Explosives manufacturers should evaluate the effectiveness of their explosives safety programs using the following recommendations (numbered for identification) to ensure that: - The employee participation program effectively includes workers and resolves their safety issues.

Status: Closed - No Longer Applicable
Closed - No Longer Applicable (C - NLA) - Due to subsequent events, the recommendation action no longer applies (e.g., the facility was destroyed or the company went out of business).
 

1998-001-I-NV-9

Explosives manufacturers should evaluate the effectiveness of their explosives safety programs using the following recommendations (numbered for identification) to ensure that: - Explosives safety programs provide an understanding of the hazards and control of detonation sources. These include: · foreign objects in raw materials; · use of substitute raw materials; · specific handling requirements for raw materials; · impact by tools or equipment; · impingement; · friction; · sparking; and · static discharge.

Status: Closed - No Longer Applicable
Closed - No Longer Applicable (C - NLA) - Due to subsequent events, the recommendation action no longer applies (e.g., the facility was destroyed or the company went out of business).
 

1998-001-I-NV-10

Explosives manufacturers should evaluate the effectiveness of their explosives safety programs using the following recommendations (numbered for identification) to ensure that: - The following issues are addressed in plant design or modification: · Operations in explosives manufacturing plants are separated by adequate intraplant distances to reduce the risk of propagation. · Unrelated chemical or industrial operations or facilities are separated from explosives facilities using quantity-distance guidelines. · Facilities are designed to reduce secondary fragmentation that could result in the propagation of explosions.

Status: Closed - No Longer Applicable
Closed - No Longer Applicable (C - NLA) - Due to subsequent events, the recommendation action no longer applies (e.g., the facility was destroyed or the company went out of business).
 

U.S. Department of Defense (D.O.D.)
1998-001-I-NV-15

Develop a program to ensure that reclaimed, demilitarized explosives sold by the Department of Defense are free of foreign materials that can present hazards during subsequent manufacturing of explosives.

Status: Closed - Acceptable Action
Closed - Acceptable Action (C - AA) - The recipient has completed action on the recommendation. The action taken meets the objectives envisioned by the Board.
 

1998-001-I-NV-16

Provide access to explosives incident reports and lessons learned information to managers and workers involved in explosives manufacturing, associations such as IME, government agencies, and safety researchers.

Status: Closed - Acceptable Action
Closed - Acceptable Action (C - AA) - The recipient has completed action on the recommendation. The action taken meets the objectives envisioned by the Board.
 

 
 
 
 
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