UNITED STATES
DEPARTMENT OF LABOR
MINE SAFETY AND HEALTH ADMINISTRATION
Southeastern District
Metal and Nonmetal Mine Safety and Health
Accident Investigation Report
Surface Nonmetal Mine
Fatal Exploding Vessels Under Pressure Accident
Richardson Road Quality Aggregates, Incorporated
Quality Aggregates, Incorporated
Sarasota, Sarasota County, Florida
Mine I.D. 08-00877
March 6, 1997
By
William L. Wilkie
Supervisory Mine Inspector
And
Mitchell Adams
Mine Safety and Health Inspector
Originating Office
Mine Safety and Health Administration
135 Gemini Circle, Suite 212
Birmingham, Alabama 35209
Martin Rosta
District Manager
GENERAL INFORMATION
Michael A. Litzell, welder, age 27, was fatally injured at
approximately 3:00 p.m. on March 6, 1997, when a sealed flotation
tank exploded while the victim was attempting to weld a tie-off
to the end of the tank. The victim had a total of 10 months
mining experience, all at this site.
The victim reportedly had received 8 hours hazard training and
placed with experienced employees for the remainder of his
training. No documentation was available to verify that training
had been conducted.
Doug Himes, safety director, Quality Aggregates, Incorporated,
notified the MSHA Birmingham District Office of the accident at
3:09 p.m. on March 6, 1997. An investigation was started the
same day.
Richardson Road Quality Aggregates, Incorporated, a shell and
sand operation, owned by Quality Aggregates, Incorporated, was
located at 6121 Richardson Road, Sarasota County, Florida. The
principal operating official was Hugh N. Cannon, president. The
mine normally operated one, 8-hour shift a day, five days a week
and employed 33 persons.
Shell was mined from a single bench using a dragline and track-hoe excavator. Underlying sand was then mined using a suction
dredge. The material was transported to the plant, where it was
crushed, screened, and stockpiled. The final product was
marketed as aggregate, base material, and concrete additive.
The last regular inspection of this operation was conducted on
January 27, 1997.
PHYSICAL FACTORS INVOLVED
The company was in the process of replacing the flotation tanks
on the dredge discharge line. The tanks, fabricated off-site by
Kinney-Johnson Fabricators, Incorporated, measured 12 feet in
length and 46 inches in diameter. They were fabricated from 1/8
inch thick metal.
The mine operator had purchased tanks in January 1997, and had
welded tie-offs to the tanks without incident. The tie-offs were
used to secure boats to the discharge line on the dredge during
maintenance work.
The tanks delivered in January 1997, arrived at the mine with the
vent caps missing and without rust-inhibiting paint being applied
to the inside of the tanks. The tanks delivered on the date of
the accident were sealed and the interior had been painted with a
rust inhibiting paint at the order of the mine operator.
A copy of the material safety data sheet for the paint, provided
by the fabricator during the investigation, stated: "Do not
pressurize, cut, heat, weld or expose such containers to flame.
They may explode and cause injury or death." There were no
labels posted on the tanks warning of this hazard. The paint had
a flash point of 103 degrees Fahrenheit.
The air temperature, on the day of the accident, was estimated to
be in the mid 80's.
DESCRIPTION OF ACCIDENT
On the day of the accident, Michael A. Litzell, victim, reported
to work at 7:00 a.m., his regular starting time. His primary
occupation was maintenance welder.
He was assigned various duties in and around the plant until
approximately 2:00 p.m. when two metal flotation tanks were
delivered to the mine site. Litzell was to weld a v-shaped metal
tie-off on both ends of each tank prior to the tanks being
installed on the dredge discharge line.
He had completed welding the tie-off at one end of the tank, and
was in the process of welding the tie-off at the opposite end,
when the welding rod burned through the tank, resulting in an
explosion.
The end of the tank, which was 46-inches diameter, separated from
the body of the tank, striking the victim. He was thrown
approximately 26 feet by the force of the explosion.
The explosion was heard throughout the plant and several
employees went to the scene of the accident. The plant operator
dialed 911 and summoned emergency medical assistance. The
Sarasota County Paramedics arrived in approximately 10 minutes
after being contacted and examined the victim. The victim was
pronounced dead at the scene by paramedics from the Sarasota
County Medical Examiner's office.
Death was attributed to multiple blunt force trauma caused by the
explosion.
The victim was removed from the accident scene and taken to the
morgue at the Sarasota Memorial Hospital.
CONCLUSION
The cause of the accident was the failure to ventilate the tank
and test for flammable or explosive gases prior to beginning
welding operations.
VIOLATION
Citation No. 4076847
Issued on March 19, 1997, under the
provisions of Section 104(a) of the Mine Act for violation of
Standard 56.4604:
On March 6, 1997, an employee was fatally injured when
the sealed tank on which he was welding, exploded.
Prior to beginning the welding operation, precautions
were not taken to determine the presence of flammable
gases and the vent cap was not removed to prevent
pressure buildup during welding.
This citation was terminated on March 19, 1997. All
employees were instructed in the importance of
ventilating tanks and testing prior to welding or
cutting operations.
/s/ William L. Wilkie
Supervisory Mine Inspector
/s/ Mitchell Adams
Mine Safety and Health Inspector
Approved by: Martin Rosta, District Manager
Related Fatal Alert Bulletin: [FAB97M15]
|