Professional Documents
Culture Documents
Investigation Team
Johnnie Banks, Supervisory Investigator
Mike Corona, Attorney/Investigator
Jerad Denton, Attorney/Investigator
Beeta Lashkari, Attorney/Investigator
Samuel Oyewole, Ph.D, Investigator
Reepa Shroff, Investigator
Lucy Sciallo-Tyler, Investigator
Veronica Tinney, Recommendations
Specialist
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Meeting Agenda
Video Overview of Incident
Incident Description
FGAN Hazards and Contributing
Factors
Inherently Safer Technology
Insurance
Land Use Planning
Emergency Response
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Consequences
Less than 20
Minutes
15
Fatalities
Injuries
Community
Damage
12 Firefighters
and EMTs
3 Community
Members
Over 260
Community
Members and
Emergency
Responders
Apartment
Complex
Schools
Nursing Home
Private Residences 6
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Location of Injuries
Inside a
Structure
Outside
8%
13%
Inside Vehicle
55%
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WFC Overview
CityofWestLegend
WestFertilizerCompany
WestHighSchool
WestIntermediateSchool
BasketballCourt
Playground
WestTerraceApartmentComplex
WestRestHavenNursingHome
ApproximateDistancefromSeatof
BlasttoFenceline (Feet)
0
1,157
552
249
366
454
629
1
2
3
4
5
6
7
8
9
WFCFacilityLegend
GrainSilos
LocationofOverturnedFGANRailcar(post
explosion)
CornSilo
Office/ChemicalStorage
Fertilizer Building
LiquidFertilizerTanks
AnhydrousAmmoniaPressureVessels
ScaleHouse
NearestFireHydrant
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B
L
A
S
T
W
A
V
E
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10
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Example of an FGAN
Facility in Texas
School
552 Feet
1,432 Feet
Healthcare Facility
629 Feet
278 Feet
Residence
287 Feet
220 Feet
11
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Distance to Schools
0.50 to 1 mile
(0.8 to 1.6 km)
10
12
14
16
18
12
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14
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15
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16
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Crater Dimensions
19
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Fertilizer Grade
Ammonium Nitrate
(FGAN)
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High-density Prill
Division 5.1 Oxidizer
Minimal health
hazards
Low-density Prill
Division 5.1 Oxidizer
Oxidizer supports
combustion
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1. Uncontrollable Fire
Main Hazards
in fire situations:
2. Decomposition
Can produce toxic and flammable byproducts during thermal decomposition
The reactions release gases such as nitric
acid (HNO3), ammonia (NH3), nitrogen
oxides (NO, NO2), nitrous oxide (N2O),
nitrogen, oxygen, and water vapor
3. Explosion
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Combustible Construction
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Combustible Construction
In fires, FGAN-saturated wood
burns with greater intensity
The wood constructed bins at WFC
likely led to the intensity and
spread of the fire throughout the
fertilizer building
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7:42 pm:
Darker smoke observed
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7:45 pm:
Lighter smoke observed
Larger fire
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33
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Engineering Controls
Traditional
Safety
Practices
Administrative
Controls
PPE
Automatic fire
suppression
systems
Procedures
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IST
Engineering Controls
Traditional
Safety
Practices
Administrative
Controls
PPE
Automatic fire
suppression
systems
Procedures
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IST
Engineering Controls
Traditional
Safety
Practices
Simplification
Substitution
Minimization
Moderation
Administrative
Controls
PPE
36
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Source: Nutricarefertilisers.com
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Athens
West
Bryan
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Wooden
FGAN
storage
bins
Wooden
construction
materials
Concrete
bins
Concrete
storage
dome
41
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Insurance Inspections
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45
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46
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Business/Operation
Minimum
Amount
$1.5 million
Elevator/escalator contractors
$1.5 million
$1 million
Electricians
$600,000
$600,000
Plumbers
$300,000
$300,000
$300,000
$250,000
$200,000
48
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Insurance Inspections
Compliment government oversight by
identifying hazards and reducing losses
through the insurance process
Reinforces government regulations and
industry practices
Insurance audits can be more frequent
than state or federal enforcement
activities
49
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Insurance Inspections
Previous incidents demonstrate the risk
imposed by FGAN facilities on Texas
communities
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53
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54
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Fertilizer
Fertilizer
Facility
Fertilizer
Fertilizer
Facility
Location
Facility
Facility
Fertilizer
2010
1954
1970
2013
Facility
1982
55
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AN Fertilizer Storage
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Emergency Response
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Emergency Response
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Emergency Response
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Emergency Response
The explosion fatally injured emergency
responders and nearby residents
Organization
Casualties
WestVolunteerFireDepartment
AbbottVolunteerFireDepartment
NavarroMillsVolunteerFireDepartment
DallasFireDepartment
EMT(WestVolunteerFireDepartment)
Membersofthepublic
67
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Homeland
Security National
Training Program
Homeland
Security Grants
Program
Assistance to
Firefighters Grant
Program
72
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73
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CF Industries SDS
for FGAN (2012)
If confined when an
ignition occurs, an
explosion may
occur.
FGAN may
undergo detonation
if heated under
confinement.
DOT ERG
(2012)
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Regulatory Analysis
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Agency
Rule
Requirements
Applicability
OSHA
EPA
Explosives and
Blasting Agents
Standard
Process Safety
Management
Standard
Risk Management
Program Rule
Emergency
Planning and
Community Rightto-Know Act
Based on prior
versions of NFPA
Codes (has not
been revised since
1971)
Covered
processes must
follow 14
minimum
performancebased elements
Based on Program
Level classification
for covered
processes
Emergency planning
and reporting
sections based on
chemicals covered
at specified
thresholds
Chemicals at or
above specified
threshold
quantities on the
PSM list of
covered chemicals
Substances at or
above specified
threshold quantities
on the RMP list of
covered flammables
and toxics
Substances and
chemicals covered
at specified
thresholds
Covers FGAN
WFC
Compliance
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Contains requirements to
prevent or minimize the
consequences of catastrophic
releases of toxic, reactive,
flammable, or explosive
Process Safety Information
chemicals
Process Hazard Analysis
Applies to processes that involve
Training
a chemical on the PSM list at or
above a specified threshold
quantity
More than 130 toxic and
reactive chemicals
Incident Investigation
Emergency Planning and Response
Flammable liquids and gases
Process means any activity
involving a highly hazardous
chemical
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Chemicals
Covered
Thresholds
Threshold Planning
Quantity: 1 to 10,000 lbs.
onsite at any one time
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Agency
Rule
Requirements
Applicability
OSHA
EPA
Explosives and
Blasting Agents
Standard
Process Safety
Management
Standard
Risk Management
Program Rule
Emergency
Planning and
Community Rightto-Know Act
Based on prior
versions of NFPA
Codes (has not
been revised since
1971)
Covered
processes must
follow 14
minimum
performancebased elements
Based on Program
Level classification
for covered
processes
Emergency planning
and reporting
sections based on
chemicals covered
at specified
thresholds
Chemicals at or
above specified
threshold
quantities on the
PSM list of
covered chemicals
Substances at or
above specified
threshold quantities
on the RMP list of
covered flammables
and toxics
Substances and
chemicals covered
at specified
thresholds
Covers FGAN
WFC
Compliance
94
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Key Findings
Technical
Technical
Land Use
Planning
Land Use
Planning
Regulatory
Emergency
Planning
Emergency
Planning
Insurance
Emergency
Response
Emergency
Response
Responders had
Limited
oversight
for to
insufficient
information
WVFD
No
zoning
did
not
regulations
conduct
Combustible
material
WFC
dropped
by previous
FGAN
storage
respond
to
fireWFC
at the
drills
existed
and
atexercises
thethe
at
contributed
totime
the
insurance
provider
for
nonWFCfacility
WFC
began
operations
intensity
of the fire
compliance
Regulations covered
Regulatory
ammonia
(vs.
City
Current
training
anhydrous
EPCRA
of
West
lacks
developed
clear
WFC
insurance
providers
curriculum
No the
sprinkler
system
at
FGAN)
places
little
information
over
years
on
which
and
did not focus on FGAN
WFC
emphasis
on
FGAN
facilities
expanded
fall
toward
under
WFC
the Ag
Insurance
hazards
Emergency
FGAN
not on
OSHA PSM
Planning
Use
Exemption
orWFC
EPAfacility
RMP list
of not
was
48%
of FGAN
sites
in
Burning
asphalt
shingles
chemicals
Lessons
learned
from0.5
subject
tolocated
zoning
Texas
No
emergency
response
are
within
and
soot
likely
previous
FGAN
firespile
not
regulations
governing
the
plan
inofplace
forFGAN
personnel
miles
schools
or
contaminated
shared
WVFD
responding
siting
of with
anfacilities
to
FGAN
incidents
facility
healthcare
95
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Recommendations
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U.S. EPA
2013-02-I-TX-R2
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U.S. EPA
2013-02-I-TX-R3
Revise the RMP rule to include FGAN on the
List of Regulated Substances.
Ensure the calculation for the offsite
consequence analysis considers the
unique explosive characteristics of
FGAN.
Develop RMP guidance documents for
FGAN facilities.
99
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U.S. OSHA
2013-02-I-TX-R5
Implement one of the following regulatory
changes to address the hazards of FGAN:
a) Add FGAN to the OSHA List of Highly
Hazardous Chemicals, Toxics and Reactives
and establish an appropriate threshold
quantity. Identify NFPA 400 as a source of
Recognized and Generally Accepted Good
Engineering Practices (RAGAGEP) for PSMcovered FGAN equipment and processes.
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U.S. OSHA
2013-02-I-TX-R5 contd
b) Revise the OSHA Explosives and Blasting
Agents Standard (29 CFR 1910.109) to
ensure that the scope establishes that the
standard applies to facilities that store
bulk quantities of FGAN. Revise Storage
of Ammonium Nitrate, to include
requirements similar to NFPA 400-2016,
Hazardous Materials Code, Chapter 11.
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DHS/FEMA
2013-02-I-TX-R8
During the program proposal review process,
ensure that the FGAN training includes
multiple delivery methods to allow for a broad
reach. The training should allow for instructor
led, web-based and train the trainer courses,
initial orientation, and refresher training. The
training should allow for flexibility in delivery.
105
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DHS/FEMA
2013-02-I-TX-R9
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DHS/FEMA
2013-02-I-TX-R10
Develop an outreach program that
notifies regional, state, and local fire
departments of available FGAN training
opportunities.
107
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2013-02-I-TX-R12
Implement outreach to fire departments that
either have FGAN facilities in their jurisdictions
them about the new FGAN training certification
requirements and opportunities to receive
training.
108
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SFFMA
2013-02-I-TX-R14
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TL4
Board Questions
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Slide 115
TL4
i think we should put the following 4 or 5 agenda items on one slide. We usually won't change slides during this portion of the
presentation anyway.
Tyler, Lucy, 1/12/2016
Public Comment
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Board Deliberations
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Board Vote
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Final Comments/
Adjourn
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