accident investigation unit VI assignment

profilenasarb
order_35696_88077.docx

Running head- BARRIER ANALYSIS 1

BARRIER ANALYSIS 5

Barrier Analysis

Student’s Name

Institutional Affiliation

Type of Barrier

Function of Barrier

Performance of Barrier

FAILED

1. Existing tank’s liquid withdrawal valve

Control out flow of liquid propane gas

The valve completely failed in its function

NOT USED

1. Formal training of the technician

2. Supervision of junior technician

3. Training of emergency responders

4. placement of the 500-gallon propane tank

5. Evacuation of the area

Junior technician should have identified the fault in the liquid withdrawal valve

Guide the junior technician on procedure of transferring liquid propane gas to another tank

Handling the problem uniquely as propane gas leakage

Prevent leaking gas from entering the store through structural openings

Keep people from harm’s way

No formal training exhibited by the junior technician

Supervision provided over the phone was lacking adequate guidance

Need for evacuation was realized but not keenly implemented

The placement made it easy for propane gas to fill the store

DID NOT EXIST

1. Recognize the defect in the withdrawal valve

2. Refresher training for West Virginia fire fighters

3. Propane emergency training

4. Propane emergency guidance for 911 operators in the United States

Immediate fixing of the problem

Keep emergency responders up to date with new regulations dealing hazardous materials

Equip fire fighters with necessary skills in dealing with propane gas leakages

Give advice to the distress caller on way forward of dealing with the propane gas leakage

The defect was not recognized by the junior technician at all

the emergency responding captain had not attended training in a long time

being optional, none of the responding fire fighters had under taken this training

the 911 respondent gave no advice or guidance to the junior technician

Part 1

Part 2

The existing tank’s liquid withdrawal valve was leaking. When the junior technician pulled out the cap without checking for leaks first, the liquid propane gas was released into the atmosphere in excessive amounts. Exposed liquid propane gas is highly flammable and the tinniest hint of a flame was bound to cause an explosion.

The junior technician who was transferring the propane gas form one tank to another was reported to lack any formal training on the matter. While he should have been working under supervision, he was working on his own. Formal training in his part would have made him aware of the danger he was in once the liquid propane gas started leaking. The lead technician was missing when he would have otherwise been guiding the junior technician on the procedure of uncapping the liquid withdrawal valve as instructed by the manufacturing company. This failure of professionalism in their area of work allowed huge amounts of liquid propane gas to be released and thus the subsequent explosion.

The emergency responders that arrived at the scene first after the distress call by the junior technician all lacked background training on dealing with propane gas accidents. They proceeded to carry out their duties as provided for in the Ghent Volunteer Fire Department and not in accordance with the National Incident Management. This overlooking of the eminent danger posed by the Incident Commander, exposed them to propane gas put them directly in harm’s way.

The propane tank was located against the back wall of the store. This is a violation of the West Virginia and U.S. Occupational Safety and Health Administration regulations. The leaking liquid propane gas made its way into the Little General store through gaps in the roof. This exposed the building to the danger of propane gas explosion. Evacuation, as demanded in times of gas leakages was ignored by the store employees who locked themselves in the store. This put them in the field of danger in the event of an explosion.

The emergency responders that handled the distress call from the junior technician are all reported to lack sufficient knowledge in dealing with propane gas. The 911 respondent for instance, did not offer any advice to the junior technician when he called. The chain of command in obtaining emergency information on dealing with the leakage seemed long and this caused lapse of time and intensification of the problem at hand.

References

U.S. Chemical Safety and Hazard Investigation Board (2008). Little General Store, 1-84.

West Virginia Fire Commission, (2004). State Fire Code, Title 87 Series 1 (87CSR1), West Virginia.