Ford Rouge Explosion Investigation
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Rouge Plant Explosion Investigation  Ford Rouge Plant Explosion Investigation Site

What Caused the Power Plant Explosion?

Currently the cause of the rouge plant explosion is under investigation.   The principle organization involved, MIOSHA, can not - under law - publish the results of its investigation for six months after the explosion.  Unspecified sources have reported in the media that: the explosion was caused by a buildup of gas in a chamber of Boiler No. 6. Other reports have indicated that workers were shutting off the gas flow to the boiler the day of the blast because it was due for an annual inspection. 

News sources have provided the following additional information:

At the time of the explosion, the boiler was being shut down for another annual inspection.   Workers had already stopped the boiler from operating and were in the process of completing safety procedures designed to prevent fuel leaks, including through two large natural gas pipes leading to the firebox.  In the morning, the men "blanked" the flow of the blast furnace gas, which means they inserted a piece of metal into the pipe, physically preventing the gas from entering the boiler. A valve is used to control the flow, and that is shut off first. But the physical metal barrier is apparently also needed.  After lunch, the men planned to blank the natural gas line.  Gas was building up allegedly in the fire box and ignited perhaps from the coal. For  some  reason, the fuel was building up, was not being burned and resulted in the explosion.

 

"A rash of injuries, deaths, and property damage in the first six weeks of 1999 due to equipment-related incidents has prompted National Board officials to call for increased vigilance involving boiler and pressure vessel safety.  Although many of the incidents are still being investigated, the two major causes appear to focus on fuel and combustion problems. In Michigan, a fuel explosion is identified as the preliminary cause resulting in four deaths, 12 injuries, and shutdown of the Ford Motor Company Rouge Industrial Complex."  The National Board [1999 Off To Tragic Start]

 

The following organizations / entities are investigating the explosion at the Ford River Rouge Plant:

Michigan Occupational Safety and Health Administration (MIOSHA) - MIOSHA's final report, which by law may not be released and available for up to six months. The state investigators study the safety standards and protocols that were used under Michigan Administrative code §408.4001 which regulates minimum standards of safety for the use,construction, installation, inspection, alteration, and repair of boilers;licensing of boiler inspectors, boiler repairers, and boiler installers;requirements for permits to install, repair, and alter; and fees to be charged.  The assembly, maintenance, operation, and testing of controls and safety devices shall be conducted in accordance with ASMEcode CSD-1, 1992 edition, and its addenda.  A copy of ASMEcode CSD-1 can be ordered by clicking here.

Michigan Department of Department of Consumer and Industry Services - "A state inspector said ...  that the explosion was caused by a gas buildup inside a boiler at the power station. A boiler inspector from the state Department of Consumer and Industry Services examined the remains of the coal-fired power plant Thursday and traced the blast to boiler No. 6."

Ford Motor Company - Ford officials said they wouldn't be able to pinpoint the cause until the investigation is complete. 

Dearborn Fire Department: Dearborn Fire Inspector Jack McArthur has acted as a spokesperson for the investigation thus far.

U.S. Occupational Safety and Health Administration has offered to help with the investigation, but the state likely will complete its work first.

U.S. Chemical Safety and Hazard Investigation Board (CSB) - CSB Chairman Dr. Paul L. Hill, Jr. said the CSB would conduct a review of the incident and would reserve a decision to conduct a more comprehensive investigation until more fact-finding could be accomplished.  The CSB is particularly interested in what role, if any, natural gas, coal dust or other hazardous materials may have played in the explosion.  The CSB will rely primarily on its review and evaluation of the investigation reports that will be prepared by local responders, the Michigan Occupational Safety and Health Administration (MIOSHA), and the company's own internal investigation. MIOSHA has been providing the CSB with information from the scene, and senior officials from federal OSHA have been in contact with the CSB and are sharing information. The Chemical Safety Board is an independent federal agency with the mission of ensuring the safety of workers and the public by preventing or minimizing the effects of industrial and commercial chemical incidents. Congress modeled it after the National Transportation Safety Board (NTSB), which investigates aircraft and other transportation accidents for the purpose of improving safety. Like the NTSB, the CSB is a scientific investigatory organization. CSB is responsible for finding ways to prevent or minimize the effects of chemical accidents at industrial facilities and in transport; the Board is not an enforcement or regulatory body. CSB is currently reviewing or investigating incidents in Arizona, Arkansas, California, Florida, Georgia, Idaho, Iowa, Louisiana (3), Maryland, Michigan (2), Missouri, New Jersey (2), New York, Ohio (2), Oklahoma, Oregon, Pennsylvania (2), South Dakota, Texas and Washington State (3).  The Board's reference number for this Incident Review is 99-012-R-MI

The Rouge boiler was last examined by Ford's insurer, Factory Mutual Insurance Co.  No doubt, an extensive paper trail exists with regard to boiler repairs, maintenance and third party products included in the system.

The Rouge power plant was last inspected by the state in January 1996 after a water pump turbine explosion.


QUOTES:

 
Posting by Discussion Group Member Roland O'Brien-Bills, Accident Investigations.

What other safety mechanisms - besides blanking and shutting off the valves - were in effect or should have been in effect?

There was a Gentleman in earlier correspondence that suggested blanking is unwise and I agree, for I have inspected boilers and burner fronts for years. Double shut off valves is the proper way to secure a gas line with venting. This bit map schematic is an approximation of what I would expect as a minimum arrangement for the gas piping for igniters. This schematic suggests there are safe guards of at least two levels. They are Block valves and Vents.  If either of the block valves leaked by, then gas pressure could build-up and pour into the furnace only if the vents are plugged. If the work order required the workers to replace the IHSSV (Igniter header safety shut-off valve) then the gas line header in the steam/power plant should have been shut down. This line also has a safety vent.

New Link   First Rouge explosion suit filed - Wrongful death charged by the survivors of Wyandotte -  By David Shepardson / The Detroit News -  As the investigation into the accident enters its fourth month, a group of 20 investigators, including representatives of Ford, Rouge Steel and their three insurers, state boiler inspectors and state occupational safety officials, meets each Tuesday. Investigators are looking at whether there was a second explosion, said Dearborn Fire Chief Jack McArthur. His office hopes to have a preliminary cause announced by mid-June.  Safety precautions and maintenance records will be at issue in upcoming lawsuits.  In the weeks before the accident, workers near the powerhouse complained of the smell of gas emanating from Boiler No. 6. Anderson's attorney Gerard Mantese suggested replacement valves should have been installed and that there should have been "appropriate exhaust fans installed in and around Boiler No. 6 so as to avoid an unreasonable risk of an explosion."  Late in April, investigators X-rayed twisted valves on the seven-story boiler.   Ford or Rouge Steel could be fined for safety violations involving training and maintenance.

Rouge blast probe focuses on valves in the powerhouse - March 4, 1999 BY NIRAJ WARIKOO, Free Press Staff Writer. Investigators looking into the Ford Rouge plant explosion -- now the deadliest accident at an auto facility in at least 50 years -- are examining the valves that controlled gas flow to a powerhouse boiler.  County Circuit Judge Paul Teranes.  granted the request to prevent Ford from altering or destroying evidence in the powerhouse at the Rouge complex in Dearborn on Feb. 23.  This order prevented entry into the blast site. But Friday, he modified his ruling to say the Dearborn fire marshal has control over the evidence and could continue the investigation.   Historians and auto officials say the blast was the deadliest accident at an auto facility in at least 50 years and the worst in Ford's history.

The National Board - A rash of injuries, deaths, and property damage in the first six weeks of 1999 due to equipment-related incidents has prompted National Board officials to call for increased vigilance involving boiler and pressure vessel safety.  Although many of the incidents are still being investigated, the two major causes appear to focus on fuel and combustion problems. In Michigan, a fuel explosion is identified as the preliminary cause resulting in four deaths, 12 injuries, and shutdown of the Ford Motor Company Rouge Industrial Complex.

Ford Rouge explosion caused by gas build-up in firebox - A state agency said Thursday that buildup of natural gas ignited in a giant boiler, causing the explosion. "The explosion was what is termed 'a furnace explosion,' where the firebox inside the boiler that heats up the water had a buildup of gas in the chamber," according to a statement by state officials. "This gas then ignited, causing the boiler to explode."   A former supervisor of the powerhouse said the only possible heat source that could detonate a natural gas buildup in the boiler is small embers from coal dust, another fuel source for the boiler.  "I'm really not sure how that could have happened," said Al Price, a retired foreman of the powerhouse who spent 36 years with Ford. "There's hot slag in the furnace, and that's really the only possible heat source. The fire was off at the time."

At the time of the explosion, the boiler was being shut down for another annual inspection, a process that takes several hours. Price said he was told that workers had already stopped the boiler from operating and were in the process of completing safety procedures designed to prevent fuel leaks, especially through two large natural gas pipes leading to the firebox. 

In the morning, the men "blanked" the flow of the blast furnace gas, which means they inserted a piece of metal into the pipe, physically preventing the gas from entering the boiler. A valve is used to control the flow, and that is shut off first. But the physical metal barrier is also needed, workers said, in case the valve does not close properly.

After lunch, the men planned to blank the natural gas line.  "Gas was building up somewhere. The fuel was building up and not being burned. You don't need much to start a gas explosion," Papke said. "It was like a big pipe bomb."   The fire shot across the room to other boilers, and seemed to catch the coal that is delivered next to the No. 1 boiler on fire. Price estimated that the water temperature was probably about 400 degrees at the time of the explosion. The boiler is allowed to cool for about 24 hours before anyone can inspect its interior.  Price, who until last year supervised the shift of men involved in the explosion, said a natural gas leak into the furnace must have been ignited by coal embers. He said he doubted the gas buildup could have been ignited by an exterior source such as a spark or lighter.

New LinkWorkers safety  - From the first day of the tragedy the United Auto Workers union has, in advance of any investigation into the blast, gone out of its way to exonerate Ford management. Indeed, barely two weeks after the explosion hundreds of UAW officials gathered with their Ford counterparts for the annual "UAW-Ford leadership conference" at the Disneyland Hotel in Anaheim, California, where they discussed how to boost productivity and profits. By Jerry White -20 February 1999.

New Link - America's workplaces--among the deadliest in the industrialized world -   From the first day of the tragedy the United Auto Workers union has, in advance of any investigation into the blast, gone out of its way to exonerate Ford management. Indeed, barely two weeks after the explosion hundreds of UAW officials gathered with their Ford counterparts for the annual "UAW-Ford leadership conference" at the Disneyland Hotel in Anaheim, California, where they discussed how to boost productivity and profits. By Jerry White -13 February 1999.

New Link - A pat on the head from the Detroit News - By Jerry White -6 February 1999 - The United Auto Workers is getting good marks from the business establishment and the media in Detroit for its performance in the aftermath of Monday's fatal explosion at the Ford Rouge plant. The Detroit News business writer Jon Pepper went out of his way to give the union officials a pat on the head in his column Wednesday, entitled "UAW applauds Ford as company shows workers it really cares."  Last year alone, the automaker cut $2.2 billion from its operating costs, double its goal, and eliminated 9,000 jobs. It stands to reason that these cutbacks, combined with the lack of any independent representation of the workers' interests, contributed to the conditions that led to the explosion. Last Monday's blast, moreover, was the most devastating, but by no means the only fatal accident in recent years.

New Link  - Second Ford Rouge worker dies - By Jerry White -6 February 1999  -  There is a national code of procedures to close all valves that carry fuel into the firebox whenever the boiler is shut down. Also, by law, there are vents on the fuel lines that allow any remaining fuel to escape through the roof, not travel down to the boiler. The gas should never have reached the boiler. Never. "I read in the papers that these workers 'blank' the pipes to stop gas from entering the firebox. We don't do that at my plant. No way. We don't need to because the valves shut off the gas. Blanking is an extreme precaution you use only if the valves won't shut off the gas flow. Maybe the valves were old and the men thought the gas might leak by. Maybe the escape vents were plugged.  "There are also what are called Maxon valves, certified by the American Association of Mechanical Engineers, that are hooked to an electrical circuit. When you shut the boiler down, the valves automatically shut and stop the fuel intake. If the water level is low, the valve shuts off. If the oxygen level is low, the valves slam shut. The valves are the most important thing because if you have raw, unburned fuel in the firebox all you need is a little more heat and you get a massive explosion.

State says gas buildup caused explosion -  Michigan Consumer & Industry Services announced today that a gas buildup caused the boiler explosion Monday at Ford's Rouge Manufacturing Complex.  A media alert released by the state agency said such "furnace explosions" occur when the firebox inside the boiler has a buildup of gas, which then ignites, causing the boiler to explode. The 1965 vintage boiler was last inspected on Feb. 20, 1998, according to the agency. Free Press. February 4, 1999.

"Despite public perceptions, the risks involving boiler and pressure vessels are very real - even in an age of advanced technology and awareness," explains National Board Executive Director Albert J. Justin. "When it comes to dangerous equipment of any type, everyone must cast a watchful eye."

"power plant was running on "bubble gum and bobby pins"  -   Injured boiler operator who also stated  that Ford was only doing enough to keep it operating until Ford built a new plant.

Officials push blast probe as Ford worker is buried - "The boiler experts are certain it was not a steam explosion," Dearborn Fire Chief Jack McArthur said Monday. "We have to start looking at other reasons for what caused this.
"We have asked everyone, the state and local investigators ... the structural engineering and boiler experts ... representatives from Ford Motor Co. and several insurance companies ... not to rule anything else out now, but help us decide what evidence must still be preserved and collected."     McArthur said more than 20 people involved in the investigation will be asked to share reports of their findings.   "Hopefully in a week, maybe two, we will be able to sit down together and find the probable cause," he said.  McArthur is especially interested in reading police interviews done with workers inside the power plant at the time of the blast. By Mike Martindale and Mike Wowk / The Detroit News

Ford Rouge welder dies at hospital -  State officials said Thursday the blast was caused by a buildup of gas inside the boiler. Workers at the Rouge power plant said Friday the theory makes sense, based on their experiences.   "There definitely was a gas buildup," said Barney Trupino, 38, who was working near the boiler at the time of the blast. "The way the fire went up, ...the way it blew out."  However, Ford officials said they wouldn't be able to pinpoint the cause until the investigation is complete.  Investigators are examining whether the gas lines and natural gas valves were working correctly at the time of the blast, Dearborn Fire Chief Jack McArthur said Friday.

David Mitchell of Great Lakes Power in Detroit - "If a flame or safety monitor wasn't functioning properly and the flame were to die out, any effort to re-ignite it could be a problem if there's fuel in the chamber," said David Mitchell of Great Lakes Power in Detroit.  "It's a huge storage chamber and if you fill it with enough fuel and air, you have to have somewhere for it to go," Mitchell said. "If not, then it's kind of like corking a teakettle. It will explode."


Charles Redmond, Detroit's supervising boiler inspector and a member of the National Board of Boiler and Pressure Vessel Inspectors - "I don't envy them at all," said Charles Redmond, Detroit's supervising boiler inspector and a member of the National Board of Boiler and Pressure Vessel Inspectors. "They have a very difficult and complicated job ahead of them." Redmond said inspectors likely will try to determine whether the explosion was caused by the boiler ripping apart or from a different source. "I honestly don't believe it was a pressure vessel failure, based on what people were saying and the pictures I saw on television," Redmond said. "If it was the boiler, it probably would have sent parts of that boiler right through the building and all over the grounds." Redmond said the explosion could have come from fuel, gas or even the coal dust that's used to generate power. "Any spark could ignite that dust, almost as easily as natural gas," he said.


Quick LINKS:

Order Asme Code CSD-1 On-Line.  American Society of Mechanical Engineers ("ASME") code CSD-1 is the rule of minimum compliance under Michigan Law, R 408.4001 - Dept. of Consumer And Industry Services - Bureau of Construction Codes - Board of Boiler Rules.  This is the minimum standard by which the the boiler component, valve mfg., safety vendors and Ford will ultimately be judged.

Michigan Regulations Re Boilers:  Michigan Administrative code §408.4001 These rules establish minimum standards of safety for the use,construction, installation, inspection, alteration, and repair of boilers;licensing of boiler inspectors, boiler repairers, and boiler installers;requirements for permits to install, repair, and alter; and fees to be charged. The assembly, maintenance, operation, and testing of controls and safety devices shall be conducted in accordance with ASMEcode CSD-1, 1992 edition, and its addenda, except as modified by these rules, which are adopted by reference in these rules and which may be reviewed at the Lansing office of the department of labor. The code may be purchased at a cost as of the time of adoption of these rules of $32.00 from the American Society of Mechanical Engineers, 22 Law, Fairfield, New Jersey 07007, or from the Michigan Department of Labor, 7150 Harris Drive, P.O. Box 30255, Lansing, Michigan 48909.

The National Board of Boiler and Pressure Vessel Inspectors - Home Page.

 

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