Faulty Valve Causes MASSIVE Refinery Explosion
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- Опубликовано: 4 фев 2025
- #personalinjurylawyer #explosion #uscsb
WATCH THE ORIGINAL VIDEO HERE:
• Fire in Baton Rouge
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Personal Injury Attorney Tommy John Kherkher
Managing Partner of The Kherkher Law Firm PLLC | Attorney at Kherkher Garcia LLP
Principal office is in Houston, Texas. Licensed in Texas(see below).
Primarily focused on representing individuals who have suffered catastrophic and high-damage personal injuries.
Website: www.attorneytom.com
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AttorneyTom - your enthusiasm for catastrophic injury alone deserves a collab!
Lmao…
@@AttorneyTom hi
I want to see a crossover with the Disaster Area podcast!
As a chemical engineer, these videos interest me greatly. This video was shown to us in undergraduate studies.
Tom: We finally got a collab with the CSB!
Refinery owners: I feel a disturbance in the force
The USCSB channel is one of my favorites, as a matter of fact it was one of their videos that lead me to this channel.
This highlights the necessity for workplace procedural documentation. 30 years ago, when those pressure containing support brackets were installed, I'm willing to bet all the workers knew which ones comprised the 3%. Word of mouth training and turnover for 30 years will guarantee a portion of the workforce would not know of their existence.
Also, if those valves were installed 30+ years ago on a caustic chemical system, they most likely were past their service life, and should have been replaced years ago
As a former mechanic (aircraft) I place the blame 98% on exon and 2% on the workers. While they should have been trained, had better operating procedures, and those valves should no longer exist, when I saw that diagram I instantly knew what was going to happen and how it was all going to go horribly wrong. Anybody working with pressurized equipment should of taken one look at that and gone I should not remove that plate unless this pipe is pressurized.
That's an interesting legal question: what level of overall knowledge and training are these people supposed to have prior to employment? There's a difference if they are random people hired right off the street vs.having formal credentials in, say, process engineering.
Nah i would say 70% exon and 30% workers.
Nah 100% Exxon, there's a safer alternative device, refer to hierarchy of controls
Okay but the animation for the wrench opening the non-dysfunctional gearbox is super satisfying
Tom, these USCSB videos are my favorite. I look forward to every one that you review. Yes I enjoy the shit posting too! But not as much as these type. Thank you for making these.
I worked in a warehouse not long ago and was almost crushed by accident/negligance(if you ask me, who saw it coming). It was a huge pallet of goods weighing a ton for sure. I was chef before, and can count many injuries seen and almost sustained. I'm in programming school now but your channel has become sort of a focus point lately. I admire the work you do, Sir Tom
Did those gearboxes have external mounts or were they part of the base plate?
@@EricHamm More importantly, did the flux capacitor have enough plutonium?
I love watching these videos. My social studies teacher was a family conflict lawyer she explained how there were insane cases.
Really loving these USCSB videos!
Another reason why companies don't update safety standards is because they're afraid that if they "fix" it when it's "not broken" and ANYTHING goes wrong it's their fault instead of perceivably their predecessors.
I got a small taste of that when I was just starting my job as a manufacturing engineer. I created a searchable database for all the chemical safety data sheets as I was tasked with getting us through an Audit and I wanted to more easily show safety compliance. We had the required binders full of the SDS but who has time to leaf through hundreds of pages of SDS when someone's potentially injured? Well unknown to me one of the SDS we had on file was misspelled. A worker knowingly ingested some Alodine on a dare, panicked and told management when his tong went numb.
I got partially blamed when management couldn't find the right SDS because the SDS I pulled from the manufacturer accidentally had spelled it Aldine. I was then directed by management not to create any "unnecessary" safety documentation again. That's how this stuff happens. I only wasn't officially reprimanded because the outcome would have been the same with or without my database. I just wasted time (and profits) in their eyes.
Every one of these USCSB videos makes me feel great about the safety precautions in my own small scale laboratory/PM refinery. Thanks for grinding out these videos and taking such great care in your field, Tom. Keep it up!
Its pretty heartwarming to see this goofy dude actually cares so much about what he does. Thank you for standing up for these people
I work as an engineer in similar high energy systems and I have to push back on the idea that the way the gearbox was mounted is a design flaw.
Gear operated or really any other non direct handwheel valve is designed to be operated without disassembly. The designers could have set it up so that there was access to the valve stem to turn manually without the gearbox but this would be an unusual choice I would only expect in a valve that needed a backup for emergency operation, like an emergency cooling water supply.
There could be a design flaw in the gearbox mechanism since it did seem to stick easily but with such an old valve it could just as easily have been poor maintenance practices.
In addition even the valves where the gearbox can be taken off without breaking the pressure boundary probably violated the manufacturers procedures, not necessarily enough to break the valve but the pressure/strength analysis of that valve was likely done with it fully assembled and the removal of a significant amount of weight from that top pressure boundary could cause some sort of leakage or etching of the seal. This is something that could look fine the first dozen times you do it then it breaks.
From an operations perspective the operators need to be fully aware of differences between valves before they go operate that valve. Unless that valve was fully locked out tagged out they shouldn't have touched it with a wrench.
Best advice I ever got on Industry standard was from my father. Industry Standard means the bare minimum. Always push for more than that. Keep your employees safe and happy and work carries a lot less stress for everyone.
Plug valves are funny things. They’re really great at holding product even after being decontaminated. The plug is also pretty firmly pressed into the liner (or seat if it doesn’t have a liner) and the only way to get the plug out is to loosen the bonnet like they did and turn the plug. It’ll usually pop right up, especially if there’s still pressure under it. I ruined a perfectly good pair of boots tearing one down at the shop because it still had product in it.
Attorney Tom, I'm super baked and this gave me a panic attack and I loved it. Reminded me I was alive lol
Good. That’s why I’m here. Go get something to eat.
For some reason I too enjoy watching AttorneyTom videos while baked. No idea why!
That's a good colab! You're being selfless if you're keeping people safe and you make money when people/companies aren't safe. I think "Let's Get Catastrophic Lawyer Tom to Change Careers" would be a great series! They can do that for all kinds of applications. Imagine how much more safely they'd all operate if they knew about the graphic and deadly nature of these kinds of dangers!
Tom I just gotta say I love your videos I've watch pretty much all of them from close to when you first started on RUclips when you just started putting these longer videos out and I loved it then... keep up the good work, you are definitely making content that is "worthy of my time" and I thank you for that.
4:35
The “top cap” is also more commonly referred to as the “bonnet”.
The issue here is that the bracket assembly was integrated with the bonnet.
So if you wanted to remove the bracket, in order to put a pipe wrench on the valve (their video is incorrectly showing the direction the wrench would be placed/turned btw), you need to remove all of the bolts. The issue is....when you remove all of the bolts for the bracket, then the bonnet (top cap) is not secure. Hence the delta p.
@attorneytom......we should collaborate on videos when you’re are talking mechanics. It’s my thang!
100+ comments and ZERO dislikes. LOVE to see some serious positive energy on youtube
Tom is crushing it. He just relates to the common man and shows another side of lawyers I never knew exist. The embrace of memes really elevates this channel. So good, so cool!
I haven't been so stoked for a new channel in awhile. I like legal eagle, he has a great production and covers mostly interesting subjects. However, you are a common mans champion, you speak like everyday guy with great takes on cases. It's amazing the way you embrace the memes and add a layer of fun to what otherwise is pretty depressing or dark material. Thanks for being you and I have no doubt you will crush it soon on subs and views. I kinda of want to learn to do basic animation so I can give ya some dank memes that are not Devin. The funny thing is I know what kind of lawyer you are, but I have no idea what kind of lawyer Devin is.
The USCSB always comes through with top tier content. We need to write our congressmen and women to allow the CSB to open up a patreon so they can put out fresh content for Tom to react to weekly. Honestly, US debt problem solved right there.
Two horizontal bolts on some units versus four vertical bolts on most is a hell of a difference, you definitely can't just not mention that and expect people to notice the subtle differences. And I feel like there should be way more redundancy in place too, like they oughter have people throwing a few big C-clamps around that setup too just to make totally sure the pressure cap doesn't budge. Not to mention ideally being able to fully independently disable, clear out, and separate from the flow network any unit that's being worked on. I love how these videos are an exercise in identifying risk areas and brainstorming ways to ensure they're mitigated by two or three layers of intervention with every necessary condition for failure.
One of the main problems in these situations are that they happen only once every 1000 such risky practices were repeated such that people get confident in what they're doing without even knowing the risks they're exposing themselves properly.
So they take the easy way, hey it worked the last 99 times it should work this one time
@@mayur619 Yeah absolutely agreed, we humans do tend to operate that way
I really enjoy these videos by you that are a little longer and engage with a single topic more in-depth, probably my favorite content from you.
I gotta say, good on those workers for alerting other workers in the area. They likely prevented further injury with that alert.
Since you started these reaction vids I’ve subscribed to the channel USCSB channel. I’d heard before that commercial safety regulations are written in blood but learning about these specific incidents is fascinating. And horrifying.
I love these videos! They're so interesting from not only the USCSB coverage and explanation but also your legal review.
I love these videos. I hate that they have to make these videos but it’s interesting to learn a little about how companies seem to consistently neglect things because they haven’t failed yet
Finally, a video where “it depends” isn’t the overwhelming answer!
It's not a Reddit video
A few years ago I was a delivery driver for an electrical supplier. Whenever I had to go into these plants with hazardous chemicals for the first time we had to sit down for 20 minutes and get basic safety training to receive our badge. If you didn’t have a badge, you were not allowed in the plant.
I've been a huge fan of the USCSB's chanel for since before AT was on tic tok and I'm alwase happy to see more of this content.
Sounds like we need a safety procedure for Attorney Tom watching the USCSB channel.
Definitely becoming my favourite series on your channel
I love these videos so much. They make me consider going into personal injury law rather than crimpsych... it's the power of the Kentucky Colonel!
Ah classic, I remember seeing this in my second year chemical ethics seminar. The legal side of factories is something I wish was emphasized more on, since I feel like chemical engineers care more about the law than they do their own lives, at least based on the hours we pull. Thanks for the vid!
Tom, in our datacenters we color code our equipment based on their function and make safe process. Why is this not considered standard in oilfield? Red for pressurized old valves, blue for pressurized new valves?
I think it would be interesting if you spoke to the lawyers involved in the trials relating to the CSB video you were covering. It would be interesting to hear the lawyers commentary or info they sent you about how the company tried to weasel their way out as the video covers each point of the disaster.
I pump gas in NJ for my work and these videos make me a lot more attentive haha
If watching a video like this makes AttorneyTom have a heart attack, who could he sue?
I use to work at a fast food restaurant as a manager and I would always send the "new" employees to go clean the gear box. I would tell them, if the "non-existent" gear box isn't cleaned daily, it will catch fire and because of how close it is to the CO2 tank, it could cause an explosion in the store killing/hurting everyone. Today I learned a Gear Box is a real piece of safety equipment, I'd like to think if I was running that refinery this wouldn't have happened. I can't wait to send this to my old employees.
I love the USCSB videos! They always go hard 😤
Also as an engineer and a mechanical design student you are told that the failure rate when machining or creating a product or you know just generally designing something for any form of mass production or business or you know flaws is expected to be within a .03% margin of error so for the flaw to be a whopping 3% yeah they should be held responsible
They should have taken the two bolts off the vertical support that would have allowed the mechinism to be removed. Without removing the 4 flange bolts.
Yeah... there is zero possibility looking at the way it is designed that I would have taken those 4 bolts out...
@@memeier9894 You can't fix stupid. These guy's are prime examples of that.
@@TheBetweenWorlds I agree, and from my point of view, the only way that this accident could have been prevented is to fire everyone, and shut the factory down...
The incompetence is staggering, and directly goes to show that nomatter how hard you try to develop a foolproof system, the world will only make a bigger fool to spite your efforts.
Hey boss, you know those bolts that keep the bad gasses in the pipe??? Yeah... So... I took those out...
Why is their voice over guy’s voice so calming/soothing
I'm just commenting so youtube can recommend your videos more
As an ex oil and gas employee the only part of this I find surprising is that there was only 1 person supervising the guy doing all the work. There is usually at least 3 people available to watch anyone doing any actual work.
I have an unhealthily fascination with CSB videos
Your reaction when they blew up really made me laugh thank you
Based on my understanding, the newer design isn't really safer, but having multiple designs on site where common practice for one leads to a hazardous situation for the other is what seems wrong to me.
Yeah only having 3% of them in the older set up was just asking for that sort of accident to happen. It just seems crazy to me that they had switched over all the other ones but left just enough to make it so that operators would be unfamiliar with them, and topped it off by not training them on how to safely maintain them.
These corporations are so greedy and don't give a shit about the human or environmental costs. They will gamble with others lives without thinking twice just as long as they are making more money by taking the risk than they would loose when having to payout when someone dies.
Personally I think that we should start throwing the creeps in prison for 20+ years and taking all their money, after a few times of that happening the others will get their shit in order real fast.
The easy, cheap solution would have been to swap out the pressure containing bolts with bolts with non-standard heads.
@@beefchicken Right, do that and paint them bright red and add a warning sign...just a few cheap and minimal effort things that could have been done to at very least lower the risks. Im sure if they had actually sat down some of the knowledgeable workers and asked for ideas they would have come up with plenty of viable options that would have been way better than what they had going on.
Although those older valves technically adhered to industry standards, the fact that only 3% used this design made them potentially unsafer than the rest because most employees would be unfamiliar with it
Big fan of these videos, it's always interesting to see exactly how things go wrong.
When I first took schematics the professor said that a blueprint was essentially a legal contract and you needed an extremely deep understanding as if something goes wrong and you approved it, people can die.
Yes this is so true also ...if you change something it's your responsibility to make sure to inform who ever is charge of the records that the change was done so they can update the blueprints
Please keep these kinds of videos coming! I really enjoy them! :)
Why did they have to remove the top cap bolts? It looks like they could have removed the side bolts at the top of the braket to get the gearbox off.
They're confused/untrained/ it paying attention. Removing the side bolts is the correct way to remove it. Removing 4 bolts on the bottom is how it's done for most of the valves in the plant and they didn't notice it was different
I love these videos. Keep them coming.
I should be studying for my Bar Prep Con Law Essay tomorrow ... yet here I am 😅
Oof. That sucks. Good luck!
It's so obvious that unscrewing those would be a problem... Still if you don't train your employees its pretty much your fault
Or worse, trained them to do it that way on 97% of the valves, but didnt tell them about the 3%
Love your videos Tom, keep it up!
Thanks!
No cap I’d love an Attorney Tom x USCSB collab
If you became a US CSB only channel I would still watch this is the best shit ever
Hey how bad is it if your boss wants you to use some welding rods that say there toxic on the packaging but your boss refuses to let you see the SDS for control measures. And when you look into it they are toxic enough to hospitalize you.
Are these companies, if found guilty, compelled to implement actual changes in process or formal procedure? As opposed to only providing financial restitution..
Oh wait, I know.. it depends :)
I'd imagine a large portion of them can get away without making any significant changes, but if it's a smaller refinery or a really, really horrible case, then I'd imagine there's more pressure for change...
But y'know, anything can happen when money is involved
Generally, in cases like these OSHA will levy a large fine. They will then forgive a large portion of the fine if the company agrees to spend it all on safety at their facility.
You’re right, it depends ;-)
Depending on the case, the court could invoke changes to be made; however they usually almost never do because that’s “proactive” law making in a sense and that’s not their place (technically). If someone would want industry standards changed based on court ruling or workplace accidents, they’d have to hit up their trusty lawmaker or executive administration authority and bring an assload of supporting evidence to make a case. Even then that process would take a good long while.
Yet again, another great video!
First question I would ask is how many different languages were needed to communicate with every employee effectively at this business
Yes! Another USCSB video!
That last bit actually seemed kinda important. The worker could have disassembled the gearbox from the side with horizontal bolts instead of the bottom breaking the pressure barrier. But I still agree with Exxon knowing that workers were doing it from the bottom up, not from the side, they were at fault. Even with the old design they could have labeled the bolts with different colors or steel tags or something to make it obvious that certain bolts meant different things. It would also change the workplace understanding and strategy. ‘Only use the blue bolts because it’s actually the gear box, the yellow ones are the pressure barrier bolts.’ That sorta thing. Workplace safety doesn’t have to be overly hazardous (even in places where you’re dealing with hazardous things like chemicals, heavy operating machines, even down medical stuff like syringes and body waste.) Too many companies don’t think to consider as things get larger and advance forward to have a whole department not just for attending complaints and avoiding scandals. But a subsection of safety and maintenance whose whole goal is to go over every standard and emergency procedure individually and make sure the basics are covered. Every procedure should have written out instruction. Every employee should be directed to supervisors who are experienced in their department. It’s still astounding to me that so many jobs will just have an employee handbook that has company policy including workplace harassment and dress code and not also have a whole book that also has workplace procedures. Too much is relied by word of mouth and ‘expected’ learning on the job. Like yes learning things hands on is important but when you have dangerous shit around, having essentially a textbook for workers to review in their own time and have their own access to for reference would be a great tool. If you wanna cover your ass as a company, you’d thing making these expenses and lessons a ‘first 90 days’ requirement’ instead of waiting for these poor dumb fucks to die on the job and have millions in payout… I don’t know is this too much common sense and ‘life before money and property’ philosophy and I just don’t get the hard knocks of capitalism?
I live in Baton Rouge. I think I remember this happening.
how do you inadvertently remove bolts?
It's funny how we have all these practices for detailed risk assessments already in place in the shipping industry and exxon asks for a the best safety culture and practices onboard the crude tankers they charter but can't even deploy the same standard of safety on their own refineries.
Really like their need for proper recorded risk assessments each time the job site is left unattended(like for breaks), as the situation can change anytime and here they don't even care to train people.
Guess they follow do as I say not as I do policy.
Tom's so BAD ASS! Thanks T-Dog!!!!!!
those are the best type of video. better than meme reactions.
I’m doing a mock trial wish me luck
GOOD LUCK MR.Thrill!!!!
Good luck!
Love these types of videos👍
Whatever the working line pressure was in the area, I'm surprised the valve top cap didn't blow out before they took the 4 bolts out.
Just the plug seal and friction from non-use (spare H2SO4 pump) held it together until the pipewrench operator broke the seal.
A good smack on gearbox and valve body with a 4 by 4 or a big brass hammer before they removed the bolts MIGHT have helped.
36 yrs as an Instrument Mechanic, now an armchair & beer mechanic
Hello, Thomas of Attorney.
So just looking at 5:22 , why wouldn't you put those bolts back holding the bottom plate? The bottom plate had 6 bolts and they removed 4, not sure if that was addressed in the case. Also couldn't those gearboxes be mounted externally not requiring removal of the bottom plate bolts? Edit: not always the best idea to reply before the video ends.
There are 4.bolts holding the base top and the other 2 bolts tighten the packing around the stem
Love youre videos ^-^. You should try your hand at interviews. Youre quite talented at education and entertainment.
My job involves quality assurance. I’m like you, I’d love not to be needed, but as long as people keep screwing up, which they will, I will be needed
Aren't you rice ?
I would think an employer would be more liable to an employee as they should have specifically trained their employees on their equipment. Where a hired contractor needs to do due diligence to learn the fine detail differences in the equipment they are brought in to work on.
That's fair, a lot of companies stretch the definition of contractor though, in order to get away with not providing benefits for employees
Yeah, although that'll depend in turn on what sort of contractor trade licenses we're talking about and what the state regulatory requirements and liabilities are for those licenses.
Things like this make me glad the Uk is ‘health and safety mad’
As a seasoned ammonia technician. I've fucked up, and the fact that he didn't close the fucker right away... like dude.
Tom, can you comment on if male paramedics get be sued in any way regarding providing cpr to females? I’ve heard it happen before and I’m thinking about giving being a paramedic a go but I don’t want to be sued for helping someone
That’s crazy. I doubt anyone won that case in favor. There is a law on books for helping someone called Good Samaritan laws. I’m the workplace such as paramedics I doubt anyone can sue and win for giving cpr unless they didn’t when it was needed and/or doing wrong and causing great bodily injury. Anyone can sue the difference is can they win. In those instances I doubt it if everything was done properly as training required.
You should definitely be safe to provide CPR (as long as you aren't "trying to perform CPR" on a totally conscious person or something absurd like that). It's not impossible that people will misunderstand your intentions or that Twitter will get upset with you, but legally, you should be fine. There are strong protections in place for people trying to help others
Is it weird that I love these videos 😅
There is absolutely no way that I would have took those 4 bolts out, just based on that simple diagram picture they showed...
1:00 So, I guess Vanessa is the guardian of the Infinity Stones in our universe.
I have thought about why some of this stuff is in my Osha training but I'd rather learn and not need than need and not learn
Do more of these!
When did the fire happen?
I work on a lot of stuff, and I also work with pressurized equipment at times.
I sometimes have to marvel at engineering, but there are those times I swear at it.
I would have noticed what was doing what, and would have found another way to do the job, no matter WHAT a supervisor said.
I'm doing my part!
Tom, Says you have a twitter account in the video, (12:49) but according to the link that links to your socials in the description you don't
6:20 a easy thing they could of did is painted the danger bolts heads red and the ones they needed to remove to do this green (be better just to replace with the new model)
Legalities aside, shouldn't we expect these workers to have some common sense regarding unbolting what is clearly a pressure seal?
Okay, so, I re-inspected the video to figure out what's going on exactly:
You need to remove the gearbox support bracket in order to turn the valve stem when it jams, which is basically standard procedure at this plant. In one case (97%) doing this is entirely safe and doesn't create any risks. In the other design (3%), doing this causes the device to explode if you don't take additional measures (putting the bolts back in place after removing them, presumably).
Yes, when you're attentive, you may realize that wait, this one's designed differently and you need to put the bolts back in before turning the valve stem. But you have to remember to do that *every single time*. Whether you're tired. Whether you just got done doing this at the other, safer gearbox support bracket. Whether it's been over a month since you had to do this and you specifically remember not needing to replace the bolts afterwards (because it was the other design). Whether you're distracted by conversation or podcasts or listening to music. All it takes is one mistake and it's instantly explodey zone. And people inevitably make little mistakes like that.
@@anon6000 There's no need to unscrew those bolts to remove the gearbox, there are two separate bolts on the mounting bracket specifically for that task. In fact, you should NEVER remove those four bolts when the line is pressurised. The top cap only held up for that long because the valve was initially closed and there was no flow
Generally, most workers expect something extremely dangerous like that to have a safeguard, because most things do. I guess one could argue that it engenders complacency but it's usually a pretty good idea to do your best to make things like that idiot proof
@@sniperwolf50 The gearbox support bracket is clearly shown as being removed in both cases. The gearbox support bracket is directly attached to the top cap in the 3% design. Maybe you are supposed to not remove the support bracket and just remove the gearbox or something for that design, but either way, one single error that amounts to doing the thing that's fine on the other extremely visually similar design should not cause a deadly explosion. Just, obviously bad plan, because people will inevitably make such an error.
@@anon6000 Yes, but that was intended to show what actually happened, not proper procedure. Check 11:43 for an explanation of proper procedure with the older design
I come to these videos for the Shapiro Delgado ads
Interviewing a retired csb investigator could be cool
Also, It looks like they could have used a pipe wrench on the exterior of the gear box while the other worker could have used the wheel to keep turning.
My only question is why were the 3% of valves not updated? I know Tom mentioned it was to save money, but that seems unlikely. There must be another reason.
Bet it's to make money. If updating these valves meant stopping the flow of product "too much," I can see greedy companies not bothering.
@@yoshi6421 Sure, but why only 3%? Once you get that far what difference does it make? I suppose it is possible, but it seems odd nonetheless.
Could be other things. Lack of organization, time, priority. Who knows.
I have to say, as a complete layman, after they explained how it should have been done correctly, it seems clear to me that the design was less of a problem, than the lack of training. This is the equivalent of not putting on the parking break or switching a lightbulb without disabling the power.
There are many situations in our daily lives that can quickly become dangerous if handled incorrectly. That doesn't mean everything should be wrapped in pillows and bubblewrap. It means people need to be educated about the equipment they are working with.
Simple question: why wasn't there a warning sign on the top of the box that said, DANGER: DO NOT REMOVE BOLTS FROM THIS UNIT! ????