"Hey, you know those 2 chemicals we should never ever mix?" "Yea what about them?" "Lets put the filllines right next to eachother with no labeling" ".....Brilliant!"
Oh and by the way, instead of our operators controlling the load valve, let's let the drivers control everything, because no one knows exactly how unloading a truck full of chemicals is actually supposed to be run.
Crazy how such massive incidents could be prevented by such tiny things, like clear labels, keeping the wrong lines locked, keeping emergency PPE in a place that is accessible.
Not having two gas inputs right next to each other that if the wrong one was plugged in would make a deadly gas. That's like having a big red button that says "don't push".
@@MrHoodlin Not only were they right next to each other and unlabeled, they used THE SAME SIZE CONNECTOR. In ANY intelligently designed system, things that are not supposed to go together, CAN'T!
@@grugmann Lmao y'all are stupid. Trying to act like those are the only two chemicals that don't mix in the world of chemicals. There's too many interactions to "MaKE tHeM DiFFeRenT SIzeS REEEE" locks and labels are all that's needed. We don't need an entire overhaul of every system in the US because Joe Drop-out here thinks that's what intelligent people do.
@@LickMyMusketBallsYankee if the connections are next to each other I don't see why you wouldn't have a different connector so they can't go down the wrong tube they do that with power supplies I can't plug in a older generation Xbox power adapter into the newest console because it physically impossible because they know someone could do that and break the device if electronic game companies can do it then chemical companies can
didnt strike me as odd... they're not really "emergency" at alot of plants they are everyday PPE -- no lock = office people, visitors will "borrow" them and not clean them
Anyplace you can be producing chlorine gas in quantity (and hypochlorite can do that very easily), there should be rescue SCBAs in multiple locations. Those are not everyday PPE. If office people are borrowing $3,000 SCBAs you fire their stupid asses. Regular half-mask $20 respirators will not work in a chlorine gas cloud, you must protect the eyes, and you must supply air, there's no way to knock the concentration down enough from a cloud.
Tetrabrom, while you are right, we have "cheaper" respirators available(full face type) at all times that assist while helping others get fitted for an emergency like this. Most concentrations in an office setting aren't plumes and scbas take a moment to fit properly.
These USCSB videos are the gold standard of no-nonsense, insightful, educational-but-entertaining material. Every labour safety organisation should strive to provide such material as it contains the most insightful lessons for workers.
This is honestly so much better than the annoying sensationalist documentaries that are so popular on netflix these days. Sometimes I just want to watch something informative without any bloat for once. Glad that this exists.
Netflix be like: "I remember where I was that day. I was eating my PB and J sandwich at around 9:30am. I never really liked jelly, only peanut butter, but we didn't have any peanut butter left so I had no choice. This was the first sign that this day was not going right."
I know, the computer 3-D simulations were insanely incredible for the ype of information presented. This includes the movement of the human characters & even the crazy background detail & all the trees you saw, when they pulled back on the whole scene, in the last 10 seconds of the animation. Hats off to the computer animation team!
I've watched so many of these videos; I think I've figured out what it is that makes them enjoyable, even though they were never intended for entertainment purposes. They don't treat you like an idiot! The video expects you to follow along and catchup and this makes it captivating.
I also like that they're not out to blame anybody specifically, make anybody feel bad, they're just "This is what happened" "this is why it happened" "this is our recommendation to prevent it from happening again in the future"
The driver was also negligent by not monitoring the entire unloading process. I hauled bulk chemicals for 24 years. It is illegal for the driver to depart from the area of the transfer of HazMat chemicals while said transfer is taking place? Sitting in the cab of the truck was negligent?I hauled sulfuric acid and a lot worse and was always checking and double checking everything. Sometimes the workers running the plant were rummy from working double shifts and the procedures varied from plant to plant. Always and I mean always make sure the load will fit in the storage tank. Trace the fill line at the hook up point to the storage tank. Look for nomenclature on the lines and the tank. Ask questions all the time. Once I started the unload process I would make sure the level of the storage tank indicated it was filling by vision, sound and or feel and if that was not possible I would get a hold of the control room to verify the tank was filling. 38 years Driving trucks and I never injured myself or anyone else. Never killed anyone either but there were a lot of close calls! Damned glad it is over.
Fuel has an emergency shutoff right on the drivers front of the tank. These chemicals don't have that? And the amount of ridiculousness in this industry would make most people piss themselves. In CA the propane loading facilities, since they have no real weather (ie no snow, no salt in the area ect) had literally pipe from what hadta been the 1950's with layers and layers of paint on them. One place I've loaded pure ethonal has never even known my last name, never seen an ID, never had me even in the office, never done any safety stuff about the facility before being allowed to load. Let's not forget the Cryo tanker place, took a drunk bum that needed work, made him trucking mgr, gave him a truck to CDL test on to get his CDL, literally NO Experience in a semi prior. And cut him loose on the roads, he put a guy in a Honda Civic in the hospital after rear ending him after the original dump truck caused the accident. But think about it, no one rear ends anyone if they have a proper following distance. Months later he's in the parking lot walking around at work, STILL had a job, that's insane.
I get you. I double check myself after double checking myself every fuckin time. Not only is my job on the line but our lives as well. Fuck the bullshit.
Chlorine gas is really interesting, you don't end up coughing, you are actually prevented from breathing. It's really weird, it's like you want to, but you can't.
@@keynang8046 Sodium hypochlorite is bleach. Sulfuric acid is found in battery acid and drain opener. Both can be purchased at the hardware store. In fact if you read the label on the bleach it says not to mix with acid for that exact reason.
that would likely be because and please correct me if I'm wrong, Chlorine gas is denser then oxygen meaning it will displace ant breathable air nearby.
@Antonio Luna Not just an irritant - corrosive. Chlorine gas reacts with the water in your lungs to form hydrochloric acid and hydroxide. Your lungs are not irritated - they are being dissolved into a strong acid and a strong base (Cl2 + 2H2O into 2H+ + 2Cl- + 2-OH). There is probably a neutralization reaction happening simultaneously. If so, the inside of your lungs are foaming. Lymph and blood are pouring into the area due to compromised vessels and lysed cells. It is probably more similar to drowning than anything else. Think of open blisters forming inside your lungs. In addition, your body's physiological response is to produce extreme inflammation (trying to deposit more water and buffer to control the pH of your lung fluid and remove the highly oxidative chloride ions (think: the opposite of antioxidants)). Your tracheobronchial tree is swollen shut (like in anaphylaxis) and full of fluid. tl;dr: your lungs dissolve from the inside as acid & base are formed from Cl2 + H2O ->. physiological swelling prevents passage of air, like in an anaphylactic reaction. source: 2nd year MD candidate Chlorine gas was one of the first chemical agents used in warfare. I once accidentally made a very very small quantity of Iodine gas in an organic chemistry lab. My TA immediately closed the fume hood and reprimanded me. There was a warning clearly written in the lab instructions. Any halogen (chlorine, iodine, and other members of that column) gas is extremely corrosive. In the case of iodine, purple crystals form as well, which are actually rather beautiful - just keep it away from your lungs!
Remember going to your parents when you were 15 years old and needed 10 bucks? "hey can I get 20 bucks" and then they would ask "what do you need 20 bucks for? I'll give you 10." Kinda what Trump was doing with the budget, but in reverse. Don't look at everything in a negative way, like the media wants you to.
@@93da9tegsmom6 Do you believe everything that politicians tell you? I'd post a rebuttal to your comment, but I know it wouldn't change your mind. In fact, you're likely to just dig in because you're entrenched in your political philosophy.
I agree! I can't stop watching them but some of these "mistakes" are things that should just never have even been possible! Hypochlorite and sulfuric acid delivery ports right next to eatchother? THey shouldn't even be near eatchother! That's crazy!
The music, the voice, the narration, the exposition, the presentation ARE absurdly so high in quality. This is simply a work of art for the benefit of the industries themselves. The narrator MAKES the theme. He's really good.
This happened to me. I was hauling antifreeze to a gas plant. Even with a bol and confirmation from control, the escort directed me to the wrong tank. Luckily I blew off into glycol tank. The two are compatible. But I see how shit happens.
This is going to sound obvious, but I bought a cartridge less printer. Only the bottle that fits that slot works. Duh. Only thing Epson did right. They don't leak, either. Quit working right after the warranty did, so I'll never again buy another Epson product. It was expensive, too. Back to HP.
When I was a chemist at a drug company, we had to watch a safety video that was actually pretty funny. It was set in an imaginary pharmaceutical manufacturing facility, where they made a number of products like tablets and creams, using raw materials that included ergometrine and ergotamine. The forklift driver handling the raw materials as they arrived was illiterate.
i can imagine that there are situations where delivery drivers do not speak the native language and very little english. they will struggle to explain what they deliver and where it should go..
More than likely masks are assigned to specific people. And are used in other processes on the facility. It likely became a habit to secure you are mask when not needed to prevent co-workers from using it.
@@mcmuffin558 most likey you would need a face mask/respirator combo. Chlorine gas readily dissolves in water solutions and would quickly cause issues at high concentrations. Those mask can go for around 200 plus you need the proper filter cartridge. For cheap models. A 3 $ mask is useless. They dont seal around thr face and only filter large particles. They dont filter gas or microorganisms or fine particles. I hope you are never in charge of other peoples safety or will be watching a video about a disaster were workers died from improper ppe
Capthrax1 a $3 mask is enough to run out a toxic facility. Its not like they will just wait in a toxic facility for hours until someone opens an unlocked door for them
With the SAME connections! Lol they make an expensive printer with keyed ink bottles. When there's next to nothing at risk. They should do this with diesel and gas, too.
You can't over-label dangerous materials, always double check yourself, and most importantly if you don't know what you're doing or aren't sure, STOP. Excellent video. Great to see an important topic taken seriously.
I live in Atchison and remember this happening, it was NOT a fun time, I remember looking out of my window of my school at the time and thought “what is this dense white fog?”I would also like to note that the pictures taken of the incident in the air were from my father with his drone.. I’ll never forget that day
These graphics/animations are absolutely amazing. The production quality is so high, which helps make these interesting and fascinating to watch. Thanks for putting these out!
for real the attention to detail is insane! like the mack logo on the truck and even the little bulldog on the hood. they absolutely did NOT need to include all those little details but it really adds to the realism of it! bravo to the animators
I see the whole problem stating at 1:47... "a routine delivery of sulfuric acid". Delivering thousands of gallons of sulfuric acid in a tractor trailer should never be considered routine. They became lax and complacent. "What cha got there?" "Oh, just a tractor trailer full of sulfuric acid."
The animations are those of a popular TH-cam channel but the deadpan demeanor of the people screams federal government. Overall, these.videos are really interesting and I hope y'all continue to produce them.
And I'm glad my tax dollars go to it. Hearing comments like this means the videos are more watchable and will prevent future incidents. I have to admit the same, they are very similar to say history channel documentaries and they go through every step of known fact and let you know what REALLY happened.
@@kg4boj the history channel and others actualy are closely related to ones that the NTSB has done. there are some from incidents in the 90s, the graphics arent as good but..
The animation is strong with this one. One thing I noticed is the trailer, it looked like an MC407. These types of trailers have an internal hydraulic valve to shut off flow quickly if there is a problem. There are devices that breakaway and vent the pressure holding the internal valve open. One or two in the front and one at the rear. Hit them with your hand and they snap off fairly easily, shutting the internal isolation valve thus stopping the flow. It seems the driver was trying to manually shut the external valve but could no reach it, then tried to shut the internal from the other side. DOT drivers should know this, but it is an easy thing to miss when there is an emergency. Something to keep in mind if you are loading/unloading trailers. Drivers should also be in attendance during transfers per DOT regulations within 25 feet of the hose/isolation valves IIRC. Being in the cab is not in attendance and if he was watching the transfer he would have been able to stop it. There are some gaps in plant readiness for a vapor cloud. Putting some water from a fire monitor would have probably knocked down some of the gas. I don't even need to comment on the respirators being locked up. Those photos of the vapor cloud are stunning in scope. The DOT Emergency Response Guide for evacuation of the area is up to 7 miles downwind depending on conditions. Anyways, enough of my armchair quarterbacking from my soapbox. Be safe out there.
I felt like the driver could have just driven the vehicle forward once he realized he couldn't get to the valves. But maybe that was impossible by that point.
@@aarontooth so instead of mixing various chemicals instead you want them to release one of them that is also dangerous. have you seen what sulfuric acid does to flesh?
@@aarontooth Not necessarily a very dangerous chemical but still dangerous: a truck driver in my country working at a manure processing plant recently drove off not noticing he was still connected to a processing tank he had been filling. The hose got ripped off from the fill line, but also took the emergency shutoff valve with it this time, which was designed to stop the outflow of manure in case of a hose failure or a hose being ripped off. A big part of the province smelled like manure for days after around 100.000 liters of manure flowed out before operators were able to stop the outflow manually (which, due to the nature of manure and the gasses it produces was still dangerous and actually wounded one of the operators, just like in the accidents you hear about farmers being found dead in the manure-basements of their farm after having gone down into the basement and being overwhelmed by a lack of oxygen).
7:45 Having a different coupling for each chemical would be a great idea. All compatible chemicals can then share a type of coupling, so even if there is a major error, and the wrong line is chosen, at least there is no catastrophic reaction.
I actually worked at their plant in Houston and that’s exactly what we did there. Different fittings for different products. Harcros took this happening very seriously.
My question is why the hell are dangerous chemical combinations not prevented by using different types of valves so that they don't ever mix them up? Why aren't they at least color coded?
or have different size values with removable connectors that fit a universal connector on the truck's line. That way the truck driver has to get hold of a connector from an engineer onsite and cannot connect to the wrong line.
Probably nobody thought it'd be a problem because they assumed that all of the other inlets would be locked all the time. It's a good idea though - compressed gas cylinders are threaded backward for flammable (left tightens, right loosens) so you can't put incompatible regulators on them.
Lessons learned, at least from where I'm sitting: Lesson 0: NEVER LOCK UP YOUR DAMN RESPIRATORS! That's like putting the fire extinguisher on the side of the gasoline tank. Lesson 1: Sign all loading connections. Print signs in English, Spanish and French. If the chemical has a common nickname, add that too; if everyone at the chemical supply company and everyone at the using company calls Stoddard solvent "Varsol," put "Varsol" on the sign. Lesson 2: Install an automated ball valve on every loading connection. Configure it so the valve is closed when de-energized; if the lights go out while you're pumping chemical into the tank, the valve will stop the loading operation instantly. Put switches in several locations, including the control room. And DON'T run them off your computer! Lesson 3: If practical, use a different loading connection for every chemical. This one might NOT be practical because the chemical supply house doesn't have a different truck for every chemical; it has one and they wash it out between loads. Lesson 4: Install a chemical release alarm. The workers in this incident discovered the release by either seeing the cloud or smelling the chlorine gas. By that time, it's probably too late.
At KemKey Safety Couplings we have learned how to have a different fitting for each chemical, especially the dangerous ones. Look us up at www.kemkey.com.
AltairRules, if you could design your chemical receiving area like that, it would be fantastic. Alternately, you could put padlocked caps on the loading points, and attach each key to a separate tag with the name of the chemical on it. (You'd have to be careful not to get suckered into buying "fifty padlocks, one key opens them all" packages.) When the guy with the truck full of sodium hydroxide shows up, his not being able to put it in the hydrochloric acid tank because he can't get the lid off the connector will prevent huge explosions.
This video made me cry. I heard about this event and even watched interviews with people about it, but seeing the sheer volume of toxic chemicals that reacted like that brought so much emotion to me for some reason.
As a Health and Safety committee Chair and former Chemical Controller at a large facility I was somewhat appalled that there were no labels on the connections, no supervision of the connection and a the operator did not ensure that the NaCl connection was not locked before leaving the area, after it's last use.
Why would this company not have the fill lines tagged out and labeled? There should be locks on each fill line with a tag stating what line it unlock and each line should have it's own separate lock.
Looks like they were separated locked but somebody left the wrong one unlocked. The driver wasn't paying attention to which one the plant worker unlocked, so he guessed and when it was unlocked figured it was the right one, but he guess wrong.
USCSB produces such GREAT-looking animations as part of their work. The animations really help explain things to lay people - and I'm sure they also help professionals visualize these accidents & disasters.
@@lo2740 The federal budget for FY 2023 was $9.3 trillion. The CSB spent $14.42 million in that same fiscal year, out of total budgetary resources of $20.96 million. $2.42 million was spent on contracts, probably to make the videos. Given that these accidents can cause millions-or even billions-of dollars in damage and downtime to facilities and surrounding communities, to say nothing of the lives and livelihoods and medical expenses faced by workers and community members? I'd say the CSB is a damn solid investment (and they often appear to come in under-budget).
I worked at a large facility in northern canada where we recieved hcl and caustic in a similar set up. One safety measure they had was that the camlock fitting for hcl was a 2inch fitting while the caustic fitting was a 3 inch fitting. The fittings and hoses on the trucks were also arranged the same way to help prevent this exact situation.
Yup. I just said that, but my experience was on a cartridge less printer.* Don't buy them. They're expensive and will quit working asap. Use HP instead.
@@windsofmarchjourneyperrytr2823 mmh, this comment is really out of the blue, nothing related to printer here, plus HP printers are a total scam nowdays.
My biggest question that went unanswered was why the sodium hypochlorite fill valve was unlocked, and why that wasn't noticed and locked up by the plant technician who unlocked the other valve. I'd bet the previous driver who they left to deliver chemicals unsupervised probably put the lock back on the cap but didn't actually latch it.
It's not like one guy sitting in his basement doing these. They find a company that specializes in these things. So it's possible they found a different vendor.
I dont understan two things. Why the operator did not wait untill the driver connect the hose even from distance. Why driver did not go for ask which hose is which. Both of them knew that they are not filling the swimming pool....
@@martinquintanilla7355 More like downsizing the various departments to cut costs and cut them so hard that they overburden the downsized department. I used to work as a Maintenance Associate at a local Walmart, between what 'corporate' think a department's size should be and how they treat those associates, the Maintenance department is chronically understaffed, where five people should be on-shift at any one time (enough to have not only people doing daily tasks but also for spill duties and allowing for breaks and lunches) but I regularly had to work with only one other person or just by myself...
@@TheTrueAdept i get you. But im speaking from experience also. Above all, all it takes is an extra minute, if that, to verify proper protocol from both parties. Im speaking from an employee and management standpoint due to me being on both sides of that picture.
What ever team makes these videos should get a raise. These videos have me stressed and on the edge of my seat. I’ve binged so many I’m starting to be able to tell what they did wrong loll
- 2 dangerous pipe line close to each other's - same connections for each - the worker left with out double check if the tanker understood - Not clear signs (tank, connections and fence) As always amazing video and explanation 🙏👏 This could have being preventable.
I worked in pharmaceutical plant as Safety Supervisor. We had the similar need to load Hydrochloric Acid and Sodium Hydroxide into the water treatment station. But there was a distance of 10 m between two valves. Everyone was marked and locked. Our operator was responsible to unlock it. Both of them (the driver and the operator) were required to attend during the whole loading process while they wearing all needed protecting equipment.
Our farm has 4 oil tanks, connected to a manifold that leads to 1 fill point with 2 valves in tandem, 4 inlet tank valves, 4 outlet tank valves, 2 day tank transfer lines, and 4 emergency points (cappped). When it was my turn to have oil delivery day, I always double checked valves, and manually 'moved' them just enough to make sure they were either fully open or closed. Also had to make sure valves inside each boiler room had it transfer valve closed to avoid oil from overflowing day tank and flooding boiler room floor. It might have been a pain in the arse, but it only took 1 leak to reinforce checking and double checking. We also numbered our tanks with large paint so driver knew which 1 we were filling. 30,000 litres of oil in a paddock was something we could not risk ever, and we got damn lucky 2 people knew it intimately, and another person who filled in knew it basic but was trained to call us if problem or unusual. Would rather tell that person to leave everything shut off and I drive 30 minutes in just to make sure (on day off) than a disaster.
Hey we have these two chemicals that are highly toxic if mixed right? What if we put both of the fill nozzles 18" apart instead of on opposite ends of the compound because reasons. Ya know these two compounds in tanks that probably have bleed valves for when they heat up and over pressure. Yeah, all of these are great ideas.
juan gonzalez while that is preferred from a safety standpoint, land space limitations and usability become an issue. Why have two separate unloading stations when it can be combined into one if proper safety procedures can be put in place?
@@WolfSoldier85 Land space limitations and usability. They are not factors to consider. If these two factors are present, then location should be change. Usability does not override safety. Hell they used that gas as a weapon in ww1 and they called it a horror. Then banned its use in warfare but sure usability is more important.
@@GodKitty677 the problem is that this mindset doesn’t consider the fact that we don’t have an unfit into amount of money or an infinite amount of time to do what we need to do. Safety should always be a priority, but in the real world money is what limits what can and can’t be done.
I know these safety videos are for educational purposes more than anything, but I can’t help but be thoroughly entertained by them. The excellent narration, use of visual cues and contextual scientific and technical information all combine to present an acutely detailed lecture in the paramount importance of adhering to tried and true safety standards. As they say, “Safety regulations are written in blood”.
Love the animations and technical explanations. How many of you knew EXACTLY what went wrong the second you saw the two chemical connections were the same size/type and located right next to each other? Murphy's 1st Law, what can go wrong, WILL go wrong.
I've done this with gasoline and diesel...had a happier ending than I would have thought. But it wasn't a great day overall. I don't know why anyone would put them right next to each other. You're tired, you make dumb mistakes (motorcycle endurance)
Thanks,excellent animation and explanation. This type of mix up is far too common. I worked in the chemical industry all my working life,Chlorine was the worst , I once got a very brief lungful and it instantly overpowers you,it is dreadful, poor souls in WW1 who were attacked with this.
A few days ago a similar accident happened in factory Melamin in Kočevje, Slovenia. When delivering new chemicals lines got mixed - there was a massive explosion that triggered more explosions in the factory. 6 people died.
That would cost money and thus cut into profits. So they won't. Only when corporations have leashes so short that the moment they do something wrong they start choking will these sort of situations stop happening.
@@SkullCandy5671 - Capitalism and Communism use different terms. But, when run too loosely, the result is the same: An ounce of prevention costing more than a pound of cure.
@@CheshireCad Communism fails because it is run as a tightly controlled market and capitalism succeeds in a free open market. Let me ask you something, do you think the baby formula shortage was caused by capitalism being run too loosely? Or is it all the ridiculous FDA rules that say we can't import formula from the EU because the packaging isn't in English?
@@SkullCandy5671 - Some basic research indicates the shortage was mainly caused by A: Pandemic-related labor shortages, which is a problem that the "free market" should have easily dealt with by raising wages. And B: A huge plant shutting down after a mere investigation from the FDA, after several babies *died*, which is a pretty suspicious overreaction from a supposedly-innocent company. Both problems seem to stem from corporations being run by a handful of people who are able to sacrifice the entire company and still dip out with millions of dollars. I dunno how to solve that problem. But neither does the free market. Also, that's a pretty insane hill you're trying to die on. "How dare the feds expect companies to print food labels that customers can read?"
See the yellow cylinder on the back of the fireman at 4:13? That contains oxygen. I will never understand why every chemical plant (yes ethanol is a chemical) does not have several of the same self contained breathing rigs that fire departments use. You can get them on Amazon for about $4k. I can think of a half dozen spills, some that have leveled factories and killed people that could have been stopped had the right person had access to an air pak.
I really like these videos, and while I dont know if they are actually meant for the general public, or more for people involved in this area of industry, but I really appreciate the time taken to create these videos, much simpler than reading through sometimes hundreds of pages of text from a report or investigation etc, especially for someone like me that has limited insight yet a great (although sporadic) interest in this sort of safety (or where it fails, rather), and should I want to delve further, I still can. Also, since these are created for the sake of the actual subject in mind, they are much more condensed and relevant than many tv-shows about X/Y/Z disaster. In any case, thank you.
they're definitely meant for people in the industry, but i'm sure they don't mind random people knowing if they're curious. that's the beauty of public services.
I've watched CSB videos for many years and as a retired chemist definitely appreciate your efforts. Thank goodness you weren't defunded as was threatened a few years ago. And I'll look forward to seeing your investigation of yet ANOTHER ammonium nitrate mishap, the Winston Salem fertilizer plant. Thankfully it was minor as such things go. Cheers...
Wow! Yet another example of poor process design. It's good that CSB analyses these incidents and publishes their results. I'm sure that the affected industries would simply bury the information
How about a Deadman switch on the delivery driver for the emergency shutdown or an automatic shutdown that has an alarm that requires a button press to reset and will shutdown in the event that the button isn't pressed in time set the timer to every 5 minutes.
Even the pun title, for "missed connections/toxic relationships", is good. The producer of these videos deserves a raise! And of course, all the people who actually investigate and ensure (or try to ensure even if ignored) safety deserve praise too.
peoples need to stop with this "desserve a raise" meme, this is public funded agency, and they burn 12 million per year, i guess they can make one good video with such budget, lets assume 1 million goes to the video and 11 goes to pay the various managers, CEO and other "board members".
5:14 "Director of the Pipeline and Hazardous Materials Safety Administration's Hazardous Materials Safety Southern Region Enforcement Office." *Wow. What a mouthful.*
"Hey Bob, the handheld label maker to mark stuff costs $25, and the refills are like $10, do we need it?" "$35??? Fuck no we don't need it, just point out the correct fill line, that'll work just as good!"
This government operation bizzarely uses the most up to date animation standards in any government animation that wasn't for a military recruitment ad.
Yeesh. Ideally, the connecty bits would be keyed such that you literally can't connect the wrong things together without physically altering the connection points, but with so many different chemicals being distributed I don't think that's practical. Hmm. I suppose putting the 'fixed' connectors further apart, perhaps behind separate gates, would help. People are lazy, if you make it way easier to do the right thing they'll do it almost every time even *without* instruction.
There is a new product on the market called KemKey Safety couplings. The fittings are keyed for particular classes of chemicals exactly as you suggest. Find them at www.kemkey.com
first delta p, now this. i feel like youtube is trying to prevent a series of industrial accidents i did in an alternate future
Damn I got sucked into these videos from Delta P too lmaooo
SAMEEE
@@ferahgotheassasin I get it lol
Delta p, The Great Revelator
Delta P ?
"Hey, you know those 2 chemicals we should never ever mix?"
"Yea what about them?"
"Lets put the filllines right next to eachother with no labeling"
".....Brilliant!"
Not only no labeling but also the same size valve connections
Scrolled down just for this comment.
and use the same connection type, just for extra convenience.
Oh and by the way, instead of our operators controlling the load valve, let's let the drivers control everything, because no one knows exactly how unloading a truck full of chemicals is actually supposed to be run.
@@ksc1406 and i scrolled for yours, it's the circle of scrolls
Crazy how such massive incidents could be prevented by such tiny things, like clear labels, keeping the wrong lines locked, keeping emergency PPE in a place that is accessible.
Not having two gas inputs right next to each other that if the wrong one was plugged in would make a deadly gas.
That's like having a big red button that says "don't push".
@@MrHoodlin Not only were they right next to each other and unlabeled, they used THE SAME SIZE CONNECTOR. In ANY intelligently designed system, things that are not supposed to go together, CAN'T!
@@grugmann Lmao y'all are stupid. Trying to act like those are the only two chemicals that don't mix in the world of chemicals. There's too many interactions to "MaKE tHeM DiFFeRenT SIzeS REEEE" locks and labels are all that's needed. We don't need an entire overhaul of every system in the US because Joe Drop-out here thinks that's what intelligent people do.
@@LickMyMusketBallsYankee if the connections are next to each other I don't see why you wouldn't have a different connector so they can't go down the wrong tube
they do that with power supplies I can't plug in a older generation Xbox power adapter into the newest console because it physically impossible because they know someone could do that and break the device if electronic game companies can do it then chemical companies can
@@kellynolen498 Also, gasoline and diesel nozzles at the gas station are different sizes.
Who LOCKS emergency breath masks......
didnt strike me as odd... they're not really "emergency" at alot of plants they are everyday PPE -- no lock = office people, visitors will "borrow" them and not clean them
Anyplace you can be producing chlorine gas in quantity (and hypochlorite can do that very easily), there should be rescue SCBAs in multiple locations. Those are not everyday PPE. If office people are borrowing $3,000 SCBAs you fire their stupid asses. Regular half-mask $20 respirators will not work in a chlorine gas cloud, you must protect the eyes, and you must supply air, there's no way to knock the concentration down enough from a cloud.
Tetrabrom, while you are right, we have "cheaper" respirators available(full face type) at all times that assist while helping others get fitted for an emergency like this. Most concentrations in an office setting aren't plumes and scbas take a moment to fit properly.
dumb people, thats who
So they're cheap, and there's cronyism at place. Even mcdonalds fires people for stealing.
Who thought no labels was a good idea?
Feminists. XD
They might have come off over time due to weather, and were never replaced.
Makes it more exciting
"Or men with small penises"
So, male feminists.
Those kind of "labels" are supposed to be made of stamped sheet metal.
These USCSB videos are the gold standard of no-nonsense, insightful, educational-but-entertaining material. Every labour safety organisation should strive to provide such material as it contains the most insightful lessons for workers.
Work safe BC also has great work safety incident videos.
This is honestly so much better than the annoying sensationalist documentaries that are so popular on netflix these days. Sometimes I just want to watch something informative without any bloat for once. Glad that this exists.
Netflix be like: "I remember where I was that day. I was eating my PB and J sandwich at around 9:30am. I never really liked jelly, only peanut butter, but we didn't have any peanut butter left so I had no choice. This was the first sign that this day was not going right."
I agree.
@@abunchofiguanaswithinterne2186 Bro I spit out my drink lol, thank you for this comment.
And without the narrator keep going back in the story repeating the same crap over and over !
This may be part of the reason I'm addicted to binging engineering disaster podcasts and the like instead of watching tv
Why am i so facinated by these. And the narrator sounds like the narrator from homeworld
sounds like americas most wanted or unsolved mysteries lol
I loved that game !
It's is strangely interesting
Useless Duck Company LOL, I cant stop either
Also sounds like a narrator from doom 3.
Your animators need a raise, this is some top-notch animation!
@Fast Cara ye
It good animaion
Rebel Arts
YES
this "needs a raise" meme is dumb as hell, what even makes you think they're underpaid? maybe they did a good job BECAUSE they're paid well?
"Mixed Connection, Toxic Result" sounds like my last relationship
Sounds like almost all of mine
Or my arse after I mix the wrong foods.
Lol
O-ho that is rich, bravo sir
@@uncolorr 😐
Really high quality animation on this one.
They've just about hit GMod level, having worked their way up from Tomb Raider graphics!
Corvid lmao
@@Corvid it's true. This video is like a breath of fresh air
Is this game one Xbox?
I know, the computer 3-D simulations were insanely incredible for the ype of information presented. This includes the movement of the human characters & even the crazy background detail & all the trees you saw, when they pulled back on the whole scene, in the last 10 seconds of the animation. Hats off to the computer animation team!
I've watched so many of these videos; I think I've figured out what it is that makes them enjoyable, even though they were never intended for entertainment purposes. They don't treat you like an idiot! The video expects you to follow along and catchup and this makes it captivating.
Is it bad that I mentally try to pick out who will be dead by the end of the video?
I can't be the only one that does this.
Have u seen the one on fernie
I also like that they're not out to blame anybody specifically, make anybody feel bad, they're just "This is what happened" "this is why it happened" "this is our recommendation to prevent it from happening again in the future"
The driver was also negligent by not monitoring the entire unloading process. I hauled bulk chemicals for 24 years. It is illegal for the driver to depart from the area of the transfer of HazMat chemicals while said transfer is taking place? Sitting in the cab of the truck was negligent?I hauled sulfuric acid and a lot worse and was always checking and double checking everything. Sometimes the workers running the plant were rummy from working double shifts and the procedures varied from plant to plant. Always and I mean always make sure the load will fit in the storage tank. Trace the fill line at the hook up point to the storage tank. Look for nomenclature on the lines and the tank. Ask questions all the time. Once I started the unload process I would make sure the level of the storage tank indicated it was filling by vision, sound and or feel and if that was not possible I would get a hold of the control room to verify the tank was filling. 38 years Driving trucks and I never injured myself or anyone else. Never killed anyone either but there were a lot of close calls! Damned glad it is over.
Mark, what caused the close calls?
@@hast66 Id wager the standerd truck driver myth, that of all those 4wheerlers who dont know how to drive.
yeah share with us your close calls
Fuel has an emergency shutoff right on the drivers front of the tank. These chemicals don't have that?
And the amount of ridiculousness in this industry would make most people piss themselves.
In CA the propane loading facilities, since they have no real weather (ie no snow, no salt in the area ect) had literally pipe from what hadta been the 1950's with layers and layers of paint on them.
One place I've loaded pure ethonal has never even known my last name, never seen an ID, never had me even in the office, never done any safety stuff about the facility before being allowed to load.
Let's not forget the Cryo tanker place, took a drunk bum that needed work, made him trucking mgr, gave him a truck to CDL test on to get his CDL, literally NO Experience in a semi prior. And cut him loose on the roads, he put a guy in a Honda Civic in the hospital after rear ending him after the original dump truck caused the accident. But think about it, no one rear ends anyone if they have a proper following distance. Months later he's in the parking lot walking around at work, STILL had a job, that's insane.
I get you. I double check myself after double checking myself every fuckin time. Not only is my job on the line but our lives as well. Fuck the bullshit.
Chlorine gas is really interesting, you don't end up coughing, you are actually prevented from breathing. It's really weird, it's like you want to, but you can't.
@Carl Panzram nah, but it’s VERY easy to make surprisingly
@@keynang8046 Sodium hypochlorite is bleach. Sulfuric acid is found in battery acid and drain opener. Both can be purchased at the hardware store. In fact if you read the label on the bleach it says not to mix with acid for that exact reason.
@Carl Panzram yes is sold for pools but not in the gas state
that would likely be because and please correct me if I'm wrong, Chlorine gas is denser then oxygen meaning it will displace ant breathable air nearby.
@Antonio Luna Not just an irritant - corrosive. Chlorine gas reacts with the water in your lungs to form hydrochloric acid and hydroxide. Your lungs are not irritated - they are being dissolved into a strong acid and a strong base (Cl2 + 2H2O into 2H+ + 2Cl- + 2-OH). There is probably a neutralization reaction happening simultaneously. If so, the inside of your lungs are foaming. Lymph and blood are pouring into the area due to compromised vessels and lysed cells. It is probably more similar to drowning than anything else. Think of open blisters forming inside your lungs. In addition, your body's physiological response is to produce extreme inflammation (trying to deposit more water and buffer to control the pH of your lung fluid and remove the highly oxidative chloride ions (think: the opposite of antioxidants)). Your tracheobronchial tree is swollen shut (like in anaphylaxis) and full of fluid.
tl;dr: your lungs dissolve from the inside as acid & base are formed from Cl2 + H2O ->. physiological swelling prevents passage of air, like in an anaphylactic reaction.
source: 2nd year MD candidate
Chlorine gas was one of the first chemical agents used in warfare.
I once accidentally made a very very small quantity of Iodine gas in an organic chemistry lab. My TA immediately closed the fume hood and reprimanded me. There was a warning clearly written in the lab instructions. Any halogen (chlorine, iodine, and other members of that column) gas is extremely corrosive. In the case of iodine, purple crystals form as well, which are actually rather beautiful - just keep it away from your lungs!
That chair slide at 3:40 was unexpectedly on point
That's what makes this video high art!
A most excellent use of tax money, imo. Thank you for your informative videos.
And Trump wants to eliminate funding to the CSB
Ya, can't get by without Captain Hindsight.
Tax dollars being used for something beneficial to everyone? Sounds like something Trump will try to eliminate.
Remember going to your parents when you were 15 years old and needed 10 bucks? "hey can I get 20 bucks" and then they would ask "what do you need 20 bucks for? I'll give you 10." Kinda what Trump was doing with the budget, but in reverse. Don't look at everything in a negative way, like the media wants you to.
@@93da9tegsmom6 Do you believe everything that politicians tell you? I'd post a rebuttal to your comment, but I know it wouldn't change your mind. In fact, you're likely to just dig in because you're entrenched in your political philosophy.
I don't like that there are industrial disasters where people get hurt... but I sure do love the videos showing what went wrong.
Ideally, we'd be seeing these about less and less severe incidents, because those were the most severe incidents still happening.
These are odly interesting
Yes, it's unfortunate when these incidents happen but we need to learn from these mistakes so we don't repeat them. Excellent videos.
I agree! I can't stop watching them but some of these "mistakes" are things that should just never have even been possible! Hypochlorite and sulfuric acid delivery ports right next to eatchother? THey shouldn't even be near eatchother! That's crazy!
Well said
The music, the voice, the narration, the exposition, the presentation ARE absurdly so high in quality. This is simply a work of art for the benefit of the industries themselves.
The narrator MAKES the theme. He's really good.
yeah, maybe realize that each of these videos probably cost over a million USD of public money, so they can be good.
This happened to me. I was hauling antifreeze to a gas plant. Even with a bol and confirmation from control, the escort directed me to the wrong tank. Luckily I blew off into glycol tank. The two are compatible. But I see how shit happens.
so you were doing a delivery to mcdonalds?
@@basztiancooper 😅
@@basztiancooper 💪😂
My Epson printer has key spouts. Obvious answer.
This is going to sound obvious, but I bought a cartridge less printer. Only the bottle that fits that slot works.
Duh.
Only thing Epson did right. They don't leak, either. Quit working right after the warranty did, so I'll never again buy another Epson product.
It was expensive, too.
Back to HP.
Another excellent presentation, people learn better from this format than from a flyer or bulletin. Thank you.
or really crappy graphics, but I agree it is better than say a drab report with a few pictures or just text.
When I was a chemist at a drug company, we had to watch a safety video that was actually pretty funny. It was set in an imaginary pharmaceutical manufacturing facility, where they made a number of products like tablets and creams, using raw materials that included ergometrine and ergotamine. The forklift driver handling the raw materials as they arrived was illiterate.
Half of America is now illiterate and the other half has reading comprehension for shite!
I want to watch these now
i can imagine that there are situations where delivery drivers do not speak the native language and very little english.
they will struggle to explain what they deliver and where it should go..
Why in earth did the company lock their respirators up? that seems insane
The company doesn’t have enough money to replace a $3 mask
More than likely masks are assigned to specific people. And are used in other processes on the facility. It likely became a habit to secure you are mask when not needed to prevent co-workers from using it.
HellzAngelz im pretty sure there’s cheaper alternatives out there. But a $3 mask should do it.
@@mcmuffin558 most likey you would need a face mask/respirator combo. Chlorine gas readily dissolves in water solutions and would quickly cause issues at high concentrations. Those mask can go for around 200 plus you need the proper filter cartridge. For cheap models. A 3 $ mask is useless. They dont seal around thr face and only filter large particles. They dont filter gas or microorganisms or fine particles. I hope you are never in charge of other peoples safety or will be watching a video about a disaster were workers died from improper ppe
Capthrax1 a $3 mask is enough to run out a toxic facility. Its not like they will just wait in a toxic facility for hours until someone opens an unlocked door for them
they have stepped up their animation game 10 fold, its awesome. We need full documentaries made by these people
Looks a bit GMod, I was half expecting some dank meme to pop up an ruin it!
I love that these two chemicals mix to produce a horrific, deadly gas, and they put both chemicals' valves right by one another.
With the SAME connections! Lol they make an expensive printer with keyed ink bottles. When there's next to nothing at risk.
They should do this with diesel and gas, too.
You can't over-label dangerous materials, always double check yourself, and most importantly if you don't know what you're doing or aren't sure, STOP. Excellent video. Great to see an important topic taken seriously.
3:42 That is some high level animating. Look at that smooth floor kick!
Pixar needs some off time
I live in Atchison and remember this happening, it was NOT a fun time, I remember looking out of my window of my school at the time and thought “what is this dense white fog?”I would also like to note that the pictures taken of the incident in the air were from my father with his drone.. I’ll never forget that day
Avoid voting for Republicans. This is the cause of no regulations and the madness.
Glad you weren’t hurt in that disaster. Something burnt into your memory for sure.
love how the guy kicks him self sideways in the chair to get up ! real effort with the animation !
Agreed, but that's just how you move when you're on a rolling chair.
These graphics/animations are absolutely amazing. The production quality is so high, which helps make these interesting and fascinating to watch. Thanks for putting these out!
You may like the channel Kurzgesagt. Their goal is to make learning interesting.
They weren’t always but even then, it wasn’t meant to win Oscars but just inform. They decided to bump the lamp.
I dunno, the animation of the head reading for CSB wasn't very lifelike.
for real the attention to detail is insane! like the mack logo on the truck and even the little bulldog on the hood. they absolutely did NOT need to include all those little details but it really adds to the realism of it! bravo to the animators
@@scrubly_jr They really bumped the lamp.
I see the whole problem stating at 1:47... "a routine delivery of sulfuric acid". Delivering thousands of gallons of sulfuric acid in a tractor trailer should never be considered routine. They became lax and complacent. "What cha got there?" "Oh, just a tractor trailer full of sulfuric acid."
The animations are those of a popular TH-cam channel but the deadpan demeanor of the people screams federal government. Overall, these.videos are really interesting and I hope y'all continue to produce them.
And I'm glad my tax dollars go to it. Hearing comments like this means the videos are more watchable and will prevent future incidents. I have to admit the same, they are very similar to say history channel documentaries and they go through every step of known fact and let you know what REALLY happened.
I love the feel to it. That fedgov a e s t h e t i c.
@@kg4boj the history channel and others actualy are closely related to ones that the NTSB has done. there are some from incidents in the 90s, the graphics arent as good but..
The animation is strong with this one. One thing I noticed is the trailer, it looked like an MC407. These types of trailers have an internal hydraulic valve to shut off flow quickly if there is a problem. There are devices that breakaway and vent the pressure holding the internal valve open. One or two in the front and one at the rear. Hit them with your hand and they snap off fairly easily, shutting the internal isolation valve thus stopping the flow.
It seems the driver was trying to manually shut the external valve but could no reach it, then tried to shut the internal from the other side. DOT drivers should know this, but it is an easy thing to miss when there is an emergency. Something to keep in mind if you are loading/unloading trailers. Drivers should also be in attendance during transfers per DOT regulations within 25 feet of the hose/isolation valves IIRC. Being in the cab is not in attendance and if he was watching the transfer he would have been able to stop it.
There are some gaps in plant readiness for a vapor cloud. Putting some water from a fire monitor would have probably knocked down some of the gas. I don't even need to comment on the respirators being locked up.
Those photos of the vapor cloud are stunning in scope. The DOT Emergency Response Guide for evacuation of the area is up to 7 miles downwind depending on conditions.
Anyways, enough of my armchair quarterbacking from my soapbox. Be safe out there.
I felt like the driver could have just driven the vehicle forward once he realized he couldn't get to the valves. But maybe that was impossible by that point.
@@aarontooth so instead of mixing various chemicals instead you want them to release one of them that is also dangerous. have you seen what sulfuric acid does to flesh?
@@aarontooth that would have made it much much worse than it was
@@aarontooth Not necessarily a very dangerous chemical but still dangerous: a truck driver in my country working at a manure processing plant recently drove off not noticing he was still connected to a processing tank he had been filling. The hose got ripped off from the fill line, but also took the emergency shutoff valve with it this time, which was designed to stop the outflow of manure in case of a hose failure or a hose being ripped off.
A big part of the province smelled like manure for days after around 100.000 liters of manure flowed out before operators were able to stop the outflow manually (which, due to the nature of manure and the gasses it produces was still dangerous and actually wounded one of the operators, just like in the accidents you hear about farmers being found dead in the manure-basements of their farm after having gone down into the basement and being overwhelmed by a lack of oxygen).
If the driver had driven away, wouldn't the breakaway valve also function? At least the connection would have been severed.
7:45 Having a different coupling for each chemical would be a great idea. All compatible chemicals can then share a type of coupling, so even if there is a major error, and the wrong line is chosen, at least there is no catastrophic reaction.
YES
Im sorry that's not going to fit into the budget this year
I actually worked at their plant in Houston and that’s exactly what we did there. Different fittings for different products. Harcros took this happening very seriously.
My question is why the hell are dangerous chemical combinations not prevented by using different types of valves so that they don't ever mix them up? Why aren't they at least color coded?
that cost to much money!
Because white people
Mc Muffin that's quite racist, why do you say that?
or have different size values with removable connectors that fit a universal connector on the truck's line.
That way the truck driver has to get hold of a connector from an engineer onsite and cannot connect to the wrong line.
Probably nobody thought it'd be a problem because they assumed that all of the other inlets would be locked all the time. It's a good idea though - compressed gas cylinders are threaded backward for flammable (left tightens, right loosens) so you can't put incompatible regulators on them.
Lessons learned, at least from where I'm sitting:
Lesson 0: NEVER LOCK UP YOUR DAMN RESPIRATORS! That's like putting the fire extinguisher on the side of the gasoline tank.
Lesson 1: Sign all loading connections. Print signs in English, Spanish and French. If the chemical has a common nickname, add that too; if everyone at the chemical supply company and everyone at the using company calls Stoddard solvent "Varsol," put "Varsol" on the sign.
Lesson 2: Install an automated ball valve on every loading connection. Configure it so the valve is closed when de-energized; if the lights go out while you're pumping chemical into the tank, the valve will stop the loading operation instantly. Put switches in several locations, including the control room. And DON'T run them off your computer!
Lesson 3: If practical, use a different loading connection for every chemical. This one might NOT be practical because the chemical supply house doesn't have a different truck for every chemical; it has one and they wash it out between loads.
Lesson 4: Install a chemical release alarm. The workers in this incident discovered the release by either seeing the cloud or smelling the chlorine gas. By that time, it's probably too late.
At KemKey Safety Couplings we have learned how to have a different fitting for each chemical, especially the dangerous ones. Look us up at www.kemkey.com.
Bit like how car wiring looms have different connectors so you can't wire them up wrong.
AltairRules, if you could design your chemical receiving area like that, it would be fantastic. Alternately, you could put padlocked caps on the loading points, and attach each key to a separate tag with the name of the chemical on it. (You'd have to be careful not to get suckered into buying "fifty padlocks, one key opens them all" packages.) When the guy with the truck full of sodium hydroxide shows up, his not being able to put it in the hydrochloric acid tank because he can't get the lid off the connector will prevent huge explosions.
And don’t let truck drivers connect shit unattended! Jeez what a cluster
@@Hi-zx9sl You're making the assumption that the gate guard who let the driver into the plant knows which is which.
This video made me cry. I heard about this event and even watched interviews with people about it, but seeing the sheer volume of toxic chemicals that reacted like that brought so much emotion to me for some reason.
My jaw drops every time I watch these videos. I guess common sense isn't so common.
This was a design flaw
Unless you are talking about the designers then i agree
I agree with dingo, it's more of a design flaw as the fill lines were not labled. The driver couldn't tell the difference.
You gotta keep in mind, it’s very very obvious with hindsight. But under a time limit and stress, you don’t think as well.
As a Health and Safety committee Chair and former Chemical Controller at a large facility I was somewhat appalled that there were no labels on the connections, no supervision of the connection and a the operator did not ensure that the NaCl connection was not locked before leaving the area, after it's last use.
Did you see the sleeve on the fill line that was upside down to the left of the coupling? I think I did.
Unlocked NaCl connections are probably the biggest danger society at large faces.
You forgot the O in NaClO.
This is what a P&ID is for, but yes the operator should have locked the line that was not meant to be filled.
galfisk NaOCl
Why would this company not have the fill lines tagged out and labeled? There should be locks on each fill line with a tag stating what line it unlock and each line should have it's own separate lock.
Harrison William the 2 lines should also have different types of connections. Entirely and easily preventible
Looks like they were separated locked but somebody left the wrong one unlocked. The driver wasn't paying attention to which one the plant worker unlocked, so he guessed and when it was unlocked figured it was the right one, but he guess wrong.
Label makers are what 20 bucks?
or like a laminated piece of construction paper with the name of the chemical dangling from the lock or whatnot. This seems like a real easy one.
Jarthen Greenmeadow they are required to be stamped sheet metal, but still are not over $20 each.
"So, why did you sell your house so cheap to us?"
"Um . . .uh, . . ."
Location, location, location!
USCSB produces such GREAT-looking animations as part of their work. The animations really help explain things to lay people - and I'm sure they also help professionals visualize these accidents & disasters.
you'd better like them, since each of these videos cost 1 million or more of public funds.
@@lo2740 The federal budget for FY 2023 was $9.3 trillion. The CSB spent $14.42 million in that same fiscal year, out of total budgetary resources of $20.96 million. $2.42 million was spent on contracts, probably to make the videos.
Given that these accidents can cause millions-or even billions-of dollars in damage and downtime to facilities and surrounding communities, to say nothing of the lives and livelihoods and medical expenses faced by workers and community members? I'd say the CSB is a damn solid investment (and they often appear to come in under-budget).
I worked at a large facility in northern canada where we recieved hcl and caustic in a similar set up. One safety measure they had was that the camlock fitting for hcl was a 2inch fitting while the caustic fitting was a 3 inch fitting. The fittings and hoses on the trucks were also arranged the same way to help prevent this exact situation.
Yup. I just said that, but my experience was on a cartridge less printer.*
Don't buy them. They're expensive and will quit working asap. Use HP instead.
@@windsofmarchjourneyperrytr2823 mmh, this comment is really out of the blue, nothing related to printer here, plus HP printers are a total scam nowdays.
My biggest question that went unanswered was why the sodium hypochlorite fill valve was unlocked, and why that wasn't noticed and locked up by the plant technician who unlocked the other valve.
I'd bet the previous driver who they left to deliver chemicals unsupervised probably put the lock back on the cap but didn't actually latch it.
I know this is two years late but hi
@@zacharyclements7422 hello skele brother 💀
This was a great example of the importance of having an SOP for delivery procedures I used for my staff training. Thank you very much
why the hell would you lock up escape respirators????
Because those things are expensive as hell and the employees dont want them stolen so they put them in their lockers
Of course to life Dangerously
The reenactment graphics are great in this one! Did your cgi person get new software?
Maybe they got a new CGI person.
They contracted the animation out to rebel arts animation as seen in the credits and I agree. I would like to see more of this.
they fired me for this new asshole guy. i dont care if hes better hes a freaking jerk
@@roboticunclephil damn that’s fucked up
It's not like one guy sitting in his basement doing these. They find a company that specializes in these things. So it's possible they found a different vendor.
Whoever did these animations would make a hell of a game developer!
I dont understan two things. Why the operator did not wait untill the driver connect the hose even from distance. Why driver did not go for ask which hose is which. Both of them knew that they are not filling the swimming pool....
One word...
Complacency
@@martinquintanilla7355 More like downsizing the various departments to cut costs and cut them so hard that they overburden the downsized department. I used to work as a Maintenance Associate at a local Walmart, between what 'corporate' think a department's size should be and how they treat those associates, the Maintenance department is chronically understaffed, where five people should be on-shift at any one time (enough to have not only people doing daily tasks but also for spill duties and allowing for breaks and lunches) but I regularly had to work with only one other person or just by myself...
@@TheTrueAdept i get you. But im speaking from experience also. Above all, all it takes is an extra minute, if that, to verify proper protocol from both parties. Im speaking from an employee and management standpoint due to me being on both sides of that picture.
Tragic as these accidents are, these videos are interesting, informative and very detailed. You have a subscriber!
What ever team makes these videos should get a raise. These videos have me stressed and on the edge of my seat. I’ve binged so many I’m starting to be able to tell what they did wrong loll
The operator should be fired on the spot for not supervising the driver while he connected the lines.
the graphics just keep getting better and better!
- 2 dangerous pipe line close to each other's
- same connections for each
- the worker left with out double check if the tanker understood
- Not clear signs (tank, connections and fence)
As always amazing video and explanation 🙏👏
This could have being preventable.
Someone explain to me why I find these videos so fascinating.. Great job USCSB!
Because they are well made and instructive.
I love these videos please don’t ever stop
I worked in pharmaceutical plant as Safety Supervisor. We had the similar need to load Hydrochloric Acid and Sodium Hydroxide into the water treatment station. But there was a distance of 10 m between two valves. Everyone was marked and locked. Our operator was responsible to unlock it. Both of them (the driver and the operator) were required to attend during the whole loading process while they wearing all needed protecting equipment.
Always fun when you need emergency gear next to you. Lol
Our farm has 4 oil tanks, connected to a manifold that leads to 1 fill point with 2 valves in tandem, 4 inlet tank valves, 4 outlet tank valves, 2 day tank transfer lines, and 4 emergency points (cappped). When it was my turn to have oil delivery day, I always double checked valves, and manually 'moved' them just enough to make sure they were either fully open or closed. Also had to make sure valves inside each boiler room had it transfer valve closed to avoid oil from overflowing day tank and flooding boiler room floor. It might have been a pain in the arse, but it only took 1 leak to reinforce checking and double checking. We also numbered our tanks with large paint so driver knew which 1 we were filling. 30,000 litres of oil in a paddock was something we could not risk ever, and we got damn lucky 2 people knew it intimately, and another person who filled in knew it basic but was trained to call us if problem or unusual. Would rather tell that person to leave everything shut off and I drive 30 minutes in just to make sure (on day off) than a disaster.
Operator after opening pipeline lock: my job here is done
Operator after being fired for negligence: "Well, technically, my original statement is still true."
easily the best government resource in terms of showing information visually. absolutely amazing; also love the amount of transparency.
At first I was like “Why is this on my recommended”
After watching, thanks TH-cam, very informative and easy to follow along.
Hey we have these two chemicals that are highly toxic if mixed right? What if we put both of the fill nozzles 18" apart instead of on opposite ends of the compound because reasons. Ya know these two compounds in tanks that probably have bleed valves for when they heat up and over pressure. Yeah, all of these are great ideas.
juan gonzalez while that is preferred from a safety standpoint, land space limitations and usability become an issue. Why have two separate unloading stations when it can be combined into one if proper safety procedures can be put in place?
@@WolfSoldier85 Land space limitations and usability. They are not factors to consider. If these two factors are present, then location should be change. Usability does not override safety. Hell they used that gas as a weapon in ww1 and they called it a horror. Then banned its use in warfare but sure usability is more important.
@@GodKitty677 the problem is that this mindset doesn’t consider the fact that we don’t have an unfit into amount of money or an infinite amount of time to do what we need to do. Safety should always be a priority, but in the real world money is what limits what can and can’t be done.
@@WolfSoldier85 Then the lawyers sue the company and the company loses money because you didnt put safety first.
@@GodKitty677 or the company does a cost analyst to see how much suing would cost vs the money saved in the long run. It’s literally done every day.
I know these safety videos are for educational purposes more than anything, but I can’t help but be thoroughly entertained by them. The excellent narration, use of visual cues and contextual scientific and technical information all combine to present an acutely detailed lecture in the paramount importance of adhering to tried and true safety standards. As they say, “Safety regulations are written in blood”.
Congrats, the quality of the video it's so great and professional as usual. Thank you for sharing it.
I mean labels are fucking expensive
stereomike111 it wasn’t in the budget for that year, lol.
And driver was supposed to be trained on how to deliver hazardous materials and also he shouldn’t be left alone without supervision
stereomike111 we had a permanent marker... but we didn't want to waste ink.
When people and organizations do stupid things, we give the feds reason to thicken the alphabet soup.
There were labels... the pipe is clearly marked on the video
These videos are great. I'm just a regular person here randomly watching US chemical safety and hazard investigation board videos, and I love it.
The animated thumbnail for this video is hilarious. It looks like 2 guys laughing at a third who was doing obscene things to a padlock lol
i just wonder how its possible that two substances that react in that way when in contact have compatible connections?
That's what I said, a simple Epson printer has keyed spouts. So this can't happen.
The music in a lot of these animations is great!
Love the animations and technical explanations. How many of you knew EXACTLY what went wrong the second you saw the two chemical connections were the same size/type and located right next to each other? Murphy's 1st Law, what can go wrong, WILL go wrong.
I've done this with gasoline and diesel...had a happier ending than I would have thought. But it wasn't a great day overall.
I don't know why anyone would put them right next to each other.
You're tired, you make dumb mistakes (motorcycle endurance)
Thanks,excellent animation and explanation.
This type of mix up is far too common.
I worked in the chemical industry all my working life,Chlorine was the worst , I once got a very brief lungful and it instantly overpowers you,it is dreadful, poor souls in WW1 who were attacked with this.
A few days ago a similar accident happened in factory Melamin in Kočevje, Slovenia. When delivering new chemicals lines got mixed - there was a massive explosion that triggered more explosions in the factory. 6 people died.
A great example of government doing a good job. I wish companies would use resources like this at safety meetings.
That would cost money and thus cut into profits. So they won't. Only when corporations have leashes so short that the moment they do something wrong they start choking will these sort of situations stop happening.
@@TheTrueAdept Chernobyl
@@SkullCandy5671 - Capitalism and Communism use different terms. But, when run too loosely, the result is the same: An ounce of prevention costing more than a pound of cure.
@@CheshireCad Communism fails because it is run as a tightly controlled market and capitalism succeeds in a free open market. Let me ask you something, do you think the baby formula shortage was caused by capitalism being run too loosely? Or is it all the ridiculous FDA rules that say we can't import formula from the EU because the packaging isn't in English?
@@SkullCandy5671 - Some basic research indicates the shortage was mainly caused by A: Pandemic-related labor shortages, which is a problem that the "free market" should have easily dealt with by raising wages. And B: A huge plant shutting down after a mere investigation from the FDA, after several babies *died*, which is a pretty suspicious overreaction from a supposedly-innocent company.
Both problems seem to stem from corporations being run by a handful of people who are able to sacrifice the entire company and still dip out with millions of dollars.
I dunno how to solve that problem. But neither does the free market.
Also, that's a pretty insane hill you're trying to die on. "How dare the feds expect companies to print food labels that customers can read?"
See the yellow cylinder on the back of the fireman at 4:13?
That contains oxygen.
I will never understand why every chemical plant (yes ethanol is a chemical) does not have several of the same self contained breathing rigs that fire departments use.
You can get them on Amazon for about $4k.
I can think of a half dozen spills, some that have leveled factories and killed people that could have been stopped had the right person had access to an air pak.
air NOT oxygen
These CSB docs are so high quality and informative, and man I love those ultra high quality fluid sims!!
I really like these videos, and while I dont know if they are actually meant for the general public, or more for people involved in this area of industry, but I really appreciate the time taken to create these videos, much simpler than reading through sometimes hundreds of pages of text from a report or investigation etc, especially for someone like me that has limited insight yet a great (although sporadic) interest in this sort of safety (or where it fails, rather), and should I want to delve further, I still can.
Also, since these are created for the sake of the actual subject in mind, they are much more condensed and relevant than many tv-shows about X/Y/Z disaster.
In any case, thank you.
they're definitely meant for people in the industry, but i'm sure they don't mind random people knowing if they're curious. that's the beauty of public services.
It seems like the connections of the two chemical fill pipes should be different so there is no way to connect to the wrong fill line
Check out KemKey fittings at www.kemkey.com. These are the fittings that the board recommends when they say different colors and shapes.
Excellent recommendation Leslie. A simple solution that saves lives and property damage. I actually have a client who could benefit from this.
incompetence is strong here
I've watched CSB videos for many years and as a retired chemist definitely appreciate your efforts. Thank goodness you weren't defunded as was threatened a few years ago. And I'll look forward to seeing your investigation of yet ANOTHER ammonium nitrate mishap, the Winston Salem fertilizer plant. Thankfully it was minor as such things go. Cheers...
Finally a government agency I can get along with. Thanks CSB!
Wow! Yet another example of poor process design. It's good that CSB analyses these incidents and publishes their results. I'm sure that the affected industries would simply bury the information
I have to say the production quality of the animation/diagrams and voiceovers are top notch.
How about a Deadman switch on the delivery driver for the emergency shutdown or an automatic shutdown that has an alarm that requires a button press to reset and will shutdown in the event that the button isn't pressed in time set the timer to every 5 minutes.
I cannot understand the logic of locking up emergency respirators. That would be like putting a fire extinguisher behind a combination padlock.
Quick and easy lesson. If you are not 100% sure of the safe way to do it, then don't try it. This is especially true of dangerous chemicals.
Seriously, these animations and graphics are amazing.
Everything from the narration, animation, graphics, explanation, was perfect. Subscribed.
Who the hell locks up PPE?
Even the pun title, for "missed connections/toxic relationships", is good.
The producer of these videos deserves a raise!
And of course, all the people who actually investigate and ensure (or try to ensure even if ignored) safety deserve praise too.
peoples need to stop with this "desserve a raise" meme, this is public funded agency, and they burn 12 million per year, i guess they can make one good video with such budget, lets assume 1 million goes to the video and 11 goes to pay the various managers, CEO and other "board members".
Y'all got a bitchin new graphics card huh? Sweeeeet!
Love how the government action was to ask companies to do what they should have been doing from the beginning.
5:14 "Director of the Pipeline and Hazardous Materials Safety Administration's Hazardous Materials Safety Southern Region Enforcement Office."
*Wow. What a mouthful.*
Everybody gangsta till the delivery driver accidentally unloads his sulfuric acid into the sodium hypochlorite tank.
Thanks, algorithm. I really needed this today.
"Hey Bob, the handheld label maker to mark stuff costs $25, and the refills are like $10, do we need it?"
"$35??? Fuck no we don't need it, just point out the correct fill line, that'll work just as good!"
Occupational Hazard TH-cam is one of my new favorite discoveries
"Should I go ask him again...? Eh, what's the worst that can happen."
Although these are tragedies, the vids in this channel are interesting to watch, for some twisted reason.
Awesome work and informative. I actually look forward to this videos.
Well done for actually doing the computer generated scene well. Most people just use low frame rate PC's
This government operation bizzarely uses the most up to date animation standards in any government animation that wasn't for a military recruitment ad.
They commissioned an actual animation studio in the credits, i guess that's the big difference than most other
They just hire it out to a specialized firm.
@@mediocreman2 good
Love these videos. So well documented and the animation is getting better and better, this one is particularly amazing to watch
Yeesh. Ideally, the connecty bits would be keyed such that you literally can't connect the wrong things together without physically altering the connection points, but with so many different chemicals being distributed I don't think that's practical. Hmm. I suppose putting the 'fixed' connectors further apart, perhaps behind separate gates, would help. People are lazy, if you make it way easier to do the right thing they'll do it almost every time even *without* instruction.
There is a new product on the market called KemKey Safety couplings. The fittings are keyed for particular classes of chemicals exactly as you suggest. Find them at www.kemkey.com
You could start with proper labeling
@@victorselve8349 I mean yes, that's important too. But people get tired and make stupid mistakes. It's part of a designer's job to account for that.
@@keiyakins sure, it's a start, not the end.
2 separate loading areas would cost more money...