| Issues | Comments |
| Cause of Explosion | Employees deviated from standard
procedures by attempting to dispose of an
excessive amount of residual sodium. The
sodium overflowed and came in contact with
water causing an explosion and fire.
|
| Second Explosion | A second explosion occurred when
firefighters were attempting to extinguish the
residual fire from the first explosion. The
firefighters were splashed with burning
molten sodium. |
| Casualties | Eleven firefighters burned, two very critically,
six others seriously. Two plant employees
were also injured. |
| Risk Assessment |
The hazards of burning liquid sodium exceed
the capabilities of the fire department.
There is an extreme risk of explosion,
extinguishing agents are ineffective, and
protective clothing is inadequate.
|
| Additional Hazard |
The use of the same enclosure to perform
wet washing and to bum-off excess sodium
created an unnecessary hazard. Sodium
should never be handled in a location where
there is any possibility of contact with water.
|
| Action Plan | Responding fire department personnel were
not provided with essential information that
should have been considered in the
development of an action plan. A full
evaluation of the risks and potential
consequences of this incident would have
resulted in the conclusion that the safe plan
would have been to take no action. |
| Structural Protective Clothing | Structural protective clothing and self-contained breathing apparatus are not
designed to provide adequate protection for
exposure to molten metal. There is no
practical protective clothing for this hazard. |
| Proper Use of Protective Clothing | Members involved in the incident would have been better protected if they had been
wearing full protective clothing ensembles
that meet current standards and had used
the chin straps on their helmets, pulled up
3/4 length boots, and (in one case) not worn
a turnout coat without the liner. |
| Communications | With ambulance radios set to police
(dispatch) channel, heavy radio traffic
interfered with the Incident Commander
getting them into the scene to transport bum
victims. |
| Molten Metal | Bums caused by molten metal are more
severe than other types of bums, because the
metal is extremely hot and impregnates
protective clothing. |