Laserfiche WebLink
17 <br /> SIMPLOT CALIFORNIA,AGRIBUSINESS INgI:QPTJNVESTIGATION REPORT: <br /> Page I of <br /> Incident Type.(check all that apply): T <br /> El Injury M Chemical Release/Fire ElPlantlProperty Damage. ❑ Near-Miss ❑ NH3_Inciderit(PSM <br /> r <br /> FDepartment/Job <br /> Injured: None Incident Date&Time: 8141200810:20 am <br /> Title: Date&Time Re rted: 8-141200810:30am <br /> E#: Yr;. Ex rience: Incident Location: & ,Hrs.a# or : #of Dais Since Last DayOff: Re orted To: Norbert KollertR an Mock <br /> Witnesses: <br /> Nature of Injury&Treatment Given: <br /> if Notification Delayed, State Reason: <br /> & <br /> Describe Incident(include source-of injury;objectlmateriallchemicalinvolved,injury type bod y.part PPE wom,etc.) <br /> L. Graves reported a small phos acid leak from the stainless steel unloading line near ph©s tank#6 Arrangements were made for some <br /> absorbant to pick up the material.Amount was less than 112 gallon.Ryan Mock was dispatched to the area and determined it was in <br /> the dirt and as such must be reported to the health department.The material was cleaned up and resulting material was ran into the <br /> Pellet Plant. <br /> Direct Cause of Incident(describe.the.specific injury,damage, release,or hazardous event) <br /> Stainless Steel line has gotten thin due to use during the time in service and needs'to be replaced. <br /> Indirect Cause(s)of Incident(include unsafe conditions,at-risk behavior,failure to act,etc.): <br /> Preventive Maintenance may be needed to determine appropriate times to change out lines before leaks occurr and'c6ntainm6ht may <br /> be needed to catch leaks and prevent it from getting into the dirt. <br /> Root Cause(s)of Incident(the most fundamental cause(s)that can reasonably be corrected)::;tr!r: <br /> rPreventive i thickness testin to catch line status before leaks occur'. <br /> Actiobs�to'Pr&6rit Reoocuire'nce(include engineering,administrative,and behavioral actions): <br /> 6 A skinner clam has been installed and a work order.wd ten°to replace the line. <br /> Employee Comments: <br /> Y <br /> Em to ee Signature: Date: <br /> Submitted B C E-___ <br /> Manager: <br /> ,• s <br /> At <br /> REMEMBER TO ATTACK EMPLOYEE STATEMENT.TO DOCUMENTI <br /> THIS REPORT-JOSE COMPLETED.BY•END-OF SHIFT,&FORWARDED TO THE SAFETY DEPARTMENT-WITHIN 24 HOURS. <br /> December 2007 <br />