FESTUS, MISSOURI 2002 CHLORINE RELEASE ACCIDENT
We will look at a real-world example of a hazardous chemical
release
and model it using the PEAC tool.
Chlorine Release at Festus, Missouri, 14 August
2002
(information from U.S. Chemical Safety and Hazard Investigation
Board (CSB) report # 202-04-I-MO released May 2003)
Google
Earth image of site. Chlorine spill took place at + in center at
38.1807
N Latitude, 90.3915 W Longitude. DPC
Enterprises in center, Goodwin Brothers Construction on other side of U.S.
Hwy 61 at upper right, Almony Farm at upper left., Blue Fountain Trailer Park
just outside photo at bottom.
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The DPC Enterprises facility at Festus, Missouri, is in the
business of receiving liquefied chlorine from 90-ton railcars and repackaging
it into 150-pound and 1-ton containers for commercial, industrial, and
municipal use in the St. Louis metropolitan area. The chlorine transfer operations take place during one shift,
typically from 6 AM through 4 PM Monday through Friday. The facility employs 12 people. The DPC facility has three chlorine tank car
unloading stations, but only one station is used at a time. Each unloading station is equipped with
three chlorine transfer hoses, each 1-inch in diameter and 11 feet long.
On 14 August 2002, during routine chlorine transfer
operations which had started at 6:30 AM, one of the 1-inch chlorine transfer
hoses failed releasing chlorine.
Furthermore, the automatic shutoff valves designed to shutoff the
chlorine also failed to activate.
According to employee interviews conducted later by the U.S. Chemical
Safety Board (CSB), the three employees outside heard a loud pop at
approximately 9:20 AM and observed a continuous release form chlorine at tank
car station #3 (marked + on the photo).
The three employees evacuated.
The leak activated an area chlorine detection monitor audio alarm. The inside employees exited the building.
The operations manager as he exited tried to manually shutdown the packaging
system by pressing an ESD button, but nothing happened. The system is designed to automatically
shutdown based on chlorine detection levels, and although both manual and
automatic shutdown systems were activated they failed to activate. Furthermore, although the facility had four
self-contained breathing apparatus (SCBA) units and employees were trained on
its use, the men were unable to gather the equipment as they left the building
because the equipment was too close to the spill site. The employees drove away from the area using
U.S. Hwy 61 both north and south; there was no community-wide alert systems in
place to warn of the chlorine spill.
The owners of nearby Goodwin Brothers and an employee at
adjacent Intermodal Tire (see area photo) on the other side of Hwy 61 saw the
chlorine cloud approaching and warned their employees to escape. By the time all of the employees were
notified, the chlorine cloud drifted across the highway moving slowly
east-to-southeast. The wind speed was
estimated at “calm” or sometimes 3 to 5 mph.
Several employees drove through the chlorine cloud as they escaped and
had to seek medical attention. The
chlorine cloud tended to hug the ground and was only a few feet high.
At 9:27 AM, the DPC facility manager dialed 9-1-1 to report
the chlorine release. The Jefferson
County R-7 volunteer fire department within ten minutes. The R-7 fire chief requested 9-1-1 dispatch
to notify mutual aid response fire departments and the Jefferson County HAZMAT
unit. Emergency Response Personnel
notified the Jefferson Memorial Assisted Living Facility and the St. Pius High
School to shelter in place. A
drive-through “bull horn” notification, followed by door-to-door evacuation was
conducted at the Blue Fountain mobile home park and the Howe Crossing
residential area. It took personnel
over one hour to evacuate these areas.
Hwy 61was shut down as well as nearby Interstate 55. The accident caused 63 people from the
surrounding community to seek medical evaluations for respiratory distress,
with three people admitted for overnight observation.
The chlorine leak was stopped three hours after the transfer
line break when emergency responders in protective gear “waded” through the
four-foot high plume cloud and manually shut off several valves at the top of
the rail tank. By that time, an
estimated 48,000 lbs of chlorine had escaped over three hours time. The shelter-in-place order lasted four
hours. At 5 PM, Hwy 61 was opened.
Some of the chlorine which had released from the failed
transfer hose reacted with the air humidity to form chlorine hydrate, a solid
material. The area was covered with
several feet of the hydrate material.
Three DPC personnel wearing chlorine-resistant suits and carrying escape
respirators placed lime or calcium carbonate on top of the chlorine
hydrate. All three were injured in this
operation and received medical attention.
An environmental remediation company was called in and completed the
cleanup.
The CSB determined that the cause of the transfer hose
failure was that the transfer hose was made of stainless steel braiding which
is easily corroded and weakened by chlorine.
This type of transfer hose should have had an inner Teflon lining
reinforced by an exterior metal braiding made of Hastelloy C-276, which is
resistant to even moist chlorine. The
two types of hoses look the same and are not distinguishable by color coding or
other marking. CSB verified that DPC
practice at Festus is to use only Hastelloy hose for chlorine transfer. CSB investigators found that shipping
documents from the supplier indicated that the hose was of Hastelloy but the
hose that failed was actually constructed of stainless steel. CBS testing of the three hoses found that
two were of stainless steel and one was Hastelloy even though the shipping
documents indicated that all three hoses were Hastelloy.
The automatic valve shutoff failure was due to valve
corrosion from moisture, and DPC had failed to perform routine testing of the
ESD valves to verify that they close on demand according to the CSB investigation. There was evidence of corrosion within the
pad air supply and tank car unloading assemblies and within the facility
piping. The corrosion products migrated
to the valves and built up around the valves that prevented them from closing
properly.
The CSB report stated that community notification systems
were inadequate, both on the part of DPC notifying authorities and neighboring
businesses and emergency personnel notifying the public. An adequate system should include the use of
siren systems, automatic telephone alert systems, and radio and TV media. Local authorities must be involved in
developing community notification systems.
The Jefferson County Emergency Response Plan dated 1996 was too general
and did not contain specific procedures for high public HAZMAT events such as a
large chlorine release. Community
sirens or alert networks that immediately notify the exposed public should be
in place with radio and television to provide followup. There was too much time wasted when
emergency response personnel drove through neighborhoods and went door-to-door
to notify people to evacuate, which extended the period of public
exposure. Other deficiencies were (1)
delays caused the need to get permission for volunteer HAZMAT personnel to
leave their regular jobs to respond to the incident and (2) response delays in
traffic because the HAZMAT duty officer was not authorized to place markings or
lights or sirens on his personal vehicle when responding to an emergency. There were also two command posts set up
north and south of the site on Hwy 61, which resulted in some miscommunication
incidents.
Aerial view of DPC Festus Facility and Surroundings from CSB
report.
The following photos from CSB releases using TV footage show
the chlorine cloud “hugging” the ground displaying dense gas behavior: The ruptured chlorine transfer hose is also
shown.
Fox 2 News photo used in a CSB document showing chlorine
cloud hugging ground, and three emergency responders in red suits wading through
cloud and turning off valves at top of rail car.
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KTVI-TV, St. Louis, MO photo in final CSB report showing
chlorine cloud hugging the ground and moving off site, note some upwind and
downwind movement of cloud.
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CSB Report: Normal
chlorine transfer operations at site showing three 1” diameter transfer hoses.
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CSB report: ruptured transfer hose
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In a May 2003 report, Trinity Consultants reported the
results of the Festus chlorine release to CSB.
They took the 48,000 lbs estimated chlorine release over a three hour
period and used an average release rate of 4.44 lbs/sec. Mention of this is made of the modeling in
the CSB report. They calculated a
distance of 3.7 miles corresponding to a ground level, centerline concentration
of 3 ppm. No details in the CSB report
as to what model, wind speed, or cloud cover, or atmospheric stability was used
by Trinity Consultants.
The 48,000 lbs estimated release is based on the difference
in the weight of the tank car prior to the release and after the release. The rail car was 44.4% full (80,000 lbs)
just before the release. There is an
argument in the CSB report that DPC may have overestimated the amount of
chlorine in the rail car at the time of the hose break, and the amount of
chlorine released may have been in fact less than 48,000 lbs.
Modeling of the Festus Chlorine Release Using the PEAC Tool
The PEAC tool can be used for modeling the Festus chlorine
release. The date (August 14) and time
(9:30 AM) and coordinates (39.1807 N, 90.3915 W) should be entered. A GPS reading can be taken at some other
location and an offset distance and direction specified to get the coordinates
of the release site. Responders can
also dispense with specifying coordinates all together and list a nearby city
(e.g. St. Louis MO), but then they would not get an overlay of the Protective
Action Distance (PAD) on a map. While
modeling can be done using the PEAC tool specifying a chlorine release rate of
4.44 lbs/sec, in reality, emergency responders would not know this information
at the time of the spill. This
information was only made available after everything was over, and even then,
there was some uncertainty. Most
likely, DPC employees could only say that the one-inch hose transfer line
suddenly failed.
The user begins by selecting chlorine under “lookup”. The user then selects the PAD icon,
.
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The user then enters basic information on meteorology and
terrain. “Crops/Brush” includes light
residential.
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The user then selects “rail car” (the rail car size is
immaterial, so we can use the default setting). A 1-inch hole or pipe most mimics the failed 1-inch transfer
hose, so this is selected. The hose
while it looks like from the photo that it is connected to the top of the tank
is actually leaving at the tank bottom, so we will enter the “hole height” as
“0”.
A PAD may be calculated based on a 3 ppm Level of
Concern. Of course, the PEAC tool can
be used to calculate a PAD for any level of concern.
Latitude and longitude can be entered as 38.1807 N and
90.3915 W, and the PEAC tool automatically calculates degrees, minutes, and
seconds. We know the coordinates so
there is no source offset.
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The PAD is calculated at 3.1 miles. The 800’ Initial Isolation came from the
2004 Emergency Response Guidebook
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The Protection Action Distance for a given Level of Concern
is strongly dependent upon atmospheric mixing because of solar heating of the
ground. On a sunny day, the ground
warms up, and the temperature of the air near the ground increases. Because warm air is less dense than cool
air, the warm air near the surface rises and mixes with the cooler air higher
in the sky. The effect is to break up
and disperse the chlorine cloud. This
is a good thing because PAD distances will be much less than if this thermal
mixing did not occur. The air mass is
said to be “unstable”. The PEAC tool
attempts to internally calculate the degree of chlorine cloud mixing and
breakup based on the latitude, time of day, cloud cover, and wind speed. The ALOHA model which is used by the U.S.
EPA does the same thing, in fact, the same mathematical relationships used in
the ALOHA model are also used in the PEAC tool for determination of atmospheric
stability. The model is very sensitive
to solar heating. A very different PAD
answer is obtained if the user inputs a 100% cloud cover instead of a 30% cloud
cover. At a 100% cloud cover, the PAD
is calculated to be 10.7 miles corresponding to a Level of Concern = 3
ppm. If there is no sunshine, the earth
surface is not heated up, and there is no thermal mixing to disperse the
chlorine cloud. At a 50% cloud cover,
the PAD is calculated to be 5.5 miles.
Between 0% and 30% cloud cover, the PAD is calculated to be 3.1 or 3.3
miles.
The percent cloud cover is not available in the CSB report,
but available photographs at the site show shadows, and different accounts
indicate a very low and variable wind speed and direction. There were reports of the chlorine cloud
traveling southwest reaching the Blue Fountain Trailer Park, where the wind was
“essentially calm”. Probably what is
happening was that the chlorine cloud was moving slowly in westward or
southward or eastward directions and dispersed as it thinned out because of
atmospheric mixing.
Remember that Trinity Consultants calculated 3.7 miles based
on a Level of Concern of 3 ppm. chlorine.
They used an average release rate of 4.44 lbs/sec based on the weight of
the rail car before and after shutoff.
The PEAC tool allows the user the option of using a release rate of 4.44
lbs/sec rather than specifying a one-inch hose break. The PAD calculated was somewhat less comparing the same wind
speed and cloud cover. The PAD for a
4.44 lbs/sec varied between 1 and 3.7 miles at a 3 ppm Level of Concern depending
upon the percent cloud cover and wind speed using the PEAC tool.
Level of Concern
The PEAC user can input almost any reasonable value for a
“Level of Concern”, and the PEAC tool will calculate a corresponding PAD. Various possible “Levels of Concern” and
their meanings are listed under “Chemical Information” for chlorine. To access this list, the PEAC user may look
under “Chemical Information”, as illustrated below. The Levels of Concern are listed both in parts per million (ppm)
and milligrams per cubic meter (mg/m
3). The lethal dose for chlorine by inhalation for 1-hour exposure is
300 ppm.
The meaning of the terms “IDLH”, “STEL”, “ERPG-1”, etc can
be obtained by selecting the term and pulling up the definition on the
screen. For example, if ERPG-2 is
selected, the definition appears on the screen:
The U.S. Environmental Protection Agency favors the use of
Acute Exposure Guideline Levels (AEGL) as Levels of Concern. These consider exposures at various
concentrations for different lengths of time.
They consider only acute effects and do not consider possible long term
effects such as cancer or developing a sensitivity to the chemical. To access the AEGLs, the PEAC user selects
“Acute Exposure Guideline Levels” instead of “Chemical Information” in the PEAC
tool. The following information is then
displayed:
The PEAC tool has a lot of other information about
chlorine. The user may select “Chemical
Information” to get other information about chlorine (full display not shown)
or pull up a drop down box, as shown below, to link up with additional
information such as respirators protective clothing, the NIOSH pocket Guide,
the 2004 Emergency Response Guidebook in English, French, or Spanish, or
Medical Management Guidelines. Nuclear
Detonation Results and Fallout Radiation Dose Results do not have anything to
do with chlorine, but provide a link to do these types of calculations in a
hurry.
The military, for example, has exposure guidelines for
deployed troops, which may encounter chlorine (or other chemicals). This information may be obtained by
highlighting “Military Chemical Exposure Guidelines” in the drop-down box as
shown above.
The PEAC user can record the PAD (miles) for different
Levels of Concern, and plot them on a graph.
If log-log paper is used, an almost straight line is achieved. The plot for say the 30% cloud Cover, 2 mph
wind speed, and 1=inch chlorine transfer line break appears as below:
For distances less than 0.2 miles (1050 feet), modeling
shows concentrations were lethal.
Fortunately, the cloud hugged the ground near the source, as shown in
the news coverage photos. People could
see the toxic cloud and scamper out of the way. Further away, the cloud became more diffuse and concentrations
were lower but the cloud was wider and not as visible. Sixty-three (63) people showed up at the
local hospital suffering from respiratory distress.
Table 1. Effects of
Chlorine on Respiratory Tract (from Ellenhorn and Barceloux, 1988)
Concentration of Chlorine, ppm
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Effect of Prolonged Exposure
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1 to 3 ppm
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Mild mucous membrane irritation
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5 to 15 ppm
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Moderate irritation of upper respiratory tract
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30 ppm
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Immediate chest pain, vomiting, dyspnea, cough
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40 to 60 ppm
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Toxic pneumonitis and pulmonary edema
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300 ppm
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Lethal over 1 hour
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430 ppm
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Lethal over 30 minutes
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1000 ppm
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Dead within a few minutes
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Ellenhorn, M.J., and D.G. Barceloux, 1988.
Medical Technology: Diahnosis and
Treatment of Human Poisoning.
Elsevier science publishing Co., Inc.