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Uncontrolled Tank Scaffolding Fire (Welding Screen constructed from…
Uncontrolled Tank Scaffolding Fire
Welding screen exposed to heat source
Welder positioned wind screen closer to his weld to improve weld quality believing that the shield was FR
Slag may have dropped onto the welding shield
Welding Screen constructed from flammable materials
GBI ordered / procured flammable welding shield
Requirement for FR rated wind screens not specified
Risk not fully recognized
Organizational Factor - Risk Management
Product ordered indicated that is was approved by California Fire Marshal. Purchasing thought that meant it was FR
Unintentional human error- assumption
Assumption that everyone knew FR wind shield required
Canvas welding shield coated with petroleum product to make it water proof
No one recognized type of canvas being used. was flammable
No marking / label on welding screen
Organizational Factor - Hardware
No previous incidents or Near Misses reported
Flame resistant (FR) rated welding shields not specified on pack list
hazard recognized but risk not appreciated
Assumed it was known
Organizational Factor - Risk Management
No fire extinguisher available on hanging scaffold
Worker didnt think it was necessary - Nothing flammable on scaffold
Less than adequate Inspections by Supervisor
Worker Risk Tolerance
Didn't realize tarp was flammable
Fire extinguisher was within required distance but not easily accessable
Less Than Adequate Supervision
Less Than Adequate Daily Work Area Inspection By Supervisor
Sedgman Superintendent not familiar with US Requirements
Less than adequate training on Work Area Inspections
Organizational Factor Training
Less than adequate Sedgman auditing on MSHA Work Area Inspections
Organizational Factor Contractor Management
No Fire Watch
Fire Watch Not Required