Accident Lesson Card · Real investigation (tap external link for official report)
← Back to KB navigation
CSB Investigation Report No. CSB-BPHUSKY-OREGON-2024 2024 Fire Fire Safety Safety
BP-Husky Oregon 炼厂化学品释放与火灾
BP-Husky Toledo Refinery, Oregon, Ohio
Related equipment → piping (piping)
0Fatalities
2Injuries
FailureMechanism code ELP
Failure Mode · ISO 14224 Mapping
Damage mechanism (recorded in KB)
FailureELP
ISO functional code (as recorded)
ISO 14224:2016 functional failure code
ELP · External leakage - process
ISO ELP — External leakage - process.
1What Happened

2022-09-20 易燃物料释放并起火,操作员烧伤

2Root Cause

工艺管道/设备完整性不足,释放后点火源控制失效

3Reliability Lessons (from investigation root cause)
  • The 'Root Cause' above is the core lesson of this accident; not split further.
4Associated Failure Mechanisms (Keywords)
炼厂 释放 火灾 管道 易燃 灼伤
About the Failure-Mode Code (click to expand)

The recorded code ELP is an ISO 14224:2016 functional failure code (describes what the equipment failed to do). The damage mechanism (how it failed) is shown in the Mapping block above. The two are distinct dimensions in ISO 14224.

5Evidence Source (transparent)
Authority:U.S. Chemical Safety and Hazard Investigation Board (CSB)
Official Report:www.csb.gov ↗
Data Verification:verified_url_csb_investigations_list_2026-08-07(终报 2024-06-24)
Related Failure Modes · Traceability

This accident is not yet linked to a specific FM traceability card.

Report No. CSB-BPHUSKY-OREGON-2024 · Data from CSB public investigation conclusions, compiled by Reliability AI, for reliability demonstration purposes only. This case is derived from public incident investigation reports for learning purposes only. AIM does not endorse or guarantee its accuracy.