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CSB Investigation
Report No. CSB-DELAWARECITY-2017
2017
Safety Safety
Delaware City Refining 烷基化单元事故
Delaware City Refining Company, Delaware City, Delaware
Related equipment → piping (piping)
0Fatalities
1Injuries
FailureMechanism code OTH
⌗Failure Mode · ISO 14224 Mapping
Damage mechanism (recorded in KB)
FailureOTH
ISO functional code (as recorded)
ISO 14224:2016 functional failure code
OTH · Other
ISO OTH — Other.
1What Happened
2015-11-29 烷基化单元操作员处理物料时面部颈部二度烧伤
2Root Cause
烷基化单元退料/泄压作业程序缺陷
3Reliability Lessons (from investigation root cause)
- The 'Root Cause' above is the core lesson of this accident; not split further.
4Associated Failure Mechanisms (Keywords)
烷基化 灼伤 泄漏 管道 炼厂
About the Failure-Mode Code (click to expand)
The recorded code OTH 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 2017-05-18)
↗Related Failure Modes · Traceability
This accident is not yet linked to a specific FM traceability card.