Accident Lesson Card · Real investigation (tap external link for official report)
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CSB Investigation Report No. CSB-EVERGREEN-2021 2021 Fire Fire
Evergreen Packaging 热工作业火灾
Evergreen Packaging, Canton, North Carolina
Related equipment → piping (piping)
0Fatalities
2Injuries
FireMechanism code FIR
Failure Mode · ISO 14224 Mapping
Damage mechanism (recorded in KB)
FireFIR
Internal damage-mechanism code (not ISO 14224)
ISO 14224:2016 functional failure code
OTH · Other
Mapped to ISO OTH — Other.
1What Happened

2020-09-21 检修中火灾,2 名承包商受伤

2Root Cause

检修火灾防控与热工作业许可不足(跨行业映射至管道检修)

3Reliability Lessons (from investigation root cause)
  • The 'Root Cause' above is the core lesson of this accident; not split further.
4Associated Failure Mechanisms (Keywords)
热工作业 检修 火灾 纸厂 承包商
About the Failure-Mode Code (click to expand)

The mechanism code FIR shown on this card is the KB's internal damage-mechanism abbreviation (not an ISO 14224 code); it describes how the equipment failed. The 'ISO 14224 Mapping' block above maps it to the correct ISO functional failure code (which describes what the equipment failed to do) — these are two distinct dimensions in ISO 14224. The mechanism follows the narrative in the card body.

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 2021-09-24)
Related Failure Modes · Traceability

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

Report No. CSB-EVERGREEN-2021 · 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.