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room ventilation system intake was not equipped with toxic gas   Hazardous Chemicals standard (PSM) requires facilities to
        alarms or an automatic shutoff, but with a manual shutoff device.   perform a process hazard analysis (PHA) on processes covered
                                                                by the PSM standard.   PSM is a performance-based standard
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        5.3.1   GUIDANCE AND STANDARDS                          that includes requirements for preventing or minimizing
        Standards and industry guidance for designing buildings and   the consequences of catastrophic releases of toxic, reactive,
        ventilation systems to protect occupants in buildings at facilities   flammable, or explosive chemicals that are covered under
        handling hazardous chemicals are limited. The American   the standard (Section 8.1).   The PSM standard applies to
                                                                                     89
        Petroleum Institute (API) develops standards for petroleum   processes that involve certain chemicals at or above specified

        refineries and API Recommended Practices 550, 551, and 752   threshold quantities.   PSM requires employers to perform
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        provide direction around positive pressure control rooms that   an initial PHA on covered processes to identify, evaluate, and
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        may be helpful to other industries. The Chlorine Institute (CI) also   control the hazards involved in the process.   Specifically, the
        provides guidance on designing building and ventilation systems   PHA shall address, among other things, facility siting.   When
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        for facilities handling sodium hypochlorite. Although MGPI is   evaluating siting, facilities should consider whether toxic or
        not a member of the CI (Section 7.1), Pamphlet 64 provides   flammable gases from releases are able to enter control rooms.
        guidance on designing ventilation systems, which can be useful

        to industries and facilities that handle sodium hypochlorite.   In 2008, OSHA, under the PSM standard, cited Kuehne
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                                                                Chemical, a chlor-alkali plant in South Kearney, New Jersey,
        Pamphlet 64 (Section 7.1) covers emergency response plans   for failing to accurately address the ingress of chlorine gas
        for sodium hypochlorite and suggests that facilities consider   due to a catastrophic release from chlorine lines into the
        designing building and ventilation systems to minimize the   control room. Chlorine is a chemical that falls under the PSM
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        impact of a release on building occupants.   This includes   standard if held in sufficient quantities. Although chlorine
        elevated air intakes, because chlorine gas is heavier than air   gas in addition to other toxic compounds entered the Mod
        and tends to accumulate at lower elevations.   The intakes on   B building on the day of the MGPI incident, the chlorine
                                           87
        the first floor of the Mod B building likely allowed for greater   was a byproduct of a reaction between sulfuric acid and

        concentrations of chlorine in the cloud to enter the building   sodium hypochlorite, neither of which is covered by PSM.
        shortly after the chemical reaction began. In addition, Pamphlet
        64 recommends chlorine monitors with alarms that automatically   However, other processes and chemicals at Mod B are
        trigger ventilation system shutdown and filtration equipment   covered by the PSM standard, including two chemicals
        to remove chlorine from supply air to keep building occupants   stored above threshold quantities at Mod B: propylene
        safe during a chlorine release. Without these controls, operators   oxide (received at the unloading area) and phosphorous
        must rely on respiratory protection that, in the case of MGPI,   oxychloride (not received at the unloading area). Because of

        was not readily accessible during the release, given that the   the MGPI incident, OSHA initially issued citations to MGPI for
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        cloud entered the control room without warning (Section 5.4).  12 violations.   One was for not appropriately performing
                                                                a PHA that addressed the hazard of toxic and flammable
        Although it does not include specific design requirements
        for control rooms, the U.S. Occupational Safety and Health
                                                                88   29 C.F.R. § 1910.119(e) (2017).
        Administration (OSHA) Process Safety Management of Highly   89   29 C.F.R. § 1910.119 (2017).
                                                                90   19 C.F.R. § 1910.119(a)(1) (2017).
                                                                91   29 C.F.R. § 1910.119(e)(1) (2017).
        86   The Chlorine Institute. Emergency Response Plans for Chlor-Alkali, Sodium
            Hypochlorite and Hydrogen Chlorite Facilities.  Pamphlet 64; 7th ed.; The Chlorine   92   29 C.F.R. § 1910. 119(e)(3)(v) (2017).
            Institute: Arlington, VA, November 2014.            93   Kuehne Company. http://www.kuehnecompany.com/history/ (accessed November 27,
        87   The Chlorine Institute. Emergency Response Plans for Chlor-Alkali, Sodium   2017).
            Hypochlorite and Hydrogen Chlorite Facilities.  Pamphlet 64; 7th ed.; The Chlorine   94   OSHA and MGPI entered an Informal Settlement Agreement on May 10, 2017, which
            Institute: Arlington, VA, November 2014.               reduced the number of violations and penalty. See Section 8.1.
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