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Industrial Incidents Caused by Design Deficiency

Design deficiencies are engineering flaws — in process design, equipment selection, layout, or relief system sizing — that created a fundamentally unsafe condition that operations and maintenance could not compensate for. CSB investigations in this category often find that the hazardous design was known or knowable before the accident, and that process hazard analyses failed to identify or adequately address it.

103 investigations
Industries: Chemical Manufacturing, Petroleum Refining, Plastics
Years: 1998–2024

Incidents (103)

Incident Date Location Key Hazards
T2 Laboratories Inc. Reactive Chemical Explosion 12/19/2007 Jacksonville, FL Runaway Reaction, Thermal Runaway
Environmental Enterprises Hydrogen Sulfide Release 12/11/2002 Cincinnati, OH Hydrogen Sulfide Release, Toxic Release
AL Solutions Fatal Dust Explosion 12/09/2010 New Cumberland, WV Dust Explosion, Fire
Optima Belle Explosion and Fire 12/08/2020 Belle, WV Explosion, Fire
NDK Crystal Inc. Explosion with Offsite Fatality 12/07/2009 Belvidere, IL Explosion, Overpressure
Marcus Oil and Chemical Tank Explosion 12/03/2004 Houston, TX Explosion, Fire
Delaware City Refining Company 11/29/2015 Delaware City, DE Flash Fire, Fire
TPC Port Neches Explosions and Fire 11/27/2019 Port Neches, TX Chemical Release, Explosion
ExxonMobil Baton Rouge Refinery Chemical Release and Fire 11/22/2016 Baton Rouge, LA Chemical Release, Fire
CAI / Arnel Chemical Plant Explosion 11/22/2006 Danvers, MA Explosion, Fire
Marathon Martinez Renewable Fuels Fire 11/19/2023 Martinez, CA Fire, Chemical Release
DPC Enterprises Glendale Chlorine Release 11/17/2003 Glendale, AZ Toxic Release, Chemical Release
DuPont La Porte Facility Toxic Chemical Release 11/15/2014 La Porte, TX Toxic Release, Chemical Release
Allied Terminals Fertilizer Tank Collapse 11/11/2008 Chesapeake, VA Chemical Release, Structural Failure
E. I. DuPont De Nemours Co. Fatal Hotwork Explosion 11/09/2010 Buffalo, NY Explosion, Fire
Barton Solvents Flammable Liquid Explosion and Fire 10/29/2007 Des Moines, IA Fire, Explosion
Hayes Lemmerz Dust Explosions and Fire 10/29/2003 Huntington, IN Dust Explosion, Fire
Aghorn Operating Inc. Waterflood Station Hydrogen Sulfide Release 10/26/2019 Odessa, TX Hydrogen Sulfide Release, Toxic Release
Caribbean Petroleum Corporation (CAPECO) Refinery Tank Explosion and Fire 10/23/2009 Bayamón, PR Chemical Release, Explosion
First Chemical Corp. Reactive Chemical Explosion 10/13/2002 Pascgoula, MS Runaway Reaction, Explosion
INDSPEC Chemical Corporation Oleum Release 10/11/2008 Petrolia, PA Chemical Release, Toxic Release
US Ink Fire 10/09/2012 East Rutherford , NJ Dust Explosion, Flash Fire
Formosa Plastics Propylene Explosion 10/06/2005 Point Comfort, TX Chemical Release, Explosion
EQ Hazardous Waste Plant Explosions and Fire 10/05/2006 Apex, NC Fire, Explosion
Isotec/Sigma Aldrich Nitric Oxide Explosion 09/21/2003 Miami Township, OH Explosion, Chemical Release
BP - Husky Oregon Chemical Release and Fire 09/20/2022 Oregon, OH Chemical Release, Fire
Bio Lab Conyers Chemical Release 09/14/2020 Conyers, GA Thermal Runaway, Toxic Release
Arkema Inc. Chemical Plant Fire 08/29/2017 Crosby, TX Fire, Chemical Release
AirGas Facility Fatal Explosion 08/28/2016 Pensacola, FL Explosion, Runaway Reaction
Bayer CropScience Pesticide Waste Tank Explosion 08/28/2008 Institute, WV Runaway Reaction, Explosion
Bio-Lab Lake Charles Chemical Fire and Release 08/27/2020 Lake Charles, LA Runaway Reaction, Toxic Release
Millard Refrigerated Services Ammonia Release 08/23/2010 Theodore, AL Ammonia Release, Chemical Release
Sterigenics Ethylene Oxide Explosion 08/19/2004 Ontario, CA Explosion, Fire
DPC Enterprises Festus Chlorine Release 08/14/2002 Festus, MO Chemical Release, Toxic Release
Chevron Richmond Refinery Pipe Rupture and Fire 08/06/2012 Richmond, CA Chemical Release, Fire
Cuisine Solutions Ammonia Release 07/31/2024 Sterling, VA Ammonia Release, Toxic Release
LyondellBasell La Porte Fatal Chemical Release 07/27/2021 La Porte, TX Chemical Release, Toxic Release
Horsehead Holding Company Fatal Explosion and Fire 07/22/2010 Monaca, PA Explosion, Fire
Honeywell Chemical Incidents 07/20/2003 Baton Rouge, LA Chemical Release, Toxic Release
CITGO Refinery Hydrofluoric Acid Release and Fire 07/19/2009 Corpus Christi, TX Fire, Chemical Release
Barton Solvents Explosions and Fire 07/17/2007 Valley Center, KS Explosion, Fire
Motiva Enterprises Sulfuric Acid Tank Explosion 07/17/2001 Delaware City, DE Explosion, Fire
Dow Louisiana Operations Explosions 07/14/2023 Plaquemine, LA Explosion, Fire
Enterprise Pascagoula Gas Plant Explosion and Fire 06/27/2016 Moss Point, MS Chemical Release, Explosion
Praxair Flammable Gas Cylinder Fire 06/24/2005 St. Louis, MO Fire, Explosion
Philadelphia Energy Solutions (PES) Refinery Fire and Explosions 06/21/2019 Philadelphia, PA Chemical Release, Explosion
Universal Form Clamp Co. Explosion and Fire 06/14/2006 Bellwood, IL Vapor Cloud Explosion, Fire
Williams Olefins Plant Explosion and Fire 06/13/2013 Geismar, LA Bleve, Chemical Release
ConAgra Natural Gas Explosion and Ammonia Release 06/09/2009 Garner, NC Explosion, Ammonia Release
Didion Milling Company Explosion and Fire 05/31/2017 Cambria, WI Dust Explosion, Explosion
TS USA Molten Salt Eruption 05/30/2024 Explosion, Overpressure
Midland Resource Recovery Explosion 05/24/2017 Barbour County, WV Explosion, Runaway Reaction
Kuraray Pasadena Release and Fire 05/19/2018 Pasadena, TX Chemical Release, Fire
Veolia Environmental Services Flammable Vapor Explosion and Fire 05/04/2009 West Carrollton, OH Explosion, Fire
AB Specialty Silicones, LLC 05/03/2019 Waukegan, IL Chemical Release, Explosion
Third Coast Industries Petroleum Products Facility Fire 05/01/2002 Brazoria County, TX Fire, Pool Fire
Husky Energy Superior Refinery Explosion and Fire 04/26/2018 Superior, WI Explosion, Fire
Kaltech Industries Waste Mixing Explosion 04/25/2002 New York , NY Runaway Reaction, Explosion
Formosa Plastics Vinyl Chloride Explosion 04/23/2004 Illiopolis, IL Explosion, Fire
Macondo Blowout and Explosion 04/20/2010 Explosion, Fire
West Fertilizer Explosion and Fire 04/17/2013 West, TX Fire, Explosion
MFG Chemical Inc. Toxic Gas Release 04/12/2004 Dalton, GA Runaway Reaction, Toxic Release
D.D. Williamson & Co. Catastrophic Vessel Failure 04/11/2003 Louisville, KY Overpressure, Explosion
Herrig Brothers Farm Propane Tank Explosion 04/09/1998 Albert City, IA Bleve, Explosion
Yenkin-Majestic Resin Plant Vapor Cloud Explosion and Fire 04/08/2021 Columbus, OH Vapor Cloud Explosion, Explosion
Giant Industries Refinery Explosions and Fire 04/08/2004 Gallup, NM Chemical Release, Explosion
Morton International Inc. Runaway Chemical Reaction 04/08/1998 Patterson, NJ Runaway Reaction, Thermal Runaway
Loy Lange Box Company Pressure Vessel Explosion 04/03/2017 St. Louis , MO Explosion, Overpressure
KMCO LLC Fatal Fire and Explosion 04/02/2019 Crosby, TX Vapor Cloud Explosion, Flash Fire
Tesoro Anacortes Refinery Fatal Explosion and Fire 04/02/2010 Anacortes, WA Explosion, Fire
Union Carbide Corp. Nitrogen Asphyxiation Incident 03/27/1998 Hahnville, LA Asphyxiation, Toxic Release
BP America (Texas City) Refinery Explosion 03/23/2005 Texas City, TX Explosion, Fire
Carbide Industries Fire and Explosion 03/21/2011 Louisville, KY Explosion, Overpressure
Intercontinental Terminals Company (ITC) Tank Fire 03/17/2019 Deer Park , TX Fire, Pool Fire
BP Amoco Thermal Decomposition Incident 03/13/2001 Augusta, GA Chemical Release, Explosion
Sonat Exploration Co. Catastrophic Vessel Overpressurization 03/04/1998 Pitkin, LA Overpressure, Fire
CTA Acoustics Dust Explosion and Fire 02/20/2003 Corbin, KY Dust Explosion, Fire
Concept Sciences Hydroxylamine Explosion 02/19/1999 Allentown, PA Explosion, Chemical Release
ExxonMobil Torrance Refinery Explosion 02/18/2015 Torrance, CA Explosion, Fire
Valero McKee Refinery Propane Fire 02/16/2007 Sunray, TX Fire, Flash Fire
Tesoro Martinez Sulfuric Acid Spill 02/12/2014 Martinez, CA Chemical Release, Toxic Release
Packaging Corporation of America Hot Work Explosion 02/08/2017 Deridder, LA Explosion, Fire
Kleen Energy Natural Gas Explosion 02/07/2010 Middletown, CT Explosion, Chemical Release
Imperial Sugar Company Dust Explosion and Fire 02/07/2008 Port Wentworth, GA Dust Explosion, Explosion
Technic Inc. Ventilation System Explosion 02/07/2003 Cranston, RI Explosion, Fire
Bethlehem Steel Corporation Gas Condensate Fire 02/02/2001 Chesterton, IN Fire, Explosion
Hoeganaes Corporation Fatal Flash Fires 01/31/2011 Gallatin, TN Flash Fire, Dust Explosion
Synthron Chemical Explosion 01/31/2006 Morganton, NC Runaway Reaction, Vapor Cloud Explosion
Little General Store Propane Explosion 01/30/2007 Ghent, WV Chemical Release, Vapor Cloud Explosion
Wendland 1H Well Fatal Explosion 01/29/2020 Burleson County , TX Explosion, Fire
West Pharmaceutical Services Dust Explosion and Fire 01/29/2003 Kinston, NC Dust Explosion, Explosion
Foundation Food Group Fatal Chemical Release 01/28/2021 Gainesville , GA Chemical Release, Asphyxiation
Watson Grinding Fatal Explosion and Fire 01/24/2020 Houston, TX Chemical Release, Explosion
Honeywell Geismar Chlorine and Hydrogen Fluoride Releases 01/23/2023 Geismar, LA Chemical Release, Explosion
DuPont Belle Toxic Chemical Releases 01/23/2010 Belle, WV Toxic Release, Chemical Release
Pryor Trust Fatal Gas Well Blowout and Fire 01/22/2018 Pittsburg County, OK Explosion, Fire
Georgia-Pacific Corp. Hydrogen Sulfide Poisoning 01/16/2002 Pennington, AL Hydrogen Sulfide Release, Toxic Release
BLSR Operating Ltd. Vapor Cloud Fire 01/13/2003 Rosharon, TX Vapor Cloud Explosion, Flash Fire
Silver Eagle Refinery Flash Fire and Explosion and Catastrophic Pipe Explosion 01/12/2009 Woods Cross, UT Flash Fire, Explosion
Bethune Point Wastewater Plant Explosion 01/11/2006 Daytona Beach, FL Explosion, Fire
Freedom Industries Chemical Release 01/09/2014 Charleston, WV Chemical Release, Toxic Release
Sierra Chemical Co. High Explosives Accident 01/07/1998 Mustang, NV Explosion, Fire
Catalyst Systems Inc. Reactive Chemical Explosion 01/02/2003 Gnadenhutten, OH Explosion, Fire

Common Patterns

Across these 103 investigations, the CSB consistently found design deficiency alongside these co-occurring failure modes, industries, and hazard types:

Co-occurring failure modes: Procedural Failure · Training Deficiency · Management of Change Failure · Human / Operator Error · Communication Failure

Primary industries: Chemical Manufacturing, Petroleum Refining, Plastics

Associated hazard types: Chemical Release · Fire · Explosion · Structural Failure


Data sourced from CSB.gov public investigation reports. This site is an independent project not affiliated with the U.S. CSB.