Description:

Review the case study linked below about an incident that involved fatal fires from
chemicals within the Tesoro facility- This link with take you to a web page that has a
number of resouces regarding this incident, including a very interesting video and
final report-

U-S- Chemical Safety and Investigative Board- (2014)- Tesoro Refinery fatal explosion
and fire- Retrieved from http://www-csb-gov/assets/1/7/Tesoro_Anacortes_2014-
May-01-pdf

In you own words, describe the chemical processes and why operators thought the
process was controlled- Describe high temperatu’e hydogen attack (HTHA)- What are
some of the issues that resulted in high temperatue hydogen attack on the heat
exchangers? What could have been done to prevent the incident, and to decrease the
number of fatalities? How might this knowledge be useful for individuals involved in
emergency response operations?