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Laboratory Safety Incidents: Fire

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Autoclave/Clean Benches
(See Flame/Ethanol Sterilization)
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Chemical-based Fires
  Bleach and Methanol Mixed Waste Cause Lab Fire
  Shelf-Collapse Causes Spill and Fire
  Carbon Disulfide
  Azobisisobutyronitrile
  Lithium Aluminum Hydride
  Sodium Hydride
  Solvent Explosion and Fire
  Letter from a Post-Doc Burned in a solvent Fire
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Flame/Ethanol Sterilization
  Clean Bench Fire
  Two Flaming Loop Fires, both inside a  BSC
  Flame Sterilizing Incident
  Unattended Use of a Bunsen Burner inside a Biosafety Cabinet
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Flammable Storage Cabinet
  Flammable Storage Cabinet prevents ignition of flammable solvents.
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Heat Gun
  Fire/Burn from Heating solvent with heat gun
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Hotplate
  Hood Fire Involving Unattended Operation near a Hotplate
  Sublimation of a Colorant Intermediate
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Stirrers and Stirrer/Hotplates
  Valuable Research Material Ruined In Coldroom Fire Due To Unattended Western Blot
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Surgical Equipment
  Fire From Cautery Pen in Sharps Container

 

Chemical Based Fire (top)

Bleach and Methanol Mixed Waste Cause Lab Fire (top)

Key Instruction Points

1.  Clean up of small spills of hazardous waste should be bagged or
put into a suitable closed container and disposed of as hazardous waste.

2.  Know the incompatibilities of chemicals mixed in each step of
your experiment, including waste disposal.

Mixing of incompatible chemicals was the likely cause of a laboratory
fire.  Luckily, no one was injured, but extensive cleanup of
equipment in the room was required because eight extinguishers were
needed to put out the fire.

Paper towels had been thrown into a trash container after a
laboratory spill of Comassie blue dye. The researcher first wiped the
area with methanol, which Comassie blue is soluble in.  A blue stain
remained on the floor, which was then removed with concentrated
bleach and wiped up. All paper towels were put into the same trash
container. The next day, as the bag was being lifted out the trash
container, a fire flashed up. Fortunately the researcher who was
removing the bag was uninjured.  He notified fellow lab workers, and
the Fire Department was called. Eight extinguishers had to be used
because the fire would appear to be extinguished, but would then
flare up after each extinguisher was emptied.  The room and equipment
were coated with a thick layer of dry extinguishing agent (probably
ammonium phosphate) by the end of the operation.

What is the likely cause of the fire?

Bleach (sodium hypochlorite) and methanol can form methyl
hypochlorite, which can be explosive and may have caused the fire to
flash several times. Bleach is a strong oxidizer even at the low
concentrations used (4-10%) for disinfection. It can react with other
chemicals to release toxic gases: chlorine gas is released when mixed
with acids, and chloramines are released when mixed with nitrogen
compounds (ammonia, urea, amines, isocyanurates).

Shelf Collapse leads to a spill and a spill/explosion at separate institutions (top)

Key Instruction Points

1.  Do not procrastinate at getting broken equipment repaired.
2.  Follow your institution's safety procedures.
3.  Treat spill clean-up materials as hazardous waste.

The collapse of a shelf in a flammable storage cabinet lead to an explosion and fire in a lab at X causing  the destruction of two labs and damage ranging from $200,000 to 300,000 in repairs.  Spills due to the unstable shelf had occurred previously but no one had tried to repair or replace the defective shelf.  In this instance,12 containers of hexane were being unpacked into a flammable storage cabinet when one of the shelves collapsed. The resulting three-alarm blaze took about 20 fire trucks and 84 firefighters from several area fire stations more than an hour to extinguish. 

Flammable liquids ignite when there is enough fuel and oxygen in the air to support a flame, as well as an ignition source.   Common ignition sources in labs are Bunsen burners and stirrers with brush-type motors. Plugged-in electrical equipment could also be an ignition source.  In this case it was never determined what the ignition source was.

There were about 50 gallons of flammables in the lab which lead firefighters to switch from water to dry powder extinguisher, and finally to chemical foam, which eventually put out the blaze.

In a completely separate incident at another institution, a spill occurred when a shelf located in a flammable storage cabinet under a chemical hood, collapsed.  A gallon bottle of glycerol and a gallon bottle of isopropyl alcohol broke and spilled.   Additionally, a gallon bottle of acetone had fallen off the shelf and was leaking.  Rather than vacating the room and contacting the safety office to clean-up the spill lab personnel cleaned up the spill themselves which took about 30 minutes.  The personnel recently attended training where emergency procedures were reviewed.   They used a broom, a dustpan, and brush to pick up the broken glass and the liquid.  They placed the entire contents of the spill, including the liquid, in a box designed for broken glass on the floor of the lab where it continued to evaporate over the weekend.

It is believed that improperly installed shelving clips caused the shelf to collapse.   This was a new lab and the solvent cabinet was being used for the first time.  An inspection of all the shelves in the area found other clips that were also not installed properly.

The personnel involved in incident did not follow the institution’s emergency procedures which had been reviewed during training and which are listed in a emergency flip chart which is posted in the lab.  Lab personnel are responsible for cleaning up minor chemical spills, only.  A minor chemical spill is defined as = 1 liter of any chemical that is NOT a carcinogen, acutely toxic or a reproductive hazard. The safety office and other emergency response personnel handle all other chemical spills.  Everybody should have left the room and someone should have called for help from a location where the safety office could call back to get information about the spill.

Besides posing a fire hazard (vapors from flammable liquids catch on fire, not the liquids themselves), they violated their institutions policies as well as EPA regulations regarding hazardous waste.  It is against federal environmental regulations to evaporate chemical waste into the atmosphere.

_______________________________________________________

Fire From Diethyl Ether Spill  (top)

Key Instruction Points
1.  Wear long pants and shoes in the lab.
2.  Work at least 6" inside the chemical hood.

A graduate student was injured by flash fire due to a reaction product that contained about 1 liter of ether. The ether was to be filtered through a cup shaped device containing the desiccant sodium sulfate. The filter apparatus was placed in a 2 liter round bottom flask and connected to house vacuum. The round bottom flask was attached to a ring stand.

The 2-liter Erlenmeyer flask that containing the diethyl ether and reaction product broke and spilled into the hood and onto the floor in front of the hood. The whole assembly was situated at the front of the fume hood on the sill adjacent to the fume hood airfoil so when the container broke the flammable mixture was not contained in the hood. In addition, the sash on the hood was fully open.

Seconds later, a fire rising from the floor in front of the fume hood engulfed the student. The source of ignition was most likely a drying oven that was situated under the hood. Unfortunately the student was wearing shorts and sandals. The student moved away from the fume hood and rolled on the floor to extinguish the flames. A nearby safety shower was blocked by equipment. The student was able to leave the building with help from colleagues where he waited for emergency response. After initial treatment by fire department technicians, an ambulance arrived and transported him to a regional burn treatment center.

There was no written standard operating procedure and apparently this was an elementary procedure that the student had performed thousands of times. The lab manager had performed and reviewed the procedure with the student but the procedure was not documented in the students notebook or in the Laboratory Safety Plan. The student had recently attended a general department training program.

During the two years prior to the fire, the lab had undergone three safety inspections. The inspection reports documented many deficiencies in procedure and had noted the extremely crowded laboratory conditions. The PI had not responded to the reports.

Several steps could have been taken to prevent or mitigate incidents.

·        Check glassware before using it for cracks or scratches.  Replace damaged glassware.

·        Use plastic coated glassware for transporting or holding solvents.  When glassware is replaced, order some of the break resistant glassware.

·        Allow more space for workers.  There were at times as many as 14 people in the lab

·        Work at least 6 inches inside the chemical hood.  This is critical for containment of vapors.  In addition, the work top on the chemical hood is dished and will contain a spill. 

·        Work with the chemical hood sash pulled down to shoulder height.  The sash can protect the workers face and breathing zone from a deflagration and can greatly reduce exposure to gases and vapors in the hood.  With the sash at this height, a hood may contain a fire.

·        Do not block safety equipment such as the safety shower. 

·        Do not house drying ovens under chemical hoods.

·        Require lab personnel to wear long pants and shoes in the laboratory.   Prohibit shorts and sandals.  In addition, goggles and lab coats should be required for procedures involving large quantities of hazardous liquids.

  • Document training.  Training must be documented for new workers and annually thereafter.  Require training for all personnel working in the laboratory.   Assure that laboratory workers document safe procedures in their notebooks, send students to the fall departmental training sessions and hold periodic meetings with staff.  At lab meetings, include a safety related agenda and file the agenda.

________________________________________________________

Carbon Disulfide Fire  (top)

Key Instruction Points
1.  Store liquids in stable containers or use racks.
2.  Recognize location of nearest ignition sources when
using flammable liquids

Incident Description: We have four gas chromatographs (GCs) on two sides of one ten-foot-long aisle of our laboratory. One of our analysts was working at one of the GCs and was choked by a cloud of some sort of gas of an unknown origin and nature. After looking around for a second or two and not finding the source, she called out for everyone to get out of the lab and set off the fire alarm in the hallway, waiting for the Fire Department HazMat team and finally our own staff to identify what the problem was.

What we finally discovered was the following: another analyst in our lab, a contractor, had set an open vial (with an inward-tapered opening at the top) of carbon disulfide, used for flushing GC autosamplers, on top of another GC across the aisle. Somehow, the vial tipped over and rolled into the opening at the top of the GC where the heated injector is located. Presumably the CS2 heated up the vial when it came into contact with the injector, and sprayed out CS2 vapor. The vapor burst into flame (because of the very low auto-ignition temperature) when it came in contact with the injector, producing a nearly-suffocating cloud of SO2 and unburnt CS2 which passed over the other analyst, moving in the direction of the nearby fume hood. The entire incident was over in perhaps 10 seconds (but we didn't know that at the time)!

The analyst who breathed the combustion products was checked and found to have suffered no ill effects. The GC where the fire took place has a few scorch marks around the injector, but otherwise suffered no damage. The lost time of the several hundred people that work in our 7 story building and were kept outside for about 2.5 hours was significant.

The primary cause of the incident was putting a narrow-based vial with a highly flammable solvent on top of an instrument.

We put a stop to the practice of putting things on the top of Gcs immediately. After the incident we had the carpentry shop fabricate a half dozen small tube racks that will hold GC vials of the appropriate size. There is one such rack next to every GC in the lab now. We have established a rule that nothing will be put on top of any GC - or any other instrument - but only in a rack, on the bench top.

We were fortunate that we had no injuries or property damage, but the cost in lost time to ourselves and others in our building was significant.

______________________________________________________________

Azobisisobutyronitrile Fire  (top)

Summary:

Explosion and fire occurred in a lab in X Hall. A graduate student was thrown four feet and cracked a rib.  Her hair was singed from the fire ball. She was heating dioxane, a flammable solvent, and azobisisobutyronitrile on a hot plate in a glove box when a leak was suspected to have developed in the box. The hot plate’s thermostat probably served as the ignition source. She did not have the MSDS for azobisisobutyronitrile and she was unaware that upon heating this chemical produces an acutely toxic chemical, tetramethylsuccinonitrile (TMSN). TMSN is immediately dangerous to life and health (IDLH) at 5 ppm. For comparison, cyanide gas has a IDLH at 25 ppm.

Personnel from the Health and Safety Office entered the room to retrieve coats and open the windows not knowing the presence of this chemical. Their selection of personal protective clothing was insufficient to protect them from the TMSN.   Both became ill from exposures.

Description of Incident

The experiment involved heating 300 mL of dioxane, 30 grams of N-isopropylacrylamide, and 6.24 grams of azobisiosobutyronitrile ("VAZO" 64) in an inert atmosphere, on a hot  plate. Early in the experiment the student suspected there might be an air leak because the gloves which normally were inflated were sagging. The graduate student spilled approximately 10 mL. Working within the gloves, she wiped up the spill with some paper toweling. Suddenly, with no warning, the reaction exploded and threw her 3 to 4 feet into the bench behind her.

Another student phoned Security and the Environmental Health & Safety office.  He  evacuated  the hallway and all the adjacent labs, grabbing the book of MSDSs before leaving. She informed the Health and Safety Office of only three of the four chemicals that were involved in the incident. The company had never sent her a MSDS for  "VAZO". She was  visibly shaken and her eyelashes and hair was singed. The Health and Safety Office recommended that she shower, change clothes, and get a medical examination.. The weather was freezing and students were requesting their coats, lap-top computes and other belongings from the affected area. An employee from The Health and Safety Office entered the lab with a half face respirator with organic vapor cartridges to shut down the experiment, retrieve personal items, and open windows. The Health and Safety Office found that many of the windows which had been designed to open were sealed shut.  After about 20 minutes, a pane of glass was broken for ventilation.

An emergency response team from ________ was called after several hours to appraise the situation because of the persistent smell.  The emergency response team wore Self Contained Breathing Apparatus (SCBA).

Neither student experienced any chemical exposure symptoms, although both were examined by physicians. The student involved in the explosion did crack a rib as a result of her impact with the counter.

The next day the student was interviewed again. She informed the Health and Safety Office of  the chemical she neglected to mention the day before. The missing chemical was the azobisiosobutyronitrile or "VAZO" 64.  She thought it was causing the residual smell in the room. Researching the chemical, The Health and Safety Office discovered that upon heating the "VAZO"   readily converts  to Tetramethylsuccinonitrile,  an odorless chemical that is highly toxic and can be fatal in very small doses.  Concentrations of Tetramethylsuccinonitrile are Immediately Dangerous to Life and Health (IDLH) at 5 ppm. [For reference NIOSH lists Sodium Cyanide, gas, at 25 ppm., both by inhalation.] Both health and safety office personnel who had entered the room experienced temporary symptoms from exposure to the Tetramethylsuccinonitrile that had penetrated their cartridges.

Conclusions:

The heating of flammable solvents should be done  so as to avoid any contact with ignition sources. An explosion proof hot plate is recommended for future experiments. The glove box is unsuitable for the use of flammable liquids due to the factory installed electrical outlets. Due to the air leak, all the elements were present for the fire ball that resulted.   Students should have researched each of the reactants and had a thorough understanding of their properties and decomposition products.

The Health and Safety Office should not have entered an area that has an unknown atmosphere.

Students possession should never have been taken from the room without being decontaminated.  These items were collected for cleaning.

Recommendations:

In the future, an explosion proof hot-plate and a non-electric balance should be used.

The glove box manufacturer should be contacted and asked if the box is acceptable for use with flammable solvents.

A written standard operating procedure (SOP), that includes safety procedures, should be developed.  The SOP should  demonstrate a thorough understanding of all chemicals involved. SOPs should be reviewed by students and supervisors.

Provide closer supervision of graduate students.

After incidents similar to  this one the contents of the room should stay undisturbed until a thorough evaluation is completed.

No chemical should be used until the MSDS is obtained and reviewed.


Lithium Aluminum Hydride Fire (top)

A laboratory worker was attempting to distill tetrahydrofuran (THF) using lithium aluminum hydride (LAH). THF is a highly flammable liquid that can cause severe eye irritation and central nervous system depression. LAH is a water-reactive, flammable
solid.

The laboratory worker was slowly pouring approximately 1 gram of LAH from a plastic bag into a flask containing 500 ml of THF inside a fume hood. A small amount of LAH leaked from a small hole in the bag, onto the surface of the hood and burst into flames, startling the worker and causing him to drop the remainder of the bag (8-10 grams of LAH) onto the fire. Concerned about the flask and bottle of THF inside the hood, the worker immediately removed his lab coat and placed it onto the fire in an attempt to smother it.

Since the appropriate extinguishing agent was not available, .the worker pulled the flaming lab coat and LAH out of the hood onto the floor. Once the LAH fire had burned itself out, the worker used a dry chemical extinguisher to put out the coat fire.

Since the incident, Met-L-X extinguishers were mounted inside the door of the laboratory. The laboratory worker keeps a supply of sand (in a plastic milk jug with the top cut off) on the floor at the side of the hood where this work is done.

-Know the hazards of the materials, including appropriate extinguishing agents, before using chemicals. 

-Carbon dioxide reacts with LAH explosively; thus, a carbon dioxide extinguisher could have made the situation worse. A Met-L-X fire extinguisher (for flammable solids) or dry sand should have been immediately available.

-Do not pour solids such as LAH directly from the container into another chemical or reaction vessel. Measure out what is needed, then pour it.


Sodium Hydride Fire  (top)

Sodium hydride (NaH) can react with water or spontaneously with moist air to generate highly flammable hydrogen gas and corrosive sodium hydroxide. A few months ago, a graduate student was attempting to convert some unneeded NaH into a less reactive compound, a process known as quenching, prior to disposing it. The reaction was conducted in an ice bath and when the extreme heat liberated by the process ruptured the reaction beaker, a brief, though very intense fire occurred. Fortunately, no one was injured.

This accident provides a backdrop for considering the following points about procedures for hazardous waste disposal, fire safety, and working with chemicals posing particular hazards.

1. Many chemicals used in the laboratory, including NaH, are legally considered regulated hazardous waste once they are designated for disposal. Many Research Institutions are not licensed to treat (e.g., quench) such waste on site. Contact your safety office to arrange for the safe and legal disposal of hazardous chemicals through your institution’s hazardous waste vendor.

2. Fires involving reactive chemicals may not be extinguishable by the carbon dioxide (BC) or dry chemical (ABC) extinguishers typically provided to laboratories. If water reactive chemicals are used or stored in the laboratory, consider keeping a small amount of sand or limestone on hand. Consult the manufacturer’s Material Safety Data Sheets for the recommended type of extinguisher for these materials.

3. The fume hoods in many of the newer laboratory buildings are sprinklered. Sprinkler activation during a fire will exacerbate the situation when a water reactive chemical is involved. It is best to let this type of fire burn itself out rather than attempting to fight it yourself. Lower the sash if possible, leave the area, and activate the building fire alarm. Call your institution’s emergency phone number from a safe location and provide details about the fire.


Solvent Explosion and Fire (top)

At the University of X, a 55 gallon drum containing 30 gallons of mixed organic solvents exploded, launching upward into the ceiling, within the hazardous waste storage facility and began a significant fire. Luckily, no one was hurt. The mixed organic solvents in the drum had been consolidated from solvent waste containers from laboratories across the campus. A similar consolidation process is used at many research institutions.. Solvents are consolidated because there is significant cost savings in disposing of one large drum as opposed to many smaller containers. This incident demonstrates how important it is for each lab to fully report the contents on each container on the hazardous waste label.


Letter from a Post Doc Burned in a Solvent Fire  (top)

The author of the following letter is a former University of X graduate student now working as a post-doc at another institution. It was forwarded to the Health and Safety Office  by one of his former colleagues.  Identifying information including the names of the people involved and the name of the institution where the incident occurred have been changed.

 Hey Stan,

I've been trying to email you for some time but the computer wouldn't let me through for some reason - hope we have better luck now. I wanted to tell you some news in the meantime - I was in a serious lab accident here in John’s lab and was quite badly hurt. Before I relate the rest of the tale (it is quite frightening) let me assure you that I am basically OK, I'm not disabled or horribly disfigured or anything.

What happened is a there was an explosion and fire in the lab in which I was actually set on fire and badly burned. Friday afternoon September 11th. This ?#%&* lab technician was working at her bench with a burner going full blast; John and I were standing about 6 feet away. She proceeded to pour from a full one gallon glass bottle of methanol with the mouth of the bottle only a few inches from the flame. John and I stared in horror at the stupidity of the action; I took a few steps toward her as I told her to stop what she was doing and get the bottle away from the flame ASAP, about to give her the safety lecture of her life.

The whole thing exploded in my face; all I saw was a ball of blue flame as the entire bay was drenched with burning methanol. It was like I was hit by a flamethrower - I looked down and flames were coming from my chest and arms. The whole episode only lasted for 5 or 10 seconds before I got under the emergency shower (thanks to cool thinking by Sam Smith who basically saved my life). I was burned over about 20% of my body surface - a mixture of 1st, 2nd, and 3rd degree burns on my chest, left side, left arm and hand, right forearm, the front of my neck, and the bottom half of my face. The sprinkler system extinguished the rest of the fire. No one else was hurt - the person who was responsible left the next day for another position so I couldn't even have the pleasure of firing her.

I spent 10 days in the Hospital Intensive Care Unit, and had skin graft surgery to repair the worst of the burns. There are whole days of my time in the ICU that I have no recollection of,  but what I remember was a nightmare.

But in the end I walked out of the hospital on my own two feet. The good news is the burns to my face and neck were very superficial so they healed up nicely and I'll have no scarring there - with a long sleeved shirt on you'd never know anything had happened to me (in fact I look even better after the accident - the facial burn was like having a chemical face peel, and I lost around 15 pounds in the hospital plus I have a new spiky punk haircut from when the ICU nurse cut away all of my burned hair, so people at first think I went to a spa or something). My chest and left arm are a different story - I'll definitely have some scarring there but its too early to tell what it will look like. Considering how easily I could be dead/blind/horribly disfigured I consider myself very, very lucky indeed. Five weeks after the accident I was back in the lab at work.

So now I preach lab safety to everyone I talk to. Tell your people to be careful with flammable solvents and remember what I learned the hard way - it doesn't matter how careful you are, someone else's stupidity can get you killed.

Dan


Flame/Ethanol Sterilization Fires (top)

Clean Bench Fire  (top)

An individual was decontaminating the surfaces of a clean bench with 70% alcohol while a bunsen burner was lit.  A fire erupted which ended up catching the filters on fire.  Severe damage to the hood and the laboratory occurred in 10 minutes.  Since a fresh supply of air was delivered to the burning filters....you can imagine the intensity of the resultant fire.

fire.h1.jpg (43610 bytes)

2 Flaming Loop Fires, both inside a Biosafety Cabinet (top)

Two reported laboratory fires, fueled by natural gas associated with the use of Bunsen burners should compel researchers to rethink how, and if, they should use them.  Both fires occurred at the University of X.  Fortunately, no one was seriously injured.

In one case, gas leaked from a loose tubing connection and accumulated to where it was ignited by the burner's flame, causing a small explosion.   Isopropanol in a nearby flask inside the cabinet also caught fire.

In the other incident, a researcher inadvertently turned on the gas thinking he was turning on the vacuum line.  Realizing his mistake, he turned off the gas.  When he subsequently attempted to light the burner, the residual gas in the cabinet ignited, burning his arms (first degree) and singeing his hair.  He had not waited long enough for the gas to dissipate. 

Bunsen burners are typically used inside Biological Safety Cabinets for sterilizing inoculating loops and test tube lips.  However, this task can be accomplished using a small electric "furnace" - a device expressly designed to eliminate the need for using flammable gas in a safety cabinet (available from Fisher) or consider using pre-sterilized, disposable loops.)  Accidentally released gas may also be ignited by sparks or heat from the motors and switches on cabinet fans and lights.

Consider these four points when using a flame:

*  Use a burner equipped with a pilot light, in place of older models with a blow torch-like flame;

*  Do not use latex tubing (the stretchy yellow material).   It tears easily and is prone to pinholes; use butyl rubber instead;

*  Check tubing regularly for cracks and tears;

*  Replace tubing at the first sign of wear or deterioration.
______________________________________________________________

Flame-Sterilizing Fire Incident  (top)

A fire occurred when a  lab worker  was flame-sterilizing slip-glasses.  The slip-glasses were in a  small container of ethanol inside a biosafety cabinet.  The slip glasses  were being removed, one-at-a-time, with tweezers as the employee held each one in the flame of a small gas burner unit and then placed in a holder.

The employee  could not see flames but noticed heat emanating from the supply container holding the unsterilized slip-glasses.  She attempted to extinguish the fire by placing an aluminum-foil cover over the container (the container’s cover was not available). The aluminum foil cover blew off, so the employee attempted to cover the container with a petri dish. However,  a pipetter in the cabinet had caught fire (probably due to ethanol  spilling into   heat-induced cracks in the container). 

She went for a fire extinguisher, only to find upon return that the door to the room had shut and was locked.  She did not have the key.  At this point the employee called 911 and activated the building fire alarm system. Damage was limited to the interior of the biosafety cabinet and the pipetter. The employee’s actions in response to this incident were admirable. She initially attempted to extinguish the fire; when unable to do so, she called for additional help. The only improvement would have been if someone else had been able to call 911 and activate the fire alarm while the first employee was still trying to extinguish the fire.  This fire was probably started by an  [invisible] burning drop of ethanol falling into the supply container.   The lessons to be learned for anyone doing similar work are:

1.  Position the container of ethanol, supply of slip-glasses and the destination container so that there is no potential for carrying the sterilized slip-glasses over it

2.  Be sure to have a key on your person at all times for any room in which you’re working whose latch is set to lock every time the door is closed.
_______________________________________________________________

Unattended Use of Bunsen Burner in a Biological Safety Cabinet (BSC)   (top)

Recently, a researcher left a lit Bunsen burner inside a BSC, closed the sash and walked away. The type of biological safety cabinet she was using recirculates about 70% of the air with 30% of the air goes out the exhaust. When the sash is closed there is no bypass to allow fresh air into the cabinet. Thus, no exhaust was leaving the cabinet. Heat within the BSC built up quickly. The situation was discovered only after the flame had burned for a few minutes. The BSC was hot to the touch on the outside.

1. Experiments with potential danger should never be left unattended, especially when an open flame is involved.

2. A standard Bunsen burner is only appropriate for open-bench usage. Inside a BSC, an electric furnace such as a Bacti-cinerator,   or a device such as the Touch-O-Matic Bunsen Burner should be used. This type of burner is built in a way that a platform is connected to the burner itself. A flame is only produced when the user's hand rests on the platform. When the user's hand moves away, only a pilot light burns. Touch-O-Matic Bunsen Burner also serves the purpose when a continuous flame is needed, the platform only needs to be pressed and slightly twisted. Consequently, the risk of leaving a full flame on by accident is reduced.

3. Open flames should not be necessary in the near microbe-free environment of a biological safety cabinet. On an open bench, flaming the neck of a culture vessel will create an upward air current which prevents microorganisms from falling into the tube or flask. In a BSC, however, an open flame creates turbulence which disrupts the pattern of HEPA-filtered air supplied to the work surface. Disposable sterile loops (example) should be considered so no flame sterilization is necessary.


Flammable Storage Cabinets (top)

Flammable Storage Cabinet Prevents Ignition of Flammable Solvents

FlamCabinetBurned.gif (26540 bytes)

A laboratory fire started in a refrigerator, used for storing experimental samples - small quantities of solvents, and other chemicals. It is thought that an electrical fault may have been the cause. Apparently, the fire burned for some time, igniting the plastic refrigerator lining before burning through the door seal and spreading into the room.

The refrigerator was adjacent to the Flammable Storage Cabinet pictured above, which contained a large quantity of flammable solvents. The  photo shows the cabinet after the fire. The scorch on the right side of the cabinet was caused by the burning frig (at the seat of the fire). The mark at the top of the door was caused by burning material (e.g.. plastic light fitting) which dripped on to the cabinet and continued to burn.

The second photo (below) shows the upper door frame and cabinet interior. Although burning material has dripped into the lap seal above the door, there is no sign of any flame within the cabinet, and the interior paint finish is in original glossy condition.

Soot has outlined the storage bottles on the shelf. Although the soot was drawn into the cabinet by the ventilation fan, anti-flash vents have prevented flames from entering the cabinet.

Conclusion

  • The flammable storage cabinet isolated a large quantity of flammable solvents from the fire, even in close proximity to the seat of ignition.
  • The anti-flash vents allowed the cabinet to breathe but still prevented internal fire.

________________________________________________________

Heat Gun (top)

Fire/Burn from Heating Flammable Solvent with a Heat Gun (top)

A laboratory worker was using a heat gun to heat approximately 0.5 liters of heptane in a Pyrex beaker by hand over an open bench. A splash of heptane came in contact with the elements of the heat gun, igniting the heptane and causing him to toss the beaker away from him. The sleeve of the worker's shirt caught fire. The flaming beaker landed on another work surface, spreading the fire to his computer. The worker immediately used a safety shower to put out the fire on his clothing, then used a dry chemical fire extinguisher to put out the other fire.

The worker received burns to his hand. The computer containing his thesis was destroyed by the powder from the extinguisher.

-Flammable liquids should be handled in a fume hood to prevent accumulation of vapors.

-Heat guns and other equipment capable of igniting flammable vapors should not be used to heat flammable vapors.

-Heating operations should not be carried out by hand. Instead, a lab stand and clamps should be used for this type of work.

-Carbon dioxide extinguishers should be used around sensitive equipment. Dry powder extinguishers can damage such equipment.

-If clothing is on fire, smother the flame by rolling on the ground or use a safety shower to extinguish the fire, as was done in this incident.


Hotplate and Combination Hotplate/Stirrer Fires    (top)

Hood Fire Involving Unattended Operation with Hexane Near Hot Plate (top)

A fire erupted inside a hood containing two reactions running unattended. A laboratory worker had placed nitrobenzene inside an oil bath atop a hot plate. The hot plate had been operating for three days, heating the oil bath to 200° C. A plastic squeeze bottle of hexane was placed next to the hot plate. Eventually, the squeeze bottle warmed enough to pressurize the container, forcing liquid hexane out of the bottle and onto the hot plate, where it ignited. Another laboratory noticed the smoke and attempted to put out the fire using a dry chemical extinguisher. A maintenance worker also noticed the fire and assisted the laboratory worker. Their attempts were not successful.

The fire department was dispatched. Since the Emergency Information Poster on the door to the laboratory was inaccurate and there was a significant language barrier between the laboratory worker and the fire department personnel, a hazmat response team was dispatched. Three buildings were evacuated for more than three hours. The laboratory worker and the maintenance worker were showered and scrubbed by the hazmat team and their clothing was confiscated (it was later washed and returned to them). While this was probably an overreaction by the emergency response personnel, it illustrates the implications of not having an accurate, up-to-date emergency information poster.

Containers of volatile liquids placed near heat sources can become pressurized.   Materials not involved in an experiment should be removed, as possible, to avoid having them become involved in a fire or other incident.  Keeping the Emergency Information Poster up-to-date helps to ensure a proportionate response by emergency response personnel.  Evaluate the potential problems related to experiments left unattended for days at a time.


A Report on a Fire Incident During Sublimation of a Colorant Intermediate using a Cold Finger and Oil Bath  (top)

Key Instruction Points:
1. Replace worn component
2. Secure hoses / tubing
3. Include temperature control
4. Keep sash to lowest height possible

Introduction

In November 1999, a graduate student conducted an experiment to purify by sublimation a colorant intermediate. An oil bath used for heating purposes caught fire.  no physical injury resulted and minor damage to the ceiling tiles above the fume hood where the experiment was conducted was caused by smoke. The incident was immediately reported to EH&S. The following day, the Environmental Health and Safety department, the Chief Deputy Fire Marshall, and the faculty advisor to the student running the experiment reviewed the scene of the incident. Since then, corrective action was identified and has been implemented. This report outlines the procedure used for the sublimation experiment, provides a hypothesis of how the fire originated, and details the corrective action.

Experimental

1. Equipment.

The equipment employed for the sublimation experiment consists of a hot plate onto which is placed an oil bath. In this particular experiment only a small amount of oil was placed in the bath. A sublimation apparatus was mounted so that only the bottom of the apparatus was submerged in the oil bath. The sublimation apparatus consists of two glass chambers of differing size. The smaller chamber is designed to be inserted into the larger chamber and sealed with a ground glass joint and grease. The pressure in the outer chamber is reduced during the experiment, and this chamber becomes hot when in contact with the oil. The inner chamber is the ‘cold finger’, or condenser, which is cooled by running a water stream through it. The oil employed for heating was purchased from Aldrich Chemical, and is designed specifically as a heating medium. Flash point of the oil is 310-325....C, fire point is 360....C, and melting point is 60....C. The flammability properties of the oil used were appropriate for operation of a cold finger sublimation experiment at less than 150 degrees C.

2. Procedures

A small amount (approximately 200 mg) of the compound to be sublimed was placed in the outer glass chamber of the sublimation apparatus. The glass joint between the head of the cold finger and the main chamber was lubricated. The cold finger unit was positioned so that the bottom of the outer chamber was slightly submerged under the surface of the pre-heated oil. Input/output hoses were connected to the cold finger head and water was passed through the hoses in a slow stream. A vacuum hose was connected to the outer chamber and the pressure reduced using in-house vacuum. The normal procedure results in vaporization of the test compound in the outer chamber and slowly condensation of the vapor onto the outer wall of the cold finger. The slow condensation promotes purification and slow crystal growth of the compound. This was the objective of the experiment. However, in this case, some time after heating of the cold finger began, a water hose became disconnected from the cold finger and water ran into the oil bath. A fire commenced immediately afterwards, and oil burned in the fume hood for several seconds. Use of the fire extinguisher was not attempted (students present were not trained in the use of the fire extinguisher).

3. Discussion

The purpose of the experiment was to purify a compound by sublimation. Particularly high purity was required in the present compound, as it was to be employed in x-ray crystallographic analysis. While purification by sublimation is not a procedure commonly employed in our laboratory, the graduate student had conducted similar experiments in another University previously. The equipment is simple to operate and the procedure is straightforward, if performed correctly.

Examination of the equipment after the incident revealed the following:

• old and weak hoses were employed,

• no devices were employed to secure the hoses to the condenser,

• the oil bath used was large relative to the sublimation apparatus,

• the volume of oil used was very low relative to the size of the container,

• no temperature controller was employed with the oil bath,

• there was no loss of compound from the sublimation chamber.

Conditions that led to the fire

The observations listed above contributed to the development of conditions that produced the fire. It is likely that the oil was heated to a higher temperature than was required, due to the small volume of oil placed into the large container (glass dish).   Furthermore, it is likely that the hot plate setting was set higher than required. This conclusion was reached following a recent attempt to reconstruct the conditions of the experiment, and it was found that a high temperature (e.g., sufficiently high to produce smoking) could only be achieved if the hot plate setting was relatively high. Hence, the low volume of oil used produced a large surface area relative to the volume, and the hot plate was probably set sufficiently high to increase the temperature significantly above that required to perform the experiment. If a larger amount of oil was used in the oil bath, it is likely that greater temperature control, with far slower rate of temperature increase, for example, would have been achieved. It is likely that the two conditions of high temperature setting and low oil volume were required in combination to bring about the possibility of a fire. A temperature of less than 150  degrees C should have been sufficient to perform the experiment, which is far below the flash point and fire point of the oil.

A further condition that appeared to actually start the fire was that worn and unsecured water hoses were employed during the reaction. Some minutes following commencement of the experiment, one of the hose connections came loose from it’s fitting to the cold finger, and water ran into the hot oil bath. The violent spitting of oil and water that resulted caused some of the oil to splash on the (very hot) hot plate. It is likely that the temperature of the hot plate was sufficient to bring the splashed oil to its flash point, and therefore start the fire that spread to the rest of the oil bath. Therefore, it is likely that the fire was due to the combined hazards of an insufficient amount of oil used, temperature of the hot plate was too high and was not controlled, and loose hoses on the condenser connections were used. Following the examination of the equipment immediately after the fire incident and a later reconstruction of the experiment, the following corrective action items were identified.

Corrective Action

The following list of corrective action items has been identified. Some of the items are specific to experiments of the type described in this communication, while others resulted from general observations of how safety can be improved in our laboratories. The actions are intended to reinforce University Safety policy, and to provide additional guidelines to researchers working with oil-based heating devices.

1-Fire extinguisher training All graduate students in our department are now required to undertake fire extinguisher training. Due to scheduling conflicts, to date approximately half of the students have completed the training. The remainder will be trained during the present semester.

2-Replace all tubing -All tubing is to be replaced if old or worn, regardless of the experiment to be performed.

3-Secure all hoses/tubing -All hoses are to be securely fixed to water faucets and equipment, preferably with hose clips.

4-No oil bath to be used without temperature control -All oil baths will be operated with appropriate temperature controllers. The oil baths may be controlled manually if the operator is monitoring the bath temperature and the experiment continuously (i.e., the operator will stand by the experiment at all times).

5-Know all flash points of oil used -The flash point, and all other essential flammability characteristics, of all oils to be employed for heating will be known by the operator. If there is doubt regarding the type of oil in a bath the oil will be discarded and fresh oil of appropriate and known flammability characteristics used. In cases where high temperatures are required, in which there is a risk of reaching the flash point, then Wood’s metal will be used in place of oil.

6-Keep sash down - The fume hood sash is to be kept down at all times during the experiment.


Stirrers and Stirrer/Hotplates   (top)

Valuable Research Material Ruined In Coldroom Fire Due To Unattended Western Blot

Valuable crystals of proteins being studied by X-ray crystallography, the culmination of 3 years of work, were ruined as a result of a midnight fire in the cold room where they were stored.  An Engineering employee discovered the fire when responding to an unrelated fire alarm activation that night. 

A Western Blot procedure, using polyacrylamide gel and transfer buffer containing 30% methanol, was being run unattended since 6 pm that evening.  A Corning Hot Plate/ Stirrer combination unit was being used. The Western Blot procedure utilizes electrophoresis to separate proteins based on molecular weight.  The buffer transfer taking place at the time of the fire was most likely being performed in the cold to minimize (1) the diffusion of proteins in the gel, as well as (2) the evaporation of the methanol in the fixative buffer.

Causes of the Fire

Electrical outlets in the coldroom were inspected and found to be properly wired.  The post-doc who was conducting the procedure had intended to only use the stirrer without activating the hotplate function.  However, examination of the burnt unit confirms that the hotplate had been inadvertently turned on, which was most likely the cause of the fire.  (See photo below).

stirrer hotplate knobs

Fires from the Western Blot procedure using combination units are fairly common.  For example, similar incidents involving unattended Western Blots in cold rooms occurred recently at _______ and ________.  Even without the hotplate being turned on, stirrers can cause fires. They have a brush-type motor which can act as an ignition source if there is a build-up of flammable vapors.  A fire involving a stirrer that was being used with a flammable liquid occurred inside a chemical hood several years ago at _______.  Presumably, this incident occurred because the hood was overcrowded, impeding the flammable vapors from being exhausted through the slot in the back.

Emergency Response

The Engineering  employee who discovered the fire immediately put it out using a carbon dioxide extinguisher.  He then notified Security, who in turn notified the Fire Department. Security  was able to reach one of the emergency contacts listed on the door of the room who provided information to HazMat about the type of procedure being conducted. HazMat checked for radioactivity using a Geiger counter and then gave the "all clear" for cleanup of the area to begin.
        
Cleaning and ventilating of the room occurred for several days before the room was reopened for use. No personal injury occurred as a result of this incident although an odor remained in the room for a long time.

Steps to Prevent Future Occurrences:

1.  Combination stirrer/hot plates are no longer allowed in cold or warm rooms and are no longer allowed for stirring solutions containing flammable liquids. If the hotplate is inadvertently used, its maximum temperature of 550o C (for most unit) could easily exceed the melting point of the polycarbonate transfer tank (267o C)

2.  Consider using an air-operated turbine magnetic stirrer, available for under $40. This type of unit operates by compressed air and does not act as an ignition source.  

3.  Do not reuse transfer buffer solutions because reused transfer buffers are overheated more easily than fresh buffers. 

4.  Since the probability of overheating is proportional to the duration of transfer the procedure should not be performed for longer than the needed period of time. 

5.  The transfer should be performed during hours when lab occupants can be present to check for unsafe conditions.

6.  A sign must be posted on the door with details about the unattended operation and emergency contact information when a Western Blot is left unattended.

7.  To stress caution in responding to a fire, personnel are reminded that a fire alarm must be activated before any steps are taken to extinguish a fire.

coldroom bench fire

_______________________________________________________________

Surgical Equipment   (top)

Fire from Electrocautery Pen in a Sharps Container  (top)

Recently, a fire started in a sharps container where someone had disposed of an electrocautery surgery pen.  It is believed that the little switch which activates the pen (see photo below) was inadvertently pressed when waste was put into the container the next day. There was damage to the wall and a lot of smoke. An ABC extinguisher was used to extinguish the fire and the extinguishing agent blanketed the room.

The electrocautery pens are very dangerous. It is very easy to switch the pen on. It has apparently been standard practice to dispose of used cautery pens in a sharps container. The batteries are not removable. The cautery pen can be activated even with the cap on. If the cover is not put on it properly it can activate the unit.

The following actions will be taken to prevent a similar incident in the future:

1. The wire tip of all pens will be removed with a hemostat prior to disposal of the device, as per manufacturers instructions.

2. An unlined, metal sharps containers will be used for the disposal of the electro cautery pens.

3. All personnel who use these devices will be educated on how to dispose of it.

4. Instructional signage will be prominently posted describing disposal procedures.

5. Hemostats will be stored and kept in the room where the devices are used.

LitSurgicalCautery.jpg (16901 bytes)

Lit Cautery Pen


Disclaimer

Revision Date: June 15, 2007
url: http://www2.umdnj.edu/eohssweb/aiha/accidents/fire.htm


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