Investigation Report

Ejected Plug Struck Contractor’s Leg During Process Line Plug Removal

BSEEBureau of Safety and Environmental Enforcement

07-08-2012 10:30 00175 GI/43 Failed Communication

Read at BSEEOpens the document on bsee.gov

Summary

Investigation of a contractor’s fractured tibia during removal of a plumbers plug from a 20-inch process line. Thermal pressure ejected the plug, which struck a support beam and the contractor’s right leg. Findings identify inadequate job safety analysis, failed communication, unread warning labels and hazardous personnel positioning.

Topics

About This Record
Original title
07-08-2012 10:30 00175 GI/43 Failed Communication
Publisher
Bureau of Safety and Environmental Enforcement
Type
Investigation Report
Date
Unknown
Topic
Human Factors, Line of Fire, Pressure Systems
Equipment
Process Pipework and Pipelines
Control
Job Safety Analysis, Safety Communication
Sector
Construction
Link
Checked , working
Record
bsee-d0fc80f2b7 · added 2 October 2026

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