On 11/24/2013 08:43 AM, Robert Atkinson wrote:
> The US Chemical Safety Board have released their report into the 2009 
> accident at NDK's synthetic crystal growing facility in Belvidere IL < 
> http://www.csb.gov/assets/1/19/CSB_CaseStudy_NDK_1107_500PM.pdf >
> It also describes the process.
>
> Basically a 50ft autoclave failed, killing a member of the public at a rest 
> stop 650ft away. Looks like management decisions, probably based on cost, 
> overriding engineering advice even following an earlier minor incident. The 
> letters from a consulting engineer in the annex make interesting reading. It 
> illustrates the importance of those professional engineers amongst us 
> notifying and recording any safety issues we discover. The facility is still 
> shut down and the insurance company won't settle as NDK were told of possible 
> issues.
It also gives an insight into how growing crystals work.

This report shows that it failed on multiple levels already from the
start. Some actions where taken, but obviously not sufficient. A good
read for someone designing a new facility.

Cheers,
Magnus
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