Ink dust explosion and flash fires

摘要

A fire and explosion occurred in a newly-installed dust-collection unit at an ink manufacturer, engulfing seven workers, three of whom sustained third degree burns. The main cause of the accident was flawed design of the dust collection unit coupled with management and regulatory failings. The reader should consult the official Report for more details on the accident, its causes, technical test results, analyses of 'soft' issues, and recommendations. Findings reinforce the need for adequate hazard recognition and assessment.