An employee was cleaning the chemical reactor with a
flammable mixture of solvents when the reactor burst its rupture disc
and the mixture was expelled into the plant. The solvent ignited and the
vapor cloud explosion resulted in the plant's 43 employees being
injured by flying debris and/or being thrown by the force of the
explosion. The employee and two others died from the explosion. Many were injured.
It appeared that the reactor was not
vented to a safe location and had primitive temperature controls, and
the company did not enforce the mandatory attendance of operators at the
reactors during operation. All of these factors, including minimal
operating procedures (none specifically for cleaning), led to the
explosion and the resulting extensive injuries and property damage.
Source: Osha.gov