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Sample Final Incident Investigation Report Final Incident ...

Sample Final Incident Investigation Report Final Incident Investigation Report for Ammonia Release on XX/XX/XXXX. Summary: A ammonia release occurred on XX/XX/XXXX at 10:00 PM from an ammonia unloading station at the ABC, Inc. production facility. Approximately 100 pounds of ammonia were released into the air over a ten minute period. The ammonia release was stopped by activating the emergency ammonia shutdown system. One operator was exposed to the ammonia fumes but did not require medical treatment. The LEPC, SERC, and NRC were notified by 10:30 PM. The Incident Investigation began at 10:35 PM. The ARCHIE program was run at 10:45 PM. and did not predict an ammonia concentration above the PEL at the nearest public receptor. The release did not require an evacuation of the local community; however, if ammonia exposure is noted, please consult the attached MSDS for anhydrous ammonia for medical treatment advice.

@ Copyright 2002. All Rights Reserved. Contact: www.rbcoulter.com was added to the quantity of residual ammonia known to be in the system, at emergency shutdown ...

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