Bika: Kwenzekani ngosuku okwafa ngalo izisebenzi ezimbili eWest Haven, eVirginia

Ikhampasi yase-VA Connecticut Health Care System e-West Haven njengoba ibukwa kusukela ku-West Springs Street ngoJulayi 20, 2021. I-Westport - Uphenyo lukahulumeni lwathola ukuthi ngoNovemba 13, 2020, insimbi elula ephonswe emshinini ogugayo esakhiweni se-Veterans Affairs Medical Center kungazelelwe. yahlukaniswa yaba izingcezu ezine, yadedela isitimu esinomfutho ophezulu futhi kwashona amadoda amabili. Uphenyo lwe-VA ngale ngozi lulandisa ngezigameko zasekuseni, luchaza ukuthi uJoseph O'Donnell, usonkontileka owayeqashelwe ukulungisa ukuvuza kwepayipi, wangena kanjani ngaphansi kwe-Building 22 ngemva kokulungiswa, ehambisana no-Euel Sims Jr., amapayipi umphathi, kanye Ukwehluleka kwemishini nezinyathelo zokuphepha okuholele ekufeni kwabo.Kusukela lapho, uVirginia wenze noma wahlela izinguquko eziningi, okuhlanganisa iphrojekthi yokuthuthukisa isitimu. Kodwa lo mbiko uthe izinto ezibe nomthelela kulesi sigameko sango-2020 zihlanganisa amapayipi amanzi ayesegugile futhi angasafinyeleli ezingeni lamanje lempahla, ama-valve namapayipi angafakwanga ngendlela eholela emanzini amile, nokusolwa ukuthi awayilandeli imigudu yokugcina amadoda ephephile. Umnyango waseWest Springs Street wesikhungo se-VA Connecticut Health Care System e-West Haven, wathwebula izithombe ngoJulayi 20, 2021. Ekugcineni, lapho amadoda evula amapayipi, umusi washosholoza epayipini lama-intshi angu-6, futhi ukucindezela kwaba kukhulu kangangokuthi i-flange. okucutshungulwe phansi kwe-dropper eqondile inqamuke yaba izingcezu ezine, ifutha isitimu ekamelweni.Bika. Umbiko wophenyo we-VA, okhishwe ngo-April 15, watholwa yi-New Haven Registry ngesicelo seNkululeko Yolwazi.Wonke amagama abasebenzi ahleliwe. Lesi sigameko siholele ekubuyekezweni kokwehluleka kweWest Haven Virginia, okuholele ekutheni kube nezaziso eziyisishiyagalolunye ze-OSHA futhi kubize iCongress ukuthi yakhe kabusha isikhungo sezokwelapha. Ngokombiko, uchungechunge lwezenzakalo lwaqala ngo-Okthoba noma ngoNovemba 2020, lapho ezokuphepha zaseVirginia zaziswa ngokuvuza kwegumbi lokugcina impahla eSakhiwo 22, ngasekugcineni komgwaqo omkhulu ekungeneni kweCampbell Avenue. Umnyango wamapayipi amanzi kwadingeka ukuba uhlukanise isitimu esakhiweni ukuze kuncishiswe i-asbestos. Umsebenzi wokunciphisa waqedwa ngoNovemba 9, futhi umusi ucimile. Ngomhla ka-13 Novemba, isakhamuzi sase-Danbury kanye nosonkontileka wase-Danbury i-Mulvaney Mechanical ehlanganisa isitimu u-O'Donnell uqedele ukulungisa lapho kuvuza ngo-7:45 amNgo-8:00, uSims, umakadebona we-Navy Seabees kanye nesakhamuzi sase-Milford, wazisa umphathi wakhe ukuthi uhlose ukubuyisela umusi. Amadoda amathathu awela umgwaqo aya ebhilidini, kodwa umphathi kaSims wacelwa ukuba avule ikamelo eliseceleni eSakhiwo 22, kusho umbiko. U-O'Donnell noSims kubikwa ukuthi badlulela egumbini lemishini engaphansi eBuilding 22 ukuze bavule i-valve ye-steam. Cishe ngo-8:10, umbiko wathi, "Umphathi wesistimu yezinsiza uzwe umsindo omkhulu futhi wabona umfudlana wesitimu uphuma ezitebhisini eziya egumbini lomshini. Ukuncipha komfutho wesitimu ... kwaqoshwa embonini yokubhayela. . … izinga lokushisa eliphezulu I-alamu icuphe i-alamu yomlilo, futhi uchwepheshe wezokuphepha waphuma ngokushesha ukuze aphenye nge-alamu ebikiwe eSakhiwoni 22. Ukwengeza, ngalesi sikhathi, umqondisi wezinhlelo zezinsiza kanye nesinye isisebenzi sesikhungo balimala ngesikhathi bezama ukungena ekamelweni likamishini elingaphansi kwesakhiwo. ." Imboni yokubiyela eVirginia yavalwa, kwathi uMnyango Wezomlilo waseWest Haven, Amaphoyisa Esifundazwe saseVirginia kanye nabaphenduli bokuqala baphendula. "Ngemuva kokuthi umfutho nokushisa kwehle ekamelweni, abezimo eziphuthumayo bakwazile ukungena ekamelweni, kodwa ngalesi sikhathi umqondisi wesitolo samapayipi kanye nomakhi wenkontileka base beshonile," kusho umbiko. Kwaze kwaba ngu-1:00; cishe ngo-2:15, isisulu sathathwa. Uphenyo lwe-VA yi-Applied Technical Services e-Marietta, e-Georgia, lwathola ukuthi ukukhishwa kwesitimu esishisayo kwakunamandla kangangokuthi amadoda amabili azame ukusunduza umnyango wegumbi le-8-by-12-foot akakwazanga. bashisa unyawo emanzini ashisayo, kusho umbiko. Isithombe esivela eMnyangweni Wezindaba Zomakadebona wase-US "West Haven Steam Rupture, Board of Inquiry Investigation" umbiko wememo, yangomhla ziyi-15 kuMbasa, 2021, esibonisa "Ukucushwa Kwepayipi - Isikhathi Sophenyo." "Lapho uhlaka lwensimbi olusansimbi luhluleka, ulayini wesitimu ongu-6" omkhulu wakwazi ukuphumela egumbini," kusho umbiko. kudala izinkulungwane zamaphawundi wamandla ngaphakathi komnyango, okuphoqa ukuthi uvale.Kuleli qophelo, akunakwenzeka ukuvula umnyango ngaphandle kwemishini esindayo." Isikhathi samasonto amabili phakathi kombiko wokuqala wokuvuza kwesitimu esakhiweni sama-22 kanti usuku lwengozi, kuhlanganiswe namapayipi okudonsa ngendlela engafanele, kube yimbangela yokufa, kusho umbiko. Umusi uvaliwe, "okuholele ekwakhekeni okukhulu kwe-condensate kanye nokupholisa amapayipi, okungenzeka ukuthi kube yimbangela yengozi," kusho leli phephandaba. Njengoba cishe ingxenye yesithathu yelitha lamanzi ku-dropper, awudingi i-drain valve noma i-drain valve. i-dropper futhi kufanele ngabe ishiselwe, hhayi intambo, epayipini. Ama-flange aqhuma ngemva "kwesikhathi esivamile somphumela ophezulu wesando samanzi," kusho umbiko.Isando samanzi igagasi lokushaqeka kwamanzi okubangelwa amanzi noma isitimu esiphoqeleka ngokuzumayo ukuba sime noma sishintshe indlela bese sishaya ivalve noma esinye isithiyo. Ngokuvamile kubangelwa ukunqwabelana kwamanzi emapayipini omusi. Lapho i-valve ivuleka futhi isitimu singena kumapayipi egumbini eliwumshini, lishaya amanzi apholile ku-dropper kube nemiphumela elimazayo." Lokhu kugeleza kwesitimu okuvuselelwe kungase kubangele ukushisa kungazelelwe kanye nokubaneka kwe-condensate emile noma engakhishiwe kunoma iyiphi ingxenye engakhiqiziwe yesitimu esikhulu. amapayipi,” kusho umbiko. ” futhi “kuyimbangela okungenzeka kakhulu yokwehluleka okungazelelwe kwamaflange ensimbi empunga”. "I-flange ebiqondiswe kuyo ihlangabezane nokuhluleka ukugcwala ngokweqile ngenxa yomthwalo ongaphezu kwalokho ebingakwazi ukuwuthwala," kusho umbiko. Isithombe esivela ku-April 15, 2021 US Department of Veterans Affairs "West Haven Steam Rupture, Board of Inquiry" kubika imemo ebonisa "umonakalo we-flange" esakhiweni esingu-22. "Isikhathi esidlulile phakathi kokungena esikhaleni nokuvula ama-valve endaweni abayitholile ibonisa ukuthi isistimu ayizange inikezwe amandla kabusha ngendlela efanele Lolu hlobo lwesistimu ludinga izinga lokushisa elihamba kancane nelincane kancane kanye nokulinganisa kokucindezela," kuphawula. "Abasebenzi bavule u-75% we-steam valve #1. Baphinde bavula i-valve yebhola ebekwe esisefweni esikhulu se-condensate return line," kusho umbiko. Amanye ama-valve amabili nawo abevuliwe, eyodwa i-5% kuya ku-6%, enye ivule u-11%. Isithombe esivela eMnyangweni Wezindaba Zomakadebona wase-US "West Haven Steam Rupture, Board of Inquiry" umbiko wememo, yangomhla ziyi-15 kuMbasa, 2021, ebonisa "Ukuxhunywa Kwepayipi Elinentambo, I-Drip Bottom." "Ukuvulwa kwe-valve yebhola kufanele kunikeze impendulo ngokushesha kubasebenzi ngendlela yokugeleza kwesitimu nokugeleza kwe-condensate ukuze kubonakale ukuthi iyasebenza," kusho abaphenyi. "Ukulandelana okuqondile lapho i-valve ngayinye ivula khona akucaci, kodwa kungcono ukuvula umugqa we-condensate kuqala." I-valve encane yebhola." Kodwa-ke, ngenkathi umbiko uthi ukuvula i-valve yebhola kuzokhipha i-condensate emgqeni noma ngaphezulu, ngeke kukhiphe wonke amanzi emgqeni wokudonsa "futhi le ndawo yomugqa omkhulu we-steam isaqukethe 3 /4 gallon of condensate." Umbiko uthe ukupakishwa kwamapayipi eSakhiwo 22 kwephule amakhodi amaningi. Ama-cast iron flange awasavunyelwe ezinhlelweni zamapayipi omusi ngaphansi kwala makhodi, kodwa awanqatshelwe amakhodi e-VA noma e-ASME, kusho umbiko." abukho ubufakazi bokuthi uVirginia uye wayala noma ubani esikhathini esidlule ukuba asuse noma ashintshe i-flange.” Ukwengeza, i-steam trap yafakwa eduze kakhulu phansi kwepayipi lokudonsa, "i-valve yokuhlukanisa i-valve uvemvane, akuvunyelwe ngaphansi kwekhodi ye-VA," ​​kusho umbiko. Enye inkinga, kusho umbiko, "ukungakwazi ukuhlukanisa noma yimiphi imigqa emithathu yesitimu eyinhloko, okwenza kungenzeki ngemishini yokubhayela ukuqinisekisa ukuphepha kwayo yonke indawo yokubhayela." . Ikhempasi yase-VA Connecticut Health Care System's West Haven njengoba ibukwa kusukela ku-West Springs Street ngoJulayi 20, 2021. Abaphenyi baphinde basola i-VA ngokuntula izinqubo eziklanyelwe ukuvikela abasebenzi abasesimweni esiyingozi. ngomunye umuntu ngaphandle komuntu oyicishile. Ngokombiko: “Ingidi ye-VA neketango kutholwe esikhaleni esiseduze ne-valve yegumbi, okubonisa ukuthi kungenzeka ukuthi uhlelo lukhiyiwe. Nokho, awekho amalogi, izimvume ze-Lockout tagout (LOTO) noma izinqubo ze-LOTO zohlelo. Awekho ukusesha kwamahhovisi okuthole izingodo ze-LOTO noma izinqubo zala mavalvu noma izakhiwo." Ukuxhumana phakathi kokuphepha, amapayipi amanzi, nobunjiniyela nakho kwehlulekile: "Umshini wokubhayela awuzange waziswe ngalokhu kuvalwa, futhi awuzange waziswe ngokuvaleka okuqhubekayo. Akukacaci noma ubuholi bonjiniyela noma ezokuphepha bebazi ngalolu suku. umsebenzi uyaqhubeka," kusho umbiko."Ithimba alikwazanga ukuthola ukuthi kungani usonkontileka esendlini. Ithimba alitholanga bufakazi bokukhiya okwengeziwe okubekwe usonkontileka." NgoMeyi 12, i-OSHA yakhipha izaziso eziyisishiyagalolunye mayelana nezimo zokusebenza ezingaphephile noma ezingenampilo e-Connecticut, okuhlanganisa nokwazisa opharetha bemishini yokubhayela ukuthi baphume/baphume emigqeni yokukhiqiza; yehluleka ukwazisa uMulvaney. Imishini yezinqubo zayo ze-LOTO; noma ukuvalwa okuhlelekile kwemishini" ukuze i-condensate ikhishwe ohlelweni.Ithe "izinqubo azizange zenziwe, zibhalwe phansi futhi zisetshenziswe ukulawula amandla angaba yingozi" noma ubuchwepheshe obusetshenziselwa ukusebenzisa i-valve. Ngaphezu kwalokho, i-OSHA ithole ukuthi i-VA ayizange iqinisekise ukuthi indawo yokusebenza ayinazo izingozi ezingase zibangele ukufa noma ukulimala, nokuthi abaphathi abazange baqeqeshwe ngendlela yokubona nokunciphisa izingozi endaweni yabo yemfanelo. Isithombe esivela eMnyangweni Wezindaba Zomakadebona wase-US "West Haven Steam Rupture, Board of Inquiry" umbiko wememo, yangomhla ziyi-15 kuMbasa, 2021, ebonisa "I-Steam Line Schematic, Basement 22." I-OSHA ngaphambilini ikhulume ukwephulwa okuthathu ku-2015: Ukuhlola izinqubo zokulawula amandla okungenani ngonyaka; ukwehluleka ukuhlinzeka ngokuqeqeshwa ngemva kokufaka i-valve entsha ye-steam eSakhiweni sama-22; kanye nokwehluleka ukunamathisela imishini ye-LOTO yomuntu siqu ekuqoqeni impahla ye-LOTO ngabasebenzi. "Lezi zingozi bezingeke zigwenywe ukube abaqashi bebelandela izindinganiso zokuphepha eziklanyelwe ukuvimbela ukukhishwa okungalawuleki kwe-steam," kusho umqondisi wesifunda se-OSHA uSteven Biassi ngaleso sikhathi. ngokungenasidingo." Umnyango waseCampbell Avenue wesikhungo se-VA Connecticut Health Care System e-West Haven, wathwebula izithombe ngoJulayi 20, 2021. U-Pamela Redmond, okhulumela i-West Haven Medical Center eVirginia, uthe ku-imeyili uhlelo lwaseVirginia e-Connecticut "luke lwaba senkingeni. isimo sokuguquguquka kusukela ezehlakalweni ezibuhlungu zangomhla ziyi-13 Novemba 2020. Kusetshenzwe kanzima ukuze kuthuthukiswe ukuphepha futhi kwenziwe izibuyekezo ezinkulu ezinqubweni zokuphepha." Ikhempasi ye-VA Connecticut Healthcare System e-West Haven njengoba ibukwa kusukela ku-Spring Street ngoJulayi 20, 2021. Izinsiza Zokuphatha "iphezu kwenqubo yokudizayina kabusha noma yokudiliza isistimu yesitimu esakhiweni esingu-22. Uma isistimu entsha isifakiwe, i-LO/TO entsha kuzothuthukiswa inqubo,” kubhala yena. Uphinde wathi: “Ngomhla zingama-20 kuZibandlela wezi-2020, kwafakwa isistimu yamavalvu evala kabili neyokopha endaweni yokubhayela emshinini omkhulu wesiteti e-Building 22 lapho kwenzeka khona ingozi. Uhlelo olusha lwama-valve luvumela ukukhishwa kwamandla agciniwe noma asele, ngokwesibonelo ohlelweni lwamanzi afingqiwe akhishelwe e-Redmond lathi izakhiwo ezimbili ezinkulu zenza amaphrojekthi okuthuthukisa isitimu, futhi uhlelo lunenkontileka yokushintsha izicupho zesitimu esakhiweni sayo sama-22. "Isifunda saseVirginia Connecticut siyaqhubeka nokusebenzisana eduze nehhovisi lethu lesifunda, i-Veterans Health Administration kanye ne-OSHA ukuqinisekisa ukuphepha kwawo wonke umuntu ezindaweni zethu zokunakekelwa," kubhala uRedmond. USen. Richard Blumenthal, D-Conn., oyilungu leSenate Veterans Affairs Committee yase-US, uthe ugqugquzela ukuthi kube nesikhwama sengqalasizinda ukuze "kwakhiwe kabusha futhi kwakhiwe kabusha isikhungo saseWest Haven Virginia" nezinye izibhedlela eziningi zaseVirginia ezweni lonke. Uhlelo lukaMongameli uJoe Biden luka-$2.65 trillion wemisebenzi yaseMelika luhlanganisa amaRandi ayizigidi eziyizinkulungwane ezingu-18 ukwenza izibhedlela nemitholampilo ye-VA zibe zesimanje. "Inhlekelele yangoNovemba 13 ibimane nje iwukwehluleka okukhulu kwengqalasizinda yakamuva," kusho uBlumenthal. "Lo mbiko ukholisa kakhulu; akuqinisekisa kuphela [okugqamisa] ukushiyeka ezikhungweni ezikhona, kodwa futhi nokuphuthuma kokulungiswa kwezakhiwo nokuletha izakhiwo ekhulwini lama-21, kunokuba nje kusetshenziswe izindlela ezingcono. I-Lan nezinye izilungiso zesikhathi esifushane zokuvala amaphutha. UVirginia kufanele atshale imali esakhiweni esisha. ” UBlumenthal uthe iWest Haven Medical Center eVirginia idinga ukwakhiwa kabusha, kodwa akakwazanga ukulinganisa esidlangalaleni ukuthi lokho kuzobiza malini. izinyathelo eziphuthumayo,” usho kanje.