On April 26, 2018, a malfunctioning slide valve in the fluid catalytic cracking (FCC) unit at the Husky Energy Superior Refinery in Superior, Wisconsin, allowed air from the unit's regenerator to mix with hydrocarbons and travel through the main column and into the gas concentration unit, where the mixture found an ignition source and exploded. Two vessels in the FCC unit catastrophically failed, propelling metal fragments up to 1,000 feet. One fragment punctured an adjacent hot asphalt storage tank, causing 17,000 barrels of asphalt to spill and ignite, producing multiple large fires.
Thirty-six workers were injured. More than 2,500 residents of the City of Superior were evacuated from their homes, and the City of Duluth, Minnesota, issued a shelter-in-place order. Estimated property damage exceeded $550 million — one of the costliest refinery incidents in U.S. history.
The CSB identified six key safety issues: inadequate maintenance of process safety information for the FCC unit, deficient operating procedures and operator training for transient operations, failure to implement transient operation safeguards, inadequate emergency preparedness, susceptibility to brittle fracture, and gaps in industry-wide guidance for FCC unit operations.
This incident traced to breakdowns across 6 PSM elements (PSI · SOP · TRN · MI · PHA · EP). Each represents a documented gap that process safety documentation and consulting can close before a similar event occurs at your facility.