# NTSB Safety Recommendation Letter P-85-033

- **operation:** document
- **citation:** P-85-033
- **title:** NTSB Safety Recommendation Letter P-85-033
- **source type:** guidance
- **agency:** National Transportation Safety Board
- **status:** guidance
- **official:** true
- **published on:** 1985-11-27
- **effective on:** 1985-11-27
- **summary:** Official NTSB transmittal letter for safety recommendation P-85-033, issued 1985-11-27.
- **machine formats:** - **json:** https://regulus.evalyn.ai/document/ntsb-transmittal-letter-p85-33.json
- **markdown:** https://regulus.evalyn.ai/document/ntsb-transmittal-letter-p85-33.md
- **app url:** https://regulus.evalyn.ai/document/ntsb-transmittal-letter-p85-33
- **source url:** https://www.ntsb.gov/safety/safety-recs/recletters/P85_33.pdf
**body:**

Page 1
NATIONAL TRANSPORTATION SAFETY BOARD WASHINGTON, D.C. 1 SSUED: November 2'7, 1985 ............................................. F o r m r d e d t o : Chief Ben Vossenaar President International Association of Fire Chiefs, Inc. 1329 18th Street, N.W. Washington, D.C. 20036 SAFETY RECOMMENDAT I O N (5) P-85-33 Chief John J. Norton President International Association of Chiefs of Police 1 3 First Field Road Post Office Box 6010 Gaithersburg, Maryland 20878 Mr. Edward H. McCormack Executive Director International Society of Fire Service Instructors 20 Main Street Ashland, Massachusetts 01721 A t 2:40 a.m., on February 22, 1985, a police patrolman on routine patrol smelled strong natural gas odors as he crossed railroad tracks while heading south on North Sixth Street in Sharpsville, Pennsylvania. He radioed this information to the Sharpsville Police Department dispatcher at 2:42 a.m.; the dispatcher relayed the information to the National Fuel Gas Company (gas company) by teIephone at 2:43 a.m., and a gas serviceman was ordered to the scene. A t 3:15 a.m., before the serviceman arrived a t the site of the reported leak, the Sharpsville Inn and a connecting building exploded and burned, killing two persons. Firefighters arriving onscene moments later encountered a second, smaller explosion which injured one firefighter. Gas company personnel shut off the gas to the leak site at 4:15 a.m. I/ Thirty-five minutes elapsed between the time of the discovery of escaping gas a t 2:40 a.m. until the explosion at 3:15 a.m. During that period the gas company promptly alerted and dispatched a serviceman to the site but, as in many similar accidents, the serviceman lived some distance from the leak site, had to get dressed and drive to the gas company offices to get a truck and equipment, and then had to drive to the accident site. In this accident the serviceman arrived at the accident site about 3:25 a.m., about 30 minutes after he was notified, but 1 0 minutes after the first explosion. This 30-minute response time was reasonable under the circumstances. - 1/ For more detailed information, read Pipeline Accident Report.-"National Fuel Gas Company, Natural Gas Explosion and Fire, Sharpsville, Pennsylvania, February 22, 1985" (NTSB/PAR-85/02). 4121Bl299

Page 2
-2- The gas company should have suspected the severity of the gas leak when it received an additional call about a strong gas odor from the resident a t 13 Fifth Street after receiving the first report from the police dispatcher about a strong gas odor and a possible j gas, main break. The gas company dispatcher should have requested the assistance of the police and fire departments in ventilating and evacuating the buildings in the immediate area of the leak. The patrolman f,equested persons in one building to evacuate, but a request from the gas company for additional assistance might have initiated additional ventilation and evacuation effdrts. A request for assistance by the gas company might have prompted the patrolman to enter the Sharpsville Inn to ventilate it, where he would have found the two people inside. Moreover, the gas company's instructions to its dispatchers, which led to the resident at 13 Fifth Street not being told to vacate her building in the face of not only her report of a strong gas odor but also reports of a strong gas odor throughout the area by the police dispatcher, were inappropriate. The serviceman who first arrived a t the site had not been trained by the gas company regarding specific actions to be taken during gas leak emergencies. Although it was too late in this case to do anything about the demolished buildings and the two fatalities, the serviceman did not begin immediately to alert or to evacuate people residing in the immediate area or to ventilate any of the area buildings. These actions were not taken until later when a gas company emergency crew arrived. Since gas companies must rely heavily on employees who are called out for emergencies, particularly at night, they should be given in-depth training in emergency procedures and in working and coordinating with local police and fire departments. Since 1972 the Safety Board has investigated more than 19 gas distribution pipeline accidents, which involved 35 fatalities and 33 injuries and in which a request for assistance from the local emergency response agencies by the gas companies might have prevented many of the fatalities and injuries. Moreover, because the Board investigates only a small portion of the more than 1,200 gas distribution accidents reported annually (only those accidents involving a fatality or substantial property damage are investigated by the Board), the full effect of improved early notification by gas companies to local emergency response agencies cannot be assessed. The problem is not that gas companies are slow to respond, but that most gas companies have a limited initial response capability, particularly for nighttime incidents. Under normal conditions the gas company dispatcher, once informed of a leak or gas odor, must first verify it, make a determination of its severity, and call the serviceman; all of which takes time. In turn, t h e serviceman must drive to the problem area and begin his investigation, all of which takes still more time. From the point of view of public safety, it is important that the gas company dispatcher inform the local fire and police departments of the leak or gas odor reported and request that they make an immediate inspection of the affected area, determine the degree of hazard (and here the dispatcher can advise them), and make a decision to evacuate buildings, ventilate buildings, or monitor the area until the gas company serviceman arrives, thus saving much valuable time. When dealing with the possibility of deaths or injuries (not to mention property damage), it is far better to overreact on the side of public safety. Therefore, the National Transportation Safety Board recommends that the International Association of Fire Chiefs, Inc., the International Association of Chiefs of Police, and the International Society of Fire Service Instructors :

Page 3
-3- Cooperate with the American Society of Mechanical Engineers' Gas Piping Standards Committee and the American Petroleum Institute in the development of guidelines for operators of pipelines describing t h e circumstances under which local emergency response agencies should be called to respond to pipeline emergencies and to take initial lifesaving measures, and describing the type and extent of training that should be provided to local e'mergency response agencies as first responders to pipeline emergencies. (Class 11, Priority Action) (P-85-33) The National Transportation Safety Board is an independent Federal agency with the statutory responsibility 'I. . . to promote transportation safety by conducting independent accident investigations and by formulating safety improvement recommendations" (Public Law 93-633). The Safety Board is vitally interested in any actions taken as a result of its safety recommendations and would appreciate a response from yoti regarding action taken or contemplated with respect to the recommendation in this letter. Please refer t o Safety Recommendation P-85-33 in your reply. BURNETT, Chairman, GOLDMAN, Vice Chairman, and BURSLEY, Member, concurred in this recommendation. I hairman
- **truncated:** false
- **body characters:** 7403