On April 17, 2013, a fire at the West Fertilizer Company storage and distribution facility in West, Texas, led to the detonation of a stockpile of fertilizer grade ammonium nitrate (FGAN). Twelve emergency responders and three members of the public were killed, and local hospitals treated more than 260 injuries. The blast devastated nearby homes, schools, and care facilities.
The CSB found a lack of protection for communities at risk from ammonium nitrate storage and a lack of regulation at all levels of government. Its recommendations address hazard awareness, firefighter training, land use planning, building and fire codes, and regulatory oversight.
The CSB approved its final report on January 28, 2016, with 19 recommendations.
Full recommendation text and current status: CSB investigation page.
This incident involved breakdowns across 4 PSM-related areas (EAP · PSI · PHA · TRN). Each represents a gap that process safety programs are designed to close.