The Bhopal
disaster (commonly referred to as Bhopal
gas tragedy) was a gas leak incident in India, considered one of
the world's worst industrial catastrophes. It occurred on the night of December
2–3, 1984 at the Union Carbide India Limited (UCIL) pesticide
plant in Bhopal,
Madhya
Pradesh, India. A
leak of methyl isocyanate gas and other chemicals from
the plant resulted in the exposure of hundreds of thousands of people. The
toxic substance made its way in and around the shantytowns located near the
planEstimates vary on the death toll. The official immediate death toll was 2,259
and the government of Madhya Pradesh has confirmed a total of 3,787 deaths
related to the gas release. Others estimate 3,000 died within weeks and another
8,000 have since died from gas-related diseases. A government affidavit in 2006
stated the leak caused 558,125 injuries including 38,478 temporary partial and
approximately 3,900 severely and permanently disabling injuries
By
1984, only six of the original twelve operators were still working with MIC and
the number of supervisory personnel was also cut in half. No maintenance
supervisor was placed on the night shift and instrument readings were taken
every two hours, rather than the previous and required one-hour readings. Workers made complaints about the
cuts through their union but were ignored. One employee was fired after going
on a 15-day hunger strike. 70% of the plant's employees were fined before the
disaster for refusing to deviate from the proper safety regulations under
pressure from management.
Equipment and safety regulations
Work conditions
Attempts to reduce expenses
affected the factory's employees and their conditions. Kurzman argues that
"cuts...meant less stringent quality control and thus looser safety rules.
A pipe leaked? Don't replace it, employees said they were told ... MIC
workers needed more training? They could do with less. Promotions were halted,
seriously affecting employee morale and driving some of the most
skilled ... elsewhere".Workers were forced to use English manuals,
even though only a few had a grasp of the language.
By 1984, only six of the
original twelve operators were still working with MIC and the number of
supervisory personnel was also cut in half. No maintenance supervisor was
placed on the night shift and instrument readings were taken every two hours,
rather than the previous and required one-hour readings. Workers made
complaints about the cuts through their union but were ignored. One employee
was fired after going on a 15-day hunger strike. 70% of the plant's employees
were fined before the disaster for refusing to deviate from the proper safety
regulations under pressure from management.
In addition, some observers,
such as those writing in the Trade Environmental Database (TED) Case Studies as
part of the Mandala Project from American
University, have pointed to "serious communication problems and
management gaps between Union Carbide and its Indian operation",
characterized by "the parent companies [sic] hands-off approach to
its overseas operation" and "cross-cultural barriers".
Equipment and safety regulations
In 1998, during civil action
suits in India,
it emerged that the plant was not prepared for problems. No action plans had
been established to cope with incidents of this magnitude. This included not
informing local authorities of the quantities or dangers of chemicals used and
manufactured at Bhopal.
- The MIC tank alarms had not worked for four years.
- There was only one manual back-up system, compared to a four-stage system used in the United States.
- The flare tower and several vent gas scrubbers had been out of service for five months before the disaster. Only one gas scrubber was operating: it could not treat such a large amount of MIC with sodium hydroxide (caustic soda), which would have brought the concentration down to a safe level. The flare tower could only handle a quarter of the gas that leaked in 1984, and moreover it was out of order at the time of the incident.
- To reduce energy costs, the refrigeration system was idle. The MIC was kept at 20 degrees Celsius, not the 4.5 degrees advised by the manual.
- The steam boiler, intended to clean the pipes, was out of action for unknown reasons.
- Slip-blind plates that would have prevented water from pipes being cleaned from leaking into the MIC tanks through faulty valves were not installed. Their installation had been omitted from the cleaning checklist.
- The water pressure was too weak to spray the escaping gases from the stack. They could not spray high enough to reduce the concentration of escaping gas.
- According to the operators, the MIC tank pressure gauge had been malfunctioning for roughly a week. Other tanks were used, rather than repairing the gauge. The build-up in temperature and pressure is believed to have affected the magnitude of the gas release. UCC investigation studies have disputed this hypothesis.
- Carbon steel valves were used at the factory, even though they corrode when exposed to acid.
- UCC admitted in their own investigation report that most of the safety systems were not functioning on the night of December 3, 1984
- The design of the MIC plant, following government guidelines, was "Indianized" by UCIL engineers to maximize the use of indigenous materials and products. Mumbai-based Humphreys and Glasgow Consultants PVT. Ltd. were the main consultants, Larsen & Toubro fabricated the MIC storage tanks, and Taylor of India Ltd. provided the instrumentation
In November 1984, most of the
safety systems were not functioning. Many valves and lines were in poor
condition. Tank 610 contained 42 tons of MIC (disputed), much more than safety
rules allowed. During the nights of 2–3 December, a large amount of water is
claimed to have entered tank 610. A runaway reaction started, which was accelerated
by contaminants, high temperatures and other factors. The reaction generated a
major increase in the temperature inside the tank to over 200 °C
(400 °F). This forced the emergency venting of pressure from the MIC
holding tank, releasing a large volume of toxic gases. The reaction was sped up
by the presence of iron from corroding non-stainless steel pipelines. Workers
cleaned pipelines with water and claim they were not told to isolate the tank
with a pipe slip-blind plate. Because of this, and the bad maintenance, the
workers consider it possible for water to have accidentally entered the tank.
UCC maintains that a "disgruntled worker" deliberately connected a
hose to a pressure gauge connection.
Aftermath of the leakage
- Medical staff were unprepared for the thousands of casualties.
- Doctors and hospitals were not informed of proper treatment methods for MIC gas inhalation. They were told to simply give cough medicine and eye drops to their patients.
- The gases immediately caused visible damage to the trees. Within a few days, all the leaves fell off.
- 2,000 bloated animal carcasses had to be disposed of.
- "Operation Faith": On December 16, the tanks 611 and 619 were emptied of the remaining MIC. This led to a second mass evacuation from Bhopal.
- Complaints of a lack of information or misinformation were widespread. The Bhopal plant medical doctor did not have proper information about the properties of the gases. An Indian Government spokesman said that "Carbide is more interested in getting information from us than in helping our relief work."
- As of 2008, UCC had not released information about the possible composition of the cloud
- Formal statements were issued that air, water, vegetation and foodstuffs were safe within the city. At the same time, people were informed that poultry was unaffected, but were warned not to consume fish.
Safety and equipment issues
The corporation denies
the claim that the valves on the tank were malfunctioning, claiming that
"documented evidence gathered after the incident showed that the valve
close to the plant's water-washing operation was closed and leak-tight.
Furthermore, process safety systems—in place and operational—would have
prevented water from entering the tank by accident". Carbide states that
the safety concerns identified in 1982 were all allayed before 1984 and
"none of them had anything to do with the incident".
The company admits
that "the safety systems in place could not have prevented a chemical
reaction of this magnitude from causing a leak". According to Carbide,
"in designing the plant's safety systems, a chemical reaction of this
magnitude was not factored in" because "the tank's gas storage system
was designed to automatically prevent such a large amount of water from being
inadvertently introduced into the system" and "process safety
systems—in place and operational—would have prevented water from entering the
tank by accident". Instead, they claim that "employee sabotage—not
faulty design or operation—was the cause of the tragedy".
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