On October 22, 1997, two electricians received serious flash burns as a result of an electrical fault and subsequent electrical arc blast
Office of Environment, Health, Safety & Security
November 1, 1997
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November 1, 1997
An accident at the Fermi National Accelerator Laboratory (Fermilab) was investigated in which two electricians received serious flash burns as a result of an electrical fault and subsequent electrical arc blast while working on a 480 VAC motor control center. In conducting its investigation, the Accident Investigation Board (the Board) used various analytical techniques including accident analysis, barrier analysis, and event and causal factor analysis.