TEXAS DEPARTMENT OF LICENSING AND REGULATION ‘Comptance Dslow Boller Program P.O, Bax 12157 + Austin, Texas T8711 » (S12) 5393716 » Fax (512) 539-5687 nail Addres: bllerzidintecar gr Web le: url exan.zoe February 3, 2016 Marshall Middle School 6455 Gladys Ave Beaumont, Texas 77706 Re: Boller Accident Investigation on TX160840, Model Number: W-21008-CEDROEA (On January 28, 2016, at approximately 11:30 a.m. | (Robby D. Troutt, Chief Boller Inspector, Texas Department of Licensing and Regulation (TDL) received notice of an ongoing Carbon Monoxide (CO) accident at Marshall Middle School, 6455 Gladys Ave., Beaumont, Texas 77705 (’Marshall"). Marshall is part of the Beaumont Independent School District (BISD). The reported accident occurred at approximately 10:15 a.m. on Thursday, January 28, 2016. On te same day a preliminary investigation was conducted. The source of the CO was suspected to be from the boller mechanical room. For a history of the equipment in the mechanical room, see Exhibit 1, ‘According to Mr. Greg Lookabaught (BISD Director of Maintenance), there were no fatalities related to this accident; however, one hundred seventy-five (175) people (students and teachers) were treated by Emergency Medical Services (EMS) on site for carbon monoxide exposure. Siy-nine (69) of those treated on site were transported ta local medical facilities. It \was estimated that another one hundred five (105) went to local medical facilities as walk-in patients TDLR Deputy Boiler Inspector, Richard Charland was immediately dispatched to Marshall from Houston, Texas. TDLR Chief Boiler Inspector started travel to the location from Austin Texas. Upon arrival, Mr. Charlane contacted Mr. Greg Lookabaught and Mr. Dean Moore (BISD Maintenance Technician). At that time, evacuation ofthe students and teachers was complete. ‘The firefighters and Emergency Medical Services (EMS) concluded work and left the location. It ‘was reported to Mr. Charland, (Exhibit 6) that firefighters had identified the source of the CO to. be from the boiler mechanical room. It was also reported to Mr. Charland that both boilers ‘were turned off by school maintenance atthe direction of the Fire Department. Mr. Charland proceeded to the boiler room, utilizing his state issued gas analyzer to check CO levels along the way as well as in the boiler mechanical room (readings are 0). Upos entering. the boiler mechanical room Mr. Charland observed two (2) boilers, TX160840 (used for Hot Water Heating) and 71192254 (used for Hot Water Supply), Mr, Charland noticed soct bulld up, ily Arment, CB ‘Tomar Cu ar Teer ‘is gen ~ Mid eet ‘Fr Newer” lam, TogsMarshall Middle School 6455 Gladys Ave Beaumont, Texas 77706 Re: Boller Accident Investigation on TX160840 ‘on both boilers. 11192254 had indications of "Flame Rollout” from the bummer and excessive soot build up in the contrat panel and in the flue pipe. TX160840 had minor soot build up in the bottom right side of boiler and on the right header, no soot build up was noted in the flue pipe. (Mr. Charland reported his findings to me while | was stil in route. | instructed Mr. Charland to. gain access to the roof to check the flue pipes of both boilers for obstructions, Mr. Charland later reported no obstructions were found. When | arrived at Marshall, | met Mr. Lookebaught, Me. Moore, Mr. George Luke (8150: ‘Assistant Director of Maintenance) Mr. Mark McClelland (81SD Maintenance Supervisor). | requested Mr. Lookabaught give a verbal report of the day’s events with regard to how the: problem was determined to be CO as well as how it was traced back to the boiler mechanical room. Mr. Lookabaught reported that at approsimately 10:15 a.m, the school principal called 911 due to multiple students being sick at the same time. When Emergency Medical Services (EMs) personnel arrived, the personal CO Detectors (carried by EMS) immediately started going. into alarm. When the fire department arrived, they walked the halls of the school with a 4 Gas. ‘Analyzer which lead them to the Boiler Mechanical Room. Firefighters instructed the bollers to be secured at that time, (On examination of the boilers, {noticed the same condition of the boilers as observed by Mr. Charland. | also noticed there was an air handler installed in the boiler mechanical room. The inet side ofthe air handler had a fiter rack installed which did not have the cover installed. The air handler moved the CO to the Library and adjacent hall way through the attached ductwork. From there, other air handlers in the school picked up and dispersed the CO throughout the school. While conducting this part of the investigation, Beaumont Fire Marshall Joseph B Condina Il arrived on location to meet with me. While speaking with Mr. Condina, | asked if the Firefighter who walked the halls of the school with a gas analyzer could come back to the school to discuss his findings during the incident. (Mr. Codina agreed and dispatched Firefighter John Butcher back to the school. After meeting Me. Butcher, asked him to walk the route he hed taken when he was looking for the source of CO. While walking this route, Mr. Butcher was verbally reporting the ranges he saw in “parts ‘er milion” (ppm) on the analyzer. It should be noted, the readings were not logged, therefore the reported reading were recalled from Mr. Butcher's memory. He stated at the entry of the school he was reading approximately 150 ppm, as Mr. Butcher walked down the fist hall on the right (towards the library) the reading were increasing to approximately 400 ppm. Mr. Butcher Worked his way to the boiler mechanical room. When opening the door, the reading spiked to ‘over 400 ppm. It at this point he felt that he had found the source of CO, he ordered the equipment to be shut down and exited the building,Marshall Middle School 6455 Gladys Ave Beaumont, Texas 77706 joller Accident Investigation on TX160840 | then turned my attention to boilers TX160840 and TX192254, | started with TX192254 as this 's the boiler I suspected to be the cause of the problem. This was due to the excessive soot build up in the flue pipe, and control panel as well as the electrical wring that was burn: from “flame rollout". | asked Mr. Condina if he was ok with me starting boiler TX192254 as long a5 | was taking CO readings, he agreed. Two separate 4 gas analyzers were used, one issued 10 Mr. CCharland from TDLR and the other belonging to Beaumont Fire Department. Boiler 74192258 was put inte operation with one analyzer located on top of the boiler and the other located in the control panel. I watched as the boiler went through Its correct startup cycle. The boiler ran through a complete firing cyle (includes purge, ignition, bringing weter to ‘temperature and shut down) without any problems, the analyzers did not go into alarm. Boiler TX160840 was then tested in the same manner. In less than a minute of the boller’s ‘lame ignition, both CO detectors went into alarm. A flame could also be seen exiting the boller into the Boiler Mechanical foom on the right side of the boller under the header. This was determined to be the source ofthe CO. While running these two test; it was noticed the power ventilator for the Boiler Mechanical Room which is installed above and in front of TX160840 was not operating. Its unknown Ifthe fan was not operating due to failure of the fan or due to power being secured with the ‘occurrence of this accident. Texas Boiler Rule 65.603 (b) requires when a Power Ventlator is used for Boller Room Ventilation the fans shal be sized on the basis of 0.2 cfm for each 2,000 ‘Btu/tir of fuel input forthe combined burners located in the boiler room. The boiler and fans shall be interlocked so that the burners will not operate unless there is a supply of combustion, ventilation and dilution air asrequired by the boiler manufacturer's recommendations. (Mr. Charland red-tagged both boilers (TX192254 and TX160B40). 1X192254 was red-taggsd for excessive soot buildup, damaged wires in the control panel and power ventilator non- ‘operational. And, TX160B40 was red-tagged for lame exiting the side of the boller and power ventilator not operating. January 29, 2016-1 went back to Marshall. Upon arival| met with Mr. Lookabaught, Mr. Luke, ‘Mr. McClelland and Mr. Calvin Timmons (RayPak Boiler Representative who was called by BISD). When entering the Boller Mechanical Room, Mr. MeColland informed me the room was equipped with two power ventilators instead of the one which was noted on January 28, 2016, Review of the buildings blueprints (Exhibit 7 & 7-1) obtained from ISD show one fan was used {or combustion ar (push ar into the room) and the other used for exhaust (push ar out of theMarshall Middle Schoo! 6455 Gladys Ave Beaumont, Texas 77706 Re: Boller Accident Investigation on TX160840 room). The exhaust fan is the fan noted as not operating on January 28, 2016. The exhaust fan was removed and is in the process of being replaced, | removed the Red Tag on boiler ‘74192254, as the required repairs to the boiler were complete and the exhaust fan was in the process of being replaced. | requested a report from Mr. Lookabaught regarding the ‘operational status of both the combustion alr fan and the exhaust fan (Exhibit 8). While on site 1 made 2 video (exhibit 9) of boler TX160840 while the boller was turned of ‘Then another video (exhibit 10) of TX160840 with the boiler running showing the fame exiting the side ofthe boiler. February 1, 2016 - I received a text message from Mr. Timmons which contained picture of a hole that was knocked into the left side of boiler TX160840 firebox (exhibit 13) It was later determined this hole was made by personnel conducting asbestos sampling in preparation for the boilers replacement. March 2, 2016 - A meeting was held at Marshall with James P, White (General Adjuster for CNA Insurance), Kennetha W. Lucas (Attorney representing CNA Insurance), John R. Puskar (Professional Engineer representing CNA Insurance), Gregory T. Barnhill (Executive General ‘Adjuster for Crawford Global Technical Services representing Lexington Insurance) and Patrick Campion (Senior Technical Consultant for PT&C/LWG representing Lexington Insurance). During this vist, Mr. Puskar and Mr. Campion were shown exhibits 9 & 10. During the site visit, Mr. Puskar, Mr. Campion and | attempted to remove one of the burners for boiler TX160840 without success. It was during this time it was noted the right side of the firebox frame had signs of excessive deterioration when compared to the lft side of the boil ‘The deterioration was to both the metal frame and the refractory ofthe fire box. Two samples Of refractory from boiler TK160840 (these samples were entered into TDLR Enforcement Evidence Locker upon my return to TDLR-North Campus on March 4, 2016) were taken. The dot where the source of water was coming from, my experience leads me to suspect one (1) of following three (3) instances occurred. 1) A water leak in the heat-exchanger (which would be proven by a liquid pressure test). 2) Condensate created in the boiler flue pipe. 3) Water leaks from the building roof (excessive water tracks on the exterior of the boiler stack (Exhibit 12 through 12-2) were noted). A Liquid Pressure Test of boiler TX160840 heat-exchanger was scheduled for March 29, 2016. ion appears to be caused from water entering in the firebox. While it was not known March 29, 2016 - Mr. Puskar, Mr. Barnill, Mr. McClelland, Mr. Joseph Kennedy (with PT&C/LWG) and | met at Marshal to conduct the Liquid Pressure Test of bollers TX160840 heatMarshall Middle School (6455 Gladys ave Beaumont, Texas 77706 Re: Boiler Accident Investigation on TX160840 ‘exchanger. The procedure (exhibit 13) drafted by Mr. Puskar was followed. No leaks were found (Exhibit 24). During the Liquid Pressure Test, all bumers on TKIG0B40 were removed. This allowed photographs (Exhibit 15 through 15-4) of the boilers Firebox to be taken, These: photographs confirm the excessive corrosion of the refractory and metal frame which holds the: bburmers inthe fire box. The excessive corrosion was only located on the right side of the boiler. The investigation was concluded and the boller TX160840 was released to the school for replacement or repalt. Observations: The boiler was inspected Just two months prior to the accident occurring. it Is my belief Mr. Nester could not have identified the CO leak unless he was utllzing a gas analyzer that detects CO. It is unknown if the boiler was leaking CO at the time of the inspection as there are no ‘obvious indications. Since CO is an odorless colorless gas and therefore cannot be detected ‘without a CO detector and Texas Boiler Law and Rules da not require boiler inspectors to test air quality in the boiler rooms, the inspector did not test for CO. Mr. Nester would have looked at the area where the flame was exiting the boiler during his inspection. However, when ‘conducting this part of the inspection the boiler would not be operating as there would be 2 burn hazard to the inspector, therefore the flame would not be visible. I noted the fiter cover ofthe air handler was not installed. While | was able to determine this is the most likely avenue for the CO to gain access from the Boller Mechanical Room to the school; | am also aware had this cover been installed, it isnot airtight. The CO would have entered the air handler anyway. By this cover not being installed, the CO would be pulled into the school via the air handler more rapidly than ifthe cover was installed Since there was aflame exiting the bolle fre box through the side, there is an obvious failure fn the boiler. Examination of the boiler showed corroded refractory and the metal burmer rack located on the right side of the boiler fire box which isthe same side of the boiler from which the flame was escaping. ‘There were two (2} Power Ventilators (one Combustion and one Exhaust) installed inthe Boiler Mechanical Room (Texas Boiler Rule 65.602 (b) requires power ventilator to be interlocked with the burners of the boilers to prevent operation if there is not adequate air supply), The ‘combustion air fan was non-operational and the exhaust fan was operational. With the exhaust fan pulling air out of the boiler room without air supplied by the combustion air fan, the boiler oom would be under a negative pressure, With the boiler room under a negative pressure, air from the outside would be pulled in through the flue pipes of both bollers (TX160840 and 1192254). If either of these boilers were running at the time of the accident, the fumes ofMarshall Middle School 6455 Gladys Ave Beaumont, Texas 77706 Re: Boiler Accident Investigation on TX160840 combustion generated by operating equipment would not have been able to exhaust as there: ‘would be fresh air entering the room through the flue pipes instead of the lumes of combustion. exiting through these pipes. It should be noted this theory could have been proven by operating, the boiler after both fans were operating as designed. However, since a hole was made in the. ‘side of boiler to check for asbestos (without approval by TDL), testing could not be performed, Conclusion: Based on the evidence collected, this accident occurred as a result of two different failures, First was the non-operational status of the power ventilation fans. The second is due to the flame that was observed exiting the side of the boiler which was caused fiom corrosion of the fire box refractory. Prevention: While itis this investigator's opinion, this accident could have been prevented by having @ Carbon Monoxide Detection or Alarm system installed in the boiler room, This system would have tobe installed in one of two methods as listed below or both 1. Have a CO monitor installed in the boller room. The CO monitor would be of @ manual reset type and would be interlocked with all gas appliances in the room in such a way a5 to stop their operation if the CO monitor went into alarm or lost power. 2. Have @ CO monitor installed in the boiler room. The CO moniter would be installed In such a manner that an alarm would sound throughout tte schoo! letting all occupants know of the hazard. In either case, B1SD should consult with the local fire department, city building officials and a Combustion Engineer to determine the best method of prevention for this location 6-2-8 yy. Troutt, Chief Boiler inspector ‘TDLR-Compliance Division-Boller Program.Exhibit 1 Boiler Registration & History of Events ‘The boilers registered withthe Texas Department of Licensing and Regulation (TDLR) with Texas Boiler Number TX160840 (located in the boller mechanical room) and also the National Board of Boiler and Pressure Vessel Inspectors registration number 68175, Boller TX160840 was ‘manufactured by Raypak, Inc, 31321 Agoura Rd, Westlake Village, CA91361. Boller TX160840 -was manufactured in 2013 and "H” stamped in conformance with ASME Pressure Vessel Code, Section 1V, 1986 Editen 1987 Addenda (Exhibit 2). Equipment information sas follows: 1 Boiler Tx160840: Type: Water Tube ‘Manufacturers Serial Number: 888104775 National Board Number: 68175 Year Bul: 1988 ‘Maximum Allowable Working Pressure: 160 psig penge 2 Safety Vanes: a. Single safety valve configuration located on the outlet header, set pressure 125 Pig, relieving capacity 2,070,000 btu. Boiler Histories: ‘+ July 30, 2013 - Boiler certificate inspection (Exhibit 3) conducted by Mr, Stuart Nester (Texas ‘Boller Inspector Commission number 1907), employed by CNA Insurance Company. In Mr. Nesters Inspecion Report under the comments section the folowing notes are made: ‘© Verifiac S/SR Valve Setting © Verilec SISR functional via ty lever actuation © No adverse conditions noted at time of inspection © No violations identified ‘+ August 29, 2015 - Boiler insurance changed from CNA Insurance Company to OneCIS Insurance Company (Exhibit 4), ‘+ November 4, 2015 - Bolle insurance changed from OneCIS Insurance Company to CNA Insurance Company Exhibit 4). ‘= November 5, 2915- Boiler certificate inspection (ExhibitS) conducted by Mr. Stuart Nester. In Mr. Nesters Inspection Report under the comments section the folowing notes are made: (© Verified SISR Valve Setting© Verified S/SR functional via try lever actuation © No adverse conditions noted at time of inspection ‘2 No violaions dentified"FORM W.3 MANUFACTURERS DATA REPORT FOR WATEATUGE aoWLERs ‘i fag by te rnona fhe ASME Co ult WILLGANKS 170759 1. Manttcredanscennesny Rayoak, [nc., 31111 Agoura Ad. vestloke Village, CA 91361 2 Aantenant ie StOCK now ater Tube 21000. cana04775 ea7s_ 1998. ‘Esse C000 Tneaengn censvcton ane marshy cng sSMe oon actor OE eRe, i 4 er sote noms 6 ts Hasewnne. 2 Box SA278.5/32" thick * 2 flange. S862 iateriatre_Evpande ir © 6a sayoon Iseee (6s Over ene cS HUBS TET ZI intet ouster ¥ [eatets Yale ae Blowatt creaoma (nas =e Tag fatz-atenn | ana i cere ann 2S cent Bana La a tae calla TR SSS tats Utne pine pete ermine as Styaeg Biliehti™ reeneat SEB ea os ainsi ee Ea Reeder pee sso stn ote na tosh a TET sn epee rs, Gof? Ba G27 ie caty at ne ama conven ofl aa bese eto ah arene! 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Sr Sst 5, ee 1907 os _[[__]} THAT A Tit S No ~~ rtcx |g eee ee ae — 7 7 ramon — wae | Pen quam cae TROIDUALS PHONE | GpoN COMPLETION OF THE INSPECTION, RETURN THIS REPORT TO TOCK IMMEDIATELY. LEAVE THE RECEDT BELOW ‘YITH THE OWNERVOPERATOR2988 BORER arshall Middle School 6435 Gladys Ave Beaumont, 1X 77706-3230 Object History Summary Object status changed from Lee - Date Entered: 01/30/2016 Inspector: Shangon Neste (CNA Insurance Company) By: Shannan ester (CRA tnurance Comp) “Wolaton- 65.501. boter hati deemed unsafe for operation by the inspector shall be removed fom sre or placed in sfe.- Date Entered: 01/29/2016 "specter: ichard Caran (State of Texas) - Opened By: Richard Chatand (state of Fxas) |Non-ceifeate Eternal Inspecton - Oat Entered 01/25/2016 - Inspector: Richard Chatlnd (State of Texas) ~ By: Rkhard chatand ‘Sate of Texas) - Revew Aeapted 02/03/2016 by Keth Sanford (state of Texas) ‘Exemal Inspection RequtingCerbfiat 11/05/2013 - Cette Ped “wlce 10033227 - Payment #5098579 App - Check #2744 ‘lee 10033227 - Prt Geerated Invokes Repent ‘vice 10033227 - Pit Geeratedtnvles Pate ‘Object nsurance Changed From OneCt5 insurance Company to CNA Insurance Company by Shannan Nester (CNA Insurance Company) ‘Object insurance Changed Fo CNA Insurance Company to OneCiS Insurance Company by Ed Best (OneCIS Insurance Campa) ‘ceria Eterna inspection - Date Entre: 1/10/2013 - Inspector: Shannon Wester (CNA Insurance Company) = y: Sharman Wester ‘CHa Insurance Company) = Review Accepted 11/17/2015 by Keth Sanford (tae of Texas) ‘Object insurance Changed Fam OneCt5 Insurance Company to CA Insurance Company by Shannon Nester (CNA Insurance Company) ‘Object nsurance Changed From CNA Insurance Company to OneCIS Insurance Company by Kim Mason (OneCIS Insurance Company) ‘ternal inspection Reguring Carat 0730/2013 ~ Catia Pte ‘Cerca Esteral Inspection - Date Entered: 08/19/2013 - Inspector: Shannon Neste (CNA Insurance Company) ~ Oy: Sharmon Nester, ‘oysn/2006 sovan20i6 ‘ovzer2016 ungpaois nipypao1s ninzpors nyzpo1s ninopois ya6j2015 s7os;2015, asr201s 9972972015, 92072013 edTEXAS DEPARTMENT OF LICENSING AND REGULATION lensing Division Technical (s1z 463-500 20) 603 9202 (sig suerte Fax (512) 4752071 caboler tah er2s.g07 botrs@i era oY P.O" Box 12167 - Austin, Texas TATIT- ww exas gov [Boiler Equipment Report of Inspection [PURSUANT TO CHAPTER 755, HEALTH AND SAFETY CODE, 16 TX ADMINISTRATIVE CODE, CHAPTER 6S, [ANO OCCUPATIONS CODE CHAPTER St FPL srierscron | INTRA OPERA. TACT” CIORCONNEETES NEE CSRS RE wwe | Qiunsouest | _Chnowcemnncare [lias CJosrosmon uous Aino uno loawinep oy. ~ Gisrane rac | vanance Qves gro | rexassrecian.~ Cives PHYSICAL ADDRESS ‘OWNER ADDRESS MAILING ADDRESS lower Roost fe en Saat CONTACT tev CTO aT ROAEDS RL EGEHODELE a a oats suis W204 CEDROER ERE] EAE-[irenvat'] sumrvre-[ euruse~ | BEATS [carccan| wewsev | Maxsream | asmesTar™ a TOW WAR COTO FE FE TUTTO SEE raat CJranra cy ae = ey [rowswncw Clore vemicn [EERE] ws jm Cle ae eo [Eamon Ne GETS DNOL Iva [EANSION TaN Maw [EEN READE CVE TNO va [EXTENSION nsrecrion? — Cjves_[Zho | EXTENSION APPROVAL DATE ur rucngtn ee THEREBY CERTIFY THAT THIS IS A TRUE REPORT AS A RESULT OF MY INSPECTION, Stunt 5 \\X ise ous SIGNATURE OFINSPECTOR TRCOMMISSION INSPECTION ORG. he Black 9s20is ‘SIGNATURE OF INDIVIDUAL PRESENT ATINGPECTION™ DATE (MIDDAY * |S coNoITION OF OBJECT SUCH THAT A CERTIFICATE MAY BE ISSUED?" ZVES[JNO ona cIRaRaLe ek WOLATENSTo: Rob Trout Subject Carbon Monoxide Exposure Location: Marshall Middle School 6455 Ghays Ave ‘Beaument, "77705 (on January 28 2016 at approximately 1:00 pm recelved 2 phone cll rom Chief Bole Inspector Rob ‘Troutt in regards oa boller accident at Marshall Middle School in Beaumont Texas, The Nature ofthe accident appeared to be Carbon Monoxide exposure and fist ad had been glen | acved atthe Schoo! ‘at approsimately 3:30 pm and was met by Greg Lookabaugh, Director of Maintenance/Operations and Dean Moore, Facity Maintenance. ‘The school was evacuated at approximately 10:00 am when students and facuity were becoming sek. ‘The principal ofthe school called 811 and emergency crews arrived within minutes. The EMTs carry CO ‘monitors and upon entry started going off on indication of CO. Thisis when the evacuation occurred. “The Haz- Mat team arived with CO monitors that give actual readings. School entry Was tested and it showed a reading 150-200ppm. Nurse's station which i located inthe school entry had a reading of :150-200ppm, The 100 allway where most ofthe students and faculty had gotten sick hada reading of ‘over 400ppm,hallvay 200 had 2 reading of over 150-200ppm, hallway 300 had 2 reading of 150- 200ppm, and the boller room hada reading of over 400ppm.The boiler was shutoff by Dean Moore at approximately 10:0 a. entered the boiler room and found two boles, One Boller used for bullding heat TX260840 and asa ‘current Certificate i's2 ReyPak bolle which was built in 1988, noticed a first sight that there was ‘back sot onthe ght side ofthe boiler just under the header. Overall oer was in decent shape forts 7 Boiler number two is also a RayPak TX192254 and was built n 1996, This bole als had current ‘certificate. This boler had signs of flame rollout with back sot and melted wires. This blr i used for ‘domestic hot water Ove al oiler appears tobe indecent shape forts age. then noticed the air [handling unitin the corer of the room witha panel missing. This unit supplies the affected areas. Also ound cling exhaust fan not working and not connected tothe burners. then went tothe roof and Inspected the stacks for both boilers and found nothing. At ths point Rob Trout Chief Boier Inspector ‘showed up and took over investigation, Richard Charland, Deputy eile inspector RDMARSHALL M.S. 1961 EXISTING EXHAUST AND SUPPLY FANS 12000 0x25 025 120-160 SEMA = 208R—BISTING MUST FLRyan Rayburn From: fobert Calvert Sent: Tuesday, March 28,2016 4:37 PM. Tor fob Troutt ce Mark McClean; Gregory Lookabaugh Subject: Fd: Marshal [Attachments: MARSHALL MS BOILER ROOM 3-5-16 pf Obsemation door Approved Report. Please let me or Mark know if you have any questions. Robert ———~ Forwarded message ~ From: Mark McClelland Date: Tue, Mar 29, 2016 at 2:53 PM Subject: Fwd: Marshall To: Robert Calvert Mark McClelland RISD Maintenance/HVAC Forwarded message ~ From: Gregory Lookabaugh Date: Tue, Mar 29, 2016 at 12:57 PM Subject: Marshall To: Mark MsClelland Observation [At approximately 10:43 am January 28,2016 the fie department and BISD entered the boiler oom at Marshall Middle School. The Beaumont Fire Department had the CO manitr in thelr possession and the CO monitr alerted the team to an elevated level of CO. ISD immediately secured boller operations to the domestic hot water boller and the bung heating bole. At that point building ventilation was underway. [At approximately 5:30pm January 28,2016 state bole inspector arrives on-ste. January 28,2016 the state boler inspector red tagged both boilers. The building hot water boiler was red tagged because of CO concerns. The domestic hot water boiler was re tagged because the vent fan above the bulding hot water boller was not operating at tat time, Possibly due to power switches not on, The state baller inspector told BISD he would remove the red tag on the domestic hot water boiler once the vent fan above the building hot water boiler was operational. January 28,2016 BISO staff energized the vent fan above the building heating boller. However the vent fan was making 2 noize, BIS0 made the decision to replace the vent fan above the bulding heating boiler. The state boiler inspector removed the red tag from the domestic hot water bole. ‘A second vent fan was located inthe boiler room, some distance from the building heating boiler This vent fan appeared tobe inoperable.asbestos testing.Exhibit 12: Outside of the flue pipe.& Pressure Test Protocol Re: Raypak Comfort Boiler Beaumont Marshall Middle School Beaumont, Texas Prepared for CNA Insurance 3/16/2016 (Rev. 3/27/16)Incident Reference ing: ‘Marsal Mile Schoo! ese 6885 Gays ve hy, stat: Beaumont, Tense ot: onzs7036 Docume Purpove and Scope ‘This doen was prepared as a means to provide asf, oder, and eflent means to conduct ate Invetgnion ivoling the Raypak comfort ht water heating bole. The folowing ater a deine ‘the paramaters for when the vestigation Ito dear ad how kis tobe conducted tou ite to introduc the invitees and ther oles, dicus the work scope, review the werk safety plan, conduct 2 walk tveugh to abserve ste cantons and then conduct anal question and newer session ple 2 Starting work, ‘acing Time: 9:20am ‘pected event duration:2 hours ‘Metin place for orstart brefing and checkin: Schoo font by reception dest 9:20 am Invites expected: For CWA insurance: ead person onsite willbe oh R Push, PE. forsulart) drawn, Cleve Brooks, Service Contractor Fr Beaumont Schoo: Lod person owners representa on ste willbe: Mark Mellen For Stat of Tens (Deparment of Ucensing& egution} Rob Tout, Chie Bo Ispector CGvord insurance: at Campo (Constant) 14699 Brookpark td, Cleveland, Ohio 236-145+8201 wana Presint comrk sope ntnded, is expected hat laud prestue test wil be conducted onthe subject bole. The st wil cur atmo target test pressures. The esta 15 pi and the second at 30 psig The preferred ‘method of achieving thee resures wl be 2 est precsore hand pump. Taras tet rescuer tlbe achieved in 2 pig increments waking 30 seconds to 1 minute between increments. The test wl stop tan obvious ls of pressure or evidence af akage ‘The burners willbe removed prt testing 2 per the request ofthe State Boller Chie Once ‘urge pressure are obtained they wil be hal for 15 minutes to obsevefors los presi or ‘wal evidence of lok. Other parameters willbe acorn to Texas bole ow section 65.613 feetne tert, (65.613. lquld Pressure Tests. (opted lective une 15, 2015, 40 Texeg 3121 amended ffecive February 15, 2016 61 Texeg 795) {oy nen there's 0 question or doubt abut the extent of defect fund in abo, he lnspector may equ hquidpessre est (6) In preparing ober for lid pressure ts, he bors be fed with water to the stop vote and ol or verted off he ler tobe ested is connected with ther bles thot ore under prestur, such connection shlbe banked off nls they have double top vohes on all conection piss witha dean Between (c) bwing ogo pressure tes ofa bole, the safety ve or ves salle removed or ach vale dic sho be helt is ot by means of testing clamp and ot by screwing down he compression screw under he sing. (4) The meal temperature forthe pressure test shal nt be ess than 60 degrees Fobvenei (16 degrees Celis), unless the owner provides information on the toughness chorateritcsof the materi for ofower test epeatre, but the maximum et temperature shal nt exceed 120 degree Folveeit 50 degrees Coss) unless 2 higher temperoure specified and is oceprable to the inspect. (e) enc liu pressure tests 0 be oped ofter inspection, the press shal be os alow (2) Fora eases imag the question of tightness, the pressure shale no mare than the se pressure of the safety valve or ves having the owest etn, {2} Foro cases insling the question o sey, the pressure pai shal na exceed the lester ofthat which wee required by th rina code of contraction or the pesrure equal that which results non applied tess no greater than 80% a he speed 11699 Brookpark Rd, Cevelond, Ohio 21621346201 win PresclntTS comren rec! Servicst ‘minimum yi stress ots cemperotre of the materia es pulsed by ASME Code, ‘Section Por curent elton. (Aid pressure test sal be bel fora minimum often 11) minutes athe requied pressure without leakage (a) Te actol pressure inthe ler shal ot exceed 15 MAP. cllecton of evidence: ‘Access willbe provided uoan gust fr any video or photographs or data thats cbsered tes nt expected that anything wil be removed from the te osure/restoration of he ste ‘Rsimended tat allequpment wil be restored backto pre-event conditions porto the ste ingle. The owner's representative wil cole ht ais restres completly in writing before he ste Personnel interviews: (nt expecta ‘Stesafen: Lack out Tog out of Energy Sources 1 There aro extrnal ener Scucesameipated to be connected tothe bolle dung this Foal Fred equipment 2 There wal ben ring ofthis Boer for his ott connected from sa ad electra esse Vessel Risks 2 The test presse willbe achieved with a hand test pump, rc water pressure 1, Themaumum test pressure wie 30 pi. any concerns occur because of euidence of some alu that is observed the test we stopped and concerns reviewed 4 The ikofafature from ths ow test pressure, (with it removed, no more than ary ot the exsting domestic water png in we throughout the acy. &_Allpersonelwinesing the et willbe equred ower safety asses. Fe, Persona Protective Equipment) 4 Safety lasses are co be warn areas where esting is tahig pce and ot dattembly of. ‘equipment occuring, Prtspans or those observing nthe nme ares willbe Fesponsbleforhovng ther own safety gases, ‘nergency Considerations 2 tay lnjry oct, regards of how sl (al pri, sale et), Rahalbereprted ‘mymediatey othe ovral project leader. anyone becomes inapachated 2s serous injury occurs i 91 immediately and report the name ofthe school and the ree adres. « Hfanevacuation i requred al personnel shllmet at the muster aces atthe receptionist desk where the da started In this cae, everyane would assemble tl dismissed by femergeney personnel 1 be conducted uring thi evet. 11698 Brookpark Rl leveland Ohio 216-218-8201 www Present TS.) rage| Exhibit 15-1: Right side of fire box. oePTR Pax 5 a ~ > "| exhibit 15-2: Left side of fire box.Exhibit 15: Hole in Refractor caused from corrosion.