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SOMETIMES George
Betancourt's two sons dream that he is still alive. They cry out for him
at night, as if he is just down the hall in their Pasadena home. If their
cries are loud enough, their mother comes and reminds them, gently, that
their father is gone.
One hundred eighty
miles away, in the North Texas town of Corsicana, James Landers also dreams
of George Betancourt. He sits up in bed some nights and blurts out the
name of his late friend and coworker.
On such nights Landers
is like a Vietnam veteran reliving a firefight. He sees himself on the
scaffold with Betancourt. He sees the terror in Betancourt's eyes as the
hazard alarm goes off. He smells the rotten-egg odor of the hydrogen sulfide
gas as he breaks the seal of his mask. He holds his breath, scrambles
down the ladder and runs.
George Betancourt's
death at the Shell Oil Co. refinery in Deer Park Feb. 3 barely made a
ripple in the Houston industrial community. There were no public wails
of outrage or demands for reform. Had Betancourt been killed during a
bank robbery or carjacking, his untimely passing almost certainly would
have received more attention.
Betancourt was,
after all, working in a refinery, a dangerous place. He held a job --
pipe fitter's helper with Houston-based Brown & Root Inc. -- that
he knew would place him near toxic, and occasionally lethal, chemicals.
And yet Betancourt's
death could have been prevented. The gregarious, 31-year-old man known
to his friends as "El Gordo" -- "The Chubby One" --
might have survived that February night on the scaffold if certain safety
rules had been followed by Shell and Brown & Root.
If only the line
had been purged of hydrogen sulfide -- the notorious "sour gas"
that can asphyxiate in seconds -- before pipe fitter Landers and his assistant,
Betancourt, had begun working on it. If only the two men had been provided
"egress bottles" -- portable air supplies to be used in emergencies
-- in addition to their stationary air lines, hooked up to bottles 15
feet below them on the ground.
BETANCOURT was the
fourth oil or chemical industry worker in Southeast Texas to die of hydrogen
sulfide exposure since August 1991. The Occupational Safety and Health
Administration cited three of the four plant owners for "serious"
violations.
At least 30 other
workers -- most in construction or heavy manufacturing -- fell victim
to atmospheric hazards (excluding fire and electric shock) in Texas during
the same three-year period. They died of heat exhaustion and asphyxiation
due to inhalation of cement dust, water, welding fumes, nitrogen, argon
and unidentified gases. Occupational medicine specialists say it is possible
that some deaths attributed to heart failure, as well as some fatal falls,
involved chemical exposure as well.
In some cases the
doomed workers were sent into confined spaces, such as manholes or chemical
storage tanks, without respirators. In others, as happened with Betancourt,
they were given ambiguous instructions or inadequate respiratory protection.
Such lapses -- especially
the failure to issue belt-mounted egress bottles, which offer five to
30 minutes of air, depending on the model -- infuriate Ray Skinner, director
of OSHA's Houston South Area Office.
"Industry is
not consistently providing protection for its employees," said Skinner,
whose jurisdiction includes most of the refineries and chemical plants
in the Houston-Galveston and Beaumont-Port Arthur areas. "Many people
fight me on egress bottles because the (OSHA) standard doesn't specifically
require them, but the standard does require appropriate respiratory protection
if there's a life-threatening situation."
Skinner cannot abide
vague work permits issued by owner companies to contractors for jobs in
dangerous areas. "The information contained on a permit is critical,"
he said. "You don't just say, "Use breathing air.' Well, what
is "breathing air'?"
Nor does Skinner
buy the argument that an owner company somehow abdicates its oversight
duties when it hires a contractor. "You cannot contract away your
safety and health responsibilities," he said.
On March 10, Skinner's
office cited Shell for 19 "serious" violations associated with
the Feb. 3 accident, which not only killed Betancourt but nearly killed
Landers. OSHA proposed penalties totaling $44,675.
Under an "informal
settlement agreement" signed April 4 by Shell and OSHA, 15 of the
19 violations were deleted or downgraded from "serious" to "other."
Shell will pay $20,000 in fines for four violations, among them failure
to "effectively evaluate" Brown & Root's safety performance
on the job and failure to ensure that in-service equipment had been properly
cleared of hazardous chemicals before maintenance work was performed.
On March 11, OSHA
cited Brown & Root for seven "serious" violations and proposed
$20,000 in penalties. Under a March 31 settlement agreement, OSHA dropped
five of the seven violations and Brown & Root will pay $10,000 for
the remaining two -- failure to document that employees received and understood
safety training and failure to ensure that employees chose proper respirators
and followed procedures.
Neither Shell nor
Brown & Root would comment on the accident. Both, however, touted
their safety records. Brown & Root meets and in some cases -- fall
protection, for example -- exceeds OSHA requirements, said Joe Stevens,
the company's vice president for employee relations. Employees of Brown
& Root Industrial Services, the branch of the company that employed
Betancourt, average 50 to 60 hours of training a year, he said.
"We've had
a few (deaths) and each and every one disturbs us greatly," Stevens
said.
Skinner said he
is satisfied with the settlements and believes that both companies have
gotten the message. But no fine or administrative scolding can atone for
what happened to Betancourt and his family.
BETANCOURT'S 31-year-old
wife, Norma, only recently has been able to talk about him without breaking
down. She must raise three fatherless children: Jaime, 14, George Jr.,
8, and Sandra, 1.
"He was a special
person," Norma Betancourt said of her husband. "He was a good
father, a good husband. He had a lot of friends."
George and Norma
Betancourt had met in Matamoros, Mexico, when they were 15. George Betancourt
was an affable man who "had a good mind for the mechanical,"
his wife said. He joined Brown & Root as a laborer in 1992 and was
sent to Shell to work a maintenance shutdown on Jan. 24. It quickly became
apparent to Norma Betancourt that the job was different -- weightier --
than others her husband had done.
"He told me
it was much more dangerous than the other plants," she said. "He
had to dress like an astronaut to do this job. When he would come home
in the morning he would give me a kiss but wouldn't hug me or the kids
until he took a shower. I washed his clothes separately because he asked
me to. He was always a very careful person."
LANDERS, 37, was
so shaken by the accident that he left the Houston petrochemical complex,
where he had made $14 an hour as a pipe fitter, and took a $5-an-hour
job managing a hardware store in the tiny East Texas town of Onalaska,
near Livingston. He left Onalaska in July for Corsicana, the hometown
of his wife, Laura, and is looking for work.
Landers can describe
the events of Thursday, Feb. 3 almost clinically, although there is a
catch in his voice when he mentions Betancourt. At times he is moved to
tears.
Betancourt and Landers
were working the 7 p.m.-7 a.m. shift that night. Both men had taken a
contractor safety course -- of limited value, according to Landers --
and attended a Shell orientation session before starting work in the refinery's
Girbitol Unit, where hydrogen sulfide is removed from fuel gas. The Shell
session was held immediately after Landers and Betancourt came off their
shift on Feb. 1; Landers said he was "pretty well wiped out"
and fell asleep at one point.
At the start of
their shift on Feb. 3, Landers and Betancourt were sitting in the lunchroom
in the Girbitol Unit, along with other Brown & Root workers, awaiting
their assignments. Brown & Root foreman Mike Johnson came in around
8 p.m. and told Landers, "I've got a job for you."
Johnson wanted Landers
to unbolt a flange in a 6-inch line about 15 feet off the ground and install
a "blind" -- a pancake-shaped piece of metal used to block the
passage of toxic gas or liquid. Betancourt was to be Landers' helper,
and a coworker., Ken Christmas, was to be the "safety watch"
on the ground. Landers doubted the job would take more than 25 minutes.
At about 8:30 p.m.
James Cover, a Shell operator, met with the three-man crew and Johnson.
What Cover said to the Brown & Root men is in dispute.
Landers and Johnson
said Cover told them the hydrogen sulfide line had been purged with nitrogen
and would have no more than 3 to 5 pounds of pressure in it. "He
(Cover) said if we smelled a little bit of it (hydrogen sulfide), it wouldn't
hurt us," Landers said. Cover said in a June 27 deposition that he
made no such statement.
In any event, Landers
and his assistants were issued a Shell work permit at 8:50 p.m. The permit,
signed by Cover, Johnson and the three-man crew, said that there "may
be some (hydrogen sulfide) gas present" and that the workers should
be given "fresh air with egress standby."
Here the stories
diverge again. Landers said he understood these instructions to mean that
he and Betancourt needed a supply of fresh air on the scaffold and that
Christmas, as the "standby" man on the ground, needed a portable
air supply. In fact, Christmas was equipped with a 30-minute, self-contained
breathing apparatus called a Scott Air Pak.
Cover said in his
deposition that he explained to Johnson and the Brown & Root crew
that "fresh air with egress and (italics added) standby" were
required.
Before Landers,
Betancourt and Christmas could start the job they needed another clearance
document, this time from Brown & Root. They and Johnson signed the
form sometime after 9 p.m. It made no mention of egress bottles; it simply
said to use "Hi-Glo" protective suits and "fresh air"
and to "break flanges away from you."
Landers, Betancourt
and Christmas put on their mandatory safety equipment: bright yellow Hi-Glo
suits, rubber gloves and respirators -- the Scott Air Pak for Christmas
and full-face respirators, hooked by air hoses to a bottle bank on the
ground, for Landers and Betancourt. The men also asked for rubber boots,
which weren't required.
At about 9:30 p.m.,
Landers and Betancourt made their way to the top of the four-level scaffold.
Neither had an egress bottle. Landers' air hose was 50 feet, Betancourt's
25. The configuration of the Brown & Root-erected scaffold made it
difficult, if not impossible, for Betancourt to come all the way down
without either unhooking his hose or removing his mask.
Landers removed
the bolts on the bottom of the flange, so that any residual liquid in
the line would spill harmlessly onto the scaffold boards. A "sparkling"
liquid did, in fact, come out, as did vapors, similar to the ones that
waft out of a car's gas tank during fueling. At about 10:15 p.m., a piercing
alarm went off.
"I knew exactly
what it was," Landers said. Betancourt "looked at me. He had
that fear in his eyes, like, "Oh, s---, something's wrong.' My thought
was, just be cool, stay calm."
Landers and Betancourt
got down to the third level of the scaffold. Landers turned away from
Betancourt, broke the tight seal of his face mask slightly, got a "real
strong" whiff of hydrogen sulfide and resealed the mask.
When Landers looked
back, Betancourt was holding his mask in his left hand. Seconds later
he yelled and fell about 3 feet to the second level, hitting the back
of his head on a yellow valve.
Christmas checked
the men's air hoses and tried to help Betancourt, lying dead or dying,
on the scaffold. Meanwhile, Brown & Root foreman Johnson and a Shell
rescue team responded to the alarm. Christmas' air supply was almost depleted,
so Johnson -- wearing a self-contained breathing apparatus -- climbed
up to the second level of the scaffold. He and Landers broke a pipe and
handed down the 5-foot-11-inch, 220-pound Betancourt, feet first, to the
Shell people.
"His eyes were
already rolled back in his head," Landers said.
Still on the scaffold,
Landers drew three or four deep breaths of air, disconnected his hose
from his mask and went down the ladder. He held his breath for about 30
seconds, ran to where the Shell people were performing CPR on Betancourt
and pulled off his mask. He felt "real drained, real dizzy"
and was "hurting all over," he said.
He staggered another
200 yards or so to the "Blue Building," the designated evacuation
site, and was taken by ambulance to Bayshore Medical Center in Pasadena.
His clothes were stained with Betancourt's blood.
THE next morning,
a Friday, Landers hesitantly asked a nurse in the Intensive Care Unit
about Betancourt. "I asked her if George made it and she said, "No.
I'm sorry.' "
That afternoon two
Brown & Root men -- project safety manager Matt Hodge and maintenance
turnaround supervisor Bill Schendel -- and Shell safety official Jim Beasley
came to the hospital. They took a statement, later transcribed, from a
dazed and distraught Landers, who was still in the ICU. He said he cannot
recall what he told the men.
Exhausted from two
sleepless nights, Landers was discharged from Bayshore on Saturday afternoon,
Feb. 5. A Brown & Root employee Landers did not know picked him up
and took him to the contractor's office at Shell to answer "a couple
of questions."
"He said, "This
won't take very long,' " Landers said. "I said, "I just
want to go home."'
As it turned out,
four Brown & Root officials "interrogated me for two and a half
hours in that meeting," Landers said, asking "real sharp questions"
about the accident and drawing sketches on a big board.
Landers said he
told them, among other things, that he would have "kept George and
everybody else" away from the hydrogen sulfide line and demanded
an egress bottle for himself had he known that Shell had not properly
cleaned out the line before it issued the work permit.
Landers left the
meeting feeling "real teed off. Here I am just getting out of the
hospital and they had no consideration for me whatsoever. I'd seen a good
friend die, and it wasn't right. I think I was really taken advantage
of. I felt like they were trying to put the blame off on someone else."
Although he would
not comment on Landers' allegations, Darrell Hargrove, safety director
for Brown & Root Industrial Services, said it is not unusual for company
officials to show up in a worker's hospital room to ask questions -- providing
there is no medical reason to stay out.
"You try to
get statements from the people involved just as soon as you can, before
someone forgets," Hargrove said. "We're not out to take advantage
of someone."
Landers stayed off
work until Feb. 16, when he was cleared for "light duty" at
Shell. He was assigned, against his wishes, to monitor air bottles in
the Girbitol Unit, where he had almost died. The same day, he said, he
was caught in a chemical vapor that frightened him and made him dizzy.
"I told (Brown
& Root) I didn't want to go back" to the unit, Landers said.
He was laid off Feb. 21, and although he later interviewed for three other
Brown & Root jobs, he was never rehired. He has filed a personal-injury
lawsuit against Shell and Brown & Root.
GEORGE Betancourt
was pronounced dead at 11:25 p.m. on Feb. 3. The Harris County medical
examiner performed an autopsy the next day and concluded that the cause
of death was "asphyxia from hydrogen sulfide."
Norma Betancourt
has sued Shell and Brown & Root, alleging that their gross negligence
caused her husband's death. Her attorney, Steve McCarthy, said that "when
corporations show a disregard for worker safety and a man dies because
of that, someone has to step up to the plate and hold them accountable."
Betancourt's wife
hopes to receive a jury award or settlement that will allow her to raise
her children comfortably and send them to college. But no amount of money
will bring her husband back. "He was just too special."
She keeps little
mementos of him. She has his coffee mug, with his name on it, which she
is saving for George Jr. She has his last pack of cigarettes. She holds
on to other things he might have touched during the last day, or week,
of his life.
The baby of the
Betancourt family, Sandra, never got to know her father. The boys were
quite close to him and haven't accepted his death, their mother said.
"I hear them
talking to George when they're alone," she said. "They miss
their father." ...
The Death of George Betancourt
George Betancourt,
a pipefitter's helper for Brown & Root Inc., died when he was exposed
to hydrogen sulfide gas last Feb. 3 at the Shell Oil Co. refinery in Deer
Park. This is what happened. (Times are approximate.)
10:15 p.m. An alarm
signals a hydrogen sulfide release from a line 15 feet off the ground.
Pipefitter James Landers, who had been working on the line, and his helper,
Betancourt, scramble down to the third level of the four-level scaffold.
They are wearing respirators attached by hoses to a bank of oxygen bottles
on the ground, but have no portable air supplies.
10:15-10:20 p.m.:
Landers turns away from Betancourt, breaks the seal on his face mask,
smells hydrogen sulfide, reseals mask. Looking back, he sees Betancourt
with his mask in his hand. Betancourt yells and falls to the next level,
striking his head on a valve.
10:20-10:25 p.m.:
Fellow Brown & Root contract employees and a Shell rescue team rush
to assist, removing Betancourt from the scaffold. Landers takes several
deep breaths, disconnects the hose from his mask and runs to where the
rescue team is performing CPR on Betancourt, then to an evacuation site
200 yards away.
11:25 p.m.: Betancourt
is pronounced dead.
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