In a welding shop, two workers pressurized two 16-inch "pig traps" (oil field piping) to 2,150 psi. This pressure test verified the welds on the pig traps. Then one of the workers, a young worker, started to disassemble the connection between the piping being tested and the pressure-recording device. However, he did not depressurize the piping pieces first. He used a pipe wrench to remove a test tee from a 1-inch ball valve that isolated the test tee from the piping pieces. The test tee did not unthread from the valve as expected. Instead, the valve itself unthreaded from the pipe nipple connecting the valve to the still-pressurized pig traps. As a result, the valve and the test tee shot upwards, striking the worker and causing serious injuries. He died in hospital after surgery.

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