On an afternoon last September, a string of explosions suddenly hit Merrimack Valley, Mass. At least five homes were destroyed and a person was killed. More than 20 others were injured.

Federal investigators say they have now pinpointed what caused the sudden explosions on Sept. 13 — a natural gas company field engineer made a major mistake in the plans he developed for construction work that happened earlier that day, resulting in a disastrous chain reaction.

After the incident, authorities immediately suggested it was caused by a problem with the natural gas distribution system, ultimately resulting in damage to some 131 structures.

In the Safety Recommendation Report released Wednesday by the National Transportation Safety Board, investigators found that on the day of the explosions, Columbia Gas of Massachusetts had been in the process of installing a new plastic distribution main to replace an old cast-iron one.

But, according to the report, the crew abandoned the old main with regulator-sensing lines still in it. The regulator-sensing lines were part of a system that controlled the gas network's pressure.

When the old main was disconnected and started losing pressure, the regulators kicked in and flooded the new main with high-pressure gas.

"As a result, natural gas was delivered to customers at pressure well above the maximum-allowable operating pressure which led to the ignition of fires and explosions in homes," the report states.

A monitoring center for Columbia Gas in Ohio apparently received warnings about high pressure shortly before the explosions started but was not able to remotely control the valves that were causing the pressure to ratchet up.

The federal investigators say the work plans for the construction job were put together by a field engineer with "limited knowledge about the importance of the regulator-sensing lines or the consequences of losing the capability to sense the main pressure."

That engineer told the investigators that when he drew up the plans, he did not consult drawings showing where those pressure sensors were located. And while two departments in the company reviewed the plans, the Meters and Regulation department did not look at them, "because the field engineer did not believe at the time that the proposed scope of work was applicable to or affected" that department.

Federal investigators concluded the explosions could have been avoided if all departments had looked over the plans and a registered professional engineer had approved them.

Massachusetts does not currently require a registered professional engineer to sign off on public utility engineering plans. The NTSB is recommending such a change.

"Well, I think it's about time," said professional engineer Frank Hagan in an interview with Mark Herz from NPR member station WGBH. Hagan works for a law firm that filed a lawsuit against the company. "It's my opinion that this incident could have been avoided had a professional engineer signed off on the work instructions."

NiSource Inc., the parent company of Columbia Gas, said it is "thoroughly reviewing the safety recommendations" and "[looks] forward to discussing them in further detail with NTSB." It said it has taken safety measures since the incident, including surveying all of its regulator stations.

Copyright 2018 NPR. To see more, visit http://www.npr.org/.

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