The primary autopsies revealed that the human blood had turned purple red; the lungs had become ash colour and filled with their own secretions. The tracheas were so dry that the mucous flaked off on touch, blood was thick. The gas leak saw thousands blinded, breathless flooding the hospitals, carrying those who had collapsed along the way. In cases of acute exposure, victims had suffered extensive damage to their lungs. Few fell victim of secondary infections of lungs and respiratory tracts. Victims suffered depression, anxiety, impotence, loss of appetite, nightmares.
In oct'82, a mixture of MIC,chloroform and HCL escaped the site and injured a few workers apart from damage to flora n fauna. Such regular incidents warned the administrators, of the plant’s potential threat but they kept on underplaying the safety precautions to cut down costs. Half to two-thirds of the experienced engineers n operators left the co. well before the accident in search of more secure and satisfactory jobs being fully acquainted with the upcoming destruction.
MIC in gaseous form is heavier than air, tends to settle down and is subject to wind dispersal. At 11.00p.m on 2nd dec'84, the pressure in the tank mounted till the level the safety valve did not open. It was between 12.45a.m and 1.30am the ‘terror’ was out to cover an area of 40 km sq.The advice of senior administrators like Mr.M.N.Buch to locate the plant in a less populated area was ignored. Rather he was transferred before he could take any action.
The issue of threats from this plant was raised in the M.P. assembly in dec'82. Mr. T.S.Viyogi,labour minister in the Arjun singh's govt. stated: "A sum of rs.25 cr. has been invested in this unit. The factory is not a small stone can be shifted elsewhere. There is no danger to Bhopal nor will ever be”.
Equally confident was J.Mukund,Carbide's works manager, when he stated:” The gas leak just can't be from my plant. The plant is shut down. Our technology just can't go wrong, we can't have such leaks”. Once it was confirmed that the leak was from the UCC plant, the chief medical officer denied that MIC was fatal; accentuating that it was just a 'minor irritant’. Apart from these several other factors led to the disaster:-
· gradual and steady erosion of good maintenance practices
· declining quality of technical training of personnel esp. the supervisory staff
· depleting stocks of vital spare-parts
· senseless economy drive producing staff's low morale and lack of capital replacement
· exodus of more experienced and able engineers and
· lesser staffs at important work stations.