Accident Report Detail

Accident Summary Nr: 14250526 - AUTOCLAVE DOOR BLEW OFF, STRIKING EMPLOYEE

Accident Summary Nr: 14250526 -- Report ID: 0453710 -- Event Date: 07/07/1986
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
15305923	07/28/1986	2834	0	Baxter-Travenol Laboratories Inc

Abstract: EMPLOYEE #1 WAS SERIOUSLY INJURED WHEN THE DOOR OF AN AUTOCLAVE BLEW OFF DURING THE START UP CYCLE (UNLOADED) OF AN EQUIPMENT CHECK. EMPLOYEE #1 WAS MERELY PASSING THROUGH THE STERILIZING DEPARTMENT AND WAS 50 FEET AWAY FROM THE AUTOCALVE WHEN THE DOOR BLEW OFF. SUBSEQUENT INVESTIGATION REVEALED THAT THE DOOR WAS NOT FULLY SECURED BEFORE IT WAS PRESSURIZED. THE LOCKING MECHANISM WAS MISALIGNED, IN THAT THE SERIES OF ROLLERS DOWN EACH SIDE OF THE DOOR DID NOT LINE UP CORRECTLY WITH THE DOOR LUG STRIKER PLATES. AS THE INTERNAL PRESSURE INCREASED, THE PARTIALLY SECURED DOOR SLID PAST THE PLATES AND BLEW ACROSS THE ROOM.

Keywords: PRESSURE VESSEL, UNSECURED, HIGH PRESSURE, STRUCK BY, FLYING OBJECT, DOOR

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	15305923			Hospitalized injury	Other	Industrial machinery repairers

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