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Inspection Detail
Inspection: 100642933 - U.S. Dod, Oklahoma City Air Logistics Center
Inspection Information - Office: Oklahoma City Area Office
Site Address:
U.S. Dod, Oklahoma City Air Logistics Center
Building 3001
Tinker Air Force Base, OK 73145
Mailing Address:
, , 00000
Union Status: Union
SIC:3724
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership:
Safety/Health: Safety
Close Conference: 07/27/1988
Emphasis:
Case Closed: 05/02/1989
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 360159586 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 12 | 12 | ||||
| Current Violations | 8 | 8 | ||||
| Initial Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citation Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Serious | 10201 A | 11/10/1988 | 12/05/1988 | $0 | $0 | $0 | I - Informal Settlement | ||
| 2. | 01002 | Serious | 10201 A | 11/10/1988 | 12/05/1988 | $0 | $0 | $0 | - | ||
| 3. | 01003 | Serious | 10201 A | 11/10/1988 | 12/05/1988 | $0 | $0 | $0 | I - Informal Settlement | ||
| 4. | 01004 | Serious | 19100094 D09 I | 11/10/1988 | 12/05/1988 | $0 | $0 | $0 | - | ||
| 5. | 01005 | Serious | 19100132 A | 11/10/1988 | 12/05/1988 | $0 | $0 | $0 | - | ||
| 6. | 01006 | Serious | 19100212 A01 | 11/10/1988 | 12/05/1988 | $0 | $0 | $0 | - | ||
| 7. | 01007 | Serious | 19100094 D09 III | 11/10/1988 | 12/05/1988 | $0 | $0 | $0 | I - Informal Settlement | Citation has been deleted. | |
| 8. | 01008 | Serious | 19100132 A | 11/10/1988 | 12/05/1988 | $0 | $0 | $0 | I - Informal Settlement | ||
| 9. | 01009 | Serious | 19100094 D09 V | 11/10/1988 | 12/05/1988 | $0 | $0 | $0 | I - Informal Settlement | Citation has been deleted. | |
| 10. | 01010 | Serious | 19100094 D11 III | 11/10/1988 | 12/05/1988 | $0 | $0 | $0 | I - Informal Settlement | Citation has been deleted. | |
| 11. | 01011 | Serious | 19100134 E01 | 11/10/1988 | 12/05/1988 | $0 | $0 | $0 | I - Informal Settlement | Citation has been deleted. | |
| 12. | 01012 | Serious | 19100212 A01 | 11/10/1988 | 12/05/1988 | $0 | $0 | $0 | I - Informal Settlement |
Investigation Summary
Employees #1 and #2 were attempting to unjam the 100017 conveyor's carrier in a two-story freon vapor degreaser. Their efforts to move the jammed conveyor up and down allowed the conveyor chain to slacken. When the chain was raised, the connecting hook rolled out so only the jammed parts' containers held up the carrier. The employees, unaware the hook had rolled out, continued to work at the jam until they freed the carrier. The carrier then fell, catching Employee #1 at waist between the top of the carrier and the door frame. He sustained multiple traumatic injuries and was killed. Employee #2 fell into the freon solution and died of acute trifluoroethane intoxication. Causal factors include equipment design and malfunction, coupled with human error.
Keywords: MAINTENANCE, WORK RULES, FREON, JAMMED, DEGREASER, CONVEYOR, FALL, STRUCK BY, FALLING OBJECT, OVEREXPOSURE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 100642933 | Fatality | Cut/Laceration | Occupation not reported | ||
| 2 | 100642933 | Fatality | Asphyxia | Occupation not reported |