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Inspection Detail
Inspection: 103378923 - Mcgraw/Kokosing Inc.
Inspection Information - Office: Cincinnati Area Office
Site Address:
Mcgraw/Kokosing Inc.
1801 Crawford St.
Middletown, OH 45043
Mailing Address:
4701 E. Oxford State Rd., Middletown, OH 45042
Union Status: Union
SIC:1541
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 09/29/1994
Emphasis:
Case Closed: 01/27/1998
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 360169841 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 4 | 2 | 6 | |||
| Current Violations | 4 | 2 | 6 | |||
| Initial Penalty | $28,000 | $140,000 | $0 | $0 | $0 | $168,000 |
| Current Penalty | $27,000 | $0 | $0 | $0 | $98,000 | $125,000 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Serious | 19100119 H03 I | 10/19/1994 | 10/21/1994 | $6,750 | $7,000 | $0 | I - Informal Settlement | ||
| 2. | 01002 | Serious | 19100119 H03 IV | 10/19/1994 | 12/31/1994 | $6,750 | $7,000 | $0 | I - Informal Settlement | ||
| 3. | 01003 | Serious | 19100147 D06 | 10/19/1994 | 10/24/1994 | $6,750 | $7,000 | $0 | I - Informal Settlement | ||
| 4. | 01004 | Serious | 19100307 B | 10/19/1994 | 10/24/1994 | $6,750 | $7,000 | $0 | I - Informal Settlement | ||
| 5. | 02001 | Unclass | 19100147 C04 II | 10/19/1994 | 12/31/1994 | $49,000 | $70,000 | $0 | I - Informal Settlement | ||
| 6. | 02002 | Unclass | 19100147 D04 I | 10/19/1994 | 10/24/1994 | $49,000 | $70,000 | $0 | I - Informal Settlement |
Investigation Summary
At approximately 10:15 a.m. on April 20, 1994, Employees #1, #3, and #4 had entered the #1 ammonia scrubber (a confined space) to reinstall serviced piping pieces. Employee #2 was acting as attendant. Flammable gas leaked undetected into the vessel and was ignited by any of several possible ignition sources. When the gas flashed, the pressure created by the rapid fire impacted on Employee #2, killing him. Employees #1, #3, and #4 received internal burns. In addition, the pressure front dislodged the trays upon which they were standing, causing Employees #1 and #3 to fall approximately 50 ft to the bottom of the vessel and Employee #4 to be thrown onto and suspended by some of the piping already installed. Employees #1, #3, and #4 were also killed.
Keywords: LEAK, FLAMMABLE VAPORS, EXPLOSION, PIPE, BURN, FIRE, WORK RULES, INSTALLING, CONFINED SPACE, CONSTRUCTION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 103378923 | Occupation Not Listed |