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Inspection Detail
Inspection: 111995445 - Kaiser Permanente, Optical Services
Inspection Information - Office: American Canyon District Office
Site Address:
Kaiser Permanente, Optical Services
200 Muir Road
Martinez, CA 94553
Mailing Address:
, , 00000
Union Status: Union
SIC:8062
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 07/21/1992
Emphasis:
Case Closed: 10/18/1992
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 361410814 | ||
| Accident | 361410954 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $4,000 | $0 | $0 | $0 | $0 | $4,000 |
| Current Penalty | $4,000 | $0 | $0 | $0 | $0 | $4,000 |
| 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 | 3310 D | 08/14/1992 | 08/31/1992 | $2,000 | $2,000 | $0 | - | ||
| 2. | 02001 | Serious | 5144 A | 08/14/1992 | 08/31/1992 | $2,000 | $2,000 | $0 | - |
Investigation Summary
On June 10, 1992, and July 8, 1992, the ethylene oxide (EtO) sterilizer became overpressurized due to polymerization of material in a gas cylinder, which caused the solenoid to stick and the safety relief to lift. When this occurred on June 10, 1992, Employee #1 had entered and turned off the gas cylinder. Medical aid was administered to Employee #1, who suffered no acute injury and was not hospitalized. After the incident, a cracked bushing was found, which had prevented the safety valve from resetting. The EtO unit was repaired. On July 8, 1992, the same incident occurred, but no cracked bushing was found. The fire department responded and shut down the gas cylinder. The gas was tested for particulate.
Keywords: CYLINDER, ETHYLENE OXIDE, AIR CONTAMINATION, HIGH PRESSURE, VALVE, TOXIC FUMES, ACCIDENTAL DISCHARGE, CHEMICAL
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 111995445 | Non Hospitalized injury | Poisoning(Systemic) | Mechanical engineers |