Inspection Detail

Inspection: 111995445 - Kaiser Permanente, Optical Services

Inspection Information - Office: American Canyon District Office

Inspection Nr: 111995445

Report ID: 0950622

Date Opened: 07/21/1992

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

Related Activity
Type	Activity Nr	Safety	Health
Accident	361410814
Accident	361410954

Violation Summary
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

Violation Items
#	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

Investigation Nr: 170725253

Event: 07/07/1992

Employee exposed to ethylene oxide in first of two releases

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

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	111995445			Non Hospitalized injury	Poisoning(Systemic)	Mechanical engineers

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