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Inspection Detail
Inspection: 112154729 - Domtar Gypsum Company
Inspection Information - Office: Long Beach District Office
Site Address:
Domtar Gypsum Company
2116 E. 55th Street
Vernon, CA 90058
Mailing Address:
, , 00000
Union Status: Union
SIC:2621
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 09/06/1991
Emphasis:
Case Closed: 10/21/1997
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 361293855 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 1 | 1 | 5 | ||
| Current Violations | 3 | 1 | 1 | 5 | ||
| Initial Penalty | $2,400 | $20,000 | $0 | $0 | $0 | $22,400 |
| Current Penalty | $2,400 | $20,000 | $0 | $0 | $0 | $22,400 |
| 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 | Other | 3203 A04B | 09/06/1991 | 09/06/1991 | $0 | $0 | $0 | - | ||
| 2. | 02001 | Serious | 5157 A01 | 09/06/1991 | 09/06/1991 | $200 | $200 | $0 | - | ||
| 3. | 03001 | Serious | 5157 B | 09/06/1991 | 09/16/1991 | $2,000 | $2,000 | $0 | - | ||
| 4. | 04001 | Willful | 5158 C | 09/06/1991 | 09/16/1991 | $20,000 | $20,000 | $0 | - | ||
| 5. | 05001 | Serious | 5158 E01 | 09/06/1991 | 09/16/1991 | $200 | $200 | $0 | - |
Investigation Summary
At approximately 7:30 a.m. on July 23, 1991, Employee #1, of Domtar Gypsum, Inc., was cleaning a filler chest approximately 10 ft deep by 8 ft wide by 16 ft long (a confined space) using recycled water from a 100,000 gallon pit. At about 8:00 a.m., a coworker found Employee #1 in a prone position inside the filler chest. The coworker entered the chest to assist Employee #1, but was unsuccessful. He exited the filler chest and went to get help. The coworker told a supervisor, who then instructed Employees #2 and #3 to enter the chest and help Employee #1. As Employees #2 and #3 were moving Employee #1 to a position closer to the ladder, they felt weak and collapsed. Paramedics removed all three bodies from the filler chest and transported them to a hospital. Employee #1 was killed; Employees #2 and #3 were hospitalized. Subsequent tests showed that the filler chest was contaminated with hydrogen sulfide gas, which apparently came from the water in the 100,000 gallon pit.
Keywords: CONFINED SPACE, HYDROGEN SULFIDE, WORK RULES, CLEANING, INHALATION, GAS, AIR CONTAMINATION, TOXIC FUMES
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 112154729 | Hospitalized injury | Other | Production helpers | ||
| 2 | 112154729 | Fatality | Other | Supervisors; handlers,equip-cleaners,laborers nec | ||
| 3 | 112154729 | Hospitalized injury | Other | Misc. electrical & electronic equipment repairers |