Inspection Detail

Inspection: 119843720 - Century City Hospital

Inspection Information - Office: Los Angeles District Office

Inspection Nr: 119843720

Report ID: 0950641

Date Opened: 02/14/1994

Site Address:
Century City Hospital
2070 Century Park East
Los Angeles, CA 90067

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:8062

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Health

Close Conference: 05/20/1994

Emphasis:

Case Closed: 08/01/1994

Related Activity
Type	Activity Nr	Safety	Health
Accident	362009524

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations	1					1
Initial Penalty	$2,000	$0	$0	$0	$0	$2,000
Current Penalty	$2,000	$0	$0	$0	$0	$2,000
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	5220 J03 C3	05/20/1994	05/26/1994	$2,000	$2,000	$0		-

Investigation Summary

Investigation Nr: 170606891

Event: 01/20/1994

Employee exposed to ethylene oxide

On the afternoon of January 20, 1994, an ethylene oxide leak occurred on the p-1 level of Century City Hospital in the Central Services area. This occurred during the sterilization cycle on the ethylene oxide gas sterilizer (AMSCO model #2027). During the cycle, the equipment emitted a pulsing audible buzzer, signifying a mechanical failure. Employee #1 mistook the sterilizer pulsing buzzer for a solid buzzer that signals the completion of the sterilization cycle. When he opened the sterilizer door to transfer the load to a secondary aerator for a second sterilization cycle, ethylene oxide was released into the immediate area, exposing Employee #1 and sending a high alarm reading on the ethylene oxide monitor. A serious accident related citation was issued (5220(j)(3)(c)(3)).

Keywords: ETHYLENE OXIDE, WORK RULES, ALARM, PROCESS SAFETY, OVEREXPOSURE, ACCIDENTAL DISCHARGE, INATTENTION

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	119843720			Non Hospitalized injury	Cancer	Health technologists and technicians, n.e.c.

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