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Inspection Detail
Inspection: 300874211 - Baxter Healthcare Corp Dba Baxter Bioscience
Inspection Information - Office: Los Angeles District Office
Site Address:
Baxter Healthcare Corp Dba Baxter Bioscience
4501 Colorado Blvd.
Los Angeles, CA 90039
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:2834
NAICS: 325412/Pharmaceutical Preparation Manufacturing
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 04/25/2011
Planning Guide: Safety-Manufacturing
Emphasis:
Case Closed: 07/27/2015
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102581105 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 6 | 4 | 1 | 11 | ||
| Current Violations | 2 | 2 | 1 | 5 | ||
| Initial Penalty | $90,000 | $280,000 | $0 | $1,250 | $0 | $371,250 |
| Current Penalty | $53,750 | $140,000 | $0 | $1,250 | $0 | $195,000 |
| 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 | Other | 5157 E01 | 07/19/2011 | 08/21/2011 | $1,250 | $1,250 | $0 | 07/28/2011 | F - Formal Settlement | |
| 2. | 02001 | Willful | 5157 C03 | 07/19/2011 | 07/29/2011 | $70,000 | $70,000 | $0 | 07/28/2011 | F - Formal Settlement | |
| 3. | 03001 | Serious | 5157 C04 | 07/19/2011 | 07/29/2011 | $31,250 | $11,250 | $0 | 07/28/2011 | F - Formal Settlement | |
| 4. | 04001 | Serious | 5157 C07 | 07/19/2011 | 07/29/2011 | $11,250 | $11,250 | $0 | 07/28/2011 | F - Formal Settlement | Citation has been deleted. |
| 5. | 05001 | Willful | 5157 D01 | 07/19/2011 | 07/29/2011 | $70,000 | $70,000 | $0 | 07/28/2011 | F - Formal Settlement | |
| 6. | 06001 | Willful | 5157 D04 | 07/19/2011 | 07/29/2011 | $70,000 | $70,000 | $0 | 07/28/2011 | F - Formal Settlement | Citation has been deleted. |
| 7. | 07001 | Serious | 5157 D06 | 07/19/2011 | 07/29/2011 | $11,250 | $11,250 | $0 | 07/28/2011 | F - Formal Settlement | Citation has been deleted. |
| 8. | 08001 | Willful | 5157 D09 | 07/19/2011 | 07/29/2011 | $70,000 | $70,000 | $0 | 07/28/2011 | F - Formal Settlement | Citation has been deleted. |
| 9. | 09001 | Serious | 5157 K01 | 07/19/2011 | 07/29/2011 | $11,250 | $11,250 | $0 | 07/28/2011 | F - Formal Settlement | Citation has been deleted. |
| 10. | 10001 | Serious | 5157 K03 B | 07/19/2011 | 07/19/2011 | $22,500 | $22,500 | $0 | 07/28/2011 | F - Formal Settlement | Citation has been deleted. |
| 11. | 11001 | Serious | 5194 H02 E | 07/19/2011 | 07/22/2011 | $22,500 | $22,500 | $0 | 07/28/2011 | F - Formal Settlement |
Investigation Summary
At approximately 3:50 a.m. on January 21, 2011, Employee #1 entered a 6,000 liter reaction vessel, Vessel Number 23 (Mueller Products part number P3388), which was located in plasma fractionation Room Number 404. He accessed the reaction vessel using a stainless steel ladder routinely used by employees entering this vessel during cleaning operations. However, no cleaning operations were taking place in the vessel. At that time, the vessel contained 257 liters of a mixture of 40 percent ethanol, buffers and human plasma. Air in the vessel had been displaced by nitrogen gas, which had been bubbled through the product for 20 hours. Employee #1 entered the reaction vessel to measure the temperature of the plasma ethanol mixture. While in the vessel, he collapsed because of an oxygen deficient atmosphere and was discovered by his supervisor. The supervisor left the room to summoned emergency medical personnel. As the supervisor sought help, two coworkers entered the vessel to attempt to rescue the first employee. All three employee were extricated from the vessel by the fire department. Employee #1 was asphyxiated, another employee was in a coma and in critical condition and a third employee was not injured. Note: The injury line only identified the asphyxiated employee.
Keywords: ASPHYXIATED, CONFINED SPACE, PRESSURE VESSEL, GAS, NITROGEN, RESPIRATOR
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 300874211 | Fatality | Asphyxia | Biological technicians |