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Occupational Safety and Health Administration OSHA

Inspection Detail

Inspection: 315077578 - Randstad Horizons Dba Placement Pros

Inspection Information - Office: Ca Fresno


Inspection Nr: 315077578
Report ID: 0950625
Date Opened: 09/11/2012

Site Address:
Randstad Horizons Dba Placement Pros
1720 Academy Ave
Sanger, CA 93657

Mailing Address:
4305 Hacienda Dr., Ste 320, Pleasanton, CA 94588

Union Status: NonUnion


NAICS: 561310/Employment Placement Agencies

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Health

Close Conference: 03/07/2013


Case Closed: 06/09/2015

Related Activity
Type Activity Nr Safety Health
Accident 362051799
Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 1 5 6
Current Violations 3 3
Initial Penalty $9,000 $0 $0 $3,370 $0 $12,370
Current Penalty $0 $0 $0 $2,250 $0 $2,250
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 Other 5144 E04 A 03/08/2013 04/10/2013 $0 $185 $0 03/29/2013 F - Formal Settlement Citation has been deleted.
2. 01002 Other 5192 Q02 A 03/08/2013 04/10/2013 $375 $375 $0 03/29/2013 F - Formal Settlement  
3. 01003 Other 3310 A 03/08/2013 04/10/2013 $750 $750 $0 03/29/2013 F - Formal Settlement  
4. 01004 Other 3328 G 03/08/2013 04/10/2013 $0 $935 $0 03/29/2013 F - Formal Settlement Citation has been deleted.
5. 01005 Other 5155 C02 B 03/08/2013 04/10/2013 $1,125 $1,125 $0 03/29/2013 F - Formal Settlement  
6. 02001 Serious 3203 A04 03/08/2013 04/10/2013 $0 $9,000 $0 03/29/2013 F - Formal Settlement Citation has been deleted.

Investigation Summary

Investigation Nr: 201496809
Event: 09/11/2012
Employee Is Killed From Ammonia Release

On September 11, 2012, Employee #1, a temporary employee of Randstad Horizons d/b/a Placement Pros, was working as a racker-blender at Gibson Wine Company, was exposed to anhydrous ammonia, and died of asphyxia. Employee #1 was found in the west hallway 54 ft from the men's restroom. Upon further investigation, a cellar supervisor was to clear iced juice in Chiller 13 by performing a "hot gas" procedure. The evaporator's temperature is raised by opening a bypass valve that equalizes the refrigerant pressure. The cellar supervisor was distracted in conversation with a graveyard shift supervisor and inadvertently opened the dump valve. The dump valve purges excessive oil from the refrigerant system into a barrel of water. The opening of the dump valve instead of the bypass valve caused oil to discharge and liquid ammonia to release forming a gas cloud. The cellar supervisor evacuated the area but left the dump valve open. The gas cloud engulfed the area and was pushed against the building containing two hallways, a men and women's bathroom, and a break room. The gas cloud formation was captured on a surveillance video, but dissipated within seconds. Approximately one minute before the release, Employee #1 entered the west hallway. It was calculated the refrigerant charge at the facility was 23,640 pounds of anhydrous ammonia.

Keywords:leak, asphyxiated, inhalation, gas, anhydrous ammonia, air contamination, valve, process safety, chemical, inattention

Investigated Inspection
# Inspection Age Sex Degree Nature Occupation
1 315077578 Fatality Asphyxia Production helpers
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