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Occupational Safety and Health Administration OSHA

Accident Report Detail

Accident: 14429377 - Thirteen Employees Exposed To Large Amount Of Chlorine Gas

Accident: 14429377 -- Report ID: 0830500 -- Event Date: 08/04/1987
InspectionOpen DateSICEstablishment Name
10067386208/05/19878062Health One Dba Presbyterian/St. Luke'S Medical Cen
On August 4, 1987, Employee #1, a kitchen worker, was instructed to clean a portable pot sink in the kitchen area of a hospital. She mixed bleach, Ajax cleanser, Lime-A-Way scale remover, and water in the pot sink without realizing the potential incompatibilities of the chemicals in these materials. The mixture reacted, releasing chlorine gas. While kitchen employees were evacuated, Employees #2 and #3 were called to dispose of the mixture in the pot sink, which they poured down a kitchen drain. When Employee #1 sprayed hot water on the remaining pile of material in the sink, large quantities of chlorine gas were released. Employees #1 through #3 were hospitalized. Employees #4 through #6 were examined. Employees #7 through #13 were exposed, but not hospitalized.
Keywords: work rules, toxic atmosphere, inhalation, gas, chlorine, inexperience, chemical reaction, chemical vapor, toxic fumes, overexposure
Employee # Inspection Age Sex Degree Nature Occupation
1 100673862 Non Hospitalized injury Other Occupation not reported
2 100673862 Non Hospitalized injury Other Occupation not reported
3 100673862 Non Hospitalized injury Other Occupation not reported
4 100673862 Non Hospitalized injury Other Occupation not reported
5 100673862 Non Hospitalized injury Other Occupation not reported
6 100673862 Non Hospitalized injury Other Occupation not reported
7 100673862 Hospitalized injury Other Occupation not reported
8 100673862 Hospitalized injury Other Occupation not reported
9 100673862 Hospitalized injury Other Occupation not reported
10 100673862 Non Hospitalized injury Other Occupation not reported
11 100673862 Non Hospitalized injury Other Occupation not reported
12 100673862 Non Hospitalized injury Other Occupation not reported
13 100673862 Non Hospitalized injury Other Occupation not reported
14 100673862 Non Hospitalized injury Other Occupation not reported
15 100673862 Non Hospitalized injury Other Occupation not reported
16 100673862 Non Hospitalized injury Other Occupation not reported
17 100673862 Non Hospitalized injury Other Occupation not reported
18 100673862 Non Hospitalized injury Other Occupation not reported
19 100673862 Non Hospitalized injury Other Occupation not reported
20 100673862 Non Hospitalized injury Other Occupation not reported
21 100673862 Non Hospitalized injury Other Occupation not reported
22 100673862 Non Hospitalized injury Other Occupation not reported
23 100673862 Non Hospitalized injury Other Occupation not reported
24 100673862 Non Hospitalized injury Other Occupation not reported
25 100673862 Non Hospitalized injury Other Occupation not reported
26 100673862 Non Hospitalized injury Other Occupation not reported

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