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Occupational Safety and Health Administration OSHA

Accident Report Detail

Accident: 170174833 - Employee Exposed To Ethylene Oxide

Accident: 170174833 -- Report ID: 0950614 -- Event Date: 06/03/1991
InspectionOpen DateSICEstablishment Name
11183082406/11/19918062Humana Hospital
Employee #1, an engineer, had just changed a cylinder of ethylene oxide (EtO) according to proper procedures when he accidentally tripped a lever, releasing EtO into the sterilizer. Four alarms sounded. He turned off the lever and then reset the alarms. Employee #1 was sent to the doctor for an examination and medical surveillance; his pulmonary function and blood tests were satisfactory and he was released. He had not been instructed to wear a full-face, gas canister respirator when changing cylinders. After this incident, all employees were instructed to wear gas canister masks when changing cylinders.
Keywords: vapor, cylinder, ethylene oxide, alarm, inhalation, chemical vapor, accidental discharge, chemical, respirator
Employee # Inspection Age Sex Degree Nature Occupation
1 111830824 Non Hospitalized injury Asphyxia Occupation not reported

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