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Occupational Safety and Health Administration OSHA

Accident Report Detail

Accident: 170185755 - Employee Exposed To E And O From Open Tank Door

Accident: 170185755 -- Report ID: 0950643 -- Event Date: 07/18/1991
InspectionOpen DateSICEstablishment Name
11199287107/22/19918062Kaiser Permanente
AT 7:00 A.M. ON JULY 18, 1991, EMPLOYEE #1 WAS ASSIGNED TO CHANGE THE ETHYLENE OXIDE CYLINDER IN THE CENTRAL PROCESSING AREA. EMPLOYEE #1 PROCEEDED TO THE AREA WEARING NO PPE. KITCHEN EMPLOYEES CAME OVER TO EXPLAIN THAT THEY HAD A POSSIBLE STEAM LEAK, AND EMPLOYEE #1 RUSHED TO STOP THE LEAK. IN DOING SO, EMPLOYEE #1 LEFT THE ETHYLENE OXIDE TANK DOOR OPEN WHILE THE TANK WAS BEING BLED. ADDITIONALLY, HE LEFT BOTH THE NEW AND OLD TANKS FREESTANDING. SINCE THE TANK DOOR WAS NOT CLOSED, ETHYLENE OXIDE ESCAPED INTO THE WORK ENVIRONMENT CAUSING THE 20 PPM ALARM TO SOUND. THE CENTRAL PROCESSING AREA WAS EVACUATED. EMPLOYEE #1 WAS THE ONLY EMPLOYEE EXPOSED.
Keywords: maintenance, ethylene oxide, work rules, toxic fumes, overexposure, tank, accidental discharge, inattention
Employee # Inspection Age Sex Degree Nature Occupation
1 111992871 Non Hospitalized injury Dermatitis Occupation not reported

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