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Accident: 170702500 - Employees Possibly Exposed To Ethylene Oxide

Accident: 170702500 -- Report ID: 0950614 -- Event Date: 05/19/1993
InspectionOpen DateSICEstablishment Name
11181515506/11/19938062Alta Bates Medical Center
A Central Processing technician overloaded the sterilizer trays for both the AMSCO and 3M ethylene oxide sterilizers. In addition, the technician did not follow correct procedures to crack the door prior to removing the sterilized load. Central Processing Employees #1 through #9 evacuated the area as soon as an alarm sounded. The responding engineers measured a 7 ppm peak for the AMSCO leak and a 38 ppm spike for the 3M leak. Engineers wore SCBAs as they investigated and measured ethylene oxide levels with a Miran recorder. No employees went for medical surveillance.
Keywords: leak, ethylene oxide, work rules, overloaded
Employee # Inspection Age Sex Degree Nature Occupation
1 111815155 Non Hospitalized injury Other Occupation not reported
2 111815155 Non Hospitalized injury Other Occupation not reported
3 111815155 Non Hospitalized injury Other Occupation not reported
4 111815155 Non Hospitalized injury Other Occupation not reported
5 111815155 Non Hospitalized injury Other Occupation not reported
6 111815155 Non Hospitalized injury Other Occupation not reported
7 111815155 Non Hospitalized injury Other Occupation not reported
8 111815155 Non Hospitalized injury Other Occupation not reported
9 111815155 Non Hospitalized injury Other Occupation not reported

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