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Accident: 869032 - Nine Employees Inhale Chlorine Gas

Accident: 869032 -- Report ID: 0522000 -- Event Date: 12/12/1988
InspectionOpen DateSICEstablishment Name
10313075312/13/19882621The Mead Corp.-Fine Paper Div-Chilpaco Mill
Employees #3, #6, and #9 improperly mixed a 12 1/2 percent bleach solution and a hydrochloric acid solution during a boilout procedure, which began in the beater room attached to a paper machine. The resulting chlorine gas affected Employees #1 through #9, either at their work stations or while passing through the beater room. Factors contributing to the accident include a lack of distinctive labeling for the tote bins containing acids and caustics; lack of written procedures for chemical additions; and poor evacuation procedures.
Keywords: hydrochloric acid, bleach, work rules, inhalation, chlorine, chemical reaction, process safety, toxic fumes, evacuation
Employee # Inspection Age Sex Degree Nature Occupation
1 103130753 Non Hospitalized injury Poisoning(Systemic) Occupation not reported
2 103130753 Non Hospitalized injury Poisoning(Systemic) Occupation not reported
3 103130753 Non Hospitalized injury Poisoning(Systemic) Occupation not reported
4 103130753 Non Hospitalized injury Poisoning(Systemic) Occupation not reported
5 103130753 Non Hospitalized injury Poisoning(Systemic) Occupation not reported
6 103130753 Non Hospitalized injury Poisoning(Systemic) Occupation not reported
7 103130753 Hospitalized injury Poisoning(Systemic) Occupation not reported
8 103130753 Hospitalized injury Poisoning(Systemic) Occupation not reported
9 103130753 Non Hospitalized injury Poisoning(Systemic) Occupation not reported

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