Accident Report Detail | Occupational Safety and Health Administration

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Occupational Safety and Health Administration

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Accident Report Detail

Accident: 869032 - Nine Employees Inhale Chlorine Gas

Inspection	Open Date	SIC	Establishment Name
Accident: 869032 -- Report ID: 0522000 -- Event Date: 12/12/1988
103130753	12/13/1988	2621	The 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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