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Accident Report Detail

Accident: 997130 - Ammonia Cylinder Ruptured; 4 Employees Exposed To Ammonia

Accident: 997130 -- Report ID: 0551800 -- Event Date: 05/09/1986
InspectionOpen DateSICEstablishment Name
269991605/14/19862086American Juice
AT APPROXMATELY 3:15 PM ON MAY 9, 1986, EMPLOYEES OF AMERICAN JUICE CO. INC., STARTED TO CHARGE THE NUMBER 1 LINE CARBO-COOLER, USING A CYLINDER CONTAINING 150 POUNDS OF ANHYDROUS AMMONIA AT 129 PSI (ROOM TEMPERATURE). EMPLOYEE #1, IN AN EFFORT TO SPEED THE CHARGING PROCESS, WAS ADDING WATER AT 132 DEGREES TO THE AMMONIA CYLINDER (TO RAISE THE INTERNAL PRESSURE). EMPLOYEE #2 WAS WORKING ON 2 MAGNETIC SWITCHES LOCATED NEAR THE SIGHT GLASS ON THE CARBO-COOLER. EMPLOYEE #3 WAS OPERATING THE #1 LINE FILLER, APPROXIMATELY 25 FEET FROM THE AMMONIA CYLINDER. EMPLOYEE #4 WAS PAINTING IN AISLE #3, APPROXIMATELY 45 FEET FROM THE CYLINDER. AT APPROXIMATELY 3:30 PM THE CYLINDER RUPTURED, PRODUCING A WHITE CLOUD OF AMMONIA GAS. EMPLOYEE #1, WHO WAS APPROXIMATELY 5 FEET FROM THE CYLINDER, WAS BURNED IN THE EYES AND BODY AND ADMITTED TO THE HOSPITAL. EMPLOYEE #2 WAS ALSO ADMITTED TO THE HOSPITAL. EMPLOYEES #3 AND #4 WERE BOTH TREATED HAD RELEASED AT THE HOSPITAL. ALL EMPLOYEES OF AMERICAN JUICE REENTERED THE PLANT AT 5 PM. THE ANHYDROUS AMMONIA CYLINDER HAD A 21 INCH LONG SPLIT IN IT, APPROXIMATELY 3 1/2 INCHES WIDE AT THE WIDEST SPOT. ON SUNDAY, MAY 18, 1986, EMPLOYEE #1 DIED AT LOYOLA UNIVERSITY BURN CENTER, CHICAGO, ILLINOIS.
Keywords: eye, respiratory, cylinder, work rules, rupture, anhydrous ammonia, high pressure, chemical burn
Employee # Inspection Age Sex Degree Nature Occupation
1 2699916 Non Hospitalized injury Burn(Chemical) Painters, construction and maintenance
2 2699916 Non Hospitalized injury Burn(Chemical) Packaging and filling machine operators
3 2699916 Hospitalized injury Burn(Chemical) Misc. electrical & electronic equipment repairers
4 2699916 Fatality Burn(Chemical) Packaging and filling machine operators

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