Inspection Detail

Inspection: 101433647 - Oklahoma City Air Logistics Center

Inspection Information - Office: Oklahoma City Area Office

Inspection Nr: 101433647

Report ID: 0627700

Date Opened: 07/21/1988

Site Address:
Oklahoma City Air Logistics Center
Building 3001
Tinker Afb, OK 74135

Mailing Address:
Building 3001, Tinker Afb, OK 74145

Union Status: Union

SIC:3724

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership:

Safety/Health: Health

Close Conference: 07/21/1988

Emphasis:

Case Closed: 08/04/1988

Related Activity
Type	Activity Nr	Safety	Health
Accident	360159586

Investigation Summary

Investigation Nr: 14495212

Event: 07/20/1988

Two employees killed when struck by vertical conveyor

Employees #1 and #2 were attempting to unjam the 100017 conveyor's carrier in a two-story freon vapor degreaser. Their efforts to move the jammed conveyor up and down allowed the conveyor chain to slacken. When the chain was raised, the connecting hook rolled out so only the jammed parts' containers held up the carrier. The employees, unaware the hook had rolled out, continued to work at the jam until they freed the carrier. The carrier then fell, catching Employee #1 at waist between the top of the carrier and the door frame. He sustained multiple traumatic injuries and was killed. Employee #2 fell into the freon solution and died of acute trifluoroethane intoxication. Causal factors include equipment design and malfunction, coupled with human error.

Keywords: MAINTENANCE, WORK RULES, FREON, JAMMED, DEGREASER, CONVEYOR, FALL, STRUCK BY, FALLING OBJECT, OVEREXPOSURE

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	101433647					Occupation Not Listed

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