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Inspection Detail

Inspection: 102932647 - Merck & Company, Inc.

Inspection Information - Office: Allentown Area Office

 

Inspection Nr: 102932647
Report ID: 0317900
Date Opened: 01/24/1992

Site Address:
Merck & Company, Inc.
770 Sumneytown Pike
West Point, PA 19486

Mailing Address:
P.O. Box 4, Wp20-205, West Point, PA 19486

Union Status: Union

SIC:2834

NAICS: 0 


Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Health

Close Conference: 05/01/1992

Emphasis:

Case Closed: 11/18/1992


Related Activity
Type Activity Nr Safety Health
Accident 360917868
Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 1 1 1 3
Current Violations 1 1 1 3
Initial Penalty $2,250 $70,000 $0 $1,000 $0 $73,250
Current Penalty $1,125 $0 $0 $1,000 $56,875 $59,000
FTA Penalty $0 $0 $0 $0 $0 $0

Violation Items
# Citation ID Citaton Type Standard Cited Issuance Date Abatement Due Date Current Penalty Initial Penalty FTA Penalty Contest Latest Event Note
1. 01001A Serious 19100147 C06 I 06/15/1992 06/29/1992 $1,125 $2,250 $0 07/07/1992 F - Formal Settlement  
2. 01001B Serious 19100147 C07 I 06/15/1992 06/29/1992 $0 $0 $0 07/07/1992 F - Formal Settlement Citation has been deleted.
3. 02001 Unclass 5A0001 06/15/1992 07/15/1992 $56,875 $70,000 $0 07/07/1992 F - Formal Settlement  
4. 03001 Other 19040005 C 06/15/1992 06/22/1992 $1,000 $1,000 $0 07/07/1992 F - Formal Settlement  

Investigation Summary

Investigation Nr: 170340327
Event: 01/24/1992
One employee killed, another injured when autoclave explodes

Employees #1 and #2 were assigned to unload an autoclave. While Employee #2's back was to the autoclave, Employee #1 opened it while it was still under pressure. A number of safety mechanisms failed, including the locking ram, which prevents the door from being opened: it was incorrectly covered. The microswitch designed to shut the steam off when the ram does not engage malfunctioned. A strainer was missing from the drain line, allowing a bottle stopper to plug the drain. A drain temperature probe that could heat detect actual temperature failed, and the unit remained indefinitely under pressure. Finally, the computer failed to abort the cycle when sterilization levels were not reached within a predetermined time. Employee #1 was pronounced dead at the scene. Employee #2 sustained lower back injuries from being struck in the back by carts in the area.

Keywords: INADEQUATE MAINT, WORK RULES, EQUIPMENT FAILURE, BACK, HIGH PRESSURE, STRUCK BY, ACCIDENTAL DISCHARGE, MECH MALFUNCTION

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 102932647 Fatality Fracture Occupation not reported
2 102932647 Hospitalized injury Bruise/Contus/Abras Occupation not reported
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