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Occupational Safety and Health Administration OSHA

Inspection Detail

Inspection: 103796819 - Stct Doc Northern Correctional Institution

Inspection Information - Office: Connecticut Central

Nr: 103796819Report ID: 0150900Open Date: 06/08/1990

Stct Doc Northern Correctional Institution
287 Bilton Road
Somers, CT 06071
Union Status: Union
SIC: 9223/Correctional Institutions
Mailing: 24 Wolcott Hill Road, Wethersfield, CT 06109

Inspection Type:Accident
Scope:Partial Advanced Notice:N
Ownership:StateGovt
Safety/Health:Health Close Conference:09/07/1990
Close Case:04/20/1992

Related Activity:TypeIDSafetyHealth
 Accident360736417    

Violation Summary
Serious Willful Repeat Other Unclass Total
Initial Violations 4 4 8
Current Violations 4 4 8
Initial Penalty $3,200 $0 $5,200 $0 $0 $8,400
Current Penalty $3,050 $0 $5,200 $0 $0 $8,250
FTA Amount $0 $0 $0 $0 $0 $0

Violation Items
# ID Type Standard Issuance Abate Curr$ Init$ Fta$ Contest LastEvent
  1. 01001 Repeat 19100094 D09 I 09/17/1990 10/15/1990 $1,600 $1,600 $0 10/04/1990 W - Empr Withdrew
  2. 01002 Repeat 19100094 D09 II 09/17/1990 10/15/1990 $1,200 $1,200 $0 10/04/1990 W - Empr Withdrew
  3. 01003 Repeat 19100094 D09 IV 09/17/1990 10/15/1990 $1,200 $1,200 $0 10/04/1990 W - Empr Withdrew
  4. 01004 Repeat 19100094 D09 V 09/17/1990 10/15/1990 $1,200 $1,200 $0 10/04/1990 W - Empr Withdrew
  5. 02001 Serious 19100022 C 09/17/1990 09/20/1990 $800 $800 $0 10/04/1990 W - Empr Withdrew
  6. 02002A Serious 19100134 B01 09/17/1990 10/01/1990 $800 $800 $0 10/04/1990 W - Empr Withdrew
  7. 02002B Serious 19100134 B10 09/17/1990 10/01/1990 $0 $0 $0 10/04/1990 W - Empr Withdrew
  8. 02002C Serious 19100134 C 09/17/1990 10/01/1990 $0 $0 $0 10/04/1990 W - Empr Withdrew
  9. 02002D Serious 19100134 E05 09/17/1990 10/01/1990 $0 $0 $0 10/04/1990 W - Empr Withdrew
  10. 02002E Serious 19100134 E05 I 09/17/1990 10/01/1990 $0 $0 $0 10/04/1990 W - Empr Withdrew
  11. 02003 Serious 19101000 B02 09/17/1990 10/01/1990 $650 $800 $0 10/04/1990 W - Empr Withdrew
  12. 02004A Serious 19101200 E01 09/17/1990 11/12/1990 $800 $800 $0 10/04/1990 W - Empr Withdrew
  13. 02004B Serious 19101200 F05 I 09/17/1990 10/01/1990 $0 $0 $0 10/04/1990 W - Empr Withdrew
  14. 02004C Serious 19101200 F05 II 09/17/1990 10/01/1990 $0 $0 $0 10/04/1990 W - Empr Withdrew
  15. 02004D Serious 19101200 G02 VI 09/17/1990 11/12/1990 $0 $0 $0 10/04/1990 W - Empr Withdrew
  16. 02004E Serious 19101200 G02 VII 09/17/1990 11/12/1990 $0 $0 $0 10/04/1990 W - Empr Withdrew
  17. 02004F Serious 19101200 G02 VIII 09/17/1990 11/12/1990 $0 $0 $0 10/04/1990 W - Empr Withdrew
  18. 02004G Serious 19101200 G02 XI 09/17/1990 11/12/1990 $0 $0 $0 10/04/1990 W - Empr Withdrew
  19. 02004H Serious 19101200 G03 09/17/1990 11/12/1990 $0 $0 $0 10/04/1990 W - Empr Withdrew
  20. 02004I Serious 19101200 H 09/17/1990 11/12/1990 $0 $0 $0 10/04/1990 W - Empr Withdrew

Accident Investigation Summary
Summary Nr: 14216899Event: 06/07/1990Employee Dies Of Methylene Chloride Overexposure
On June 7, 1990, Employee #1 was removing paints and other finishes from furniture by dipping the furniture in a methylene chloride dip tank that measured 4 feet wide by 7 feet long by 42 inches high and contained 8 3/4 inches (approximately 160 gallons) of methylene chloride. There are two 11 inch working platforms located on both long sides of the tank. Two types of ventilation systems were in use at the dip tank: a push-pull type and a slotted-type. Both systems were operating at the time of the incident. Employee #1 was stripping the finish from church pews by pouring methylene chloride over the furniture with a 1 gallon can with an attached 51 inch handle. The furniture would then be scrubbed with a hard-bristled brush with a similar length handle. At approximately 9:00 a.m., Employee #1 complained to a coworker that he was not feeling well and that the methylene chloride was making him dizzy. Another worker saw Employee #1 bent over into the tank with one leg up on the side; he appeared to be retrieving something. Employee #1 was not seen between 9:30 and approximately 9:50 a.m. when a supervisor found him inside the methylene chloride dip tank. Attempts to revive him failed. Employee #1 was pronounced dead by a physician at the site. The medical examiner determined the cause of death to be acute methyl chloride toxicity from inhalation of high levels of methylene chloride. Causal factors included the following: 1) A standard guardrail was not provided to protect personnel from the hazards of the dip tank. 2) Subsequent air samples collected inside the dip tank, which simulated approximately the levels that Employee #1 could bend to, were in excess of both the OSHA ceiling limit and acceptable maximum peak limits for methylene chloride. 3) There was a lack of employee training for employees working in and around open surface tank operations. 4) Personnel protective equipment as required by applicable OSHA standards was not being worn. 5) The facility did not have an effective Hazard Communication Program.
Keywords: guardrail, ppe, methylene chloride, work rules, toxic atmosphere, inhalation, dip tank, toxic fumes, overexposure, untrained
Inspection Degree Nature Occupation
1 103796819 Fatality Other Furniture and wood finishers

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