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Inspection Detail
Inspection: 106688096 - International Paper Co.
Inspection Information - Office: Dallas Area Office
Site Address:
International Paper Co.
Hwy 59 S. - Fm 3125
Domino, TX 75572
Mailing Address:
P. O. Box 870, Texarkana, TX 75504
Union Status: Union
SIC:2621
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 07/10/1991
Planning Guide: Health-Manufacturing
Emphasis:
Case Closed: 07/14/1992
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 360458988 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 1 | 4 | |||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $21,000 | $35,000 | $0 | $0 | $0 | $56,000 |
| Current Penalty | $30,000 | $0 | $0 | $0 | $0 | $30,000 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001A | Serious | 19101000 A03 | 09/26/1991 | 09/29/1991 | $0 | $7,000 | $0 | 10/21/1991 | F - Formal Settlement | Citation has been deleted. |
| 2. | 01001B | Serious | 19101000 E | 09/26/1991 | 09/29/1991 | $0 | $0 | $0 | 10/21/1991 | F - Formal Settlement | Citation has been deleted. |
| 3. | 01002A | Serious | 19100134 A02 | 09/26/1991 | 09/29/1991 | $0 | $7,000 | $0 | 10/21/1991 | F - Formal Settlement | Citation has been deleted. |
| 4. | 01002B | Serious | 19100134 A02 | 09/26/1991 | 09/29/1991 | $0 | $0 | $0 | 10/21/1991 | F - Formal Settlement | Citation has been deleted. |
| 5. | 01003A | Serious | 19100133 A01 | 09/26/1991 | 10/02/1991 | $7,000 | $7,000 | $0 | 10/21/1991 | F - Formal Settlement | |
| 6. | 01003B | Serious | 19100151 C | 09/26/1991 | 09/29/1991 | $0 | $0 | $0 | 10/21/1991 | F - Formal Settlement | |
| 7. | 02001A | Serious | 19100134 A02 | 09/26/1991 | 10/02/1991 | $23,000 | $35,000 | $0 | 10/21/1991 | F - Formal Settlement | |
| 8. | 02001B | Serious | 19100134 B08 | 09/26/1991 | 10/02/1991 | $0 | $0 | $0 | 10/21/1991 | F - Formal Settlement |
Investigation Summary
Employee #1 was working in the paper machine low density area at International Paper Company. He had been assigned to change out a pig-tail on an empty one ton sulfur dioxide cylinder and to reconnect it to a full one. Employee #1 was found collapsed and not breathing at the base of a cement column approximately 117 ft from the sulfur dioxide cylinder. He was not wearing any respiratory protection. Employee #1 had a history of asthma and the company doctor had him on restricted respirator use, although the employee's immediate foreman had no knowledge of this. The autopsy report concluded that Employee #1 died naturally as a result of asthma. It also indicated that the employee may have been exposed to toxic gases or chemicals. No JSA or safe work practices were in place for this task. Samples analyzed by CSHO identified overexposure to sulfur dioxide (8.4 ppm STEL). The header valves on the sulfur dioxide system were extremely worn and the pig-tails showed crimping. Back pressure from the system allowed the pig-tails to leak sulfur dioxide each time they were removed. Although there was no evidence of sulfur dioxide in Employee #1's tissue, it is a very effervescent gas and, in low concentrations, is known to induce asthma attacks in susceptible individuals.
Keywords: LEAK, MAINTENANCE, INADEQUATE MAINT, PPE, WORK RULES, INHALATION, RESPIRATORY TRACT, SULFUR DIOXIDE, OVEREXPOSURE, RESPIRATOR
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 106688096 | Fatality | Other | Occupation not reported |