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Occupational Safety and Health Administration OSHA

Inspection Detail

Inspection: 111831004 - Humana Hospital

Inspection Information - Office: Ca Oakland

Nr: 111831004Report ID: 0950614Open Date: 05/20/1991

Humana Hospital
13855 E. 14th. St.
San Leandro, CA 94578
Union Status: NonUnion
SIC: 8062/General Medical and Surgical Hospitals

Inspection Type:Accident
Scope:Partial Advanced Notice:N
Ownership:Private
Safety/Health:Health Close Conference:05/20/1991
Close Case:06/24/1991

Related Activity:TypeIDSafetyHealth
 Accident361041510    

Violation Summary
Serious Willful Repeat Other Unclass Total
Initial Violations 2 2
Current Violations 2 2
Initial Penalty $0 $0 $0 $0 $0 $0
Current Penalty $0 $0 $0 $0 $0 $0
FTA Amount $0 $0 $0 $0 $0 $0

Violation Items
# ID Type Standard Issuance Abate Curr$ Init$ Fta$ Contest LastEvent
  1. 01001 Other 3400 D 05/24/1991 06/20/1991 $0 $0 $0 -
  2. 01002 Other 5220 G01 05/24/1991 06/20/1991 $0 $0 $0 -

Accident Investigation Summary
Summary Nr: 170208946Event: 05/02/1991Employee Exposed To Ethylene Oxide
A central supply worker loaded the ethylene oxide (EtO) sterilizer and started the cycle. A sensor alarm light came on indicating empty tanks, and the conditioning cycle did not start. The employee pressed the RESET button, but the sterilizer still did not switch back on. Employee #1 then turned on the exhaust fan, waited 15 minutes, opened the sterilizer door, and left the area. Alarms subsequently sounded in two areas. Employee #1 went to the emergency assembly area and was sent to the emergency room for medical surveillance. He showed no symptoms and was released. There were probably trace amounts of EtO in the piping to the sterilizer that triggered the alarm to go off. The employee was an experienced worker , but he failed to notify the supervisor when the sterilizer did not work. The employee has since received retraining.
Keywords: ethylene oxide, work rules, inhalation, gas leak, chemical vapor, accidental discharge, mech malfunction, chemical
Inspection Degree Nature Occupation
1 111831004 Occupation Not Listed

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