TranslateInspection Detail
Inspection Information - Office: Ca Oakland | ||||
|---|---|---|---|---|
| Nr: 111831004 | Report ID: 0950614 | Open 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: | Type | ID | Safety | Health |
| Accident | 361041510 | |||
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: 170208946 | Event: 05/02/1991 | Employee 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 | ||||