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Occupational Safety and Health Administration OSHA

Inspection Detail

Inspection: 111866034 - St Mary Desert Hospital

Inspection Information - Office: Ca San Bernardino

Nr: 111866034Report ID: 0950633Open Date: 11/02/1990

St Mary Desert Hospital
18300 Hwy 18
Apple Valley, CA 92307
Union Status: NonUnion
SIC: 8069/Specialty Hospitals, Except Psychiatric

Inspection Type:Accident
Scope:Partial Advanced Notice:N
Ownership:Private
Safety/Health:Health Close Conference:03/25/1991
Emphasis: L:CarcregClose Case:11/20/1991

Related Activity:TypeIDSafetyHealth
 Accident361055593    

Violation Summary
Serious Willful Repeat Other Unclass Total
Initial Violations 3 3 14 20
Current Violations 3 3 14 20
Initial Penalty $2,900 $54,000 $0 $1,270 $0 $58,170
Current Penalty $2,900 $54,000 $0 $1,270 $0 $58,170
FTA Amount $0 $0 $0 $0 $0 $0

Violation Items
# ID Type Standard Issuance Abate Curr$ Init$ Fta$ Contest LastEvent
  1. 01001 Other 3203 A02 03/25/1991 03/25/1991 $0 $0 $0 -
  2. 01002 Other 5143 A05 03/25/1991 03/25/1991 $85 $85 $0 -
  3. 01003 Other 5194 E01 03/25/1991 04/24/1991 $0 $0 $0 -
  4. 01004 Other 5194 G08 03/25/1991 04/24/1991 $0 $0 $0 -
  5. 01005 Other 5220 L03 A02 03/25/1991 03/25/1991 $0 $0 $0 -
  6. 01006 Other 5220 L03 A03 03/25/1991 04/18/1991 $85 $85 $0 -
  7. 01007 Other 5220 I04 03/25/1991 03/25/1991 $0 $0 $0 -
  8. 01008 Other 5220 I05 A01 03/25/1991 03/25/1991 $55 $55 $0 -
  9. 01009 Other 5220 I05 A02 03/25/1991 03/25/1991 $55 $55 $0 -
  10. 01010 Other 5220 K02A 03/25/1991 03/25/1991 $0 $0 $0 I - Informal Settlement
  11. 01011 Other 5220 M02 A 03/25/1991 04/24/1991 $450 $450 $0 -
  12. 01012 Other 5220 M02 B 03/25/1991 04/24/1991 $450 $450 $0 -
  13. 01013 Other 14301 A 03/25/1991 03/25/1991 $45 $45 $0 -
  14. 01014 Other 14301 B 03/25/1991 03/25/1991 $45 $45 $0 -
  15. 02001 Serious 5162 A 03/25/1991 03/25/1991 $450 $450 $0 -
  16. 03001 Serious 5220 F01 A 03/25/1991 03/25/1991 $2,000 $2,000 $0 -
  17. 04001 Serious 5220 F02 B 03/25/1991 03/25/1991 $450 $450 $0 -
  18. 05001 Willful 5220 G02 B 03/25/1991 03/25/1991 $18,000 $18,000 $0 -
  19. 06001 Willful 5220 G03 03/25/1991 03/25/1991 $18,000 $18,000 $0 -
  20. 07001 Willful 5220 H02 03/25/1991 03/25/1991 $18,000 $18,000 $0 -

Accident Investigation Summary
Summary Nr: 170193536Event: 06/14/1990Five Employees Exposed To Ethylene Oxide
At approximately 3:30 p.m. on June 14, 1990, Employees #3 and #4 were operating an Ansco Cryotherm ethylene oxide (EtO) medical instrument sterilizer in the surgical central supply area adjacent to, but separate from, the surgical suites at a full service hospital. Employees #1 through #5 suffered skin and respiratory exposure to ethylene oxide. Employee #2 responded to the audible alarm and donned an unapproved respirator to shut down the system. All of the employees were treated by a physician on site; none were hospitalized. The ethylene oxide sterilizer mechanical room and the mechanical ventilation system did not meet ANSI design and operational standards because of an inefficient and ineffective gas exhaust and extraction system. The inefficacy of the system was compounded by the temporary malfunction of the general HVAC in the surgical suites, which was down for repair, and the lack of a dedicated make-up air ventilation system. By depending on the general HVAC to make up for the poor system in the sterilizer room, an excessive concentration of off-gassed EtO collected and was dispersed into the ambient atmosphere.
Keywords: respiratory, ventilation, ethylene oxide, work rules, inhalation, gas, skin, chemical vapor, overexposure, mech malfunction
Inspection Degree Nature Occupation
1 111866034 Non Hospitalized injury Poisoning(Systemic) Health aides, except nursing
2 111866034 Non Hospitalized injury Poisoning(Systemic) Health aides, except nursing
3 111866034 Non Hospitalized injury Poisoning(Systemic) Machinery maintenance occupations
4 111866034 Non Hospitalized injury Poisoning(Systemic) Health aides, except nursing
5 111866034 Non Hospitalized injury Poisoning(Systemic) Health aides, except nursing

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