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Inspection Detail
Inspection: 111986824 - Merritt Peralta Medical Center
Inspection Information - Office: Oakland District Office
Site Address:
Merritt Peralta Medical Center
350 Hawthorne Ave.
Oakland, CA 94609
Mailing Address:
, , 00000
Union Status: Union
SIC:8062
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 01/13/1992
Planning Guide: Health-Manufacturing
Emphasis:
Case Closed: 03/23/1994
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 361371545 | ||
| Complaint | 75468207 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 13 | 15 | |||
| Current Violations | 2 | 13 | 15 | |||
| Initial Penalty | $4,000 | $0 | $0 | $1,572 | $0 | $5,572 |
| Current Penalty | $4,000 | $0 | $0 | $1,572 | $0 | $5,572 |
| 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. | 01002 | Other | 3400 D | 01/13/1992 | 06/01/1992 | $112 | $112 | $0 | A - Amendment | ||
| 2. | 01003 | Other | 4184 B | 01/13/1992 | 03/25/1992 | $112 | $112 | $0 | A - Amendment | ||
| 3. | 01004 | Other | 4650 H | 01/13/1992 | 03/25/1992 | $37 | $37 | $0 | A - Amendment | ||
| 4. | 01005 | Other | 5143 A05 | 01/13/1992 | 03/25/1992 | $150 | $150 | $0 | A - Amendment | ||
| 5. | 01006 | Other | 5144 F01 | 01/13/1992 | 06/01/1992 | $37 | $37 | $0 | A - Amendment | ||
| 6. | 01007 | Other | 5194 H02 E | 01/13/1992 | 06/01/1992 | $150 | $150 | $0 | A - Amendment | ||
| 7. | 01008 | Other | 5220 D02 A | 01/13/1992 | 03/25/1992 | $225 | $225 | $0 | A - Amendment | ||
| 8. | 01009 | Other | 5220 F01 A | 01/13/1992 | 03/25/1992 | $150 | $150 | $0 | A - Amendment | ||
| 9. | 01010 | Other | 5220 F02 A | 03/30/1992 | 06/01/1992 | $150 | $150 | $0 | A - Amendment | ||
| 10. | 01011 | Other | 5220 G04 | 01/13/1992 | 03/25/1992 | $112 | $112 | $0 | A - Amendment | ||
| 11. | 01012 | Other | 5220 H01 C | 01/13/1992 | 03/25/1992 | $150 | $150 | $0 | A - Amendment | ||
| 12. | 01013 | Other | 5220 M02 B | 01/13/1992 | 12/13/1991 | $37 | $37 | $0 | - | ||
| 13. | 01014 | Other | 5451 P | 01/13/1992 | 03/25/1992 | $150 | $150 | $0 | A - Amendment | ||
| 14. | 02001 | Serious | 5220 G01 D | 01/13/1992 | 12/12/1991 | $2,000 | $2,000 | $0 | - | ||
| 15. | 03001 | Serious | 5220 J03 A | 01/13/1992 | 03/25/1992 | $2,000 | $2,000 | $0 | A - Amendment |
Investigation Summary
On November 12, 1991, at Merritt Peralta Hospital, while the 12:88 Castle ethylene oxide sterilizer and 3M 100% ethylene oxide sterilizer were operating, employees opened the door of the 3M sterilizer after the load was completed. Two remote sensors began sounding at both the low (20ppm) and high (50ppm) alarms. Employees evacuated. Two engineers responding to the emergency entered the area with hand-held cloths covering their noses and mouths to turn off and abort the cycle of the Castle sterilizer, close the door of the 3M sterilizer and turn it off, and reset the alarm system. The alarms continued for 27 minutes. After they stopped sounding, Employee #1, the Central Processing supervisor, re-entered and opened the sterilizer doors. Clouds of smoke came out and the alarms sounded again. Employee #1 did not have respiratory protection. He left the area until the alarms stopped five minutes later. He later reported for a medical examination, but there were no reported injuries or illnesses. Serious violations of T8CCR 5220(g)(1)(d) and T8CCR 5220(j)(3)(a) were cited.
Keywords: LEAK, EMERGENCY RESPONSE, PPE, ETHYLENE OXIDE, ALARM, INHALATION, SMOKE, CHEMICAL
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 111986824 | Non Hospitalized injury | Cancer | Occupation not reported |