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Occupational Safety and Health Administration OSHA

Inspection Detail

Inspection: 111992871 - Kaiser Permanente

Inspection Information - Office: Ca Van Nuys

Nr: 111992871Report ID: 0950643Open Date: 07/22/1991

Kaiser Permanente
5601 De Soto Avenue
Woodland Hills, CA 91367
Union Status: Union
SIC: 8062/General Medical and Surgical Hospitals

Inspection Type:Accident
Scope:Partial Advanced Notice:N
Ownership:Private
Safety/Health:Health Close Conference:08/27/1991
Close Case:10/03/1991

Related Activity:TypeIDSafetyHealth
 Accident361273014    

Violation Summary
Serious Willful Repeat Other Unclass Total
Initial Violations 9 9
Current Violations 9 9
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 14301 A02 09/03/1991 09/27/1991 $0 $0 $0 -
  2. 01002 Other 14301 B 09/03/1991 09/27/1991 $0 $0 $0 -
  3. 01003 Other 3203 A03 09/03/1991 09/27/1991 $0 $0 $0 -
  4. 01004 Other 3382 A 09/03/1991 09/27/1991 $0 $0 $0 -
  5. 01005 Other 4650 E 09/03/1991 07/29/1991 $0 $0 $0 -
  6. 01006 Other 5162 A 09/03/1991 09/27/1991 $0 $0 $0 -
  7. 01007 Other 5220 F01 B 09/03/1991 07/29/1991 $0 $0 $0 -
  8. 01008 Other 5220 H01 A 09/03/1991 09/27/1991 $0 $0 $0 -
  9. 01009 Other 5220 H01 C 09/03/1991 09/27/1991 $0 $0 $0 -

Accident Investigation Summary
Summary Nr: 170185755Event: 07/18/1991Employee Exposed To E And O From Open Tank Door
AT 7:00 A.M. ON JULY 18, 1991, EMPLOYEE #1 WAS ASSIGNED TO CHANGE THE ETHYLENE OXIDE CYLINDER IN THE CENTRAL PROCESSING AREA. EMPLOYEE #1 PROCEEDED TO THE AREA WEARING NO PPE. KITCHEN EMPLOYEES CAME OVER TO EXPLAIN THAT THEY HAD A POSSIBLE STEAM LEAK, AND EMPLOYEE #1 RUSHED TO STOP THE LEAK. IN DOING SO, EMPLOYEE #1 LEFT THE ETHYLENE OXIDE TANK DOOR OPEN WHILE THE TANK WAS BEING BLED. ADDITIONALLY, HE LEFT BOTH THE NEW AND OLD TANKS FREESTANDING. SINCE THE TANK DOOR WAS NOT CLOSED, ETHYLENE OXIDE ESCAPED INTO THE WORK ENVIRONMENT CAUSING THE 20 PPM ALARM TO SOUND. THE CENTRAL PROCESSING AREA WAS EVACUATED. EMPLOYEE #1 WAS THE ONLY EMPLOYEE EXPOSED.
Keywords: maintenance, ethylene oxide, work rules, toxic fumes, overexposure, tank, accidental discharge, inattention
Inspection Degree Nature Occupation
1 111992871 Non Hospitalized injury Dermatitis Occupation not reported

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