TranslateInspection Detail
Inspection Information - Office: Ca Van Nuys | ||||
|---|---|---|---|---|
| Nr: 111992871 | Report ID: 0950643 | Open 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: | Type | ID | Safety | Health |
| Accident | 361273014 | |||
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: 170185755 | Event: 07/18/1991 | Employee 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 | ||