Inspection Detail

Inspection: 112014147 - California State Of Patton Hospital

Inspection Information - Office: San Bernardino District Office

Inspection Nr: 112014147

Report ID: 0950633

Date Opened: 08/20/1991

Site Address:
California State Of Patton Hospital
3102 East Highland Avenue
Patton, CA 92369

Mailing Address:
, , 00000

Union Status: Union

SIC:8999

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: StateGovt

Safety/Health: Safety

Close Conference: 09/05/1991

Emphasis:

Case Closed: 09/26/1991

Related Activity
Type	Activity Nr	Safety	Health
Accident	361331754

Investigation Summary

Investigation Nr: 170193379

Event: 08/13/1991

BURN - FAULT IN ELECTRICAL SYSTEM

AN ELECTRICIAN WAS TRYING TO IDENTIFY A CIRCUIT. HE WAS GOING TO INSTALL A JUMPER WIRE BETWEEN TWO PHASE CONDUCTORS OF THE CIRCUIT TO PERFORM THIS TASK. THE TWO CONDUCTORS WERE LOCATED SOME DISTANCE FROM THE SWITCHGEAR, BUT THE ELECTRICIAN HAD ASSUMED THAT HE HAD DEENERGIZED THE CONDUCTORS. HOWEVER, A CONTRACTOR HAD PREVIOUSLY REVERSED THE PRIMARY AND SECONDARY LEADS (PRESUMABLY OF A TRANSFORMER), AND THE FUSE CLIPS AND ALL CONNECTED CONDUCTORS FOR THIS CIRCUIT REMAINED ENERGIZED EVEN WHEN THE CIRCUIT WAS "OPENED". WHEN THE ELECTRICIAN INSTALLED THE JUMPER, IT CREATED A FAULT IN THE ENERGIZED CIRCUIT. THE JUMPER WIRE EXPLODED, RESULTING IN FLASH BURNS TO THE EMPLOYEE, WHO WAS HOSPITALIZED FOR HIS INJURIES.

Keywords: BURN, E GI IV, ELECTRICAL, ELECTRICAL WORK, LOCKOUT, ELECTRICAL FAULT

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	112014147			Hospitalized injury	Burn/Scald(Heat)	Electricians

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