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Occupational Safety and Health Administration OSHA

Inspection Detail

Inspection: 112227145 - La County Health Services -High Desert Hosp.

Inspection Information - Office: Ca Van Nuys

Nr: 112227145Report ID: 0950643Open Date: 12/28/1990

La County Health Services -High Desert Hosp.
44900 N.60th St.West
Lancaster, CA 93534
Union Status: Union
SIC: 6324/Hospital and Medical Service Plans

Inspection Type:Accident
Scope:Partial Advanced Notice:N
Ownership:LocalGovt
Safety/Health:Health Close Conference:12/28/1990
Close Case:03/27/1991

Related Activity:TypeIDSafetyHealth
 Accident361065261    

Violation Summary
Serious Willful Repeat Other Unclass Total
Initial Violations 4 1 1 6
Current Violations 4 1 5
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
Deleted 1. 01001 Other 3203 A01 02/11/1991 03/08/1991 $0 $0 $0 A - Amendment
  2. 02001 Serious 5220 H01 A 02/11/1991 02/19/1991 $0 $0 $0 -
  3. 03001 Serious 5220 G01 A 02/11/1991 12/28/1990 $0 $0 $0 -
  4. 04001 Serious 5220 G01 D 02/11/1991 02/19/1991 $0 $0 $0 -
  5. 05001 Serious 5220 H02 02/11/1991 02/19/1991 $0 $0 $0 -
  6. 06001 Willful 5220 G03 02/11/1991 02/19/1991 $0 $0 $0 -

Accident Investigation Summary
Summary Nr: 170177323Event: 12/21/1990Employees Exposed To Ethylene Oxide
DURING THE INSTALLATION AND TESTING OF A NEW ETHYLENE OXIDE STERILIZER, SAFETY DEVICES MALFUNCTIONED AND ETHYLENE OXIDE WAS RELEASED INTO THE WORK AREA, SETTING OFF THE ETHYLENE OXIDE MONITOR. THE EMPLOYEES WERE EVACUATED FROM THE AREA. EMPLOYEE #1 RE-ENTERED THE AREA, IGNORING THE ALARM, TO TEST FOR LEAKS. EMPLOYEE #2 RESPONDED FOLLOWING EPA PROCEDURE EXCEPT HE DID NOT WEAR A RESPIRATOR AS HE HAD NOT BEEN TRAINED. WHILE EMPLOYEES #1 AND #2 WERE TESTING FOR LEAKS WITH THE STERILIZER PRESSURIZED, THE CHARGE VALVES REMAINED OPEN. STERILIZER PRESSURE EXCEEDED THE OVERPRESSURE RELIEF VALVE SETTING. AS A RESULT, ETHYLENE OXIDE WAS RELEASED INTO THE FACE OF EMPLOYEE #2.
Keywords: ppe, ethylene oxide, work rules, inhalation, untrained, accidental discharge, respirator
Inspection Degree Nature Occupation
1 112227145 Non Hospitalized injury Cancer Mechanical engineering technicians
2 112227145 Non Hospitalized injury Cancer Health technologists and technicians, n.e.c.

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