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Inspection Detail

Inspection: 119893980 - San Bernardino City, Water Department

Inspection Information - Office: Ca San Bernardino
Nr: 119893980Report ID: 0950633Open Date: 09/01/1994
San Bernardino City, Water Department
655 East 3rd Street
San Bernardino, CA 92402 		Union Status: Union
SIC: 9511/Air and Water Resource and Solid Waste Management
Mailing: Post Office Box 710, San Bernardino, CA 92402
Inspection Type:Complaint
Scope:Partial Advanced Notice:N
Ownership:LocalGovt
Safety/Health:Health Close Conference:02/09/1995
Close Case:08/18/1997
Related Activity:TypeIDSafetyHealth
 Accident362231938    
 Complaint76215979   Yes

Violation Summary
Serious Willful Repeat Other Unclass Total
Initial Violations 4 5 1 1 11
Current Violations 1 4 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
  1. 01001 Other 5158 C 1 A 02/09/1995 03/01/1995 $0 $0 $0 03/03/1995 Y - State Decision
  2. 02001 Other 5158 C 2 02/09/1995 02/14/1995 $0 $0 $0 03/03/1995 Y - State Decision
Deleted 3. 03001 Willful 5158 D 2 02/09/1995 02/14/1995 $0 $0 $0 03/03/1995 D - Govt Dismissed
  4. 04001 Other 5158 E 1 B 02/09/1995 02/14/1995 $0 $0 $0 03/03/1995 Y - State Decision
Deleted 5. 05001 Willful 5158 E 1 D 02/09/1995 02/14/1995 $0 $0 $0 03/03/1995 D - Govt Dismissed
Deleted 6. 06001 Willful 5158 E 1 D1 02/09/1995 02/14/1995 $0 $0 $0 03/03/1995 D - Govt Dismissed
Deleted 7. 07001 Willful 5158 E 1 D2 02/09/1995 02/14/1995 $0 $0 $0 03/03/1995 D - Govt Dismissed
Deleted 8. 08001 Willful 5158 E 1 E1 02/09/1995 02/14/1995 $0 $0 $0 03/03/1995 D - Govt Dismissed
Deleted 9. 09001 Serious 5158 E 1 E2 02/09/1995 02/14/1995 $0 $0 $0 03/03/1995 D - Govt Dismissed
  10. 10001 Other 5194 G 1 02/09/1995 02/14/1995 $0 $0 $0 03/03/1995 Y - State Decision
  11. 11001 Serious 5194 G 1 02/09/1995 02/14/1995 $0 $0 $0 03/03/1995 Y - State Decision

Accident Investigation Summary
Summary Nr: 170591044Event: 08/23/1994Employee Exposed To Chemicals In A Confined Space
At approximately 11:35 a.m. on August 23, 1994, Employee #1 entered a 8.4 ft deep by 8 ft wide geothermal vault with a 32 in. wide manhole entry to rebuild a pressure reducing valve. Before any chemical substance was introduced into the vault, the oxygen level was between 19.5 and 19.6 percent. Atmospheric testing was conducted by the EC unit and by Employee #1 using a Gastech GX-82 oxygen meter, serial #HX-13452, without an extension hose; the oxygen levels found were between 19.6 and 19.7 percent. After WD-40 and Graff-off were introduced into the vault, the oxygen level dropped to 18.9 percent. Employee #1 also noted hydrogen sulfide levels of 8 ppm. Employee #1 complained of dizziness, nausea, and difficulty in breathing. He was diagnosed as having pulmonary edema, which turned into pneumonia three weeks later. The casual factors of this accident include the employer's failure to provide employees with confined space and hazard communication training and with the material safety sheet for the product used in the confined space. The chemical constituents of WD-40 include aliphatic petroleum distillates and A-70 hydrocarbon propellant; the chemical constituents of Graff-off include isopropyl alcohol and 40 percent toluene by weight.
Keywords: respiratory, pulmonary edema, confined space, work rules, inhalation, dizziness, chemical vapor, overexposure, untrained, chemical
Inspection Degree Nature Occupation
1 119893980 Hospitalized injury Asphyxia Occupation not reported
2 119893980 Hospitalized injury Asphyxia Occupation not reported

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