Inspection Detail
Inspection: 125197061 - Wyoming Department Of Corrections
Inspection Information - Office: Wyoming Department Of Workforce Services - Osha Division
Site Address:
Wyoming Department Of Corrections
Wyoming State Penitentiary
Rawlins, WY 82301
Mailing Address:
P.O. Box 400, Rawlins, WY 82301
Union Status: NonUnion
SIC:9223
NAICS: 0
Inspection Type: Accident
Scope: Complete
Advanced Notice: Y
Ownership: StateGovt
Safety/Health: Safety
Close Conference: 01/06/1996
Planning Guide: Safety-Manufacturing
Emphasis:
Case Closed: 03/28/1996
Type | Activity Nr | Safety | Health |
---|---|---|---|
Accident | 362318149 |
Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
---|---|---|---|---|---|---|
Initial Violations | 4 | 4 | ||||
Current Violations | 4 | 4 | ||||
Initial Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
# | Citation ID | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
---|---|---|---|---|---|---|---|---|---|---|---|
1. | 01001A | Serious | 19100146 C01 | 02/07/1996 | 02/09/1996 | $0 | $0 | $0 | - | ||
2. | 01001B | Serious | 19100146 C02 | 02/07/1996 | 02/09/1996 | $0 | $0 | $0 | - | ||
3. | 01001C | Serious | 19100146 C04 | 02/07/1996 | 02/09/1996 | $0 | $0 | $0 | - | ||
4. | 01002 | Serious | 19100146 G01 | 02/07/1996 | 03/06/1996 | $0 | $0 | $0 | - | ||
5. | 01003 | Serious | 19100147 D04I | 02/07/1996 | 03/06/1996 | $0 | $0 | $0 | - | ||
6. | 01004 | Serious | 19101000 A02 | 02/07/1996 | 02/09/1996 | $0 | $0 | $0 | - |
Investigation Summary
The worksite was a state penitentiary ash silo that received and stored ash from two boilers until it was transported elsewhere. The outside temperature was minus 11 degrees Fahrenheit when inmates began to empty ash out of the silo. Earlier in the week, however, several boiler tubes had ruptured, sending an unusual amount of wet ash and unburnt coal into the silo, freezing and plugging the outlet. Employee #2 decided to enter the silo and ram out the obstruction from the inside. Employee #1 saw Employee #2 collapse, and called for help before entering to rescue him. Employees #3, #4, and #7 then entered the silo to help. None of the employees realized that carbon monoxide had built up in the silo due to smoldering ash and unburnt coal. Employees #9, #10, and #25 through #29, city fire fighters, were also exposed to carbon monoxide while rescuing Employees #1 through #3. The three workers were, by then, unconscious, and they all died. Later that same day, Employees #6, #8, and #11 through #29 were exposed to carbon monoxide when the conveying system for sending ash to the silo was opened up for maintenance. Employees #6, #8, #11, and #12 were hospitalized for overexposure. The system had been in operation for 16 years and was not perceived as a hazard. Employees routinely entered the ash silo to clean it out or to unplug it.
Keywords: WORK RULES, BOILER, INHALATION, CLOGGED, OVEREXPOSURE, CARBON MONOXIDE, VENTILATION, CONFINED SPACE, CHEMICAL VAPOR, SILO
# | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
---|---|---|---|---|---|---|
1 | 125197061 | Non Hospitalized injury | Poisoning(Systemic) | Supervisors; handlers,equip-cleaners,laborers nec | ||
2 | 125197061 | Non Hospitalized injury | Poisoning(Systemic) | Supervisors; handlers,equip-cleaners,laborers nec | ||
3 | 125197061 | Non Hospitalized injury | Poisoning(Systemic) | Supervisors; handlers,equip-cleaners,laborers nec | ||
4 | 125197061 | Non Hospitalized injury | Poisoning(Systemic) | Firefighting occupations | ||
5 | 125197061 | Non Hospitalized injury | Poisoning(Systemic) | Firefighting occupations | ||
6 | 125197061 | Fatality | Poisoning(Systemic) | Supervisors; handlers,equip-cleaners,laborers nec | ||
7 | 125197061 | Fatality | Poisoning(Systemic) | Supervisors; handlers,equip-cleaners,laborers nec | ||
8 | 125197061 | Fatality | Poisoning(Systemic) | Supervisors; handlers,equip-cleaners,laborers nec | ||
9 | 125197061 | Hospitalized injury | Fracture | Supervisors; handlers,equip-cleaners,laborers nec | ||
10 | 125197061 | Non Hospitalized injury | Poisoning(Systemic) | Supervisors; handlers,equip-cleaners,laborers nec | ||
11 | 125197061 | Hospitalized injury | Poisoning(Systemic) | Power plant operators | ||
12 | 125197061 | Hospitalized injury | Poisoning(Systemic) | Power plant operators | ||
13 | 125197061 | Hospitalized injury | Poisoning(Systemic) | Power plant operators | ||
14 | 125197061 | Hospitalized injury | Poisoning(Systemic) | Firefighting occupations | ||
15 | 125197061 | Hospitalized injury | Poisoning(Systemic) | Firefighting occupations | ||
16 | 125197061 | Hospitalized injury | Poisoning(Systemic) | Supervisors; handlers,equip-cleaners,laborers nec | ||
17 | 125197061 | Hospitalized injury | Poisoning(Systemic) | Supervisors; handlers,equip-cleaners,laborers nec | ||
18 | 125197061 | Non Hospitalized injury | Poisoning(Systemic) | Supervisors; handlers,equip-cleaners,laborers nec | ||
19 | 125197061 | Non Hospitalized injury | Poisoning(Systemic) | Supervisors; handlers,equip-cleaners,laborers nec | ||
20 | 125197061 | Non Hospitalized injury | Poisoning(Systemic) | Supervisors; handlers,equip-cleaners,laborers nec | ||
21 | 125197061 | Non Hospitalized injury | Poisoning(Systemic) | Supervisors; handlers,equip-cleaners,laborers nec | ||
22 | 125197061 | Non Hospitalized injury | Poisoning(Systemic) | Supervisors; handlers,equip-cleaners,laborers nec | ||
23 | 125197061 | Non Hospitalized injury | Poisoning(Systemic) | Supervisors; handlers,equip-cleaners,laborers nec | ||
24 | 125197061 | Non Hospitalized injury | Poisoning(Systemic) | Supervisors; handlers,equip-cleaners,laborers nec |