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Inspection Detail

Violation Summary
Serious Willful Repeat Other Unclass Total
Initial Violations 2 2
Current Violations 2 2
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 19100146 C02 04/15/1997 04/25/1997 $0 $0 $0 -
  2. 01002 Other 19100146 F03 04/15/1997 04/25/1997 $0 $0 $0 -

Accident Investigation Summary
Summary Nr: 14320253 Event: 03/03/1997Employee Dies Of Asphyxia In Vessel Containing Argon
At about 9:30 AM on March 3, 1997, Employee #1 and a coworker began inspecting a heat-treating vessel, which measured 2.7 meters deep and 1.5 meters in diameter, in preparation for repairing a leaking valve. Employee #1 wanted to examine the pipe that led from the valve to the vessel. The coworker told Employee #1 that the space should not be entered without proper personal protective equipment and paperwork. Employee #1 said that he was not going to be in the space long and he was not going to do the paperwork for such a short job. While the coworker was removing the lid of the vessel with a 4.5-metric-ton hoist, Employee #1 placed a ladder into the vessel and entered it. When the coworker turned around, he saw Employee #1 trying to climb up the ladder and then falling to the bottom of the vessel. The coworker called the First Response team, which removed Employee #1 within 4 minutes using the 4.5-metric-ton hoist. They began cardiopulmonary resuscitation and continued until relieved by the ambulance crew. Employee #1 was then taken to a hospital, where he was pronounced dead of argon asphyxiation at 10:41 AM. The atmosphere in the space was tested and found to contain 5.2 percent oxygen.
Keywords: oxygen deficiency, asphyxiated, confined space, cpr, emergency response, ppe, work rules, scba, argon
Inspection Degree Nature Occupation
1 300408770 Fatality Asphyxia Occupation not reported

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