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Occupational Safety and Health Administration OSHA

Inspection Detail

Inspection: 303727036 - Becton Dickinson & Company

Inspection Information - Office: Omaha

Nr: 303727036Report ID: 0728900Open Date: 03/08/2001

Becton Dickinson & Company
Hwy. 6 & 34 (1329 W Hwy 6)
Holdrege, NE 68949
Union Status: NonUnion
SIC: 3841/Surgical and Medical Instruments and Apparatus
NAICS: 339112/Surgical and Medical Instrument Manufacturing
Mailing: P. O. Box 860, Holdrege, NE 68949

Inspection Type:Accident
Scope:Partial Advanced Notice:N
Safety/Health:Safety Close Conference:03/14/2001
Close Case:07/12/2001

Related Activity:TypeIDSafetyHealth

Violation Summary
Serious Willful Repeat Other Unclass Total
Initial Violations 2 1 3
Current Violations 2 1 3
Initial Penalty $9,000 $0 $0 $0 $0 $9,000
Current Penalty $9,000 $0 $0 $0 $0 $9,000
FTA Amount $0 $0 $0 $0 $0 $0

Violation Items
# ID Type Standard Issuance Abate Curr$ Init$ Fta$ Contest LastEvent
  1. 01001A Serious 19100147 C06 I 06/12/2001 07/05/2001 $4,500 $4,500 $0 -
  2. 01001B Serious 19100147 C07 I 06/12/2001 07/05/2001 $0 $0 $0 -
  3. 01002 Serious 19100147 D04 I 06/12/2001 07/05/2001 $4,500 $4,500 $0 -
  4. 02001 Other 19101200 H01 06/12/2001 07/05/2001 $0 $0 $0 -

Accident Investigation Summary
Summary Nr: 200051209Event: 03/07/2001Electric Shock - Direct Contact With Energized Parts
Employee #1, a mold mechanic for a medical syringe manufacturer, was retrofitting injection-molding machines with fireproofing blankets. The plant had over 20 injection molding machines, and the work was split between several maintenance workers. The employer had no standard procedure for installing the blankets. Employee #1 would partially move the guard away from the area as he wrapped the blanket around the heating rings of the injection arm. By 3:00 am, Employee #1 had completed all of his assigned machines and started on machines that had not been assigned to him. He began working on one 480-volt, 30-ampere machine without locking it out. The employee was found dead. It was concluded that he had been electrocuted. A postaccident inspection of the machine conducted by the company's electricians and an outside electrician determined that one of the three relays controlling the heating ring zones on the injection arm had a contact that remained closed. This contact allowed the circuit controlling the heat rings to remain energized while the employee was working. The manner in which Employee #1 had been installing the blankets exposed him to ready contact with energized terminals. The coroner's autopsy did not address the possibility of electrocution because the circumstances behind the death were not relayed to him until after the autopsy had been completed. The coroner did not examine the possibility of electrocution or look for any evidence of electrocution on the body.
Keywords: e gi iv, electrical, electrocuted, lockout, elec circ part--misc, elec equipment--misc
Inspection Degree Nature Occupation
1 303727036 Fatality Electric Shock Industrial machinery repairers

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