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Occupational Safety and Health Administration OSHA

Inspection Detail

Inspection: 303863930 - Becton Dickinson Microbiology Systems

Inspection Information - Office: Madison

Nr: 303863930Report ID: 0523300Open Date: 08/20/2001

Becton Dickinson Microbiology Systems
2801 Industrial Drive
Madison, WI 53713
Union Status: NonUnion
SIC: 2835/In Vitro and In Vivo Diagnostic Substances
Mailing: 2807 Industrial Drive, Madison, WI 53713

Inspection Type:Accident
Scope:Partial Advanced Notice:N
Ownership:Private
Safety/Health:Health Close Conference:11/06/2001
Close Case:12/12/2001

Related Activity:TypeIDSafetyHealth
 Accident100800267    

Violation Summary
Serious Willful Repeat Other Unclass Total
Initial Violations 6 6
Current Violations 3 3
Initial Penalty $42,000 $0 $0 $0 $0 $42,000
Current Penalty $21,000 $0 $0 $0 $0 $21,000
FTA Amount $0 $0 $0 $0 $0 $0

Violation Items
# ID Type Standard Issuance Abate Curr$ Init$ Fta$ Contest LastEvent
  1. 01001 Serious 5A0001 11/16/2001 12/04/2001 $7,000 $7,000 $0 -
Deleted 2. 01002A Serious 19100132 C 11/16/2001 12/04/2001 $7,000 $7,000 $0 I - Informal Settlement
Deleted 3. 01002B Serious 19100138 A 11/16/2001 12/04/2001 $0 $0 $0 I - Informal Settlement
Deleted 4. 01003 Serious 19100132 D01 I 11/16/2001 12/04/2001 $7,000 $7,000 $0 I - Informal Settlement
Deleted 5. 01004 Serious 19100132 F01 IV 11/16/2001 12/04/2001 $7,000 $7,000 $0 I - Informal Settlement
  6. 01005 Serious 19100133 A01 11/16/2001 12/04/2001 $7,000 $7,000 $0 -
  7. 01006A Serious 19100132 C 11/27/2001 12/03/2001 $7,000 $7,000 $0 -
  8. 01006B Serious 19100138 A 11/27/2001 12/03/2001 $0 $0 $0 -
  9. 01006C Serious 19100132 D01 I 11/27/2001 12/03/2001 $0 $0 $0 -
  10. 01006D Serious 19100132 F01 IV 11/27/2001 12/03/2001 $0 $0 $0 -

Accident Investigation Summary
Summary Nr: 200800530Event: 08/19/2001Employees Injured From Autoclave Explosion
On August 19, 2001, Employees #1, #2 and #3 were handling a failure in the operation of an autoclave. Several bottles within the autoclave started to explode after the autoclaving of 178 tightly capped glass bottles for a 30 min gravity cycle. Coworkers called maintenance to the scene of the autoclave failure. Employees #2 and #3 investigated the situation by observing where the broken glass was while standing directly in front of the autoclave. Only a few of the bottles had exploded up to this point. After investigating for a few minutes, these employees went to another part of the Processing Room, and Employee #1 began to don a thermal suit for removal of the glass in the autoclave, and the rack that was holding the remaining unbroken bottles. Then suddenly, the remaining bottles in the autoclave exploded. The rack holding these bottles was ejected out of the autoclave by several feet, knocking over Employee #1. Glass shards and steam were sent throughout the Processing Room at high velocity. Employee #1 had partially donned the thermal suit, and had not yet put on her face shield, but was wearing safety glasses. She received several first and second degree burns and injuries to her arms and face from the flying glass. Debris from the explosion shattered lights on the opposite side of the room, approximately 25 ft from the autoclave. The other two employees were in or at the entrance of the room when autoclave exploded, but were not seriously injured.
Keywords: burn, pressure vessel, explosion, laceration, flying object
Inspection Degree Nature Occupation
1 303863930 Hospitalized injury Burn/Scald(Heat) Clinical Laboratory technologists and technicians
2 303863930 Non Hospitalized injury Burn/Scald(Heat) Clinical Laboratory technologists and technicians
3 303863930 Hospitalized injury Burn/Scald(Heat) Clinical Laboratory technologists and technicians

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