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Occupational Safety and Health Administration OSHA

Inspection Detail

Inspection: 315077578 - Randstad Horizons Dba Placement Pros

Inspection Information - Office: Ca Fresno

Nr: 315077578Report ID: 0950625Open Date: 09/11/2012

Randstad Horizons Dba Placement Pros
1720 Academy Ave
Sanger, CA 93657
Union Status: NonUnion
SIC: 7361/Employment Agencies
NAICS: 561310/Employment Placement Agencies
Mailing: 4305 Hacienda Dr., Ste 320, Pleasanton, CA 94588

Inspection Type:Accident
Scope:Partial Advanced Notice:N
Ownership:Private
Safety/Health:Health Close Conference:03/07/2013
Close Case:06/09/2015

Related Activity:TypeIDSafetyHealth
 Accident362051799    

Violation Summary
Serious Willful Repeat Other Unclass Total
Initial Violations 1 5 6
Current Violations 3 3
Initial Penalty $9,000 $0 $0 $3,370 $0 $12,370
Current Penalty $0 $0 $0 $2,250 $0 $2,250
FTA Amount $0 $0 $0 $0 $0 $0

Violation Items
# ID Type Standard Issuance Abate Curr$ Init$ Fta$ Contest LastEvent
Deleted 1. 01001 Other 5144 E04 A 03/08/2013 04/10/2013 $0 $185 $0 03/29/2013 F - Formal Settlement
  2. 01002 Other 5192 Q02 A 03/08/2013 04/10/2013 $375 $375 $0 03/29/2013 F - Formal Settlement
  3. 01003 Other 3310 A 03/08/2013 04/10/2013 $750 $750 $0 03/29/2013 F - Formal Settlement
Deleted 4. 01004 Other 3328 G 03/08/2013 04/10/2013 $0 $935 $0 03/29/2013 F - Formal Settlement
  5. 01005 Other 5155 C02 B 03/08/2013 04/10/2013 $1,125 $1,125 $0 03/29/2013 F - Formal Settlement
Deleted 6. 02001 Serious 3203 A04 03/08/2013 04/10/2013 $0 $9,000 $0 03/29/2013 F - Formal Settlement

Accident Investigation Summary
Summary Nr: 201496809Event: 09/11/2012Employee Is Killed From Ammonia Release
On September 11, 2012, Employee #1, a temporary employee of Randstad Horizons d/b/a Placement Pros, was working as a racker-blender at Gibson Wine Company, was exposed to anhydrous ammonia, and died of asphyxia. Employee #1 was found in the west hallway 54 ft from the men's restroom. Upon further investigation, a cellar supervisor was to clear iced juice in Chiller 13 by performing a "hot gas" procedure. The evaporator's temperature is raised by opening a bypass valve that equalizes the refrigerant pressure. The cellar supervisor was distracted in conversation with a graveyard shift supervisor and inadvertently opened the dump valve. The dump valve purges excessive oil from the refrigerant system into a barrel of water. The opening of the dump valve instead of the bypass valve caused oil to discharge and liquid ammonia to release forming a gas cloud. The cellar supervisor evacuated the area but left the dump valve open. The gas cloud engulfed the area and was pushed against the building containing two hallways, a men and women's bathroom, and a break room. The gas cloud formation was captured on a surveillance video, but dissipated within seconds. Approximately one minute before the release, Employee #1 entered the west hallway. It was calculated the refrigerant charge at the facility was 23,640 pounds of anhydrous ammonia.
Keywords: leak, asphyxiated, inhalation, gas, anhydrous ammonia, air contamination, valve, process safety, chemical, inattention
Inspection Degree Nature Occupation
1 315077578 Fatality Asphyxia Production helpers

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