105,313Records 71,083Employers 85,290Hospitalizations 27,770Amputations 2015-01-01 2025-10-31
Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Accident Investigation · Summary #1001122

LEAK,TOXIC FUMES,GAS LEAK,AMMONIA,INHALATION,NAUSEA

Event
LEAK,TOXIC FUMES,GAS LEAK,AMMONIA,INHALATION,NAUSEA
Linked inspection
No inspection record linked to this accident's victims.
Summary number
1001122
Report ID
751910

Event description

AMMONIA LEAK RESULTED IN AMMONIA EXPOSURE FOR 31 EMPLOYEES

Investigation abstract

ON MARCH 18, 1986, AT APPROXIMATELY 9:30 AM, EMPLOYEES #1-#10 WERE WORKING AT TH TO THE HOSPITAL AND ONCE IN THE HOSPITAL, BUT WAS REVIVED BOTH TIMES. EMPLOYEES #30 AND #31 WERE NOT HOSPITALIZED, BUT VISITED THE COMPANY DOCTOR. THE AMMONIA EXPOSURE WAS CAUSED BY A BROKEN PIPE IN THE COOLER. THE LEAKING AMMONIA WAS CARR IED BY THE PLANT'S VENTILATION SYSTEM TO THE WORK AREAS OF EMPLOYEES #1 - #31. EIR REGULAR JOBS ON THE CUT FLOOR (CONVERSION LINE). THE CUT FLOOR IS LOCATED AP PROXIMATELY 40 FEET AWAY FROM A COOLER IN WHICH AN AMMONIA LEAK HAD OCCURRED THE DAY BEFORE (MARCH 17TH). EMPLOYEES #1 THROUGH #10 BEGAN EXPERIENCING CHEST PAIN S, SHORTNESS OF BREATH AND DIFFICULTY IN BREATHING AND WERE SENT TO THE HOSPITAL . AT 11 AM THE REMAINING EMPLOYEES WERE EVACUATED. MANAGEMENT TOLD EVERYONE TO R ETURN TO WORK AT 12 NOON. AT 12:28 AMBULANCES WERE AGAIN SUMMONED, AND EMPLOYEES #11 THROUGH #29 WERE SENT TO THE HOSPITAL. THESE EMPLOYEES EXPERIENCED THE SAME SYMPTOMS AS EMPLOYEES #1 THROUGH #10. EMPLOYEE #20 STOPPED BREATHING ON THE WAY

Victims (34)

  1. #1 Hospitalized Age 31 M

    Nature of injury
    21
    Part of body
    28
    Event type
    8
    Source
    9
    Occupation code
    999
    Human factor
    1
    Environmental factor
    7
    Hazardous substance
    0170
    Task assigned
    1

  2. #10 Hospitalized Age 33 M

    Nature of injury
    21
    Part of body
    28
    Event type
    8
    Source
    9
    Occupation code
    999
    Human factor
    1
    Environmental factor
    7
    Hazardous substance
    0170
    Task assigned
    1

  3. #11 Hospitalized Age 33 M

    Nature of injury
    21
    Part of body
    28
    Event type
    8
    Source
    9
    Occupation code
    999
    Human factor
    1
    Environmental factor
    7
    Hazardous substance
    0170
    Task assigned
    1

  4. #12 Hospitalized Age 32 M

    Nature of injury
    21
    Part of body
    28
    Event type
    8
    Source
    9
    Occupation code
    999
    Human factor
    1
    Environmental factor
    7
    Hazardous substance
    0170
    Task assigned
    1

  5. #13 Hospitalized Age 21 M

    Nature of injury
    21
    Part of body
    28
    Event type
    8
    Source
    9
    Occupation code
    999
    Human factor
    1
    Environmental factor
    7
    Hazardous substance
    0170
    Task assigned
    1

  6. #14 Hospitalized Age 40 M

    Nature of injury
    21
    Part of body
    28
    Event type
    8
    Source
    9
    Occupation code
    999
    Human factor
    1
    Environmental factor
    7
    Hazardous substance
    0170
    Task assigned
    1

  7. #15 Hospitalized Age 34 M

    Nature of injury
    21
    Part of body
    28
    Event type
    8
    Source
    9
    Occupation code
    999
    Human factor
    1
    Environmental factor
    7
    Hazardous substance
    0170
    Task assigned
    1

  8. #16 Hospitalized Age 42 F

    Nature of injury
    21
    Part of body
    28
    Event type
    8
    Source
    9
    Occupation code
    999
    Human factor
    1
    Environmental factor
    7
    Hazardous substance
    0170
    Task assigned
    1

  9. #17 Hospitalized Age 25 M

    Nature of injury
    21
    Part of body
    28
    Event type
    8
    Source
    9
    Occupation code
    999
    Human factor
    1
    Environmental factor
    7
    Hazardous substance
    0170
    Task assigned
    1

  10. #18 Hospitalized Age 35 M

    Nature of injury
    21
    Part of body
    28
    Event type
    8
    Source
    9
    Occupation code
    999
    Human factor
    1
    Environmental factor
    7
    Hazardous substance
    0170
    Task assigned
    1

  11. #19 Hospitalized Age 32 M

    Nature of injury
    21
    Part of body
    28
    Event type
    8
    Source
    9
    Occupation code
    999
    Human factor
    1
    Environmental factor
    7
    Hazardous substance
    0170
    Task assigned
    1

  12. #2 Hospitalized Age 23 M

    Nature of injury
    21
    Part of body
    28
    Event type
    8
    Source
    9
    Occupation code
    999
    Human factor
    1
    Environmental factor
    7
    Hazardous substance
    0170
    Task assigned
    1

  13. #20 Hospitalized Age 21 M

    Nature of injury
    21
    Part of body
    28
    Event type
    8
    Source
    9
    Occupation code
    999
    Human factor
    1
    Environmental factor
    7
    Hazardous substance
    0170
    Task assigned
    1

  14. #21 Hospitalized Age 39 F

    Nature of injury
    21
    Part of body
    28
    Event type
    8
    Source
    9
    Occupation code
    999
    Human factor
    1
    Environmental factor
    7
    Hazardous substance
    0170
    Task assigned
    1

  15. #22 Hospitalized Age 39 F

    Nature of injury
    21
    Part of body
    28
    Event type
    8
    Source
    9
    Occupation code
    999
    Human factor
    1
    Environmental factor
    7
    Hazardous substance
    0170
    Task assigned
    1

  16. #23 Hospitalized Age 27 M

    Nature of injury
    21
    Part of body
    28
    Event type
    8
    Source
    9
    Occupation code
    999
    Human factor
    1
    Environmental factor
    7
    Hazardous substance
    0170
    Task assigned
    1

  17. #24 Hospitalized Age 25 M

    Nature of injury
    21
    Part of body
    28
    Event type
    8
    Source
    9
    Occupation code
    999
    Human factor
    1
    Environmental factor
    7
    Hazardous substance
    0170
    Task assigned
    1

  18. #25 Hospitalized Age 23 M

    Nature of injury
    21
    Part of body
    28
    Event type
    8
    Source
    9
    Occupation code
    999
    Human factor
    1
    Environmental factor
    7
    Hazardous substance
    0170
    Task assigned
    1

  19. #26 Hospitalized Age 27 M

    Nature of injury
    21
    Part of body
    28
    Event type
    8
    Source
    9
    Occupation code
    999
    Human factor
    1
    Environmental factor
    7
    Hazardous substance
    0170
    Task assigned
    1

  20. #27 Hospitalized Age 27 M

    Nature of injury
    21
    Part of body
    28
    Event type
    8
    Source
    9
    Occupation code
    999
    Human factor
    1
    Environmental factor
    7
    Hazardous substance
    0170
    Task assigned
    1

  21. #28 Hospitalized Age 34 M

    Nature of injury
    21
    Part of body
    28
    Event type
    8
    Source
    9
    Occupation code
    999
    Human factor
    1
    Environmental factor
    7
    Hazardous substance
    0170
    Task assigned
    1

  22. #29 Hospitalized Age 24 M

    Nature of injury
    21
    Part of body
    28
    Event type
    8
    Source
    9
    Occupation code
    999
    Human factor
    1
    Environmental factor
    7
    Hazardous substance
    0170
    Task assigned
    1

  23. #3 Hospitalized Age 30 M

    Nature of injury
    21
    Part of body
    28
    Event type
    8
    Source
    9
    Occupation code
    999
    Human factor
    1
    Environmental factor
    7
    Hazardous substance
    0170
    Task assigned
    1

  24. #30 Non-hospitalized injury Age 35 M

    Nature of injury
    21
    Part of body
    28
    Event type
    8
    Source
    9
    Occupation code
    999
    Human factor
    1
    Environmental factor
    7
    Hazardous substance
    0170
    Task assigned
    1

  25. #31 Hospitalized Age 21 M

    Nature of injury
    21
    Part of body
    28
    Event type
    8
    Source
    9
    Occupation code
    999
    Human factor
    1
    Environmental factor
    7
    Hazardous substance
    0170
    Task assigned
    1

  26. #4 Hospitalized Age 27 M

    Nature of injury
    21
    Part of body
    28
    Event type
    8
    Source
    9
    Occupation code
    999
    Human factor
    1
    Environmental factor
    7
    Hazardous substance
    0170
    Task assigned
    1

  27. #5 Hospitalized Age 40 F

    Nature of injury
    21
    Part of body
    28
    Event type
    8
    Source
    9
    Occupation code
    999
    Human factor
    1
    Environmental factor
    7
    Hazardous substance
    0170
    Task assigned
    1

  28. #6 Hospitalized Age 33 M

    Nature of injury
    21
    Part of body
    28
    Event type
    8
    Source
    9
    Occupation code
    999
    Human factor
    1
    Environmental factor
    7
    Hazardous substance
    0170
    Task assigned
    1

  29. #7 Hospitalized Age 31 F

    Nature of injury
    21
    Part of body
    28
    Event type
    8
    Source
    9
    Occupation code
    999
    Human factor
    1
    Environmental factor
    7
    Hazardous substance
    0170
    Task assigned
    1

  30. #8 Hospitalized Age 56 F

    Nature of injury
    21
    Part of body
    28
    Event type
    8
    Source
    9
    Occupation code
    999
    Human factor
    1
    Environmental factor
    7
    Hazardous substance
    0170
    Task assigned
    1

  31. #9 Hospitalized Age 33 F

    Nature of injury
    21
    Part of body
    28
    Event type
    8
    Source
    9
    Occupation code
    999
    Human factor
    1
    Environmental factor
    7
    Hazardous substance
    0170
    Task assigned
    1

  32. #981 Degree 0 Age 0

    Nature of injury
    0
    Part of body
    0
    Event type
    0
    Source
    0
    Occupation code
    0
    Human factor
    0
    Environmental factor
    0
    Task assigned
    0

  33. #982 Degree 0 Age 0

    Nature of injury
    0
    Part of body
    0
    Event type
    0
    Source
    0
    Occupation code
    0
    Human factor
    0
    Environmental factor
    0
    Task assigned
    0

  34. #983 Degree 0 Age 0

    Nature of injury
    0
    Part of body
    0
    Event type
    0
    Source
    0
    Occupation code
    0
    Human factor
    0
    Environmental factor
    0
    Task assigned
    0

Codes shown verbatim from OSHA's accident-investigation database. A human-readable decoder is coming in a future release once the accident_lookup2 dictionary is loaded.

← Back to accident search