OSHA Accident Investigation · Summary #14387419
RESPIRATORY,INHALATION,CHLORINE,CHEMICAL,INATTENTION
Event description
FIVE EMPLOYEES EXPOSED TO CHLORINE GAS
Investigation abstract
AT APPROXIMATELY 7:30 AM ON JULY 8, 1987, EMPLOYEE #5 ARRIVED AT THE CAM PRODUCT IXED WITH HYDROCHLORIC ACID, LEAKED OUT OF THE TANK TO THE ATMOSPHERE THROUGH TH E VENT PIPES. EMPLOYEES #1 AND #3 WERE FABRICATING PIPE AT GROUND LEVEL APPROXIM ATELY 300 FEET EAST OF THE ACID TANK. EMPLOYEES #2 AND #4 WERE RUNNING AIR LINES 30 TO 40 FEET ABOVE THE GROUND, APPROXIMATELY 150 TO 200 FEET NORTHEAST OF THE ACID TANK. BETWEEN 8:30 AND 9 AM EMPLOYEES #1 THROUGH #4 APPARENTLY INHALED THE CHLORINE GAS. THEY WERE TRANSPORTED TO THE LOCAL HOSPITAL. EMPLOYEE #5 STATED TH AT HE WAS NOT OVERCOME BY THE GAS. NEVERTHELESS HE WAS TAKEN TO THE HOSPITAL FOR XRAYS AND OTHER TESTS. THE ACCIDENT COULD HAVE BEEN PREVENTED IF A DETAILED CHE CK SYSTEM OR LOCKOUT SYSTEM HAD BEEN IMPLEMENTED. COMPANY WITH A LOAD OF ABOUT 1,000 POUNDS OF HYPOCHLORITE SOLUTION. THE TRUCK W AS WEIGHED. THEN EMPLOYEE #5, FOLLOWING INSTRUCTIONS, PROCEEDED TO BUILDING #61. HE ISSUED THE BILL OF LADING TO THE PROPER PARTY, THEN, FOLLOWING INSTRUCTIONS, PROCEEDED TO THE ACID STORAGE AREA. THERE HE WAS INSTRUCTED TO OFFLOAD THE HYPO CHLORITE SOLUTION INTO A 22,000 GALLON CAPACITY HYDROCHLORIC ACID STORAGE TANK. APPROXIMATELY 400 GALLONS OF HYPOCHLORITE HAD BEEN UNLOADED INTO THE HYDROCHLORI C ACID TANK (WHICH CONTAINED ABOUT 6,000 GALLONS OF HCL) BEFORE ANYONE REALIZED THAT A MISTAKE HAD BEEN MADE. CHLORINE GAS, PRODUCED WHEN THE HYPOCHLORITE WAS M
Victims (6)
-
#1 Hospitalized Age 46 M
- Nature of injury
- 2
- Part of body
- 28
- Event type
- 8
- Source
- 19
- Occupation code
- 999
- Human factor
- 18
- Environmental factor
- 9
- Hazardous substance
- 0640
- Task assigned
- 1
-
#2 Hospitalized Age 36 M
- Nature of injury
- 2
- Part of body
- 28
- Event type
- 8
- Source
- 19
- Occupation code
- 999
- Human factor
- 18
- Environmental factor
- 9
- Hazardous substance
- 0640
- Task assigned
- 1
-
#3 Hospitalized Age 36 M
- Nature of injury
- 2
- Part of body
- 28
- Event type
- 8
- Source
- 19
- Occupation code
- 999
- Human factor
- 18
- Environmental factor
- 9
- Hazardous substance
- 0640
- Task assigned
- 1
-
#4 Hospitalized Age 33 M
- Nature of injury
- 2
- Part of body
- 28
- Event type
- 8
- Source
- 19
- Occupation code
- 999
- Human factor
- 18
- Environmental factor
- 9
- Hazardous substance
- 0640
- Task assigned
- 1
-
#5 Hospitalized Age 57 M
- Nature of injury
- 2
- Part of body
- 28
- Event type
- 8
- Source
- 19
- Occupation code
- 999
- Human factor
- 18
- Environmental factor
- 9
- Hazardous substance
- 0640
- Task assigned
- 1
-
#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
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.