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 #14429377

WORK RULES,TOXIC ATMOSPHERE,INHALATION,GAS,CHLORINE,INEXPERIENCE,CHEMICAL REACTION,CHEMICAL VAPOR,TOXIC FUMES,OVEREXPOSURE

Event
WORK RULES,TOXIC ATMOSPHERE,INHALATION,GAS,CHLORINE,INEXPERIENCE,CHEMICAL REACTION,CHEMICAL VAPOR,TOXIC FUMES,OVEREXPOSURE
Linked inspection
No inspection record linked to this accident's victims.
Summary number
14429377
Report ID
830500

Event description

Thirteen employees exposed to large amount of chlorine gas

Investigation abstract

On August 4, 1987, Employee #1, a kitchen worker, was instructed to clean a port es #7 through #13 were exposed, but not hospitalized. able pot sink in the kitchen area of a hospital. She mixed bleach, Ajax cleanser , Lime-A-Way scale remover, and water in the pot sink without realizing the pote ntial incompatibilities of the chemicals in these materials. The mixture reacted , releasing chlorine gas. While kitchen employees were evacuated, Employees #2 a nd #3 were called to dispose of the mixture in the pot sink, which they poured d own a kitchen drain. When Employee #1 sprayed hot water on the remaining pile of material in the sink, large quantities of chlorine gas were released. Employees #1 through #3 were hospitalized. Employees #4 through #6 were examined. Employe

Victims (26)

  1. #1 Hospitalized Age 62 F

    Nature of injury
    21
    Part of body
    31
    Event type
    8
    Source
    19
    Occupation code
    999
    Human factor
    18
    Environmental factor
    9
    Hazardous substance
    0640
    Task assigned
    1
  2. #10 Non-hospitalized injury Age 53 F

    Nature of injury
    21
    Part of body
    31
    Event type
    8
    Source
    19
    Occupation code
    999
    Human factor
    18
    Environmental factor
    9
    Hazardous substance
    0640
    Task assigned
    1
  3. #11 Non-hospitalized injury Age 42 F

    Nature of injury
    21
    Part of body
    31
    Event type
    8
    Source
    19
    Occupation code
    999
    Human factor
    18
    Environmental factor
    9
    Hazardous substance
    0640
    Task assigned
    1
  4. #12 Non-hospitalized injury Age 24 F

    Nature of injury
    21
    Part of body
    31
    Event type
    8
    Source
    19
    Occupation code
    999
    Human factor
    18
    Environmental factor
    9
    Hazardous substance
    0640
    Task assigned
    2
  5. #13 Non-hospitalized injury Age 59 F

    Nature of injury
    21
    Part of body
    31
    Event type
    8
    Source
    19
    Occupation code
    999
    Human factor
    18
    Environmental factor
    9
    Hazardous substance
    0640
    Task assigned
    1
  6. #14 Non-hospitalized injury Age 50 F

    Nature of injury
    21
    Part of body
    31
    Event type
    8
    Source
    19
    Occupation code
    999
    Human factor
    18
    Environmental factor
    9
    Hazardous substance
    0640
    Task assigned
    1
  7. #15 Non-hospitalized injury Age 27 F

    Nature of injury
    21
    Part of body
    31
    Event type
    8
    Source
    19
    Occupation code
    999
    Human factor
    18
    Environmental factor
    9
    Hazardous substance
    0640
    Task assigned
    1
  8. #16 Non-hospitalized injury Age 24 F

    Nature of injury
    21
    Part of body
    31
    Event type
    8
    Source
    19
    Occupation code
    999
    Human factor
    18
    Environmental factor
    9
    Hazardous substance
    0640
    Task assigned
    1
  9. #17 Non-hospitalized injury Age 52 F

    Nature of injury
    21
    Part of body
    31
    Event type
    8
    Source
    19
    Occupation code
    999
    Human factor
    18
    Environmental factor
    9
    Hazardous substance
    0640
    Task assigned
    1
  10. #18 Non-hospitalized injury Age 36 F

    Nature of injury
    21
    Part of body
    31
    Event type
    8
    Source
    19
    Occupation code
    999
    Human factor
    18
    Environmental factor
    9
    Hazardous substance
    0640
    Task assigned
    1
  11. #19 Non-hospitalized injury Age 55 F

    Nature of injury
    21
    Part of body
    31
    Event type
    8
    Source
    19
    Occupation code
    999
    Human factor
    18
    Environmental factor
    9
    Hazardous substance
    0640
    Task assigned
    1
  12. #2 Hospitalized Age 38 M

    Nature of injury
    21
    Part of body
    31
    Event type
    8
    Source
    19
    Occupation code
    999
    Human factor
    18
    Environmental factor
    9
    Hazardous substance
    0640
    Task assigned
    2
  13. #20 Non-hospitalized injury Age 32 M

    Nature of injury
    21
    Part of body
    31
    Event type
    8
    Source
    19
    Occupation code
    999
    Human factor
    18
    Environmental factor
    9
    Hazardous substance
    0640
    Task assigned
    1
  14. #21 Non-hospitalized injury Age 33 F

    Nature of injury
    21
    Part of body
    31
    Event type
    8
    Source
    19
    Occupation code
    999
    Human factor
    18
    Environmental factor
    9
    Hazardous substance
    0640
    Task assigned
    1
  15. #22 Non-hospitalized injury Age 34 F

    Nature of injury
    21
    Part of body
    31
    Event type
    8
    Source
    19
    Occupation code
    999
    Human factor
    18
    Environmental factor
    9
    Hazardous substance
    0640
    Task assigned
    1
  16. #23 Non-hospitalized injury Age 39 F

    Nature of injury
    21
    Part of body
    31
    Event type
    8
    Source
    19
    Occupation code
    999
    Human factor
    18
    Environmental factor
    9
    Hazardous substance
    0640
    Task assigned
    1
  17. #24 Non-hospitalized injury Age 23 M

    Nature of injury
    21
    Part of body
    31
    Event type
    8
    Source
    19
    Occupation code
    999
    Human factor
    18
    Environmental factor
    9
    Hazardous substance
    0640
    Task assigned
    1
  18. #25 Non-hospitalized injury Age 32 M

    Nature of injury
    21
    Part of body
    31
    Event type
    8
    Source
    19
    Occupation code
    999
    Human factor
    18
    Environmental factor
    9
    Hazardous substance
    0640
    Task assigned
    1
  19. #26 Non-hospitalized injury Age 51 F

    Nature of injury
    21
    Part of body
    31
    Event type
    8
    Source
    19
    Occupation code
    999
    Human factor
    18
    Environmental factor
    9
    Hazardous substance
    0640
    Task assigned
    1
  20. #3 Hospitalized Age 39 M

    Nature of injury
    21
    Part of body
    31
    Event type
    8
    Source
    19
    Occupation code
    999
    Human factor
    18
    Environmental factor
    9
    Hazardous substance
    0640
    Task assigned
    2
  21. #4 Non-hospitalized injury Age 56 F

    Nature of injury
    21
    Part of body
    31
    Event type
    8
    Source
    19
    Occupation code
    999
    Human factor
    18
    Environmental factor
    9
    Hazardous substance
    0640
    Task assigned
    1
  22. #5 Non-hospitalized injury Age 32 F

    Nature of injury
    21
    Part of body
    31
    Event type
    8
    Source
    19
    Occupation code
    999
    Human factor
    18
    Environmental factor
    9
    Hazardous substance
    0640
    Task assigned
    1
  23. #6 Non-hospitalized injury Age 30 F

    Nature of injury
    21
    Part of body
    31
    Event type
    8
    Source
    19
    Occupation code
    999
    Human factor
    18
    Environmental factor
    9
    Hazardous substance
    0640
    Task assigned
    1
  24. #7 Non-hospitalized injury Age 37 M

    Nature of injury
    21
    Part of body
    31
    Event type
    8
    Source
    19
    Occupation code
    999
    Human factor
    18
    Environmental factor
    9
    Hazardous substance
    0640
    Task assigned
    1
  25. #8 Non-hospitalized injury Age 44 F

    Nature of injury
    21
    Part of body
    31
    Event type
    8
    Source
    19
    Occupation code
    999
    Human factor
    18
    Environmental factor
    9
    Hazardous substance
    0640
    Task assigned
    1
  26. #9 Non-hospitalized injury Age 59 M

    Nature of injury
    21
    Part of body
    31
    Event type
    8
    Source
    19
    Occupation code
    999
    Human factor
    18
    Environmental factor
    9
    Hazardous substance
    0640
    Task assigned
    1

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.