OSHA Accident Investigation · Summary #14429377
HEALTH ONE DBA PRESBYTERIAN/ST. LUKE'S MEDICAL CEN
DENVER, CO·
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 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
-
#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
-
#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
-
#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
-
#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
-
#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
-
#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
-
#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
-
#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
-
#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
-
#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
-
#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
-
#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
-
#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
-
#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
-
#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
-
#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
-
#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
-
#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
-
#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
-
#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
-
#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
-
#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
-
#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
-
#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
-
#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.