OSHA Accident Investigation · Summary #14453351
GREENE COMMUNITY SCHOOL DISTRICT
GREENE, IA·
Event description
KILLED IN BOILER EXPLOSION AT ELEMENTARY SCHOOL
Investigation abstract
AT ABOUT 6 AM ON MARCH 7, 1986, A CUSTODIAN AT THE GREENE ELEMENTARY SCHOOL DISC DBOARD. OVERED THAT THE BOILER WAS NOT WORKING. HE NOTIFIED THE PRINCIPAL AND A LOCAL EL ECTRICAL CONTRACTOR. THE ELECTRICIAN FOUND A DEFECTIVE CONTROL DEVICE. HE TOLD T HE PRINCIPAL THAT THE CONTROL MUST BE REPLACED BY A BOILER REPAIR COMPANY, BUT T HAT THE BOILER COULD BE OPERATED MANUALLY IN THE INTERIM. THE CUSTODIAN PROCEEDE D TO OPERATE THE BOILER MANUALLY, BUT DECIDED TO SHUT DOWN THE BOILER TEMPORARIL Y, AS HE HAD TO BE AWAY FROM THE SCHOOL FOR A SHORT TIME. WHEN HE RETURNED HE AT TEMPTED TO RESTART THE BOILER. IT EXPLODED, KILLING HIM. IT WAS DISCOVERED THAT HE HAD BYPASSED THE BUILT-IN SAFETY DEVICES BY BLOCKING THEM WITH A PIECE OF CAR
Victim
-
#1 Fatality Age 57 M
- Nature of injury
- 6
- Part of body
- 13
- Event type
- 1
- Source
- 6
- Occupation code
- 453
- Human factor
- 9
- Environmental factor
- 5
- Task assigned
- 2
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.