OSHA Accident Investigation · Summary #14464366

RESPIRATORY,CYLINDER,WORK RULES,INHALATION,GAS,CHLORINE,GAS LEAK,CHEMICAL VAPOR,TOXIC FUMES,HOUSEKEEPING

1985-07-26T00:00:00

Event: RESPIRATORY,CYLINDER,WORK RULES,INHALATION,GAS,CHLORINE,GAS LEAK,CHEMICAL VAPOR,TOXIC FUMES,HOUSEKEEPING
Linked inspection: No inspection record linked to this accident's victims.
Summary number: 14464366
Report ID: 551800

Event description

Thirteen injured when chlorine gas leaks from old cylinder

Investigation abstract

On July 26, 1985, one of several forgotten chlorine gas cylinders rusted through , releasing an unknown quantity of chlorine gas. Employees #1 through #13 were o vercome after inhaling the chlorine, but none were hospitalized. The cylinders w ere purchased in 1962 or 1963, when chlorinating rubber writer rollers was a dai ly job. Other than the employer and the maintenance man, no one was aware of the presence of the chlorine, although it had appeared on a hazardous chemical inve ntory in June. The neglected cylinders had become pitted and rusty.

Victims (57)

#1 Non-hospitalized injury Age 48 M

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
873

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#10 Non-hospitalized injury Age 21 F

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
777

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#11 Non-hospitalized injury Age 57 F

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
777

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#12 Non-hospitalized injury Age 19 F

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
777

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#13 Non-hospitalized injury Age 58 F

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
873

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#14 Non-hospitalized injury Age 27 M

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
863

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#15 Non-hospitalized injury Age 31 F

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
999

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#16 Non-hospitalized injury Age 22 F

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
777

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#17 Non-hospitalized injury Age 57 F

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
777

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#18 Non-hospitalized injury Age 24 F

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
777

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#19 Non-hospitalized injury Age 51 F

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
777

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#2 Non-hospitalized injury Age 19 M

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
795

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#20 Non-hospitalized injury Age 20 F

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
777

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#21 Non-hospitalized injury Age 18 F

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
777

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#22 Non-hospitalized injury Age 40 M

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
804

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#23 Non-hospitalized injury Age 20 F

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
777

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#24 Non-hospitalized injury Age 24 F

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
777

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#25 Non-hospitalized injury Age 23 F

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
777

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#26 Non-hospitalized injury Age 22 M

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
706

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#27 Non-hospitalized injury Age 21 F

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
795

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#28 Non-hospitalized injury Age 28 M

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
518

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#29 Non-hospitalized injury Age 32 M

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
706

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#3 Non-hospitalized injury Age 34 F

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
795

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#30 Non-hospitalized injury Age 29 F

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
706

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#31 Non-hospitalized injury Age 26 F

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
689

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#32 Non-hospitalized injury Age 24 M

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
706

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#33 Non-hospitalized injury Age 24 M

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
706

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#34 Non-hospitalized injury Age 32 F

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
795

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#35 Non-hospitalized injury Age 47 M

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
863

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#36 Non-hospitalized injury Age 26 M

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
863

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#37 Non-hospitalized injury Age 19 F

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
777

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#38 Non-hospitalized injury Age 29 M

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
706

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#39 Non-hospitalized injury Age 48 M

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
863

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#4 Non-hospitalized injury Age 49 F

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
795

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#40 Non-hospitalized injury Age 22 M

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
706

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#41 Non-hospitalized injury Age 30 M

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
804

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#42 Non-hospitalized injury Age 23 M

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
795

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#43 Non-hospitalized injury Age 54 F

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
777

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#44 Non-hospitalized injury Age 32 M

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
873

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#45 Non-hospitalized injury Age 50 M

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
873

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#46 Non-hospitalized injury Age 23 M

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
795

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#47 Non-hospitalized injury Age 36 M

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
706

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#48 Non-hospitalized injury Age 29 F

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
706

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#49 Non-hospitalized injury Age 47 F

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
777

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#5 Non-hospitalized injury Age 56 M

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
863

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#50 Non-hospitalized injury Age 34 F

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
863

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#51 Non-hospitalized injury Age 57 M

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
777

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#52 Non-hospitalized injury Age 25 M

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
777

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#53 Non-hospitalized injury Age 25 M

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
777

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#54 Non-hospitalized injury Age 26 F

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
777

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#55 Non-hospitalized injury Age 37 M

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
873

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#56 Non-hospitalized injury Age 34 M

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
863

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#57 Non-hospitalized injury Age 37 F

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
777

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#6 Non-hospitalized injury Age 36 F

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
689

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#7 Non-hospitalized injury Age 48 M

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
706

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#8 Non-hospitalized injury Age 29 M

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
706

Human factor
12

Environmental factor
8

Hazardous substance
0640

Task assigned
1
#9 Non-hospitalized injury Age 22 F

Nature of injury
21

Part of body
28

Event type
8

Source
19

Occupation code
777

Human factor
12

Environmental factor
8

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.