Safety Incidents OSHA Severe Injury Reports · 2015–2025
105,991Records 70,589Employers 85,836Hospitalizations 27,959Amputations 2015-01-01 2025-11-30

OSHA Accident Investigation · Summary #14491732

PAN GRAPHICS INC

Event
BURN, REPAIR, CYLINDER, FLAMMABLE VAPORS, ELECTRICAL TESTING, FIRE, VALVE, PROPANE, ACCIDENTAL DISCHARGE
NAICS
000000
Inspection type
Accident-driven
Activity number
#17642059
Employer profile
PAN GRAPHICS INC
Summary number
14491732
Report ID
214500

Event description

Employee dies of burns from rapid ignition of propane gas

Investigation abstract

At approximately 8:50 a.m. on June 2, 1989, Employee #1 was troubleshooting the electrical system of the A/C unit in an 11 ft by 16 ft mechanical room, where pr opane cylinders were also stored. He was testing various fuses and disconnects w hen a fire ball engulfed the room. He died of the burns he sustained. It is beli eved that a relief valve of one of the cylinders opened and the gas was ignited by an electrical source.

Victim

  1. #1 Fatality Age 52 Male

    Nature of injury
    Burn/Scald(Heat) (5)
    Part of body
    OTHBODYSYS (31)
    Accident type
    OTHER (14)
    Source of injury
    FIRE/SMOKE (16)
    Occupation
    Occupation not reported (999)
    Human factor
    MISJUDGMENT, HAZ. SITUATION (1)
    Environmental factor
    GAS/VAPOR/MIST/FUME/SMOKE/DUST (7)
    Hazardous substance
    2150
    Task assigned
    Task regularly assigned (1)

Labels are OSHA's own, from the code dictionary published with the accident-investigation file. The raw code is shown beside each one so this page can be reconciled against OSHA's bulk data. OSHA notes that nature of injury, part of body, source of injury and accident type in this file are not coded to the Occupational Injury and Illness Classification System, and that the occupation titles are not standardised — so these values are not directly comparable with the OIICS-coded severe injury reports.