OSHA Accident Investigation · Summary #14506554

HEADACHE,HYDROGEN CHLORIDE,HYDROGEN PEROXIDE,WORK RULES,INHALATION,NAUSEA,CHEMICAL REACTION,DIZZINESS,COUGH,WATER

1984-08-24T00:00:00

Event: HEADACHE,HYDROGEN CHLORIDE,HYDROGEN PEROXIDE,WORK RULES,INHALATION,NAUSEA,CHEMICAL REACTION,DIZZINESS,COUGH,WATER
Linked inspection: No inspection record linked to this accident's victims.
Summary number: 14506554
Report ID: 830500

Event description

EMPLOYEES INHALED VAPORS FROM HCC/H202 REACTION

Investigation abstract

EMPLOYEE #1 WAS PREPARING A HYDROGEN CHLORIDE/HYDROGEN PEROXIDE BATH FOR CLEANIN G SEMI-CONDUCTOR WAFERS. THE CHEMICALS SHOULD HAVE BEEN COMBINED IN A WATER SOLU TION, BUT WERE NOT. AN UNWANTED CHEMICAL REACTION RESULTED. 56 EMPLOYEES, ALL OF WHOM WORKED IN THE CLEAN ROOM, WERE EVACUATED. THE REACTION OCCURRED AT A WET B ENCH FOR THE DUMP/RINSE TANK, LOCATED IN THE PHOTO AREA. THE EMPLOYEES COMPLAINE D OF HEADACHES, NAUSEA, COUGHING AND DIZZINESS. THE ACCIDENT RESULTED FROM AN IN ADEQUATE WRITTEN WORK PRACTICE PROGRAM REGARDING THE MIXING OF CHEMICALS FOR THE CLEANING BATH.

Victims (56)

#1 Hospitalized Age 25 M

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
2
#10 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#11 Hospitalized Age 25 M

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#12 Hospitalized Age 25 M

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#13 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#14 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#15 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#16 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#17 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#18 Hospitalized Age 30 M

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#19 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#2 Hospitalized Age 35 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#20 Hospitalized Age 25 M

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#21 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#22 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#23 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#24 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#25 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#26 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#27 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#28 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#29 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#3 Hospitalized Age 30 M

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#30 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#31 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#32 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#33 Hospitalized Age 25 M

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#34 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#35 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#36 Hospitalized Age 25 M

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#37 Hospitalized Age 25 M

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#38 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#39 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#4 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#40 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#41 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#42 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#43 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#44 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#45 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#46 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#47 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#48 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#49 Hospitalized Age 25 M

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

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

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#50 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#51 Hospitalized Age 25 M

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#52 Hospitalized Age 25 M

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#53 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#54 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#55 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#56 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

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

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#7 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#8 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

Task assigned
1
#9 Hospitalized Age 25 F

Nature of injury
21

Part of body
19

Event type
8

Source
9

Occupation code
999

Human factor
18

Environmental factor
9

Hazardous substance
1430

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.