OSHA Accident Investigation · Summary #14516298
BURN,BLOOD CLOT,RUPTURE,STEAM,INATTENTION,LEG
Event description
EMPLOYEE SUFFERED STEAM BURNS ON LEG; LATER DIED
Investigation abstract
EMPLOYEE #1 HAD BEEN A LINE OPERATOR FOR THE PASTUERIZATION UNITS AT KRAFT INC, EES SHOT OUT OF THE PROBE AND STRUCK HER ON THE FRONT OF THE RIGHT LEG AND INSID E OF THE LEFT LEG. THE COMPANY RESPONSE TEAM TREATED HER BY APPLYING COOL WATER TO THE BURNS, THEN TAKING HER TO THE HOSPITAL. SHE DIED IN THE HOSPITAL ON JANUA RY 2, 1987. THE PRELIMINARY DIAGNOSIS OF THE CAUSE OF DEATH WAS LISTED AS A BLOO D CLOT. LAKELAND FLORIDA, FOR SIX YEARS. SHE HAD BEEN EMPLOYED AT KRAFT FOR 9 YEARS. SHE HAD BEEN TRAINED BY A QUALIFIED LINE OPERATOR AND HAD OPERATED INDEPENDENTLY FO R THE PAST SIX YEARS. ON DECEMBER 1, 1986 SHE HAD BEEN PERFORMING HER NORMAL DUT IES (CLEANING AND CHECKING THE UNITS FOR LEAKS AND STERILIZATION, AND INSURING T HAT THE PROBES DO NOT LEAK AND ARE FASTENED PROPERLY). WHEN THESE JOBS WERE FINI SHED EMPLOYEE #1 RAN STEAM THROUGH THE UNITS. SHE THEN TRIED TO MOVE A 6 FOOT HI GH, 30 INCH WIDE STEEL LADDER. THE AISLE BETWEEN PROBES IS 45 INCHES WIDE, BUT S HE STRUCK ONE OF THE PROBES BY MISTAKE AND BROKE IT OFF. STEAM AT ABOUT 200 DEGR
Victim
-
#1 Fatality Age 36 F
- Nature of injury
- 22
- Part of body
- 16
- Event type
- 14
- Source
- 43
- Occupation code
- 999
- Human factor
- 1
- Environmental factor
- 18
- 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.