OSHA Accident Investigation · Summary #784280

STANDARD GRAVURE CORPORATION

LOUISVILLE, KY· 1988-11-10T00:00:00

Event: FIRE EXT SYSTEM, FIRE, EXPLOSION, PAPER, CARBON DIOXIDE
NAICS: 000000
Inspection type: Accident-driven
Activity number: #104289616
Employer profile: STANDARD GRAVURE CORPORATION
Summary number: 784280
Report ID: 452110

Event description

Employees injured in third press explosion

Investigation abstract

Employees #1 and #2 were rewebbing the B-Red portion of a press when a flash fir e started. The carbon dioxide suppression system extinguished the fire. During t he fire, Employee #2 jumped over the drive shaft and hit a lever, releasing ink onto the floor. The firemen arrived to extinguish any existing fire. When they u sed high pressure carbon dioxide to put out the smoldering paper, it fell into t he ink and started a second explosion and fire. The carbon dioxide system was en gaged, but did not extinguish the fire. A half hour later, a third explosion, th e biggest and most devastating, occurred. Employees #1 through #20 were injured either by the fire or by stampeding men.

Victims (20)

#1 Hospitalized Age 53 M

Nature of injury
15

Part of body
19

Event type
2

Source
16

Occupation code
734

Human factor
14

Environmental factor
10

Task assigned
1
#10 Hospitalized Age 27 M

Nature of injury
15

Part of body
19

Event type
2

Source
16

Occupation code
417

Human factor
14

Environmental factor
10

Task assigned
1
#11 Hospitalized Age 42 M

Nature of injury
3

Part of body
19

Event type
14

Source
43

Occupation code
417

Human factor
14

Environmental factor
18

Task assigned
1
#12 Hospitalized Age 49 M

Nature of injury
5

Part of body
19

Event type
2

Source
16

Occupation code
417

Human factor
14

Environmental factor
10

Task assigned
1
#13 Hospitalized Age 28 M

Nature of injury
3

Part of body
31

Event type
8

Source
44

Occupation code
417

Human factor
14

Environmental factor
7

Task assigned
1
#14 Hospitalized Age 28 M

Nature of injury
5

Part of body
19

Event type
2

Source
16

Occupation code
417

Human factor
14

Environmental factor
10

Task assigned
1
#15 Hospitalized Age 47 M

Nature of injury
5

Part of body
13

Event type
2

Source
16

Occupation code
417

Human factor
14

Environmental factor
10

Task assigned
1
#16 Hospitalized Age 40 M

Nature of injury
5

Part of body
19

Event type
2

Source
16

Occupation code
417

Human factor
14

Environmental factor
10

Task assigned
1
#17 Hospitalized Age 27 M

Nature of injury
5

Part of body
19

Event type
2

Source
16

Occupation code
417

Human factor
14

Environmental factor
10

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

Nature of injury
5

Part of body
19

Event type
2

Source
16

Occupation code
417

Human factor
14

Environmental factor
10

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

Nature of injury
5

Part of body
19

Event type
2

Source
16

Occupation code
417

Human factor
14

Environmental factor
10

Task assigned
1
#2 Hospitalized Age 41 M

Nature of injury
15

Part of body
19

Event type
2

Source
16

Occupation code
734

Human factor
14

Environmental factor
10

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

Nature of injury
5

Part of body
19

Event type
2

Source
16

Occupation code
417

Human factor
14

Environmental factor
10

Task assigned
1
#3 Hospitalized Age 45 M

Nature of injury
5

Part of body
19

Event type
2

Source
16

Occupation code
417

Human factor
14

Environmental factor
10

Task assigned
1
#4 Hospitalized Age 40 M

Nature of injury
5

Part of body
19

Event type
2

Source
16

Occupation code
417

Human factor
14

Environmental factor
10

Task assigned
1
#5 Hospitalized Age 43 M

Nature of injury
5

Part of body
19

Event type
2

Source
16

Occupation code
417

Human factor
14

Environmental factor
10

Task assigned
1
#6 Hospitalized Age 48 M

Nature of injury
21

Part of body
20

Event type
4

Source
43

Occupation code
417

Human factor
14

Environmental factor
18

Task assigned
1
#7 Hospitalized Age 55 M

Nature of injury
12

Part of body
19

Event type
4

Source
43

Occupation code
417

Human factor
14

Environmental factor
18

Task assigned
1
#8 Hospitalized Age 32 M

Nature of injury
12

Part of body
11

Event type
4

Source
43

Occupation code
417

Human factor
14

Environmental factor
18

Task assigned
1
#9 Hospitalized Age 36 M

Nature of injury
5

Part of body
19

Event type
2

Source
16

Occupation code
417

Human factor
14

Environmental factor
10

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.