OSHA Accident Investigation · Summary #869032
THE MEAD CORP.-FINE PAPER DIV-CHILPACO MILL
CHILLICOTHE, OH·
Event description
Nine employees inhale chlorine gas
Investigation abstract
Employees #3, #6, and #9 improperly mixed a 12 1/2 percent bleach solution and a hydrochloric acid solution during a boilout procedure, which began in the beate r room attached to a paper machine. The resulting chlorine gas affected Employee s #1 through #9, either at their work stations or while passing through the beat er room. Factors contributing to the accident include a lack of distinctive labe ling for the tote bins containing acids and caustics; lack of written procedures for chemical additions; and poor evacuation procedures.
Victims (9)
-
#1 Non-hospitalized injury Age 60 M
- Nature of injury
- 17
- Part of body
- 28
- Event type
- 8
- Source
- 9
- Occupation code
- 999
- Human factor
- 18
- Environmental factor
- 9
- Hazardous substance
- 0640
- Task assigned
- 1
-
#2 Non-hospitalized injury Age 55 M
- Nature of injury
- 17
- Part of body
- 28
- Event type
- 8
- Source
- 9
- Occupation code
- 999
- Human factor
- 18
- Environmental factor
- 9
- Hazardous substance
- 0640
- Task assigned
- 1
-
#3 Non-hospitalized injury Age 25 F
- Nature of injury
- 17
- Part of body
- 28
- Event type
- 8
- Source
- 9
- Occupation code
- 999
- Human factor
- 18
- Environmental factor
- 9
- Hazardous substance
- 0640
- Task assigned
- 1
-
#4 Hospitalized Age 50 M
- Nature of injury
- 17
- Part of body
- 28
- Event type
- 8
- Source
- 9
- Occupation code
- 999
- Human factor
- 18
- Environmental factor
- 9
- Hazardous substance
- 0640
- Task assigned
- 1
-
#5 Non-hospitalized injury Age 54 M
- Nature of injury
- 17
- Part of body
- 28
- Event type
- 8
- Source
- 9
- Occupation code
- 999
- Human factor
- 18
- Environmental factor
- 9
- Hazardous substance
- 0640
- Task assigned
- 1
-
#6 Hospitalized Age 47 M
- Nature of injury
- 17
- Part of body
- 28
- Event type
- 8
- Source
- 9
- Occupation code
- 999
- Human factor
- 18
- Environmental factor
- 9
- Hazardous substance
- 0640
- Task assigned
- 1
-
#7 Non-hospitalized injury Age 29 M
- Nature of injury
- 17
- Part of body
- 28
- Event type
- 8
- Source
- 9
- Occupation code
- 999
- Human factor
- 18
- Environmental factor
- 9
- Hazardous substance
- 0640
- Task assigned
- 1
-
#8 Non-hospitalized injury Age 31 M
- Nature of injury
- 17
- Part of body
- 28
- Event type
- 8
- Source
- 9
- Occupation code
- 999
- Human factor
- 18
- Environmental factor
- 9
- Hazardous substance
- 0640
- Task assigned
- 1
-
#9 Non-hospitalized injury Age 20 M
- Nature of injury
- 17
- Part of body
- 28
- Event type
- 8
- Source
- 9
- Occupation code
- 999
- Human factor
- 18
- Environmental factor
- 9
- Hazardous substance
- 0640
- Task assigned
- 2
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.