1 entrant & 2 would-be rescuers die in H2S atmosphere @ WWTP (Construction Permit-Required Confined Space)

At 11:00 a.m. on July 7, 2017, Employee #1was attempting to dislodge a 24-inch rubber plug from a 2foot diameter sewer pipe located inside a 24foot deep wet well. The workers were outside the well pulling on a 1/4-inch nylon rope that was attached to the 24-inch diameter plug. The plug was lodged inside a T-shaped PVC fitting from the force of the wastewater emptying into the well. Without conducting any atmospheric testing of the workspace:

Employee #1 climbed down the ladder with a crowbar to dislodge the deflated 24inch diameter rubber plug, which was about 8 feet below the top of the well. He had difficulty releasing the plug with the crowbar and started to make his way up the ladder. He lost consciousness when he was about 2 feet from the top of the well and fell into the 24 foot deep well.

Employee #2 descended the ladder to provide emergency rescue, but lost consciousness and went underwater. The wastewater level was about 3 feet deep at this point.

Employee #3 climbed down the ladder to provide emergency rescue but lost consciousness as well. Hydrogen sulfide (H2S) gas asphyxiated all three workers.

 

Violation Items
Type Standard Issuance Abate Curr$ Init$ LastEvent
Serious

19261203 A  Before it begins work at a worksite, each employer must

ensure that a competent person identifies all confined spaces in which

one or more of the employees it directs may work, and identifies each

space that is a permit space, through consideration and evaluation of

the elements of that space, including testing as necessary.

12/18/2017 12/22/2017 $7,542 $8,873 I – Informal Settlement
Serious

19261204 B  Identify and evaluate the hazards of permit spaces before

employees enter them;

12/18/2017 12/22/2017 $0 $0 I – Informal Settlement
Serious

19261203 E02 II When entrance covers are removed, the opening must

be immediately guarded by a railing, temporary cover, or other temporary

the barrier that will prevent an accidental fall through the opening and that

will protect each employee working in the space from foreign objects

entering the space.

12/18/2017 12/22/2017 $5,387 $6,338 I – Informal Settlement
Serious

19261203 E02 III  Before an employee enters the space, the internal

atmosphere must be tested, with a calibrated direct-reading instrument,

for oxygen content, for flammable gases and vapors, and for potential

toxic air contaminants, in that order. Any employee who enters the space,

or that employee’s authorized representative must be provided an

opportunity to observe the pre-entry testing required by this paragraph.

12/18/2017 12/22/2017 $7,542 $8,873 I – Informal Settlement
Serious

19261204 C04 Purging, inerting, flushing, or ventilating the permit space

as necessary to eliminate or control atmospheric hazards;

12/18/2017 12/22/2017 $7,542 $8,873 I – Informal Settlement
Serious

19261204 D08  Rescue and emergency equipment needed to comply with

paragraph (i) of this section, except to the extent that the equipment is

provided by rescue services; and

12/18/2017 12/22/2017 $7,542 $8,873 I – Informal Settlement
Serious

19261204 I Develop and implement procedures for summoning rescue and

emergency services (including procedures for summoning emergency

assistance in the event of a failed nonentry rescue), for rescuing entrants

from permit spaces, for providing necessary emergency services to rescued

employees, and for preventing unauthorized personnel from attempting a

rescue;

12/18/2017 12/22/2017 $0 $0 I – Informal Settlement
Serious

19261205 A Before entry is authorized, each entry employer must

document the completion of measures required by § 1926.1204(c) by

preparing an entry permit.

12/18/2017 12/22/2017 $7,542 $8,873 I – Informal Settlement
Serious

19261207 A  The employer must provide training to each employee

whose work is regulated by this standard, at no cost to the employee,

and ensure that the employee possesses the understanding, knowledge,

and skills necessary for the safe performance of the duties assigned under

this standard. This training must result in an understanding of the hazards

in the permit space and the methods used to isolate, control or in other

ways to protect employees from these hazards, and for those employees not

authorized to perform entry rescues, in the dangers of attempting such

rescues

12/18/2017 12/22/2017 $7,542 $8,873 I – Informal Settlement
Serious

19261207 C  The training must establish employee proficiency in the

duties required by this standard and must introduce new or revised

procedures, as necessary, for compliance with this standard.

12/18/2017 12/22/2017 $0 $0 I – Informal Settlement
Violation Summary
  Serious Willful Repeat Other Unclass Total
Initial Violations 7         7
Current Violations 7         7
Initial Penalty $59,576         $59,576
Current Penalty $50,640         $50,640
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