One Entrant, Two “would-be rescuers” Fatal PRCS Incident (2017, H2S, Sewer Pipe)

It is 24 years after OSHA promulgated it’s Permit-Required Confined Space standard and then in 2015 OSHA promulgated their Confined Spaces in Construction standard and yet we continue to see more “would-be rescuers” dying in Permit-Required Confined Spaces as do actual “entrants”.  We can only hope that one-day worker training and awareness will end the “would-be rescuer” scenarios; however, that may require a change in humanity, for the worst.  As Safety Professionals we MUST continue to raise awareness and improve training for wider audiences if we have any hope in stopping these kinds of tragedies…

At 11:00 a.m. on July 7, 2017, Employee #1was attempting to dislodge a 24-inch rubber plug from a 2-foot diameter sewer pipe located inside a 24-foot 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 work space, Employee #1 climbed down the ladder with a crowbar to dislodge the deflated 24-inch 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 down the ladder…

to provide emergency rescue, but lost consciousness and went underwater. The waste water level was about 3 feet deep at this point. Employee #3 climbed down the ladder to provide emergency rescue, but lost consciousness as well. All three workers were asphyxiated by hydrogen sulfide (H2S) gas.

Violation Summary
  Serious Willful Repeat Total
Initial Violations 7     7
Current Violations 7     7
Initial Penalty $59,576     $59,576
Current Penalty $59,576     $59,576

 

Violation Items
Type Standard Issuance Abate Curr$ Init$
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 $8,873 $8,873
Serious

19261204 B – Identify and evaluate the hazards of

permit spaces before employees enter them;

12/18/2017 12/22/2017 $0 $0
Serious

19261203 E02 II – When entrance covers are removed,

the opening must be immediately guarded by a railing,

temporary cover, or other temporary 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 $6,338 $6,338
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 $8,873 $8,873
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 $8,873 $8,873
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 $8,873 $8,873
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
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 $8,873 $8,873
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 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 $8,873 $8,873
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
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