Line Break/Process Opening GONE BAD (NH3 Pump Down)

On May 20, 2017, at 11:30 a.m. Employee #1, a refrigeration technician, and a coworker were performing pump down of a live ammonia refrigeration line to make the pipe available for replacement. The two (2) employees had checked the line on the roof with a blower and thinking it was clear, went to the engine room to open a valve. The valve was difficult to open, and they believed it was clogged. Employee #1 loosened the valve to see if there was pressure and it popped loose and sprayed ammonia onto his hands and arms, as well as into the air. The employee was hospitalized for treatment after his exposure to the ammonia. The second employee was also hospitalized.  Both men were 62 years old. OSHA issued citations regarding process safety management, voluntary use of respirators, respirator training, and fall protection:

Violation Summary
Serious Willful Repeat Other Unclass Total
Initial Violations 1         1
Current Violations 1         1
Initial Penalty $4,155         $4,155
Current Penalty $4,155         $4,155

 

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

19100134 C02 I

An employer may provide respirators at the request of employees

or permit employees to use their own respirators, if the employer

determines that such respirator use will not in itself create a hazard.

If the employer determines that any voluntary respirator use is

permissible, the employer shall provide the respirator users with

the information contained in Appendix D to this section

(“Information for Employees Using Respirators When Not Required

Under the Standard”)

07/21/2017 08/16/2017 $4,155 $4,155 08/22/2017
Serious

19100134 C02 II

In addition, the employer must establish and implement those elements

of a written respiratory protection program necessary to ensure that any

employee using a respirator voluntarily is medically able to use that

respirator, and that the respirator is cleaned, stored, and maintained so

that its use does not present a health hazard to the user. Exception:

Employers are not required to include in a written respiratory protection

program those employees whose only use of respirators involves the

voluntary use of filtering facepieces (dust masks).

07/21/2017 08/16/2017 $0 $0 08/22/2017
Serious

19100134 K01 V

What the procedures are for maintenance and storage of the respirator;

07/21/2017 08/16/2017 $0 $0 08/22/2017

 

Violation Summary
Serious Willful Repeat Other Unclass Total
Initial Violations 3         3
Current Violations 3         3
Initial Penalty $30,965         $30,965
Current Penalty $30,965         $30,965

 

Violation Items
Type Standard Issuance Abate

Curr

$

Init

$

Contest
Serious

19100119 F04

The employer shall develop and implement safe work practices to

provide for the control of hazards during operations such as

lockout/tagout; confined space entry; opening process equipment

or piping; and control over entrance into a facility by maintenance,

contractor, laboratory, or other support personnel. These safe work

practices shall apply to employees and contractor employees.

07/21/2017 09/07/2017 $11,408 $11,408 08/22/2017
Serious

19100119 H03 I

The contract employer shall assure that each contract employee is

trained in the work practices necessary to safely perform his/her job.

07/21/2017 09/07/2017 $11,408 $11,408 08/22/2017
Serious

19100140 C13 II

Designed, installed, and used, under the supervision of qualified

person, as part of a complete personal fall protection system that

maintains a safety factor of at least two.

07/21/2017 08/16/2017 $8,149 $8,149 08/22/2017

 

OSHA Case File

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