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Inspection Detail
Inspection: 119843720 - Century City Hospital
Inspection Information - Office: Los Angeles District Office
Site Address:
Century City Hospital
2070 Century Park East
Los Angeles, CA 90067
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:8062
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 05/20/1994
Emphasis:
Case Closed: 08/01/1994
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362009524 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $2,000 | $0 | $0 | $0 | $0 | $2,000 |
| Current Penalty | $2,000 | $0 | $0 | $0 | $0 | $2,000 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Serious | 5220 J03 C3 | 05/20/1994 | 05/26/1994 | $2,000 | $2,000 | $0 | - |
Investigation Summary
On the afternoon of January 20, 1994, an ethylene oxide leak occurred on the p-1 level of Century City Hospital in the Central Services area. This occurred during the sterilization cycle on the ethylene oxide gas sterilizer (AMSCO model #2027). During the cycle, the equipment emitted a pulsing audible buzzer, signifying a mechanical failure. Employee #1 mistook the sterilizer pulsing buzzer for a solid buzzer that signals the completion of the sterilization cycle. When he opened the sterilizer door to transfer the load to a secondary aerator for a second sterilization cycle, ethylene oxide was released into the immediate area, exposing Employee #1 and sending a high alarm reading on the ethylene oxide monitor. A serious accident related citation was issued (5220(j)(3)(c)(3)).
Keywords: ETHYLENE OXIDE, WORK RULES, ALARM, PROCESS SAFETY, OVEREXPOSURE, ACCIDENTAL DISCHARGE, INATTENTION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 119843720 | Non Hospitalized injury | Cancer | Health technologists and technicians, n.e.c. |