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Inspection Detail
Inspection: 1502795.015 - U.S. Department Of Veterans Affairs, Va Connecticut Healthcare System
Inspection Information - Office: Bridgeport Area Office
Site Address:
U.S. Department Of Veterans Affairs, Va Connecticut Healthcare System
950 Campbell Avenue
West Haven, CT 06516
Mailing Address:
950 Campbell Avenue, West Haven, CT 06516
Union Status: Union
SIC:
NAICS: 622110/General Medical and Surgical Hospitals
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership:
Safety/Health: Safety
Close Conference: 11/13/2020
Emphasis:
Case Closed: 07/17/2024
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1690271 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 5 | 1 | 3 | 9 | ||
| Current Violations | 5 | 1 | 3 | 9 | ||
| Initial Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| 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 | 19100147 C09 | 05/12/2021 | 10/27/2021 | $0 | $0 | $0 | P - Petition to Mod Abatement | ||
| 2. | 01002A | Serious | 19100147 D02 | 05/12/2021 | 06/29/2021 | $0 | $0 | $0 | Z - Issued | ||
| 3. | 01002B | Serious | 19100147 D05 I | 05/12/2021 | 06/29/2021 | $0 | $0 | $0 | Z - Issued | ||
| 4. | 01003 | Serious | 19100147 F02 I | 05/12/2021 | 06/29/2021 | $0 | $0 | $0 | Z - Issued | ||
| 5. | 01004 | Serious | 19600008 A | 05/12/2021 | 01/02/2024 | $0 | $0 | $0 | P - Petition to Mod Abatement | ||
| 6. | 01005 | Serious | 19600055 A | 05/12/2021 | 11/08/2021 | $0 | $0 | $0 | P - Petition to Mod Abatement | ||
| 7. | 02001A | Willful | 19100147 C04 I | 05/12/2021 | 11/08/2021 | $0 | $0 | $0 | P - Petition to Mod Abatement | ||
| 8. | 02001B | Willful | 19100147 C04 II | 05/12/2021 | 11/08/2021 | $0 | $0 | $0 | P - Petition to Mod Abatement | ||
| 9. | 03001 | Repeat | 19100147 C06 I | 05/12/2021 | 11/08/2021 | $0 | $0 | $0 | P - Petition to Mod Abatement | ||
| 10. | 03002 | Repeat | 19100147 C07 I | 05/12/2021 | 11/08/2021 | $0 | $0 | $0 | P - Petition to Mod Abatement | ||
| 11. | 03003 | Repeat | 19100147 F03 II D | 05/12/2021 | 11/08/2021 | $0 | $0 | $0 | P - Petition to Mod Abatement |
Investigation Summary
At 8:12 a.m. on November 13, 2020, Employee #1 and a coworker (contractor and plumbing supervisor) were reopening the first valve (closest to the floor) to reenergize a repaired steam line, and the six threaded drip cap at the bottom of the vertical steam riser apparently failed causing the room to immediately fill with steam. Both employees could not open the door to exit due to the pressurized steam. Employee #1 was killed.
Keywords: High Pressure, Open Valve, Overexposure, Repair, Steam Line
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1502795.015 | 60 | M | Fatality | Supervisors; plumbers, pipefitters & steamfitters |