Plant Manager dies when he falls from the top of a boiler in California

Details

• Personal Author:
  Harrison, Robert ; Styles, Laura ; Tibben, Richard W.
• Corporate Authors:
  California Fatality Assessment and Control Evaluation Program (CA/FACE) ; California. Department of Health Services. Occupational Health Branch
• Description:
  A 59-year-old male Plant Manager (decedent) died when he fell from the top of a boiler. The decedent had climbed a fixed ladder to gain access to a platform built on top of the boiler. A valve in the steam line needed to be opened to release pressure. In order to turn the valve wheel that was 6 feet, 1 inch above the platform floor, the decedent climbed onto the guardrail surrounding the platform. He was using a 3-foot-long pipe wrench to open the 16-inch valve wheel when the decedent slipped, or the pipe wrench slipped causing the decedent to topple over the guardrail. The decedent landed on the concrete floor below. The employer did not have an Injury and Illness Prevention Program (IIPP) or a code of safe practices. The decedent, who was substituting for the boilermaker, was not trained in the task he undertook. The employer did not have a person on site to which safety responsibilities were assigned. No recent safety inspection had been performed. The CA/FACE investigator determined that, in order to prevent future occurrences, employers should as part of their Injury and Illness Prevention Program (IIPP): 1. ensure employees do not stand on guard railing to gain access to a work area. 2. ensure employees do not perform tasks for which they are not trained. 3. make work areas safely accessible to employees. 4. supply proper tools that are commercially available for tasks employees must perform. 5. develop and implement a formal, written Injury and Illness Prevention Plan to include a code of safe practices. 6. assign a qualified safety person to fully carry out safety responsibilities.
• Subjects:
  Accident Prevention Accidents Accidents, Occupational Occupational Health Personal Protective Equipment Safety Safety Management Staff Development Workplace
• Keywords:
  Accident-analysis Accident-prevention Injuries Injury-prevention Management-personnel Occupational-health-programs Occupational-safety-programs OSHA Region 9 Protective-equipment Protective-measures Safety-education Safety-equipment Safety-measures Safety-monitoring Safety-programs Training Traumatic-injuries Work-analysis Work-areas Work-operations Work-performance Work-practices

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• FACE - NIOSH and State:
  FACE ; Falls ; Foreign Born Workers
• Series:
  Fatality Assessment and Control Evaluation Reports (FACE)
• Subseries:
  State
• DOI:
  https://doi.org/10.26616/NIOSHSFACE99CA004
• Publisher:
  National Institute for Occupational Safety and Health
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Field Study
• Place as Subject:
  California ; OSHA Region 9
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  6 pdf pages
• NIOSHTIC Number:
  nn:20027225
• NTIS Accession Number:
  PB2007-111629
• Citation:
  Morgantown, WV: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, FACE 99CA004, 1999 Oct ; :1-6
• Federal Fiscal Year:
  2000
• Performing Organization:
  California Department of Health Services
• Peer Reviewed:
  False
• NAICS and SIC Codes:
  31-33 - Manufacturing - (NAICS)
• Start Date:
  1991/09/30
• End Date:
  2006/08/31
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:d77524de4cf56d18831a7f85c7b9895ba62a0b818dac66adb181a7b147f6e7141cd7294f653e832ec24734f59885ab930652b340a7dc2b15f28e9950a79d47ab
• Download URL:
  https://stacks.cdc.gov/view/cdc/168966/cdc_168966_DS1.pdf
• File Type:
  [PDF - 20.71 KB ]