An oriented-strand board manufacturer operated its plant on a 24-hour, 7-day work week with two 12-hours shifts. Shift changes occurred at 8:00 am and 8:00 pm. At approximately 8:30 pm on January 18, 2001, a wet hog, which was located in a wood room, dropped off line and would not operate.
An oriented-strand board manufacturer operated its plant on a 24-hour, 7-day work week with two 12-hours shifts. Shift changes occurred at 8:00 am and 8:00 pm. At approximately 8:30 pm on January 18, 2001, a wet hog, which was located in a wood room, dropped off line and would not operate.
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Transcribed Image Text:An oriented-strand board manufacturer operated its plant on a
24-hour, 7-day work week with two 12-hours shifts. Shift changes
occurred at 8:00 am and 8:00 pm. At approximately 8:30 pm on
January 18, 2001, a wet hog, which was located in a wood room,
dropped off line and would not operate.
The wet hog was used to grind tree bark and wood residue into a
wet fuel used in wet-fuel burners in the plant. The wet hog was not
essential to the operation of the plant, and whether or not it was
operating had no effect on other operations in the plant.
An electrician was assigned to repair the hog. At approximately
10:30 pm, he entered the motor control room and opened a
2300-volt motor circuit breaker. He caused an electrical fault in the
circuit breaker, apparently by contacting energized parts inside the
circuit breaker cubicle, and the ensuing electric arc burned the
employee and ignited his clothing.
He sustained burns over 90 percent of his body, 60 percent of
which were third-degree burns. Even thought he was badly burned,
he departed the motor control center and walked approximately 43
meters to the first aid room. A nearby employee doused the
remaining flames with water from a water cooler.
Two emergency medical technicians who worked at the plant went
to the first aid room and administered first aid to the injured
employee. Emergency medical services arrived a few minutes later
and transported the electrician to a hospital where he was admitted
for treatment. The electrician died the next day at 12:11 pm.
In paragraph form, what actions could have been implemented to
prevent this fatality?
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