Document ga8KL7jYdJ761N0KOwdm1YkKa
Y DIE lUltTFOiU)
**'0*^1 i
A
LIABILITY ACCIDENT NOTICE
(Not Automobile)
c PPG CLEARING HOUSE
NUMBER
N#mVW Co-m j>* ry
Sami fcnd Location ol
j Aaioc'iGods
HARTFORD ACCIDENT & T^HMNTTT COMPANY
IQ,C/K^. 40CP10209W - CGL
Policy
Frank B, Hall & Co. of Philadelphia | 529013 N:dfoi UuiLhii^
40JPEP10210W - Products
7/1/80 - 7/1/81
Mfg. & Contracting
Umi
V'p> .
k,l-rrtf ~
~"P7t>3u
"Olh'rf (bp-mUy)
. 3* t.
r. o.
$ 5,000,000 Combined Single Linit
Lar* Loc* Cod*
} I'Sorv*
PEG INDUSTRIES, INC.
Insured
Pittsburgh, Pa. "At-c^ticn J7 nTArtrU
15222
Lake? Charles, La.
L>*t arui 'litre o< . ;CN.<Jnt
Tims anil Place
_____May 5, 1981 ah 11:00 am. Plant B
Perry G *_Borel__
; A4e j 20 j 477-8463
Injured
Person
The Injury
Property
Damage
1516 Sunset Drive, Lake Charles, LA Occup*t'x,n
Pipefitter fcy:
Industrial Construction
Whai >"*j injure!
whm hurt?
Was Ivor]cinq near the VC storage bullets.
N*iGre ar.J
c-s injury
Wh*n
Inhalation of fumes '
injur+d nXtn
Prob*t>S*
no action - injured reported to First Ait] 5/6/81 at 7-on am. None
Injured r^iiui^ "orkf
-----------
Hit dftrn*2*
i 4timjk(*d cv*l c-f r*v*ir i
Witnesses
SacTt-n L. A. Stewart
Descrip tion of
Accident
Was working near the VC Storage Bullets. As the leak nccnrrpri h= i.ae informed to evacuate the area. While walking nnt of the-area.., .i-nhal-r^ti' of the femes occurred.
tvrTr,
5///81(hot Required) SJ(to-* rur o<
U*"* tr<iw *id-* ff>r
Pnn; rsj ir. 5
7**7 f
*-qJ nay ctSrf
iihjru* run* Signature of Person Inking P.epo:
c4 LTMtc* In rwpoftlr;-4 ib* iwxid-tot
SL 085043
,f -1 J'
PPC CONSTRUCTION
ACCIDENT
REPORT
r~
Contractor: * PPG Supc. : *
Report If Y~'- Eng.;
V
Check
Agency/_A ost-Plus/_/ Firm-Bid/ /
Appropriate Box
Recordable/_/ First-Aid/ /
~~
1 *Name of the Injured
Injured's Job Title Qf
Badge It X* 1
Location of the Accident
ff \r^S &________________________________________________________________________________________ ___________ ______ _
Description of the Injury
Foreman
Contractor
Date and 'time of Accident Date and Time Reported to Medical
S' --H
II "
sr-L-fi
7 #
Description of the Accident (include witnesses, if there are any)
l/J Cl a I , ov \L I r___tJt ___4-U *
+-U
L * a. K1___g-C.C.,LL.y *. cK-j--b> .:-------s.
CO^nt/V^r t -4~U
<, r~-u -f ^ __i U. - \ fj -V . t> Vt O
U<L
i w %t. V^
~V~W -
o t/U
t------
-a eiX--.Q--------------------
amV___0..*^r=-------
O-WI -< -S.____O..C. C W. V* -T-fi/
Signature of the Injured (attesting that the above is correct): Unsafe Condition Unsafe Act
kj ov\e_ Preventive Action Taken
____ L -t o. V<i U.&C l^rtk___ U fTjCy"^, t i-r
f SL 085044
rr
^6 /^7c Cos-p
lOo/c '*/*/<?/
?^
^ C_ /*?<- /< *s 4 ,
-rz t
T2- // c^< * Jr
^<rft-ff*SSf < y si Z'
/It <s
sis *++*/, * <_
4t </n ul ,
ft
!2"<* ~7cr s*++ cstf* o-^-n
/ *7
- ST
< "/'6 /C ^ <
4*s& J
/*/S c i
*> *<%t *s>~f y
4.'* --' e-^
^ >''
/ /v -* < * 7^/" ^ x*f <>
^ ^^
/ /
7V5^t~`e*0S4'* f~
** // f & S /^Srr- ty
(y~.
<*8c>k*/
*1&0 9. <
s*t^
^ / / /^-
/
7^ <l /-
^C
Ac <.
^^0 C Z
V M<5^is~]^S7S0 / &**S`t*~*s*
,
t*.r3
*4
s/v/f/j -<*
^hT*/^* +% J
ft- W
X?/
*** ' ***** * *~4S
f I<^J * / <-* < <*
. >43^-
4 ^. _
^ <1_ ^A=>SSy <_ J&*t*//t fa .
"7^ t 7^*/o
<0 2C r ^ -T <</ t- C.
^wcf*- /C * * y &*1
1^4 <_
V &Soft O
^
T^e, / ^cj4
, 6s t * * /4 < ^ /Vy-t &ee-~*s
rC/sje >.,? 7^ C
S^rf a ,,
4<4V(my
^
**-~*/ J * t < ^
t
Cr<~c.<^+- s &/
v$<5/Q ir* '/&*> ^
/f S
'/4sy
As*r
i 4^/ / ^ <*<
/ ** / /r //> -7
*S.
SL 085045
THE HUITTOBD
IWKAVIU t.Hlll-r
**r*0*3 ct^-*C'<wT
r
LIABILITY ACCIDENT NOTICE
(Not AutOmoblls)
c PPG
CLEARDIG HOUSE NUMBER
Nun* W Corhp^rtr
N'jm* n.d L&omtioa of
j A;tat'# Q-c*
HARTFORD ACCIDENT & INDEMNITY COMPANY
Poikr N. 40CPI020^W - CGL
Policy
Frank B. Hall 6 Co, of Philadelphia j 529013 ,N'tur ct iiuun?-**
40JPRP10210U ~ Products
| lUr*.
M*tL P>-
7/1/80 ~ 7/1/81 Produce*
Oxir.
Mfg. & Contracting
b* i. i
!!
,N*mw
PPG INDUSTRIES, ETC.
$ 5,000,000 Combined " 1
Single Limit L.HTj LhCKT. (Jod* 1 A'horve
'
Injured
Time and Place
Add r***
Pittsburgh, Pa.
Lc-i
f'T-o-in
lake Cliarles, la.
i>a ( unJ J I tvj - o< .S, c-:~u 1 im l
15222
Lo_ft t
May 5, 1981 at 11; 00 am.
Nm* AG Jr***
Plant B L. A. Stewart
Alje ) ^hc-o-* - | 23 [ 439-3414
Injured Person
108 McGuire , Westlake, LA OC'TU pH ;IkjIV
Pipefitter Employed Ly,
70669
Industrial Construction
Wh*C wti
^ >*h*<S hurt?
Working near the VC storage bullets.
.'`acurftunii
t.i .tajury
The Injury
Fume inhalation VYh*r* *a* lnjur-J taLn *frfcf *c>tUr-ci11
no action - Injured reported to First Aid 5/6/81 at 7:00 am.
Prob-sb1* dlrtL'iUiy
{* Injured regain
None
V0S
Property Damage LUt d*.rn**
Witnesjes
Nui.n* Perry G. Borel
i Ct>sC oi m-'Lf }
i
S'hoo*
*
Descrip tion of Accident
lias v.orkjjiq near thedZG_sJxiirige_bullats^_d^sdthp-J=^d^eee-jarred7-die--wi;x3-- informed to evacuate the area. While walking out of the area, inhalation of the fumes occurred
-
-- --
Dt(:
5/7/81(Dot Required)
oi h4 *01
U4 w*th fckl* ItX drs; Jp-
roTTT> LC.MJW PnntM 1J1 U S .\. t.*7l
m^v4 Wjr
X ______ ; iii^rutrurnt c<4 DWr-U
Signature of Person Jlaking Report
<4 Lro5<ti>c Ls r'VT'^boii tS
t
SL 085046
PPC w CONSTRUCTION
ACCIDENT
REPORT
i Katoe f the Injured
L. V\
S
Location of the Accident
(r Contractor*: PPG Supt.:
Report 0 f . Eng.:
Check
Agency/ / Cost-Plus/_/ Firm-BId/_/
Appropriate Box
Recordable/_/ First-Aid/_/
Injured's Job Title <? ^
Badge 0
nh
Description of the Injury _^ ^~*rv"
\y ' (yO
Fore_m_ --an
C_o___ni> tur>a_cvtoa vr
DOah toe^aanndTSTj.mmoe off AAKc->c^ iJdaexn*-t ^Date'-'and TT-ime Reported to Medical
%^
5" -S" -Jt
) )V.
S' - L -/)
Description of the Accident (include witnesses, if there are any)
1'^ *9
1*) <*. a . f-U. t. ~C. _jtr. Wj
loc^w: . ^--N>-vg L t c 1C o c. c. u>.'
v'------- rt*S.
u c.
-* . -uJifrf
jt oyo
Q U tw "TJ
l">~`Vo \r~~--e c-4-----
f____\ c v c jfr
c-v.cc- - ujw: U Cfcj f- l ie,
1 o A a ::V
t
< w \ *.(>1 fB
~~t~- ~VU^ ~T~w> am~t s o c.tA
Signature of the Injured (attesting that the above is correct): Unsafe Condition -V-C ..L-fft.vC Unsafe Act
Preventive Action Taken
L a c*. V1^
e, a. .U -<L_r
Signature Const. Supt.
JLQ 1 v f
Signature Preparer
43A-12 59-043-0030
SL 085047
PPG INDUSTRIES LAKE CRmRv .3 COMPLEX Industrial Hygiene Program Personnel Monitoring Summary
January 1 , through September 9 19 82
Plant
AC B Complex Support All the Above X
Division:
Operations Maintenence Laboratory ,
All the above
Sh i pping Contr. Serv". Other
COMPOUND
1 month/YTD
11 month/YTD
111 month/YTD
IV
Amorphous Silica Asbestos Caustic Mist/Dust Chlorine Lead Mercury other inorganics
0/6 0/15 8/15 2/30 0/5 2/19
0 0 3/0 0/2 0 0
0/1 0/1 0 0 0/2 0/2
0 0 0 0 0 0
EDC MC PER TR1
VCM
VDCM other organics Ionizing Radiation(X-ravs') Noise
TOTAL
53/217 29/153
2 6/96 24/94 26/136 3 9/168
148/643 3/12 - 86/245 / 890/2176
4/11 0 0 0
1/4 5/7
1/3 -0
4/6 22/38
" 6/9 0 0 0
0/1 1/2
3/4 0 i 6/7 17/30
0 0 0
0 0 0
0 ----------- 0----------
0 0
COLUMN EXPLANATION:
I - Number of results received for this month and year to date.
II - Number of results which are greater than PPG Internal Permissable Exposure Limits and appropriate personnel protective equipment (respirator, ear plugs, etc.) was not used.
III - Number of results greater than PPG I.P.E.L. and appropriate protective equipment was worn.
IV - Of these numbers in column II & III, the ~ of "Supervisor1s Investigation of Emclcyee Overexposure11 which are outstanding - (have not been returned ___ - ____ *. - \
SL 085048
rc
LEGAL
Lev Cases Filed:
1) J. L. Sims: A PPG employee filed a claim through his attorney, Robert Jacques, Jr. claiming occupational injuries requiring compen sation and medical. This employee has a history of back problems including surgery.
While performing a routine job he claims he was injured on the job and is now missing time. His case is up for review to determine the long range plans on the most equitable solution to this problem,
His personal physician has stated that this individual has a de teriorating back condition that will worsen with time. He has recommended that Sims be placed in a light duty job permanently. 2) J. D. Strickland: Served notice through his attorney that he has engaged a legal representative to advise him of his compensation r ig ht s.
3) D. L. Parsons: Has filed a workmans compensation claim alleging that his kidney failure resulted from exposure to mercury while working as an operator in the Mercury Cell area. Claim has been denied.
4) C. M. Blackburn: Filed a claim for damages to his liver alleging exposure to organic vapors while working in the VCM plant. He was laid off due to a cutback in production. Claim denied.
5) John Cooper: Has filed a claim through his attorney alleging a permanent partial disability to his elbow due to an occupational injury which required surgery. His claim is pending, awaiting advice from our local legal counsel.
Miscellaneous
Two representatives from Motorola Corporation were in the plant to review the plant layout for installation of CC TV. They are to submit recommendations with estimated costs.
On July 20 and 21 M. Itevis attended a seminar on Security in the Workplace at McHeese State University sponsored by the Calcasieu Area Safetv Council.
/ms
SL 085049
rc
SL 085050
r r V\ MINUTES OF SAFETY MEETING
LABORATORY
A group safety meeting was held on Friday, October 18, 1985, at `IT: 00' a.m.
in the Laboratory Lunchroom. Charles Dorsett presided over the meetingr,/
The attendance list is attached.
^`
Dr. Hoenes opened the meeting by stating that last week the Laboratory had 1 First Aid Case and 2 Off-.the-Job injuries. This was the second First Aid Case for the year with a goal of eight. As of today there have been twelve days lost for Off-the-Job injuries. The maximum is twenty-six days for a six month period.
Dr. Hoenes turned the meeting over to Charles Dorsett. Charles stated that the memo that was received for the gloves for working with Vinyl Chloride stated the wrong I.D. number. The gloves are in the process of being a regular storeroom item,
A film made by all laboratory employees was shown. The movie "Safety Crackers" was a safety film about safety in the laboratory.
Charles turned the meeting over to Hub Cooper who spoke about the confusion betweeen the fire alarms and the area alarms. Laboratory employees do not need to respond to area A and C alarms unless they are very bad. All employees meet in the center hall in response to an area B alarm. Fire alarms are evacuated by employees exiting through the nearest door and regrouping outside with your own supervisor groups. Hub pointed out that the Emergency Squad has all precedence in emergency situations. Also if you are in a motor vehicle in an area that has area alarm, turn off the motor and evacuate with rest of areas employees.
There will be a new yield sign on the Lab Loop Road which connects with the main road by the end of the day.
Charles asked for any comments. Gretchen Ridge suggested that a light be put in the Laboratory parking lot. Charles said the safety committee would look into this.
The meeting adjourned at 11:45 a.m.
APPROVED: Charles Dorsett
jit Attachment
cc: R. Williams D. Poteet B. White
Dr, Hoenes W. Caillouet H. Cooper
DATE;
*?<//?/%
R, Van Hoozer D, Reich K. Kaub
C. Dorsett
SL 085051
