SUMMARY: CASE 193-208-01
A farm worker told the following story. He was fixing a tomato harvester in the shop area of a farm. The farm owner (his boss) came by and told him to burn some boxes full of empty containers. To do so, he was to pour gasoline over the boxes out in a field. Burning was not a usual job for the worker. He had been an irrigator, tractor driver and service person, but he had never burned anything at work. He noticed the containers used to hold liquid pesticides. Still, he went out to a field and threw a match on the boxes after pouring gasoline on them.
Seconds later the boxes exploded. Standing about three feet away, blistering burns covered the worker's face, arms and neck from the flames. He ran back to the shop in horrible pain. His boss poured cool water over the burns. This did not help the pain, so the worker asked his boss to drive him to the doctor.
At a medical clinic, a doctor cleaned the burns and gave the injured worker pain control medication. He then requested the injured worker go to the burn unit of a trauma center for more treatment. The farm owner drove him to the nearest trauma center.
How could this injury have been prevented?
On June 23, 1993, NURSE staff received a written report of an agricultural injury from a rural health center. The health center had treated a 23 year-old Hispanic male farm worker for first and second degree burns (skin reddening and blistering) to his face, arms, hands and neck on June 18, 1993. The farm worker's employer told him to burn boxes containing empty containers in a field. While doing so, they exploded and severely burned the farm worker's face and body.
A nurse from the NURSE Project interviewed the injured worker by telephone on June 30, 1993. The nurse discussed the incident, by telephone, with one of the farm owners on July 6, 1993. The owner stated the nurse could not conduct an on-site investigation due to production time constraints with the tomato harvest. NURSE staff reviewed medical records and received information from the county Pollution Control Board, who is responsible for issuing agricultural burn permits. Agricultural burn permits are issued to farmers for approved burns such as wheat or rice. Also, the Pollution Control Board reports on a daily basis if the area is a burn day or not. Although the owner stated he had a burn permit, the Pollution Control Board reported June 18, 1993 was a no burn day in the incident area.
The California Occupational Health and Safety Administration (Cal/OSHA) was not notified and did not investigate this incident.
The incident took place on a family owned and operated 3,800 acre farm. It produces a variety of crops, including tomatoes, cotton, wheat, cantaloupe and garbanzo beans. The farm employs 8 full-time workers, 10 casual workers (working 1-12 weeks per year), 10 seasonal workers (working 13-37 weeks per year) and 5 family members.
The farm owner stated he has a written injury and illness prevention program, set up by his workers' compensation insurance carrier. However, because a site visit was not allowed, the nurse was unable to review it. A written program is required to comply with Title 8 California Code of Regulations 3203 -- Injury and Illness Prevention Program. (As of July 1, 1991 the State of California requires all employers to have a written seven point injury prevention program: 1. designated safety person responsible for implementing the program; 2. mode for ensuring employee compliance; 3. hazard communication; 4. hazard evaluation through periodic inspections; 5. injury investigation procedures; 6. intervention process for correcting hazards; and 7. provide safety training and instruction.)
The injured worker had worked for the farm owners as a seasonal worker for the past two years. During this time he had worked as an irrigator, tractor driver and service person (providing maintenance on different farm machinery). On the day of the incident (approximately four months after he started working during this season) he was being trained to service and operate tomato harvesters. He said he had received health and safety training for the work tasks previously assigned, such as tractor safety and electrical safety relating to irrigation. However, he had not received any safety training on burning materials.
At approximately 3:00 p.m. on June 18, 1993, a 23 year- old Hispanic male farm worker was servicing tomato harvesters in the shop area of a farm. During his interview with NURSE staff, the injured worker said that on the day of the incident one of the farm owners assigned him a new work task. The owner told him to load some boxes full of empty containers into a bin towed by a tractor. The injured worker mentioned to the nurse that the empty containers originally contained a liquid pesticide. He was instructed to drive the tractor to a field approximately one-quarter mile away and burn the boxes and containers by pouring gasoline over them.
A few seconds after throwing a match on the boxes an explosion occurred. Standing approximately three feet away, the farm worker was burned on the face, arms, hands and neck by the flames. The injured worker ran back to the shop area. The owner was still in the shop. Certified in first aid, he poured cool water over the worker's burns. However, the injured worker was in extreme pain and asked the farm owner to take him to the doctor. The owner then drove the farm worker to the nearest medical clinic approximately 20 miles away.
Upon arrival at the clinic, the owner told the medical staff the injured worker was burned while burning a wheat field using a butane torch. During the telephone interview with NURSE staff, the owner also gave the same details regarding the incident. Medical clinic staff noted the injured worker's scalp and nasal hair were singed. He also had first and second degree burns to his nasal bridge, upper and lower lip, cheeks, forearms, hands and neck. He was given an injection for pain control. His burns were cleaned and covered with an antibacterial ointment.
The doctor referred the injured worker for further evaluation to the emergency department of a Level 1 Trauma Center because of the extent and nature of his burns. The farm owner drove the injured worker to the trauma center approximately 40 miles away. Upon evaluation, he was referred to the burn unit where his burns were further treated, and he was released.
The injured worker returned to the burn unit for continuing follow-up. Follow-up appointments consisted of changing his dressings and receiving pain control medication. He did not require skin grafts or any other plastic surgery. On the follow-up visit of July 7, 1993, the injured worker was released to return to work. Returning to the same farm where the incident occurred, the farm worker worked for approximately three weeks and then was laid off. Since then, he has been working intermittently 2-3 days at a time. However, the owner does not assign the injured worker his previous job tasks; instead, he has been assigned tasks that require a lower skill level.PREVENTION STRATEGIES
For further information concerning this incident or other agriculture-related injuries, please contact:
California Occupational Health Program
2151 Berkeley Way, Annex 11
Berkeley, California 94704
1111 Fulton Mall, Suite 212
Fresno, California 93721
1000 South Main St., Suite 306
Salinas, California 93901
Publication #: CDHS(COHB)-FI-93-005-29
This document was extracted from a series of the Nurses Using Rural Sentinal Events (NURSE) project, conducted by the California Occupational Health Program of the California Department of Health Services, in conjunction with the National Institute for Occupational Safety and Health. Publication date: October 1993.
The NURSE (Nurses Using Rural Sentinel Events) project is conducted by the California Occupational Health Program of the California Department of Health Services, in conjunction with the National Institute for Occupational Safety and Health. The program's goal is to prevent occupational injuries associated with agriculture. Injuries are reported by hospitals, emergency medical services, clinics, medical examiners, and coroners. Selected cases are followed up by conducting interviews of injured workers, co-workers, employers, and others involved in the incident. An on-site safety investigation is also conducted. These investigations provide detailed information on the worker, the work environment, and the potential risk factors resulting in the injury. Each investigation concludes with specific recommendations designed to prevent injuries, for the use of employers, workers, and others concerned about health and safety in agriculture.
Disclaimer and Reproduction Information: Information in NASD does not represent NIOSH policy. Information included in NASD appears by permission of the author and/or copyright holder. More