United
States of America
OCCUPATIONAL
SAFETY AND HEALTH REVIEW COMMISSION
1120 20th Street, N.W., Ninth Floor
Washington,
DC 20036-3457
SECRETARY OF LABOR, |
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Complainant, |
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v. |
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S. J. LOUIS CONSTRUCTION OF TEXAS, |
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Respondent. |
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ON
BRIEFS:
Kimberly
A. Robinson, Attorney; Heather R. Phillips, Counsel for Appellate Litigation;
Joseph M. Woodward, Associate Solicitor of Labor for Occupational Safety and
Health; M. Patricia Smith, Solicitor of Labor; U.S. Department of Labor,
Washington, DC
For
the Complainant
Steven
R. McCown, Earl M. (Chip) Jones, III, Russell M. Zimmerer; Littler Mendelson,
Dallas, TX
For
the Respondent
DECISION
Before: ATTWOOD, Chairman; MacDOUGALL, Commissioner.
BY THE COMMISSION:
S. J. Louis
Construction of Texas is a large underground utility contractor headquartered
in Mansfield, Texas. On November 3, 2011, two SJL employees entered a manhole
for an active sewer line in Fairview, Texas, and died from hydrogen sulfide (H2S)
toxicity and asphyxia due to low oxygen concentration. Following this accident,
the Occupational Safety and Health Administration conducted an inspection and
issued SJL a serious citation alleging three violations of the general industry
permit-required confined spaces standard, 29 C.F.R. § 1910.146, with a
proposed penalty of $6,930 for each violation. Prior to the hearing before
former Administrative Law Judge Ken S. Welsch, the Secretary moved to amend the
citation to allege, in the alternative, a serious violation of
section 5(a)(1), the general duty clause of the Occupational Safety and
Health Act of 1970, 29 U.S.C. § 654(a)(1), with a proposed penalty of
$6,930.
In his decision,
the judge granted the Secretary’s amendment, finding that the cited general
industry standards did not apply because SJL’s employees were engaged in
construction work. The judge affirmed a serious violation of section 5(a)(1)
of the Act and assessed a $5,000 penalty. For the reasons that follow, we
vacate the citation.
BACKGROUND
In July 2010,
the North Texas Municipal Water District contracted with SJL to begin the
second phase of a project to redesign and reconstruct distribution sewer lines
for the North Texas wastewater treatment system. This second phase—a two-mile
long project that traversed public and private residential property—involved
rehabilitating the existing 60-inch sewer line, installing new manholes,
rehabilitating existing manholes, and establishing odor control measures. While
relining the existing sewer line in February 2011, SJL placed an inflatable
rubber plug in a connecting pipe to prevent the passing of sewer odor and
overflow from an adjacent sewer line.
In early
November 2011, about a month after SJL had completed most of the project, the
Water District began getting odor complaints from homeowners who lived near the
sewer line. A Senior Inspector for the Water District contacted an SJL Project
Coordinator about the complaints. In response, SJL dispatched a three-person
crew, one of whom served as the Crew Leader. When the crew arrived at the
worksite, they smelled “fumes” and Crew Member B needed a handkerchief to cover
his face. A placard on a pole at the manhole warned that the sewer line was
active. The crew removed the cover to the manhole. Inside was a concrete ledge
about five feet below the surface where the connecting pipe with the rubber
plug was located. It is undisputed that prior to entering the manhole, the Crew
Leader did not discuss either the dangers of entry or emergency procedures with
the crew, nor did he perform any air monitoring, complete an entry permit as
required by SJL’s confined space program, wear personal protective equipment,
ventilate the space, or set up rescue equipment.
Once inside the
manhole, the Crew Leader became incapacitated and told the two crew members
that he could not get out. Crew Member A told Crew Member B to retrieve a rope
from the truck. When Crew Member B returned with the rope, he found Crew Member
A lying face down inside the manhole, partially on the ledge, but he could not
see the Crew Leader. The parties stipulate that the two employees “died as a result
of [H2S] toxicity and asphyxia due to low oxygen concentration
within a sewer while at work.” Fire department personnel who responded to the
accident tested the air inside the manhole shortly after arriving on the scene
and obtained readings of 60 parts per million (ppm) for H2S and 5%
for oxygen. The record shows that normal readings are zero for H2S
and 20.9% for oxygen.
DISCUSSION
The Secretary
alleges that SJL violated the general duty clause by exposing its employees to
the “hazards of asphyxiation when it allowed [them] to enter [a] sewer
manhole[], a permit[-] required confined space, without taking necessary
precautions to ensure safe entry and rescue.” To prove a general duty clause violation, the Secretary must
establish that: (1) a condition or activity in the workplace presented a
hazard; (2) the employer or its industry recognized the hazard;
(3) the hazard was causing or likely to cause death or serious physical
harm; and (4) a feasible and effective means existed to eliminate or
materially reduce the hazard. Arcadian Corp., 20 BNA OSHC 2001, 2007
(No. 93-0628, 2004). He must also prove that the employer had knowledge of the
hazardous condition. Burford’s Tree, Inc., 22 BNA OSHC 1948, 1950 (No.
07-1899, 2010), aff’d, 413 F. App’x 222 (11th Cir. 2011) (unpublished).
On review, SJL
disputes the judge’s findings that it had knowledge of the hazardous condition
and that the Secretary established a feasible means of abatement. It also
raises the defense of unpreventable employee misconduct. As discussed below, we
find that the Secretary did not prove that SJL had knowledge of the hazardous
condition and vacate the citation on this basis. Although, in these
circumstances, we need not reach SJL’s other arguments, we have considered them
and would find that they are supported by the record.
The Secretary
must prove that an employer had either actual or constructive knowledge—in
other words, that the employer knew or, with the exercise of reasonable
diligence, should have known of the hazardous conditions constituting the
violation. Burford’s Tree, 22 BNA OSHC at 1950. In assessing reasonable
diligence, the Commission considers several factors, including an employer’s
obligations to implement adequate work rules and training programs, adequately
supervise employees, anticipate hazards, and take measures to prevent
violations from occurring. See id. (citing Danis Shook Joint Venture
XXV, 19 BNA OSHC 1497, 1501 (No. 98-1192, 2001), aff’d, 319 F.3d 805
(6th Cir. 2003)). Under both Commission precedent and the law of the Fifth
Circuit, to which this case could be appealed, the actual or constructive knowledge of a supervisor can be
imputed to the employer. Rawson Contractors Inc., 20 BNA OSHC 1078,
1080-81 (No. 99-0018, 2003); W.G. Yates & Sons Constr. Co. v. OSHRC,
459 F.3d 604, 608 n.6 (5th Cir. 2006). However, in cases involving a
supervisor’s knowledge of his own misconduct, the Fifth Circuit requires that
the Secretary also prove that the supervisor’s participation in the violative
conduct was foreseeable by showing that the employer’s safety policy, training,
and discipline are inadequate. Yates, 459 F.3d at 608-09.
The Secretary
claims that SJL had constructive knowledge of the hazardous condition on the
basis that the company: (1) provided insufficient instructions to the Crew
Leader regarding his work assignment; and (2) had a deficient safety
program. The judge agreed that the instructions SJL’s supervisors gave the Crew
Leader before he went to the worksite were inadequate, and therefore concluded
that constructive knowledge was established. On review, SJL argues that the
judge erred in reaching this conclusion because the record shows that the
instructions provided to the Crew Leader were reasonable given what the company
knew about the Crew Leader’s work history, training, and demonstrated
understanding of confined space hazards and how to perform his job.
For the
following reasons, we agree with SJL and find that the Secretary has not met
his burden of establishing constructive knowledge. We also find that, under the
Fifth Circuit’s precedent, the Secretary’s knowledge burden cannot be met by
imputing to SJL the Crew Leader’s knowledge of his own misconduct because the
Secretary has not shown that the Crew Leader’s actions were foreseeable.
Instructions
The instructions
given to the Crew Leader on the day before the accident were the result of a
chain of conversations involving various individuals. First, the Senior
Inspector for the Water District contacted SJL’s Project Coordinator and asked
him to send someone from SJL to determine whether “there was a plug in the
manhole in the backyard” near the odor complaints and, if there was, to remove
the plug. The Project Coordinator, in turn, informed SJL’s North Texas Area Manager
about his discussion with the Water District’s Senior Inspector. The Area
Manager told the Project Coordinator to contact the Crew Leader and tell him to
“evaluate” the location. According to the Area Manager, he “wanted an
evaluation by [the Crew Leader] to know what, where and why,” i.e., to
determine where the manhole was located and its accessibility, which he stated
could be affected by its location in a residential neighborhood and the
presence of such things as dogs or fences. The Area Manager also told the Project Coordinator that, after
the Crew Leader’s evaluation, SJL “would schedule a [different] crew” to remove
the plug—most likely a “fit testing” crew authorized to enter a hazardous
atmosphere requiring the use of a breathing apparatus.
The Project
Coordinator—the only SJL supervisor who spoke directly with the Crew
Leader—stated that after his conversation with the Area Manager, he contacted
the Crew Leader and told him that the Water District’s Senior Inspector “had
called and said there was a plug that was in the manhole” at the location in
question. The Crew Leader then asked: “ ‘Will we need to get into the manhole
to remove the plug?’ ” The Project Coordinator told him: “ ‘I don’t know. Why
don’t you get with [the Senior Inspector] and take a look?’ ” According to the
Project Coordinator, the Crew Leader said he would call the Senior Inspector,
who testified that when the Crew Leader contacted him, he told the Crew Leader
“to remove [the plug] if it was there” and “[i]f you go out there and find it
and you all take it out, give me a call.” Crew Member B testified that on the
day before they went to the worksite, Crew Member A told him that they would be
going with the Crew Leader the next day to remove the plug because “the Company
told [the Crew Leader] that we needed to take out the plug.”
When determining
the adequacy of instructions given to an employee, the Commission considers how
effectively the information is communicated in light of the employee’s
training. See LJC Dismantling Corp., 24 BNA OSHC 1478, 1481-82 (No.
08-1318, 2014) (finding adequacy of employee’s prior training relevant to
assessing sufficiency of employer’s instructions); Gary Concrete Prods. Inc.,
15 BNA OSHC 1051, 1055 (No. 86-1087, 1991) (finding both training and
instructions “too general” to be effective, Commission found company’s
“failure . . . to provide [the supervisor] with specific
training or instructions on proper stacking techniques clearly illustrates the
inadequacy of the company’s safety instructions”); Pride Oil Well Serv.,
15 BNA OSHC 1809, 1815 (No. 87-692, 1992) (“[T]he real problem was that Pride
had failed to formulate and implement adequate work rules and training programs
to ensure that [the employee] had been informed of the appropriate safety
considerations.”).
More generalized
instructions may be permissible in light of an employee’s specialized training
and experience, just as they may be inadequate in light of an employee’s lack
of experience, poor safety history, or lack of supervision. Compare LJC,
24 BNA OSHC at 1481-82 (more specific scaffold instructions not necessary where
employer was aware of employee’s prior scaffold training), and Donohue
Indus., Inc., 20 BNA OSHC 1346, 1350-51 (No. 99-0191, 2003) (more specific
instructions on grounding not required because it was reasonable for employer
to expect trained electricians to be familiar with basic tenets of their trade),
with Gary Concrete, 15 BNA OSHC at 1054-56 (instructions inadequate in
light of insufficiently specific work rules, insufficient training, inability
of supervisor to see operation, and employee’s safety-deficient work history). See
also Thomas Indus. Coatings, Inc., 23 BNA OSHC 2082, 2088 (No. 06-1542,
2012) (foreman’s effectiveness in supervising safety was not hindered by his
other duties when employees he monitored were “experienced laborers” and had
not previously been disciplined for violating any fall protection rules); Danis
Shook, 19 BNA OSHC at 1502 (lack of supervision “impermissible in view of
[employer’s] failure to adequately train its employees and adopt specific work
rules”).
In assessing the
instructions given here to the Crew Leader, the judge found that both the
Project Coordinator and the Area Manager knew that: (1) the manhole was a
confined space and evaluation of the manhole would involve H2S—an
inherent hazard at an active sewer line; (2) the Crew Leader was not authorized
to perform permit-required confined space jobs; and (3) the Crew Leader’s
trailer containing the equipment necessary for entry into the manhole had
broken down the day before the accident. In addition, the judge found that SJL “would have known how to
remove the plug” because SJL had installed it (i.e., implying that the company
knew entry would be necessary). The judge also noted that the Area Manager testified that “[i]t
wouldn’t have surprised [him] had [the Crew Leader] decided to pop the lid and
evaluate” the manhole. Based on these findings, the judge concluded that the
instructions given to the Crew Leader were “ambiguous,” “inadequate,” and
“vague” because they did not specifically address: (1) the appropriate
procedures and equipment necessary to perform the evaluation; (2) whether the
Crew Leader should remove the plug; (3) whether entry was necessary to remove
the plug; and (4) the hazards of entry.
We disagree that
the instructions were inadequate. At the outset, we note that it is clear that
both the Secretary and the judge are under the mistaken impression that the
Crew Leader was prohibited from entering any permit-required confined
space. In fact, the record shows that the Crew Leader was authorized to enter
such spaces as long as a breathing apparatus was not required—in other words,
the atmosphere can be rendered safe with the use of ventilation. Thus, while it
is true that the instructions given to the Crew Leader did not make clear that
he was not to enter the manhole and not to remove the plug, we find that such
instructions were not required because his confined-space training included
information on whether and when he could enter such a space.
Nor did SJL have
to account for the possibility that the Crew Leader might not recall, or even
disregard, his confined space training and the limitation on the conditions
under which he was permitted to enter a confined space. In fact, about one
month before the accident, at a worksite similar to the one at issue here, the
Crew Leader told the Area Manager and SJL’s Safety Director, after evaluating
the conditions, that he could not do the necessary work because it required
entering a confined space with an unsafe atmosphere, and, therefore, an SJL
crew authorized to use breathing apparatus was needed. This shows that the Crew Leader fully understood the confined
space training SJL had provided him on three separate occasions since 2005,
including training he received on September 17, 2011, about six weeks before
the accident. Moreover, the Crew Leader had at least 22 years of experience
in the underground utility industry, including about seven years at SJL, during
which time he had a spotless safety record.
Viewed in this
light, we find that the instructions given to the Crew Leader were adequate.
The Area Manager acknowledged that when he directed the Project Coordinator to
have the Crew Leader “evaluate” the site, the Area Manager anticipated that the
Crew Leader might do more than just determine the manhole’s location and
accessibility. This was not unreasonable since the Crew Leader was authorized
to enter a confined space when a breathing apparatus was not needed, and the
Crew Leader had previously demonstrated that he understood this limitation. In
short, both the Crew Leader’s training and the equipment SJL had provided
him—ventilation and rescue equipment, a permit entry form, and a gas
monitor—were commensurate with that authorization.
As for the
Project Coordinator, his account of what he told the Crew Leader shows that he
pointed out the problem—a plug in a manhole at a specific location —and in response, the Crew Leader asked: “Will we need to get
into the manhole to remove the plug?” The Crew Leader’s question demonstrates
that he recognized the plug at this worksite needed to be removed and
understood generally that entering a manhole is not always necessary when
removing a plug—a point confirmed by Crew Member B and SJL’s Safety Director.
In response, the Project Coordinator told the Crew Leader to contact the Water
District’s Senior Inspector and “take a look”—in essence, to determine if entry
would be required to remove the plug. Accordingly, no further instructions were
necessary—the Crew Leader’s evident understanding that the assignment could
involve entry into the manhole and even removal of the plug was consistent with
his authorization to enter manholes if a breathing apparatus was unnecessary.
To the extent
the evidence shows that the instructions did not rule out entering the manhole
to either assess the situation or remove the plug, we find that the
instructions were nonetheless adequate because the Crew Leader was authorized
to enter any confined space that did not require a breathing apparatus and had
been trained accordingly. In such circumstances, SJL could presume that the
Crew Leader would have understood that if a breathing apparatus was required,
he would not attempt to enter the manhole. Finally, we find no basis to
conclude that the Project Coordinator’s instructions were inadequate just
because the instructions did not account for the possibility that the Crew
Leader thought he was being told—contrary to his training—to enter the manhole
even if using a breathing apparatus was necessary. Indeed, the evidence does
not rule out that some plugs may be removed by entering the manhole without
a breathing apparatus.
Because SJL’s
supervisors were aware of the Crew Leader’s spotless safety record, extensive
experience, and training, including his recently-demonstrated understanding of
that training, we find it was reasonable for SJL to instruct him to evaluate
the worksite and remove the plug, confident he would understand—without the
reminders and specificity the Secretary claims reasonable diligence
required—that if entry was required for any reason, he was to do so only
if a breathing apparatus was not needed. Compare LJC, 24 BNA OSHC at
1481-82 (instructions sufficient in light of employee’s extensive training,
experience, and no evidence of safety violations), Thomas Indus., 23 BNA
OSHC at 2088 (supervision adequate for experienced laborers with no history of
violating pertinent safety rules), and Cerro Metal Prods. Div.,
Marmon Grp, Inc., 12 BNA OSHC 1821, 1824 (No. 78-5159, 1986) (reliance on
employee justifiable in light of employee’s extensive training, lengthy
experience, and fine work record), with Danis Shook, 19 BNA OSHC at 1502
(finding impermissible employer’s reliance on inadequately trained employee to
recognize and avoid hazards in absence of specific work rules ensuring work was
safely performed), Pride Oil Well, 15 BNA OSHC at 1815 (finding
company’s lack of adequate work rules and training regarding oxygen-deficient
atmospheres established constructive knowledge), and Gary Concrete,
15 BNA OSHC at 1054-55 (finding company failed to exercise reasonable diligence
based on its assignment of difficult task to inadequately trained and
unsupervised employee with a history of safety-deficient job performance).
Accordingly, we
find the Secretary has not established that SJL’s supervisors had constructive
knowledge of the Crew Leader’s unauthorized entry into the manhole based on the
instructions they gave him.
Safety
Program
The Secretary
also claims SJL had constructive knowledge based on its deficient safety
program, specifically its alleged failure to adequately enforce its work rules. See Burford’s Tree, 22 BNA OSHC at 1950 (when assessing
constructive knowledge, the Commission considers the employer’s obligations to
have adequate work rules and training programs, adequately supervise employees,
anticipate hazards to which employees may be exposed, and take measures to
prevent the occurrence of violations); Active Oil Serv. Inc., 21 BNA
OSHC 1184, 1187 (No. 00-0553, 2005) (same); Pride Oil Well, 15 BNA OSHC
at 1814 (same). We disagree.
The Secretary
does not dispute the judge’s finding that SJL has established work rules in its
written confined space program designed to prevent unprotected entry into a
hazardous confined space, as well as a safety policy that requires employees to
test the atmosphere before entering any confined space. As the judge also
found, SJL has a training program that regularly covers the company’s work
rules in various training sessions, including the confined space training program
held two months before the accident which the Crew Leader and both crew members
attended. The Secretary characterized SJL’s confined-space-training
PowerPoint presentation as lacking substance, but the presentation was only one
part of SJL’s extensive training program and served as a discussion guide, not
a recitation of all required information. SJL also uses performance tests to
determine if employees understand the training provided.
We also disagree
with the judge’s and the Secretary’s reliance on the conduct of both the Crew Leader
and Crew Member A on the day of the accident as evidence of their lack of
training. The Crew Leader’s conduct was not only contrary to his usual practice
and training, but also inconsistent with his demonstrated understanding of
confined space hazards just a month before the accident. In addition, Crew
Member B testified that he had seen the Crew Leader using air-monitoring
equipment and completing confined space permits in the past and that, prior to
the accident, he had never seen the Crew Leader fail to measure the air quality
in a confined space. The Area Manager testified that he too had never observed
the Crew Leader “take any shortcuts” and that no one had ever complained to him
that the Crew Leader was committing an unsafe act. Indeed, compelling evidence
of SJL’s training-program effectiveness is demonstrated by Crew Member B’s
testimony. He and his brother, Crew Member A, received the same training from
SJL. Despite the tragic circumstances faced on the day of the accident, Crew
Member B expressly credited that training with saving his life.
With regard to
discovering violations of its work rules, SJL has a full-time safety director
and five field safety supervisors who conduct random and planned field safety
audits, which, contrary to the judge’s finding, did include audits of the Crew
Leader and both crew members. See Stahl Roofing Inc., 19 BNA OSHC 2179, 2182 (No.
00-1268, 2003) (consolidated) (safety director’s unannounced visits as part of
monitoring system deemed adequate); N.Y. State Elec. & Gas Corp., 19
BNA OSHC 1227, 1231 (No. 91-2897, 2000) (same); Burford’s Tree, 22 BNA
OSHC at 1950-51 (discussing audits as a means to discover safety violations).
The Secretary claims that errors on SJL’s completed entry permits demonstrate
it failed to take adequate steps to discover violations. Out of approximately 40 permits introduced into evidence, the Secretary
points to errors on six, two of which he asserts reflect failures to record
atmospheric testing results. Compare Dana Container, Inc., 25 BNA OSHC
1776, 1780-82 (No. 09-1184, 2015) (finding employer did not take adequate steps
to discover violations where each of 28 permits introduced into evidence had at
least one error or omission), appeal docketed, No. 16-1087 (7th Cir.
Jan. 14, 2016). Of those two permits, one omits the testing results but notes
that the confined space was hazardous, which indicates that the atmosphere was
tested and the results known. The other permit, contrary to the Secretary’s
mistaken assertion, does include the testing results—but they are listed on
another page of the permit. The remaining errors cited by the Secretary reflect
a failure to record the PPE or isolation required, or the presence of any
special hazards. However, as the record shows, SJL’s field safety supervisors
examine completed entry permits, immediately note whether there are any
deficiencies, and discuss with the employee the importance of properly
documenting atmospheric testing and properly completing entry permits. Thus, we
find that these few errors do not amount, as the Secretary suggests, to
employee violations that are too numerous to find that SJL’s safety rules were
effectively enforced. See Am. Eng’g & Dev. Corp., 23 BNA OSHC 2093,
2097 (No. 10-0359, 2012) (finding one occasion of delayed discipline
insufficient to find employer failed to adequately enforce its safety rules).
Finally, SJL’s
disciplinary log shows that over the two-year period predating the OSHA inspection,
SJL warned and suspended employees on dozens of occasions for safety
violations, four of which were for confined space violations during 2009. Although, as the Secretary points out, the log shows no
disciplinary records related to confined space issues following a 2009 verbal
warning, the log shows that SJL implemented a progressive disciplinary policy
for safety violations. See Stahl, 19 BNA OSHC at 2182 (finding
progressive discipline program sufficient to establish adequate enforcement
element of reasonable diligence). We find that, in light of SJL’s record of numerous
safety-related disciplinary actions, the lack of evidence that the Crew Leader
or his crew members were disciplined shows simply that they had not committed
safety violations for which they would be subject to discipline, rather than,
as claimed by the Secretary, that discipline with respect to this crew, or
employees in general, was lax. See Am. Eng’g, 23 BNA OSHC at 2097
(discipline adequate where employer had progressive disciplinary program and
had imposed extensive discipline for safety violations in year prior to
incident); Thomas Indus., 23 BNA OSHC at 2088-89 (discipline adequate
where employer had disciplined employees for violations of its safety program
and disciplinary reports show that employees involved in fall protection
violation at issue had never been disciplined for personally violating fall
protection rules). On the contrary, the record shows that when SJL discovered
safety work rule violations, corrective informal training was provided and
other corrective measures, including disciplinary actions, were taken. See
Aquatek Sys. Inc., 21 BNA OSHC 1400, 1402 (No. 03-1351, 2006) (finding that
verbal reprimand demonstrates employer enforced safety rules).
Accordingly, we
find that the Secretary has not established that SJL’s safety program was
deficient such that it should have known with the exercise of reasonable
diligence that the Crew Leader would “enter [a] sewer manhole[], a
permit[-]required confined space, without taking necessary precautions to
ensure safe entry and rescue.” Compare Active Oil, 21 BNA OSHC at 1187
(finding several problems with the employer’s safety program, including that
supervisor and three crew members entering a tank felt free to disregard the
company’s established confined space safety procedures; eight-hour refresher
training conducted shortly before accident was simply a session in “what to
tell OSHA” about a previous fatal accident; and company president made a
comment in owner’s and supervisor’s presence that “they would never get
anything done if they did things by the book”), and Pride Oil Well, 15
BNA OSHC at 1814 (finding there was no work rule and employees had no training
in the hazards of, and procedures necessary for, oxygen-deficient atmospheres).
Imputation
The only
remaining theory for proving knowledge rests on imputing the Crew Leader’s
knowledge of his own misconduct, which in the Fifth Circuit requires proof that
his misconduct was foreseeable. See Yates, 459 F.3d at 608-09; Rawson,
20 BNA OSHC at 1080-81. Foreseeability is established by showing that the
employer’s safety policy, training, and discipline are inadequate. Id.
As we have already concluded that SJL’s safety program was adequate, the Crew
Leader’s misconduct was not foreseeable. Accordingly, we find that the
Secretary has not established
that SJL had knowledge of the violative conduct, and we vacate the citation. See Burford’s Tree, 22 BNA OSHC at 1950.
SO ORDERED.
/s/
Cynthia
L. Attwood
Chairman
/s/
Heather
L. MacDougall
Dated: February 5,
2016 Commissioner
United
States of America
OCCUPATIONAL
SAFETY AND HEALTH REVIEW COMMISSION
1924
Building - Room 2R90, 100 Alabama Street, SW
Atlanta,
Georgia 30303-3104
Secretary
of Labor, |
|
Complainant, v. |
|
|
OSHRC
Docket No. 12-1045 |
S. J. Louis Construction of
Texas, |
|
Respondent. |
|
Appearances:Josh Bernstein, Esq., and Mia Franklin Terrell,
Esq.,U. S. Department of Labor,
Office of the Solicitor, Dallas, Texas
For
the Complainant
Earl
Jones, Esq., and Russell Zimmer, Esq. Littler Mendelson, Dallas, Texas
For the Respondent
Before:
Administrative Law Judge Ken S. Welsch
DECISION
AND ORDER
S.J. Louis
Construction of Texas (SJL) is a large underground utility contractor with an
office in Mansfield, Texas. On November 3, 2011, two SJL employees, including
the crew leader, died from hydrogen sulfide toxicity (H2S) and asphyxia due to a low
oxygen concentration after entering a manhole for an active sewer line in
Fairview, Texas. The crew leader entered the manhole to evaluate or to remove
an inflatable plug in a connecting line. SJL had installed the plug earlier in
the project to prevent odor and overflow from an adjacent sewer line. As a
result of an investigation by the Occupational Safety and Health Administration
(OSHA), SJL received a citation on May 1, 2012, alleging three serious
violations of the confined space standards at 29 C.F.R. § 1910.146. SJL timely
contested the citation.
The serious
citation alleges that SJL violated 29 C.F.R. § 1910.146(d) (item 1) for failing
to ensure a permit-required confined space was evaluated and measures
implemented to prevent unauthorized entry; 29 C.F.R. § 1910.146(f) (item 2) for
failing to provide the required information for compliance with entry permit
and authorized entry; and 29 C.F.R. § 1910.146(k)(1)(i) (item 3) for
failing to evaluate a prospective rescuer’s ability to respond to a rescue
where there are known hazards. The citation proposes a penalty of $6,930.00 for
each alleged serious violation.
The
Secretary of Labor’s motion to amend the citation was granted on August 24,
2012, to allege in the alternative a serious violation of § 5(a)(1) of the
Occupational Safety and Health Act (Act) with a proposed penalty of $6,930.00.
The amendment alleges SJL allowed employees to enter a manhole, a
permit-required confined space, without taking necessary precautions to ensure
safe entry and rescue. The Secretary states that the § 5(a)(1), general duty
clause, is applicable if it is determined that the SJL crew was engaged in
construction work instead of general industry work covered by the § 1910.146.
The hearing
was held on October 24-26, 2012 in Dallas, Texas. The parties stipulated
jurisdiction and coverage (Tr. 4). The parties’ post-hearing briefs were filed
on February 13, 2013.
SJL denies
the alleged violations and asserts the cited standards at § 1910.146 are not
applicable to the construction related work being performed by the crew. Also,
if a violation is found, SJL claims that it lacked knowledge of the crew
leader’s entry into the manhole and that such entry should be considered
unpreventable employee misconduct.
For the
reasons discussed, the confined space standards at § 1910.146 do not apply
because the crew’s work did constitute ongoing construction activity. The
serious violation of § 5(a)(1) of the Act, in the alternative, is affirmed
and a penalty of $5,000.00 is assessed.
The
Accident
SJL is a
large underground utility contractor headquartered in Mansfield, Texas. SJL
employs approximately 300 employees and maintains other offices in Austin and
San Antonio, Texas (Tr. 200-201).
In July 2010
the North Texas Municipal Water District (North Texas) contracted SJL to begin
Phase 2 of the Rowlett-Cottonwood Project (RCP). RCP was a project to redesign
and reconstruct distribution sewer lines for the North Texas wastewater
treatment system of stations and pipelines. Phase 1 of the project, also
performed by SJL, had started in 2004 and involved constructing a new sewer
line that ran parallel to an existing line. Phase 2 involved rehabilitating the
existing 60-inch sewer line, the installation of new manholes, rehabilitating
existing manholes, and establishing permanent odor control measures. The
completion date of Phase 2 was set for May 10, 2011 (Exh. R-1; Tr. 284, 288).
By early
September, 2011, SJL had completed the Phase 2 rehabilitation of the existing
sewer lines and manholes when representatives of North Texas and SJL conducted
a walk-through of the project. As a result of the walk-through, the parties
developed a punch list of items to be completed (Tr. 202-203).
On Tuesday,
November 1, 2011, North Texas requested SJL to locate and remove a rubber plug,
if still in place, in a manhole in Fairview, Texas. North Texas had received
odor complaints from homeowners and wanted the 12-inch connecting pipe
unblocked. The inflatable plug had been placed in the connecting pipe by SJL in
February 2011 while relining the existing sewer line. It was installed to
prevent the passing of sewer odor and overflow from the adjacent sewer line.
The plug was approximately 16 inches in diameter when inflated and 12 inches in
length (Exh. C-15; Tr. 120, 127-128, 211, 251, 253). The removal of the plug
was not on the parties’ punch list (Tr. 117, 279).
On Thursday,
November 3, 2011, at approximately 7:00 a.m., an SJL crew consisting of the
crew leader who had worked 8 years for SJL and two brothers (a finisher and a
helper), arrived at the location of the manhole which was in the backyard of a
private residence. The crew was considered a small support crew mostly involved
in erosion control, landscaping, and maintenance work. When the crew approached
the manhole they saw and could smell “fumes.” The helper needed a handkerchief
to cover his face. A placard at the manhole warned that the sewer line was
active (Exh. C-1; Tr. 26, 41-42, 51-52, 189, 346).
The manhole
opening was 24 inches in diameter and was covered. Inside the manhole, there
was a concrete ledge approximately 5 feet below surface where the connecting
pipe with the rubber plug was located. Below the ledge, the new 5-foot relined
sewer line had been installed (Tr. 209-210).
The crew
removed the cover. Before entering the manhole, the crew leader did not perform
any air monitoring, complete the company confined spacer entry permit, and was
not wearing proper personal protective equipment (PPE) such a face mask with
oxygen. There was also no discussion about rescue nor did the crew have
equipment available for non-entry rescue (Tr. 26-27).
After
removing the cover, the crew leader climbed a ladder down to the concrete
ledge. Once inside, the crew leader became incapacitated and told the brothers
that he could not get out. The helper was sent by his brother to retrieve a
rope from the truck. When the helper returned with the rope he found his
brother inside the manhole, partially on the ledge. He could not see the crew
leader. The helper did not call 911 because of the trauma and he did not know
the street address. Instead, he went to a homeowner who called 911 ((Tr. 30-32,
330).
At
approximately 8:00 a.m., the Fairview Fire Department arrived at the manhole;
not knowing it was for a sewer line. After arriving, the officers observed the
steam coming from the manhole and smelled sewer gas. With an air monitoring
device, the Fire Department obtained readings at 10:42 a.m. of 60 ppm for H2S and 5% for oxygen. Normal
readings are 20.9% for oxygen and zero for H2S. SJL’s Confined Space Entry Program advises
that an oxygen level of 6% or less “respiration ceases, coma, fatal within
minutes” and that H2S
has a Threshold limit Value (TLV) of 10 ppm and is Immediately Dangerous to
Life or Health at 100 ppm (Exhs. C-2, C-6, pp. 9-10; Tr. 47-48, 50, 57).
Because of
the Fire Department’s lack of confined space training, another Fire Department
was called to retrieve the finisher from the manhole. The crew leader was not
found until noon the next day at a reservoir approximately one mile from the
manhole (Tr. 63-64, 90-91). The parties stipulated that the two employees “died
as a result of hydrogen sulfide toxicity and asphyxia due to low oxygen
concentration within a sewer while at work” (Tr. 106).
On November
3, 2011, at approximately 11:00 a.m., OSHA compliance safety and health
officers initiated an investigation into the accident. After taking
photographs, interviewing potential witnesses, and gathering documents, the
serious citation was issued to SJL on May 1, 2012 (Tr. 434-435, 450)
The rubber
plug was removed from the connecting line by another SJL crew on November 18,
2011. To remove the plug, the employee entered the manhole and deflated the
plug (Exh. C-5; Tr. 123, 129). SJL’s Supervisor Report of Incident, dated
November 5, 2011, concluded that to prevent reoccurrence, “[a]dhere to strict
confined space procedures as thought [taught] in employee training. Any action
item with known hazards should be relayed to the safety department so that
production and safety work cooperatively” (Exh. C-13).
Discussion
Application
of § 1910.146 or § 5(a)(1)of the Act
As
an initial issue, the parties dispute whether SJL’s removal of the plug was
general industry or construction work. The OSHA citation alleges SJL’s
violations of the confined space standards at § 1910.146 are applicable to
general industry.
The
Secretary does not dispute that SJL’s work on the RCP was construction work,
covered by Part 1926 construction standards. She argues that by November 3,
2011, however, SJL had completed the construction work on the project and the
removal of the plug was maintenance work covered by the § 1910.146 (Secretary
Brief, p. 13). The Phase 2 rehabilitation work had been completed in early
September 2011 and the only work remaining was the punch list of items to be
completed, which consisted of seeding and shrubbery replacement (Tr. 113, 203).
The removal of plug was not on the punch list.
SJL
argues that the work performed by the crew on November 3, 2011, was
construction work. Although the installation of the line was complete, its work
on the project continued as part of completing the Phase 2 contract.
The court
agrees with SJL. OSHA’s general industry standards at § 1910.146 are not
applicable to construction work. Section 1910.146(a) specifically states
“[T]his section does not apply to agriculture, to construction, or to shipyard
employment….” The Secretary in her recent Semiannual Agenda of Regulations
acknowledges that the confined space standards at § 1910.146 have “not
been extended to cover employees entering confined spaces while engaged in
construction work because of unique characteristics of construction worksites.”
78 FR 1598-01 (January 8, 2013).
OSHA
defines “construction work” as “work for construction, alteration, and/or
repair, including painting and decorating.” 29 C.F.R. § 1910.12(b). Work
that involves upgrading existing equipment such as relining (slip lining) an
existing sewer line is considered “alteration work” and therefore, construction
work. Jimerson Under-Ground Inc., 21 BNA OSHC 1459, 1461 (No. 04-0970,
2006).
SLJ, as an
underground utility contractor, is in the construction business. The Secretary
agrees that SJL’s installation of a new sewer line, slip lining the existing
sewer line, and rehabilitating manholes was construction work (Secretary Brief,
p. 13). North Texas’ request to remove the plug from the connecting pipe was
necessary to SJL’s completion of RCP. Although the RCP contract set a
completion date of May 3, 2011, SJL was still working to complete the contract.
By November 2011, the work on the project was ongoing as evident by the punch
list (Tr. 116-117, 270).
The
placement of the plug in the connecting line and its removal was an integral
part of SJL’s work to upgrade by slip lining the existing sewer line. It
allowed SJL to install the slip lining without being subjected to possible
sewer gas and overflow from the adjacent sewer line. The plug removal was a “follow-up”
to the construction work of relining the sewer line. Until the plug was
removed, the project was ongoing and SJL had not completed its contractual
obligations. SJL remained obligated to remove the plug (Exh. R-5; Tr. 120, 211,
271).
SJL had
placed the plug in the connecting line in February 2011 during the slip lining
work and remained responsible for its removal. North Texas, as the construction
contractor, requested SJL to remove the plug, if still present, to open the
connecting line to the adjacent sewer line.
The
Secretary concedes that as part of RCP, SJL was “contractually obligated to
place plugs to control flow and odor” and “to remove the plugs when necessary.”
The plugs were “a temporary measure which SJL would eventually need to remove”
(Secretary’s Brief, p. 4-5). Since SJL installed the plug to assist it in its
slip lining process, SJL was responsible to remove it as part of its
construction work.
The
reference to OSHA’s § 1910.146 Confined Space standards in SJL’s written
Confined Space Entry Program and its audits of work on the project do
not render the standards applicable for enforcement purposes (Exhs. C-6, C-18).
The Program provides that although § 1910.146 “excludes
construction, it has set the tone for confined space entry in all industries,
including construction” (Exh. C-6, p. 27). As explained by the SJL Field Safety
Supervisor, “I put this regulation [§ 1910.146] because that is the only
regulation that has any kind of safety practices for our workers” (Tr. 500).
The framework of § 1910.146 was used by SJL to create its confined space
program for its construction work. OSHA’s Letter of Interpretation (July 10,
2006) provides that “[W]hile the scope of OSHA’s general industry standard for
confined spaces excludes construction, one of the ways an employer can meet its
General Duty Clause obligation for protecting against confined space hazards in
construction is use procedures that accord with the general industry confined
space standard at 29 C.F.R. § 1910.146.”
Section
1910.146 confined space standards did not apply to SJL’s plug removal work.
Section 5(a)(1), as alleged by the Secretary in the alternative, is deemed
applicable because the work was construction work and the Secretary lacks
specific confined space standards for construction.
SJL’s
Alleged §
5(a)(1) Violation
The
Secretary’s serious § 5(a)(1) alleges;
S.J. Louis
exposed its employees to the recognized hazards of asphyxiation when it allowed
its employees to enter sewer manholes, a permit required confined space,
without taking necessary precautions to ensure safe entry and rescue.
Section
5(a)(1) of the Act provides:
Each employer
-
(1) shall
furnish to each of his employees employment and a place of employment which are
free from recognized hazards that are causing or are likely to cause death or
serious physical harm to his employees.
The manhole at issue was
confined space and, because it contained an active sewer line, there was
potential exposure to an atmospheric hazard, i.e. H2S.
Under § 1926.21(b)(6)(ii), applicable to construction work, a “confined or
enclosed space” is defined as:
any space having a limited means of egress, which is
subject to the accumulation of toxic or flammable contaminants or has an oxygen
deficient atmosphere. Confined or enclosed spaces include, but are not limited
to, storage tanks, process vessels, bins, boilers, ventilation or exhaust
ducts, sewers, underground utility vaults, tunnels, pipelines, and open top
spaces more than 4 feet in depth such as pits, tubs, vaults, vessels.
The
manhole’s opening was 24 inches in diameter. The rubber plug was located at a
ledge approximately 5 feet underground and above an open 5-foot active sewer
line. SJL was aware of the potential presence of H2S and low oxygen in an active sewer line and
considered a manhole a confined space which contained potential atmospheric
hazards (Tr. 130, 319). SJL’s air monitoring prior to November 3, 2011, showed
potential atmospheric hazards of H2S
and low oxygen levels (Exh. C-12; Tr. 134-135).
OSHA’s
definitions for “confined space” and “permit-required confined space” are
adopted by SJL in its written Confined Space Entry Manual. The manual
recognizes that a manhole is a confined space and provides that “[E]very
confined space is considered to be a permit-required confined space until it
can be demonstrated that the space has been evaluated and it has been
determined that the space is unlikely to have potential hazards or the hazards
have been eliminated” (Exh. C-6, pp. 26, 28, 29; (Tr. 133, 319).
To establish
SJL’s violation of § 5(a)(1), the
Secretary must prove that (1) there was an activity
or condition in the employer's workplace that constituted a hazard to
employees, (2) the cited employer or the employer’s industry recognized the
hazard, (3) the hazard was causing or likely to cause death or serious physical
harm, and (4) feasible means existed to eliminate or materially reduce the
hazard. Waldon Healthcare Center., 16 BNA OSHC 1052, 1058 (No. 89-2804,
1993).
(1)The Hazard
A “hazard”
is defined in terms of conditions or practices deemed unsafe over which an
employer can reasonably be expected to exercise control. Morrison-Knudson
Co./Yonkers Contracting Co., A Joint Venture, 16 BNA OSHC 1105,
1121-1122 (No. 88-572, 1993).
Exposure to
H2S and an
oxygen-deficient environment were potential hazards inside a manhole for an
active sewer line. SJL agrees that the manhole exposed employees to the
potential hazards associated with H2S
and a low oxygen level (Tr. 321-322). The death of two employees from H2S toxicity and asphyxia from a
low oxygen level after entering the manhole demonstrates that a hazardous
condition was present.
(2)Recognized Hazard
A hazard is
deemed recognized when the potential danger of a condition or activity is
either actually known to the particular employer or generally known in the
industry Pepperidge Farm Inc., 17 BNA OSHC 1993, 2003 (No. 89-0265,
1997). A recognized hazard is defined in terms of preventable consequence of
the work operation.
The
employees who entered the manhole were exposed to H2S toxicity and asphyxia from a low oxygen level.
Although SJL disputes that it knew the employees would enter the manhole, SJL
clearly recognized the potential hazards of H2S toxicity and asphyxia from low oxygen levels inside
a manhole for an active sewer line. OSHA classifies H2S as an air contaminant with an
acceptable ceiling concentration of 20 ppm and an acceptable maximum peak for
an 8-hour shift of 50 ppm for 10 minutes. See § 1910.1000 Table Z-2. After
three hours with an open manhole, the fire department recorded an H2S reading of 60 ppm and an
oxygen level of 5% (Exh. C-2).
SJL
recognized that the manhole contained the potential for atmospheric hazards.
The Safety Director conceded that the H2S
hazard inside the manhole was recognized by the underground utility contractor
industry (Tr. 325).
(3)Hazard Was Likely to Cause
Death or Serious Physical Harm
The record
shows that employees’ exposure to H2S
toxicity and a low oxygen level in a manhole was likely to cause death or
serious harm. SJL does not dispute that entering a manhole without conducting
pre-entry air monitoring and not wearing proper protective equipment
constitutes a recognized hazard that is likely to cause serious harm (Tr.
321-322). The Manual acknowledges that working in a confined space and
the potential exposure to H2S
could have health consequences and even cause death (Exh. C-6, p. 35). SJL’s
training materials state that 63 people die each year as a result of working in
confined spaces (Exh. C-16; Tr. 313). On November 3, 2011, the two employees
who entered a manhole with an active sewer line died from H2S toxicity and asphyxia for a
low oxygen level.
(4)Feasible Means to
Eliminate Or Materially Reduce the Hazard
As the final
element of a § 5(a)(1) violation, the Secretary must show that the proposed
abatement will eliminate or materially reduce the hazard. Cardinal Operating
Company, 11 BNA OSHC 1675, 1677 (No. 80-1500, 1983). The proposed
abatement measures are judged by what a reasonable person familiar with the
conditions in the industry would have instituted.
The citation
identifies the following “[F]easible and acceptable abatement methods to
correct this hazard include, but are not limited to:
1. Implement
the measures necessary to prevent unauthorized entry;
2. Identify
and evaluate the hazards of permit spaces before employees enter them;
3. Review
the permit space program, using the canceled permits and revise the program as
necessary to ensure that employees participating in entry operations are
protected from permit space hazards;
4. Ensure
that the entry permit identifies the measures used to isolate the permit space
and to eliminate or control permit space hazards before entry;
5. Ensure
that the entry permit identifies the rescue and emergency services that can be
summoned and the means for summoning those services;
6. Ensure
that the entry permit identifies equipment, such as personal protective
equipment, testing equipment, communications equipment, alarm systems, and
rescue equipment, to be provided; and,
7. Evaluate
a prospective rescuer’s ability to respond to a rescue summons in a timely
manner, considering the hazard(s) identified.”
There is no dispute that the means of abatement identified by OSHA are
available to SJL and, if followed, would reduce or eliminate the hazard of H2S toxicity and low oxygen level
if employees worked in a manhole at an active sewer line. SJL’s Confined
Space Entry Manual states that “[b]y testing the atmosphere, implementing
your company confined space entry plan and preparing for emergencies, you can
reduce the unforeseen dangers of confined space entry” (Exh. C-6, p. 24). SJL’s
written confined space entry procedures would have abated the hazards if
implemented at the manhole worksite.
The manhole
was at an active sewer line. The crew saw and smelled “fumes.” Despite these
warnings, the crew leader entered the manhole without performing air
monitoring; without completing a confined space entry permit; without placing
an air hose in the manhole to force in air; and without wearing proper personal
protective equipment (Tr. 25-26).
The elements
of a § 5(a)(1) violation are established.
SJL’s
Knowledge
A general
duty clause violation under § 5(a)(1) requires the Secretary to also show that
the employer knew or with the exercise of reasonable diligence could have known
of the violative condition. Active Oil Service, Inc., 21 BNA OSHC 1184,
1186 (No. 00-0553, 2005). To establish this element, the actual or constructive
knowledge of a supervisor is generally imputed to the employer based on a
supervisor’s assumed delegated authority. However, when the violative conduct
is committed by the supervisor, the Secretary has the burden of showing the
supervisor’s conduct was “foreseeable” in order to impute his knowledge. W.G
Yates & Sons Construction, Co., 459 F.3d 604, 608-609 (5th
Cir. 2006) (supervisor’s malfeasance is imputed to an employer where the
employer’s lack of sufficient safety policy, training, and discipline makes the
supervisor’s conduct in violation of the policy foreseeable).
SJL argues
the Secretary failed to show that the company should have foreseen its
procedures would not be followed by the crew leader’s entry into the manhole.
According to SJL, the crew leader was sent to the site to locate the plug and
to evaluate the worksite. He was not instructed to enter the manhole (Tr. 136,
205).
SJL’s
argument that the crew leader’s conduct was not foreseeable and not imputed is
rejected. The knowledge of the violative condition is imputed to SJL based on
the knowledge of his supervisors, the Vice President and the Project
Coordinator, who instructed the crew leader’s work at the manhole. His
supervisors should have known with the exercise of reasonable diligence of the
crew leader’s unsafe conduct. Because of their vague and inadequate
instructions, it was foreseeable that the crew leader would enter the manhole
without adequate precautions.
On November
2, 2011, the Vice President identified the crew leader as available to handle
the odor complaint from North Texas. He testified that he directed the Project
Coordinator to instruct the crew leader “to run by there and take a look, find
out where the plug is, find out what we needed to do to get in there, and we
would schedule a crew to do it” (Tr. 206). He asked the Project
Coordinator to have the crew leader perform an evaluation of the worksite to
determine whether the sewer line was “plugged” and, if so, what equipment and
procedures would be needed to remove the plug. Clearly SJL would have known how
to remove the plug because SJL had installed the plug in February 2011.
The Project
Coordinator did not testify. In his Declaration, the Project Coordinator stated
that he telephoned the crew leader after the conversation with the Vice
President and told him “there was a plug in the manhole in the backyard at the
end of County Road 321. [Crew leader] asked me, ‘Will we need to get into the
manhole to remove the plug?’ I answered, ‘I don’t know.” (Exh. C-7). The
Project Coordinator affirmed that he never told the crew leader “that he should
go in the manhole. Nor did I ever tell [crew leader] at any time that he would
not need equipment.”
The
supervisors’ instructions to the crew leader were vague and ambiguous. At the
time of their conversations, the Vice President and Project Coordinator knew
that the manhole was probably at an active sewer line because SJL had completed
the slip lining installation. They knew the manhole was a confined space and
that H2S was an
inherent hazard at an active sewer line. An evaluation would have involved the
same H2S issues which
were present throughout the majority of RCP (Tr. 130-131). Despite their
knowledge, there was no discussion with the crew leader regarding entry into
the manhole other than “I don’t know,” the potential hazards associated with an
active sewer line including H2S
exposure, the appropriate procedures and equipment to perform an “evaluation”
or if he should remove the plug.
The crew
leader had not previously performed hazardous confined space work at RCP (Tr.
168). Instead, the crew leader was assigned to maintenance and landscaping
tasks such as removing and installing plants (Tr. 157-158). He was not
authorized to enter a manhole with a hazardous atmosphere and was not cleared
to use the required breathing equipment. The crew leader had not been fit
tested to wear a respirator (Tr. 512-513). He was not authorized to perform
permit-required confined space jobs (Tr. 166). Also, the crew leader’s
equipment trailer with the necessary confined space entry and rescue equipment
had broken down the day before the accident (Tr. 25).
Further, the
Vice President testified that “It wouldn’t have surprised me had [the crew
leader] decided to pop the lid and evaluate” the manhole even though it was
outside his instruction. The Vice President was not surprised “because of us
having been on that job for those two miles prior” (Tr. 209).
The 12-inch
connection line with the plug was approximately 5 feet below the surface. There
is no showing that the plug could be seen from outside the manhole. To remove
the plug, it needed to be deflated (Tr. 266). The removal of the plug on
November 18, 2011, was done inside the manhole (Exh. C-25).
The Project
Coordinator’s conversation with the crew leader failed to specifically instruct
him not to enter the manhole or remove the plug, although the crew leader
asked. As advised by the Vice President, the Project Coordinator also told the
crew leader to contact North Texas. In his conversation with the North Texas
Senior Inspector, the crew leader informed him that he was going to the site
and check it out (Tr. 275). The Senior Inspector told the crew leader that “If
you go out there and find it [plug] and you all take it out, give me a call”
(Tr. 276). He testified that “Well, if I told him to go and the plug was still
there, I’m sure I asked him to remove it if it was there. It wouldn’t do any
good just to go look at it” (Tr. 282). Although North Texas was not the crew
leader’s employer, the crew leader was instructed to contact North Texas, thus
adding to the confusion of his assignment.
Based on
vague and ambiguous instructions and the crew leader’s lack of proper
equipment, SJL’s should have known with the exercise of reasonable diligence of
the crew leader’s unsafe entry into the manhole.
The
Secretary has met her burden of establishing SJL’s violation of § 5(a)(1) of
the Act unless SJL can show unpreventable employee misconduct.
Employee
Misconduct Defense
As an
affirmative defense, SJL argues that the crew leader’s entry into the manhole
was unpreventable employee misconduct. In order to establish the defense, SJL
must show that it has (1) established work rules designed to prevent the
violation, (2) adequately communicated these rules to its employees, (3) taken
steps to discover violations, and (4) effectively enforced the rules when
violations are discovered. American Sterilizer Co., 18 BNA OSHC 1082,
1087 (No. 91-2494, 1997).
According to
SJL, employees are provided training and education concerning the hazards associated
with confined space work (Exhs. R-7, R-8, C-16; Tr. 311). It trains employees
to treat every confined space as a potentially permit required until it is
evaluated and determined otherwise (Tr. 317). On September 17, 2011, less than
two months before the accident, SJL held confined space field safety training
that included the use of gas monitors and other equipment necessary for
confined space entry and non-entry rescue. The September 17 training was
attended by the crew leader and crew (Exh. R-6; Tr. 388). SJL maintains that
the crew leader was never observed performing unsafe acts (Tr. 190). He was
observed using air monitoring equipment and completing confined space permits
(Tr. 40-41).
On
approximately October 3, 2011, the crew leader informed SJL that his crew could
not do the sewer line work after he evaluated the conditions and found that the
manhole contained a hazardous environment. The crew leader reported to SJL that
there was a blockage and a fit-tested crew needed to perform the repair (Tr.
150-151, 191, 223, 403). SJL claims that based on this incident, SJL trusted
the crew leader to provide the level of detail needed to evaluate the manhole
so that a proper crew could be assigned to remove the plug.
SJL’s
employee misconduct defense is rejected. SJL acknowledges that the crew leader
was a supervisor and part of “management” although at the lowest level (SJL’s
Brief, p. 17). The crew leader had worked for SJL for approximately 8 years and
had in excess of 20 years of experience in the underground utility industry
(Tr. 208).
There is no
dispute that the crew leader’s entry into the manhole was improper. He failed
to complete the confined space permit; failed to monitor for atmospheric
hazards; failed to wear proper PPE; and failed to set up the proper non-entry
rescue equipment (SJL’s Brief, p. 21-22; Tr. 26, 370-371). SJL concedes that
“both employees entered the manhole in a manner that clearly violated
Respondent’s strict Company policy on confined space entry and/or rescue”
(SJL’s Brief, p. 1-2).
As
discussed, SJL’s instruction to evaluate the manhole was vague and ambiguous.
When the crew leader asked if he needed to enter the manhole, the Project
Coordinator merely answered “I don’t know.” There is no record that the crew’s
work was audited by SJL and that the employees were subject to disciplinary
actions (Tr. 334-335, 346, 427). SJL was unable to show that any tool box talks
involving confined space hazards were given to the crew (Tr. 339, 362-363). The
testimony of the helper shows that the crew never considered the manhole a
confined space or that there was a potential for H2S or low oxygen hazards despite observing and smelling
sewer odor. The placard at the manhole warned the crew that the sewer was
active.
The crew
leader had a working 4-gas monitor and a confined space permit form in his
truck (Exh. R-9; Tr. 194, 409-410, 493). Despite having the monitoring
equipment in his truck, there was no attempt to test the atmosphere at the
manhole. The crew leader’s entry into the manhole was made without proper
protective precautions. He entered the manhole to evaluate or to remove the
plug without the necessary equipment to perform the task. Despite any training,
he entered the manhole without considering the manhole a confined space and
without verifying the atmospheric hazards of an active sewer.
The crew
leader exhibited no understanding of proper confined space entry and rescue
procedures. ``Where a supervisory employee is involved, the proof of
unpreventable employee misconduct is more rigorous and the defense is more
difficult to establish since it is the supervisor’s duty to protect the safety
of employees under his supervision . . . . A supervisor’s involvement in the
misconduct is strong evidence that the employer’s safety program was lax.” Archer-Western
Contractors Ltd., 15 BNA OSHC 1013, 1017 (No. 87-1067, 1991). The fact that
a supervisor would feel free to breach a company safety policy is strong
evidence that the implementation of the policy is lax. United Geophysical
Corp., 9 BNA OSHC 2117, 2123 (No. 78-6265, 1981).
The other
two employees on site also showed no understanding of the potential atmospheric
hazards in a confined space. The helper testified that he did not know about H2S (Tr. 25-26). He further
testified that the crew leader would not normally have a discussion about
emergency rescue procedures at the job (Tr. 32). The finisher died apparently
attempting a rescue by entering the manhole without proper rescue equipment.
The crew’s job on RCP did not involve confined space entry. It was a small
support crew involved in erosion control, clearing, landscaping, and
maintenance work (Tr. 189).
SLJ’s
employee misconduct is not established.
Serious
Classification
The
Secretary properly classified the § 5(a)(1) violation as serious. A serious
violation under § 17(k) of the Act is established when there is a substantial
probability of death or serious physical harm that could result from the cited
condition and the employer knew or should have known of the violative
condition. 29 U.S.C. § 666(k).
As
discussed, SJL should have known that the crew leader would fail to follow
proper confined space procedures based on ambiguous and unclear instructions.
The death of two employees on November 3, 2011, shows that the failure to make
a proper confined space entry or rescue may result in death or serious injury.
Penalty
Consideration
Section
17(j) of the Act requires that when assessing penalties, the Commission must
give due consideration to four criteria: (1) the size of the employer’s
business, (2) the gravity of the violation, (3) the good faith of the employer,
and (4) the prior history of violations. 29 U.S.C. § 666(j). The gravity of the
violation is the primary consideration in assessing penalties. Trinity
Industries, Inc., 15 BNA OSHC 1481, 1483 (No. 88-2691, 1992).
SJL is a
large company with approximately 300 employees. SJL is entitled to credit for
history because of a lack of a serious citation within the past three years.
SJL is also entitled to good faith credit based an adequate safety program
including a written confined space program, a full time safety director, and
regular training.
A penalty of
$5,000.00 is reasonable for SJL’s serious violation of § 5(a)(1). There were
three employees exposed to the hazards associated with improper confined space
entry and rescue. The crew failed to exhibit any understanding or appreciation
of confine space hazards. Two employees including the crew leader died of H2S toxicity and asphyxia from a
low oxygen level.
FINDINGS
OF FACT AND CONCLUSIONS OF LAW
The
foregoing decision constitutes the findings of fact and conclusions of law in
accordance with Rule 52(a) of the Federal Rules of Civil Procedure.
ORDER
Based upon
the foregoing decision, it is ORDERED:
1. Citation No. 1,
item 1, alleged serious violation of § 1910.146(d), is vacated as not
applicable;
2. Citation No. 1,
item 2, alleged violation of § 1910.146(f), is vacated as not applicable;
3. Citation No. 1,
item 3, alleged violation of § 1910.146(k)(1)(i), is vacated as not applicable;
and
4. Citation No. 1,
item 1, in the alternative, alleged violation of § 5(a)(1) is affirmed and a
penalty of $5,000.00 is assessed.
/s/
Ken
S. Welsch
Judge
Date: March 25, 2013
Atlanta,
Georgia