Poor Communication Leads to a Contaminated Item Taken Off Site

A spreader bar used for hoisting and rigging activities was discovered to have been removed from a Radiological Buffer Area (RBA) at the Plutonium Finishing Plant (PFP), loaded on a truck and driven into Richland, Washington. A miscommunication led to one spreader bar being surveyed in the RBA, with no contamination found, and a different spreader...

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Preparing Equipment and Instrumentation for Cold Weather Operations

As outdoor air temperatures drop, it is important for chemical and other facilities to be prepared for the unique safety challenges posed by cold weather, such as the hazards of water freezing and expanding, which can damage equipment or cause instrumentation to fail. When the temperature drops, the freezing process begins, and materials expand. Th...

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Bulging Hazardous Waste Drum Discovered in Waste Area

Waste drums have the potential to pressurize, particularly if they contain an unusual proportion of chemicals. Organizations using mixtures of Castrol Hysol AM and water in waste drums should take precautions against drum pressurization. During previous clean outs, buckets of water were used to clean out the wet separator. In the last clean out a h...

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Cooling System Sizing for Foundry Upgrades

A new cooling skid was installed to provide chilled water to a Foundry Glovebox and supporting utilities. The objective was to determine whether the existing pump will provide adequate flow to all three gloveboxes in parallel and the supporting utilities, with the potential of multiple glovebox systems being operated at a time. Using Fathom technol...

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Oakland East Span Bay Bridge Lessons Learned

In the increasing need for larger and more complicated projects, a valuable amount of data is available in lessons learned from prior projects to support the execution of existing and planned projects. The 1989 Loma Prieta earthquake initiated the California Department of Transportation replacement or retrofitting of more than 2,000 bridges in the...

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Employees Fail to Follow Hazardous Energy Control Program - Worker Receives Burn

A waste mechanic received a burn on his left upper torso while prepping a work area around a section of steam piping for an upcoming asbestos abatement job. the worker came into contact with an energized, un-insulated, 1/4 inch steel pilot line. The steam line had not been de-energized in accordance with the hazardous energy control program. The Lo...

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A Users Guide to Preventing Major Accidents

"A Users Guide to Preventing Major Accidents" presented at the 2014 Nuclear Facility Safety Programs Workshop, May 7, 2014 by Peter S. Winokur, Chairman Defense Nuclear Facilities Safety Board.
Lessons Learned:
Cost of safety is small compared to cost of accident
Nuclear events and accidents have disproportionately larger impacts on mission that...

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COW - The Video that will Stop You from Texting while Driving

This is a video about texting while driving produced by a a filmaker in Whales, UK. It portrays the events from a vehicle accident that involved a young girl who kills four people on the road because she used her mobile and lost her concentration for a few seconds.

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INL Forklift Lessons Learned Video

Recently INL experienced multiple forklift events at different facilities with in a weeks time frame. This video discusses those events and the initial lessons learned from them.

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The Safe Conduct of Research - Cobalt-60 Source Transfer

Battelle's Safe Conduct of Research (SCoR) principles form the foundation of PNNL's safety culture. In the third in a series of videos examining these principles in action, a PNNL project team tasked with the planning, procurement, and receipt of a highly radioactive source of Cobalt-60 shares how the SCoR principles inform their work.
From maint...

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Vehicle Security Barrier Accident

This video summarizes an accident that occurred when a delivery truck driver was struck in the back of the leg by a descending active vehicle barrier which caused significant injury to the drivers lower leg. The Security Police Officer, who was processing the driver through the Vehicle Monitoring Facility, lowered the barrier without first verifyin...

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Peer to Peer Accountability / Teamwork: Heat Stress

Video demonstrating teamwork and worker understanding when dealing with Heat Stress on the job

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Review of Operating Experience Results in Process Improvement

In preparation for an upcoming core internals change out outage at the Advanced Test Reactor, a team of personnel reviewed past core internal change out reports for information to improve performance. During this review, it was noted that the tool used for removing the right hand beryllium blocks was very difficult to set up and operate. In Additi...

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Best Practice
Inculdes Good Work Practices developed by the DOE Operating Experience Community.

DOE Corporate Operating Experience Program Documents: OE-1, OE-2, OE-3, Operating Experience Summaries, Suspect/Counterfeit/Defective Items, Data Collection Sheets, and ORPS Summaries/Final reports.

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