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08/13/2019

Time Pressure and a Lack of Hazard Recognition Contribute to Broken Overhead Light Tube

A Project Manager (PM) was performing troubleshooting on a prototype pressurized (pneumatic) system. The system utilizes pressurized air to move a small, lightweight plastic capsule through the system. While attempting to determine why the system was not operating as designed, a coupling came loose and shot the capsule into the overhead fluorescent...

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08/12/2019

Lessons Learned from Fire and Explosion in PNNL's Physical Sciences Laboratory

On September 30, 2018, a fire and explosion occurred after hours in a laboratory in PNNL's Physical Sciences Laboratory building. No one was hurt. After the event, an Accident Investigation Team worked to determine the causes. While the team was unable to conclusively determine the direct cause, this Lessons Learned article outlines what was learne...

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07/30/2019

DOE OE Level 3 Document: Pressurized Spray Leak Technical Report and Issuing Memo

Attached, please find the Operating Experience Level 3 Document, OE-3: 2019-03, entitled: "Pressurized Spray Leak Technical Report" and its issuing memo.
This document provides information about the issuance of AU-30-RPT-02, U.S. Department of Energy (DOE) Pressurized Spray Release Technical Report, and the information therein that addresses data...

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07/29/2019

A Thorough Industrial Hygiene Hazard Analysis Process Leads to Selecting the Proper Controls for Worker Protection

Workers at the Environmental Restoration and Disposal Facility were untarping waste containers when a personal ammonia monitor worn by a worker alarmed. A peak reading of 302 parts per million (ppm) was recorded. This exceeded the Immediately Dangerous to Life and Health Level for ammonia of 300 ppm. Controls were not in place to protect workers...

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04/09/2015

Health Hazards of Prolonged Sitting

According to research, sitting for extended periods of time is associated with an increased risk of developing chronic diseases, such as diabetes, cancer, heart disease, and high blood pressure. A recent analysis suggests there are 34 chronic diseases and conditions associated with excess sitting. By just adding one hour of standing increases bloo...

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01/09/2017

Evaluating the Use of Sit to Stand Workstations

As a result of an article published in April 2015 by the U.S. Department of Energy Office of Environment, Health, Safety & Security titled "Health Hazards of Prolonged Sitting," an increased installation of Sit to Stand Workstations occurred at Nevada National Security Site. To determine if or how users benefited from the installation of the Sit to...

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05/12/2015

Employee Ignores Peer Pressure and Reports Safety Concern

An employee performed a safety intervention with a co-worker who crossed a lockout/tagout boundary without complying with the required hazardous energy control process. The co-worker resisted the safety intervention and encouraged the employee to ignore their concern. Disregarding the peer pressure, the employee notified management and a stop wor...

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04/27/2015

Two Workers Electrocuted when Boom Crane Contacts 7,200 Volt Overhead Power Line

On the day of the incident, a material handler rigged a propane tank with a metal chain so that it could be lifted by the crane. The tank was located at the end of a row of 320-gallon capacity tanks adjacent to a fence marking the yards boundary. Just beyond the fence, a 3-phase 7,200 volt overhead power distribution line, crossed over into the yar...

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08/08/2019

USDOL-OSHA: Excavations in Construction Soil Classification

Safety Video and Transcript:
In the U.S., more than 800 construction workers die every year while on the job. One of the most dangerous types of construction work is trenching, which kills 40 construction workers every year. Workers can suffer death or serious injury within minutes of being caught in a trench cave-in. But these deaths can be preve...

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07/17/2019

Arc Blast Survivor: How a Questioning Attitude Can Save a Life

Prior to working for PNNL, Dan Wharton was a 25-year-old apprentice on a job in Milton-Freewater, Oregon when his life changed forever.
Wharton was severely injured in an arc blast while installing a 480V panel without the benefit of proper personal protective equipment.

In this five-minute video, the 7th in the series, you'll hear Wharton de...

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05/06/2019

Lessons Learned Examined After Three Events at PNNL Involving Work Performed by Subcontractors

Many DOE sites and national laboratories commonly partner with subcontractors for various types of work. It's the responsibility of each site to flow down expectations to subcontractor employees on the safe performance of work, and to provide the accompanying oversight so each worker goes home in the same condition in which they arrived.
In the l...

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04/23/2019

Manual Material Handling Event - A Near Miss that Came Much Too Close

A near miss occurred at the Materials and Fuels Complex (MFC) in the MFC-765 Fuel Conditioning Facility (FCF) on Thursday, January 31, 2019 at approximately 0620 hours. Four MFC equipment operators were moving a 6,000 pound milling machine using three Hilman rollers. While making final adjustments to position the mill for transport out of the facil...

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09/27/2017

Mechanical Door Failure Operating Experience Prevents Possible Injury

After receiving and sharing OE-3-2014-03, "Mechanical Door Failures," in March of 2015, measures were put into place at the Idaho National Laboratory to ensure that employees were not in the direct line of fire in case of door failure. On October 26th, 2015 the measures prevented personnel from being injured when a overhead door sprocket came loo...

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

DOE OPEX
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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Reports issued to communicate brief examples of problems and mistakes encountered in actual cases and to present points to be consider for avoiding similar occurrences.

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