This is a re-issue of the original lesson learned produced in April 2013, on the Molten Salt Event. The event occurred In February 2013, while testing a new sparger that injects steam into a 900C bath of molten salt. An unexpected increase in steam feed line pressure resulted in an uncontrolled release of steam and molten salt through the top of th...Read More
During installation of several Administrative Locks, three out of five breaker locking devices were found to be defective. Two types of breaker lockout devices (Snap-On, Clamp-On) displayed failure or defective cable ends which pass through ancillary lock rail loops to ensure the slide key remains properly secured beyond the installed lock. Verify...Read More
On May 17, 2017 Guardian Fall Protection issued a Important - Stop Use and Inspect Bulletin for HALO & EDGE Self-Retracting Lifelines. The Lifelines have shown an increased potential for cable fraying at the swage and/or cable bird-caging. If these conditions are present, Guardian will repair affected units at no charge. There have been no accident...Read More
This report provides an overview of the six Office of Emergency Management Assessments conducted in 2016, including an analysis of observed conditions as compared to DOE requirements. In addition to information identified in 2016, this report includes the previously-identified best practices and lessons learned from EA assessments in 2013 through 2...Read More
During warmer weather months, its imperative to consider the risks associated with working in hot environments, their effects on Department of Energy employees and contractors, and how those risks can be mitigated. Heat-related illnesses generally occur when high ambient temperatures, either indoor or outdoor, overcome the bodys natural ability to...Read More
While traversing down the slope of an unmaintained off-road short cut in a government vehicle, three Mission Support Alliance (MSA) employees matrixed to CH2M Hill Plateau Remediation Company were injured when the snow plow attachment of the vehicle contacted the asphalt edge of a parking lot and the vehicle suddenly stopped. All three employees s...Read More
The attached Operating Experience Level 3 document provides information about a safety concern related to workers who use ladders during work at Department of Energy facilities. This OE-3 discusses recent DOE events that involve fall protection issues or injuries while workers use or descend from ladders and associated corrective actions. In additi...Read More
AAA explains why drowsy driving is so dangerous and shares tips to prevent falling asleep at the wheel.Read More
In support of CPWR's (Center for Construction Research and Training) National Stand down to prevent falls in construction, UCOR employees give testimonials to fall events they have had while working on ladders.Read More
This INL produced video reviews safe parking lot behaviors.Read More
This INL produced safety video discusses safe practices for various types of Manual Material Handling.Read More
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. The measures prevented personnel from being injured on October 26th, 2015, when a overhead door sprocket came loose and door dropped to the floor. The corrective measures that were put into place, along with effective communication of those measures, is credited with the prevention of possible injury to workers in the area when the sprocket fell to the floor.
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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.
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.
Articles on identified program/mission specific lessons learned across the DOE complex and from external entities.
Product Recalls and Alerts
Information related to products that have been formally recalled either by a defined company or in conjunction with the consumer products safety commission.
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Laboratory Safety; Chemical Hazards
Deactivation and Decommissioning
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Drills, Emergency Preparedness, Emergency Response
Hazard Analysis, Prevention, Protection Systems, hot work, NFPA, Equipment
Hazardous Energy Control
Electrical, Mechanical, Pressure, Temperature
Hoisting and Rigging
Cranes, Hoists, Forklifts, Rigging Equipment and Operations
Criticality, Fissile Material, Safety Basis
Project Controls, Construction Management, Contract Management
Job Hazards Analysis, Work Control, Work Planning, Pre/Post Job
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