New
02/16/2018

Near Miss When Gangbox Rolls Off End of Stake-bed Truck

Workers were unloading an empty gangbox from a truck outside of the NREL Energy Systems Integration Facility computing center loading dock when the gangbox slid down and fell off the back end of the truck bed. Workers were standing nearby, but there were no injuries. The workers did not recognize that the gangbox had six swiveling wheels which woul...

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02/14/2018

Suspect/Counterfeit Components Identified in Ratchet Tie Down Assemblies

Purchasing, applying, maintaining, and tracking ratchet tie down assemblies (ratchet straps) in a compliant manner is a challenging task. The path taken by Portsmouth Mission Alliance took many twists and turns and is not the only path, but is offered as a workable solution for consideration by other sites. Contractors and their subcontractors sho...

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02/13/2018

Hard Drives Soldered to Logic Boards Pose Potential Issues at Computer End-of-Life

This Operating Experience Level 3 document provides information on potential environmental, health and safety, and security concerns related to removal of computer hard drives that are soldered to logic boards. If a hard drive is soldered to the logic board, removing, disposing of, and replacing the hard drive necessitates removing, disposing of, a...

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02/12/2018

Philips Electronics Recalls HeartStart MRx Defibrillator

The FDA has identified this as a Class I recall, the most serious type of recall. Use of these devices may cause serious injuries or death.
Philips is recalling the HeartStart MRx Defibrillator due to a defect in the device's Gas Discharge Tube. The Gas Discharge Tube has micro cracks which allows internal gasses to escape and causes the tubes to...

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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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11/30/2016

Excavator Overturns, Seatbelt Prevents Serious Injury

For maximum stability while at work on a slope, the crawlers or wheels and the undercarriage of the excavator should be placed parallel to the slope and not across the slope.
A supervisor positioned the tracks of a hydraulic excavator in such a manner that it caused the machine to overturn as he was moving it. Though the supervisor sustained an i...

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01/04/2017

DOE Operating Experience Level 3 - Avoiding-Vehicle-Accidents

This Operating Experience Level 3 document provides information about a safety concern related to vehicle use at Department of Energy facilities. These events demonstrate the consequences of omitting any steps in safe vehicle shutdown as well as the importance of paying attention to the road for pedestrians, obstacles, and slowing vehicles. Those w...

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03/21/2017

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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01/31/2018

Safe Conduct of Research: A Healthy Respect for What Can Go Wrong

Battelle's Safe Conduct of Research (SCoR) principles form the foundation of PNNL's safety culture. In the second in a series of videos examining the principles in action, PNNL Coastal Sciences Researcher Shon Zimmerman discusses how he maintains a "healthy respect for what can go wrong". Zimmerman got himself, another staff member, and the researc...

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02/01/2018

How to choose slip-resistant occupational footwear

Choosing work boots and shoes that have adequate slip resistance is not a simple exercise, especially when work surfaces cannot be controlled, such as outdoors, where there can be snow, ice, soil, wet surfaces, etc. To make an informed choice, you must take into account a number of factors related to the worker, the environment and the tasks to be...

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01/15/2018

Critical Knowledge inSight: Beware of Complacency

In this video, William Gerstenmaier, NASA Associate Administrator for Human Exploration and Operations, discusses the dangers that complacency can cause on a mission or project. He discusses a specific example where water entered an astronaut's space helmet during a spacewalk and caused a dangerous situation. The same problem with water in the helm...

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01/24/2018

Watching Out for One Another: Staff Share Techniques for Safely Entering and Exiting Vehicles

Safety is a core value at Brookhaven Lab. It's a place where management and staff together foster a safe working environment. At Brookhaven, nothing is more important than paying attention to our own safety and the safety of our coworkers. In the latest Lessons Learned video, staff from Facilities & Operations' Heavy Equipment, Roads, Masons, Groun...

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05/18/2017

Alternative Method for Switchgear Replacement Discovered

Electricity is the most versatile source of energy we use. Since we can't easily sense when equipment is energized, a moment's distraction or inattention can have serious consequences. Awareness created from recent events, a questioning attitude, and innovative thinking found an alternative method to complete a switchgear replacement at Idaho Nati...

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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.

Just-In-Time 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.

Lessons Learned
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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