Avoiding Complacency : A Review of The Uncontrolled Release of Molten Salt Which Burned Researcher

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...

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Potentially Defective Breaker Locking Devices

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...

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Guardian Fall Protection - Stop Use and Inspect Self-Retracting Lines

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...

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Office of Emergency Management Assessments 2016 Best Practices and Lessons Learned

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...

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DOE Operating Experience Summary - A Hot Topic: Preventing and Recognizing Heat-Related Illnesses

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...

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Driving an Off-road Shortcut Leads to Personnel Injuries

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...

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DOE Operating Experience Level 3 - Ladder Safety

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...

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How to Prevent Dangerous Drowsy Driving

AAA explains why drowsy driving is so dangerous and shares tips to prevent falling asleep at the wheel.

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UCOR Ladder Safety Testimonials

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.

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Parking Lot Safety

This INL produced video reviews safe parking lot behaviors.

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Manual Material Handling Safety

This INL produced safety video discusses safe practices for various types of Manual Material Handling.

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Success Stories

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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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.

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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Chemical Safety 
Laboratory Safety; Chemical Hazards
Deactivation and Decommissioning 
Deconstruction, Decon, Decontaminate, Cold & Dark 
Emergency Management 
Drills, Emergency Preparedness, Emergency Response 
Fire Protection
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
Nuclear/Nuclear Safety 
Criticality, Fissile Material, Safety Basis
Project Management 
Project Controls, Construction Management, Contract Management
Work Management/Planning 
Job Hazards Analysis, Work Control, Work Planning, Pre/Post Job

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DOE Contractors
Content contributed by U.S. Department of Energy contractors
Content provided by different educational institutions
Content obtained from foreign entities
Contect from various miitary services
Content provided by various professional groups and associations
Private Contractor
Content provided by private contractors
State/Municipal Agency
Content provided by a State or City Government
 Private, Non-DOE Entity 
Content provided by or obtained from private, non-DOE companies
U.S. Federal Agency
Conent from Federal agencies inculuding the Department of Energy
U.S. National Laboratory
Content provided by or entered by DOE Laboratories

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