Misplaced Lockout Tagout Keys

Auxiliary operators at the Advanced Test Reactor were assigned to complete the installation of five Lockout/Tagouts in preparation for the next morning's work. One of the lockouts, for the Upper Vessel Emergency Firewater Injection System pilot valve replacement, was partially installed by the previous shift and needed four additional isolation's...

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Foreign Travel Office and Staff Members Collaborate on Safety during International Incidents

Several PNNL staff members traveling on Lab business were potentially in harm's way in September due to Hurricane Irma, the Mexico City earthquake, and the London tube (subway) bombing. When unavoidable incidents occur in areas where staff members are working, the Travel Safety Program and Travel Safety Core Team members work to locate and inform a...

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5000 Pound Cryostat Lid Falls from Stand

A Cryostat lid, weighing over 5000 pounds, fell off of four supporting stands that were approximately eighty-six inches high. The lid came to rest on equipment that had been stored under the lid. The lid had been placed onto the stands with the intent for personnel to be able to work on the lid from below at a later date.
Lesson: The level of...

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340-ton Haul Truck Ran Over Passenger Van

On October 31, 2017, a 340-ton haul truck ran over a passenger van carrying nine miners. The driver of the van and the miner in the front seat were fatally injured. Of the remaining seven miners, one suffered a non-life threatening injury. This is the 4th and 5th Powered Haulage fatality in 2017. This is the second accident this year where a small...

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Moving HVAC Parts Pose Amputation Risk

This Operating Experience Level 3 document provides information about a safety concern related to maintenance operations involving equipment that utilizes fans such as air handlers, exhaust fans, and other types of heating, ventilation, and air conditioning equipment at Department of Energy facilities. A common cause of these events was the failure...

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Be Aware of Possible Danger When Cutting Multiple Wires

An electrician was performing an isolation cut through a bundle of wires in an electrical panel. The bundle included an energized wire that had not been previously identified. Cutting the energized wire resulted in the release of hazardous energy and burning the cutting tool.
Lesson Learned: Follow the practices of verifying each wire is de-ene...

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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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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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Slippery When Wet

This INL produced video discusses Slips, Trips, and Falls that account for twenty percent of INL's workplace injuries.

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Safety Differently

Work has never been as safe as it seems today. But bureaucracy and compliance demands have mushroomed, including many imposed by organizations on themselves. And progress on safety has actually slowed to a crawl. Bureaucracy and compliance impose performance drag on our organizations, and rob us of precisely the sources of human insight, creativity...

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Heat Stress Physiological Monitoring

Savannah River Remediation is utilizing a new heat stress technology to make high heat, high work load jobs safer for everyone. A Physiological Monitoring device is worn on the chest to monitor the workers heart rate. If a heart rate exceeds a certain level for a period of time, workers are requested to stop working and cool off. Workers can the...

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Pedestrian Safety - Defensive Walking

This is a Pedestrian safety promotion video provided to inform workers about the dangers of walking in their everyday work environment. Safety professionals discuss the need for greater awareness when walking and especially when using cross-walks, as they can provide a false sense of safety.

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Mechanical Rollup Door
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 loose and dropped to the floor. The measures that were put in place, as a result of the operating experience, are credited with the prevention of possible injury to workers who were in the area when the sprocket fell.

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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 
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