Type: DOE OPEX
Publisher: U.S. Department of Energy, Office of Environment, Health, Safety and Security
Published As: Public
The systemic root cause was the failure to adequately implement several of the seven Guiding Principles of Integrated Safety Management, specifically Clear Roles and Responsibilities; Competence Commensurate with Responsibilities; Identification of Safety Standards and Requirements; and Hazard Controls Tailored to Work Being Performed.
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