HPI Opportunities from LOTO Activities Review
6695 Views
Feedback
3 Comments

Favorite
Image for HPI Opportunities from LOTO Activities Review

Type:  Lessons Learned

Publisher:  Consolidated Nuclear Security - CNS - Bechtel, Leidos, Orbital ATK SOC Booz Allen Hamilton (Various Locations), Oak Ridge, TN (Consolidated Nuclear Security - CNS)

Published As:  Public

Date: 

Topics:  Electrical, Operations, Radiation Protection, Oversight

After a series of LOTO events occurred across different work groups within the Y-12 Infrastructure Management organization, a HPI Investigation was performed to evaluate the human errors and look for improvement opportunities to avoid similar future events. The investigation encompassed three events where: a suspected energized circuit was encountered while cutting a conduit with a power saw; a LOTO activity involving valve alignment that was not adequately performed and confirmed; an unplanned power outage occurred during a high-voltage distribution switching activity. In each circumstance, personnel actively engaged did not realize a decision error had occurred and failed to pause or stop work before proceeding.

You must be logged in to open the attachment.

Download Article
Comments about this Article
You must be logged in to add or view comments.
Related Articles
Feedback Form
How did you apply this information?
You must be logged in to use this feature
Is this article applicable to your organization?