Maintain Control of Work: Programmatic and Human Performance Weaknesses Contribute to Clothing Contamination
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Type:  Lessons Learned

Publisher:  Washington River Protection Solutions, Hanford Site

Date: 

Topics:  Operations, Work Management/Planning, Radiation Protection

Increase specificity and control in work instructions even when there is a history of successful work execution. Though personnel performing this work were experienced, knowledgeable, and proficient, the crew chose behavior rules based on the number of times the equipment had been surveyed without finding contamination and did not wait for survey results prior to removing equipment from a riser resulting in a clothing contamination. The Work Order provided less than adequate instructions and controls for the work as a result of programmatic and human performance weaknesses (complacency).




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