Department of Energy Operating Experience Committee (OEC)

Coordinated by the Office of Analysis (HS-24)

Conference Call Minutes Tuesday, April 9, 2013

Time: 11:00 a.m. - 12:30 p.m. EST Call-In Number: 303-248-0285 Access Code: 5863657 (Use for Call and Webinar)

AGENDA

Welcome and Introduction Ashley Ruocco

Highlighted Presentation: NRC Information Notice 2013- James 06, Corrosion In Fire Protection Piping Due To Air And Landmesser, EM- Water Interaction 41

Site Operating Experience Discussions All

External Organizations Operating Experience and Lessons All Learned Discussion

Update on Office of Analysis and Corporate Operating Ashley Ruocco Experience Initiatives

May 14 Webinar / Subjects for Presentation, Discussion All

W ELCOME / P ARTICIPANTS

# NAME SITE 1 Allen, Randi LASO 2 Alp, Asu ANL 3 Bailey, Mary Jo JLAB 4 Barrick, William NNSA 5 Blackstock, Chris AECL 6 Booker, Craig ORO 7 Branson, Gary INL 8 Butler, Mike SNL 9 Calloway, Greg SLAC 10 Cheng, Sam LASO 11 Christ, Josef PNSO 12 Cole, Matt DOE HQ Page 1 # NAME SITE 13 Collier, Linda LANL 14 Cummings, Danae NVSO 15 Day, Nancy SRS 16 Estes, Tracy PPPL 17 Farrell, Richard CBFO/WIPP 18 Forshey, Cathy WEMS-PORTS 19 Goetsch, Bob 20 Gould, Wes NNSA 21 Ha, Trang LSO 22 Harness, Jerry OR 23 Harwood, Russell RP 24 Hauptmann, Michael BNL 25 Horning, Jeff LLNL 26 Innocent, Jessy NNSA-KCFO 27 Ito, Fran WIPP 28 Langlais, Sara NSTec 29 Landmesser, Jim DOE HQ 30 Langstaff, David RL 31 Lopez-Cardona, Emma DOE HQ 32 McDuffie, Stephen CNS-RL 33 Menas, Matt NETL 34 Minton, Lauri Pantex 35 Napier, Amanda WEMS-PORTS 36 Natoli, Ross DOE HQ 37 Neil, Dave ID 38 Neilson, Steve JLAB 39 Rao, Nimi DOE HQ 40 Robison, Camille AMWTP-ID 41 Ruocco, Ashley DOE HQ 42 Russo, Frank 43 Schwehm, Kelly SPR 44 Shidal, Suzanne LATA-KY 45 Smith, Duane TRU 46 Staffo, Gary EE 47 Stolte, Bruce NNSA 48 Stone, Roger PEC 49 Stuewe, Bob LANL 50 Thomason, Gail PEC 51 Wallace, Stephen NNSA 52 White, JD S&S KY 53 Williams, Heidi CH 54 Williams, Tom NNSA

WELCOME AND INTRODUCTION Page 2 Ashley Ruocco – Ruocco welcomed all to the call and introduced those at HQ in Germantown. Please continue to email your attendance to Gail Thomason [email protected] so we credit all attendees that we might not hear. Gail will also be assisting with the minutes to the OEC calls; this support is very much appreciated.

Operating Experience Committee Spring Webinar is scheduled for Tuesday, May 14, from 11AM - 3PM ET.

Draft Agenda provided. Thank you to all who have volunteered to present or arrange for a presentation.

PLEASE LET RUOCCO KNOW IF YOU WOULD LIKE TO SPEAK/PRESENT AT THE SPRING WEBINAR.

HIGHLIGHTED PRESENTATION

NRC Information Notice 2013-06, Corrosion In Fire Protection Piping Due To Air And Water Interaction presented by James (Jim) Landmesser, EM. Issue: "Piping systems filled with water or kept completely dry are not as susceptible to internal corrosion as piping partially filled with water and air. All three examples discussed had portions of the piping system partially filled with water, in which corrosion occurred as a result of the partially filled piping. The corrective actions that licensees took included draining the pre-action." As Jim emphasized, “installation matters and so does acceptance testing.” In the NRC examples, piping that was intended to remain dry until needed for fire suppression was not drained properly after testing, and the residual water led to corrosion and sludge buildup. Less-than-adequate post-test inspection was a factor.

SITE OPERATING EXPERIENCE DISCUSSIONS

1. Brookhaven Site Office / Brookhaven National Lab (BNL)  A lesson learned will be filed with the HQ lessons learned database about MasterLock locks that have a high rate of key duplication. Two locks are discussed: Model #3 and Model #31, which look almost identical. The #31 model lock has 5 tumblers and no two locks are keyed alike. On the other hand, the #3 model has 4 tumblers and a high rate of key duplication. To ensure better security of anything locked with a MasterLock, order through the official Procurement process, since the Model #31 is the only one available. The less-secure model #3 is available at Home Depot and gets into the system when subcontractors bring them onsite, unaware of the difference.

Page 3 Page 4 2. Livermore Site Office (LSO)/ LLNL  A lesson learned will be filed with the HQ lessons learned database about portable air compressor batteries that exploded at start-ups because they were improperly charged (charged at full power/rate instead of a trickle charge). It is important to follow manufacturer’s directions for charging (for not more than three hours, for example) because of the dangers of overcharging and subsequent explosions.

 This event reinforced the importance of reading and disseminating lessons learned from other sites and external sources. A similar event occurred in 2011 at Y-12 and the lesson learned was published. The LLNL group that experienced the battery explosion at startup was not familiar with the 2011 Lessons Learned.

3. Los Alamos Site Office (LASO) / LANL  A lesson learned will be filed with the HQ lessons learned database about maintaining awareness during cleanout of transport containers and other areas that might contain legacy materials. Although workers thought that it was safe to handle copper beryllium plates they found in a transport container, the plates were badly oxidized and as a result, were beryllium-positive. Issues of questioning attitude, stopping work.

EXTERNAL ORGANIZATIONS OPERATING EXPERIENCE AND LESSONS LEARNED DISCUSSION

Ruocco reported the following external Operating Experience topics:

1) INPO Event Report 13-10, “Nuclear Accident at the Fukushima Daiichi Nuclear Power Station” was discussed including its new recommendations related to Safety Culture and Senior Leaders, Evaluation of Changes to Design Basis, Safety System Isolation Logic, Emergency/accident Response, Knowledge, skills, & Proficiency, Human Resources, Equipment Resources, and Industry Response to Major Accidents. (information sent from George Mortensen, INPO)

2) INPO Related Event: An electrical accident in the switchyard of a Missouri nuclear plant sent three workers to the hospital on April 2nd. An arc flash occurred at about 5 p.m. while a crew placed ground straps on a safeguards transformer under maintenance at Ameren's Callaway plant. Four workers were injured or affected by the flash. The extent of the electrical-related injuries has not been determined. However, based on reports from the scene, all of the workers were conscious and walked away from the scene. (information sent from George Mortensen, INPO)

3) INPO Related Event: On March 31, 2013, Arkansas Nuclear One Unit 1 experienced a loss of off-site power and loss of shutdown cooling after the main generator stator dropped during transport to the turbine building truck bay. One worker was killed and four others were injured. A fire main and electrical switchgear were damaged when the stator fell. An unusual event was subsequently declared. Unit 2 scrammed from 100 percent power following the stator drop. Initial investigation indicates that a temporary lift device failed during movement of the stator. (information sent from George Mortensen, INPO)

4) Nuclear plant remains offline after fatal weekend accident- industrial accident (Courier News) Page 5 Further information and photos provided on the March 31 Arkansas Nuclear One Unit 1 industrial accident.

5) American Industrial Hygiene Association White Paper, RECOMMENDED SKILLS AND CAPABILITIES FOR SILICA COMPETENT PERSONS http ://www.aiha.org/

A key component in preventing overexposure to silica and subsequent disease is to have at least one individual on the jobsite who is capable of recognizing and evaluating situations where overexposure may be occurring; who knows how to evaluate the exposure potential; and who can make an initial recommendation on how to control that exposure.

6) Combustible Dust Guide. (Nilfisk Industrial Vacuums) a. An estimated 30,000 U.S. facilities are at risk for a combustible dust fire or explosion according to the Occupational Safety and Health Administration (OSHA).

b. OSHA Dust Control Recommendations b.i. Implement a hazardous dust inspection, testing, housekeeping and control program b.ii. Use proper dust collection systems and filters b.iii. Minimize the escape of dust from process equipment or ventilation systems b.iv. Use surfaces that minimize dust accumulation and facilitate cleaning b.v. Provide access to all hidden areas to permit inspection b.vi. Inspect for dust residues in open and hidden areas at regular intervals b.vii. If ignition sources are present, use cleaning methods that do not generate dust clouds b.viii. Use only vacuum cleaners approved for dust collection b.ix. Locate relief valves away from dust deposits

UPDATE ON OFFICE OF ANALYSIS AND CORPORATE OPERATING EXPERIENCE INITIATIVES

- ORPS Order and OE Order implementation- Ruocco  DOE O 232.2, Occurrence Reporting and Processing of Operations Information. Responses to Frequently Asked Questions have been vetted many times through the ORPS Task Group and HSS SMEs. Draft is currently within HSS management review.

 One-Year Accuracy Review of DOE Order 232.2, Occurrence Reporting and Processing of Operations Information. In January, HS-24 formally engaged the ORPS Task Group and selected HSS and DOE Line Program representatives as the reviewing audience, specifically requesting any comments or suggestions on DOE O 232.2. Suggestions are in review with HS-24 management. Page 6 - Corporate OE documents under development or recently released- Ruocco

 Newly released:

o OE-3, Lack of Familiarity with Infrequently-Operated Vehicles Puts Drivers in Danger

o OE Summary Article, Idaho National Laboratory Plutonium Contamination Investigation Results

Note: Thanks to an alert reader who is an RCT, additional information has been posted on the OE Blog about taking smears in one place and moving to another location to read them. o OE Summary Article, Department of Energy and Pacific Northwest National Laboratory Collaborate to Deploy More Effective Readiness Process

- OE Wiki - Ruocco

 OE Wiki Videos. The latest video posted was “Worker Ingenuity Makes Emergency Response System Highly Efficient” from Hanford Site Office. The video provides an overview of a revamped and streamlined emergency response process involving ergonomically designed and strategically located emergency trailers. To access the Video: http://operatingexperience.doe- hss.wikispaces.net/

Please send any OE relevant videos that you would like to see on the OE Wiki to Ruocco.

- Self-Assessment reviews on the effectiveness of the OE Program- Ruocco

 A memo is drafted and within review that request line programs and the field formally verify OE Program Coordinators and members, as well as remind all of the requirements and responsibilities listed in DOE O 210.2A.

Please continue providing feedback on OE Program improvements.

- Lessons Learned Program and Database- Ruocco  HQ Lessons Learned Database improvements/upgrades are being assessed. The Lessons Learned Process Improvement Team continues to review the HQ Lessons Learned Database and other Databases that are currently being implemented. We have reviewed five Lessons Learned Programs/Databases within the Complex and plan to review external LL programs next.

Page 7 OPERATING EXPERIENCE COMMITTEE SPRING WEBINAR

Instead of our regularly-scheduled monthly call on May 14, we will hold a half-day Webinar on topics that would have been discussed at the OE Committee Meeting held in conjunction with EFCOG.

Please mark your calendars for May 14, 11-3 ET and plan to attend (please bring your lunch!).

Ruocco reviewed the draft agenda and requested presenters. OEC member volunteered and have been added to the updated draft agenda. Ruocco is working on lining up a couple more presenters.

ACTION - OEC Members, please contact Ashley Ruocco as soon as possible if you would like to present at the May 14 Webinar and if you have possible discussion topics.

ROUNDTABLE

Action- Guest Speaker Volunteers requested. If you would like to present to the OEC, please call Ruocco to volunteer. Thank you in advance!

After ending the meeting, a few members had individual questions or items that they discussed with Ruocco. This was a great way to speak with members one-on-one and answer any questions. On future calls, please feel free to stay on the line after the end of the call if you have any items that you would like to discuss with Ruocco.

Operating Experience Websites: OE Documents (HSS) - http://www.hss.doe.gov/SESA/Analysis/oel.html Page 8 OE Summaries (HSS) - http://www.hss.doe.gov/sesa/Analysis/oesummary/index.html OE Wiki - http://operatingexperience.doe-hss.wikispaces.net/ OES Blog - http://oesummary.wordpress.com/

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