Operating Experience Committee Conference Call Minutes Tuesday, November 15, 2011
November 15, 2011 Call Time: 11:00 a.m. - 12:00 p.m. EST Call-In Number: 301-903-0117. Confirmation #: 354508 (70 lines)
AGENDA
Welcome Jeannie Boyle
Group Sharing of Recent Lessons Learned – Be prepared to All discuss YOUR recent LL.
Sharing of Lessons Learned from OPEX assessments (i.e. All HS-64, PSO, Site Office, and internal assessments)
Identification of External Events for Review All
Prevention through Design TJ Lyons, ITSI
Roundtable / Subjects for Next Call All
W ELCOME / P ARTICIPANTS
# NAME SITE ORGANIZATION 1 Alp, Asu Argonne Site Office Argonne National Laboratory 2 Anderson, Brian Idaho Operations Office DOE ID 3 Barber, Sherry ORO Navarro Research & Engineering Inc. 4 Bentley, Jeffrey SR Savannah River Operations Office 5 Boyle, Eugenia DOE HQ HS-24 6 Branson, Gary INL Battelle Energy Alliance, LLC 7 Brown, Sharon DOE HQ HS-24 8 Butler, Michael Pantex B&W Pantex 9 Cheng, Sam LASO Los Alamos Site Office 10 Chimah, Paul Service Center Service Center 11 Clarke, Debbie ORP Bechtel National Inc (BNI) 12 Cochran, Teresa J. Oak Ridge - ORNL UT-Battelle/ ORNL 13 Collier, Linda LANL Los Alamos National Security
OE Wiki @ http://operatingexperience.doe-hss.wikispaces.net/ OE Summary Blog @ http://oesummary.wordpress.com/ Page 1 # NAME SITE ORGANIZATION 14 Daugherty, Paul SR Savannah River Operations Office 15 Doane, Bob Thomas Jefferson National Accelerator Jefferson Science Associates (JSA) (TJNAF) 16 Escamillo, Joe SC Pacific Northwest Site Office 17 Ferguson, Scott Atomic Energy of Canada, LTD Chalk River Laboratories 18 Fong, Jackey Atomic Energy of Canada, LTD Chalk River Laboratories 19 Forshey, Cathy PPPO Wastren-EnergX Mission Support, LLC 20 Harris, Allan EMCBC Environmental Management Consolidated Business Center 21 Hartney, Melissa Thomas Jefferson National Accelerator Jefferson Science Associates (JSA) (TJNAF) 22 Heeter, Thomas Oak Ridge Isotek 23 Heller, Sara NTS NSTec 24 Humphrey, Graham Canada Bruce Power LP 25 King, Mark Rockville, MD Nuclear Regulatory Commission 26 Langstaff, David RL Richland Operations Office 27 LaPointe, Todd DOE HQ CNS 28 Lopez-Cardona, Emma DOE HQ EM 29 Lowry, William NETL Albany, Fairbanks, Morgantown, Pittsburgh, & Tulsa 30 Lyons, Thomas Walnut Creek, CA Innovative Technical Solutions Inc. 31 McVey, Jim PPPO Swift & Staley (SST) 32 Menas, Matt NETL Albany, Fairbanks, Morgantown, Pittsburgh, & Tulsa 33 Neil, Dave Idaho Operations Office ID 34 Neilson, Steve Thomas Jefferson Site Office TJSO 35 Norbury, Michael DOE HQ NA-712 36 Perkins, Larry DOE HQ EM-23 37 Pottelberg, Paul Atomic Energy of Canada, LTD Chalk River Laboratories 38 Price, Stephanie SR Wackenhut Services, Inc 39 Ramsey, Kenneth SR - NA-26 MOX Services 40 Roberson, Waynette PPPO Swift & Staley (SST) 41 Robison, Camille INL/AMWTP ITG/AMWTP 42 Saar, Michael Ames Site Office ASO 43 Schwehm, Kelly SPRO SPRPMO 44 Smith, Duane Oak Ridge - TRU Project TRU Project (EnergX) 45 Staffo, Gary DOE HQ EE-3C 46 Tamplain, Jeffrey SPR DM Petroleum Operations Company (DM) 47 Taylor, Linda Kansas City Plant (KCP) Honeywell
GROUP SHARING OF RECENT LESSONS LEARNED OE Wiki @ http://operatingexperience.doe-hss.wikispaces.net/ OE Summary Blog @ http://oesummary.wordpress.com/ Page 2 1. Ladder Sail
Bob Doane (TJNAF) – At TJNAF, a humorous event happened that thankfully resulted in no injuries. During a construction project, a contractor was working on a roof on a sunny day. He put a ladder on the roof and attached a piece of plywood to the side for shade. The wind picked up and the plywood acted like a sail, blowing the ladder off the roof. Nobody was injured. The contractor was lectured, given J-Lab training on ladders, and the incident was discussed in their meeting. It was a 6-foot fiberglass step ladder, and 2-inch foam insulation board wired to the ladder on the edge of the roof. The roof height was about 20 feet; 2nd floor roof. There were masons working not far from where the ladder landed.
2. High-Pressure Rig
Scott Ferguson (Chalk River, Canada) – An incident took place on 10/21/2011, at the nuclear laboratory, as part of hydrating a test rig with a leaky valve. A 6-inch section became pressurized at 1400 psi. The tester’s body protector was not designed to hold that pressure and the technologist received an injury to his hand. The test rig was shut down and energy sources isolated. The fault was human performance not following procedures. Apparent Cause analysis is underway. This is the 4th event report on this high-pressure rig. The procedures have since been amended.
Action: Will forward pictures and write-up of this event to Jeannie.
3. Trenched Fork-Lift
Matt Menas (Morgantown, WV) – Two months ago at the Albany, OR location there was an incident. They are upgrading their fire system and the contractors had dug trenches and covered them with ply-board. The wind had blown off the caution tape around the trenches. A forklift driver drove a 6,200-pound forklift over the trench that was covered with ply-board. The front wheels cleared, but the rear wheels fell through the board and got stuck in the trench. They had to get another forklift to pull him out. There were no injuries. They lectured all the employees on safety. The trench was 4 feet deep and almost 3 feet wide. The ply-board split and gave way. Refresher training was given to the driver. Previous to that incident, a contractor got injured while they were digging the trench when he fell and hit his jaw on concrete while he was trying to move the ply-board. His jaw had to be wired and pinned. They have asked the contractors to perform more frequent inspections of the caution tape.
Comment (Brian Anderson) – There are frequent winds in ID. They use black and yellow poly-rope, instead of caution tape. The poly-rope is better because it is much less likely to blow away.
OE Wiki @ http://operatingexperience.doe-hss.wikispaces.net/ OE Summary Blog @ http://oesummary.wordpress.com/ Page 3 Comment (TJ Lyons) – We don’t allow caution tape because sun allows the tape to expand. We use poly-rope with little flags on it instead, like the roofers use.
4. Zero Power Physics Reactor
Brian Anderson (DOE ID) – There was an operational emergency in Idaho last week that was included in the daily ORPS Summary. There was a personnel contamination in the reactor assembly. Since personnel were performing work in the fume hood, they were not wearing respiratory protection. When a poly bag was opened, they found a damaged fuel plate with loose powdered material. In order to do a count of the material, they had to transport it across the room (outside of the fume hood) to the counter. It was hot and the cam alarms went off. They closed the container and evacuated. 16 people were contaminated. They did de-contamination of the facial areas and lung scans. Three people tested positive for internal contamination with plutonium. They did not intend to transport the material; this was a departure from the planned scope of work. If they had stopped to ask if they should do the swipe, it could have been avoided perhaps. There was no release outside the facility. Media interest was high—everyone wanted to know. Public Affairs was busy for three days afterwards with press releases.
Comment (Gary Branson) – they did stop work and got management approval to proceed.
Comment (Scott Ferguson) – We are going to decommission our own reactor, so we are interested in this incident.
Question (Asu Alp) – Is Sig Cat OE a new category? Answer: No, OE is Operational Emergency; it’s higher than significance category level one.
SHARING OF LESSONS LEARNED FROM OPEX ASSESSMENTS (I.E. HS-64, PSO, SITE OFFICE, AND INTERNAL ASSESSMENTS)
No discussion
IDENTIFICATION OF EXTERNAL EVENTS FOR REVIEW
No discussion
OE Wiki @ http://operatingexperience.doe-hss.wikispaces.net/ OE Summary Blog @ http://oesummary.wordpress.com/ Page 4 PREVENTION TRHOUGH DESIGN
TJ Lyons (Innovative Technical Solutions, Inc.) – Reference the Power Point presentation, Preventing Through Design – TJ Lyons 20111102.ppt. He has been an advocate of preventing through design (PtD) for many years. This presentation is an excerpt from one he gave at a contractor’s conference. The intent is that you can engineer a building and other things to reduce risk. He’s been doing construction safety for 15 to 20 years. Safety starts with engineering. There was a discussion of the slides in the presentation.
Reference: Call TJ at 347-617-6868 for more information. Preventing Through Design – TJ Lyons 20111102.ppt
ROUNDTABLE
No discussion.
THANK YOU!
Thanks so much to Sherry Barber for the very fast and compressive recording of the minutes. Thanks also to Theresa Perry and DOE ORO for financially supporting the OEC in this very important way.
OE Wiki @ http://operatingexperience.doe-hss.wikispaces.net/ OE Summary Blog @ http://oesummary.wordpress.com/ Page 5