SELLS Conference Call s3

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 discuss YOUR recent LL. / All
Sharing of Lessons Learned from OPEX assessments (i.e. HS-64, PSO, Site Office, and internal assessments) / All
Identification of External Events for Review / All
Prevention through Design / TJ Lyons, ITSI
Roundtable / Subjects for Next Call / All

Welcome / Participants

# / 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
14 / Daugherty, Paul / SR / Savannah River Operations Office
15 / Doane, Bob / Thomas Jefferson National Accelerator (TJNAF) / Jefferson Science Associates (JSA)
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 (TJNAF) / Jefferson Science Associates (JSA)
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

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.

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

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/

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