Department of Energy Operating Experience Committee (OEC) Coordinated by the Office of Analysis (HS-24) Conference Call Minutes Tuesday, February 12, 2013 Time: 11:00 a.m. - 12:30 p.m. EST Call-In Number: 303-248-0285 Access Code: 5863657 AGENDA Welcome and Introduction Ashley Ruocco Site Operating Experience Discussions All External Organizations Operating Experience and Lessons Learned Discussion All Update on Office of Analysis and Corporate Operating Experience Initiatives Ashley Ruocco Roundtable / Subjects for Next Call All WELCOME / PARTICIPANTS # NAME SITE 1 Abston, LeAnn Isotek-OR 2 Alp, Asu ANL 3 Anderson, Brian INL 4 Bailey, Mary Jo JLAB 5 Blackstock, Chris AECL 6 Blank, Betsy WRPS 7 Book, Jackie PPPO 8 Booker, Craig ORO 9 Branson, Gary INL 10 Collier, Linda LANL 11 Cheng, Sam LASO 12 Cummings, Danae N-I 13 Estes, Tracy PPPL 14 Goetsch, Bob SNL 15 Gould, Wes NNSA Page 1 # NAME SITE 16 Ha, Trang LSO 17 Haffner, Russell PNSO 18 Harness, Jerry OR 19 Harris, Allan EMCBC 20 Harwood, Russell RP 21 Hauptmann, Michael BNL 22 Heard, Mitzi SSO 23 Horning, Jeff LLNL 24 Hutto, Rod SRS 25 Innocent, Jessy NNSA-KCFO 26 Johnson, Angela SRS 27 Jolly, Deborah S&S KY 28 Langlais, Sara NSTec 29 Langstaff, David RL 30 Lopez-Cardona, Emma DOE HQ 31 McDaniel, Mike SLAC 32 McDuffie, Stephen CNS-RL 33 McVey, Jim PPPO 34 Menas, Matt NETL 35 Moussa, Frank EM-44 36 Napier, Amanda WEMS-PORTS 37 Natoli, Ross DOE HQ 38 Neil, David ID 39 Neilson, Steve JLAB 40 Norbury, Mike NNSA 41 Osugi, David SSO 42 Patel, Jay NRC 43 Polanish, Caroline BHSO 44 Rao, Nimi DOE HQ 45 Robison, Camille AMWTP-ID 46 Ruocco, Ashley DOE HQ 47 Schutt-Bradley, Joanne OR/ETTP 48 Shidal, Suzanne LATA-KY 49 Sivak, Andy NETL 50 Skokan, Bryan EM-53 51 Spencer, Donna BSO 52 Staffo, Gary EE 53 Stone, Roger PEC 54 Stolte, Bruce NSO 55 Stuewe, Bob LANL 56 Thomason, Gail PEC 57 Wescoat, Mark AMWTP-ID 58 White, JD S&S KY Page 2 # NAME SITE 59 Williams, Heidi NBL 60 Williams, Tom NNSA WELCOME AND INTRODUCTION Ashley Ruocco – Ruocco welcomed all to the call and introduced those at HQ in Germantown. Please continue to email your attendance to Gail Thomason gthomason@pec1.net. Gail Thomason will also be assisting with the minutes to the OEC calls; this support is very much appreciated. The OE Committee Meeting will be held in conjunction with EFCOG ISM&QA Spring Meeting at Argonne National Laboratory, April 30-May 2. OE Committee Meeting will be on May 1 or May 2 depending upon room availability. A list of hotels near Argonne is included at the end of these OEC Minutes. Please contact Ruocco if you plan to attend the OEC Meeting. If you would like to present (i.e. OE Program Self Assessment, Lessons Learned internal program) or have a topic for discussion, please send to Ruocco. SITE OPERATING EXPERIENCE DISCUSSIONS 1. Brookhaven Site Office / Brookhaven National Lab (BNL) Mike Hauptmann reported a rash of minor automobile incidents where drivers backed into other cars or stationary objects. His questions Is this occurring at other sites? and Is there an increase in this type of event or awareness of it vs. 5 years ago? elicited a thought-provoking discussion. BNL’s analysis resulted not only in safety reminders such as “Look before you back up” but attempts to increase automobile drivers’ awareness of how limited the visibility can be from the cabs of trucks, forklifts, etc. The general opinion was that there are more incidents where drivers have not been focused, as well as increased awareness of distracted driving. One site noted that their Safety Fest included giving employees the opportunity to climb up into the cabs of heavy equipment so they could experience the challenges heavy equipment and truck drivers face in seeing the smaller cars around them. 2. Idaho Operations Office (ID) / Idaho National Lab (INL) Brian Anderson (ID) invited ITG to share information from the recent North PAPR filter cartridge failure problems. The site uses hundreds of these filters per day. o ORPS Report: EM-ID--ITG-AMWTF-2013-0003. Occurrence Description: On six different occasions Powered Air Purifying Respirator users experienced filter breakthrough of the charcoal media. The breakthrough resulted in carbon dust in the user's breathing zone and sootlike deposits on the inside surfaces of the facemask. The breakthroughs occurred in as little as 15 minutes of use in some cases. The HEPA media remained intact. o The filter cartridges in use in all cases were PAPR 4001HE Cart Filter, PAPR, OV/HEPA type filters classified as Combo HEPA/Organic Filter Cartridges and were from two different lots. ITG is in contact with the manufacture to resolve the issue. A meeting is scheduled for 2/12/13. Page 3 o Real-time monitoring was in use and showed that there were no breakthroughs or worker exposures. o Manufacturer: North Safety Products manufactured by Honeywell Lot numbers: W498933 and SFC028141 Mark Wescoat spoke about the successful exercise at the AMWTP Safety Fest where employees had the opportunity to climb up into the cabs of heavy equipment to experience first-hand the challenges heavy equipment and truck drivers face in seeing the smaller cars around them. LL: give equipment and trucks a wide berth when driving near them. 3. Lawrence Berkley National Lab (LBNL) As part of the LBNL Operating Experience Process Improvement Project, Donna Spencer has created a list of benchmarking questions to help them in their efforts to improve the lessons learned process. Ruocco emailed the OEC the Benchmarking Document and posted it on the OE Wiki. Committee member input is requested and appreciated on LBNL’s Benchmarking Questions. 4. Livermore Site Office (LSO)/ LLNL 5. 6. 7. Jeff Horning provided information regarding a recall of Fluke 373, 374, 375, and 376 Digital Clamp Meters that were manufactured between September 1, 2010 and October 1, 2013. The printed circuit assembly may not be properly fastened to the test lead input jack. This may result in inaccurate voltage readings, including a low or no voltage reading on a circuit energized with a hazardous voltage that presents a shock, electrocution or thermal burn hazard. The Recall Notice is located on the OE Wiki under February’s OEC Call and was emailed with the minutes of this meeting. Los Alamos Site Office (LASO) / LANL Bob Stuewe reported Lessons Learned will be submitted regarding Lujan Center Events that will discuss contamination issues similar to those highlighted in last year’s contamination event at LANSCE where sample containers and/or parts were reused. Labeling did not make the distinction between technetium and lutetium-technetium which led to contamination and confusion. Lessons Learned was the need to reinstate the practice of using “what if?” scenarios. Nevada Site Office (NSO) / NST / NSTec Sara Langlois reported that last year, after EM noticed workers becoming too comfortable around heavy equipment such as forklifts and cranes, the site sponsored a Safety Fair. Workers who did not drive or regularly work around heavy equipment had the opportunity to climb up into various types of equipment and see firsthand how difficult it was for the operator to see who and what was around them. The exercise was well-received. Sara Langlois also brought to everyone’s attention the importance of guarding Official Use Only (OUO) and Personal Identifiable Information (PII) such as home telephone numbers and addresses. Richland (RL) / Hanford Site David Langstaff reported on ongoing efforts with the Project Management Lessons Learned system, including Lessons Learned from ARRA-funded work. EM is coordinating the Project Management Lessons Learned. Page 4 8. 9. Stanford Site Office (SSO) After hearing about the successes that other sites have had in familiarizing their workers with the limitations on heavy equipment operator visibility, Mark McDaniel stated that he plans to propose similar hands-on activities for SLAC’s Safety Fair. Thomas Jefferson Site Office Mary Jo Bailey described the JLab’s training/work safety program that provides 5 or 6 short videos to workers pre-work to raise hazard awareness and enhance Work Planning and Safety. EXTERNAL ORGANIZATIONS OPERATING EXPERIENCE AND LESSONS LEARNED DISCUSSION HS-24 External Operating Experience Update – John (Larry) Stirling is a new HS-24 employee and will be working on external operating experience documents. Please contact Larry Stirling to discuss possible external operating experience products. UPDATE ON OFFICE OF ANALYSIS AND CORPORATE OPERATING EXPERIENCE INITIATIVES - ORPS Order and OE Order implementation- Ruocco EFCOG’s ORPS Task Group and HSS are working on DOE O 232.2, Occurrence Reporting and Processing of Operations Information, Responses to Frequently Asked Questions. In January, the draft went through a final EFCOG ORPS Task Group Review, the updated document will be sent to HS-24 management in mid-February. One-Year Accuracy Review of DOE Order 232.2, Occurrence Reporting and Processing of Operations Information- HS-24 has created a schedule for the review of DOE O 232.2. The review of DOE O 232.2 for Responses the Frequently Asked Questions has facilitated the beginning of the One Year Accuracy Review. 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 in January 2013. Ruocco is compiling and reviewing these suggestions with HS-24 Management. One Year Accuracy Review of DOE Order 210.2A, DOE Corporate Operating Experience Program- The outcome of the one-year accuracy review for DOE O 210.2A revealed that minor editorial errors found within the Order do not warrant a Page Change at this time. The minor grammatical errors do not hinder the use or understanding of the Order. A memo on this One-Year Accuracy review is within the HSS approval process. - Corporate OE documents under development or recently released- Ruocco Currently within HSS Management Review: o Draft OE Summary Article, Idaho National Laboratory Plutonium Contamination Investigation Results o Draft OE Summary Article, Department of Energy and Pacific Northwest National Laboratory Collaborate to Deploy More Effective Readiness Process Page 5 - OE Wiki - Ruocco OE Wiki Videos- the latest video posted was “Brookhaven’s Safety Culture” from Brookhaven National Laboratory. Other videos posted throughout the month of January include: “Deadly Contract” from the US Chemical Safety Board, “The Flex Solution: America’s Nuclear Industry Responds to Fukushima’ from the Nuclear Energy Institute. To access the Videos: http://operatingexperience.doe-hss.wikispaces.net/ Occupational Health & Safety E-News recently published an article, 3-D Meets Safety at LANL, describing a new system for assessing glovebox designs in order to mitigate or prevent ergonomic injuries. Users are able to create virtual models that accurately represent both genders and that factor in human measurements, such as height, weight, and reach. Read more at http://ohsonline.com/Articles/2013/02/01/3D-Meets-Safety-at-Los-Alamos-NationalLaboratory.aspx The article is posted on the OE Wiki as well. Trang Ha, LSO, provided further information on the OE Wiki Video- Continuous Chest Compression CPR. The Medical Director at the LLNL Health Clinic states that while the hands only technique is legitimate and recommended, it is not clear that hands only CPR is intended primarily for WITNESSED arrest/collapse. CPR with breaths should be used for people who are found unconscious as well as for infants and children, and the other situations noted below. From the American Heart Association: Are there times when I should use conventional CPR with breaths? Yes. There are many medical emergencies that cause a person to be unresponsive and to stop breathing normally. In those emergencies, conventional CPR that includes mouth-to-mouth breathing may provide more benefit than Hands-Only CPR. The American Heart Association recommends CPR with a combination of breaths and compressions for: o All infants (up to age 1) o Children (up to puberty) o Anyone found already unconscious and not breathing normally o Any victims of drowning, drug overdose, collapse due to breathing problems, or prolonged cardiac arrest 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 Ruocco reviewed the results of the Corporate OE Self Assessment conducted by HS-24 that were sent to DNFSB in December 2012: o o o Continually improve performance trending and analysis of information OE; develop a greater number of OE documents as appropriate, to include a greater focus on nuclear safety OE documents. Improve the process to evaluate, publish, and disseminate operating experience from external sources (e.g., other Federal agencies; international sources). Formally verify existing, and identify new, OE Program Coordinators; ensure OE Coordinators are aware of their responsibilities for implementing OE requirements contained in DOE O 210.2A. Page 6 o o o o Seek information regarding, as part of self-assessments conducted to evaluate organizational performance in ISM, Line Program and contractor assessment of the effectiveness of the organization’s OE program. Continue to improve the productivity of the OE Committee; the conduct and quality of monthly OE Committee meetings; and the engagement of appropriate site subject matter experts in sharing and discussing operating experience from site, national, and international sources. Improve the Corporate Lessons Learned Database, and the quantity and quality of lessons learned submitted and maintained in the database. The ‘Observations from the Office of Analysis Self Assessment of the Corporate Operating Experience Program and General Path Forward for Continuous Improvement’ December 2012 Document is located on the OE Wiki under February’s OEC Call and was emailed with the minutes of this meeting. Ruocco received a lot of feedback and update to the OE Committee roster; all of the input is much appreciated. Ruocco sent an updated OE Committee Roster to the OEC on February 8. If you have any updates, please continue to send them to Ruocco. A few Program Coordinators have changed positions or retired, however Ruocco has not received the names or information for the replacements. A few missing Program Coordinators include: EM’s West Valley Demonstration Project, FE PSO (HQ), NA’s Kansas City Site Office, NA’s Service Center, SC’s Ames Site Office. Ruocco plans to send a current OEC Roster to the OEC on a regular basis to ensure its accuracy (at least annually). Please provide information on your OE Self Assessments on the OEC Calls or Meeting. Please continue providing feedback on OE Program improvements. - Lessons Learned Program and Database- Ruocco Reminder for Lessons Learned Report originators to please include their area code in the Lessons Learned document. Also, please include your email address which will assist in the Lessons Learned Database Manager to contact originators when needed. HQ Lessons Learned Database improvements/upgrades are being assessed. In January, HS-24 formed the Lessons Learned Process Improvement Team (composed of OE Committee and Lessons Learned member). In February, the Lessons Learned Process Improvement Team will review PNNL’s Lessons Learned System and BNL’s Lessons Learned System. Webinars with both PNNL and BNL will be held. HS-24 and the Lessons Learned Process Improvement Team will continue reviewing the HQ Lessons Learned Database and other Databases that are currently being implemented. Please contact Ruocco if you can give a briefing on your Lessons Learned Internal Program and/or provide Site Lesson Learned Program/Database information to the Lessons Learned Process Improvement Team. Page 7 SPRING OPERATING EXPERIENCE COMMITTEE MEETING The OEC plans to hold the OEC Meeting during EFCOG’s ISM & QA Spring Meeting at Argonne from April 30 to May 2, 2013. The OEC Meeting will be a one day meeting either on May 1 or May 2. Final date will be sent once Ruocco has confirmed with EFCOG. Current Presenters: 1) Teresa Cochran, Lessons Learned from ORNL’s “Fast Read Employee Experience” tool 3) TJ Lyons, Prevention Through Design 3) Gerry Whitney, OPEX Share Discussion Topics: 1) Lessons Learned Guidance and Expectations ACTION- OEC Members, please contact Ashley Ruocco as soon as possible if you would like to present at the Spring Meeting and if you have possible discussion topics. ROUNDTABLE Action- Guest Speaker Volunteers requested. If you would like to present to the OEC, please call Ashley to volunteer. Thank you in advance! The March 2013 Conference Call is scheduled for Tuesday, March 12, 2013. Call-In #: 303-248-0285 Access Code: 5863657 # Roll Call via Email: Attendees are asked to e-mail their name, company name or government organization, and phone number to Gail Thomason, gthomason@pec1.net, at the beginning of the conference call. Ashley Ruocco, DOE HS-24, E-Mail: Ashley.Ruocco@hq.doe.gov. Phone number: (301) 903-7010. Operating Experience Websites: OE Documents (HSS) - http://www.hss.doe.gov/SESA/Analysis/oel.html 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/ Page 8 Hotels Within 5 Miles of Argonne National Laboratory 9600 South Cass Avenue Lemont, IL 60439 Argonne Guest House Phone: 800-632-8990 or 630-739-6000 Fax: 630-739-1000 The Argonne Guest House is located in the Argonne National Laboratory campus, within 5 minutes by car to any part of the campus. The Guest House has 157 rooms, including 2-bedroom premiere suites with parlors, and 4-bedroom suites with parlors. All suites have kitchenettes. Rates are as low as $70/night. Bolingbrook, IL Google Maps Link for Hotels SpringHill Suites by Marriott Chicago Bolingbrook 125 Remington Boulevard, Bolingbrook, IL 60440 (630) 759-0529 Hampton Inn Bolingbrook-i-55 165 Remington Boulevard, Bolingbrook, IL 60440 (630) 759-7100 LaQuinta Inn and Suites 225 W South Frontage Rd, Bolingbrook, IL 60440 (630) 226-0000 Holiday Inn Hotel & Suites Bolingbrook 205 Remington Boulevard, Bolingbrook, IL 60440 (630) 679-1600 AmericInn Lodge & Suites of Bolingbrook 175 West Remington Boulevard, Bolingbrook, IL 60440 (800) 634-3444 Ramada 520 S Bolingbrook Dr, Bolingbrook, IL 60440 (630) 972-9797 Country Inns & Suites Romeoville, IL 1265 Lakeview Drive, Romeoville, IL 60446 (630) 378-1052 Aloft 500 Janes Ave, Bolingbrook, Illinois 60440(630) 410-6367 Burr Ridge, IL Google Maps Link for Hotels Chicago Marriott Southwest at Burr Ridge 1200 Burr Ridge Parkway, Burr Ridge, IL (630) 986-4100 Quality Inn & Conference Center 300 Frontage Rd, Burr Ridge, IL (630) 325-2900 La Quinta Inn Chicago Willowbrook 855 79th St, Willowbrook, IL (630) 654-0077 Extended Stay America Hotel Chicago - Burr Ridge 15 W. 122nd S. Frontage Rd, Burr Ridge, IL (630) 323-6630 Holiday Inn Hotel Chicago-Willowbrook-Hinsdale 7800 South Kingery Hwy, Willowbrook, IL (630) 325-6400 Super 8 Willowbrook 820 West 79th St., Willowbrook, IL (630) 789-6300 Champagne Lodge and Luxury Suites 16W621 S. Frontage Road, Willowbrook, IL (630) 455-0555 SpringHill By Marriott 15 North Frontage Road, Burr Ridge, IL (630) 323-7530 Page 9