Safety28Wed07

Take 5 for Safety: 

Take 5 for Safety

ISM Mid-Point Report Our Words - NSLS: 

ISM Mid-Point Report Our Words - NSLS Core Function 1 – Define The Scope Of Work - OK Core Function 2 – Identify/Analyze Hazards - OK Core Function 3 – Develop and Implement Hazard Controls Failure to follow established chemical safety requirements Core Function 4 – Perform Work Within Controls Oversight of the safety of experiment activities is not effective NSLS Experiment Safety Review does not cover set up Chemical use and storage not in accord requirements Users established an eating area within a user laboratory Users bringing chemicals on site do not enter chemicals into CMS Chemical containers were not labeled Gas cylinders on loading dock were improperly stored

ISM Mid-Point Report Our Words – Small Science: 

ISM Mid-Point Report Our Words – Small Science Core Function 1 – Define The Scope Of Work Research support activities not reviewed (shops, soldering) Core Function 2 – Identify/Analyze Hazards Experimental Safety Review (ESR) does not cover all hazards ESR failed to analyze release of hazardous materials ESR did not cover use of lead solder ESR did not address the injection hazard for sharps ESR gave no controls for corrosives ESR did not cover hazards associated with vehicular traffic

ISM Mid-Point Report Our Words – Small Science: 

ISM Mid-Point Report Our Words – Small Science Core Function 3 – Develop and Implement Hazard Controls When hazards have changed, hazard controls not reanalyzed ODH based on 50 liters of LHe; dewar capacity 62 liters New flammables stored in glove box with pyrophorics Hazard controls not adequately identified and/or implemented No controls to ensure glove box atmosphere remains inert Dry powder fire extinguisher outside laboratory Controls generally defined (e.g. consult MSDS or use PPE) Handling chloroform, no requirements given for PPE

ISM Mid-Point Report Our Words – Small Science: 

ISM Mid-Point Report Our Words – Small Science Core Function 4 – Perform Work Within Controls Work performed outside of established controls Workers transferred cryogens in short sleeves and short pants Aligned class IV laser in shorts and short sleeve shirts Procedure requires long sleeve shirts and other skin protection Researcher observed wearing a watch and wedding band Procedure requires jewelry to be removed before laser alignment Researcher observed adding LN using a styrofoam cup

ISM Mid-Point Report Our Words – Construction: 

ISM Mid-Point Report Our Words – Construction Core Function 1 – Define The Scope Of Work Specific jobs at specific facilities are not defined in sufficient detail Core Function 2 – Identify/Analyze Hazards Hazards not fully evaluated: Welding fumes in manholes Asphalt fumes during roof work

ISM Mid-Point Report Our Words – Construction: 

ISM Mid-Point Report Our Words – Construction Core Function 3 – Develop and Implement Hazard Controls Sub-contractors and BNL LOTO not compliant with NFPA 70E Work does not require verification of the absence of voltage BNL SBMS LOTO does not comply with NFPA 70E BNL work permits not always clear and not consistently understood Hazard analyses not always tailored for specific tasks performed Sub-contractors have not established an occupational medical exam program as required by 10CFR851

ISM Mid-Point Report Our Words – Construction: 

ISM Mid-Point Report Our Words – Construction Core Function 4 – Perform work within Controls Unsafe work practices observed: Workers stepping on wires under floor Work permit identified this electrical safety concern under floor Power under the floor was not locked out Tools and loose parts were stored on a make-shift shelf

ISM Mid-Point Report Our Words – Maintenance: 

ISM Mid-Point Report Our Words – Maintenance Core Function 1 – Define the scope of work OK Core Function 2 – Identify/Analyze Hazards Hazards during work not sufficiently analyzed Inadequate machine guards observed Machine tools were not lagged down to prevent walking or moving Electrical outlets in the HEMO shop are not GFCI protected Flammable material storage was inadequate in the motor pool Emergency generator at 1008 not surveyed for noise

ISM Mid-Point Report Our Words – Maintenance: 

ISM Mid-Point Report Our Words – Maintenance Core Function 3 – Develop and Implement Hazard Controls Workers did not always wear specified PPE as required: Tower-line-worker did not wear PPE inside arc flash boundary Master rigger did not wear hearing protection or use seat belt Tower-line-workers did not wear hearing protection Core Function 4 – Perform Work Within Controls Environmental controls not established for fleet-vehicle workers Personnel did not take hazardous waste generator course

ISM Mid-Point Report Our Words – Core Function 5: 

ISM Mid-Point Report Our Words – Core Function 5 Feedback and Improvement Very few structured/planned self-assessments performed by line Line self-assessments lack sufficient rigor No issues have been identified in Physics Physics did not develop and issue performance objectives BNL self-assessments lack verification of implementation in the field SHSD assessment report completed 11 months after inspection SHSD assessment of injury and illness investigations not put into ATS IH and IS self-assessment performed by SHSD in 2006 never issued TIER Is done by each organization are difficult to trend Line self-assessment failed to identify deficiency with SBMS requirements Line requirements in Integrated Assessment SA are poorly defined

Injury and Illness Recordkeeping and Reporting Mid Point Summary: 

Injury and Illness Recordkeeping and Reporting Mid Point Summary In most cases, proper classification, recording and reporting Areas for improvement: Medical treatment forms are cutoff due to half-page carbon Case files did not always include offsite medical treatment Investigation reports not included with non-reportable cases Self-assessment of recordkeeping program not done BNL case information not always reported on time Late reporting due to late reporting of injuries by employee

Issues Management Mid Point Summary: 

Issues Management Mid Point Summary Line self-assessment results are not managed Line organizations use informal means to track corrective actions Some use the family or hidden ATS Some line organizations have no procedures to manage issues Some do (NSLS, C-AD, F&O) but not all management elements addressed No uniform definition or consistent use of terminology TIER I inspection results are not analyzed Typically, no identified actions to address the reduction of Tier 1 findings Until recently, results from SHSD assessments not put in ATS

Done Safely But…: 

Done Safely But…