Department of Energy
Operating Experience Committee (OEC)
Coordinated by the Office of Analysis (AU-23)
Webinar Minutes
Tuesday, August 9, 2016
Time: 11:00 a.m. - 12:30 p.m. ET
Call-In Number: 303-248-0285 Access Code: 5863657
AGENDA
Welcome and Introduction
Ashley Ruocco
David Pechulis, NSTec
Highlighted Presentation: NSTec Daylight Saving Time Predictive
Analytics Project
Site Operating Experience Discussions
All
External Operating Experience and Lessons Learned Discussions
All
Update on Office of Analysis and Corporate Operating Experience
Initiatives
Ashley Ruocco
Roundtable / Subjects for Next Call
All
WELCOME / PARTICIPANTS
#
NAME
SITE
1
Alp, Asu
ANL
2
Appleton, Jennifer
GO
3
Bailey, Pamela
ORP
4
Blackstock, Chris
Chalk River Laboratories
5
Chalk, Steve
RL
6
Clark, John
NETL
7
Clay, Marc
SLAC
8
Collier, Linda
LANL
9
Duda, Amy
NTC
10
Ginocchi. Frank
American Electric Power
11
Goplin, Bruce
Ames
12
Ha, Trang
LFO
Page 1
#
NAME
SITE
13
Harris, Allan
EMCBC
14
Hayes, Marcus
NTC
15
Hiteshew, Kathleen
PEC
16
Horning, Jeff
LLNL
17
Huston, C.J.
NNSS
18
Hutto, Rod
SRS
19
Joy, Donna
PEC
20
Kremin, Carisa
PPPO
21
Larson, Jay
DOE-HQ
22
Lyons, T.J.
Gilbane
23
McCallister, Russ
DOE-HQ
24
McDuffie, Stephen
DOE-HQ
25
Mirabile, Marlene
BNL
26
Miranda, Valerie
NTC
27
Montanez, Cathie
SLAC
28
Natoli, Ross
DOE-HQ
29
Neil, David
ID
30
Nelson, Shawn
ASO
31
Pavalko, Kelly
NSTec
32
Pechulis, David
NSTec
33
Perkins, Larry
OR
34
Polanish, Caroline
BHSO
35
Rao, Nimi
DOE-HQ
36
Rendon, Julieanne
NPO
37
Rosen, Lori
PPPO
38
Ruocco, Ashley
DOE-HQ
39
Sarlina, T.J.
Fermilab
40
Schutt, Joanne
ETTP
41
Schwehm, Kelly
SPRU
42
Skokan, Bryan
DOE-EM
43
Stirling, Larry
DOE-HQ
44
Stone, Roger
PEC
45
Tamplain, Jeffrey
SPRO
46
Transue, Martin
NSTec
47
Triplett, Theresa
LBNL
48
Trujillo, Stanley
LANL
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#
NAME
SITE
49
Tulley, Gregg
Energy Solutions
50
Watkins, Mike
ORNL
51
Weibel, Marc
SLAC
52
Winters, Jacki
WRPS
WELCOME AND INTRODUCTION
Ashley Ruocco – Ruocco welcomed all to the call and webinar. Please continue to email your attendance to
Donna Joy, [email protected], so we credit all attendees that we might not hear. Donna will also
be assisting with the minutes to the OEC calls; this support is very much appreciated.
HIGHLIGHTED PRESENTATIONS
Highlighted Presentation: NSTec Daylight Saving Time Predictive Analytics Project
Mr. David Pechulis is a Certified Occupational Ergonomist for NSTec and reports to the Safety and Industrial
Hygiene Manager. In addition to ergonomics, Pechulis has over 16 years’ experience as a business
development consultant providing consulting and training needs to fortune 100 companies including the
financial industry and has conducted seminars on advanced sales psychology. Pechulis has held public office as
mayor and was a U.S. House of Representatives candidate in 2004. Pechulis’ education includes: Colorado
State University, Rochester Technical and Community College, and open courseware through Massachusetts
Institute of Technology. Pechulis presented the following:
Daylight Savings Time (DST) is an event that cannot be changed, there are 3.6 more injuries on Mondays
following DST, and 2,649 more days of work (68%) were lost as a result of those injuries. This is unique to
“spring forward.” NSTec uses predictive analytics – data mining (using industry and research data readily
available) to analyze data for events related to DST, key elements of this analysis are:
 Sleep deprivation
 Worker age related health data
 Complacency
 Historical company data
 Industry data
 Supplemental data
 Environmental factors (weather)
 Projected incidents for DST 2016: 3
Communication is key to reduce DST incidents. Complacency and routine behavior were reviewed. Through
the detailed analysis of NSTec incident history for the week following DST (root cause), NSTec worker
demographics and related aging process, memory retention, specific informative articles to target related casual
factors, and a call-to action, NSTec was able to achieve a company first for 2016 with zero incidents the week
after DST.
For more information, contact David Pechulis at [email protected].
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SITE OPERATING EXPERIENCE DISCUSSIONS
1. Lawrence Livermore National Laboratory (LLNL)

LLNL shared the following Lessons Learned: Sunglasses were taken into a laser laboratory and were
used instead of the laser protective eyewear (LPE). The sunglasses and LPE were very similar and it
was not discovered until the individual saw a green spot of light on an optic for approximately two
seconds. LPE must never be stored or placed near other types of eye-wear (e.g., sunglasses, reading
glasses, etc.). LPE must only be in one of three locations: (1) in a designated storage location containing
only the correct LPE for the laser being worked with; (2) on a lanyard worn by the person using the
LPE; or (3) properly donned over the user's eyes. (Lessons Learned and ORPS report NA--LSO-LLNLLLNL-2016-0017)

LLNL also noted that recently Laser Safety Personal Protective Equipment (PPE) worked differently
than expected, individuals saw a small dot when wearing eyewear, instead of not seeing anything. This
was correct for this particular PPE, but was not the expected result. This particular PPE was removed
from the site. (Lessons Learned)
2. NSTec
NSTec shared three Lessons Learned that have been submitted to the DOE Lessons Learned Database and
RL’s OPEXShare:

Cement Truck Falls into Hole Covered with Plywood: A cement truck driver did not stop when the
signal to stop was given by the dedicated signaler, the vehicle continued rolling resulting in the truck’s
passenger front tire resting on a plywood pothole cover which broke through. The cement truck came to
rest on the front axle and front frame. Lessons Learned: If using covers for trip and fall hazards around
vehicular traffic, then mark the area as walking surface only and have stanchions and flagging on them
to avoid vehicular traffic. This event shows that a lack of situational awareness could result in vehicle
and/or property damage, and possibly personal injury. (Lessons Learned)

Verification and Validation Process for Checklists Used for Unique Experiments: The Best Practice of
mandating three walkthroughs of experimental checklists prior to the beginning of operations will
ensure safe operations; especially critical experiments involving the use of highly hazardous materials.
(Lessons Learned)

A Lessons Learned will be submitted on the Daylight Saving Time Analytical Project presented at
today’s webinar. (Lessons Learned)
3. Thomas Jefferson National Accelerator Facility

TJNAF discussed a lesson learned during annual inspections of unique power supplies. Some units were
involved in a flood which were kept, red tagged, and put in storage. The concern with these units is that
they could be used for parts when they should not be. The inventory needs to be carefully controlled as
these red tagged units’ parts should not to be placed into critical systems.
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EXTERNAL ORGANIZATIONS OPERATING EXPERIENCE AND LESSONS LEARNED
DISCUSSION

T.J. Lyons, Gilbane, presented a lesson learned regarding sports equipment and small children or
animals. Lyons was taking pictures of his family at a park on a soccer field when one of the younger
children turned around, walking into the net and got her head caught in a net (photo below). Lesson
learned is to have the appropriate organization take the nets down when not in use.
UPDATE ON OFFICE OF ANALYSIS AND CORPORATE
OPERATING EXPERIENCE INITIATIVES




Security Updates to DOE Databases: User accounts for DOE databases (including Lessons
Learned, ORPS, CAIRS and more) will be disabled after 60 days of inactivity, after which users
will be required to call or email the AU help desk to re-activate
o Users will be required to change passwords every 60 days. If the user fails to change the
password within the given 60 days, they will be required to call or email the AU help
desk to get a temporary password assigned
o Accounts will be deleted after 1 year of inactivity
o Contact AU User Support for any log-in/password questions
 AU User Support [email protected]
 1-800-473-4375
Review of DOE-STD-7501
o AU-23 started the development of a strawman of the Handbook, a redline strikeout
version will be sent to the LL working group soon
Review of DOE Corporate Lessons Learned Database
o DOE Corporate Lessons Learned Database: http://energy.gov/ehss/policy-guidancereports/databases/lessons-learned-database (account required)
o Lessons Learned Account Request Form:
https://registration.doe.gov/registration/llrequesform.asp
o Thanks to all members that sent Lessons Learned/OE processes/system information. AU23 is compiling info and reviewing
Update of DOE O 210.2A
o With the new process in place for reviewing directives, all directives are on hold, except
the directives chosen to go through the pilot process- more below on this initiative.
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-

Update of DOE O 232.2- DRB Pilot Process
o As part of the Laboratory Operations Board’s initiative to reform the DOE directives
program, two directives have been identified as candidates for piloting improvements.
These include DOE Order 483.1A, Cooperation Research and Development Agreements
and DOE Order 232.2, Occurrence Reporting and Processing of Operational Information
o Ruocco and Mike Schlender from PNNL are co-chairing DOE O 232.2’s pilot process
o An Integrated Project Team (IPT) has been formed to work on this process, and the kickoff meeting was held August 4
o Once a decision has been made on the path forward, a Decision Memo will be sent to the
IPT and Operations Committee
o Co-chairs will coordinate with MA throughout the pilot process as MA is reviewing and
updating DOE Order 251.1C, Departmental Directives Program
o Ruocco will provide updates to the OEC on this pilot every webinar
o Expected completion and publication of DOE O 232.2 is December 2016
o ACTION: Ruocco will send out the IPT Member List to the OEC for their awareness

NEW Recurring Agenda Item: Suspect/Counterfeit and Defective Items
o This is a new item that will be added to the agenda
o With the departure of Mike Stracka, Ruocco will be the Acting S/CI Lead
o Assistance Needed- S/CI or Defective Items- send articles/information to Ruocco
o Expectations for S/CI during OEC
 Present new items to the OEC
 Coordinate with Ruocco
 Sites to reach out to their S/CI coordinators to let them know Ruocco is the lead
and invite them to participate in the OEC webinars
o ACTION: Ruocco will send out the S/CI coordinator and subject matter expert lists to the
OEC for updating
Corporate OE Documents
 Newly released:
o OES published
 Situational Awareness: Focus Can Decrease Risk and Injuries (June)
 A Hot Topic: Preventing and Recognizing Heat-Related Illnesses (July)
o OE-3
 Ladder Safety (July)

In development:
o Draft OE-3s
 LOTO Electrical Events
 Vehicle Safety
 Nitrate Waste (from AU-30)
 Seperatorless HEPA Filters (from AU-30)
 Clearance and Release of Personal Property from Accelerator Facilities, DOE-STD6004 (from AU-20)
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-
OE Wiki

OE Video
o Science in 60 - Simulating Flames Helps Tame Future Wildfires

OE Wiki Links
o CA Attorney General Issues Consumer Alert on Staying Safe while Having Fun with
Pokemon Go: https://oag.ca.gov/news/press-releases/attorney-general-issues-consumer-alertstaying-safe-while-having-fun-pok%C3%A9mon-go
o IH/OS Construction Safety Website
o Center for Construction Research and Training: Working Safely with Silica - How to Prevent
a Silica Hazard and Protect Workers
o Article - URS Gets Enforcement Letter for 2015 Heat Stress Symptoms Incident at SPRU
o Don't Fail at Ladder and Fall Safety - photo gallery
o ASSE Ladder Safety & Fall Protection Conference September 2016 Myrtle Beach,
SC: http://region6.asse.org/pdc/
o EHSS Rotator Highlights
o DOE Annual Site Environmental Reports (ASER)
o Oak Ridge Associated Universities has new Construction Safety section on the IH/OS SIG
Web site under: http://orise.orau.gov/ihos/tech-topics/construction-safety.html
o Article by TJ Lyons - A checklist for Hiring the Perfect Safety Manager
o Washington River Protection Solutions (WRPS) New Website devoted to transparent
communication of vapors at Hanford’s Tank Farms: www.hanfordvapors.com
o Digital Clamp Meters Recalled by Klein Tools Due to Shock, Burn Hazards
o ORNL Safety Flash on Eyewash Unit that Failed to Deploy
o National Sleep Foundation Expert Consensus Panel Concludes that Missing a Night of Sleep
Renders Drivers Unfit to Operate a Motor Vehicle
o Newly Revised American National Standard for Hand Protection Classification
Please send any OE relevant videos that you would like to see on the OE Wiki to Ruocco.
Webinar Schedule:
– Tuesday, October 4
o Open slot for Highlighted Presentation- volunteers welcome!
o External Operating Experience presentation – Laser Safety
– Tuesday, December 13
In-Person OEC Workshop
– Thursday, November 3 – Las Vegas, NV
– Possible Agenda Items (please let Ashley know if you want to be on the agenda)
– DOE Corporate Lessons Learned Database Upgrades
– Site’s Lessons Learned Programs
– OE/LL: what to measure and best ways to measure
– Metrics- expectations and what is used
 How do you measure what doesn’t happen?
– Best ways to document how lessons are integrated into work
– Best processes for integrating lessons into work
– DOE-STD-7501
– DOE O 210.2A
– Draft Agenda will be provided to the OEC in early September
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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.
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.
The next OE Committee Webinar is scheduled for
Tuesday, October 4, 2016
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 Donna Joy, [email protected], at the beginning of the conference call.
Ashley Ruocco, DOE AU-23, E-Mail: [email protected]. Phone number: (301) 903-7010.
Operating Experience Websites:
OE Level 1-3 Documents: http://energy.gov/ehss/operating-experience-level-1-2-and-3-documents
OE Summaries: http://energy.gov/ehss/listings/operating-experience-summaries
OE Wiki: http://operatingexperience.doe-hss.wikispaces.net/
DOE Corporate Lessons Learned Database: http://energy.gov/ehss/policy-guidance-reports/databases/lessons-learned-database
(account required)
Lessons Learned Account Request Form: https://registration.doe.gov/registration/llrequesform.asp
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