Categorizers CAT Team Workshop

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Categorizers (CAT) Team Workshop 2003-04
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OUR AGENDA!

• Workshop Goals
• ORPS Trending
• Programmatic review
• Cat Chat
• Categorizers in Training
• Electronic Categorizers Form
• Corrective and Preventive Action Subject Area
• Keep Your Friendly Local Fac Rep Informed
• Year in Review
• Joe Labas, ORPS The Recent Flurry
• Meeting evaluation and wrap-up
•       

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CAT Team Workshop

• Workshop Goals
• To EVALUATE and IMPROVE the BNL Occurrence
  Reporting Program.
• To MAINTAIN a baseline categorization process
  such that reportability decisions are both valid
  and repeatable.

CAT
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BNL ORPS Report StatusFY 2004 (End of Month)

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ORPS Corrective Action StatusFY 2004 (End of
Month)
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BNL ORPS by Calendar Year Report Submitted
As of 11/30
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CAT Logbook Entries

• 09/22 RK, miscomm. on when to start and stop
  shooting at firing range
• 09/24 RK, GERT expires and same TLD worn for
  several months _at_ ATF
• 09/25 RK, loss of 2000 copper cable lugs _at_
  C-AD
• 09/26 RK, F-18 hair cont (14,000 dpm) _at_ 901
  radiotracer lab (ON)
• 10/03 SC, 2 gal spill of antifreeze behind
  bldg. 490
• 10/10 SM, bag of oil rags found by jogger near
  bldg. 754
• 10/10 SM, ½ gal spill of oil on pavement behind
  bldg. 490
• 10/20 KS, Damage (1,700) to rented Hertz dump
  truck
• 10/22 KS, shutdown of work due to inadequate
  trenching (ON)
• 10/22 PW, Man lift fire incident _at_ bldg. 974 on
  5/01/03
• 10/27 RK, OSHA inspector questions scaffolding
  _at_ C-AD
• 10/28 TM, Male trans. to Mather Hospital
  suffering from panic attack
• 10/28 TM, gt than 10 gal. oil spill in elevator
  shaft _at_ bldg. 463 (ON)
• 10/31 TM, unaccountable source discovered at
  Physics (ON)

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CAT Logbook Entries

• 11/04 KK, .1 gal spill of antfreeze _at_ bldg. 912
• 11/05 KK, extremity dose received at 901 gt than
  expected by 3K mrem
• 11/06 KK, lt 1 gal antifreeze spill from tractor
  to pavement in front of 488
• 11/07 KK, waste oil shipping papers signed by
  unauthorized person
• 11/07 KK, unapproved carrier ships PCB cont.
  soil from BNL
• 11/10--------------------ORPS Re-design
  Implemented at BNL--------------------------
• 11/10 KK, vial marked natural uranium chips
  found in uncontrolled area
• 11/13 KK, mechanic suffers lacerated tendon
  (SC3)
• 11/14 KK, 1 gal oil spill in front of bldg. 197
• 11/14 KK, Kitchen fire in apartment 7-C
• 11/17 RK, air monitor alarm BGRR duct service
  bldg., 20mrem for 3
• 11/18 RK, antifreeze spill from PE mobile
  generator - (SC4)
• 11/21 RK, NSLS employee hit by car - (SC3)
• 11/21 RK, Planned killing of 4 deer _at_ FHWA
  because of possible uptake

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CAT Logbook Entries

• 11/22 RK, 4 gal oil spill in bldg. 911 pump
  room (concrete and contained)
• 12/01 MB, possible inadvertent exposure from
  radiograph machine
• 12/03 SM, laceration to head caused by wind
  blown waste container lid
• 12/04 SM, FF steps into hole during confined
  space training, minor injury
• 12/08 SM, worker injured during payloader
  w/push plow operations

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CAT Logbook Entries (05/1/00 - 12/08/03)
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CAT Logbook Entries (05/1/00 - 12/08/03)

• After 1 QTR.
• 7 out of 28 identified events/conditions were
  deemed reportable 25
• 2.3 events/conditions reported/week
• .58 reportable events/week

• After 14 QTRS.
• 137 out of 533 events/conditions were deemed
  reportable 26
• 2.9 events/conditions reported/week
• .7 reportable/week

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Programmatic Review

• Personnel Contamination - 2001
• 02/14 - (Medical - 801)
• 04/03 - (Medical - 801)
• 04/25 - (HFBR)
• 04/30 - (Chemistry - Radiotracer Lab)
• 09/19 - (Medical - Personal and Vehicle Cont.
  off-
• site, UO)
• 10/30 - (BGRR)
• 12/05 - (Medical)
• Personnel Contamination - 2002
• 05/16 - Shoe contamination (AGS)
• Personnel Contamination - 2003
• 01/16 - (WMD - 865)
• 03/28 - (PET)
• 09/26 - (PET)

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Programmatic Review

• Medical department, 2001
• 01/11 - Workers not signed in on RWP (RAR)
• 02/07 - Worker not wearing RWP req. PPE (RAR)
• 02/14 - Personnel Contamination at 801
• 04/03 - Personnel Contamination at 801
• 05/03 - D - Waste syst. pipe leak at 801
• 06/14 - SS exposed to Para formaldehyde
• 06/20 - 340 gals of cont. rain water (801)
• 07/11 - 2 liters of clean water leak into RMA
• 07/19 - Failure to sign-in on RWP
• 09/19 - Personal and Vehicle Cont. Off-site, UO
• 10/18 - P-32 spill due to equip. failure
• 11/28 - Movement /Use of Radioactive Disp.
  without Proper Surveys
• 12/05 - Personnel Cont. at 490
• 12/12 - Rainwater Flooding of Rad. Area at 801

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Programmatic Review

• Medical department, 2002
• 3/05 - Potential release of cont. water from
  bldg. 801
• 5/10 - L/L analytical lab samples outside of RMA
  in 490
• 6/20 - Small fire in 490 experimental hood
• 7/16 - lt 25 ml of Ketamine (controlled substance)
  found in injection vial located in empty lab at
  490
• 9/04 - Work performed under expired RWP at 490
• 9/13 - Unqualified worker operates CERF source

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Programmatic Review

• Medical department, 2003
• 01/28 - Loose Inner Electrical Panel cover (at
  490) results in sparking when outer
  door opened
• 03/06 - Liquid scintillation vials poured into
  5-gallon Carboy outside of the posted
  dispersible area in bldg. 490
• 01/09 - 120VAC light ckt. (deenergized) damaged
  during core drilling at 490
• 04/01 - Improper Entry into Oxygen Deficiency
  Hazard Area
• 09/12 - Worker enters RWP area (490) without
  signing RWP

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Programmatic Review

• NSLS, 2002
• 01/29 - 10 nG Staphyloccal Enterotoxin B crystals
  
• 04/19 - Electrical shock
• 09/22 - Hutch entered without signing RWP
• 10/02 - Fork truck strikes electrical panel
• 10/04 - Light beam strikes worker eye
• 10/06 - Staff (4) on exp. floor without TLDs
• 12/27 - Carpenter at NSLS strikes energized 24VDC
  fire alarm wiring

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Programmatic Review

• NSLS, 2003
• 01/09 - Fire in cabinet extinguished in lt 3 min.
• 01/10 - Loss of cooling to sextapole magnet
  results in smoke/precautionary evacuation
• 03/20 - Guest ignores restricted area posted
  requirements
• 06/01 - Worker slips and injures arm
• 09/08 - Injury to hand while operating lathe

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Programmatic Review

• Physics, 2003
• 06/30 Employee Received an Electric Shock to
  Hand
• 09/24 GERT expires, same TLD worn for several
  months _at_ ATF
• 10/31 Missing source discovered at Physics

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Programmatic Review

• Utilities struck
• 2000
• 10/02 - Sanitary line severed near 801
• 10/27 - Worker hits energized UG cable
• 11/07 - Strike of 480 volt UG cable
• 2001
• 03/27 - UG abandoned comm. cable struck
• 03/29 - Backhoe scraps steam line
• 04/26 - Backhoe strike of 208 VAC cable
• 07/03 - Backhoe strike of 208 VAC cable
• 09/17 - Van hits fill ass. of LPG tank
• 09/26 - Phone line damaged when digging near FH
• 10/03 - 2 in. above grd water line broken by
  bulldozer
• 11/28 - Backhoe strike of 4 - inch water line

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Programmatic Review

• Utilities struck
• 2002
• 04/30 - Aband. control wiring hit during sanny
  upgrade
• 05/07 - GC drilled anchors into elect. duct bank
  near 911
• 06/06 - Minor utility strike during horiz. boring
  activities
• 09/28 Truck driver backs into 13.8KV BAF power
  supply
• 2003
• 01/08 - Contractor severed low voltage comm.
  cable near bldg. 51
• 05/08 - Deenergized cable struck during
  excavation near 911A
• 08/12 - Forklift strikes overhead wire

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Programmatic Review

• Transportation Issues
• 2001
• 07/27 - Misclass. of PCB Waste shipped
  offsite from BGRR
• 11/14 - Over-wt. Shipment of LLRW from
  BGRR
• 11/19 - Misclass. of Rad. Material
  Shipped Offsite from BMRR
• 2002
• 06/07 - Damaged 55 gallon drum of
  solidified waste
• discovered upon arrival at
  Hanford Burial Ground
• 2003
• 02/05 - Fuel cask shipped to SRS
  arrives with cont. gt DOT
  limits
• 11/07 - Waste oil shipping papers signed by
  unauthorized person
• 11/07 - Unapproved carrier ships PCB
  cont. soil from BNL

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Programmatic Review

• Electrical Shock Hazards
• 2001
• 10/03 - Electrical Incident at Cyclotron
• 2002
• 04/19 - Electrical Shock _at_ NSLS
• 09/24 - Worker at AGS receives lt24 VDC
• 2003
• 06/27 - Electrical Shock _at_ Physics

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CAT CHAT!

• Categorizers in training
• Andy Levine
• Patti Bender
• Electronic Categorizers Form
• Date and time called
• Cause Codes in support of Performance Analysis
• Old vs. New system
• Corrective and Preventive Action Subject Area
• Keep Your Friendly Local Fac Rep Informed

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A Year in Review BNL BAO taking the Lead for
Science

• Attendance _at_ SRS ORPS Workshop (1/22-23/03)
• Value Added Feedback Through 5 Targeted ORPS
  Re-design Workshops _at_ BNL
• (2/06/03)
• (3/11/03)
• (4/22/03)
• (5/01/03)
• (5/29/03)
• BNL/BAO Provides Feedback during RevCom review
  BNL Attends DC ORPS Training (6/10-12)
• BNL/BAO provides Beta Testers for new ORPS
  Database
• ORPS Re-design Implemented at BNL on 11/10/03

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CAT Team Workshop

• CAT Team Action Item Review
• Meeting Evaluation and Wrap-Up

NYCM