[DNFSB
LETTERHEAD]
July 21, 2005
The Honorable Linton Brooks
Administrator
National Nuclear Security
Administration
U.S. Department of Energy
1000 Independence Avenue, SW
Washington, DC 20585-0701
Dear Ambassador Brooks:
The Defense Nuclear Facilities Safety
Board (Board) was recently briefed at Los Alamos National Laboratory (LANL) on
the resumption of laboratory operations and on corrective action plans. The Board has the following observations for
your information and use.
LANL is demonstrating a willingness
to identify issues forthrightly, develop corrective action plans, and improve
its operations. In particular, LANL is
carrying out an operational Efficiency project to address a number of
institutional issues. This project
encompasses eight subprojects on safety, quality assurance, software quality
assurance, conduct of engineering, safety basis, operations, environmental risk
management, and training. LANL intends
to address other important site-wide issues, such as fire protection and
nuclear materials management, outside of the Operational Efficiency project. LANL is also developing and implementing
corrective action plans intended to address issues specific to each facility
that were identified during the resumption process.
The Operational Efficiency
project and related plans appear to be well conceived and are being implemented
aggressively. The Board believes that
full implementation is critical and will require the dedication of significant
resources for several years. Management
attention will be required and mechanisms must be put in place to ensure the sustainability
of the gains that are made.
Within the Operational
Efficiency project, the safety subproject, which builds on the Integrated Work
Management initiative, has the greatest potential to directly improve worker safety
and ought to be assigned appropriately high priority. LANL is requiring more rigor
in work planning, including hazards identification and control, with an
emphasis on shifting to a more structured and deliberate process that is more
standards-based and less expert-based. While
these changes appear appropriate, it is also important to remember that workers
have to implement the improvements. Therefore, LANL must maintain a strong cadre
of safety professionals, work supervisors, and principal investigators who
understand this initiative and can apply their expertise at the activity-level.
The importance of improving work
planning and control is recognized across all National Nuclear Security
Administration (NNSA) sites―the Board highlighted this issue in a
letter dated May 21, 2004. LANL,
Lawrence Livermore National Laboratory, and Sandia National Laboratories all
have work control initiatives underway. Given the similarities between their issues
and operating environments, the three laboratories in particular would benefit
from closer collaboration. Such
collaboration should provide an opportunity to enhance the efforts at all three
laboratories related to improving work planning and control.
The Board encourages NNSA to
make certain that adequate resources are available for full implementation of
corrective action plans emerging from the LANL resumption process―particularly
for the Integrated Work Management initiative. Further, NNSA must ensure that rigorous change
control is maintained so that the effectiveness of corrective action plans are fully realized.
Sincerely,
A.
J. Eggenberger
Chairman
c: Mr. Thomas P. D’Agostino
Mr.
Edwin L. Wilmot
Mr.
Mark B. Whitaker, Jr.