Lessons Learned
Identifier: Y-1999-OR-BJCETTP-0302
Date: 3/18/99
Title: Near-Miss Potential for Exposure to Sludge Vapors
Summary: Procedure requirements for work planning and control,
that assure health and safety professionals designate appropriate personal
protective equipment (PPE), must be followed to ensure personnel performing
the work are protected from identified hazards.
Identifier: L-1999-OR-BJCETTP-0201
Date: 2/5/99
Title: Liquid Fissile Bulking Operation Spill
Summary: Differences between field conditions and laboratory simulation
of field conditions when mixing reactive wastes must be minimized and thoroughly
understood.
Identifier: Y-1998-OR-BJCETTP-1203
Date: 12/22/98
Title: Development of a Facility Deactivation Surveillance and
Maintenance Plan
Summary: Prior to commencing facility deactivation, a plan integrating
safety management at all levels should be developed that considers potential
for bioaerosol exposure.
Identifier: 1998-ID-INEEL-467
Date: 11/19/98
Title: Trimethylamine Gas Released from Resin
Summary: MSDSs may not indicate product instability or breakdown
products. Unwanted chemical changes may occur when product is kept in a
temporary staging area for longer than anticipated. Inventory and storage
control (e.g., time, temperature) may reduce or eliminate safety hazards.
Safety hazards posed by trimethylamine gas may be reduced or eliminated
by using an eductor.
Identifier: CP-98-115.GP
Date: 11/9/98
Title: Pyrophoric Reaction During Glovebox Size Reduction
Summary: Personnel working with processes involving pyrophoric
metals must fully understand the potential reactions. Hazards that could
cause or contribute to the severity of a combustible metal fire should
be identified by a hazard analysis, and measures to minimize the hazards
should be implemented. This event illustrates the importance of the Integrated
Safety Management Program. The extensive pre-planning by the D&D team
prepared the work force for the worst case scenario. All personnel responded
appropriately to this incident.
Identifier: Y-1998-OR-LMESY12-0302
Date: 3/11/98
Title: Health and Safety Concerns During Floor Tile Installation
Summary: PRIOR to beginning work involving chemicals or materials
which can release fumes or vapors, building managers and supervisors should
ensure that employees with respiratory problems and/or increased sensitivity
to chemicals, such as those with Chronic Beryllium Disease, are informed
of the use of the chemicals and that accommodations are made.
Identifier: L-1997-OEWS-43
Date: 1/19/98
Title: Acid Leak from Improper Material Selection
Summary: Improper material selection caused a nitric acid leak,
interrupted process operations, and created a personnel safety and health
hazard.
These Lessons Learned were derived from the DOE
Lessons Learned Information Services database.
This page was last updated on January 04, 2007
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