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Accident Investigation Reports - Type B

November 23, 2010
Type B Accident Investigation Board Report of the September 29, 2010, Radiological Contamination Event at the Separations Process Research Unit (SPRU), Building H2 Demolition, in Niskayuna, New, York

This report is an independent product of the Type B Accident Investigation Board appointed by Mark A. Gilbertson, Deputy Assistant Secretary for Program and Site Support, U.S. Department of Energy.

September 1, 2010
Type B Accident Investigation Board Report Employee Puncture Wound at the F-TRU Waste Remediation Facility at the Savannah River Site on June 14, 2010

This report documents the results of the Type B Accident Investigation Board investigation of the June 14, 2010, employee puncture wound at the Department of Energy (DOE) Savannah River Site (SRS) F-TRU Wste Facility located in the F Canyon Facility.

December 11, 2009
Type B Accident Investigation Board Report of the Brookhaven National Laboratory Employee Injury at Building 1005H on October 9, 2009

On the afternoon of October 9, 2009, a Lead Rigger for Brookhaven Science Associates (BSA), LLC at the Brookhaven National laboratory (BNL) wasinjured while at the Relativistic Heavy Ion Collider (RHIC) Compressor Building 1005H.

November 1, 2009
Type B Accident Investigation Board Report of the Savannah River Site Hand Injury at the Salt Waste Processing Facility on October 6, 2009

This report documents the results of the Type B Accident Investigation Board (Board) investigation of the October 6, 2009, hand injury at the Department of Energy (DOE) Savannah River Site (SRS) Salt Waste Processing Facility construction site.

October 1, 2009
Type B Accident Investigation of the Savannah River Site Arc Flash Burn Injury on September 23, 2009, in the D Area Powerhouse

This report documents the results of the Type B Accident Investigation Board investigation of the September 23, 2009, employee burn injury at the Department of Energy (DOE) Savannah River Site (SRS) D Area powerhouse.

July 30, 2009
Type B Accident Investigation At Washington Closure Hanford, LLC, Employee Fall Injury on July 1, 2009, At The 336 Building, Hanford Site, Washington

During D4 project demolition preparation work on the morning of July 1, 2009, in Hanford’s 300 Area, a millwright fell 50 feet from a catwalk and was severely injured. The millwright was part of a Washington Closure Hanford, LLC (WCH) team of craft personnel preparing a bridge crane for removal from the 336 Building.

April 1, 2009
Type B Accident Investigation Of The February 25, 2009 Injury To A Passenger In An Electric Cart At The Waste Isolation Pilot Plant, Carlsbad, New Mexico

This report is a product of an Accident Investigation Board appointed by David C. Moody, Manager, Carlsbad Field Office, Department of Energy, on March 4, 2009.

November 18, 2008
Type B Accident Investigation of the October 9, 2008 Employee Injured when Rocket Motor Unexpectedly Fired at the Sandia National Laboratories Technical Area III Sled Track, Sandia Site Office

On the afternoon of October 9, 2008, a sled track test was to be performed involving a sled that consisted of a test package connected to the front of a Super Zuni rocket motor. The purpose of the test was to record thermal battery output during the
impact with the target.

April 14, 2008
Type B Accident Investigation of the July 12, 2007, Forklift and Pedestrian Accident at the Paducah Gaseous Diffusion Plant, Portsmouth/Paducah Project Office

On July 12, 2007, an employee at the Paducah Gaseous Diffusion Plant (PGDP) was walking alone during her scheduled lunch period.

October 25, 2006
Type B Accident Investigation of the July 31, 2006, Fall from Ladder Accident at the Lawrence Livermore National Laboratory, Livermore, California

This report is an independent product of the Type B Accident Investigation Board appointed by Camille Yuan-Soo Hoo, Manager of the Livermore Site Office of the National Nuclear Security Administration, U.S. Department of Energy.

July 13, 2006
Type B Accident Investigation Report on the Exertional Heat Illnesses during SPOTC 2006 at the National Training Center in Albuquerque, New Mexico, July 13, 2006

This Report addresses three injuries that occurred on June 15, 2006 during the annual Security Protective Officer Training Competition (SPOTC) at the National Training Center (NTC). One individual required hospitalization for more than a week, much of the time in intensive care. Two other individuals were examined at the hospital and released.

February 10, 2006
Type B Accident Investigation Board Report of the Bechtel Jacobs Company, LLC Employee Fall Injury on January 3, 2006, at the K-25 Building, East Tennessee Technology Park, Oak Ridge, Tennessee

On Tuesday, January 3, 2006, at 1:55 pm, a Bechtel Jacobs Company LLC (BJC) iron worker accidentally fell through a degraded concrete floor panel while working in the K-25 Building at the East Tennessee Technology Park (ETTP).

February 10, 2006
Type B Accident Investigation Board Report for the January 11, 2006, Personal Injury During Table Saw Use at the Heyrend Way Facility, Idaho Falls, Idaho

This report is an independent product of the Type B Accident Investigation Board appointed by Elizabeth D. Sellers, Manager, Idaho Operations Office, U.S. Department of Energy.

February 10, 2006
Type B Accident Investigation of the Arc Flash at Brookhaven National Laboratory, April 14, 2006

This report is an independent product of the Type B Accident Investigation Board appointed by Elizabeth D. Sellers, Manager, Idaho Operations Office, U.S. Department of Energy.

February 1, 2006
Type B Accident Investigation of the January 10, 2006, Flash Fire and Injury at the Savannah River National Laboratory

On January 10, 2006, at approximately 7:47 a.m., a first-line manager (FLM) at the Savannah River National Laboratory (SRNL) received first- and second-degree burns to his head, face, neck, and left hand that required hospitalization after a flash fire occurred during equipment cleaning operations in SRNL Laboratory D-1169.

January 1, 2006
Type B Accident Investigation of the July 14, 2005, Americium Contamination Accident at the Sigma Facility, Los Alamos National Laboratory

This report is an independent product of the Type B Accident Investigation Board appointed by Edwin L. Wilmot, Manager of the Los Alamos Site Office of the National Nuclear Security Administration, U.S. Department of Energy.

September 27, 2005
Type B Accident Investigation of the Acid Vapor Inhalation on June 7, 2005, in TA-48, Building RC-1 Room 402 at the Los Alamos National Laboratory

During the afternoon of June 7, 2005, two postdoctoral (postdoc) employees working at the Los Alamos National Laboratory (LANL) inhaled acid vapors generated by the use of aqua regia (a mixture of hydrochloric and nitric acids) to clean glassware on a laboratory benchtop.

February 1, 2005
Type B Accident Investigation Report of the October 28, 2004, Burn Injuries Sustained During an Office of Secure Transportation Joint Training Exercise at Fort Hunter-Liggett, CA

TYPE B Accident Investigation Report of the October 28, 2004 Burn Injuries Sustained During an Office of Secure Transportation Joint Training Exercise at Fort Hunter-Liggett, CA

November 22, 2004
Type B Accident Investigation Board Report on the October 8, 2004, Grounds Worker Injury at the Pacific Northwest National Laboratory

On October 8, 2004, at approximately 11:00 am, a Grounds Worker at the Pacific Northwest National laboratory (PNNL) fell from a Toro Workman 3200 Utility Vehicle and fracturedhis right leg above the ankle.

October 15, 2004
Type B Accident Investigation Board Report on the Head Injury to a Miner at the Waste Isolation Pilot Plant, Carlsbad, New Mexico – August 25, 2004

On August 25, 2004, an employee of Washington TRU Solution, LLC (WTS) sustained a head injury when he was struck by a C-clamp and rope attachment that broke loose from a piece of metal vent line that was being dragged. This occurred as part of the development and recovery of an existing drift for underground disposal of waste at the Waste Isolation Pilot Plant (WIPP).

August 17, 2004
Type B Accident Investigation Board Report Subcontractor Radioactive Release During Transportation Activities on May 14, 2004, Bechtel Jacobs Company LLC, Oak Ridge, Tennessee (Amended)

On Friday, May 14, 2004, at approximately 11:30 a.m., a dump truck transporting mixing tank T-12 (Tank T-12) from the New Hydrofracture Facility (NHF) Decontamination and Decommissioning (D&D) Project arrived at the Environmental Management Waste Management Facility (EMWMF). Upon arrival, an incoming radiological survey was performed.

August 17, 2004
Type B Accident Investigation Board Report, May 8, 2004, Exothermic Metal Reactor Event During Sodium Transfer Activities, East Tennessee Technology Park, Oak Ridge, Tennessee

This report is an independent product of the Type B Accident Investigation Board (Board) appointed by Gerald Boyd, Manager, Oak Ridge Operations Office, U.S. Department of Energy. The Board was appointed to perform a Type B investigation of the accident and prepare an investigation report in accordance with DOE O 225.1A, Accident Investigations.

August 16, 2004
Type B Accident Investigation on the February 17, 2004, Personal Injury Accident, Bettis Atomic Power Laboratory

Prime contractors need to provide a safe work environment for the entire facility site, including parking lots and outdoor pedestrian walkways. Particular attention needs to be given to areas that must be traversed by individuals with physical handicaps. The contractor must proactively maintain its facilities to ensure a safe work environment for its employees Even minor deficiencies can contribute to significant injury to employees.

February 1, 2004
Type B Accident Investigation Board Report BNFL, Inc. Employee Foot Injury on December 17, 2003, at the East Tennessee Technology Park Building K-31

On December 17, 2003, at approximately 7:15 a.m., an accident occurred at the U.S. Department of Energy (DOE) East Tennessee Technology Park, Building K-31. An employee (Pipefitter) of British Nuclear Fuels Limited Inc. (BNFL) was injured while attempting to remove concrete block from within a wide-flange, steel column during demolition of the K-31 Control Room (first floor, center of building).

December 1, 2003
Type B Accident Investigation on the August 5, 2003, Pu-238 Multiple Uptake Event at the Pu Facility, Los Alamos National Laboratory

On August 5, 2003, a release of plutonium-238 occurred in a storage room at the Plutonium Facility, Los Alamos National Laboratory, resulting in radiation doses to two workers in the room. The Accident Investigation Board concluded that the direct cause of the accident was the release of airborne contamination from a degraded package that contained cellulose material and plutonium-238 residues.