[Hallb-engineering] Fwd: Lesson Learned "PHY-16-0208 Lower Lumbar Strain While Moving a Rigging Attachment "

[Douglas Tilles]

----- Forwarded Message -----
From: "Tina Johnson" <cjohnson at jlab.org>
To: "Tina Johnson" <cjohnson at jlab.org>
Sent: Friday, March 18, 2016 10:00:08 AM
Subject: Lesson Learned "PHY-16-0208  Lower Lumbar Strain While Moving a Rigging Attachment "

Jefferson Lab Lessons Learned : Print Lesson 
	PHY-16-0208 Lower Lumbar Strain While Moving a Rigging Attachment 
	
Statement of Lessons Learned 
Never assume the weight of infrequently used items, when in doubt have the items weighted and labeled so that you are aware and can be "prepared" for the lift. 
Discussion of Activities 
On 02/08/2016 a technician was lifting a rigging �attachment� out of storage box (jobox) when the attachment got hung on the lip of the storage box and the technician experienced sudden lower back pain.  He reported immediately to his supervisor and his supervisor advised him to go to Occupational Medicine.  

He was diagnosed with lumbar muscle strain and placed on work restrictions that affect his ability to perform all his routine work assignments (no climbing of ladders and no lifting more than 20 pounds). 
Analysis 
Root Cause:  	
Selection of storage equipment for the attachment was LTA- The  storage box had an internal lip on it and therefore lifting the attachment from storage equipment potentially put the technician at a higher risk while performing the lift. 

Contributing Causes:
Employee underestimated the weight of the attachment and lifted the attachment by himself. 
Recommended Actions 
Extent of Condition:
Identify equipment/tools that should be weighed and labeled during the quarterly Safety Warden /ESH&Q inspections.  

Corrective Actions:
1. Add a strap to this attachment to make it easier for two people to lift the device

2. Remove the attachment from the storage box and store in another location to avoid hitting the lip while removing the attachment.

3.Label the attachment with its weight. 

4. All-Staff email to the lab raising awareness about the potential for injury while lifting a piece of equipment and reiterating the safe lifting weight of 40 pounds

5.Create an ISM Poster that highlights safe lifting techniques and the limit in accordance to our ES&H manual 
JLab Preventive Measures 
See Corrective Actions above 
Comments 
3/18/2016 9:08:01 AM by Johnson, Tina 
SME reviewed and approved.  Please share this valuable lesson learned within your work group.  Thank you! 
	
Summary 	Lesson ID: 	936 
	Status: 	OK 
	Doc ID: 	2016-JLAB-936 
	Priority: 	Caution 
	Safety Related: 	NO 
	Originator: 	Johnson, Tina 
	Issued: 	3/18/2016 9:05:56 AM 
	Approved By: 	Johnson, Tina 
	Approved On: 	3/18/2016 9:08:01 AM 
	Source: 	TJNAF NE 
	Location: 	TJNAF 
	Cost Savings: 	
	Contact: 	Tina Johnson 
	Queued Emails: 	0 
	Sent Emails: 	0 
	Viewings: 	2 times Attachments 


Hazard Issues 

    * Ergonomics - Lifting, Carrying, Repetitive Motion 
Skills 

    * MED05: SAFE LIFTING (ERGONOMICS) 
Distribution/Notification 

    * *Division Safety Officers (DSOs) 
    * *Safety Wardens 
    * *DOE Notification 
    * *ESH&Q Liaisons 




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