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  <title>Jefferson Lab Lessons Learned : Print Lesson</title>
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              <td><a href="https://misportal.jlab.org/ll/index.jsf?function=view&lessonId=795">PHY-13-1125- Unauthorized Aerial Lift Disassembly  </a></td>
              
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                    <h2 style="white-space:nowrap">Statement of Lessons Learned</h2>
                    <pre>1. Report all unwanted events (example; damage to equipment) immediately to your supervisor and to the applicable division/department/group (example; FM&L, Security & Services Group). 

2. Do not attempt repair on material handling equipment, however, immediately contact your supervisor and the Facilities Management & Logistics Division, Security & Services Group.

3. Use Jefferson Lab EH&S Lock Out Tag Out and Try procedure when there is a need to take material handling equipment out of service.

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                    <h2 style="white-space:nowrap">Discussion of Activities</h2>
                    <pre>On Monday, November 25, 2013, a material handling service technician from the Facilities Management & Logistics Division/Security & Services Group discovered an unauthorized disassembly of a control box from an aerial platform / personnel lift located in the Experimental Equipment Laboratory (EEL), Room 125. 

Prior to discovery the lift was being used with known inconsistencies to the operational control and a structural support defect, and there were several opportunities for the lift to be properly taken out of service and properly repaired, but neither happened immediately.
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                    <h2 style="white-space:nowrap">Analysis</h2>
                    <pre>Root Cause:  Unauthorized maintenance of material handling equipment.

Contributing Causes: 
1. Failure to immediately report defective/damaged material handling equipment to the supervisor and the FM&L Division, Security & Services Group.

2. Failure to properly tag out defective /damaged material handling equipment
  
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                    <h2 style="white-space:nowrap">Recommended Actions</h2>
                    <pre>1. Complete material handling equipment repairs on control assembly unit and mounting bracket.

2. Ensure Lessons Learned is shared with material handling personnel.</pre>     

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          <h2>Comments</h2>
          
            <h5 style="white-space:nowrap">2/25/2014 11:41:25 AM by Johnson, Tina</h5>
            <pre>See comments</pre>
          
            <h5 style="white-space:nowrap">2/25/2014 11:24:08 AM by Johnson, Tina</h5>
            <pre>Please share this lessons learned with your work groups.</pre>
          
                    
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                    <legend>Summary</legend>
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                        <td class="label" nowrap>Lesson ID:</td>
                        <td class="dataval">795</td>
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            <td class="label" nowrap>Status:</td>
            <td class="dataval">OK</td>
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            <td class="label" nowrap>Doc ID:</td>
            <td class="dataval">2014-JLAB-795</td>
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                        <td class="label" nowrap>Priority:</td>
                        <td class="dataval">Info</td>
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                        <td class="label" nowrap>Safety Related:</td>
                        <td class="dataval">NO</td>
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            <td class="label" nowrap>Originator:</td>
            <td class="dataval">Johnson, Tina</td>
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                        <td class="label" nowrap>Issued:</td>
                        <td class="dataval">2/25/2014 11:22:44 AM</td>
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                        <td class="label" nowrap>Approved By:</td>
                        <td class="dataval">Johnson, Tina</td>
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                        <td class="label" nowrap>Approved On:</td>
                        <td class="dataval">2/25/2014 11:41:25 AM</td>
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                        <td class="label">Source:</td>
                        <td class="dataval">
                          
                            <a href="https://www.jlab.org/div_dept/dir_off/oa/notable/secure/Final%20phy%2013%201125.pdf" target="_blank">TJNAF NE</a>
                          
                          
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                        <td class="label" nowrap>Location:</td>
                        <td class="dataval">TJNAF</td>
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                        <td class="label" nowrap>Cost Savings:</td>
                        <td class="dataval"></td>
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                        <td class="label" nowrap>Contact:</td>
                        <td class="dataval">Bert Manzlak</td>
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            <td class="label" nowrap>Queued Emails:</td>
            <td class="dataval">0</td>
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            <td class="label" nowrap>Sent Emails:</td>
            <td class="dataval">0</td>
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                        <td class="label" nowrap>Viewings:</td>
                        <td class="dataval">2 times</td>
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                    <legend>Attachments</legend>
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                    <legend>Hazard Issues</legend>
                      <ul class="lesson_attribute_listing">
                      
                        <li>Material Handling Equipment</li>
                      
                        <li>Forklifts</li>
                      
                        <li>Aerial Work Platforms</li>
                      
                        <li>Cranes &amp; Hoists</li>
                      
                        <li>Lifting/Moving Objects</li>
                      
                        <li>Powered Industrial Trucks</li>
                      
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        <legend>Skills</legend>
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            <li>SAF300: AERIAL WORK PLATFORM</li>
          
            <li>SAF301: AERIAL WORK PLATFORM SUPERVISOR ORIENTATION</li>
          
            <li>SAF302: AERIAL PLATFORM/MANLIFT OPERATION</li>
          
            <li>SAF401: CRANE SUPERVISOR ORIENTATION</li>
          
            <li>SAF402: CRANE OPERATION AND RIGGING</li>
          
            <li>SAF402-1: CRANE OPERATOR TRAINING</li>
          
            <li>SAF501: FORKLIFT OPERATOR SUPERVISOR TRAINING</li>
          
            <li>SAF502: FORKLIFT OPERATOR</li>
          
            <li>SAF403: Overhead Crane Operator Qualification</li>
          
            <li>SAF302A: AERIAL PLATFORM EQUIPMENT ORIENTATION</li>
          
            <li>SAF502B: FORKLIFT ATTACHMENTS</li>
          
          </ul>
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                    <legend>Distribution/Notification</legend>
                      <ul class="lesson_attribute_listing">
                      
                        <li>*Division Safety Officers (DSOs)</li>
                      
                        <li>*Safety Wardens</li>
                      
                        <li>*DOE Notification</li>
                      
                        <li>*ESH&amp;Q Liaisons</li>
                      
                      </ul>
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