<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html>
<head>
  <title>Jefferson Lab Lessons Learned : Print Lesson</title>
<base href='https://misportal.jlab.org/ll/'>  
  
  
  <!--[if IE]>
  <style type="text/css">
    #page_content input[type=checkbox], #page_content input[type=radio] {
      background-color: transparent;
      border: 0; 
    }
  </style>
  <![endif]-->

</head>

  <body>
    <div id="doc3" class="yui-t7">



<div class='round' id='pageMessages'>
  <!--  -->
  
  
</div>
          

        
    
    
    
        





        


<div id="lesson" class="yui-gc">


    

        
        <style type="text/css">
  pre {
   white-space: -moz-pre-wrap; 
   white-space: -pre-wrap; 
   white-space: -o-pre-wrap; 
   white-space: pre-wrap; 
   word-wrap: break-word; 
   overflow: hidden;
   margin-left: 10px;
  }
  </style>
  
        <div id="topbar">
    <div id="lesson_title">
            <table width="100%">
            <tr>
              <td><a href="https://misportal.jlab.org/ll/index.jsf?function=view&lessonId=919">Unsafe Habits Result in Mild Electrical Shock - National Security Technologies, LLC</a></td>
              
            </tr>
            </table>
    </div>
  </div>
   
  <table width="100%">
  <tr>
    <td valign="top" width="100%">
      <div id="maintextcol" class="yui-u first">

                    <h2 style="white-space:nowrap">Statement of Lessons Learned</h2>
                    <pre>For a copy of the original report, see ¿Attachments¿ on Lessons Learned page. 

An employee, using only one hand to unplug a piece of equipment from a power strip, received a mild electric shock.
</pre>
                  
                    <h2 style="white-space:nowrap">Discussion of Activities</h2>
                    <pre>An employee received a mild electrical shock from a standard three-prong 110-volt power plug when he attempted to unplug a piece of equipment from an unsecured power strip with one hand.  On the first try, he tried bracing the strip with his thumb, while pulling with his palm and fingers.  His hand then slipped off the plug, leaving the prongs partially exposed in the power strip.  On the second attempt, his finger contacted one of the now-exposed prongs resulting in a mild shock.</pre>
                  
                    <h2 style="white-space:nowrap">Analysis</h2>
                    <pre>Based on past success with this one-handed technique, the employee had become complacent and did not look for a safer way to accomplish the task. The employee had both hands available but was focused on the task not the hazard.

The investigation identified two errors that contributed to the shock.  First, the employee used only one hand to unplug the equipment.  The power strip was not secured, the employee placed his thumb on the power strip for leverage while using the hand to grasp and pull up on the plug. This necessitated having the thumb and index finger exposed, in close proximity to the energized prongs.

Second, the employee chose to approach the plug from an angle where only one hand could be used, rather than repositioning himself so both hands could be used (see attached photo).
</pre>
                  
                    <h2 style="white-space:nowrap">Recommended Actions</h2>
                    <pre>Below are the consequences of the above event.  They are provided for information and discussion purposes only. 
Hazards related to 120-volt electrical systems in homes and offices are commonly understood therefore, special instructions, training, signage and supervision are typically not needed when plugging in or unplugging equipment.  Employees were reminded of the proper techniques, which include:
1.      Ensure cords are not frayed/damaged and all prongs (including ground) are in place.
2.      Ensure hands and work area are dry.
3.      Ensure prongs are not exposed prior to grasping plug.
4.      Maintain line of sight with the plug/outlet.
5.      Grasp the plug, rather than the cord.
6.      Ensure socket/power strip is secure, or use both hands.</pre>     

        <h2 style="white-space:nowrap">JLab Preventive Measures</h2>
        <pre>ES&H Manual Chapters 6105 Appendix T1 Office Safety Requirements, and 6200 Appendix T3 General Electrical Safety Guidelines provide an overview of general electrical safe work practices to be used by everyone at Jefferson Lab. It is recognized that increased awareness of these practices helps maintain an electrically safe work environment.

In accordance with ES&H Manual Chapter 2210 Overarching Responsibilities to Ensure Compliance with ES&H Requirements, all supervisors are responsible for ensuring that ES&H program requirements and practices are understood and implemented by individuals under their authority.</pre>
        
                  </div>
                  <div id="comments_div">
                    <a name="comments"></a>
                        
                    
          <h2>Comments</h2>
          
            <h5 style="white-space:nowrap">11/11/2015 9:07:03 AM by Bailey, Mary Jo</h5>
            <pre>Submitted to those with: 
SAF104: LOCK, TAG, AND TRY
SAF120kd: SAFETY OBSERVATION PROGRAM </pre>
          
                    
                  </div>
    </td>
    <td valign="top">
        <div class="yui-u">
    
                    <fieldset>
                    <legend>Summary</legend>
                      <table>
                      <tr class="row">
                        <td class="label" nowrap>Lesson ID:</td>
                        <td class="dataval">919</td>
                      </tr>
                      <tr class="row">
            <td class="label" nowrap>Status:</td>
            <td class="dataval">OK</td>
          </tr>
          <tr class="row">
            <td class="label" nowrap>Doc ID:</td>
            <td class="dataval">2015-JLAB-919</td>
          </tr>
                      <tr class="row">
                        <td class="label" nowrap>Priority:</td>
                        <td class="dataval">Info</td>
                      </tr>
                      <tr class="row"> 
                        <td class="label" nowrap>Safety Related:</td>
                        <td class="dataval">YES</td>
                      </tr>
                      <tr class="row">
            <td class="label" nowrap>Originator:</td>
            <td class="dataval">Bailey, Mary Jo</td>
          </tr>  
                      <tr class="row">
                        <td class="label" nowrap>Issued:</td>
                        <td class="dataval">11/11/2015 9:02:50 AM</td>
                      </tr>
                      <tr class="row">
                        <td class="label" nowrap>Approved By:</td>
                        <td class="dataval">Bailey, Mary Jo</td>
                      </tr>
                      <tr class="row">
                        <td class="label" nowrap>Approved On:</td>
                        <td class="dataval">11/11/2015 9:07:03 AM</td>
                      </tr>
                      <tr class="row">
                        <td class="label">Source:</td>
                        <td class="dataval">
                          
                          
                            DOECRD
                          
                        </td>
                      </tr>
                      <tr class="row">
                        <td class="label" nowrap>Location:</td>
                        <td class="dataval">OTHER</td>
                      </tr>
                      <tr class="row">
                        <td class="label" nowrap>Cost Savings:</td>
                        <td class="dataval"></td>
                      </tr>
                      <tr class="row">
                        <td class="label" nowrap>Contact:</td>
                        <td class="dataval">Tom Floyd / (925) 960-2660</td>
                      </tr>
                      <tr class="row">
            <td class="label" nowrap>Queued Emails:</td>
            <td class="dataval">0</td>
          </tr>
          <tr class="row">
            <td class="label" nowrap>Sent Emails:</td>
            <td class="dataval">0</td>
          </tr>
                      <tr class="row">
                        <td class="label" nowrap>Viewings:</td>
                        <td class="dataval">1 times</td>
                      </tr>
                      </table>
                    </fieldset>
                    
                    <fieldset>
                    <legend>Attachments</legend>
                      <a name="attachments"></a>
                      
                        
              <ul class="lesson_attribute_listing">
              
                <li><a target="_blank" href="https://misportal.jlab.org/ll/downloadAttachment?attachmentId=4164">DOE - Mild Shock2Pic.pdf</a></li>
              
                <li><a target="_blank" href="downloadAttachment?attachmentId=4165">DOE - Mild Shock2.pdf</a></li>
              
              </ul>
            
            
                      
                      
                    </fieldset>
                    
                    <fieldset>
                    <legend>Hazard Issues</legend>
                      <ul class="lesson_attribute_listing">
                      
                        <li>Electricity</li>
                      
                        <li>Portable Hand Tools</li>
                      
                      </ul>
                    </fieldset>
                    
                    <fieldset>
        <legend>Skills</legend>
          <ul class="lesson_attribute_listing">
          
            <li>SAF104: LOCK, TAG, AND TRY</li>
          
            <li>SAF120kd: SAFETY OBSERVATION PROGRAM Read (http://www.jlab.org/ehs/ehsmanual/manual/3700.html) Then Contact Bob May ext.7632 to arrange practical</li>
          
          </ul>
        </fieldset>
        
                    <fieldset>
                    <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&Q Liaisons</li>
                      
                      </ul>
                    </fieldset>
                    
                    <!-- 
                    <fieldset>
                    <legend>Applicable Orgs</legend>
                      <ul class="lesson_attribute_listing">
                      
                      </ul>
                    </fieldset>
                     -->
                     
                  </div>
    </td>
  </tr>
  </table>

  <script language="javascript">
  var commentTextarea = document.getElementById("commentForm:commentText");
  if (commentTextarea){
          var validationErrorFound = commentTextarea.parentNode.innerHTML.indexOf("Validation Error: Value is required.") > -1;
          if (validationErrorFound){
                  // add hash if necessary
            if (window.location.hash == null || window.location.hash == "" || window.location.hash == "#"){
              window.location.hash = "#comments";
            }
          }
          else {
                  //JSF likes to hold on to the values entered into the form...so blank them out 
                  commentTextarea.value = "";
                  commentTextarea.form.elements["commentForm:commentType"].selectedIndex = 0;
            var numStars = commentTextarea.form.elements["commentForm:stars"].length;
            for (var ii=0; ii<numStars; ii++){
              commentTextarea.form.elements["commentForm:stars"][ii].checked = false;
            }
          }
  }
  </script>
  </script>
  

        
</div>
<br>
<br>
    
    
    
    
    
    
        



          </div>
        </body>


</html>


                <br>
                <br>
                Do you have a lesson learned you would like to contribute?  Contact the <a href="mailto:mbailey@jlab.org,sjsmith@jlab.org,cjohnson@jlab.org">Lesson Learned Coordinator</a>.