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<td><a href="https://misportal.jlab.org/ll/index.jsf?function=view&lessonId=940">ENG-16-0223 Tennis Elbow After Buffing Activities </a></td>
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<h2 style="white-space:nowrap">Statement of Lessons Learned</h2>
<pre>1. When in doubt, always report unexpected soreness, tightness or any other bodily reaction that may be attributed to your recent work activities.
2. Case Management, Occupational Medicine oversight, is a great tool that can help assure that you remain healthy and return home in the same condition as you arrived to work in.
3. Ergonomic hazards need to be identified in the planning stage to reduce the potential of injuries.
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<h2 style="white-space:nowrap">Discussion of Activities</h2>
<pre>The employee reported the pain to his elbow, following buffing activities, to his personal physician at the end of November 2015. The pain did not subside after the buffing activities were complete. His personal physician diagnosed him with tennis elbow (left) and referred him to an orthopedic physician that confirmed the diagnosis and placed him in a splint. The splint therapy was not effective and he was referred to Physical therapy.
On 02/23/2016 the employee was referred to Occupational Medicine after his Manager noticed he was wearing a wrist splint. Occupational Medicine (Dr. Chandler) conducted an evaluation on the employee and confirmed the employee diagnosis of tennis elbow (left).
The employee had been tasked with a buffing activity back in October of 2015. He was using an electric and an air powered die grinder to buff copper conductors over a 2 week period for a total of 6-8 hours. The employee was wearing gloves and safety glasses each time he used the tool. The employee stated that he took many breaks during this buffing operation, approximately every 15-20 minutes.
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<h2 style="white-space:nowrap">Analysis</h2>
<pre>Root Cause: Ergonomics less than adequate (LTA)-involvement of Occupational Medicine in the planning stage could have reduced the potential hazards associated with vibration and body positioning.
Contributing Causes:
1. Scheduling pressure and the fact that he was working on a very expensive item that he was trying not to damage may have contributed to his body tension while using the tool.
2. This was the first time this type of buffing work was being performed on this copper conductor. The employee was working extra careful not to damage the tube.
3. Failure to recognize and report the injury to Occupational Medicine in timely manner. Employee was not sure this was work related soreness. Immediate reporting of this soreness would have resulted in case management by the physician and nurses thereby possibly reducing the severity of the injury.
4. Work Planning LTA ¿ no evidence that ergonomic hazards were identified in planning
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<h2 style="white-space:nowrap">Recommended Actions</h2>
<pre>1. Schedule an ergonomic evaluation prior to restarting this buffing task.
2. Share the importance of prompt reporting of any soreness to Occupational Medicine with your work group.
3.Update the reporting slide in New Employee Orientation (NEO) to highlight the importance of prompt reporting to Occupational Medicine in the event that you have ¿soreness¿ following a work related activity.
4.Share the Lessons Learned from this event via the Lab¿s lesson learned tool.
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<h2 style="white-space:nowrap">JLab Preventive Measures</h2>
<pre>N/A</pre>
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<h2>Comments</h2>
<h5 style="white-space:nowrap">4/5/2016 11:02:03 AM by Johnson, Tina</h5>
<pre>Please share these lessons learned within 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">940</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"></td>
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<tr class="row">
<td class="label" nowrap>Priority:</td>
<td class="dataval">Info</td>
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<tr class="row">
<td class="label" nowrap>Safety Related:</td>
<td class="dataval">NO</td>
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<tr class="row">
<td class="label" nowrap>Originator:</td>
<td class="dataval">Johnson, Tina</td>
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<tr class="row">
<td class="label" nowrap>Issued:</td>
<td class="dataval">3/30/2016 12:30:20 PM</td>
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<td class="label" nowrap>Approved By:</td>
<td class="dataval">Johnson, Tina</td>
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<tr class="row">
<td class="label" nowrap>Approved On:</td>
<td class="dataval">4/5/2016 11:02:04 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%20eng-16-0223.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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<tr class="row">
<td class="label" nowrap>Contact:</td>
<td class="dataval">Tina Johnson</td>
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<tr class="row">
<td class="label" nowrap>Queued Emails:</td>
<td class="dataval">0</td>
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<tr class="row">
<td class="label" nowrap>Sent Emails:</td>
<td class="dataval">0</td>
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<tr class="row">
<td class="label" nowrap>Viewings:</td>
<td class="dataval">292 times</td>
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<li><a target="_blank" href="https://misportal.jlab.org/ll/downloadAttachment?attachmentId=4403">IMG_5024.JPG</a></li>
<li><a target="_blank" href="downloadAttachment?attachmentId=4404">IMG_5025.JPG</a></li>
<li><a target="_blank" href="downloadAttachment?attachmentId=4405">IMG_5026.JPG</a></li>
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<legend>Hazard Issues</legend>
<ul class="lesson_attribute_listing">
<li>Ergonomics - Lifting, Carrying, Repetitive Motion</li>
<li>Machine Tools</li>
<li>Portable Hand Tools</li>
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<legend>Skills</legend>
<ul class="lesson_attribute_listing">
<li>SAF607: HAND TOOLS & LADDER SAFETY</li>
<li>SAF101: Work Planning and Control Familiarization </li>
<li>CF-022: Good working knowledge of the Laboratory's EH&S policies, practices, and procedures as they relate to the procurement functions.</li>
<li>AP-COM: Line Supervisor Communication</li>
<li>AP-LDR: Line Supervisor Leadership</li>
<li>AP-TM: Line Supervisor Team Building</li>
<li>AP-DEL: Line Supervisor Delegation</li>
<li>AP-DEC: Line Supervisor Decision Making</li>
<li>AP-RESP: Line Supervisor Responsibility</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&Q Liaisons</li>
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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>.