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valign="top">Lesson Learned "Check Equipment and Tools Before Use to Ensure Safety - Thomas Jefferson National Accelerator Facility (TJNAF)"</td>
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valign="top"><strong><span
style="font-size: 18px">INTERNAL MEMO</span></strong></td>
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valign="top"><span style="font-size: 14px">
<strong>November 15, 2019</strong><br>
<strong>Sent on behalf of ESH&Q</strong><br>
<strong>SUBJECT:</strong> Lesson Learned "Check Equipment and Tools Before Use to Ensure Safety - Thomas Jefferson National Accelerator Facility (TJNAF)"<br>
<strong>CONTACT:</strong> mbailey@jlab.org
</span></td>
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<td><a href="https://misportal.jlab.org/ll/index.jsf?function=view&lessonId=1119">Check Equipment and Tools Before Use to Ensure Safety - Thomas Jefferson National Accelerator Facility (TJNAF)</a></td>
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<h2 style="white-space:nowrap">Statement of Lessons Learned</h2>
<pre>Check equipment prior to use to ensure it is safe, especially if it is not your equipment or you are unfamiliar with it.
If you are injured at work, regardless of how minor it seems, call or go to Jefferson Lab"s Occupational Medicine or the nearest emergency care facility to determine if you require first aid or need additional care. This protects you should the injury worsen from initial perception.
</pre>
<h2 style="white-space:nowrap">Discussion of Activities</h2>
<pre>While performing rigging activities on a flatbed, a worker's foot went through the plywood decking resulting in a resulting in a strained back.</pre>
<h2 style="white-space:nowrap">Analysis</h2>
<pre>On October 8th, 2019, a worker was performing rigging tasks on a rented flatbed truck when their foot broke through the plywood decking. The worker notified their supervisor and said they were fine, but said if their condition changed, they would report to Occupational Medicine.
Following the incident the supervisor and worker performed a safety walk-down where it was discovered that the flatbed's plywood decking had rotted underneath the location where the employee broke through. This defect had not been readily apparent from above.
The owner of the flatbed was contacted. They sent a replacement flatbed, equipped with an all metal deck. This was used for the remainder of the planned material handling tasks.
The next day, October 9th, 2019, the worker reported to their supervisor that overnight their condition worsened. The supervisor insisted that the worker report to Occupational Medicine for evaluation. The worker was evaluated by Occupational Medicine and put on restricted duty pending another evaluation. The following day, the injured worker reported back to Occupational Medicine as directed and was cleared to go back to work without restriction.</pre>
<h2 style="white-space:nowrap">Recommended Actions</h2>
<pre>The event emphasizes two points.
1.) Workers should evaluate any equipment they are unfamiliar with before using it. If they feel unqualified to evaluate the fitness of the equipment, they are to contact an SME to do an evaluation before work commences. This also applies to equipment that is brought in from off-site for the use by Jefferson Lab employees.
2.) When workers are injured, no matter how minor it may appear, they are to call or visit Jefferson Lab's Occupational Medicine (757-269-7539) or the nearest emergency care facility for evaluation and, if needed, treatment. Delaying this process could result in unnecessary consequences.</pre>
<h2 style="white-space:nowrap">JLab Preventive Measures</h2>
<pre>See Recommended Actions above.</pre>
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<h2>Comments</h2>
<h5 style="white-space:nowrap">11/15/2019 9:10:36 AM by Bailey, Mary Jo</h5>
<pre>Submitted to those with:
SAF502: FORKLIFT OPERATOR
MED05: SAFE LIFTING (ERGONOMICS)
SAF307: Portable Ladder Safety</pre>
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<legend>Summary</legend>
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<tr class="row">
<td class="label" nowrap>Lesson ID:</td>
<td class="dataval">1119</td>
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<tr class="row">
<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">2019-JLAB-1119</td>
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<td class="label" nowrap>Priority:</td>
<td class="dataval">Best Practice</td>
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<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">10/28/2019 10:38:58 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">11/15/2019 9:10:36 AM</td>
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<td class="label">Source:</td>
<td class="dataval">
TJNAF Other
</td>
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<td class="label" nowrap>Location:</td>
<td class="dataval">TJNAF</td>
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<tr class="row">
<td class="label" nowrap>Cost Savings:</td>
<td class="dataval"></td>
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<td class="label" nowrap>Contact:</td>
<td class="dataval">Harry Fanning, DSO Accelerator, X7619</td>
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<tr class="row">
<td class="label" nowrap>Queued Emails:</td>
<td class="dataval">475</td>
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<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">39 times</td>
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</fieldset>
<fieldset>
<legend>Hazard Issues</legend>
<ul class="lesson_attribute_listing">
<li>Ergonomics - Lifting, Carrying, Repetitive Motion</li>
<li>Material Handling Equipment</li>
<li>Working at Elevations</li>
</ul>
</fieldset>
<fieldset>
<legend>Skills</legend>
<ul class="lesson_attribute_listing">
<li>SAF502: FORKLIFT OPERATOR</li>
<li>MED05: SAFE LIFTING (ERGONOMICS)</li>
<li>SAF307: Portable Ladder Safety</li>
</ul>
</fieldset>
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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>
</ul>
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