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<td><a href="https://misportal.jlab.org/ll/index.jsf?function=view&lessonId=1143">Inconsistent Use/Understanding of Radiological Work Permit (RWP) Requirements - Pacific Northwest National Laboratory (PNNL)</a></td>
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<h2 style="white-space:nowrap">Statement of Lessons Learned</h2>
<pre>Three workers at PNNL were tasked with preparing a depleted Uranium Hexafluoride (UF6) Test Cell system for transport to another building. During management review it as discovered that each applied a different radiological work permits to the task resulting in two not wearing the required Personal Protective Equipment (PPE).</pre>
<h2 style="white-space:nowrap">Discussion of Activities</h2>
<pre>On November 25, 2020, three PNNL staff members were tasked with preparing a depleted Uranium Hexafluoride (UF6) Test Cell system for transport to another building. The work required disconnecting components including a UF6 sample bottle, from a fume hood. After disconnecting an exhaust vacuum hose, UO2F2 particulates started flaking out. The disconnected hose was secured with a plastic bag, the fume hood was posted as Restricted Access and Contamination Area, and appropriate notifications were made. All staff were surveyed with no detectable contamination and no contamination was spread outside the fume hood.</pre>
<h2 style="white-space:nowrap">Analysis</h2>
<pre>During a management review of the event, it was discovered that three different Radiological Work Permits (RWP) were applied to the situation, and two of three staff members were not wearing the required Personal Protective Equipment (PPE). Interviews with staff indicated there was confusion regarding the appropriate PPE for the work due to the use of three separate RWPs.
Using the appropriate RWPs was found to be confusing. When displayed on the station monitors it requires workers to scroll to review the whole document, which resulted in a less than adequate inconsistent review.
</pre>
<h2 style="white-space:nowrap">Recommended Actions</h2>
<pre>When a team is conducting a single scope of work, limit the number of RWPs the team members are logged on to. This will minimize the potential for confusion or conflicting RWP requirements.
Take specific care to assure workers read and understand the requirements listed on the RWP they are logged into, and that they understand that they are to contact leadership or Radiation Protection if there are questions or conflicts with other RWPs being utilized.
Require staff to acknowledge that they have read and understand the work's applicable RWP prior to the commencement of the task. This includes, but is not limited to, scope of work, Radiological Worker Special Instructions, Radiation Protection Technologist coverage requirements, and required PPE.
</pre>
<h2 style="white-space:nowrap">JLab Preventive Measures</h2>
<pre>See TJNAF Radiological Control Manual Chapter 3: Conduct of Radiological Work when work involves radiological concerns.</pre>
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<h2>Comments</h2>
<h5 style="white-space:nowrap">4/27/2021 12:23:43 PM by Bailey, Mary Jo</h5>
<pre>Submitted to those current in SAF801kd: General Access RWP</pre>
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<legend>Summary</legend>
<table>
<tr class="row">
<td class="label" nowrap>Lesson ID:</td>
<td class="dataval">1143</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">2021-JLAB-1143</td>
</tr>
<tr class="row">
<td class="label" nowrap>Priority:</td>
<td class="dataval">Best Practice</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">4/27/2021 12:15:45 PM</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">4/27/2021 12:23:43 PM</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">PNNL</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">Laura Valett, Operating Experience / Lessons Learned Program Manager, 509-372-4959</td>
</tr>
<tr class="row">
<td class="label" nowrap>Queued Emails:</td>
<td class="dataval">884</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">1 times</td>
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<li><a target="_blank" href="https://misportal.jlab.org/ll/downloadAttachment?attachmentId=5905">DOE - PNNL - RWP Process.pdf</a></li>
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<hr>
</fieldset>
<fieldset>
<legend>Hazard Issues</legend>
<ul class="lesson_attribute_listing">
<li>Radiation - Ionizing</li>
<li>Other: Work Planning and Communication</li>
</ul>
</fieldset>
<fieldset>
<legend>Skills</legend>
<ul class="lesson_attribute_listing">
<li>SAF801kd: General Access RWP</li>
</ul>
</fieldset>
<fieldset>
<legend>Distribution/Notification</legend>
<ul class="lesson_attribute_listing">
<li>*Division Safety Officers (DSOs)</li>
<li>*Safety Wardens</li>
<li>*ESH&Q Liaisons</li>
<li>*DOE Notification</li>
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