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<td><a href="https://misportal.jlab.org/ll/index.jsf?function=view&lessonId=1161">Use the Engineering Do, Check, Approve Process ¿ Idaho National Laboratory</a></td>
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<h2 style="white-space:nowrap">Statement of Lessons Learned</h2>
<pre>When there is ambiguity or non-standard electrical connector orientations use the Engineering Do, Check, Approve Process.</pre>
<h2 style="white-space:nowrap">Discussion of Activities</h2>
<pre>During the annual removal of building Radiation Area Monitors (RAMs) for calibration, the Transient Control Technicians (TCTs) discovered that the cables supplying power to the replacement Radiation Area Monitors (RAMs) were wired with the male portion of the connector on the line side and female on the load (RAM) side. This configuration resulted in exposure of the 120v line voltage male prongs of the Amphenol connector.
This configuration was questioned by the TCTs. Work was stopped, the Shift Supervisor and Maintenance Supervisor were notified.
<img src=" https://misportal.jlab.org/ll/downloadAttachment?attachmentId=6304" width="500px">
</pre>
<h2 style="white-space:nowrap">Analysis</h2>
<pre>Shop work for the RAMs system upgrade commenced in November 2020. Field work commencing January 2021 and continuing through the end of February 2021. This is when the wrong connection was installed on the J-box. The intention was to be able to disconnect the RAMs without securing power. The initial design configuration had the male Amphenol connectors installed on the RAM chassis but it was found that this was not possible due to physical interferences. In the field the decision was made to hard wire the RAM chassis with power and instrumentation cables using a pigtail chord and Amphenol connector to a J-Box. Because the Work Order did not provide specifics for the fit up, the connectors were inadvertently swapped between bench top work and field installation.
This work was considered a small portion of a much larger and complex upgrade so the attention of both the TCTs and engineer were on other issues.
Due to its perceived simplicity bench wiring of new Radiation Area Monitors (RAMs) Amphenol connector orientation was not specified in either the work order or the drawing. This resulted in the 120v line side being wired to the male end of the Amphenol, presenting an exposed electrical hazard. The female Amphenol connector should have been installed on the line side and the male end should have been installed on the load side.
The engineering change process was not followed because the drawing did not provide specific orientation on wiring configuration. A Work Order Change was not determined to be needed due to the steps being ambiguous in the work order.</pre>
<h2 style="white-space:nowrap">Recommended Actions</h2>
<pre>Power to the exposed Amphenol was secured.
An extent of condition was performed on the remaining RAMs and an evaluation of the hardware configuration took place.
</pre>
<h2 style="white-space:nowrap">JLab Preventive Measures</h2>
<pre></pre>
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<h2>Comments</h2>
<h5 style="white-space:nowrap">12/2/2021 1:04:57 PM by Bailey, Mary Jo</h5>
<pre>Submitted to those current in
ESC004: Work Planning and Documentation</pre>
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<fieldset>
<legend>Summary</legend>
<table>
<tr class="row">
<td class="label" nowrap>Lesson ID:</td>
<td class="dataval">1161</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-1161</td>
</tr>
<tr class="row">
<td class="label" nowrap>Priority:</td>
<td class="dataval">Caution</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">12/2/2021 12:55:21 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">12/2/2021 1:04:57 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">INL</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">Anthony Marc Maestas, Operations Manager, Anthony.Maestas@inl.gov (208)533-8069</td>
</tr>
<tr class="row">
<td class="label" nowrap>Queued Emails:</td>
<td class="dataval">285</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>
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<li><a target="_blank" href="https://misportal.jlab.org/ll/downloadAttachment?attachmentId=6304">Photo 1 - OPEXShare - INL.JPG</a></li>
<li><a target="_blank" href="downloadAttachment?attachmentId=6305">DOE OPEX INL - Engineering Work Control.pdf</a></li>
</ul>
<hr>
</fieldset>
<fieldset>
<legend>Hazard Issues</legend>
<ul class="lesson_attribute_listing">
<li>Electricity</li>
<li>Radiation - Ionizing</li>
</ul>
</fieldset>
<fieldset>
<legend>Skills</legend>
<ul class="lesson_attribute_listing">
<li>ESC004: Work Planning and Documentation</li>
</ul>
</fieldset>
<fieldset>
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<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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