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<td><a href="https://misportal.jlab.org/ll/index.jsf?function=view&lessonId=1191">Manufacturer or Vendor-Provided Instructions May NOT Provide All You Need to Know -- Lawrence Livermore National Laboratory (LLNL)</a></td>
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<h2 style="white-space:nowrap">Statement of Lessons Learned</h2>
<pre>Manufacturer/vendor instructions provide troubleshooting, repair, and maintenance information that gets workers to a solution faster than if left to figure things out on their own; however, these same instructions do not always provide all the necessary information needed to identify, analyze and control all the hazards associated with that solution. Be sure to analyze manufacturer/vendor instructions, using the work planning and control processes, in order to recognize all hazards before performing the work.</pre>
<h2 style="white-space:nowrap">Discussion of Activities</h2>
<pre>An LLNL a worker was injured while repairing a clamshell door mechanism located in a small planetary observation?s retractable dome (see Photo 2)
<img src=" https://misportal.jlab.org/ll/downloadAttachment?attachmentId=6667" width="500px"></pre>
<h2 style="white-space:nowrap">Analysis</h2>
<pre>Using the procedure provided by the dome?s manufacturer, Worker 1 (W1) raised the clamshells approximately 8-12 inches using the controls. Worker 2 (W2) then attempted to untwist the clamshell door?s drive belt which was improperly wound around its spindle (see Photo 1). At some point during the repair, W2 placed their right hand on one of the clamshell?s base skirt for support (see Photo 3). Suddenly, and unexpectedly, the clamshell fell back down against the base skirt. W2?s thumb was caught in the gap between the clamshell door and the base skirt. W1 tried raising the clamshell with the controls, but it fell again. W2 was finally able to remove their thumb from the gap when the clamshell stayed up on the third attempt.
<img src=" https://misportal.jlab.org/ll/downloadAttachment?attachmentId=6666" width="300px"> <img src=" https://misportal.jlab.org/ll/downloadAttachment?attachmentId=6669" width="250px"></pre>
<h2 style="white-space:nowrap">Recommended Actions</h2>
<pre>Ensure all hazards at the equipment/work location are identified, analyzed, and controlled.
Ensure that the impacts of potential hazard mitigations are communicated to those who may be affected.
</pre>
<h2 style="white-space:nowrap">JLab Preventive Measures</h2>
<pre></pre>
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<h2>Comments</h2>
<h5 style="white-space:nowrap">9/30/2022 11:39:15 AM by Bailey, Mary Jo</h5>
<pre>Submitted to those current in:
SAF101: Be familiar with the concepts and practices of work planning and control
ESC007: Lockout/Tagout (LOTO)</pre>
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<legend>Summary</legend>
<table>
<tr class="row">
<td class="label" nowrap>Lesson ID:</td>
<td class="dataval">1191</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">2022-JLAB-1191</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">9/30/2022 7:55:08 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">9/30/2022 11:39:15 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">LLNL</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">LLNL Work Planning & Control: Otto Jakutowicz (925-422-6048, jakutowicz1@llnl.gov), or Thomas Woldering (925-422-8004, woldering1@llnl.gov)</td>
</tr>
<tr class="row">
<td class="label" nowrap>Queued Emails:</td>
<td class="dataval">432</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">2 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=6666">Photo 1 - 1191.JPG</a></li>
<li><a target="_blank" href="downloadAttachment?attachmentId=6667">Photo 2 - 1191.JPG</a></li>
<li><a target="_blank" href="downloadAttachment?attachmentId=6668"></a></li>
<li><a target="_blank" href="downloadAttachment?attachmentId=6669">Photo 3 - 1191.JPG</a></li>
<li><a target="_blank" href="downloadAttachment?attachmentId=6670">OPEXShare - LLNL Manufacture Instructions.pdf</a></li>
</ul>
<hr>
</fieldset>
<fieldset>
<legend>Hazard Issues</legend>
<ul class="lesson_attribute_listing">
<li>Lock, Tag, Try</li>
<li>Stored Energy: Mechanical, Hydraulic, Pneumatic</li>
<li>Other: Poor Work Planning and Communication </li>
</ul>
</fieldset>
<fieldset>
<legend>Skills</legend>
<ul class="lesson_attribute_listing">
<li>SAF101: Be familiar with the concepts and practices of work planning and control</li>
<li>ESC007: Lockout/Tagout (LOTO)</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>
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