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<img border="0" width="600" style="width:6.25in" id="_x0000_i1027" src="https://www.jlab.org/ehs/images/LessonsLearnedgraphic.jpg" alt="Lessons Learned">
</p>
</td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
</table>
</div>
</td>
</tr>
</table>
</div>
</td>
</tr>
<tr>
<td valign="top" align="center" style="background:white;padding:6.75pt 0in 6.75pt 0in;background:cover;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%;background-size: cover;background-position-x:50%;background-position-y:50%;border-top:3px solid #AB162B;" id="templateBody">
<style type="text/css">:-moz-focusring {
outline: none;
}
body {
color: #5b6065;
font-family: Arial;
font-size: 16px;
padding: 0 !important;
}
fieldset {
margin-bottom: 1em;
border: 1px solid;
padding: 0.5em;
}
legend {
font-size: inherit;
margin: 0;
width: auto;
color: inherit;
font-weight : bold;
}
thead, tbody, tfoot {
border-color: #5b6065;
}
a, .ui-widget-content a, a:hover, .ui-widget-content a:hover, .ui-autocomplete.app-autocomplete .ui-menu-item .ui-menu-item-wrapper {
color: #ac172b;
}
.ui-widget-content {
color: inherit;
font: inherit;
}
p {
margin: 0 0 20px;
}
.h2, h2 {
font-size: 20px;
margin: 0;
padding-bottom: 20px;
}
h3 {
font-size: 1.2em;
line-height: 1.3em;
margin-bottom: 0.667em;
margin-top: 0.667em;
}
.page-wrapper {
overflow: inherit;
background: #f4f4f5 none repeat scroll 0 0;
padding-top: 160px;
}
.container {
background: #fff none repeat scroll 0 0;
position: relative;
width: 1315px;
}
ul.menu {
list-style: outside none none;
margin: 0;
padding: 0;
}
ul.menu li {
list-style: outside none none;
margin: 0;
padding: 0;
}
input[type="image"] {
border: 0 none !important;
padding: 0 !important;
}
input.form-text {
background: #e4e4e4 none repeat scroll 0 0;
border: medium none;
color: #6d6a6a;
padding: 5px 10px;
}
input.form-submit {
background-color: #ad172b;
border: medium none;
color: #fff;
font-size: 20px;
padding: 6px 20px;
text-transform: uppercase;
}
.for-mobile, .mobileNav {
display: none;
}
/* header */
header {
background: #fff none repeat scroll 0 0;
left: 0;
min-height: 160px;
position: fixed;
top: 0;
width: 100%;
z-index: 100;
}
header::before {
background: #fff none repeat scroll 0 0;
content: "";
height: 100px;
position: absolute;
top: -100px;
width: 100%;
}
header .container {
width: 90%;
}
header .top-menu ul.menu li.last a.right {
float: none;
}
.page-wrapper.smaller-header header {
min-height: auto;
}
a.logo {
margin: 0;
padding: 33px 0;
padding-top: 33px;
transition: all 0.3s ease 0s;
}
.logo img {
height: 75px;
transition: all 0.3s ease 0s;
position: relative;
z-index: 100;
}
@media screen and (max-width: 750px) {
#DevelopmentHeaderNote {
font-size: 10px !important;
}
}
.top-right {
float: right;
padding: 23px 0 30px;
transition: all 0.3s ease 0s;
width: 260px;
}
.top-right * {
margin: 0;
}
.primary-nav {
float: right;
padding: 55px 40px 0 0;
transition: all 0.3s ease 0s;
}
.region.region-navigation {
float: right;
width: 100%;
}
.region.region-top-right > div {
float: right;
}
.top-menu {
height: 26px;
opacity: 1;
text-align: right;
transition: all 0.3s ease 0s;
visibility: visible;
}
.top-menu .menu > li.first {
margin: 0;
padding: 0;
}
.top-menu .menu > li.first::after {
display: none;
}
.top-menu .menu > li::after {
background: #404145 none repeat scroll 0 0;
content: "";
height: 20px;
left: 0;
position: absolute;
top: 2px;
width: 1px;
}
.top-menu .menu > li.signout a {
color: #ac172b;
}
.top-menu .menu > li a {
color: #404145;
font-size: 18px;
padding: 0;
text-transform: uppercase;
}
.top-menu .menu .leaf {
white-space: nowrap;
}
.main-menu ul.menu {
float: right;
}
.main-menu ul.menu li {
float: left;
padding-left: 40px;
position: relative;
}
.main-menu li > a {
color: #404145;
font-family: Arial;
font-size: 20px;
font-weight: 500;
text-transform: uppercase;
}
.top-right #HeaderSearchForm {
padding-bottom: 7px;
padding-right: 37px;
padding-top: 5px;
position: relative;
}
.top-right #HeaderSearchForm .views-exposed-form div {
padding: 0;
}
.top-right #HeaderSearchForm label {
display: none;
}
.top-right #HeaderSearchForm .views-exposed-form input.form-text {
width: 100%;
}
.top-right #HeaderSearchForm .views-submit-button {
float: left;
padding: 0;
position: absolute;
right: 0;
top: 8px;
}
.top-right #HeaderSearchForm .views-submit-button input {
background-color: transparent;
background-image: url("../images/search-icon.jpg");
background-position: center center;
background-repeat: no-repeat;
background-size: auto 100%;
border: medium none;
display: block;
font-size: 0;
height: 25px;
line-height: 0;
padding: 0;
text-indent: -999px;
width: 34px;
}
.usde-logo {
height: 31px;
opacity: 1;
text-align: right;
transition: all 0.3s ease 0s;
visibility: visible;
}
.usde-logo a img {
width: 122px;
}
.smaller-header .top-right {
padding: 12px 0;
transition: all 0.3s ease 0s;
width: 360px;
}
.smaller-header .top-menu {
height: 0;
opacity: 0;
transition: all 0.3s ease 0s;
visibility: hidden;
}
.smaller-header .usde-logo {
height: 0;
opacity: 0;
transition: all 0.3s ease 0s;
visibility: hidden;
}
.smaller-header a.logo {
padding: 10px 0;
transition: all 0.3s ease 0s;
}
.smaller-header .logo img {
height: 55px;
transition: all 0.3s ease 0s;
}
.smaller-header .primary-nav {
padding-top: 24px;
transition: all 0.3s ease 0s;
}
/* end of header */
/* sidebar */
.side.sidebar-left::after {
width: 185px;
height: 100%;
background-color: #e4e4e4;
content: "";
left: 0;
position: absolute;
top: 0;
}
.side.sidebar-left {
float: none;
position: absolute;
bottom: 0;
top: 0;
width: 185px;
}
.side.sidebar-left .block {
position: relative;
z-index: 1;
padding: 20px;
padding-bottom: 40px;
}
.primary-menu-style hr {
margin-left: -1em;
margin-right: -1em;
}
.primary-menu-style ul {
list-style: outside none none;
margin: 0;
padding: 0;
}
.primary-menu-style ul li {
padding-bottom: 0.5em;
font-size: smaller;
}
.primary-menu-style ul li a {
color: #5b6065;
display: inline;
padding: 0;
}
.primary-menu-style ul.menu li.headTitle {
font-weight: bold;
margin-left: -1em;
margin-right: -1em;
margin-bottom: 0.5em;
padding-bottom: 0.5em;
border-bottom: solid;
border-bottom-color: #9B1120;
border-bottom-width: 1px;
}
.primary-menu-style ul.menu li.title {
font-weight: bold;
margin-left: -1em;
}
ul.menu hr.menu-hr {
background-color: #9B1120;
height: 1px;
margin: 0.25em -1em;
}
.primary-menu-style input {
width: 100%;
}
aside.sidebar-left.side .menuCloseDiv {
position: absolute;
right: 5px;
top: 5px;
cursor: pointer;
}
aside.sidebar-left.side .mobileMenuCloseDiv {
display: none;
}
aside.sidebar-left.side.minimized {
display: none;
}
.mainMenuSelectorBars {
display: none;
cursor: pointer;
}
.mainMenuSelectorBars.minimized {
display: inline;
}
.mobileMainMenuSelectorBars {
cursor: pointer;
display: none;
}
/* end sidebar */
/* footer */
.footer {
background-image: none;
padding: 1em;
background-color: #5b6064;
position: relative;
bottom: 0;
color: #fff;
overflow: hidden;
}
.footer .container {
background-color: transparent;
}
.footer .container::before {
background-color: #5b6064; /* or should it be: #22292f; */
height: auto;
background-color: #22292f;
content: "";
left: 100%;
margin-left: -450px;
position: absolute;
top: 0;
width: 5000px;
z-index: 0;
}
.block_footer ul li a {
color: #fff;
font-size: 12px;
text-transform: uppercase;
}
.block_footer_left {
float: left;
padding-left: 40px;
}
.block_footer_right {
float: right;
padding-right: 40px;
}
/* end footer */
/* main content */
section.one-sidebar {
float: none;
}
.main-container-wrapper {
background: #f4f4f5 none repeat scroll 0 0;
position: relative;
}
.main-container.container::before {
background-image: linear-gradient(to right, rgb(244, 244, 245) 0%, rgb(209, 210, 211) 100%);
content: "";
display: block;
height: 100%;
position: absolute;
left: -80px;
top: 0;
width: 80px;
z-index: 1;
}
.main-container.container::after {
background-image: linear-gradient(to right, rgb(209, 210, 211) 0%, rgb(244, 244, 245) 100%);
content: "";
display: block;
height: 100%;
position: absolute;
right: auto; /* orig: -80px; */
top: 0;
width: 80px;
z-index: -1;
}
.page-header {
border-bottom: 2px solid #a29f9f;
color: #ad172b;
font-family: Arial;
font-size: 25px;
margin: 0 0 20px;
padding-bottom: 10px;
text-transform: uppercase;
}
section.one-sidebar.left-side > .row-inner .region.region-content {
padding: 0 1em 1em 0;
}
section.one-sidebar.left-side > .row-inner {
padding-left: 200px;
}
section.no-sidebars > .row-inner {
padding: 0 1em 1em 1em;
}
/* end of main content */
/* responsive rules */
@media screen and (max-width: 1515px) {
img {
height: auto;
max-width: 100%;
}
}
@media screen and (min-width: 667px) and (max-width: 1315px) {
.container {
width: 100%;
}
.primary-nav {
padding-right: 10px;
}
.logo img {
height: auto;
max-width: 200px;
}
header .container {
width: 98%;
}
.smaller-header .top-right {
width: 260px;
}
}
@media screen and (max-width: 960px) {
a.logo {
padding: 0;
}
.block.block-block.usde-logo {
position: absolute;
right: 10px;
top: 30px;
}
.usde-logo a img {
height: auto;
width: 80px;
}
header {
min-height: 110px;
position: inherit;
}
.top-right {
padding: 0;
width: 100%;
}
.top-menu {
position: absolute;
right: 10px;
top: 8px;
}
.top-menu .menu>li::after {
height: 10px;
top: 7px;
}
.top-menu .menu>li a {
font-size: 12px;
}
.navbar-header {
min-height: auto;
padding: 15px 10px 0;
position: relative;
width: 100%;
}
button.navbar-toggle {
bottom: -26px;
display: block !important;
height: auto !important;
left: auto !important;
margin: 0 !important;
opacity: 1 !important;
padding: 0 !important;
position: absolute;
right: 15px;
top: auto !important;
width: auto !important;
z-index: 100;
}
button.navbar-toggle span {
background-color: #ac172b;
}
.region.region-top-right #HeaderSearchBlock {
padding-right: 50px;
position: relative;
}
.primary-nav {
display: none;
padding: 0;
width: 100%;
}
.primary-nav.mobileNav {
padding: 0;
width: 100%;
}
.mobileNav {
background: #e4e4e4 none repeat scroll 0 0;
}
.mobileNav li {
border-bottom: 1px solid #32373d;
float: left;
padding: 0;
position: relative;
width: 100%;
}
.mobileNav li a {
color: #404145;
display: block;
padding: 10px;
text-align: center;
text-transform: uppercase;
}
.mobileNav li a.active,
.mobileNav li a:hover {
background: #ad172b none repeat scroll 0 0;
color: #fff;
}
.primary-nav.mobileNav {
float: none;
transition: none;
}
.mobileNav .main-menu ul.menu {
float: none;
}
.mobileNav .main-menu ul.menu li {
padding-left: 0;
}
.mobileNav .main-menu li > a {
font-size: inherit;
}
.page-wrapper {
padding-top: 0px;
}
}
@media screen and (min-width: 667px) and (max-width: 960px) {
.smaller-header .top-right {
position: absolute;
right: 0;
top: 15px;
}
.smaller-header button.navbar-toggle {
bottom: 36px !important;
}
}
@media screen and (max-width: 667px) {
.container {
width: 100%;
}
.main-container.container {
min-height: auto !important;
}
.block_footer {
padding: 20px;
width: 100%;
}
.block_footer_left {
padding: 0 0 0 20px;
}
header .container {
width: 100%;
}
.logo img {
height: auto;
max-width: 175px;
}
.for-mobile {
display: block;
}
.for-mobile.more-menu-options-wrap {
padding: 10px;
text-align: right;
}
.closen1, .closen {
color: #ac172b;
cursor: pointer;
position: absolute;
right: 10px;
top: 10px;
z-index: 11;
}
section.one-sidebar {
float: left;
}
.one-sidebar.left-side {
width: 100%;
}
.side.sidebar-left {
background: #e4e4e4 none repeat scroll 0 0;
width: 100%;
position: relative;
}
.primary-nav {
display: none;
padding: 0;
width: 100%;
}
section.one-sidebar.left-side > .row-inner {
padding: 20px;
padding-left: 10px;
}
.side.sidebar-left::after {
display: none;
}
.sidebar-left {
display: none;
}
.region.region-top-right #HeaderSearchBlock {
width: 100%;
}
#HeaderSearchBlock form {
padding: 5px 80px 0 15px;
width: 100%;
}
.more-menu-options {
color: #ad172b;
cursor: pointer;
}
aside.sidebar-left.side .menuCloseDiv {
display: none;
}
aside.sidebar-left.side .mobileMenuCloseDiv {
cursor: pointer;
display: inline;
position: absolute;
right: 5px;
top: 5px;
}
.mainMenuSelectorBars.minimized {
display: none;
}
.mobileMainMenuSelectorBars {
display: inline;
}
aside.side.sidebar-left.showMobileMenu::after {
display: block;
}
aside.sidebar-left.showMobileMenu {
display: block;
}
aside.side.sidebar-left.showMobileMenu.minimized::after {
display: block;
}
aside.sidebar-left.showMobileMenu.minimized {
display: block;
}
}
/* end of responsive rules */
/* MIS styles */
label {
display: inline-block;
}
label {
font-weight: normal;
}
label:empty {
display: none !important;
}
pre {
background-color: inherit;
color: inherit;
border: none;
font: inherit;
padding: 0;
margin: 0;
white-space: pre-wrap;
overflow-wrap: break-word;
}
input[type="submit"]:not(.btn), input[type="button"]:not(.btn), input[type="reset"]:not(.btn), button:not(.btn) {
height: initial;
}
input[type="file"]:focus, input[type="checkbox"]:focus, input[type="radio"]:focus {
outline-offset: 0;
}
hr {
background: none repeat scroll 0 0 #BABABA;
border: medium none;
height: 5px;
margin: 0;
padding: 0;
}
.clear {
clear: both;
}
.invisibleContent {
visibility: hidden;
display: none;
}
#InvisibleContent {
visibility: hidden;
display: none;
}
#FeedbackDialog {
position: relative;
}
#FeedbackDialog .dialogContent {
position: absolute;
top: 2em;
bottom: 2em;
left: 0;
right: 0;
padding: 1em;
}
#FeedbackDialog textarea {
width: 100%;
height: 100%;
}
#FeedbackDialog .buttonContent {
position: absolute;
bottom: 0;
left: 0;
right: 0;
height: 2em;
}
#FeedbackDialog .buttonContent button {
margin: 0 1em;
}
#FeedbackDialog .buttonContent .feedbackCancel {
float: right;
}
#DevelopmentHeaderNote {
font-size: small;
margin-right: 1em;
padding: 0.5em;
}
/* end main body */
/* flash notices */
.error, .notice, .warning {
border: 1px solid #bbb;
padding: 1em;
font-weight: bold;
text-align: center;
margin-bottom: 1em;
}
.error {
color: #D8000C;
background-color: #FFBABA;
}
.error, .warning {
background-repeat: no-repeat; /* to override system.allcombined */
background-position: calc(100% - 10px) 5px;
}
.warning {
color: #a39709;
background-color: #FF8;
}
.notice {
color: #4F8A10;
background-color: #DFF2BF;
}
/* end flash notice*/
/* bootstrap overrides */
@media print {
a[href]::after {
content: "" !important;
}
}
/* end bootstrap overrides */
/* in app login page styles */
#login {
padding-top: 1em;
text-align: center;
}
#login .greeting {
font-weight: bold;
font-size: 16px;
}
#login_form {
width: 400px;
text-align: left;
margin: 1em auto;
border: 1px solid #4A637B;
}
#login_form .prop {
border-bottom: 0;
padding: 0 10px;
}
#login_form #action_buttons {
padding: 10px;
}
#login_form h2 {
margin: 0;
border: 0;
padding: 5px 10px;
font-size: 14px;
background-color: #000;
color: #fff;
margin-bottom: 1em;
}
#login_dialog {
margin: 1em auto;
width: 235px;
}
#login_dialog .input input {
width: 100%;
}
/* end in app login page styles */
/* mis forms styles */
.prop {
overflow: auto;
padding: 1em 0;
page-break-inside: avoid;
}
.prop_label {
font-weight: bold;
}
.prop .label {
color: inherit;
font-size: 100%;
text-align: inherit;
padding: 0;
}
.show .prop {
padding: 0 0 1em 0;
}
.form {
padding: 1em;
}
.title {
font-weight: bold;
}
.actions, #action_buttons {
padding: 1em 0;
}
.actions:empty, #action_buttons:empty {
display: none;
}
.name {
clear: both;
float: left;
height: 100%;
padding-right: 5px;
text-align: right;
width: 15%;
font-weight: bold;
}
.value {
float: none;
}
.prop .value {
float: left;
width: 80%;
}
.prop .prop .name {
width: 10%;
}
.form .fields .prop .value .errormsg {
display: inline;
position: relative;
}
#content-body .prop {
border-bottom: 0;
}
.textAreaError .errormsg {
top: -7px;
}
.field_with_errors > input, .field_with_errors > textarea, .field_with_errors > select, .field_with_errors > .poa, .field_with_errors > .personList, .field_with_errors > .radio_buttons, .input_error > .radio_buttons, .field_with_errors > .check_boxes, .input_error > .check_boxes, .field_with_errors > .select2-container {
outline: 1px solid #f00;
margin: 1px;
}
.input_error .radio_option .field_with_errors input, .input_error .radio_button_option .field_with_errors input, .input_error .check_box_option .field_with_errors input {
outline: none; /* to stop the double highlight that would be caused by the above rule */
}
.input_error .radio_option .field_with_errors, .input_error .radio_button_option .field_with_errors, .input_error .check_box_option .field_with_errors {
display: inline-block;
}
.personList {
display: inline-block;
}
.note {
font-style: italic;
padding: 10px;
}
*[disabled] {
background-color: #EEE !important;
color: #545454 !important;
}
input[type=submit]:not(.btn), input[type=button]:not(.btn), input[type=reset]:not(.btn), button:not(.btn), a.btn_link:not(.btn), a.btn_link:link:not(.btn), a.btn_link:visited:not(.btn), a.btn_link:active:not(.btn) {
background-color: #B1C3D8;
border: 1px solid #4A637B;
color: #000000;
font-family: Tahoma,Arial,Helvetica,sans-serif;
overflow: visible;
padding: 2px 8px;
text-align: center;
text-decoration: none;
vertical-align: middle;
line-height: normal;
}
input[type=submit]:hover:not(.btn), input[type=button]:hover:not(.btn), input[type=reset]:hover:not(.btn), button:hover:not(.btn), a.btn_link:hover:not(.btn) {
background-color: #19355E;
border: 1px solid #19355E;
color: #FFF;
}
input, select, textarea {
background-color: #E7EFFC;
border: 1px solid #19355E;
padding-bottom: 2px;
}
input.dirty, select.dirty, textarea.dirty {
outline: 2px solid yellow;
margin: 2px;
}
.required {
color: #D8000C;
}
.field_error {
color: #D8000C;
}
.poa {
display: flex;
align-items: center;
}
.prop .poa .prop {
padding-top: 0;
padding-bottom: 0;
}
.poa .prop {
display: inline;
float: left;
}
.poa .spacer {
display: inline;
padding: 0 10px;
}
.prop .poa .spacer {
padding-top: 1.5em;
}
.poa .spacer > br {
display: none;
}
.radio_buttons, .check_boxes {
display: inline-block;
}
.radio_buttons .radio_option {
display: inline-block;
position: relative;
}
.radio_buttons .radio_option, .radio_buttons .radio_button_option, .check_boxes .check_box_option {
background-color: #E7EFFC;
padding: 3px 5px;
white-space: nowrap;
overflow: hidden;
vertical-align: top;
}
.radio_buttons .radio_option:not(:first-of-type){
padding-left: 1em;
}
.radio_buttons.disabled .radio_option, .radio_buttons.readonly .radio_option, .radio_buttons.readonly .radio_button_option, .check_boxes.readonly .check_box_option {
background-color: #EEE;
}
.radio_buttons .radio_label, .radio_buttons .radio_button_label, .check_boxes .check_box_label {
line-height: 20px;
margin-left: 3px;
cursor: pointer;
white-space: normal;
margin-bottom: 5px;
display: inline-block;
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pre {font-family: Helvetica;} fieldset {border: solid thin black;}</style><base href="https://misportal.jlab.org"><div align="left">
<h1 class="lesson_title">ESH-23-0616 - Tornado Warning Was Delayed Due to Mixed Interpretation (Management Concern - Thomas Jefferson National Accelerator Facility (TJNAF)</h1>
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<h3>Statement of Lessons Learned</h3>
<pre>Misinterpretation of a National Oceanic and Atmospheric Administration (NOAA) Interactive National Weather System (iNWS) tornado warning for the City of Newport News area, during an inclimate severe thunderstorm, resulted in a perceived delay in the Jefferson Lab Tornado Warning notification.</pre>
<h3>Discussion of Activities</h3>
<pre>On June 16, 2023, an iNWS notification was received by personnel for a tornado warning within the City of Newport News Area. Jefferson Lab's tornado siren did not activate, however, an individual, with technical knowledge of the system, presumed an error had occurred and manually sent out a warning over the site-wide paging system. This initiated a series of events that eventually culminated with the manual activation of the tornado siren when no active tornado was in the area. No injuries or property damage resulted, however an investigation of the event was requested and categorized as Management Concern.

 <img src="https://misportal.jlab.org/ll/lessons/1201/show_attachment_content?attachment_id=6991" width="300px"></pre>
<h3>Analysis</h3>
<pre>Everyone is encouraged to sign up for iNWS notifications, for any location. Weather events in this area fluctuate dramatically within a 50 mile radius. Monitoring a particular area's notifications is part of a good personal emergency plan. 
 
The Jefferson Lab's tornado siren is activated by in-house software that receives and processes severe weather alerts from NOAA's iNWS alert system. The siren activates when the system detects a tornado event within an established polygon zone. Jefferson Lab's polygon was established several years ago and it is specific to the facility. The polygon is smaller than the City of Newport News's iNWS alter zone. 
 
Sometime prior to the event (>1-year), there was concern that, based on the City of Newport News's iNWS alerts (sent via text message), nearby businesses were activating their tornado protocols and Jefferson Lab was not responding appropriately. The Technical Interface (IE#1) was authorized by management to expand the alert zone to include the whole City of Newport News area. This change was not documented or communicated to others on the Emergency Management Team. The manager, who authorized the change, then left the lab, leaving only the IE#1, with an awareness that a City of Newport News area-wide alert should trigger the tornado siren.
 
During the weather event, an iNWS Tornado Warning alert for the City of Newport News area was received by IE#1. A personal assessment of the current weather (thunderstorm producing hail) aligned with the iNWS report and reinforced his expectation that the tornado siren should activate. When it did not IE#1 used the lab-wide emergency paging system to communicate the tornado warning message and directed personnel to take cover. 
 
Upon receiving the Site-Wide Alert lab personnel and members of the Emergency Management Team (EMT), experienced confusion. They also had received various iNWS alerts, some for Severe Thunderstorms, and others for Tornado Warnings for areas south of the Lab (none within the determined Jefferson Lab polygon). 
 
Eventually, the decision was made by the EMT to support the Site-Wide Alert by manually activating the tornado siren and contacted the on-duty security guard to request manual activation. The security guard could not recall how to execute the tornado siren protocols, which forced the EMT manager to perform the activation.
 
Unbeknownst to lab management, during the days leading up to and including the event, NOAA was experiencing internal server issues with their outbound iNWS alert messaging system resulting in intermittent problems and distribution of wrong or invalid alerts. 
 
Also discovered was that an earlier, unrelated, change made to the in-house software system developed in a "bug" that would not allow auto-activation of the tornado siren, regardless of the determined zone area.</pre>
<h3>Recommended Actions</h3>
<pre>Update procedure(s) to define who has the authority to revise the geographic zone(s). Verify annually that the zone(s) set up in the software are aligned with the zones(s) documented in the Tornado Notification Procedure.
 
The current monthly tornado siren drills do not test the upstream functionality of the system. Update the protocols to ensure the system's consistent ability to effectively receive, process, and activate the tornado siren. Verify through some form of periodic testing procedure.
 
Revise the Tornado Notification Procedure to include decision-making responsibilities for any scenario in which the flow of information or automated activation of warnings may malfunctioned or be otherwise inconsistent with a human's assessment of weather conditions.
 
Implement a policy that requires all qualifying meetings, to begin with a safety brief that covers the actions to take in the event of specific emergencies (fire/evacuation, tornado warning).</pre>
<h3>JLab Preventative Measures</h3>
<pre></pre>
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<legend class="header_color">Summary</legend>
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<td class="bold nowrap">Lesson ID:</td>
<td>1211</td>
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<tr>
<td class="bold nowrap">Status:</td>
<td>OK</td>
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<tr>
<td class="bold nowrap">Doc ID:</td>
<td class="nowrap">2023-JLAB-1211</td>
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<td class="bold nowrap">Priority:</td>
<td class="nowrap">Caution</td>
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<td class="bold nowrap">Safety Related:</td>
<td class="nowrap">YES</td>
</tr>
<tr>
<td class="bold nowrap">Originator:</td>
<td class="nowrap">Daniel Gautier (gautier)</td>
</tr>
<tr>
<td class="bold nowrap">Issued:</td>
<td class="nowrap">7/20/2023 10:18 am</td>
</tr>
<tr>
<td class="bold nowrap">Approved By:</td>
<td class="nowrap">Mary Jo Bailey (mbailey)</td>
</tr>
<tr>
<td class="bold nowrap">Approved On:</td>
<td class="nowrap">8/29/2023 2:48 pm</td>
</tr>
<tr>
<td class="bold nowrap">Source:</td>
<td class="nowrap">
<a target="_blank" href="https://misportal.jlab.org/railsForms/notable_events/158915">TJNAF NE</a>
</td>
</tr>
<tr>
<td class="bold nowrap">Location:</td>
<td class="nowrap">TJNAF</td>
</tr>
<tr>
<td class="bold nowrap">Cost Savings:</td>
<td class="nowrap"></td>
</tr>
<tr>
<td class="bold nowrap">Contact:</td>
<td>Steve Hoey, ESH Director, (Hoey@jlab.org)</td>
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<td class="bold nowrap">Queued Emails:</td>
<td>129</td>
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<td class="bold nowrap">Sent Emails:</td>
<td>0</td>
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<td class="bold nowrap">Viewings:</td>
<td>9 times</td>
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<td class="bold nowrap">Rating:</td>
<td><img width="75" class="stars" src="/ll/assets/stars-4-557508b4dfb2fb8b0339a66775e14941dbc2c0cfe7cfa7f5c6a05215cefc036c.png" /></td>
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<legend class="header_color">Attachments</legend>
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<li><a target="_blank" href="https://misportal.jlab.org/ll/lessons/1211/show_attachment_content?attachment_id=6991">Tornado Siren Image.jpeg</a></li>
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Other: Emergency Management
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<legend class="header_color">Skills</legend>
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<li>SAF505: Familiarity with Duties of Emergency Management Team Members</li>
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<legend class="header_color">Distribution/Notification</legend>
<ul>
<li>*Division Safety Officers (DSOs)</li>
<li>*Safety Wardens</li>
<li>*DOE Notification</li>
<li>*ESH&Q Liaisons</li>
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