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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 */
.page-wrapper > header {
background: #fff none repeat scroll 0 0;
left: 0;
min-height: 160px;
position: fixed;
top: 0;
width: 100%;
z-index: 100;
}
.page-wrapper > header::before {
background: #fff none repeat scroll 0 0;
content: "";
height: 100px;
position: absolute;
top: -100px;
width: 100%;
}
.page-wrapper > header .container {
width: 90%;
}
.page-wrapper > 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;
}
h1.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;
}
.page-wrapper > 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;
}
.page-wrapper > 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;
}
.page-wrapper > 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 .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">ACC-24-05-21: Improper Execution of LOTO Procedures Warrants a LOTO Pause (Management Concern)</h1>
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<h3>Statement of Lessons Learned</h3>
<pre>During a Peer Review for Operational Advancement (PROActive) inspection, between Monday, May 20 and Tuesday, May 21, 2024, various lock-out/tag-out (LOTO) issues were observed. Jefferson Lab ceased performing all work requiring LOTO, and a "Hazardous Energy Control (HEC) Pause and Restart Plan" was developed and put into effect. 
 <img src="https://misportal.jlab.org/ll/lessons/1201/show_attachment_content?attachment_id=7208
" width="500px"></pre>
<h3>Discussion of Activities</h3>
<pre>During the facility's summer scheduled accelerator down (SAD) a PROActive inspection team, consisting of eight safety professionals from across the Office of Science complex, came to review various work activities. A portion of the review consisted of observing lock-out/tag-out (LOTO) procedures in the field. Various lock-out/tag-out (LOTO) issues were observed including: 
1. Procedures were not available at the work site or not referenced. 
2. Legacy Operational Safety Procedure (OSP) documents were at the job site instead of the ePAS permit-to-work. 
3. No ePAS Isolation Checklists (IC's) were being used at the job sites. 
4. Numerous issues with personal protective equipment (PPE) including: not being used; being used incorrectly; and damaged. 
5. Underrated test equipment being used for zero voltage verification (ZVV). 
6. Inconsistent arc flash labeling.
7. No isolation certificate was used or available at the work site. 
8. Issues were not caught by supervisors.</pre>
<h3>Analysis</h3>
<pre>During interviews workers stated that they felt "stress" while performing the observed tasks. Work teams described the PROActive interactions as "intrusive" and "distracting" and that a debrief/closure step, or a form of factual accuracy, had not been offered. 

Workers described various levels of understanding regarding the expectations of ePAS, including what was to be brought with them into the work area. 

Work teams described that many LOTO procedures have been in place "for years" without change, contributing to a complacent or overconfident attitude. 

There has been no negative outcome regarding the misuse of some PPE. Since leather gloves reduce dexterity, they were considered discretionary. 

The pre-job briefing was held on a Friday, two weekend days before the commencement of actual work. There was no reminder made to workers of the critical factors prior to commencement of the work. 

Workers were unclear regarding the transition process from operational safety procedures (OSP) to ePAS (change management) they were not comfortable with the ePAS system or the resulting procedures. While some OSP's were observed in the field these are no longer authorized work documents for HEC procedures. 

Workers consider ePAS as awkward and overly complicated. Several workers described the resulting procedures as being 18-20 pages long. Concerns and solution to resolve its awkwardness have not been addressed. This has resulted in frustration with the ePAS, and the lack of consistent use.</pre>
<h3>Recommended Actions</h3>
<pre>Develop a pre-job "Standard of Work" process and become disciplined in its use. The process is to provide a structured template, including agenda, timing, and logistics. The organization will then train supervisors and demonstrate "what good looks like".

Lab Leadership will set new expectations and establish a routine mechanism for monitoring and directing interaction between work teams and their supervisors, particularly when they prepare to commencement hazardous work (e.g. attendance at in-field Pre-Job Briefings).

Leadership will address the perceived gaps resulting from the transfer from legacy processes to ePAS, by conducting a series of open-forum meetings. Discussion will include the quality and appropriateness of documentation produced by the ePAS system.

The responsibilities of the Electrical Authority Having Jurisdiction (EAHJ) will be separated from that of the HEC protocols program steward. The HEC program will require the EAHJ to provide technical expert interpretations of regulatory code pertaining to any electrical work.

Proactively invite safety experts to participate in group meetings and to observe LOTO activity and other CEBAF maintenance activities. 

Develop a cross-functional team, to be organized and led by the Deputy Department Manager, to review all Standard Operating Procedures (SOPs). Include a representative from each work group and a representative from the safety experts.

Develop a process and apply urgency to the recording of non-NRTL equipment into the non-NRTL database to facilitate its evaluation by the Non-NRTL Program established and maintained by Performance Assurance Department.</pre>
<h3>Applications</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>1236</td>
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<td class="bold nowrap">Status:</td>
<td>OK</td>
</tr>
<tr>
<td class="bold nowrap">Doc ID:</td>
<td class="nowrap">2024-JLAB-1236</td>
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<tr>
<td class="bold nowrap">Priority:</td>
<td class="nowrap">Caution</td>
</tr>
<tr>
<td class="bold nowrap">Safety Related:</td>
<td class="nowrap">YES</td>
</tr>
<tr>
<td class="bold nowrap">Originator:</td>
<td class="nowrap">Mary Jo Bailey (mbailey)</td>
</tr>
<tr>
<td class="bold nowrap">Issued:</td>
<td class="nowrap">6/5/2024 3:27 pm</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">7/9/2024 2:07 pm</td>
</tr>
<tr>
<td class="bold nowrap">Source:</td>
<td class="nowrap">
<a target="_blank" href="https://misportal.jlab.org/railsForms/notable_events/179085">TJNAF NE</a>
</td>
</tr>
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<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>Andrei Seryi, Associate Director-Accelerator Ops, R&D, seryi@jlab.org</td>
</tr>
<tr>
<td class="bold nowrap">Queued Emails:</td>
<td>109</td>
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<tr>
<td class="bold nowrap">Sent Emails:</td>
<td>0</td>
</tr>
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<td class="bold nowrap">Viewings:</td>
<td>3 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/1236/show_attachment_content?attachment_id=7208">ACC-24-0521 Photo1.jpg</a></li>
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<legend class="header_color">Hazard Issues</legend>
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Electricity
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<li>
Lock, Tag, Try
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<li>
Stored Energy: Mechanical, Hydraulic, Pneumatic
</li>
</ul>
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<legend class="header_color">Skills</legend>
<ul>
<li>SAF104: Lock, Tag, and Try</li>
<li>SAF104A: LOCK & TAG PART I</li>
<li>ESC007: Lockout/Tagout (LOTO)</li>
</ul>
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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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