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</style><![endif]--><title>Lesson Learned "Work Plan Drift and Unverified Changes Lead to Hazardous Energy Exposure – National Renewable Energy Laboratory (NREL)" </title><style><!--
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            <table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="100%" style="width:100.0%;border-collapse:collapse;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%">
            <tr>
              <td valign="top" style="background:#FAFAFA;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%" id="templatePreheader">
                <div align="center">
                  <table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="600" style="width:6.25in;border-collapse:collapse;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%">
                  <tr>
                    <td width="600" valign="top" style="width:6.25in;padding:0in 0in 0in 0in;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%">
                      <div align="center">
                        <table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" style="max-width:6.25in;border-collapse:collapse;min-width: 100%;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%">
                        <tr>
                          <td valign="top" style="padding:0in 0in 0in 0in;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%">
                            <table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="100%" style="width:100.0%;border-collapse:collapse;max-width:100%;min-width: 100%;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%">
                            <tr>
                              <td valign="top" style="padding:6.75pt 0in 0in 0in;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%;word-break:break-word">
                                <table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" align="left" width="100%" style="width:100.0%;border-collapse:collapse;margin-left:-2.25pt;margin-right:-2.25pt">
                                <tr>
                                  <td width="600" valign="top" style="width:6.25in;padding:0in 0in 0in 0in">
                                    <table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" align="left" width="100%" style="width:100.0%;border-collapse:collapse">
                                    <tr>
                                      <td valign="top" style="padding:0in 13.5pt 6.75pt 13.5pt">
                                        <p class="MsoNormal" align="center" style="text-align:center;line-height:150%">
                                        <span style="font-size:9.0pt;line-height:150%;font-family:Helvetica;color:#656565">
                                          <a href="https://misportal.jlab.org/ll/lessons/1262/print" target="_blank">
                                            <span style="color:#656565">View this email in your browser</span>
                                          </a>
                                        </span>
                                        </p>
                                      </td>
                                    </tr>
                                    </table>
                                  </td>
                                </tr>
                                </table>
                              </td>
                            </tr>
                            </table>
                          </td>
                        </tr>
                        </table>
                      </div>
                    </td>
                  </tr>
                  </table>
                </div>
              </td>
            </tr>
            <tr>
              <td valign="top" style="background:white;padding:6.75pt 0in 0in 0in;background:cover;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%;background-size: cover;background-position-x:50%;background-position-y:50%" id="templateHeader">
                <div align="center">
                  <table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="600" style="width:6.25in;border-collapse:collapse;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%">
                  <tr>
                    <td width="600" valign="top" style="width:6.25in;padding:0in 0in 0in 0in;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%">
                      <div align="center">
                        <table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" style="max-width:6.25in;border-collapse:collapse;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%">
                        <tr>
                          <td valign="top" style="padding:0in 0in 0in 0in;min-width: 100%;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%">
                            <table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="100%" style="width:100.0%;border-collapse:collapse;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%">
                            <tr>
                              <td valign="top" style="padding:0in 0in 0in 0in;min-width: 100%;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%">
                                <table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" align="left" width="100%" style="width:100.0%;border-collapse:collapse;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%">
                                <tr>
                                  <td valign="top" style="padding:0in 0in 0in 0in">
                                    <p class="MsoNormal" align="center" style="text-align:center">
                                      <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], .select2-container.select2-container-disabled .select2-choice {
  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;
}
.radio_buttons input[type="radio"], .radio_buttons .radio_button.readonly, .check_boxes input[type="checkbox"], .check_boxes .check_box.readonly {
  vertical-align: top;
}
.radio_buttons div.invisibleContent, .check_boxes div.invisibleContent {
  display: none;
}
.radio_buttons.readonly, .check_boxes.readonly {
  border: none;
}
.radio_buttons.readonly > ul, .check_boxes.readonly > ul {
  list-style-type: none;
  padding-left: 0;
  margin-bottom: 0;
}
.radio_buttons.disabled .radio_label, .radio_buttons.readonly .radio_button_label, .check_boxes.readonly .check_box_label {
  cursor: auto;
}
.select2-container .select2-selection, .select2-container .select2-choice {
  background: #E7EFFC !important;
  border: 1px solid #19355E !important;
  border-radius: 0 !important;
}
.select2-container .select2-arrow {
  border-radius: 0 !important;
}
/* end mis forms styles */
/* mis forms readonly styles */
.readonly {
  box-sizing: content-box;
  background-color: #EEE;
        border-left: 3px solid black;
        border-top: 3px solid black;
        border-right: 3px solid silver;
        border-bottom: 3px solid silver;
  padding-bottom: 2px;
  min-height: 1em;
  min-width: 1em;
  line-height: 1em;
}
  
.readonly.text_area, .readonly.list_area {
  padding: 4px;
  display: inline-block;
  min-width: 5em;
  text-align: left;
}
.readonly.text_area {
  white-space: pre-wrap;
}
.readonly.text_area:empty::after {
  content: " ";
}
.readonly.list_area ul {
  margin: 0;
  padding: 0;
  padding-left: 5px;
  list-style-position: inside;
}
.readonly.radio_button, .readonly.check_box {
  display: inline-block;
  font-weight: bold;
  font-size: smaller;
  text-align: center;
}
.readonly.radio_button {
  border-radius: 2em;
}
.select2-container--disabled .select2-selection {
  background-color: #EEE !important;
  border: 1px solid #19355E !important;
  border-radius: 0 !important;
}
/* end mis forms readonly styles */
/* other styles */
.nowrap {
  white-space: nowrap;
}
td, th {
  padding:5px;
}
table tr.odd {
  
}
table tr.even {
  background-color: #F5F5F5;
}
pre.wrap {
  white-space: pre-wrap;
  word-break: normal;
}
.inline .prop, .prop.inline .prop_label, .prop.inline .input {
  float: left;
  padding-right: 10px;
}
.inline .prop_label {
  vertical-align: top; /* can't align middle */
  padding-right: 5px;
}
.groupTogether .prop {
  display: inline-block;
  padding-right: 1em;
}
.alert_icon  {
    height:30px;
    width:30px;
    position:relative;
    display:inline-block;
    margin-left:5px;
    font-size:1.4em;
}
.alert_number  {
    position:absolute;
    top:-10px;
    right:-10px;
    background-color:#ac172b;
    width:25px;
    height:25px;
    color:#fff;
    border-radius:20px
    -moz-border-radius:20px;
    -webkit-border-radius:20px;
    text-align:center;
    vertical-align:center;
    border:2px solid #fff;
    font-size:0.6em;
}
.css_right  {
  /* adding this keeps the sort icon on the same level as the label */
  float:right;
}
/* end other styles */
#toasts{position:fixed;bottom:30px;left:50%;z-index:2}.toast div{display:none;min-width:250px;margin-left:-125px;border-radius:2px;padding:16px;text-align:center}.toast div.toast--notice{background-color:#cae8ca}.toast div.toast--error{color:#D8000C;background-color:#FFBABA}label.prop_label span.required,label.prop_label+img.help{margin-left:3px}.input .personList ul.selectedPeople{margin-bottom:0;padding-left:1em}#SiteAdminTestSection .test form{display:inline-block;padding-bottom:0.5em}#SiteAdminTestOutput{border:solid 1px black}.nowrap{white-space:nowrap}#page_content{font-size:14px}.dataTable{width:100%}td.actions{width:3em}a.btn_link{cursor:pointer}.dataTable .detail{display:none}.dataTable .edit{display:none}.noBackgroundNoBorder{background-color:transparent;border-style:none}.bold{font-weight:bold}.italic{font-style:italic}.indent{margin-left:1em}.header_color{color:#831422}pre{word-break:keep-all !important;white-space:pre-wrap !important;word-wrap:normal !important;overflow:visible;margin-left:0px}.scrollable{max-height:400px;overflow-y:auto;overflow-x:hidden;display:inline-block}.scrollable .check_boxes .check_box_option{padding:0}.scrollable .check_boxes .check_box_option label{margin-bottom:0}h1:not(.page-header){color:#262626;font-size:1.5em;font-weight:bold;line-height:1.3em;margin:0;padding:0}h2{color:#831422;font-size:1.3em;font-weight:bold;line-height:1.3em;margin-bottom:0.769em;margin-top:0.769em}h3{color:#831422;font-size:1.2em;font-weight:bold;line-height:1.3em;margin-bottom:0.667em;margin-top:0.667em}h4{font-size:1.1em;font-weight:bold;line-height:1.3em;margin-bottom:0.909em;margin-top:0.909em}h5,h6{color:#831422;font-size:1.0em;font-weight:bold;line-height:1.3em;margin-bottom:0.909em;margin-top:0.909em}h1.lesson_title{margin-top:5px;min-height:25px;font-size:125%;background-color:#eee;padding:5px}.spinner{border:8px solid #f3f3f3;border-radius:50%;border-top:8px solid #3498db;width:98px;height:98px;-webkit-animation:spin 2s linear infinite;animation:spinnerRotation 2s linear infinite}#spinnerContainer{z-index:999;display:none;position:fixed;top:50%;left:50%}@-webkit-keyframes spinnerRotation{0%{-webkit-transform:rotate(0deg)}100%{-webkit-transform:rotate(360deg)}}@keyframes spinnerRotation{0%{transform:rotate(0deg)}100%{transform:rotate(360deg)}}#overlay-ajax-loader{background-image:url("ajax-loader.gif");background-repeat:no-repeat;background-position:center;width:100%;height:100%;position:fixed;top:0;z-index:20000}#overlay{cursor:wait;position:fixed;top:0;left:0;width:100%;height:100%;background-color:#000;filter:alpha(opacity=50);-moz-opacity:0.5;-khtml-opacity:0.5;opacity:0.5;z-index:10000}
 pre {font-family: Helvetica;} fieldset {border: solid thin black;}</style><base href="https://misportal.jlab.org"><div align="left">
<h1 class="lesson_title">Work Plan Drift and Unverified Changes Lead to Hazardous Energy Exposure – National Renewable Energy Laboratory (NREL)</h1>
<div id="ViewLesson">
<table width="100%">
<tr>
<td style="min-width: 60%" valign="top">
<h3>Statement of Lessons Learned</h3>
<pre>A subcontracted work crew deviated from their approved work activities, resulting in a metal bracket contacting an energized terminal inside a live junction box, which caused a short circuit. Human factors played a central role in the energy control failure. NREL's project team provided what they considered to be a clear work plan; however, gaps in communication, supervision, and decision-making in the field led to unexpected contact with live electrical parts.

            <img src="https://misportal.jlab.org/ll/lessons/1201/show_attachment_content?attachment_id=7631
" width="300px"></pre>
<h3>Discussion of Activities</h3>
<pre>The initial work plan, agreed to by NREL's project team members, directed all circuits in the work area be de-energized before work commenced. On January 31, 2025, after a Plan-of-the-Day (POD) meeting, the subcontracted demolition work crew received authorization to commence the casework removal. As work activities progressed the crew expanded their work-scope to include wall demolition. The crew assumed, based on what they understood of the project team's original work plan, that the area was electrically safe. They did not realize they were working near energized electrical parts, making wall demolition hazardous and outside their training and authorization.</pre>
<h3>Analysis</h3>
<pre>The work crew's superintendent had earlier requested the area's lighting circuit remain energized for the casework removal due to the lack of temporary lighting within the work area.  This change was not reviewed through established work control processes; and though mentioned in the POD meeting, it was not documented nor updated in the Activity Hazard Analysis (AHA). No warning signs, nor visual cues, were posted in the area. 

The POD meeting did not clearly define the limits for "casework" activities, nor did it identify key hold points, how to confirm completion of one task, or how to receive authorization to commencement the next.  

At the time of the incident, the superintendent was off-site attending a meeting.  No alternate was assigned.

The subcontractor's AHA lacked steps for verifying the circuit's lockout nor did it provide any controls for working near potentially energized components. 

The post-incident investigation also found that a wall circuit's switch box cover had been removed without authorization, supposedly to make wall demolition easier.</pre>
<h3>Recommended Actions</h3>
<pre>-  Prevent Work Drifted: Establish a clear supervisor handoff procedure that will ensure someone is always overseeing work when tasks or site conditions change. A recommended Human and Organizational Performance (HOP) tool would be to use a Turnover Log. 

-  Verbal Communication: Include the Questioning Attitude HOP tool to establish a stop, look, and listen attitude during Work Planning to confirm documents are updated to show key changes, decision points, and temporary hazards. 

-  Lack of Role Clarity and Visual Cues:  Provide work crews timely updates regarding hazards and safety controls.  Use the HOP Project Review tool to detail which trades could perform what tasks. 

-  Improved Planning Tools:  Use Task Preview during daily pre-job briefings tell work crews ‘What is different from the plan?' or ‘What is authorized to do today?' provide clear task boundaries or visual cues.</pre>
<h3>Applications</h3>
<pre></pre>
</td>
<td align="right" valign="top">
<table id="SummaryTable">
<tr>
<td>
<fieldset>
<legend class="header_color">Summary</legend>
<table>
<tr>
<td class="bold nowrap">Lesson ID:</td>
<td>1262</td>
</tr>
<tr>
<td class="bold nowrap">Status:</td>
<td>OK</td>
</tr>
<tr>
<td class="bold nowrap">Doc ID:</td>
<td class="nowrap">2025-JLAB-1262</td>
</tr>
<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">7/7/2025  1:40 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">10/9/2025  8:47 am</td>
</tr>
<tr>
<td class="bold nowrap">Source:</td>
<td class="nowrap">
DOE Corporate Reporting Databases
</td>
</tr>
<tr>
<td class="bold nowrap">Location:</td>
<td class="nowrap">NREL</td>
</tr>
<tr>
<td class="bold nowrap">Cost Savings:</td>
<td class="nowrap"></td>
</tr>
<tr>
<td class="bold nowrap">Contact:</td>
<td>Tim Snow, Human and Organizational Performance, Timothy.Snow@nrel.gov</td>
</tr>
<tr>
<td class="bold nowrap">Queued Emails:</td>
<td>602</td>
</tr>
<tr>
<td class="bold nowrap">Sent Emails:</td>
<td>0</td>
</tr>
<tr>
<td class="bold nowrap">Viewings:</td>
<td>3 times</td>
</tr>
<tr>
<td class="bold nowrap">Rating:</td>
<td><img width="75" class="stars" src="/ll/assets/stars-4-557508b4dfb2fb8b0339a66775e14941dbc2c0cfe7cfa7f5c6a05215cefc036c.png" /></td>
</tr>
</table>
</fieldset>
</td>
</tr>
<tr>
<td>
<fieldset>
<legend class="header_color">Attachments</legend>
<ul>
<li><a target="_blank" href="https://misportal.jlab.org/ll/lessons/1262/show_attachment_content?attachment_id=7630">OPEX-Share - NREL- WorkPlanning Report.pdf</a></li>
<li><a target="_blank" href="https://misportal.jlab.org/ll/lessons/1262/show_attachment_content?attachment_id=7631">OPEX-Share - NREL- WorkPlanning.jpg</a></li>
</ul>
</fieldset>
</td>
</tr>
<tr>
<td>
<fieldset>
<legend class="header_color">Hazard Issues</legend>
<ul>
<li>
Other: Poor Work Planning and Communication  
</li>
<li>
Electricity
</li>
</ul>
</fieldset>
</td>
</tr>
<tr>
<td>
<fieldset>
<legend class="header_color">Skills</legend>
<ul>
<li>ESC007: Lockout/Tagout (LOTO)</li>
<li>MGT100HP: Human Performance-Supervisors</li>
</ul>
</fieldset>
</td>
</tr>
<tr>
<td>
<fieldset>
<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>
</ul>
</fieldset>
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</tr>
</table>
</td>
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