Department of Energy

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ISM at the Savannah River Site

• Department of Energy
• Best Practices Workshop
• Hazard Analysis
• Patricia Allen, Deputy ESH ManagerJim Tisaranni,
  ISM DirectorWashington Savannah River Company
• September 12-13, 2006

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Hazards Analysis Applies to All Industries
January 6, 2005, Graniteville, South
Carolina Chlorine gas was released from a 90 ton
railroad tanker in local community. The 42 car
train crashed into an engine and 3 cars on a rail
siding. The switch was in the wrong position.

• 5400 people evacuated
• 550 people injured
• 240 people hospitalized
• 9 people killed
• Economic downturn

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Savannah River Site

• Missions
• Operations
• Tritium
• Non-proliferation
• Closure
• Environmental remediation
• Waste management
• Natural resources ecosystem management
• Deactivation demolition
• Research Development
• National Laboratory

• Hazards
• Industrial
• Chemical
• Criticality
• Environmental
• Operational
• Radiological
• Waste

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Hazard Analysis Time Evolution
Assisted Hazard Analysis
Job Hazard Analysis
Continuous Improvement
03/03
05/97
06/05
WCP
Automated Hazard Analysis
06/05-Present
03/03-01/06
05/97-03/03
00/00-01/04
Works Clearance Permit (WCP)
Job Hazard Analysis
Automated Hazard Analysis
Assisted Hazard Analysis
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Lessons Learned

• Success Areas
• Database
• Simple process
• Walkdowns to identify hazards
• Improvement Areas
• Need a more consistent hazards analysis process
• Procedures
• Implementation
• Work scope must be clearly defined by
  knowledgeable workers
• Emphasis placed on hierarchy of controls
• Need to simplify documentation for workers
• More training needed on overall process
  including tools

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Assisted Hazard Analysis Development Philosophy

• Core team established to improve process.
• Team included workers, planners,
• managers, and customers
• Define hazard analysis improvements
• Crafted solutions
• Plan implementation
• Customer integrated from the start
• Leadership concurrence throughout
• process
• Pilot in diverse facilities

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Implementation Rollout and Evaluation Process
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Hazard Analysis Training

• Modularized training includes varying degrees of
  Hazard Analysis theory, ISMS, application of
  tools, functional needs, and facility specific
  practical exercises.

Training Courses
Manager Planner and Supervisor Worker Engineer
Train-the-Trainer Subcontractor Technical
Representative Subcontractor Subcontractor
Lead Work Group Supervisor Procedure
Writer Subject Matter Expert
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Assessment Feedback

• Initial Assessment completed
• Purpose Attain satisfactory working knowledge
  and acceptable proficiency
• Lessons Learned
• Facilities required more tailoring (training and
  application) than initially anticipated
• Roll out duration based on facility needs
• Mid-term completed
• Purpose Ensure transition stayed on course
• Lessons Learned
• Problems detected and corrected early in the roll
  out
• Picked up best practices and lessons learned to
  share
• Effectiveness Review in progress
• Purpose Evaluate overall roll out success
• Lessons Learned
• Overall roll out effectiveness is satisfactory
• Receiving excellent feedback on technical
  accuracy of hazard tree and Site procedures
• Opportunities for improvement identified
• Hazard analysis for Operations procedures

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Whats Next Got Data?

• Developed Performance Indicators
• SME resource demands
• Distribution of each hazard and associated
  controls
• Feedback analysis
• Distribution of hierarchy of controls
• Process approval cycle time

Metrics capability only limited by our
imagination.
If you dont measure it - - - you cant manage it.
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Future Vision (Continuous Improvement)

• Improve hazard tree
• Strengthen procedures
• Personal DigitalAssistants (PDAs)
• Web based

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Use of Electronic Media for Hazard Analysis

• Benefits
• Easy access to prior surveys
• Provides immediate trending capabilities
• Relational integrates with other database
  systems

Example of Visual SurveyData Systems (VSDS)
currently in use at the Savannah River Site
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Benefits of Process

• Consistent approach to hazards analysis
• Improved worker hazard analysis knowledge
• Improved work planning and execution performance
• An exportable process
• Utilize the computer software
• Implementation Process
• Training developed and available
• Assessment Tools
• Metrics
• Procedure

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Approach to Hazard Management

• Integrated Safety
• Management Systems
• (ISMS)
• Define Scope of Work
• Analyze Hazards
• Develop and Implement Controls
• Perform Work
• Feedback and Improvement

Provide feedback continuous improvement
Define the work scope
ISMS
Perform work within controls
Analyze the hazards
Develop and implement hazard controls
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Define Scope of Work

• Total scope
• Technical work scope
• Work activity
• Task breakdown
• Hazard identification
• Walk downs and Work Scope Definition Checklist
• Work environment
• Work activity
• Work method
• Waste streams
• Facility and system impacts
• Worker involvement

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Analyze Hazards

• Apply hierarchy of controls
• Eliminate the hazards
• Engineering controls
• Administrative controls
• Personal Protective Equipment
• Worker involvement

Provide feedback continuous improvement
Define the work scope
ISMS
Perform work within controls
Analyze the hazards
Develop and implement hazard controls
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Develop/Implement Controls
Orders
Regulations
Lessons Learned
Provide feedback continuous improvement
Define the work scope
Output Documents
Hazards
Procedures
ISMS
Perform work within controls
Analyze the hazards
Hazard Tree
Develop and implement hazard controls
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Replace and Test Elevated Light
As an Example
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Work ScopeDefinition Checklist
Work Environment Checklist
Outdoor Heat Stress
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Work ScopeDefinition Checklist
Can any of the hazards be eliminated?
Elevated Work
Determine worker involvement required to complete
the work activity
EI
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Hazard ID/Hierarchy of Controls
AHA Hazard ID Navigation
140 Portable Ladder?
Hierarchy of Controls
Consider accessing the worksite without exposing
the worker to an elevated height. Consider using
engineering controls such as extended tools,
Chain Operators, etc. to provide access.
Consider using powered platform or scaffolding if
it would provide safer access to area.
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Safe Work Permit
Scope of Work
Work Authorization
Lead Work Group Supervisor
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Safe Work Permit
Hazards
Tasks
Controls
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Management Control Report Example
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Technical Work Document Control Report Example
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Perform Work

• Use of Safe Work Permit
• Bounds the work scope
• Provides work authorization
• Lead work group supervisor
• Hazard Analysis
• Concurrence
• Implementation
• Worker acknowledgement
• Task
• Hazards
• Controls
• Technical work documents
• Permits
• Scope, hazard change or gut feel
• Workers call Timeout or Stop-Work

Provide feedback continuous improvement
ISMS
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Feedback and Improvement

• Work history
• Worker experience
• Lessons learned
• Timeout feedback
• Post work reviews

Continuous Improvement Process from Problem
Identification Through Post Job Review
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Summary
Employee Involvement
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Questions

• Patricia Allen
• patricia.allen_at_srs.gov
• [phone]
• Jim Tisaranni
• jim.tisaranni_at_srs.gov
• [phone]