# Presentation: 440115

**Categorizers (CAT) Team Workshop #2003-04**

## OUR AGENDA!

**Workshop Goals**
**ORPS Trending**
**Programmatic review**
**Cat Chat**
**Categorizers in Training**
**Electronic Categorizers Form**
**Corrective and Preventive Action Subject Area**
**Keep Your Friendly Local Fac Rep Informed**
**Year in Review**
**Joe Labas, “ORPS – The Recent Flurry”**
**Meeting evaluation and wrap-up**
**      **

## CAT Team Workshop

_**Workshop Goals:**_
-  To EVALUATE and IMPROVE the BNL Occurrence Reporting Program.
-  To MAINTAIN a baseline categorization process such that reportability decisions are both valid and repeatable.

-   **CAT**

## BNL ORPS Report StatusFY 2004 (End of Month)

## ORPS Corrective Action StatusFY 2004 (End of Month)

## BNL ORPS by Calendar Year Report Submitted

- As of 11/30

## CAT Logbook Entries

**09/22 – RK, miscomm. on when to start and stop shooting at firing range**
**09/24 – RK, GERT expires and same TLD worn for several months @ ATF**
**09/25 – RK, “loss” of 2000 copper cable lugs @ C-AD**
**09/26 – RK, F-18 hair cont (14,000 dpm) @ 901 radiotracer lab (ON)**
**10/03 – SC, 2 gal spill of antifreeze behind bldg. 490 **
**10/10 – SM, bag of oil rags found by jogger near bldg. 754**
**10/10 – SM, 1⁄2 gal spill of oil on pavement behind bldg. 490**
**10/20 – KS, Damage (~$1,700) to rented Hertz dump truck**
**10/22 – KS, shutdown of work due to inadequate trenching (ON)**
**10/22 – PW, Man lift fire incident @ bldg. 974 on 5/01/03**
**10/27 – RK, OSHA inspector questions scaffolding @ C-AD**
**10/28 – TM, Male trans. to Mather Hospital suffering from “panic attack”**
**10/28 – TM, > than 10 gal. oil spill in elevator shaft @ bldg. 463 (ON)**
**10/31 – TM, unaccountable source discovered at Physics (ON)**
** **
**  **

## CAT Logbook Entries

**11/04 – KK, .1 gal spill of antfreeze @ bldg. 912**
**11/05 – KK, extremity dose received at 901 > than expected by ~ 3K mrem**
**11/06 – KK, < 1 gal antifreeze spill from tractor to pavement in front of 488**
**11/07 – KK, waste oil shipping papers signed by unauthorized person**
**11/07 – KK, unapproved carrier ships PCB cont. soil from BNL**
**11/10--------------------ORPS Re-design Implemented at BNL--------------------------  **
**11/10 – KK, vial marked “natural uranium chips” found in uncontrolled area**
**11/13 – KK, mechanic suffers lacerated tendon (SC3)**
**11/14 – KK, 1 gal oil spill in front of bldg. 197**
**11/14 – KK, Kitchen fire in apartment 7-C**
**11/17 – RK, air monitor alarm BGRR duct service bldg., ~ 20mrem for 3**
**11/18 – RK, antifreeze spill from PE mobile generator - (SC4)**
**11/21 – RK, NSLS employee hit by car - (SC3)**
**11/21 – RK, Planned killing of 4 deer @ FHWA because of possible uptake**
** **
**  **

## CAT Logbook Entries

**11/22 – RK, 4 gal oil spill in bldg. 911 pump room (concrete and contained)**
**12/01 – MB, possible inadvertent exposure from radiograph machine**
**12/03 – SM, laceration to head caused by wind blown waste container lid**
**12/04 – SM, FF steps into hole during confined space training, minor injury**
**12/08 – SM, worker injured during payloader w/push plow operations**
**  **
** **
**  **

## CAT Logbook Entries (05/1/00 - 12/08/03)

## After 1 QTR.
7 out of 28 identified events/conditions were deemed reportable = 25%
2.3 events/conditions reported/week 
.58 reportable events/week

- 7 out of **28** identified events/conditions were deemed reportable = **25%**
**2.3** events/conditions reported/week
- .58 reportable events/week

_**After 14 QTRS.**_
**137**** **out of **533 **events/conditions were deemed reportable =** 26%**
**2.9** events/conditions reported/week
**.7***** ***reportable/week

**CAT Logbook Entries ****(05/1/00 - 12/08/03)**

## Programmatic Review

**Personnel Contamination - 2001 **
**02/14 - (Medical - 801) **
**04/03 - (Medical - 801)**
**04/25 - (HFBR)**
**04/30 - (Chemistry - Radiotracer Lab)**
**09/19 - (Medical - Personal and Vehicle Cont. off-**
**                ****site, UO)**
**10/30 - (BGRR)**
**12/05 - (Medical)**
**Personnel Contamination - 2002**
** ****05/16 - Shoe contamination (AGS)**
**Personnel Contamination - 2003**
**01/16 - (WMD - 865)**
**03/28 - (PET)**
**09/26 - (PET)**
**	****	**

## Programmatic Review

_**Medical department, 2001**_
**01/11 - Workers not signed in on RWP (RAR)**
**02/07 - Worker not wearing RWP req. PPE (RAR)**
**02/14 - Personnel Contamination at 801 **
**04/03 - Personnel Contamination at 801**
**05/03 - D - Waste syst. pipe leak at 801**
**06/14 - SS exposed to Para formaldehyde **
**06/20 - 340 gals of cont. rain water (801)**
**07/11 - 2 liters of clean water leak into RMA**
**07/19 - Failure to sign-in on RWP**
**09/19 - Personal and Vehicle Cont. Off-site, UO**
**10/18 - P-32 spill due to equip. failure**
**11/28 - Movement /Use of Radioactive Disp. without Proper Surveys**
**12/05 - Personnel Cont. at  490**
**12/12 - Rainwater Flooding of Rad. Area at 801**

## Programmatic Review

_**Medical department, 2002**_
**3/05 - Potential release of cont. water from bldg. 801**
**5/10 - L/L analytical lab samples outside of RMA in 490**
**6/20 - Small fire in 490 experimental hood**
**7/16 - < 25 ml of Ketamine (controlled substance) found in injection vial located in empty lab at 490**
**9/04 - Work performed under expired RWP at 490**
**9/13 - Unqualified worker operates CERF source**

## Programmatic Review

_**Medical department, 2003**_
**01/28 - Loose Inner Electrical Panel cover (at 490) results in ****	****	****         sparking when outer door opened**
**03/06 - Liquid scintillation vials poured into 5-gallon Carboy ****	****	****         outside of the posted dispersible area in bldg. 490**
**01/09 - 120VAC light ckt. (deenergized) damaged during core ****	****	****         drilling at 490**
**04/01 -  Improper Entry into Oxygen Deficiency Hazard Area**
**09/12 - Worker enters RWP area (490) without signing RWP**

## Programmatic Review

_**NSLS, 2002**_
**01/29 - 10 nG Staphyloccal Enterotoxin B crystals **
**04/19 - Electrical shock **
**09/22 - Hutch entered without signing RWP**
**10/02 - Fork truck strikes electrical panel **
**10/04 - Light beam strikes worker eye **
**10/06 - Staff (4) on exp. floor without TLD’s**
**12/27 - Carpenter at NSLS strikes energized 24VDC fire alarm wiring**

## Programmatic Review

_**NSLS, 2003**_
**01/09 - Fire in cabinet extinguished in < 3 min.**
**01/10 - Loss of cooling to sextapole magnet results in smoke/precautionary evacuation**
**03/20 - Guest ignores restricted area posted requirements **
**06/01 - Worker slips and injures arm**
**09/08 - Injury to hand while operating lathe  **

## Programmatic Review

- _Physics, 2003_
**06/30 – Employee Received an Electric Shock to Hand**
**09/24 – GERT expires, same TLD worn for several months @ ATF**
**10/31 – Missing source discovered at Physics **

## Programmatic Review

_**Utilities struck:**_
_**2000**_
**10/02 - Sanitary line severed near 801**
**10/27 - Worker hits energized UG cable**
**11/07 - Strike of 480 volt UG cable**
_**2001**_
**03/27 - UG abandoned comm. cable struck**
**03/29 - Backhoe scraps steam line  **
**04/26 - Backhoe strike of 208 VAC cable**
**07/03 - Backhoe strike of 208 VAC cable**
**09/17 - Van hits fill ass. of LPG tank**
**09/26 - Phone line damaged when digging near FH**
**10/03 - 2 in. above grd water line broken by bulldozer**
**11/28 - Backhoe strike of 4 - inch water line  **

## Programmatic Review

_**Utilities struck:**_
_**2002**_
**04/30 - Aband. control wiring hit during sanny upgrade**
**05/07 - GC drilled anchors into elect. duct bank near 911**
**06/06 - Minor utility strike during horiz. boring activities**
**09/28 Truck driver backs into 13.8KV BAF power supply**
_**2003**_
**01/08 - Contractor severed low voltage comm. cable ****	****     ****	****         near bldg. 51**
**05/08 - Deenergized cable struck during excavation near  ****	****         911A**
**08/12 - Forklift strikes overhead wire**

## Programmatic Review

**Transportation Issues:**
_**2001**_
**          ****07/27 - Misclass. of PCB Waste shipped offsite from BGRR**
**          ****11/14 - Over-wt. Shipment of LLRW from BGRR**
**          ****11/19 - Misclass. of Rad. Material Shipped Offsite from BMRR**
_**2002**_
**          ****06/07 - Damaged 55 gallon drum of solidified waste**
**                      ****discovered upon arrival at Hanford Burial Ground**
_**2003**_
**          ****02/05 - Fuel cask shipped to SRS arrives with cont. > DOT                    ****	****         limits**
**	****     ****11/07 - Waste oil shipping papers signed by unauthorized person**
**          ****11/07 - Unapproved carrier ships PCB cont. soil from BNL**

## Programmatic Review

_**Electrical Shock Hazards**_
_**2001**_
**  ****10/03 - Electrical Incident at Cyclotron**
_**2002**_
**   ****04/19 - Electrical Shock @ NSLS**
**   ****09/24 - Worker at AGS receives <24 VDC**
_**2003**_
**   ****06/27 - Electrical Shock @ Physics**

## CAT CHAT!

**Categorizers in training**
**Andy Levine**
**Patti Bender**
**Electronic Categorizers Form **
**Date and time called **
**Cause Codes in support of Performance Analysis**
**Old vs. New system**
**Corrective and Preventive Action Subject Area**
**Keep Your Friendly Local Fac Rep Informed**

## A Year in Review BNL & BAO taking the Lead for Science

**Attendance @ SRS ORPS Workshop (1/22-23/03)**
**Value Added Feedback Through 5 Targeted ORPS Re-design Workshops @ BNL **
**(2/06/03)**
**(3/11/03)**
**(4/22/03)**
**(5/01/03)**
**(5/29/03)**
**BNL/BAO Provides Feedback during RevCom review BNL Attends DC ORPS Training (6/10-12)**
**BNL/BAO provides Beta Testers for new ORPS Database**
**ORPS Re-design Implemented at BNL on 11/10/03**

## CAT Team Workshop

**CAT Team Action Item Review**
**Meeting Evaluation and Wrap-Up**

**NYCM**