# Presentation: 473308

## SUBORBITAL AND SPECIAL ORBITAL PROJECTS DIRECTORATE

**Executive Safety & Health Council**
**Code 803**
**May 22, 2007**

## Agenda

**Standing Reports**
**Old Business **
**	****- Traffic Patterns Improvements – Ken Stover**
**	****- Safety Awareness Campaign Update – Robert Nock**
**	****- Blockhouse 3 Close Call – Dean Carroll**
**	****New Business**
**	****- Safety Awareness Campaign Update – Robert Nock****	**
** ****	****- Blockhouse 3 Close Call – Dean Carroll**
**	****- Hurricane Plan – Terry Potterton**

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## Standing Reports

**Employee Safety Committee**
**Contractor Safety Council **
**FOM (Feb, May, Aug, Nov)**
**Mishap Status **
**Help Desk Safety Calls**
**Work Center Score Card (Jan, Apr, Jul, Oct)**

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## Employee Safety Committee

**Mr. Wayne Redmond, Chairman**

## Employee Safety Committee

**	**

**April 17th meeting:**
**All codes and supporting organizations were represented except AFGE and the Wallops Contractor Safety Committee Liaison.**
**       **
**    ****Roger Mason/589                                      John Brinton/810 **
**    ****Robert Tittle/614                                        Larry Duffy/840 **
**    ****Becky Chow/800                                        David Stuchlik/820 **
**    ****Wanamaker Lawrence/273                       Rich Billger/113 **
**    ****Andi Wessells/708                                    Evoralyn Thomas/830 **
**    ****Karen Thornes/WEMA                              Leslie Wright/250 **
**    ****Joe Ruffing/548                                         Joan Murden/210 **
**    ****Steve Nelson/500                                      Linda Layton/453 **
**    ****Jim Lagarde/569                                       Scot Heatwole/598 **
**    ****Robert Nock/803                                       Joe Mitchel/250**
**    ****Wayne Redmond/228**
** **

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## Employee Safety Committee (Cont’d)

**Chairman’s Report:**
**      **Wayne Redmond discussed the following:
-      -  Upcoming Wallops Executive Safety Council
-         presentation by Ken Stover, facilities engineer,
-         on the Building F-7 Blind Corner Issue.
-      -  CPR Training currently in session at Wallops
-      -  Follow up to driving hazards & cell phone usage
-      -  J-10 tower safety & maintenance

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## Employee Safety Committee (Cont’d)

**New Business:**
-   **Robert Nock**/Code 803.2:
-   - Distributed a list of monthly safety topics
-   - Solicited ideas for new safety topics and ways to improve our next Safety Awareness Campaign (SAC) event
-   - Distributed grass cutting safety handouts
-   - **Joe Ruffing** recommended a data base for building  evacuation plans.  **Wayne Redmond** stated a class on drafting building evacuation plans is scheduled for June; a data base may be considered as part of the class/workshop discussion.

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## Employee Safety Committee (Cont’d)

**Hazard Awareness: **
-     **Jim Lagarde** held an excellent power point presentation on controlling/isolating hazardous energy through lockout/tag out.
-    Jim’s presentation included the following:
-  - Examples of incidents resulting from lockout/tagout noncompliance
-  - Definition of hazardous energy
-  - Definition of lockout/tagout
-  - Types of lockout devices
-  - Tag requirements
-  - Why procedures are a requirement

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## Employee Safety Committee (Cont’d)

**Open Agenda:**
-      There was a general discussion concerning home accidents that often result from simple negligence and compliancy.
-     **Action Items:**
-     The advantages and disadvantages of extending the chairmanship position term period will be discussed in the May meeting.
**    ****Status – open**
-     A lockout/tagout hazard awareness presentation will be conducted by our Code 569 Representative in the April meeting.
**    ****Status – closed**
-     Stan Williams will distribute (e-mail) the hazard awareness presentation used in the April meeting to all members/alternates.
**    ****Status – closed**

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## Contractors Safety Council

**Mr. Erik Lester**
**Chairman**

## Contractors Safety Council

***Attendance (May 8, 2007)***
**NAME****	****	****	****	****	****PRESENT****	****	****ABSENT**
- Aerosonde								A
- BaySys					P
- CSC/803.2					P
- EG&G/900					P
- ES Action					P
- Hawk Institute for Space Sciences			P
- Health Unit/250				P
- ManTech					P
- NASA Code 803				P
- NASA EmSC rep.				P
- NENS/HTSI				P
- NSROC					P
- SGT					P
- RBSPI					P
- Siemens								A
- Wesco								A
- WICC								A

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## Contractors Safety Council (Cont’d)

**Agenda:**
** **
**	****	****New Business/Old Business**
** ****	****	**
**	****	**Program Builder for May
- 		February Incident Report
- 		Vice-Chairperson Election Results

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## Contractors Safety Council (Cont’d)

**	****	**

**Review of Action Items from April 2007 meeting **
**	**
**	**Safety Awareness Campaign—Action Closed
- 	Vice-Chairman Election – Action Closed
**Monthly Incident Report**
- 	Provided by Marvin Bunting
**Upcoming Safety Training**
- 	Range Safety Operations (NTSC)	07/16/07 – 07/20/07

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## Incident Data

- Mishap Data

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## Close Call Details

-      On Friday, April 6, 2007, just before the NFIRE dry run was to occur, it was determined that a TOPS intercom was “motor boating” at W-20. Because of the time frame in which the failure occurred and the fact that there were other intercoms in the area which could be utilized, a decision was made to hold off troubleshooting procedures until Monday.
-      On Monday, April 9, 2007, Two NENS employees deployed to Blockhouse 3 (W-20) to troubleshoot and repair the Com issue. At this point it was determined that the Com in question needed to be changed out. As one employee was disconnecting the power cord from this intercom, the back shell of the interface connector separated from the cord, causing the hot wire to come in contact with the back shell of the connector. This caused a spike on the NASA power circuit.

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## Close Call Details

-      Later that day, a burnt electrical  smell emanated throughout the blockhouse. A NENS employee investigated and determined that the smell was coming from the “Light Tree” area. Also at this time, the light tree was not operating, as NENS had not yet investigated the severity of the problem as it was getting close to the end of the work day. One employee then proceeded to unplug all equipment in the associated area to prepare for the evening.** **On Tuesday, April 10, the same employee and one other deployed to blockhouse 3 to troubleshoot the effected equipment. Upon arrival, they initially powered up the equipment and found it non-operational (as expected). The design engineer who designed and set up the light tree was contacted. After a discussion with him, the 12V to power the Fiber Receiver was determined to be out and a bad power supply was suspected. They then went to the CTX building and borrowed a 12V power supply from there. After plugging this unit into the power strip, it too was inoperative. They then took the same power supply and plugged it into the outlet that was feeding the power strip. The unit worked nominally. They then replaced the power strip (which after checking was putting out 20 volts A/C).

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## Close Call Details (Cont’d)

- Upon power up of the new power strip, the red indicator illuminated. Further testing by switching the three boxes in the RCC from NO GO to GO verified good fiber connectivity and switching from red to green at all units.
-      There were no injuries sustained in this incident.

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## Close Call Details (Cont’d)

- _Corrective Actions_
- Inclusion of the hazard on the Job Safety Analysis (JSA)
- Entering of the incident, the assignment of follow-up and verification of corrective actions into the Honeywell eCATS (Electronic Corrective Action Tracking System) and tracking to closure
- ‘Assurance of secure fastening of intercom interface connectors’ will be an additional item on the Maximo PM schedule for the TMG/COM group
- Lessons Learned from this incident will be shared with the NENS Organizational Safety Committee, WFF Contractors Safety Council, the Honeywell Safety Organization and the WFF Employees Safety Committee.
**  **

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## Emergency Responses

**WFD Status Report – April 2007**
**Apr. 2 – V-10 – Elevator Rescue, no entrapment**
**Apr. 10 – Navy Housing – Ambulance Response, transport patient to SMH**
**Apr. 11 – NOAA – Fire Alarm Response, false alarm, maintenance was performed in room housing sensor**
**Apr. 12 – F-1 – Ambulance Response, patient transported to SMH**
**Apr. 14 – F-3 – Fire Alarm Response, false alarm, system reset**
**Apr. 18 – E-107 – Fire Alarm Response, undetermined cause, detector replaced**
**Apr. 19 – V-20 – Rescue Response, elevator rescue**
**Apr. 20 – E-2 – Fire Response, butt can fire**
**Apr. 20 – N-162 – Fire Alarm Response, false alarm**
**Apr. 23 – Mutual Aid/Sta#3 – Fire Response, structure fire**
**Apr. 25 – R-20 – Ambulance Response, patient transported to PRMC**
**Apr. 28 – Mutual Aid/Sta#3 – Ambulance Response, patient transported to PRMC**

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## SAFETY WORK ORDER STATISTICS

**Presented by Jim West**
**WICC Program Manager**
**The Cube Corporation**
**April 2007**

## Help Desk Safety Calls 

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## Help Desk Safety Calls (Cont’d)

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## Help Desk Safety Calls (Cont’d)

**SAFETY WORK ORDERS-IN PROGRESS**
**	**** ****January  2006**

**	**** **

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## Help Desk Safety Calls (Cont’d)

**In Progress Work Order Explanations**

** **
**   **

**Work Orders in excess of 60 Days:**
** ****E-2  Realign stanchion – Seeking funds **
** ****J-20 Repair exhaust on Little Joe rocket V-24 -Schedule conflicts have      prevented timely completion **
** ****V-24 Repair of Ladder Cage – Outage Scheduled for 5-18-07**
** ****F-160 Fume Hood Repair – Inadvertently removed from list in previous report, but scheduled for completion within two weeks. **
** ****E-2 gaskets – final gasket received was wrong type, materials still on order**
** ****Launcher light pole – initial safety concern abated – more anchors were to be installed after NFIRE.  Currently the need for the pole is being reviewed (may be removed). **
**Work Orders 30 days old:**
** ****E-2 Cracked Tiles – Options are being explored, since past repairs have  led to total flooring replacement. **

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## Help Desk Safety Calls (Cont’d)

- Summary
**	****Total works orders received for the most recent 12 month period (5/06 to 4/07):   535**
**	****     ****	****       ****5/05 to 4/06 :      577**
**	****Average Response for current period:****	****Greater than 2 days each      3 work orders  (9%)         **
**	****	****Response within 2 days      29 work orders (91%)**

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## W-20 (Blockhouse 3) Incident Root Cause Analysis 

**NENS Health, Safety and Environmental Specialist**
**May 22, 2007**

**W-20 (Blockhouse 3) Incident Root Cause Analysis**** **

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## W-20 (Blockhouse 3) Incident Root Cause Analysis

**Ron Walsh’s NFIRE Daily Status Report for Tuesday, April 10 stated,**
**“****Yesterday, a mishap occurred in W-20 where NENS was working on a TOPS Intercom unit and the power cord was accidentally pulled from the unit resulting in the live power cord wires becoming exposed outside of the unit’s rear power connector. The live power cord hot wire then came in contact with one of Orbital’s racks of flight GSE resulting in a short circuit, sparks, the smell of an electrical short, and Orbital’s UPS’s providing power to the flight GSE tripping. No personnel were injured. However, the power supply to the NASA Light Tree mounted in W-20 was damaged and had to be replaced today. The Light Tree is again functioning properly. As a result of this mishap, Orbital spent part of today running extensive diagnostic tests on all of their flight GSE in W-20. As of late this afternoon, Orbital had not identified any adverse effects to their flight GSE, but they will continue their diagnostic testing tomorrow.” **
*Slow Down!...Do the job safely!*
*Slow Down!...Do the job safely!*

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## Rear View – Intercom Receiver

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## W-20 Incident

- John Vankleef (NENS TMG/COM Lead) Synopsis of the W-20 Incident from the NENS Safety Office investigation interview on Wednesday, April 11
- - On Friday, April 6, 2007, just before the dry run was to occur, it was determined that a TOPS intercom was “motor boating” at W-20. Because of the time frame in which the failure occurred and the fact that there were other intercoms in the area which could be utilized, a decision was made to hold off troubleshooting procedures until Monday.
*Slow Down!...Do the job safely!*

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## W-20 Incident

- On Monday, April 9, 2007, Mr. Ronnie Thomas and Mr. Joe Ferster deployed to Blockhouse 3 to troubleshoot and repair the Com issue. At this point it was determined that the Com in question needed to be changed out. As Mr. Thomas was disconnecting the power cord from this intercom, the back shell of the interface connector separated from the cord, causing the hot wire to come in contact with the back shell of the connector. This caused a spike on the NASA power circuit.

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## Power Interface Connector

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## W-20 Incident

- Later that day, a burnt electrical  smell emanated throughout the blockhouse. Mr. Thomas investigated and determined that the smell was coming from the “Light Tree” area. Also at this time, the light tree was not operating, as we had not yet investigated the severity of the problem as it was getting close to the end of the work day. Mr. Thomas then proceeded to unplug all equipment in the associated area to prepare for the evening.

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## Light Tree Area

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## W-20 Incident

- On Tuesday, April 10, Ronnie Thomas and myself (John Vankleef) deployed to blockhouse 3 to troubleshoot the effected equipment. Upon arrival, we initially powered up the equipment and found it non-operational (as expected). We then contacted Mr. Mike Martone, who is currently on TDY in Coquina, N.C., as he was the engineer who designed and set up the light tree. After a discussion with Mr. Martone, the 12V to power the Fiber Receiver was determined to be out and a bad power supply was suspected. We then went to the CTX building and borrowed a 12V power supply from them. After plugging this unit into the power strip, it too was inoperative. We then took the same power supply and plugged it into the outlet that was feeding the power strip. The unit worked nominally. We then replaced the power strip (which after checking was putting out 20 volts A/C).

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## W-20 Incident

- Upon power up of the new power strip, the red indicator illuminated. Further testing by switching the three boxes in the RCC from NO GO to GO verified good fiber connectivity and switching from red to green at all units.
- Those present during the incident were Ronnie Thomas and Joe Ferster (NENS) and 1 person from General Dynamic who has not been identified.
- There were no injuries sustained in this incident.

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## W-20 Incident

- _Direct Cause_
- Loose interface connector exposing hot wires
- _Root Cause_
- Non identification of the hazard and documentation on the Job Safety Analysis

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## W-20 Incident

- _Note:_
- The OSHA Lockout/Tag Out Standard (1910.147) does not apply to this situation because it involved:
- 1910.147(a)(2)(iii)(A)“Work on cord and plug connected electric equipment for which exposure to the hazards of unexpected energization or start up of the equipment is controlled by the unplugging of the equipment from the energy source and by the plug being under exclusive control of the employee performing the servicing or maintenance.”

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## W-20 Incident

- _Corrective Actions_
- Inclusion of the hazard on the Job Safety Analysis (JSA)
- Entering of the incident, the assignment of follow-up and verification of corrective actions into the Honeywell eCATS (Electronic Corrective Action Tracking System) and tracking to closure
- ‘Assurance of secure fastening of intercom interface connectors’ will be an additional item on the Maximo PM schedule for the TMG/COM group
- Lessons Learned from this incident will be shared with the NENS Organizational Safety Committee, WFF Contractors Safety Council, the Honeywell Safety Organization and the WFF Employees Safety Committee.

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## Status Report

- U-50 Chlorine Alarm out of service for maintenance.
- F-9 Fire Alarm is out of service.   Impairment plan has been implemented.  Phone line problem.
- F-7 Master Trouble due to FM-200 system in Anechoic chamber being out of service.   System was removed from service until contractor can correct issues causing unnecessary discharge of system.
- The hydrant between N-159 and N-116 is out of service.  Work order has been submitted for repair.  This hydrant is a secondary water source for N-116 and N-159 and has a low impact on F. D. operations.
- V-10 P.I.V. For the sprinkler was hit by a vehicle.  The valve is not leaking.  B. Hoffken has placed a work order.  #B3077354

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## Lessons Learned from the Code 500 SAC

**What did well**
- Most of the sessions were very well attended.  About 80% of the attendees thought the sessions were better than average.  About 17% of the attendees completed feedback forms.
- Use of hosts for each presentation worked extremely well. Hosts presented the speaker, got the rosters signed and passed out the evaluation sheets.
- Everyone seemed to like Jeopardy.
- Passing the evaluation sheets out near the end of the presentation and standing near the door as employees left seemed to get more folks talking about what they thought of the presentation.
- Everyone liked the pamphlet that was used.
- Forming a team to determine topics and get volunteers to help out.  I think this helped get more participation throughout the directorate. Had over 40 supervisors and employees volunteering to help out in some manner (did not include speakers) during the actual week.
- Publicizing the event within Code 500. Having this as the subject of the newsletter a month and a half before the event.  Having Orlando send out an email blaster and then having Bruce send a follow-up to Division management telling them we required personnel to attend.  Found once we got them there, they liked it and were more willing to attend next year.

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## Lessons Learned from the Code 500 SAC

**What could be done better**
- Double check the conference rooms for capacity and equipment well in advance.  In some cases, Melonie thought she had scheduled the larger conference rooms, but did not.  In building 32, must schedule both rooms E103 and E109.  In building 33, the large conference room is H114, but also has two sections.
- Plan on using only the very largest facilities for most presentations.
- MCC not good for taping presentation and has no web cast capability.
- Have a better briefing or set of instructions for hosts.
- Vendor fair not adequately advertised, so few attendees.
- Some vendors not badged and had to be escorted.  Vendors did not know to list all attendees.
- There were IT problems with the Wallops connection so they couldn't see the video on the opening kick-off.
- Even though we had a registration this year some people were unaware of it, and there was no enforcement of it either.  There were cases where people had registered and couldn't get into the room.
- The laser safety training was said to be misleading - more of an overview verses training.
- Should let personnel know it’s mandatory to attend at least 2 sessions a little sooner
- Haven’t articulated why we need a safety week with associated sessions Even though managers know the rationale, it hasn’t been communicated to the troops yet

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## Lessons Learned from the Code 500 SAC

**Other suggestions**
- Suggest getting all the presentations on the safety web site if possible.
- Might think about creating a CD that could be handed out like they do at many symposiums.
- A preliminary flyer or announcement should come out about 1 month before the campaign with the final agenda about a week before.

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## WFF Safety Awareness Campaign

**August 8, 2007, 9am to 4pm         (Draft)**
**All Hands in D-10 Safety Activities, Information, and Mission **
- ---Dr. Campbell (Introduction and Purpose)
- ---Craig Purdy
- ---Caroline Massey
- ---Steve Nelson
- ---Judy Bruner
- ---Les McGonigal
- ---Terry Potterton
- ---Armando Lopez
- ---Melonie Scofield
**Manned Tables –Related Safety  Activities and Mission**
- ---Occupational Safety
- ---Employee Safety & Health Committee
- ---Range Safety Group
- ---Fire Dept.
- ---Aviation Safety
- ---Environmental
- ---Contractor Safety Committee
- ---WICC
- ---CSC

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## WFF Safety Awareness Campaign

- ---ManTech
- ---MARS
- ---NOAA
- ---Marine Science Consortium
- ---Coast Guard
**Demonstrations of life saving equipment and techniques**
- ---CPR
- ---AED
**FOM—Evacuation Plans**
**---**WFF buildings
- ---Home Evacuation Plans—Fire Marshal
- ---Child in-home safety---Fire Marshal
**Safety Videos**
- --- Shown 1p.m. to 4p.m. on WFF television
**Safety walk through**
**---Managers with 803**
**---Supervisors**
**Feed back ---what went well, and what did not go so well**
**---Back to Robert by August 15th.**

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## Action Items

| Action ID | Actionee(s)
 | Action |
| --- | --- | --- |
| 4/26-1 | Robert Nock | Decide where designated smoking areas are and Code 200 will put up signs.  Dr. Campbell suggested the signs be put in the GIS layer. |
| 4/26-2 | Terry Potterton | Review the closure of the uncertified lift of concrete building.  Do a complete investigation and confirm if it was a close call or not.  As soon as you confirm, meet with Dr. Campbell and Caroline Massey with the results.  Present your results at the next ExS&HC meeting. |
| 4/26-3 | Dr. Spinak | Submit lessons learned regarding medical evaluations from hydrazine close call to project manager. |
| 4/26-4 | Tom Wilson/803 | Inspect displays at the Visitor’s Center. |
| 4/26-5 | Caroline Massey | Look a the environmental issues of draining the outlet at Bldg. N-159. |
| 4/26-6 | Les McGonigal | Talk with Ed Parrott to see if SU students are coming for the summer.  Ask for interns for summer that will survey the whole area and identify every structure owner, leave room for maintenance records, and create a GIS layer for them. |
| 4/26-7 | Ken Stover | Have one Tower Users Group Meeting to get it set up. |

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## Action Items (Cont’d)

**	**

| Action ID | Actionee(s) | Action |
| --- | --- | --- |
| 4/26 – 8 | Robert Nock | Interface with Greenbelt to see how their Stand Down day went. |
| 3/28-1 | Terry Potterton | Find out how to apply the resources for checking on close calls, i.e., bathroom stall door falling from hinges and loose floor tiles. |
| 3/28-2 | Robert Nock | Add outstanding issues into  the crash, fire, and rescue report. |
| 3/28-4 | Robert Nock | Distribute yearly catalog of safety topics to EmSC & CSC.  Put in Inside Wallops.  Present calendar every month (tell Progress). |
| 3/28-5 | Robert Nock | Make safety issues and problems on facility personal (organizations and buildings) without using names. |
| 3/28-6 | Robert Nock | Get input from the ExS&HC members, EmSC, and CSC on the emergency cards.  Place cards in MEC, Dorms, Security, and Cafeteria. |
| 2/27-5
 | Jim West | Check on the status of the fire alarm in Building F-9.
 |
| 2/27-11 | Caroline Massey | Task Facilities Management to complete the Asbestos Management Plan.  Marv Bunting will support.  Report in April. |
| 12/19-1 | Les McGonigal | Ensure upcoming Flight Safety Systems and Range Safety Operations courses are full. |
| 12/19-8 | Terry Potterton | Determine what actions we need to take with building evacuation plans per the GPR (annual review and update) and meet with FOMs in their January meeting to work the issue with them. |
| 10/24 – 5
 |  Terry Potterton
 | Provide Emergency Evacuation Plan training to FOM meeting in June.
 |

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