Worker Safety & Health (WSH) Technical SubGroup EFCOG Winter Meeting

1. Worker Safety & Health (WSH) Technical SubGroupEFCOG Winter Meeting Mary FloraSavannah River Nuclear Solutions, LLC Mark Brynildson Sandia National Laboratories Worker Safety and Health Subgroup Chair January 27, 2016

2. The WSH Technical SubGroup is composed of five Technical Task Groups (TTGs) • Electrical Safety (ES) - Heath Garrison, NREL • Industrial Hygiene & Safety (IHS) - Dina Siegel, LANL (now includes the former Chemical Safety and Lifecycle Management TTG) • Radiation Protection (RP) - Jerry Kurtz, WRPS/Hanford • Laser Safety (LS) - Mike Woods, SLAC NAL • Occupational Medicine (OM) - Jamie Stalker, ANL DOE Liaison: Pat Worthington, DOE-HQ, AU-10

3. Worker Safety and Health Technical Subgroup WSH Technical Subgroup Mary Flora, SRNS – Chair Steve Harris, LLNL – Vice Chair Mark Brynildson, SNL – Secretary Strategic Planning Working/Subgroup Officers Sponsor & Liaison Members EFCOG BOD Sponsors Linda Bauer Dennis Carr Ray Skwarek Industrial Hygiene & Safety* Dina Siegel, LANL – Chair Mark Haskew, BWXT – Vice Chair Michael Ratelle, SLAC – Secretary Occupational Medicine Jamie Stalker, M.D., ANL – Chair John McInerney, M.D.,ORAU – Vice Chair VACANT– Secretary Radiation Protection Quang Le, LBNL – Chair Jerry Kurtz, WRPS/Hanford – Vice Chair Bob Miltenberger, SNL – Secretary Technical Task Groups Laser Safety Mike Woods, SLAC – Chair Mendy Brown, SNL – Vice Chair Matthew Dabney, NREL– Secretary Electrical Safety Heath Garrison, NREL– Chair Richard Waters, INL– Vice Chair Jim Wright, BNL– Secretary Greg Christensen, INL– Chair Emeritus DOE WSH Technical Subgroup Liaison Pat Worthington, DOE-HQ, AU-10 DOE Points of Contact Worker Safety and Health Bill McArthur, DOE-HQ, AU-11 Electrical Safety: Mike Hicks, NE-ID Industrial Hygiene & Safety: David Weitzman, DOE-HQ, AU-11 Occupational Medicine: Pat Worthington, DOE-HQ, AU-10 Radiation Protection: Jim Dillard, AU-31, AU-11 Laser Safety: Steve Singal, DOE-HQ, AU-11 * Includes Chemical Safety and Lifecycle Management 1/15/2016

4. Electrical Safety

5. Electrical Safety TTG Planned ActivitiesApproximately 85 members, and an additional 120 participants from a total of 40 companies.Electrical Safety DOE POC: Mike Hicks, NE-ID • 3.2.4 Achieve authority having jurisdiction (AHJ) reciprocity for DOE electrical equipment. • On track to meet the end of CY16 goal. • Working with the DOE National Training Center. • SharePoint site developed and training being drafted. • Benefits all sites and acceptance of electrical equipment. • 3.2.7 Develop best practice for “Controlled Work Area” as this relates to electrical safety boundaries. • Published to EFCOG site as BP#184. • Benefits all sites LOTO programs. • 3.2.8 Develop best practice for “Zero Energy Verifications” as this relates to lockout/tagout. • Canceled the activity, we will not develop this BP. • This activity is expected to already be in each sites LOTO or electrical safety program.

6. Electrical Safety TTG Planned Activities • 3.2.9 Develop best practice for “Physical Separation” as this relates to lockout/tagout. • Published to EFCOG site as BP#180. • Benefits all sites LOTO programs. • 3.2.10 Develop materials for “May, National Electrical Safety Month” and distribute to the entire DOE complex for use. • Theme this year is “Look-a-Like Equipment”. • Materials being developed and will be reviewed at our spring meeting. • Benefits all sites electrical safety programs. • 3.2.11 Develop best practice for “Risk Assessment Process for Electrical Safety”. • Workingon final products. • Will benefits all sites electrical safety programs.

7. Electrical Safety TTG Planned Activities • 3.2.12 Develop best practice for “DC Arc Flash Calculations” as this relates to the Ammerman method used in an excel spreadsheet. • Evaluating Arc-Pro Software • Will benefit all sites electrical safety programs. • On track to meet end of FY16 completion goal. • 3.4.1 Sponsor EFCOG/DOE 2016 Electrical Safety Workshop • Workshop planned for week of July 18-22 at FermiLab • Final plans will be discussed at the spring meeting that is held at the IEEE Electrical Safety Workshop the week of March 7-11. • Expected to have ~150 attend. • Working meeting that produces all the above products. • Products will benefits all sites LOTO and electrical safety programs

8. Electrical Safety TTG – Potential Additions to the Current Activities Plan • Develop best practice for “Defining Attended” as it relates to lockout/tagout. • Completion date will be determined later. • Expected to benefit all sites LOTO programs. • Develop best practice for “Breaker/disconnect Switch Operation and Required PPE” as it relates to arc flash hazards and NFPA 70E 2015 requirements. • Completion date will be determined later. • Expected to benefit all sites electrical safety programs. • Develop best practice for “Contact Release Training” as it relates to NFPA 70E 2015 required training. • Completion date will be determined later. • Expected to benefit all sites electrical safety programs.

9. Industrial Hygiene and Safety

10. Industrial Hygiene and Safety TTG Planned ActivitiesApproximately 80 members from 20 sites/companiesDOE POC: David Weitzman, DOE HQ, AU-11 • 3.2.6 Support DOE RevCom review of updated DOE-HDBK-1139- Chemical Management Volume 3 of 3 (September 30, 2016) • Intended for DOE facilities and external entities. • Final draft in process. • Updated draft to include changes in NFPA. • 3.3.2 Develop a listing and description of data elements for exposure assessment that should be documented in formal records and communicated to workers and management (October 1, 2016) • Target audience is Contractor IH staff with a goal of reporting consistency across contractor organizations. Reports include those for employees and management. • Listing and description of data elements created. • Initial draft completed and reviewed by IHS sub-team. • Final draft for review by IHS TTT expected March 1, 2016.

11. Industrial Hygiene and Safety TTG Planned Activities, continued • 3.3.3 Guidance on the application of physical agent TLVs (i.e. ergonomic, heat stress,...) (September 15, 2016) • Ergonomic • Intended for contractor ergonomists/industrial hygienists and workforce. • Goal is to clarify ACGIH Threshold Limit Value (TLV) wording for lifting, and provide guidance for types of lifting not explicitly covered. • Will also provide training and implementation materials for an implementing Lifting TLV at DOE/NNSA sites. • Heat Stress • Intended for contractor industrial hygienists and workforce with the goal of successful ACGIH Threshold Limit Value (TLV) heat stress implementation. • Identify requirements and changes in ACGIH Heat Stress TLV. • Gather information on common terminology or activities (e.g. boiler maintenance). • Identify low risk to high risk work activities. • Gather control information for workers. • Perform “Detailed Analysis” for select work activities. • Identify physiological monitoring techniques / guidance material.

12. Industrial Hygiene and Safety TTG Planned Activities, continued • 3.3.5.1 Convert RFID best practices white paper to technical guidance document • Intended for DOE facilities and external entities with similar chemical inventory reconciliation needs. • Rough draft completed, includes best practices/lessons learned on security provided at Fall Meeting. • Will be sent for comment to the IHS group by March 1, 2016. Coordinating efforts with Occupational Medicine TTG: • 3.3.13 Benchmark heat stress hazard control and provide best practice recommendations • 3.3.14 Benchmark heavy lifting limit best practices • 3.3.15 Develop Best Practices for Improved IHS/OM Coordination (September 15, 2016)

13. Radiation Protection

14. 2016 Work Tasks for the Radiation Protection Technical Task Group • Task #3.1.1 – “Support to DOE to align requirements in 10 CFR 835 App. D and DOE O 458.1 with those of ANSI N13.12. It is estimated this will complete one year after DOE elects to proceed with the update, plus the normal time usually required for rulemaking.” • The result of this task will affect every DOE facility that works with or has to handle radioactive material or radioactive contamination. • This work can start as soon as the DOE decides to pursue adoption of the ANSI standard and is estimated to take about one year to complete. • DOE POC for this subject: Jim Dillard (AU-11) & Derek Favret (AU-22)

15. 2016 Work Tasks for the Radiation Protection Technical Task Group – Cont. • Task #3.3.6 – “Return to service sampling survey protocol.” • The result of this task will help the overall effort to render DOE contractors practices more consistent, potentially affecting every DOE facility that ships or receives radioactive material. • Inputs on survey protocol have been incorporated into the draft white paper written jointly by the RP and Transportation Packaging task groups. • Completion of this task depends on comments for the white paper and resolution of those comments. • DOE POC for this subject: Jim Dillard (AU-11)

16. 2016 Work Tasks for the Radiation Protection Technical Task Group – Cont. • Task #3.3.X – “Provide guidance/direction for the Health Physics Instrumentation Committee (HPIC). Leverage the expertise of this committee’s membership to benefit the entire complex by tasking them with investigation of issues surrounding HP instrumentation and recommendation for best solutions.” • The result of this task will potentially benefit every DOE facility that has to detect/measure radiation. • An RP Sub-task group was formed to create a draft, by March 2016, of either a Charter or MOU for HPIC. • This task is estimated to be completed by end of CY2016. • DOE POC for this subject: Jim Dillard (AU-11)

17. 2016 Work Tasks for the Radiation Protection Technical Task Group – Cont. • Task #3.3.Y – “Develop white paper on the complex-wide issue of radiation protection (RP) professional qualification and on the approach to plan for future staffing needs. ” • The result of this task will affect every DOE facility that works with or has to handle radiation. • An EFCOG RP sub-task group has been created to work on the white paper. • This task is estimated to be completed by end of CY2016. • DOE POC for this subject: Jim Dillard (AU-11)

18. Laser Safety

19. Laser Safety Technical Task Group 31 members from 20 DOE sitesDOE POC: Steve SingalLSTG website • WP 3.3.8 DOE-NTC SAF-115DE Laser Safety Course Revision • General laser safety training for laser personnel. 2.5-hr web-based course. Originally developed at LLNL, then adapted by NTC in 2006-2007 for use at all DOE sites. LSTG specified course revisions and NTC is developing revision. • Completion: course revision published on NTC LMS development server in Dec 2015. • Publish on production server ~mid-Feb. Implement at DOE sites starting in March. • Deliverable: course published on NTC LMS + source files made available to DOE sites • to download for interfacing with their own LMS. Will track implementation at • DOE sites + how many take course. • Benefits: • Standardize training and controls requirements for laser personnel. • Follows ANSI Z136.1-2014. • High quality training course • Reciprocity for laser personnel working at multiple DOE sites • (inquiring on policy to make course source files available outside DOE; • e.g., other government labs and universities)

20. Laser Safety Technical Task Group

21. Laser Safety Technical Task Group • WP 3.4.5 11th DOE Laser Safety Officer Workshop • September 27-29, 2016 at Fermilab. 150 participants from DOE and other government • agencies, universities and industry. 2.5-day Workshop, including a Vendor Exhibit, followed by LSTG annual meeting. University LSO group will meet in parallel with LSTG annual meeting. Board of Laser Safety will offer CLSO exam on Sept 26. • Status: • Website is live and registration opened Jan. 4. • Abstract submission open • Workshop committee is developing program. • Benefits: • Networking for LSOs and expanding their knowledge • Discuss laser applications and associated laser safety issues and solutions • Discuss recent incidents and lessons learned • (including 3 eye exposure/injury ORPS incidents in 2015-2016 at NREL, SNL/NM (2x)) • Discuss laser safety programs and best practices

22. Laser Safety Technical Task Group

23. Laser Safety Technical Task Group • WP 3.3.9 Benchmarking ANSI Z136 Requirements • Different sites use 2000, 2007 and 2014 revisions of Z136.1. 10CFR851 • specifies Z136.1-2000. Requirements also lack specificity and many are • should rather than shall. LSTG recommended in FY15 to use 2014 revision. • Status: Initial benchmarking survey done in March 2015. Task group prioritized • controls for further study (e.g., LSO + laser supervisor training/organization, • Master Key, eye exam, SOPs, alignment eyewear) • Benefits: achieve consistent policies and best practices at all DOE sites • Completion: ongoing throughout FY16. Present status at LSO Workshop. • Needs follow-up survey + summary report with recommendations. Example from March 2015 survey

24. Laser Safety Task Group • WP 3.3.12 Guidance for using Reflective Eyewear • Evaluate issues and issue recommendations for use. Issues include: • damage to thin dielectric coating, notch filters with narrow wavelength band, • angle-dependent attenuation, higher visible transmission possible. • Benefits: ensure LSOs and laser personnel are knowledgeable of issues. • Completion: issue a guidance document (/Best Practice) by end of FY16. • WP 3.1.2 – Best Practices • ANSI Z136 Evaluation. Draft BP developed and is being reviewed. Based on • FY15 Evaluation Report. (also related to WP 3.3.9) • Completion: March 2016 • DOE-NTC laser course. Submit after course revision is published and then • implemented at some sites. Will track implementation + how many take course. • (see WP 3.3.8) • Completion: September 2016

25. Occupational Medicine

26. Occupational Medicine Technical Task Group Occupational Medicine DOE-HQ POC: Pat Worthington, AU-10 2016 Tasks • 3.2.5 Assessment of concerns with 10 CFR 1046, 707, 712… (April 30, 2016) • 3.2.5.1 Benchmark 707 implementation; identify impacts and assess legal risks • 3.2.5.2 Perform revised 1046 impact analysis (Occ Med Board Certification requirement) and propose alternative verification of competency if applicable) • 3.3.4 Present recommendation regarding laser medical exams resulting from consensus position paper on Z136.1-2014 versus 10 CFR 851 specification of Z136.1-2000, ANSI standard for Safe Use of Lasers • COMPLETED Written Statement Pending.

27. Occupational MedicineWhy These Tasks? Example 3.2.5.2 • DOE contractor occupational medicine programs (SOMDs and associated staff) are concerned about the following: • New regulations that conflict with regulatory requirements set forth by 10 CFR 851 • Cost of implementing these new requirements with current funding/budgetary restrictions • Logistical issues (supply and demand) concerning resources required for implementation of these new regulations • Confusion concerning roles and responsibilities for implementation approvals

28. Example Specifics10 CFR 1046 - Medical, Physical Readiness, Training, and Access Authorization Standards for Protective Force Personnel • Qualification requirements for PPMD not consistent with SOMD requirements in 10 CFR 851 • 1046.4(a)(4) Qualifications. The PPMD shall possess an MD or DO degree; be board certified or board eligible in occupational medicine • 1046.4(b)(3) Nominations.To be nominated, a Designated Physician shall possess an MD or DO degree and be board certified or board eligible in occupational medicine.

29. Occupational MedicineDiscovery Through Technical Task Group Benchmarking and Meetings • Current Board Certified physicians at DOE contractor sites (n=16 responses) • OM SOMDs (at release of 1046) = 8, Non-OM (IM, FP, EM)= 8 • Today OM = 10 ( 1 new hire and 1 recent cert), Non = 6 (one in process of OM) • Other current physicians at site (non-SOMDs) = Total 15 – 6FP, 1PM, 1 Surg, 1 ER, 5 OM, 1 FP (not BC), physician extenders not counted • Number of sites currently without any Occ Med Board Certified physician • 3 or 4? • Number of graduates from Occupational medicine programs each year • <50 • Availability of complimentary pathway programs in the United States (requires Graduate courses to get MPH then residency in Occ Med) • 1 residency program = UPenn • Outlook for future alternative pathway programs (of 22 other US Occ Med Residency programs) • None are planning to open for this in the next 5 years

30. Occupational MedicineDiscovery Through Task Group Benchmarking and Meetings – Cont. • Cost of non-board certified physicians to get board certified • Fours to 5 years of educational time = total costs estimated $100,000 to $150,000 (subsidized) • MPH (2 to 3 year commitment)= $25,000 - $42,000/year • Occ Med residency = currently UPenn is subsidized by NIOSH and HRSA so only costs are time away from work, travel expenses (depends on location - $13 to $25K) and impact on family life (no price tag) • Cost of hire of board certified physician or contractor to fill this position • $500,000/year • Impact on programs whose physicians/SOMDs are going through the certification process: • Lost work days 3 days a month year 1 (36) and 3 days every other month year 2 (18) TOTAL = 54 • Distraction from 10 CFR 851 (and other regulatory driver) implementation and compliance over a 5 year period.

31. Conclusion • 5 Technical Task Groups focused on technical and strategic topics • Strong Contractor and DOE engagement and leadership • Continue 2015 momentum • Spring Meeting, week of March 14, 2016; Washington, D.C.