Safety Update Integrated Safety Management Peer Review Status April 26, 2006

1. Safety UpdateIntegrated Safety Management Peer Review Status April 26, 2006 Eugene Lau Deputy Director EH&S Division, LBNL

2. OS letter to UC Board of Regents FY05 Safety Performance BSO letter to UCOP FY06 1st Qtr Safety Performance Class IV lasers lack proper access control ALS shielding violations Ergo injuries Superglue eye injury Reasons for ISM Peer Review

3. Committed to & Conducted an independent Peer Review of safety management at LBNL Objective: Identify deficiencies in ISM implementation & root cause analysis of leading indicators Review conducted on Jan 17 – 20 , 2006 (3.5 days) Report issued on Feb 10, 2006 LBNL will develop a formal corrective action plan (CAP) to be approved & validated by DOE DOE will validate in July or August LBNL Response

4. Bill Bookless, Chair, AD for Safety and Environmental Protection, LLNL James H. Johnson, Professor of Civil Engineering, Howard University, UC ES&H Panel Member Jim Smathers, Professor Emeritus of Radiation Oncology, UCLA, UC ESH& Panel Member John Cornuelle, Director of Operations, SLAC Tom Dickinson, Consultant on Accelerator Safety, BNL George Goode, Manager of Environmental and Waste Management Services, BNL Dennis Derkacs, ISM Program Manager, LANL DOE observers from EH, PNSO, BSO Peer Review Team

5. LBNL ISM system is sound with many strengths Laboratory staff were very open and frank, not inhibited by DOE observers Fear of reporting incidents noted at all levels Need to ensure more consistent implementation and communication from top to bottom and across divisions Principal Investigators are the most vulnerable link in the line management chain Work planning and control should be more comprehensive and consistently implemented Out-Brief Highlights

6. Review Issues identified by Peer Review Team Extent of Condition Review - 8 previous assessments A peer review team member was invited back for continuity & expert advice A formal root cause analysis was conducted CAP Team formed

7. Line mgt’s execution of safety responsibilities is a weakness No lab-wide way to educate mgrs on how to make safety as an integrated part of activities Facility inspection program needs improvement Span of control unmanageable PI’s and postdocs relationship Lab is in a very reactive posture Focus on TRC/DART rates has a negative impact Work Control program inadequate Assurance of Independent review of ES&H Insufficient resources & others… Issues Identified by CAP Team/Peer Review Report (actionable items?)

8. Management walk-around training developed and piloted Root cause analysis capability enhanced Incident investigation procedures being revised to reduce intimidation factor Integrated Functional Appraisals revised to focus on implementation of authorization documents Division S/A criteria revised to focus on leading indicators Interim Actions Addressing Peer Review Issues

9. Hiring/backfilling key positions i.e. Laser Safety Officer, Electrical Safety Officer, Health Physicist Divisions taking a variety of actions to engage PI’s in safety i.e. meetings, training, realignment of responsibilities, increased walk-arounds Benchmarking with Intel on 3/27/06 Seeking benchmarking relationship with Johnson & Johnson Interim Actions (continued)

10. Weekly written status report to BSO Extent of condition/Back-look and consolidation of themes completed Formal Root Cause analysis of Peer Review Report is about completed Draft actionable items to go out to Divisions – next week? Draft CAP to be developed on May 12 Final CAP to be submitted on June 1 Current Status

11. Current Illness and Injury Performance

12. Best safety performance in a multi-cultural lab? Open Forum

13. Be Safe & Thank You!