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<?xml version="1.0"?><AllQuestions /> <?xml version="1.0"?><Settings><answerBulletFormat>Numeric</answerBulletFormat><answerNowAutoInsert>No</answerNowAutoInsert><answerNowStyle>Explosion</answerNowStyle><answerNowText>Answer Now</answerNowText><chartColors>Use PowerPoint Color Scheme</chartColors><chartType>Horizontal</chartType><correctAnswerIndicator>Checkmark</correctAnswerIndicator><countdownAutoInsert>No</countdownAutoInsert><countdownSeconds>10</countdownSeconds><countdownSound>TicToc.wav</countdownSound><countdownStyle>Box</countdownStyle><gridAutoInsert>No</gridAutoInsert><gridFillStyle>Answered</gridFillStyle><gridFillColor>0,0,0</gridFillColor><gridOpacity>100%</gridOpacity><gridTextStyle>Keypad #</gridTextStyle><inputSource>Response Devices</inputSource><multipleResponseDivisor># of Responses</multipleResponseDivisor><participantsLeaderBoard>5</participantsLeaderBoard><percentageDecimalPlaces>0</percentageDecimalPlaces><responseCounterAutoInsert>No</responseCounterAutoInsert><responseCounterStyle>Oval</responseCounterStyle><responseCounterDisplayValue># of Votes Received</responseCounterDisplayValue><insertObjectUsingColor>Blue</insertObjectUsingColor><showResults>Yes</showResults><teamColors>User Defined</teamColors><teamIdentificationType>None</teamIdentificationType><teamScoringType>Voting pads only</teamScoringType><teamScoringDecimalPlaces>1</teamScoringDecimalPlaces><teamIdentificationItem></teamIdentificationItem><teamsLeaderBoard>5</teamsLeaderBoard><teamName1></teamName1><teamName2></teamName2><teamName3></teamName3><teamName4></teamName4><teamName5></teamName5><teamName6></teamName6><teamName7></teamName7><teamName8></teamName8><teamName9></teamName9><teamName10></teamName10><showControlBar>Slides with Get Feedback Objects</showControlBar><defaultCorrectPointValue>100</defaultCorrectPointValue><defaultIncorrectPointValue>0</defaultIncorrectPointValue><chartColor1>187,224,227</chartColor1><chartColor2>51,51,153</chartColor2><chartColor3>0,153,153</chartColor3><chartColor4>153,204,0</chartColor4><chartColor5>128,128,128</chartColor5><chartColor6>0,0,0</chartColor6><chartColor7>0,102,204</chartColor7><chartColor8>204,204,255</chartColor8><chartColor9>255,0,0</chartColor9><chartColor10>255,255,0</chartColor10><teamColor1>187,224,227</teamColor1><teamColor2>51,51,153</teamColor2><teamColor3>0,153,153</teamColor3><teamColor4>153,204,0</teamColor4><teamColor5>128,128,128</teamColor5><teamColor6>0,0,0</teamColor6><teamColor7>0,102,204</teamColor7><teamColor8>204,204,255</teamColor8><teamColor9>255,0,0</teamColor9><teamColor10>255,255,0</teamColor10><displayAnswerImagesDuringVote>Yes</displayAnswerImagesDuringVote><displayAnswerImagesWithResponses>Yes</displayAnswerImagesWithResponses><displayAnswerTextDuringVote>Yes</displayAnswerTextDuringVote><displayAnswerTextWithResponses>Yes</displayAnswerTextWithResponses><questionSlideID></questionSlideID><controlBarState>Expanded</controlBarState><isGridColorKnownColor>True</isGridColorKnownColor><gridColorName>Yellow</gridColorName><AutoRec></AutoRec><AutoRecTimeIntrvl></AutoRecTimeIntrvl><chartVotesView>Percentage</chartVotesView><chartLabelsColor>0,0,0</chartLabelsColor><isChartLabelColorKnownColor>True</isChartLabelColorKnownColor><chartLabelColorName>Black</chartLabelColorName><chartXAxisLabelType>Full Text</chartXAxisLabelType></Settings> <?xml version="1.0"?><AllAnswers /> LaRC Safety UpdateSafety Directors MeetingMarch 26-29, 2013 Presented by: Jose Caraballo LaRC Safety Managers Meeting March 2013
AGENDA <?xml version="1.0"?><AllQuestions /> <?xml version="1.0"?><Settings><answerBulletFormat>Numeric</answerBulletFormat><answerNowAutoInsert>No</answerNowAutoInsert><answerNowStyle>Explosion</answerNowStyle><answerNowText>Answer Now</answerNowText><chartColors>Use PowerPoint Color Scheme</chartColors><chartType>Horizontal</chartType><correctAnswerIndicator>Checkmark</correctAnswerIndicator><countdownAutoInsert>No</countdownAutoInsert><countdownSeconds>10</countdownSeconds><countdownSound>TicToc.wav</countdownSound><countdownStyle>Box</countdownStyle><gridAutoInsert>No</gridAutoInsert><gridFillStyle>Answered</gridFillStyle><gridFillColor>0,0,0</gridFillColor><gridOpacity>100%</gridOpacity><gridTextStyle>Keypad #</gridTextStyle><inputSource>Response Devices</inputSource><multipleResponseDivisor># of Responses</multipleResponseDivisor><participantsLeaderBoard>5</participantsLeaderBoard><percentageDecimalPlaces>0</percentageDecimalPlaces><responseCounterAutoInsert>No</responseCounterAutoInsert><responseCounterStyle>Oval</responseCounterStyle><responseCounterDisplayValue># of Votes Received</responseCounterDisplayValue><insertObjectUsingColor>Blue</insertObjectUsingColor><showResults>Yes</showResults><teamColors>User Defined</teamColors><teamIdentificationType>None</teamIdentificationType><teamScoringType>Voting pads only</teamScoringType><teamScoringDecimalPlaces>1</teamScoringDecimalPlaces><teamIdentificationItem></teamIdentificationItem><teamsLeaderBoard>5</teamsLeaderBoard><teamName1></teamName1><teamName2></teamName2><teamName3></teamName3><teamName4></teamName4><teamName5></teamName5><teamName6></teamName6><teamName7></teamName7><teamName8></teamName8><teamName9></teamName9><teamName10></teamName10><showControlBar>Slides with Get Feedback Objects</showControlBar><defaultCorrectPointValue>100</defaultCorrectPointValue><defaultIncorrectPointValue>0</defaultIncorrectPointValue><chartColor1>187,224,227</chartColor1><chartColor2>51,51,153</chartColor2><chartColor3>0,153,153</chartColor3><chartColor4>153,204,0</chartColor4><chartColor5>128,128,128</chartColor5><chartColor6>0,0,0</chartColor6><chartColor7>0,102,204</chartColor7><chartColor8>204,204,255</chartColor8><chartColor9>255,0,0</chartColor9><chartColor10>255,255,0</chartColor10><teamColor1>187,224,227</teamColor1><teamColor2>51,51,153</teamColor2><teamColor3>0,153,153</teamColor3><teamColor4>153,204,0</teamColor4><teamColor5>128,128,128</teamColor5><teamColor6>0,0,0</teamColor6><teamColor7>0,102,204</teamColor7><teamColor8>204,204,255</teamColor8><teamColor9>255,0,0</teamColor9><teamColor10>255,255,0</teamColor10><displayAnswerImagesDuringVote>Yes</displayAnswerImagesDuringVote><displayAnswerImagesWithResponses>Yes</displayAnswerImagesWithResponses><displayAnswerTextDuringVote>Yes</displayAnswerTextDuringVote><displayAnswerTextWithResponses>Yes</displayAnswerTextWithResponses><questionSlideID></questionSlideID><controlBarState>Expanded</controlBarState><isGridColorKnownColor>True</isGridColorKnownColor><gridColorName>Yellow</gridColorName><AutoRec></AutoRec><AutoRecTimeIntrvl></AutoRecTimeIntrvl><chartVotesView>Percentage</chartVotesView><chartLabelsColor>0,0,0</chartLabelsColor><isChartLabelColorKnownColor>True</isChartLabelColorKnownColor><chartLabelColorName>Black</chartLabelColorName><chartXAxisLabelType>Full Text</chartXAxisLabelType></Settings> <?xml version="1.0"?><AllAnswers /> LaRC Safety Managers Meeting March 2013 OSHA VPP Re-Certification Visit New Safety Sign Monthly Safety Focus – About People Monthly Maintenance Safety Review
OSHA VPP Re-Certification Visit (December 10-13, 2012) <?xml version="1.0"?><AllQuestions /> <?xml version="1.0"?><Settings><answerBulletFormat>Numeric</answerBulletFormat><answerNowAutoInsert>No</answerNowAutoInsert><answerNowStyle>Explosion</answerNowStyle><answerNowText>Answer Now</answerNowText><chartColors>Use PowerPoint Color Scheme</chartColors><chartType>Horizontal</chartType><correctAnswerIndicator>Checkmark</correctAnswerIndicator><countdownAutoInsert>No</countdownAutoInsert><countdownSeconds>10</countdownSeconds><countdownSound>TicToc.wav</countdownSound><countdownStyle>Box</countdownStyle><gridAutoInsert>No</gridAutoInsert><gridFillStyle>Answered</gridFillStyle><gridFillColor>0,0,0</gridFillColor><gridOpacity>100%</gridOpacity><gridTextStyle>Keypad #</gridTextStyle><inputSource>Response Devices</inputSource><multipleResponseDivisor># of Responses</multipleResponseDivisor><participantsLeaderBoard>5</participantsLeaderBoard><percentageDecimalPlaces>0</percentageDecimalPlaces><responseCounterAutoInsert>No</responseCounterAutoInsert><responseCounterStyle>Oval</responseCounterStyle><responseCounterDisplayValue># of Votes Received</responseCounterDisplayValue><insertObjectUsingColor>Blue</insertObjectUsingColor><showResults>Yes</showResults><teamColors>User Defined</teamColors><teamIdentificationType>None</teamIdentificationType><teamScoringType>Voting pads only</teamScoringType><teamScoringDecimalPlaces>1</teamScoringDecimalPlaces><teamIdentificationItem></teamIdentificationItem><teamsLeaderBoard>5</teamsLeaderBoard><teamName1></teamName1><teamName2></teamName2><teamName3></teamName3><teamName4></teamName4><teamName5></teamName5><teamName6></teamName6><teamName7></teamName7><teamName8></teamName8><teamName9></teamName9><teamName10></teamName10><showControlBar>Slides with Get Feedback Objects</showControlBar><defaultCorrectPointValue>100</defaultCorrectPointValue><defaultIncorrectPointValue>0</defaultIncorrectPointValue><chartColor1>187,224,227</chartColor1><chartColor2>51,51,153</chartColor2><chartColor3>0,153,153</chartColor3><chartColor4>153,204,0</chartColor4><chartColor5>128,128,128</chartColor5><chartColor6>0,0,0</chartColor6><chartColor7>0,102,204</chartColor7><chartColor8>204,204,255</chartColor8><chartColor9>255,0,0</chartColor9><chartColor10>255,255,0</chartColor10><teamColor1>187,224,227</teamColor1><teamColor2>51,51,153</teamColor2><teamColor3>0,153,153</teamColor3><teamColor4>153,204,0</teamColor4><teamColor5>128,128,128</teamColor5><teamColor6>0,0,0</teamColor6><teamColor7>0,102,204</teamColor7><teamColor8>204,204,255</teamColor8><teamColor9>255,0,0</teamColor9><teamColor10>255,255,0</teamColor10><displayAnswerImagesDuringVote>Yes</displayAnswerImagesDuringVote><displayAnswerImagesWithResponses>Yes</displayAnswerImagesWithResponses><displayAnswerTextDuringVote>Yes</displayAnswerTextDuringVote><displayAnswerTextWithResponses>Yes</displayAnswerTextWithResponses><questionSlideID></questionSlideID><controlBarState>Expanded</controlBarState><isGridColorKnownColor>True</isGridColorKnownColor><gridColorName>Yellow</gridColorName><AutoRec></AutoRec><AutoRecTimeIntrvl></AutoRecTimeIntrvl><chartVotesView>Percentage</chartVotesView><chartLabelsColor>0,0,0</chartLabelsColor><isChartLabelColorKnownColor>True</isChartLabelColorKnownColor><chartLabelColorName>Black</chartLabelColorName><chartXAxisLabelType>Full Text</chartXAxisLabelType></Settings> <?xml version="1.0"?><AllAnswers /> We had about 3 months to prepare for the OSHA Team visit LaRC Safety Managers Meeting March 2013
OSHA VPP Team Interviews w/Staff 115 Formal Interviews 96 Non-Formal Interviews _________________________ 211 Total Interviews Mixture of Management, Supervisors, Technical Employees, Administrative Personnel, Clinic Staff, and Center Contractors LaRC Safety Managers Meeting March 2013
Good Practices Apprentice training program Handbooks, posters and hand outs/safety information Monthly safety focus presentations with injuries and illnesses (people vs numbers) PM program improved considerably since last OSHA VPP Evaluation (‘07) Fire/Emergency Preparedness for Center SHAW (Safety & Health Awareness Week) Involvement with Medical Clinic, Vendors, Environmental, Contactors, etc LaRC Safety Managers Meeting March 2013
Good Practices LaRC Safety Managers Meeting March 2013 • Hypersonic Facility Control System • Key safety interlock system (Kirk-Key) • LASER Safety controls and awareness • Medical Clinic has good collaboration with Safety Office • Building Ladder Assessment/Replacement • Facility Safety Head and Facility Coordinator extension of Center Safety Office • Training inclusive of all personnel (contractors, civil service) • ROME Contractor doing good job supporting VPP and Safety Programs of the Center
Items to Correct • One 90 Days Item – B1265 • Address Fall Protection issue at scaffold/grate decking • Immediately placard area limiting access/use (complete) • Implement PPE use policy for access by properly qualified and equipped personnel (complete) • Develop long-term solution (In-Work) LaRC Safety Managers Meeting March 2013
3rd Recertification LaRC Safety Managers Meeting March 2013
Banners change ~ every 3 months LaRC Safety Managers Meeting March 2013
Monthly Safety FocusCenter Leadership Council Example of Charts LaRC Safety Managers Meeting March 2013
<?xml version="1.0"?><Settings><answerBulletFormat>Numeric</answerBulletFormat><answerNowAutoInsert>No</answerNowAutoInsert><answerNowStyle>Explosion</answerNowStyle><answerNowText>Answer Now</answerNowText><chartColors>Use PowerPoint Color Scheme</chartColors><chartType>Horizontal</chartType><correctAnswerIndicator>Checkmark</correctAnswerIndicator><countdownAutoInsert>No</countdownAutoInsert><countdownSeconds>10</countdownSeconds><countdownSound>TicToc.wav</countdownSound><countdownStyle>Box</countdownStyle><gridAutoInsert>No</gridAutoInsert><gridFillStyle>Answered</gridFillStyle><gridFillColor>0,0,0</gridFillColor><gridOpacity>100%</gridOpacity><gridTextStyle>Keypad #</gridTextStyle><inputSource>Response Devices</inputSource><multipleResponseDivisor># of Responses</multipleResponseDivisor><participantsLeaderBoard>5</participantsLeaderBoard><percentageDecimalPlaces>0</percentageDecimalPlaces><responseCounterAutoInsert>No</responseCounterAutoInsert><responseCounterStyle>Oval</responseCounterStyle><responseCounterDisplayValue># of Votes Received</responseCounterDisplayValue><insertObjectUsingColor>Blue</insertObjectUsingColor><showResults>Yes</showResults><teamColors>User Defined</teamColors><teamIdentificationType>None</teamIdentificationType><teamScoringType>Voting pads only</teamScoringType><teamScoringDecimalPlaces>1</teamScoringDecimalPlaces><teamIdentificationItem></teamIdentificationItem><teamsLeaderBoard>5</teamsLeaderBoard><teamName1></teamName1><teamName2></teamName2><teamName3></teamName3><teamName4></teamName4><teamName5></teamName5><teamName6></teamName6><teamName7></teamName7><teamName8></teamName8><teamName9></teamName9><teamName10></teamName10><showControlBar>Slides with Get Feedback Objects</showControlBar><defaultCorrectPointValue>100</defaultCorrectPointValue><defaultIncorrectPointValue>0</defaultIncorrectPointValue><chartColor1>187,224,227</chartColor1><chartColor2>51,51,153</chartColor2><chartColor3>0,153,153</chartColor3><chartColor4>153,204,0</chartColor4><chartColor5>128,128,128</chartColor5><chartColor6>0,0,0</chartColor6><chartColor7>0,102,204</chartColor7><chartColor8>204,204,255</chartColor8><chartColor9>255,0,0</chartColor9><chartColor10>255,255,0</chartColor10><teamColor1>187,224,227</teamColor1><teamColor2>51,51,153</teamColor2><teamColor3>0,153,153</teamColor3><teamColor4>153,204,0</teamColor4><teamColor5>128,128,128</teamColor5><teamColor6>0,0,0</teamColor6><teamColor7>0,102,204</teamColor7><teamColor8>204,204,255</teamColor8><teamColor9>255,0,0</teamColor9><teamColor10>255,255,0</teamColor10><displayAnswerImagesDuringVote>Yes</displayAnswerImagesDuringVote><displayAnswerImagesWithResponses>Yes</displayAnswerImagesWithResponses><displayAnswerTextDuringVote>Yes</displayAnswerTextDuringVote><displayAnswerTextWithResponses>Yes</displayAnswerTextWithResponses><questionSlideID></questionSlideID><controlBarState>Expanded</controlBarState><isGridColorKnownColor>True</isGridColorKnownColor><gridColorName>Yellow</gridColorName><AutoRec></AutoRec><AutoRecTimeIntrvl></AutoRecTimeIntrvl><chartVotesView>Percentage</chartVotesView><chartLabelsColor>0,0,0</chartLabelsColor><isChartLabelColorKnownColor>True</isChartLabelColorKnownColor><chartLabelColorName>Black</chartLabelColorName><chartXAxisLabelType>Full Text</chartXAxisLabelType></Settings> <?xml version="1.0"?><AllQuestions /> <?xml version="1.0"?><AllAnswers /> F CUS Langley Research Center SAFETY March 25, 2013 13 people have been injured this fiscal year back injury sprained knee twisted ankle hand laceration cut finger in door twisted knee 2 car accidents aggravated hernia security training fire training injury leg burn hand contusion REACTION 30 people were injured last fiscal year chemical exposure broken wrist fractured toes eye surgery car accident numerous cuts and bruises knee surgery 3 ladder use injuries wound infection 3 hospitalization cases numerous sprains and strains - 5 back injuries & 4 shoulder injuries Note: Total people injured refers to OSHA recordable, restricted duty or Lost-Time Injuries. The words above provide a general description of the type and impact of the injuries at LaRC.
F CUS Langley Research Center SAFETY March 25, 2013 Latest LaRC Mishaps * FY13 Total Mishap-Free* Days = 156 of 167 2/14/13 (RD) While on travel an RD employee’s vehicle was rear-ended by another vehicle and the employee sustained a neck injury. (OSHA Recordable) 2/15/13 (Davis Steel – sub to Whiting Turner) The employee sustained burns to the left leg while welding on a roof deck at IESB. (Lost Time) 2/15/13 (The Whitestone Group) The employee sustained a contusion to the right hand when a gate latch swung around further than expected and struck the hand. (OSHA Restricted) 3/12/13 (SMAO) The employee was participating in a fire training exercise and was kicked in the left side sustaining an injury. (OSHA Restricted) REACTION Total FY13 Team-Members Hurt ** = 13Total at this time last year **= 16 Safety Thought: Working safely may get old, but so do those who practice it. ~Author Unknown Action For Employees • Approach each task you do with a little bit of thought and planning towards safety – you, your co-workers and your family will thank you! LEADERSHIP Be prepared for disasters and weather emergencies – How to create an emergency kit Office safety video– Can you spot the safety hazards? LEA RNING LINKS Don’t walk on by – Taking action to correct hazards that you see in your work place About Carbon Monoxide and Carbon Monoxide Poisoning – A Silent Danger *Mishap refers to Type A, B, or C level Injury or Property Damage >$25,000 ** Total Team-Members Hurt refers to OSHA recordable, restricted duty or Lost-Time Injuries Clicking on the learning links in presentation mode will take you to additional information (note for some links youmay need to be inside the LaRC firewall and the hyperlinks only work in presentation mode)
F CUS Langley Research Center SAFETY March 25, 2013 PREVENTION Topic: Tornado Safety • Tornado Watch – weather conditions favor formation of a tornado – i.e. a tornado is “possible” • What the Langley Emergency Operations Center (EOC) does during a tornado watch. • LaRC Weather Officer maintains close contacts with Center Emergency Management Officers and Wakefield/LAFB weather personnel and monitors weather radar information. • If weather conditions worsen: • EOC is opened with core staff: emergency management, fire protection, safety representatives, COD, Security and Public Affairs personnel. • EOC will use the agency Emergency Notification System (ENS) to notify employees through e-mails, cell phones, and work phone as conditions warrant. • LaRC personnel should watch the weather and be prepared to take shelter immediately if conditions worsen . In VA, strong tornados are usually associated with weather fronts in late Spring and Fall months Be observant for appearance of tornado funnel structures – seek cover immediately
F CUS Langley Research Center SAFETY March 25, 2013 LEARNING Safety & Health Learning Opportunities April’s Training Laser Safety Fundamentals April 2 9:00 – 11:00 Building 1232, Room 258 New Employee Safety Orientation April 3 8:00 – 9:00 Building 1232, Room 258 Forklift Training April 9 1:00 – 3:00 Building 1232, Room 258 Lunch & Learn: Zero in on Z’s April 9 11:30 – 12:30 Building 1216, Room 125 Aerial Lift Training April 10 1:00 – 3:00 Building 1232, Room 258 The Aging Body Series: Sleep Disorders by Dr. Vega April 10 12:00 – 1:00 Pearl Young Theater April’s Activities REACH Lunch & Learn: The Tao of Dilbert – Finding Your Way at WorkApril 11 12:00 – 1:00 pmPearl Young Theater Crane Training April 11 1:00 – 3:00 Building 1232, Room 258 AED/CPR Responder TrainingApril 16 8:30 – 11:30Building 1216, Room 125 Wellness Series: Elbows – Anatomy, Causes, and Prevention April 16 12:00 – 1:00 Pearl Young Theater New Employee Safety Orientation April 17 8:00 – 9:00 Building 1232, Room 258 Shoulder Strength & Stability Clinic April 25 4:00 Fitness Center Meditation ClassesApril 4 & 25 at NoonApril 18 at 11:30 am Building 1216, Room 125 Massage Therapy and ReflexologyApril 11 8:00am – 3:00pmBuilding 1216, Room 125 Cancer Support GroupApril 18 12:00 – 1:00Building 1216, Room 125 Cycling Fitness Program April 1 – 26 Fitness Center World Health Day Challenge Triathlon April 8 Fitness Center For additional information contact the clinic (4-3195). For fitness activities contact Adrianne Flinn (4-6388).
Monthly review of Maintenance Activities from the Safety Point of View
Safety Critical PMs Current Status of Late Safety Critical PMs (Data taken from Maximo – Priority 4) ** Some minor adjustments may still be needed in the PM system - Safety Critical PM’s completed in January = 286 - Safety Critical PM’s completed in February = 270 - Safety Critical PM’s completed in March to date (3/8/13) = 140 March 2013 Review LaRC Safety Managers Meeting March 2013
Safety Critical PMs Overdue Safety Critical PM Work Orders: Days WO# AssetDescription Location Late Status 2359232 GAG01087 DIAL PRESSURE GAUGE (LP AIR SYS) 1236-ROOF8 CONTRSCH* 2359274 GAG01088 DIAL PRESSURE GAUGE (LP AIR SYS) 1236-ROOF 8 CONTRSCH* 2435509 HOS00163 HOSE/30'LONG/2000 PSI/1/2 TS FLEXIBLE 1236+FAC 8 INPRG* 2435519 HOS00164 HOSE/30'LONG/2000 PSI/1/2 TS FLEXIBLE 1236+FAC 8 INPRG 2435529 HOS00165 HOSE/9"LONG/2000 PSI/1/2 ARROW 2807 1236+FAC 8 INPRG 2435539 HOS00166 HOSE/16"LONG/2000 PSI/1/2 ARROW 2807 1236+FAC 8 INPRG 2435549 HOS00167 HOSE/26"LONG/2000 PSI/1/2 ARROW 2807 1236+FAC 8 INPRG * Assets could not be located. Note: all work order logs indicate a need to defer the work order. March 2013 Review LaRC Safety Managers Meeting March 2013
LaRC Safety Managers Meeting March 2013 March 2010 Review
Pressure System Components March 2013 Review LaRC Safety Managers Meeting March 2013
Pressure System Components March 2013 Review LaRC Safety Managers Meeting March 2013
Employees Chemical Exposure in Building 1293C Room 247 Type “B” MishapApril 12, 2012 Conclusion • There was no intention by the three contractor employees to intentionally circumvent the system, but rather an overconfident desire to get the task done. • The MIT determined that the RD/AMPB organizational culture had as much to do with this Mishap as did the broken chemical container. • In the case of this Mishap, researchers and managers continually normalized the technical deviations they found in the Laboratory. Accomplishing research objectives circumvented safety, which was evident by the lack of attention paid to addressing safety audits, chemical storage procedures and general laboratory and chemical housekeeping cleanliness requirements.
Executive Summary The official report of The Fukushima Nuclear Accident Independent Investigation Commission What must be admitted – very painfully – is that this was a disaster “Made in Japan.” Its fundamental causes are to be found in the ingrained conventions of Japanese culture: our reflexive obedience; our reluctance to question authority; our devotion to ‘sticking with the program’; our groupism; and our insularity.