1. Presented by: Kelly Pavalko April 26, 2018
Mission Support & Test Services Operating Experience Program Highlights
Presented by: Kelly Pavalko
April 26, 2018

2. Overview Company OPEX Program Procedure
Ways We Use Operating Experiences
Success Stories
Metrics
Questions

3. Who Are We? Mission Support & Test Services, LLC
We support NNSA as the M&O contractor for the Nevada National Security Site
Transition from NSTec to MSTS end of 2017.
Stockpile science, High-hazard testing, Threat Detection, Waste Disposal, Remote Sensing/Aerial Measurement, First Responder Training, Custom Fabrication, Groundwater Characterization, Research & Development

4. OPEX Program
We use OPEXShare to distribute operating experience articles to the workforce
MSTS 2,300 staff members (~1100 registered, 700 Non-bargaining employees)
DOE Nevada Field office - 87 staff members (registered in OPEXShare)
Daily ORPS summaries are shared through and OPEXShare with managers.

5. Operating Procedure How to Create a LL Screening Operating Experiences
Required Reviews
Screening Operating Experiences
OPEX Vulnerability Analysis

6. Vulnerability Analysis
U.S. DOE Office of Environmental Management, WIPP Accident Investigation Report (AIR) distributed throughout the Nevada Enterprise
U1a Complex performed a vulnerability analysis based on the WIPP AIR
Citations of identified weakness were extracted from the accident investigation report
Analyst compared our Process and data to the identified weakness
Risks or Program and Performance Vulnerabilities were identified
Reference to existing issues or new issues were created to track mitigation strategies

7. Ways We Use Operating Experiences

8. Assessments Reviewing operating experience
Leaving Feedback in OPEXShare

9. Assessments
LL are reviewed by assessors to add additional questions to the Criteria Review and Approach Document or Checklist.
In 2017, 7 Independent Assessments were performed.
(2 Independent Assessment examples using LL)
IA-17-M , Hoisting and Rigging
• Electric Forklift Produces Static Electric Shock, URS, CH2M, Oak Ridge, TN, August 31, 2015
• Equipment Damaged During Off-Loading, Consolidated Nuclear Security, Y12 National Security Complex, Oak Ridge, TN, Dec. 17, 2015
• Failure to Control Powered Industrial Truck Leads to Employee Injury, Flour BWXT Portsmouth, OH, June 27, 2016
• Forklift Rigging Assembly Fails during Lifting Attempt, Bechtel national Inc., Hanford-WTP, March 9, 2016
• Improper Rigging Practices Result in Potential Shock Loading of Crane, Washington River Protection Solutions, Hanford Site, March 30, 2016
• Inadequate Communication Results in Crane Boom Sheave Damage, Bechtel National Inc., Hanford-WTP, February 9, 2015
• Incorrect Usage of Slings in Lifting Applications, Savannah River Nuclear Solutions, Savannah River Site, February 21, 2014
• Nylon Sling Fails during Lift due to Sharp Edges on Material Being Lifted, Fluor BWXT Portsmouth, OH, November 12, 2014
• Powered Industrial Truck Boom Extended Too Far, National Security Technologies, Nevada National Security Site, May 20, 2015
IA-17-M , Hazardous Energy Control
SR-SRR-02, “Power Supply (UPS) Arc Event”
RL-HNF-0015, “Tingling Felt by Worker Due to Less Than Adequate Grounding”
. WRPS-JIT , “Potentially Defective Breaker Locking Devices”
. INL , “Energized Legacy Edison Circuit Identified During Lockout/Tag out”
. INL , “FCF Hazardous Energy Identified During Breaker Maintenance”

10. Issues Management Program
Why integrate LL and issues?
Reviewing OPEX articles may provide an issue to enter into the Issues Management System to take preventive action
Some of the shared Lessons Learned come from issues we have entered into the Issues Management System (caWeb)
When it is uncertain how widespread an issue might be, we use an LL to share information with others
When performing a Vulnerability Analysis on OPEX or DOE OE-1, or 2, we share in Issues Management items to track closure

11. Recalls

12. Other Ways OPEX are Shared

13. Promoting Use of OPEX in the Company

14. Promoting Use of OPEX in the Company

15. Sharing OPEX in the Company

16. Sharing Lessons Learned & Best Practices
Tracking Number
Title of Article
Date Published
Type
Distributed
Source
2018-NV-NNSS-658
Magnetic Strike Plate Disconnects from the Door Frame
03/19/18
Lesson Learned
External
ORPS # NA- NVSO-MSTS- LV
caWeb 30538
2017-NV-NNSS-658
Integrating the Employee Suggestion Program Tracking into the Issue Management System Added Value
12/6/2017
Best Practice NA
2017-NV-NNSS-657
Contractor Transition at the Nevada National Security Site Lessons Learned and Noteworthy Practices
Lessons Learned
2017-NV-NNSS-653
Placing Object on Laptop Resulted in Potential Eye Exposure to Laser
10/2/2017
ORPS
caWeb
2017-NV-NNSS-652
Using Remote Controlled eHook During Waste Operations Improves Safety
8/31/2017
Bright idea program
2017-NV-NNSS-649
When in Doubt, Call 911
7/18/2017
ORPS, caWeb
2017-NV-NNSS-645
Disc Sander Laceration to Thumb Requires Surgery
4/26/2017
ORPs, caWeb

17. Success Stories

18. Success Stories Managing Risks Prevents Possible Power Outage
Shared best practice, 2017-NV-NNSS-643, Enterprise Risk Management article in OPEXShare published 2017.

19. Success Stories
Reviewing Inventory Prevents Potential Laptop Battery Fire
On October 12, 2017, a Safety Alert published by Pacific Northwest National Laboratory discussed that three Pacific Northwest National Laboratory (PNNL) staff members using Dell Latitude laptops (model #E7440) had discovered their batteries were “bulging.”
After a review of the Mission Support & Test Services, LLC, inventory of Dell Latitude Laptops, Model E7440, three laptops of this model were located. One of the laptops batteries was immediately removed when a “bulging” battery was identified. All three laptops are no longer in service and were excessed.

20. Success Stories
OPW Recalls Gas Station Hose Swivel Connectors Due to Fire, Explosion Hazards
On June 07, 2017, a Product Recall Alert published in OPEXShare from the Consumer Product Safety Commission, OPW Recalls Gas Station Hose Swivel Connectors Due to Fire, Explosion Hazards.”
This recall involved metal swivel connectors installed between the nozzle and hose of gas station pumps that dispense refined fuels such as gasoline, diesel, ethanol blends, and biodiesel blends.
After a review of the Nevada National Security Site gas pump hoses, 7 OPW Hose Swivel Connectors were identified at the gas station. These parts were replaced.

21. Success Stories
Elkay Recalls Water Cooler and Bottle Filling Stations Due to Shocking Hazards
This recall involves Elkay and Halsey Taylor water coolers and bottle filling stations. Internal screws that secure the grounding wire can break and allow the grounding wire to become loose, posing a shock hazard. The firm has received 362 reports of broken screws being found in units prior to installation. No injuries have been reported. Consumers should immediately stop using the recalled water coolers and bottle filling stations, unplug the units and contact Elkay for a free repair. Recall date: January 25, 2018.
One model unit was identified and tagged out of service and is waiting repairs.

22. Measuring Performance

23. Measuring Performance

24. Measuring Performance

25. Measuring Performance
Work Planners

26. 2018 OPEX Focus Three Focus Areas to improve engagement
Emergency Management
Nuclear Operations
Project Management
OEC Assessment Checklist
Once the checklist is complete we will assess our program using the new checklist
Jason Prestridge has volunteered to present results to the OEC

27. Mission Support & Test Services (MSTS) Point of Contacts
Questions?
Mission Support & Test Services (MSTS) Point of Contacts
Fran Ito Quality Performance Assurance Manager
Jason Prestridge Issues Management/CAS Manager
Kelly Pavalko MSTS & NNSA/DOE Nevada Field Office (NFO) OPEX Program Coordinator