Lessons learned from occurrences involving procedures at Los Alamos National Laboratory in 1994 Metadata

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  • Main Title Lessons learned from occurrences involving procedures at Los Alamos National Laboratory in 1994


  • Author: Frostenson, C.K.
    Creator Type: Personal


  • Sponsor: United States. Department of Energy.
    Contributor Type: Organization
    Contributor Info: USDOE, Washington, DC (United States)


  • Name: Los Alamos National Laboratory
    Place of Publication: New Mexico
    Additional Info: Los Alamos National Lab., NM (United States)


  • Creation: 1995-07-01


  • English


  • Content Description: This study used the Department of Energy (DOE) Occurrence Reporting and Processing System (ORPS) data to investigate occurrences reported during one year at Los Alamos National Laboratory (LANL). ORPS provides a centralized database and computerized support for the Collection, distribution, updating, analysis, and validation of information in occurrence reports about abnormal events related to facility operation. Human factors causes for occurrences are not always defined in ORPS. Content analysis of narrative data revealed that 33% of all LANL 1994 adverse operational events have human factors causes related to procedures. Procedure-caused occurrences that resulted in injury to workers, damage to facilities or equipment, or a near-miss are analyzed.
  • Physical Description: 6 p.


  • STI Subject Categories: 42 Engineering Not Included In Other Categories
  • Keyword: Management
  • Keyword: Accidents
  • STI Subject Categories: 05 Nuclear Fuels
  • Keyword: Lanl
  • STI Subject Categories: 99 Mathematics, Computers, Information Science, Management, Law, Miscellaneous
  • Keyword: Human Factors Engineering
  • Keyword: Remote Handling
  • Keyword: Human Factors
  • Keyword: Occupational Safety


  • Conference: Human Factors and Ergonomics Society meeting, San Diego, CA (United States), 9-13 Oct 1995


  • Name: Office of Scientific & Technical Information Technical Reports
    Code: OSTI


  • Name: UNT Libraries Government Documents Department
    Code: UNTGD

Resource Type

  • Article


  • Text


  • Other: DE95015301
  • Report No.: LA-UR--95-2084
  • Report No.: CONF-951092--3
  • Grant Number: W-7405-ENG-36
  • Office of Scientific & Technical Information Report Number: 104948
  • Archival Resource Key: ark:/67531/metadc619818


  • Display Note: OSTI as DE95015301