Investigation of drum pressurization incident in the 331 Building, Room 175 on January 10, 1995

PDF Version Also Available for Download.

Description

On January 10, 1995, a pressurized drum incident occurred at the 331 Building, Room 175. On January 12, 1995, the Manager of the Life Sciences Center appointed members to an Investigation Board to investigate the incident (see Exhibit A). This incident was initially categorized as an Off-Normal Occurrence, but was later elevated to an Unusual Occurrence by the Occurrence Classifier. The scope of this investigation was to employ a formal method of root cause analysis, identify the methodology, and report the results of the analysis, fully explaining the technical elements of the causal sequence along with a description of the ... continued below

Physical Description

43 p.

Creation Information

Pollari, R.A. February 1, 1995.

Context

This report is part of the collection entitled: Office of Scientific & Technical Information Technical Reports and was provided by UNT Libraries Government Documents Department to Digital Library, a digital repository hosted by the UNT Libraries. More information about this report can be viewed below.

Who

People and organizations associated with either the creation of this report or its content.

Author

Sponsor

Publisher

  • Pacific Northwest Laboratory
    Publisher Info: Pacific Northwest Lab., Richland, WA (United States)
    Place of Publication: Richland, Washington

Provided By

UNT Libraries Government Documents Department

Serving as both a federal and a state depository library, the UNT Libraries Government Documents Department maintains millions of items in a variety of formats. The department is a member of the FDLP Content Partnerships Program and an Affiliated Archive of the National Archives.

Contact Us

What

Descriptive information to help identify this report. Follow the links below to find similar items on the Digital Library.

Description

On January 10, 1995, a pressurized drum incident occurred at the 331 Building, Room 175. On January 12, 1995, the Manager of the Life Sciences Center appointed members to an Investigation Board to investigate the incident (see Exhibit A). This incident was initially categorized as an Off-Normal Occurrence, but was later elevated to an Unusual Occurrence by the Occurrence Classifier. The scope of this investigation was to employ a formal method of root cause analysis, identify the methodology, and report the results of the analysis, fully explaining the technical elements of the causal sequence along with a description of the barriers that should have or could have prevented the occurrence. During the course of the investigation, the scene of the event was not accessible. Therefore, the investigation relied primarily on testimony from staff members directly involved and their management. In addition, other outside professionals were also consulted. The Investigation Board visited the previous location of the drum, 331A Building, Room 9; Room 173, which fronts room 175, was also visited. The Investigation Board reviewed selected documents, which are also listed.

Physical Description

43 p.

Notes

INIS; OSTI as DE95008492

Source

  • Other Information: PBD: Feb 1995

Language

Item Type

Identifier

Unique identifying numbers for this report in the Digital Library or other systems.

  • Other: DE95008492
  • Report No.: PNL--10474
  • Grant Number: AC06-76RL01830
  • DOI: 10.2172/28298 | External Link
  • Office of Scientific & Technical Information Report Number: 28298
  • Archival Resource Key: ark:/67531/metadc671593

Collections

This report is part of the following collection of related materials.

Office of Scientific & Technical Information Technical Reports

Reports, articles and other documents harvested from the Office of Scientific and Technical Information.

Office of Scientific and Technical Information (OSTI) is the Department of Energy (DOE) office that collects, preserves, and disseminates DOE-sponsored research and development (R&D) results that are the outcomes of R&D projects or other funded activities at DOE labs and facilities nationwide and grantees at universities and other institutions.

What responsibilities do I have when using this report?

When

Dates and time periods associated with this report.

Creation Date

  • February 1, 1995

Added to The UNT Digital Library

  • June 29, 2015, 9:42 p.m.

Description Last Updated

  • April 7, 2016, 6:39 p.m.

Usage Statistics

When was this report last used?

Yesterday: 0
Past 30 days: 1
Total Uses: 4

Interact With This Report

Here are some suggestions for what to do next.

Start Reading

PDF Version Also Available for Download.

Citations, Rights, Re-Use

Pollari, R.A. Investigation of drum pressurization incident in the 331 Building, Room 175 on January 10, 1995, report, February 1, 1995; Richland, Washington. (digital.library.unt.edu/ark:/67531/metadc671593/: accessed December 15, 2017), University of North Texas Libraries, Digital Library, digital.library.unt.edu; crediting UNT Libraries Government Documents Department.