Occurrences at Los Alamos National Laboratory: What can they tell us?

PDF Version Also Available for Download.

Description

The authors analyzed the evolution of institutional and facility response to groups of abnormal incidents at Los Alamos National Laboratory (LANL). The analysis is divided into three stages: (1) the LANL response to severe accidents from 1994 to 1996, (2) the LANL response to facility-specific clusters of low-consequence incidents from 1997 to 1999, and (3) the ongoing development of and response to a Laboratory-wide trending and analysis program. The first stage is characterized by five severe accidents at LANL--a shooting fatality, a forklift accident, two electrical shock incidents, and an explosion in a nuclear facility. Each accident caused LANL and ... continued below

Physical Description

27 p.

Creation Information

Reichelt, Richard A.; Eichorst, A. Jeffery; Clay, Marc E.; Henins, Rita J.; DeHaven, Judith D. & Brake, Richard J. March 1, 2000.

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. It has been viewed 15 times . More information about this report can be viewed below.

Who

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

Sponsor

Publisher

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

The authors analyzed the evolution of institutional and facility response to groups of abnormal incidents at Los Alamos National Laboratory (LANL). The analysis is divided into three stages: (1) the LANL response to severe accidents from 1994 to 1996, (2) the LANL response to facility-specific clusters of low-consequence incidents from 1997 to 1999, and (3) the ongoing development of and response to a Laboratory-wide trending and analysis program. The first stage is characterized by five severe accidents at LANL--a shooting fatality, a forklift accident, two electrical shock incidents, and an explosion in a nuclear facility. Each accident caused LANL and the Department of Energy (DOE) to launch in-depth investigations. A recurrent theme of the investigations was the failure of LANL and DOE to identify and act on precursor or low-consequence events that preceded the severe accidents. The second stage is characterized by LANL response to precursor or low-consequence incidents over a two-year period. In this stage, the Chemistry and Metallurgy Research Facility, the Los Alamos Critical Experiments Facility, and the Los Alamos Neutron Science Center responded to an increase in low-consequence events by standing down their facilities. During the restart process, each facility collectively analyzed the low-consequence events and developed systemic corrective actions. The third stage is characterized by the development of a Laboratory-wide trending and analysis program, which involves proactive division-level analysis of incidents and development of systemic actions. The authors conclude that, while the stages show an encouraging evolution, the facility standdowns and restarts are overly costly and that the institutional trending and analysis program is underutilized. The authors therefore recommend the implementation of an institutional, mentored program of trending and analysis that identifies clusters of related low-consequence events, analyzes those events, and develops systemic actions to avoid both severe accidents and standdowns.

Physical Description

27 p.

Notes

OSTI as DE00753206

Medium: P; Size: 27 pages

Source

  • Other Information: PBD: 1 Mar 2000

Language

Item Type

Identifier

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

  • Report No.: LA-13718-MS
  • Grant Number: W-7405-ENG-36
  • DOI: 10.2172/753206 | External Link
  • Office of Scientific & Technical Information Report Number: 753206
  • Archival Resource Key: ark:/67531/metadc710748

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

  • March 1, 2000

Added to The UNT Digital Library

  • Sept. 12, 2015, 6:31 a.m.

Description Last Updated

  • April 10, 2017, 6:40 p.m.

Usage Statistics

When was this report last used?

Yesterday: 0
Past 30 days: 0
Total Uses: 15

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

Reichelt, Richard A.; Eichorst, A. Jeffery; Clay, Marc E.; Henins, Rita J.; DeHaven, Judith D. & Brake, Richard J. Occurrences at Los Alamos National Laboratory: What can they tell us?, report, March 1, 2000; Los Alamos, New Mexico. (digital.library.unt.edu/ark:/67531/metadc710748/: accessed December 18, 2017), University of North Texas Libraries, Digital Library, digital.library.unt.edu; crediting UNT Libraries Government Documents Department.