Publications Details

Extent-of-Condition Review of Electrical Events Fiscal Year 2019

MacKenzie, Cheryl M.; Lafreniere, Michael P.

Sandia National Laboratories has experienced a number of electrical events in recent years. A careful examination of data shows that for the third year in a row, two of the three most frequently categorized Occurrence Reporting and Processing System (ORPS)-reportable event types were unexpected or unintended personal contact with a hazardous energy source and a failure to follow a prescribed hazardous energy control process, as defined in the occurrence reporting criteria of DOE Order 232.2A, Occurrence Reporting and Processing of Operations Information, 2D(1) and 2D(2). Sandia policy CA001.2, Identify and Manage Issues, requires an extent-of-condition review for any high-level reportable occurrence, and the analysts were tasked to perform this EOC in light of high-level reportable occurrence NA-SS-SNL-1000-2019- 0007, Contact with Electrical Energy During Marx Capacitor Troubleshooting. This extent of condition not only evaluated the 10 reportable electrical occurrences for Fiscal Year 2019, but also looked at 11 other related events: those involving control of hazardous energy and electrical events associated with less than hazardous energy.1 This Extent-of-Condition report makes several observations, conclusions, and recommendations for improvement.