Lessons Learned program

Effort by the CMA will be needed to detect and overcome some natural, negative tendencies inherent in the site-focused management approach. It may even be necessary to limit site manager independence in selecting replacement equipment and software to ensure maximum interoperability. It is important that ECPs be shared between sites so that problems that could well affect more than one site need be solved only once and in a coordinated manner. Evidence shows that this objective has been recognized and appropriate action taken to maximize sharing under the mandatory lessons learned program. ... 

Lessons-learned programs are not the only way of capturing deviant conditions and potential solutions. Accident and incident reports are useful in themselves even though many form the basis for lessons learned. They alert people to potential safety issues so that the same adverse event is not repeated inadvertently. Near-miss reporting systems can be even more proactive as they allow personnel to avoid potential events as well as actual events. 

Voit, J.R., and C.G. Drury. 2006. Sociotechnical aspects of lessons learned programs. Proceedings of the 16th World Congress on Ergonomics. Maastricht, The Netherlands Elsevier. 

LANL DOE Report. 1993. Lesson learned program for preventing accidents similar to the Tomsk-7 April 6,1993. Incident - Summary Report, November. Los Alamos, NM Los Alamos National Laboratory. 

The DOE and private industry have learned many lessons from years of experienee in site remediation. This book will refer to seleeted lessons learned from the DOE, the Army Corps of Engineers, private industry, and personal experienee. After reading this book the reader should have a better understanding of how to interpret the hazardous waste requirements to make sure eomplianee is maintained at a high level for eaeh site-speeifie aetivity. Over and above eomplianee, the authors eneourage the development of health and safety programs to help build a sound and workable safety eulture that ean be utilized aeross all boundaries. 

Lessons learned provide valuable information for managing health and safety programs. This information addresses conditions to be avoided or recommended practices. Lessons learned typically have the potential for wide-ranging application. Effective identification of lessons learned requires an awareness of emerging practices, programs, and technologies related to hazardous waste activities [3]. 

An early version of MET methodology was applied in the Interim Reliability Evaluation Program (IREP) that analyzed the ( ill vert Cliffs and Arkansas Nuclear lessons learned in IREP and other applications. Although MET is an extension of the fault tree analysis (Section 3.4,4), it warrants a. separate discussion (see NUREG/ CR 3268). Objectives of MET are ... 

In 1974, after failure and indications of failure of three commercial reprocessing ventures, the AEC reassigned programs for support of commercial fuel reprocessing to emphasize successful experience and lessons learned from that experience. Responsibilities were transferred from the AEC Division of Reactor Development and Oak Ridge National Laboratory with their pilot plant reprocessing model, to the Division of Production and DuPont Company-operated SRP with their safe, successful production-scale reprocessing experience. 

Develop and implement a program for reporting reactive incidents that includes the sharing of relevant safety knowledge and lessons learned with your membership, the public, and government to improve safety system performance and prevent future incidents. 

The EDS II test program for the 12-kW SILVER II plant involved the operation of two campaigns, the first to destroy Composition B and then a mixture of Composition B and M2 8 propellant and the second to destroy the agent simulant dimethylmethylphos-phonate (DMMP). For the EDS II tests, the 12-kW plant used in Demo II tests was upgraded to incorporate lessons learned from Demo II and demonstrate proposed solutions for problems that were encountered during Demo II. A summary of EDS II tests using the... 

A dedicated team or review board should be developed to review and approve all maturity-level deliverables upon completion of the attributes for the current level. This review board s purpose is to ensure that all deliverables meet a consistent level of quality and documentation. This board can provide feedback to process owners or QMS program group to communicate best practices and lessons learned. 

Gursky, Elin and Avani Parikh. 2005. Some Right Jabs and Back in the Ring Lessons Learned from the Phase I Civilian Smallpox Program. Journal of Health Care Law Policy 8(1) 162. 

The list of 21 items for the self-inspection program can be reviewed in Safety Digest of Lessons Learned. [9] This practical fist included ... 

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