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United States Department of Energy Lesson Learned from the K-25 Employee Fall

2. . . . . . K-25 Facility History/Facts. Constructed in 1943. 160 Acres on three levels. Shutdown in 1970's. Minimal maintenance. Gaseous Diffusion Process for enrichment of U235. 3. 4. Roof Condition. Roof was past its design life in the 1980's. Water leaks during and after rain or snow. Water intrusion in facility has caused damage to operations floor due to the freeze/thaw cycle .

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United States Department of Energy Lesson Learned from the K-25 Employee Fall

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    1. United States Department of Energy Lesson Learned from the K-25 Employee Fall Facility Representative Conference Las Vegas, Nevada

    2. 2 K-25 Facility History/Facts

    3. 3

    4. 4 Roof Condition Roof was past its design life in the 1980’s

    5. 5

    6. 6 Operations Floor Constructed of 2’x 5’s concrete panels (140k panels)

    7. 7

    8. 8 Operations Floor (continued) March 2005, Operations Floor determined inaccessible

    9. 9

    10. 10

    11. 11 The Accident Iron workers installed metal grating via work package

    12. 12 The Accident (continued) During installation an employee slipped/tripped while carrying grating and stumbled off installed grating onto a panel marked with orange paint

    13. 13

    14. 14

    15. 15 Type B Investigation Report DOE oversight of grating work was reported to be less than adequate

    16. 16

    17. 17 Type B Investigation Report (continued) Facility Representatives were working an Operational Readiness Review of the K-25 Operations involving start up of Decommissioning & Decontamination work

    18. 18 Corrective Actions DOE-Oak Ridge Office Project Team developed an Integrated Oversight Plan for the K-25 Project

    19. 19 Corrective Actions (continued) A third Facility Representative was assigned to the project

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