Inspection of Environment, Safety and Health Programs at the Los Alamos National Laboratory
The U.S. Department of Energy (DOE) Office of Independent Oversight, within the Office of Health, Safety and Security (HSS), inspected environment, safety, and health (ES&H) programs at the DOE Los Alamos Site Office (LASO) and Los Alamos National Laboratory (LANL) during October through December 2007. The ES&H inspection was performed by Independent Oversight’s Office of Environment, Safety and Health Evaluations.
LANL has made progress in a number of areas, but deficiencies are still evident in many aspects of LANL ES&H and safety management programs and processes. LANL recognizes the need for changes in the safety culture and has made management and organizational changes (e.g., Facility Operations Directors) to promote such change. LANL management has also demonstrated a willingness to set aside production priorities to address safety issues (e.g., facility stand downs and outages).
Sections 2 and 3 discuss the key positive attributes and weaknesses, respectively, identified during this inspection. Section 4 provides a summary assessment of the effectiveness of the major ISM elements that were reviewed. Section 5 provides Independent Oversight’s conclusions regarding the overall effectiveness of NNSA, LASO, and LANL management of ES&H programs, and Section 6 presents the ratings assigned during this inspection. Appendix A provides supplemental information, including team composition.
Appendix B presents the findings identified during this Independent Oversight inspection. In accordance with DOE Order 470.2B, Independent Oversight and Performance Assurance Program, NNSA must develop a corrective action plan that addresses each of the findings identified in Appendix B. In most cases, the findings listed in Appendix B were derived from multiple individual deficiencies that are described in the detailed results provided to the site in a separate document. NNSA, LASO, and LANL need to ensure that the corrective action plan for the Appendix B findings addresses these individual deficiencies and includes appropriate causal analyses, corrective actions, and recurrence controls. The findings are referenced in Sections 3 and 4 of this report.