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RE: lessons learned





> ----------
> From: 	Jeff Eichorst[SMTP:myself@lanl.gov]
> Sent: 	Thursday, September 04, 1997 11:31 AM
> To: 	Multiple recipients of list
> Subject: 	lessons learned
> 
> The purpose of this posting is to solicit feedback regarding the value
> of
> trending, for the purposes of improving operations, of radiological
> incidents that occur at your own facility or within the HP community
> as a
> whole. 
> 
> I have been tasked with determining whether the health physics world
> uses a
> collective or independent (by organization) method to share lessons
> learned
> from trending of events that are experienced either at one's own
> facility or
> across any organizational unions.  Or, to determine if the community
> finds
> more value (if any) in learning from the merits of individual
> incidents. 
> 
> Please return your completed questionnaire to Jeff Eichorst either by
> e-mail
> at myself@lanl.gov, or by fax to (505) 665-6977.  If you have any
> questions,
> you can reach me at (505) 665-6980.
> 
> Name:  Ashok Dhar
> Phone:  314/654-7960
> e-mail:  akdhar@mkg.com
> Organization:  Mallinckrodt Inc.
> Country:  U.S.A.
> Position:  Manager, Radiological Affairs
> Certifications:  None
> 
> What category would you consider yourself a member of?  (Mark all that
> apply)
> _____Federal government
> 	Branch__________________
> 	Site_____________________
> _____State/local government
> 	Branch___________________
> _____University
> _____Medical
> _____Accelerator
> _____Power reactor
> _____Consultant
> _____Environmental
>    X    Other (please describe)  Industrial - Radiopharmaceuticals
> manufacturing and distribution
> 
> Do you consider trending of occurrences as valuable?  Please explain.
> 
>                           Very valuable.
> 
> What is the utility of documents that derive lessons learned from
> multiple
> facilities?  Please explain.
> 
> 
> Incorporate lessons learned/best practices uniformly among multiple
> facilities.
> 
> 
> If trending analyses would be conducted, what would be the best way to
> disseminate lessons learned to the health physics community?  (Mark
> all that
> apply)
>    X      E-Mail
>    X      Radsafe
> _____  Paper Bulletins
>    X      Letters/Memos
>    X      Posted on World Wide Web
> _____  Videos
> _____  Posters
>     X     Society presentations
> _____  Other (please describe)
> 
> 
> Does your organization develop products that investigate similarities
> between incidents?
> 	_____YES     X     NO  Not at this time, but in the process of
> development.
> 
> 	If so, how often?
> 	_____WEEKLY   
> 	_____MONTHLY  
> 	_____QUARTERLY
> 	_____SEMIANNUAL
> 	_____ANNUALLY  
> 	_____I DON'T KNOW
> 
> 
> Is the inclusion of product specifications useful in
> operational/lessons
> learned documents?  
> 	_____YES     X    SOMEWHAT  _____NO
> 
> Have you revised any written policies or procedures as a result of the
> findings of such analyses?
> 	_____YES      X     NO     Will do.
> 	
> 
> What sources of information would you like to see evaluated for
> Lessons
> Learned?  Please describe.
> 
> Root cause of incidents, options for recommendations/implementation,
> and regulatory risk/consequences.
> 
> Does your management view Lessons Learned information as valuable?
> 	_____YES  ______NO  _____DON'T KNOW
> 
> 
> 
> Thanks for your input.
> Jeff Eichorst
> Occurrence Investigator
> Los Alamos National Laboratory
> ESH-7, MS K999, Los Alamos, NM 87545
> 505.665-6980		505.665-6977 fax
> 505.996-1117 digital pager,	myself@lanl.gov
> 
> Jeff Eichorst
> Occurrence Investigator
> Los Alamos National Laboratory
> ESH-7, MS K999, Los Alamos, NM 87545
> 505.665-6980		505.665-6977 fax
> 505.996-1117 digital pager,	myself@lanl.gov
> 
> "Conformity is the jailer of freedom and the enemy of growth."
> 	- JFK
>  
>