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“The Evolution of theSwitchman Certification Program”Incident and Injury Free Switching
Switching Incident Tracking
Electric Power Research InstituteXIII Annual Conference
September 15, 2009Jeff Uhls – Manager - Distribution Control Center
Evolution of Switchmen Certification
Yearly Average of Switching Orders Executed
Transmission – 1,600 Switching Orders
Distribution – 4,500 Switching Orders
Evolution of Switchmen Certification
Establish a Switching Safety Programo Asses current Situationo Identify Gapso Implications
• Safety• Reliability• Cost (Internal and External)
o Perform Root Cause Analysiso Implement Solutions
Evolution of Switchmen Certification Situation in 2007
No structured procedures for identification and reporting of switching incidents
Investigation not documented
No current procedure for tracking, reporting and sharing incidents across the utility
Limited focus placed on switching incidents
Evolution of Switchmen Certification Gaps Identified
Switching Incidents not consistently investigated
Root cause analysis not implemented
Little or no accountability for switching incidents
No reporting or tracking of incidents or statistics
No sharing or reporting between Business Units
Evolution of Switchmen CertificationImplementation of Incident and Injury Free Switching
Develop Switching Incident Notification Form
Create Investigation GuidelinesDetermined the Safety Organization to Lead InvestigationDevelop criteria for Cross-functional Investigation Team membersEstablish a Timeline for investigation
Investigations start as “Switching Incident Investigations”
Evolution of Switchmen Certification
Switching Incident Investigation
Create Team according to GuidelinesMember of Power Delivery Safety Department – Facilitator of Investigation Applicable Operating Authority RepresentativeMember(s) directly involved in switching incidentImmediate SupervisorOthers as deemed necessary by the Safety Department
Start Investigation within 10 Days of Incident
Perform “Root Cause” analysis – Determine all contributing causal factors involved in the incidentEquipment FailureMapping IssuesTraining Human Error
Evolution of Switchmen CertificationSwitching Incident vs. Switching Error
Switching IncidentsInitial event caused by Equipment or Mechanical FailureInitial event caused by inaccurate records or mappingInitial event due to circumstances or casual factors which occur when Operating Practices (OP’s) and Approved Work Methods (AWM) followed.
Switching ErrorSwitching Order improperly written or executedSwitching Order is executed improperlyIncorrect switch is operated while executing a Switching OrderSwitch is operated without approval
Evolution of Switchmen Certification
Document Findings and Recommendations Post Switching Incident finding on Safety Website
Review Action Items with associated crewsRecommend updates to circuit maps Enhance or introduce Training
Report findings to Management for Accountability
Evolution of Switchmen Certification
Level of Switchmen Certification
Distribution
Transmission
Substation