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Sample ORR Deficiency Form 2


DOE-HDBK-3012-2003
INSTRUCTIONS FOR COMPLETING ORR DEFICIENCY FORM 2
Finding______
Pre-start____
Issue No.:
Objective:
Criterion:
Observ.______
Post start____
Date:
ISSUE: Write a brief, full sentence, description of the issue. Reference the corresponding Form
1. Use the present tense.
REQUIREMENT: (Reference locations are provided in the CRAD). Write the requirement
from a rule, DOE order, mandatory standard, or site requirements document
REFERENCE(S):
 Be specific.
 Include section and paragraph.
 If possible, of all references which support the conclusion that existing conditions are
deficient.
 This must match the requirement(s) stated above.
DISCUSSION: Describe the issue. The discussion should be self-explanatory and
support the conclusion. Use the present tense. Cite specific example(s) for a generic issue.
CONCLUSION: State whether it is a pre-start or a post start finding. The ORR Implementation
Plan should provide evaluation guidelines.
Inspector: __________________
Approved:_____________________
Team Leader
42


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