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DOE-STD-1045-93
4.2.1
Events Requiring Investigation
Facilities guidelines should define events that will require investigation. All
events that could adversely affect operations or safety should be investigated at
an appropriate level. The following examples are typical of events that should
be investigated:
C
Design limits (e.g., Technical Safety Requirements, Safety Analysis
Report, or other limits) have been violated
C
Facility safety conditions are abnormal or unexplained
C
Safety or system features are improperly positioned
C
Equipment failure that could affect facility capability or safety has
occurred
C
An unplanned shutdown or significant loss of operation has occurred
C
A procedural violation or personnel error has occurred that causes, or
could have caused, serious personnel or equipment damage or could have
affected facility safety
C
Radiological or toxic material limits have been exceeded or radioactive or
toxic material lost/released
C
Facility system performance is unusual, abnormal, or unexplained
C
Chemistry or process parameters are out of specification or indicate
unexplained trends
C
Repetitive problems have occurred
C
Actual or attempted sabotage is suspected
C
Loss of Special Nuclear Material has occurred or is suspected
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