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DOE-STD-1045-93
entering the information into the Occurrence Reporting and Processing System
(ORPS) are contained in DOE Order 232.1A. Facilities should also consider
providing information of interest directly to other facilities, as described in the
Root Cause Analysis Guidance Document, DOE-NE-STD-1004-92.
4.2.5
Further Evaluation
The final phase of the investigation consists of follow-up activities, to
determine if the corrective action has been effective in resolving the problem.
Facilities should analyze events to determine trends or patterns of deficiencies.
A mechanism should be established for periodically summarizing events,
causes, and trends, and reporting this information to the facility manager,
department heads, and appropriate managers.
DOE-HDBK-7502-95, Implementing U.S. Department of Energy Lessons
Learned Programs, Volume 1, contains guidelines for evaluating and
incorporating operating experience into training programs. In many cases,
information related to the event may be used both in the initial training received
by all operators, and in the continuing training required periodically to maintain
operator qualification. Operating experience should also be incorporated, as
appropriate, into other facility programs and documents, e.g., procurement,
quality assurance, maintenance practices, procedures, radiation control (Rad
Con) manuals, and engineering.
The operations supervisor should evaluate all in-house events to determine
whether training is required on an immediate basis for operations personnel.
Training on events of immediate concern should be provided before personnel
begin work on their next shift. The supervisor may use the following methods
to address immediate training requirements:
C
Ad hoc training sessions
C
Shift briefings conducted by the supervisor or other appropriate personnel
(discussed in DOE Order 5480.19, Chapter XII, "Operations Turnover")
C
Written instructions to oncoming operating shifts (discussed in DOE
Order 5480.19, Chapter XV, "Timely Orders to Operators")
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