Investigation of Abnormal Events cont'd

DOE-STD-1045-93

A structured review is performed to identify the root cause and corrective actions

to prevent recurrence of each abnormal event.

A timely and comprehensive investigative report is prepared and disseminated,

including entry into the Occurrence Reporting and Processing System (ORPS).

Events are evaluated to determine what training is appropriate.

Follow-up review is performed to evaluate the effectiveness of corrective actions

and determine patterns of deficiencies.

Acts of known or suspected sabotage are immediately investigated.