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.