Appendix 10: Instructions for Completing ORR Forms

DOE-HDBK-3012-2003

APPENDIX 10: INSTRUCTIONS FOR COMPLETING ORR FORMS

Also see the DOE STD-3006, Planning and Conduct of Operational Readiness Reviews (ORR),

Appendix 4, Writing Guide, for additional guidance.

ORR ASSESSMENT FORM 1

CRITERIA :

CRITERIA MET

FUNCTIONAL AREA

DATE:

YES______ NO______

OBJECTIVE: As written in the Criteria and Review Approach Document (CRAD) for the functional area.

Criteria As written in the CRAD.

Approach

Record Review: as written in the CRAD

Interviews: as written in the CRAD

Shift Performance: as written in the CRAD

Records Reviewed:

Cite a specific document (number, title, rev.)

Cite next document, etc.

Interviews Conducted:

Use title, do not use name (use site identifier, as site will respond)

Shift Performance Evolution:

Provide description of activity observed. Use N/A if not applicable

Discussion of Results:

Discuss the record review or if not applicable, write "None".

Discuss the interviews or if not conducted, write "None".

Discuss the shift performance observed or if not applicable, write "None".

Conclusion: Tie together discussion of key points resulting in your conclusion. State whether the criterion

was met.

Issue(s):

Identify with a signifier (letters of Functional Area, e.g., TR) and an arabic numeral (e.g., -1). Write a

brief, full sentence description of each issue. This should be an exact match of the title on the Form 2.

Cite all Form 2s associated with this criterion. If no Form 2s were generated under this criterion, write

"None."