Sample ORR Assessment Form 1

DOE-HDBK-3012-2003

SAMPLE ORR ASSESSMENT FORM 1

CRITERIA: 1

CRITERIA MET

FUNCTIONAL AREA

DATE: 2/4/03

YES______ NO

OBJECTIVE:

CM-1 Safety structures, systems and components (SSC) are defined and a system to maintain control over

their design and modification is implemented. The Wet Chemistry Operations systems and procedures, as

affected by facility modifications, are consistent with the facility description and accident analysis

included in the safety basis Modifications to the Wet Chemistry Operations have been reviewed for

potential impact on training and qualification. (CORE REQUIREMENT 5, 7 and 9)

Criteria

1. An adequate process has been implemented to ensure that documentation for SSC critical to the safety

of Wet Chemistry Operations exist and is kept current, as appropriate for safety functions and that

necessary documentation is available to management, operators, and support personnel (DOE-STD-

1073-93, Ch. I.3; DOE Order 5480.19 Ch. II, Section VIII; DOE O 430.1, Sect. 6.f. (4); RUID 9663)

2. Drawings and documentation relied upon for operations and maintenance activities are consistent with

the existing configuration of Wet Chemistry Operations. Technical baselines for the XXX Wet

Chemistry processes have been defined in accordance with Y17-009INS and accurately reflect the as

configured status, including isolated out-of service equipment. (DOE-STD-1073-93, Ch. 1.3; DOE O

4330.4B, Ch. I.3.6.4f; RUID 9859)

3. Wet Chemistry Operations' safety systems are consistent with the assumptions and descriptions in the

safety basis. (10 CFR 830.200)

4. Each SSC should be assigned a grade based on the most important type of design requirements

applicable to it. The SSC grade should be used as the basis for the degree of control of all activities

associated with the SSC. (DOE-STD-1073-93,

Ch. I.3.1.1; RUID 9661)

5. The Unreviewed Safety Question Determinations (USQD) or USQD screenings are implemented per

Y74-809 for the identification and disposition of modifications in support of Wet Chemistry

Operations. (10 CFR 830.200)

Approach

Record Review: Review the documentation to ensure modifications conducted on Wet Chemistry

Operations' equipment since the 1994 stand-down have been accomplished consistent with Y15-187 or its

equivalent predecessors (a listing of modifications to Wet Chemistry Operations) during the stand-down is

contained in the BWXT Y-12, L.L.C. Plan of Action, Y/MA-7827. Review the Building 9212 BIO and

OSR for the Wet Chemistry Operations to ensure they are consistent with the physical facility

configuration.

Determine if the equipment and systems, as described, are part of the technical baselines for Wet

Chemistry processes in accordance with Y17-009INS. Determine whether appropriate process

descriptions exist, whether these process descriptions describe the isolation of Wet Chemistry Operations

from out of service equipment, and that these conditions are under configuration control. Determine

whether any in-progress modifications essential to permit operation of the Wet Chemistry processes exist