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Page Title:
Appendix A: Needs Analysis Survey |
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|  DOE-HDBK-1103-96
APPENDIX A: NEEDS ANALYSIS SURVEY
Please answer the following questions as they apply to the job position or program you will
assess during the Table-Top Needs Analysis seminar.
1.
What type of facility will the needs analysis be performed at?
Circle all that apply: (Non-reactor nuclear facility, Category B reactor facility, or
Category A reactor facility; low-hazard, moderate-hazard, or high-hazard?)
Hazard Level:
Name of Facility:
2.
Will the facility be changing in terms of operational, shutdown, or standby conditions
within the next six months? Yes
No
Will the facility's "mission" be changing within the next six months? Yes
No
3.
Does the facility have a DOE-approved Training Implementation Matrix as per 5480.20A?
No
Being Written
Being Reviewed by DOE
Yes
4.
What is the title of the job position or program?
5.
Briefly describe the performance problem or concern in question?
6.
Do these people handle significant quantities of fissile materials? (Refer to the definition
of significant quantities.)
No
Yes
7.
How many people are employed in this job position or program?
8.
Do the people in this job position perform similar tasks?
For the most part
No, they all do something uniquely different
9.
What do you intend to accomplish with this TTNA seminar?
10. How many people at your facility (usually training staff) would like to learn how to conduct
Table-Top Needs Analysis?
11. Who will serve as the Coordinator for this Table-Top Needs Analysis Seminar? (Please
provide name, complete mailing address and phone number).
A-3
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