ISMS Verification Assessment Form

DOE-HDBK-3027-99

ISMS VERIFICATION ASSESSMENT FORM

OBJECTIVE: Numbers

FUNCTIONAL

DATE: Date of Form Completion

AREA:

ISMS Area

OBJECTIVE: The Objective as stated within the ISMS functional area

Criteria The Criteria as stated within the Phase I/II ISMS verification CRAD

template.

Approach The Approach as stated within the Phase I/II ISMS verification CRAD

template.

Record Review: (Review procedures, logs, documents, and other records of

note to assess compliance with their requirements, operating procedures, and

principles, etc.)

Interviews: (Interview operators, supervisors, and management personnel to assess

their understanding of the ISMS and how it is applied to the operations and

performance of their duties, etc.)

Observations: (Attend representative meetings and ISMS associated activities to

determine if the site, facility, or activity is effectively addressing or implementing the

requirements of the manuals of practice referenced in the ISMS Description. Attend

shift turnovers, incident critiques, and pre-job briefings and observe operating

activities, operator rounds, panel walk downs, procedure use, communications, and

response to alarms, control of system status, and lockout/tagout activities, etc.)

Record Review:

The listing of records and documents reviewed by title and alphanumeric

designations.

Interviews Conducted:

o The listing of each person interviewed for this objective, by TITLE AND NOT

BY NAME.

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