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Page Title: Appendix E -Change Analysis cont'd
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What effects did the time of day have on the condition? Did it affect:
q
Information availability?
Personnel availability?
Ambient lighting?
Ambient temperature?
Did the condition involve shift-work personnel? If so:
q
What type of shift rotation was in use?
Where in the rotation were the personnel?
For how many continuous hours had any involved personnel been working?
q
WHERE?
Where did the condition occur?
q
What were the physical conditions in the area?
q
Where was the condition identified?
q
Was location a factor in causing the condition?
q
Human factor?
Lighting?
Noise?
Temperature?
Equipment labeling?
Radiation levels?
Personal protective equipment required in the area?
Radiological protective equipment required in the area?
Accessibility?
Indication availability?
Other activities in the area?
What position is required to perform tasks in the area?
Equipment factor?
Humidity?
Temperature?
Cleanliness?
HOW?
Was the condition an inappropriate action or was it caused by an inappropriate action?
An omitted action?
An extraneous action?
An action performed out of sequence?
An action performed to a too small of a degree? To a too large of a degree?
Was procedure use a factor in the condition?
E-3


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