Granting Accreditation

DOE-STD-1111-98

Concern. This is for any aspect of a program that is considered marginal with respect to compliance

with DOELAP criteria but does not adversely impact the quality of the applicant' program. One or

more concerns will not affect a program' accreditation; however, any concern not remediated by a

program' next accreditation cycle will automatically be elevated to a deficiency thereby preventing

the renewal of accreditation. A remedial action plan is required to be submitted through the

appropriate field organization to the PEPA within 45 days of the close-out meeting.

Deficiency. This is reserved for any aspect of a personnel dosimetry or radiobioassay program that

an assessment team believes prevents the program from functioning competently. A deficiency will

either suspend or revoke a current accreditation or suspend a new application for accreditation until

the deficiency has been remediated. A remedial action plan is required to be submitted through the

appropriate field organization to the PEPA within 45 days and should be corrected within 60 days of

the close-out meeting. Remediation may be confirmed by an assessment team.

6.3.5 Monitoring Visit. In addition to a regularly scheduled onsite assessment, assessors may be

assigned to make a monitoring visit at any time during an accreditation period. A monitoring visit

may occur for cause or on a random basis. It serves to verify reported changes to a facility or

operation or to explore any possible reason for poor performance during performance evaluation

testing. The scope of a visit may range from a spot check to a complete programmatic review.

6.4 Granting Accreditation

When a program's technical evaluation has been completed the PEPA prepares a recommendation for

the Oversight Board. The Oversight Board reviews the recommendation and proposes to the

DOELAP Administrator that accreditation be either granted or denied. A denial will be accompanied

by a description of the reasons for denial.

6.4.1 Partial Accreditation. A dosimetry or radiobioassay program may receive partial

accreditation if a system is demonstrated to be satisfactory for one or more subsets of the DOELAP

accreditation categories that were applied for. If a system did not satisfactorily demonstrate

compliance with the test criteria for a particular accreditation category subset and if a remedial action

plan was initiated by the program, then the accreditation process may continue for any other

requested accreditation category.