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DOE-STD-3006-95
Appendix 4
Action Plan:
A description of the plan to resolve the finding, along with proposed dates of completion, is presented in this
section. A compilation of these plans taken from all the Form 3's generated during the ORR would form the basis
for the action plan that is submitted to the appointing authority for approval. Modifications to the action plan made
by the appointing authority would need to be incorporated in the Form 3.
Resolution:
A description of the actual actions taken, the reasons for concluding that closure has been achieved and how
referenced documents support closure, along with dates of completion, is provided. This becomes the formal
documentation of the corrective measures used to resolve the finding.
Certified:
This block is used by management to certify that the actions specified in the action plan and detailed in the
resolution block have been completed. The designated manager would sign this block when satisfied that all
corrective action are completed.
Verified:
This signature block is used by the official designated by the appointing authority to verify management's
successful fulfillment of the corrective actions.
Appendix 4-22


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