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|  DOE-STD-3006-95
Appendix 4
ORR APPRAISAL FORM
Functional Area:
CRA No./Title:
Criteria Met:
Yes
Date:
No
OBJECTIVE:
Criteria(Method of Appraisal)
Records Review:
o
o
o
Personnel Interviewed:
o
o
Evolutions/Operations/Shift Performance:
o
Discussion of Results:
Record Review:
Interviews:
Shift Performance:
CONCLUSION
Issue(s):
o
Inspected by:
Approved by:
ORR Team Leader
Date:
ORR DEFICIENCY FORM
FORM 2
Appendix 4-23
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