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DOE-EM-STD-5505-96
APPENDIX G
SAMPLE OPERATIONS ASSESSMENT REPORT
FINDING:
Tag A Complex-95-017-3 (1 of 8 tags checked) does not have a "Verified By" signature on it.
(References: 1, 2, 3)
DISCUSSION: This tag is outside and exposed to weather, and the verification signature
may have faded; however, all other information on the tag was clearly legible.
FINDING:
Tagout Authorization B Complex-95-029 does not have a Technical Reviewer signature for the
second tagout for job ES-95-00041/0. (References: 1, 2, 3) [Concern: 1]
FINDING:
Tagout Authorization form B Complex-95-017 does not have a date next to the signatures in
Block 7 "Work Completed/Date." (References: 1, 2, 3) [Concern: 1]
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