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DOE-EM-STD-5505-96
APPENDIX G
SAMPLE OPERATIONS ASSESSMENT REPORT
FINDING:
Some Tagout Authorization forms had missing monthly surveillances. (References: 1, 2, 3)
[Concern: 1]
DISCUSSION: Examples are:
1. A Complex-95-002 missing 3/95.
2. A Complex-95-007 missing 5/95.
3. A Complex-94-062 missing 2/95.
4. A Complex-94-028 missing 5/95.
FINDING:
Safe condition checks are not documented in a consistent manner on Tagout Authorization forms.
(References: 1, 2, 3) [Concern: 4]
DISCUSSION: Examples of Tagout Authorization forms with varying methods of
documenting the completion of safe condition checks are:
A Complex-95-017
A Complex-95-011
A Complex-95-024
A Complex-95-002
A Complex-94-062
A Complex-94-036
AN-95-009
B Complex-95-017
Some safe condition checks are annotated with zero voltage checks, others are annotated by
signing block 26, and others are annotated by lining out block 26 and noting the type of
check performed.
154


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