b. Records and data are annotated to prevent misinterpretation c. Investigation data is permanently recorded for future reference d. Data collection does not interfere with facility operation unless vital to understanding the event e. The facts of the event are reconstructed chronologically from the data f. The event is analyzed to determine equipment and personnel response, procedure and equipment adequacy, human performance factors, and safety impact g. Management determines the appropriate restart process (if applicable) a. The causes are determined 2.f.(4) Causal analysis and b. Appropriate corrective actions to corrective action prevent recurrence of the event are determination determined c. Corrective actions are approved by the responsible manager and tracked to completion a. Investigation reports are timely b. Investigation Reports contain a description of the event, its impact, 2.f.(5) Event investigation root cause, lessons, and corrective reporting, training, and actions trending c. Investigation Reports note any positive aspects of the event d. Investigation Reports are approved by the responsible manager and reviewed by appropriate managers and safety personnel
b. Records and data are annotated to prevent misinterpretation c. Investigation data is permanently recorded for future reference d. Data collection does not interfere with facility operation unless vital to understanding the event e. The facts of the event are reconstructed chronologically from the data f. The event is analyzed to determine equipment and personnel response, procedure and equipment adequacy, human performance factors, and safety impact g. Management determines the appropriate restart process (if applicable) 2.f.(4) Causal analysis and corrective action determination a. The causes are determined b. Appropriate corrective actions to prevent recurrence of the event are determined c. Corrective actions are approved by the responsible manager and tracked to completion 2.f.(5) Event investigation reporting, training, and trending a. Investigation reports are timely b. Investigation Reports contain a description of the event, its impact, root cause, lessons, and corrective actions c. Investigation Reports note any positive aspects of the event d. Investigation Reports are approved by the responsible manager and reviewed by appropriate managers and safety personnel
O-422.1_final.docx