DOE G 450.4-1, Vol 2, Integrated Safety Management System Guide
Functional areas: Integrated Safety Management, Work Processes, Worker Protection
This Guide provides guidance for addressing the requirements of DOE P 450.4 and DEAR integrated SMS clauses promulgated in 48 CFR
970.5204-2, 48 CFR 970.5204-78, and 48 CFR 970.1001.
Superseded By:
DOE G 450.4-1A, Vol 2, Integrated Safety Management System Guide on May 27, 1999
Version history and related documents
Superseded by
A newer version replaces this document.
Document text
Text extracted from the attached file. Refer to the original document for the authoritative version.
Section 1
THIS PAGE MUST BE KEPT WITH DOE G 450.4-1, INTEGRATED
SAFETY MANAGEMENT SYSTEM GUIDE, REVISION 0.
THE OFFICE OF ENVIRONMENT, SAFETY AND HEALTH (EH)
HAS REQUESTED THAT THIS GUIDE BE ISSUED AND USED FOR
AT LEAST SIX MONTHS FROM THE APPROVAL DATE IN ORDER
TO OBTAIN MORE EXPERIENCE IN THE USE OF THIS GUIDE IN
THE DEVELOPMENT OF SAFETY MANAGEMENT SYSTEMS. EH
WILL THEN FORMALLY REQUEST ADDITIONAL COMMENTS
AND FEEDBACK FOR USE IN A PLANNED REVISION TO THE
GUIDE.
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DOE G 450.4-1
November 26, 1997
Volume 2 of 2
INTEGRATED SAFETY
MANAGEMENT SYSTEM GUIDE
for use with
DOE P 450.4, SAFETY MANAGEMENT
SYSTEM POLICY, AND DEAR
SAFETY MANAGEMENT SYSTEM
CONTRACT CLAUSES
Volume Two: Appendixes
Assistant Secretary for
Environment, Safety and Health
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Contents 11-26-97
CONTENTS
APPENDIX A: GLOSSARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1
APPENDIX B: RESOURCES FOR COMPLYING WITH THE SMS POLICY
AND THE DEAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-1
APPENDIX C: DEVELOPMENT AND EVALUATION GUIDANCE FOR AN
INTEGRATED SMS AT A HAZARD CATEGORY 2
NUCLEAR FACILITY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-1
APPENDIX D: DISCUSSION OF SAFETY MANAGEMENT ASSESSMENT . . . . . D-1
APPENDIX E: INTEGRATED SMS VERIFICATION TEAM LEADER
GUIDANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-1
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Appendix A 11-26-97
APPENDIX A
GLOSSARY
ADMINISTRATIVE CONTROLS. Provisions relating to organization and management,
procedures, record keeping, assessment, and reporting necessary to ensure safe operation of a
facility. With respect to nuclear facilities administrative controls means the section of the
Technical Safety Requirements (TSRs) containing provisions for safe operation of a facility
including (1) requirements for reporting violations of TSRs, (2) staffing requirements important to
safe operations, and (3) commitments to the safety management programs and procedures
identified in the Safety Analysis Report as necessary elements of the facility safety basis
provisions.
AUTHORIZATION AGREEMENT. A documented agreement between DOE and the
contractor for high-hazard facilities (Categories 1 and 2), incorporating the results of DOE's
review of the contractor’s proposed authorization basis for a defined scope of work. The
authorization agreement contains key terms and conditions (controls and commitments) under
which the contractor is authorized to perform work. Any changes to these terms and conditions
would require DOE approval.
AUTHORIZATION BASIS. Safety documentation supporting the decision to allow a process
or facility to operate. Included are corporate operational and environmental requirements as
found in regulations and specific permits, and, for specific activities, work packages or job safety
analyses. (See also nuclear safety authorization basis.)
Section 2
AUTHORIZATION PROTOCOLS. Those processes used to communicate acceptance of the
contractor’s integrated plans for hazardous work. Such protocols are expected to range from
preperformance review and approval by DOE of detailed safety-related terms and conditions for
performing work (authorization agreement) to less rigorous oversight and postperformance
assessment of the contractor’s work.
CHANGE CONTROLS. A process that ensures all changes are properly identified, reviewed,
approved, implemented, tested, and documented.
COGNIZANT SECRETARIAL OFFICER. That first-tier Headquarters office with
responsibility and authority for the particular activity under consideration.
CONTRACTING OFFICER. A DOE official with the authority to purchase or contract for
goods and services in excess of $25,000. Contracting officers are appointed using Standard Form
1402, following procedures in DOE O 541.1, APPOINTMENT OF CONTRACTING
OFFICERS AND CONTRACTING OFFICER REPRESENTATIVES, which superseded
DOE 4200.4A. For Headquarters support contracts, the contracting officer is generally a member
of the staff of the Assistant Secretary for Human Resources and Administration.
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CONTRACTOR. Any person under contract (including subcontractors or suppliers) with DOE
with the responsibility to perform activities or supply services or products.
CORE SAFETY MANAGEMENT FUNCTIONS. The core safety management functions for
DOE P 450.4, SAFETY MANAGEMENT SYSTEM POLICY, are (1) define the scope of work,
(2) analyze the hazards; (3) develop and implement hazard controls; (4) perform work within
controls; and (5) provide feedback and continuous improvement. These functions are also
identified in DEAR 48 CFR 970.5204-2(c).
DEACTIVATION. The process of placing a facility in a safe and stable condition to minimize
the long-term cost of a surveillance and maintenance program that is protective of workers, the
public, and the environment until decommissioning is completed.
DECOMMISSIONING. Actions taken at the end of facility life to retire a facility from service
with adequate regard for the health and safety of the public and workers and the protection of the
environment.
DECONTAMINATION. The removal or reduction of residual radioactive and hazardous
material (after facility deactivation) by mechanical, chemical, or other techniques to achieve a
stated objective or end condition.
DEFENSE IN DEPTH. An approach to facility safety that builds-in layers of defense against
release of hazardous materials so that no one layer by itself, no matter how good, is completely
relied upon. To compensate for potential human and mechanical failures, defense in depth is
based on several layers of protection with successive barriers to prevent the release of hazardous
material to the environment. This approach includes protection of the barriers to avert damage to
the plant and to the barriers themselves. It includes further measures to protect the public,
workers, and the environment from harm in case these barriers are not fully effective.
ENGINEERED CONTROLS. Physical controls, including set points and operating limits; as
distinct from administrative controls.
EXTERNAL EVENTS. Natural phenomena or man-caused hazards not related to the facility.
Section 3
FACILITY. Any equipment, structure, system, process, or activity that fulfills a specific
purpose. Facilities do not have to be structures. Examples include accelerators, storage areas,
fusion research devices, nuclear reactors, production or processing plants, coal conversion plants,
magnetohydrodynamics experiments, windmills, radioactive waste disposal systems and burial
grounds, environmental restoration activities, testing laboratories, research laboratories,
transportation activities, and accommodations for analytical examinations of irradiated and
unirradiated components.
FIELD ELEMENT. A non-Headquarters DOE organization that is geographically distinct.
Field elements can be area offices; support offices; operations offices; field offices; regional
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offices; or offices located at environmental restoration, construction, or termination sites.
“FLOOR-LEVEL” PROCEDURES. Detailed instructions used by technicians, researchers,
and other workers to directly accomplish work activities or tasks.
GUIDING PRINCIPLES. Conditions for performance of work that an SMS must address.
The guiding principles for the Safety Management System Policy (DOE P 450.4) are Line
Management Responsibility for Safety, Clear Roles and Responsibilities, Competence
Commensurate with Responsibilities, Balanced Priorities, Identification of Safety Standards and
Requirements, Hazard Controls Tailored to Work Being Performed and Operations
Authorization. These principles are also identified in DEAR 48 CFR 970.5204-2(b).
HAZARD. A source of danger (i.e., material, energy source, or operation) with the potential to
cause illness, injury, or death to personnel or damage to a facility or to the environment (without
regard to the likelihood or credibility of accident scenarios or consequence mitigation).
HAZARD ANALYSIS. The determination of material, system, process, and plant characteristics
that can produce undesirable consequences, followed by the assessment of hazardous situations
associated with a process or activity. Largely qualitative techniques are used to pinpoint
weaknesses in design or operation of the facility that could lead to accidents. The SAR hazard
analysis examines the complete spectrum of potential accidents that could expose members of the
public, onsite workers, facility workers, and the environment to hazardous materials.
HAZARD CLASSIFICATION. Evaluation of the consequences of unmitigated releases,
performed to classify facilities or operations into the following hazard categories:
• Category 1: The hazard analysis shows the potential for significant offsite consequences.
• Category 2: The hazard analysis shows the potential for significant onsite consequences.
• Category 3: The hazard analysis shows the potential for significant localized
consequences.
HAZARDS CONTROLS. Design features; operating limits; and administrative or safety
practices, processes, or procedures to prevent, control, or mitigate hazards.
HEAD OF THE CONTRACTING ACTIVITY. Head of a DOE element who has been
delegated authority by the Deputy Assistant Secretary for Procurement and Assistance
Management to (1) award and administer contracts, sales contracts, and/or financial assistance
instruments; (2) appoint contracting officers; and (3) exercise the overall responsibility for
managing the contracting activity.
Section 4
IMPLEMENTATION PLAN. A document prepared by a contractor that sets forth (1) when
and how the actions appropriate to comply with DOE or other regulatory requirements, including
the requirements of a plan or program committed to by the contractor, shall be taken, and (2)
what relief will be sought if a contractor cannot attain full compliance with a requirement in a
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reasonable manner.
INTEGRATED SAFETY MANAGEMENT SYSTEM. A Safety Management System (SMS)
to systematically integrate safety into management and work practices at all levels as required by
DOE P 450.4, SAFETY MANAGEMENT SYSTEM POLICY.
LIFE CYCLE. The life of an asset from planning through acquisition, maintenance, operation,
and disposition.
LINE MANAGEMENT. Any management level within the line organization, including
contractor management, that is responsible and accountable for directing and conducting work.
LINE ORGANIZATION. That unbroken chain of command that extends from the Office of the
Secretary to Secretarial Offices that set program policy and plans and develop assigned programs,
to the field element organizations responsible for execution of these programs, to the contractors
that conduct the work.
MANAGEMENT CONTROLS (INTERNAL CONTROLS). The organization, procedures,
and methods managers use to achieve their goals, including processes for planning, organizing,
directing, and controlling operations. Management controls are designed to provide reasonable
assurance that(1) programs achieve intended results; (2) resource use is consistent with DOE’s
mission and resources are protected from waste, loss, unauthorized use, and misappropriation; (3)
laws and regulations are followed; and (4) decisions are based on reliable data. Management
controls apply to all programs and administrative functions.
MANUALS/CODES OF PRACTICE. As applied to integrated safety management,
documented instructions that define methods, processes, and procedures for DOE and the
contractor to use in implementing safety requirements and guidelines. These manuals/codes of
practice document the safety infrastructure of an integrated SMS and provide the basis for work
planning, authorization protocols, formality of operations, and feedback and improvement
processes.
NUCLEAR SAFETY. Aspects of safety that encompass activities and systems that present the
potential for (1) uncontrolled releases of fission products or other radioactive materials to the
environment or (2) for inadvertent criticality.
NUCLEAR SAFETY AUTHORIZATION BASIS. The basis for the safe operation of a DOE
nuclear facility, nuclear safety authorization basis includes hazard classification documents,
Safety Analysis Reports, TSRs, DOE-issued safety evaluation reports, and facility-specific
commitments made to comply with DOE nuclear safety requirements.
OCCURRENCE REPORT. A documented evaluation of an event or condition that is prepared
in sufficient detail to enable the reader to assess its significance, consequences, or implications and
to evaluate the actions being proposed or employed to correct the condition or to avoid
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recurrence.
OPERATIONAL READINESS REVIEW/ASSESSMENT. A disciplined, systematic,
documented, performance-based examination of facilities, equipment, personnel, procedures, and
management control systems to ensure that a facility will be operated safely within its approved
safety envelope as defined by the facility safety basis.
Section 5
OPERATIONAL SAFETY CONTROLS. Safety limits, operating limits, surveillance
requirements, safety boundaries, and management and administrative controls that significantly
contribute to protecting workers, the public, and the environment from hazards other than nuclear
detonation, high-explosive detonation and deflagration, and fire (which are addressed by Nuclear
Explosive Safety Rules) for specific nuclear explosive operations and associated activities.
OVERSIGHT. The responsibility and authority assigned to the Assistant Secretary for
Environment, Safety and Health to independently assess the adequacy of DOE and contractor
performance. Oversight is separate and distinct from line management activities, including self
assessments.
PERFORMANCE INDICATOR. Operational information indicative of the performance or
condition of a facility, group of facilities, or site.
PERFORMANCE-BASED REGULATIONS. Regulations that are outcome-oriented rather
than procedure-oriented.
PROCEDURE. A document that prescribes a process (a sequence of actions) to be performed
to achieve a desired outcome.
PROCESS. A series of actions that achieves an end or result.
PROGRAM MANAGER. a. (Chief Financial Officer) An individual in an organization or
activity responsible for the management of a specific function or functions and responsible for
budget formulation and execution of the approved budget. The individual is the recipient of an
approved funding program from the Office of Chief Financial Officer identifying his or her
program dollars available to accomplish the assigned function. b. (Environment, Safety and
Health) The Headquarters individual, or his/her designee, designated by and under the direction of
a Secretarial Officer, who is directly involved in the operation of facilities under his/her
cognizance, and holds signature authority to provide technical direction through heads of field
elements/operations office organizations to contractors for these facilities.
PROGRAM OFFICE. A Headquarters organization responsible for executing program
management functions and for assisting and supporting Field Elements in safety and health,
administrative, management, and technical areas.
PROGRAM SECRETARIAL OFFICERS (PSO). See SECRETARIAL OFFICER.
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RISK. The quantitative or qualitative expression of possible loss that considers both the
probability that a hazard will cause harm and the consequences of that event.
RISK-INFORMED. Using knowledge of the risk.
SAFETY ANALYSIS. A documented process to–
(1) provide systematic identification of hazards within a given DOE operation;
(2) describe and analyze the adequacy of the measures taken to eliminate, control, or
mitigate identified hazards; and
(3) analyze and evaluate potential accidents and their associated risks.
SAFETY ANALYSIS REPORT (SAR). A report that documents the safety analysis for a
nuclear facility to provide the basis for a determination that the facility can be constructed,
operated, maintained, shut down, and decommissioned safely and in compliance with applicable
laws and regulations.
SAFETY CONTROLS. Safety significant controls or safety class controls (see also
administrative controls).
SAFETY DOCUMENTATION. Reports, memoranda, and other signed and dated documents
that identify the hazards of a process or facility, and describe the measures for their control.
Section 6
SAFETY ENVELOPE. The range of conditions covered by the safety documentation of a
process or facility under which safe operation is adequately controlled.
SAFETY EVALUATION REPORT (SER). A DOE document that describes the extent and
detail of DOE review of a SAR or equivalent analysis report, the bases for approving the SAR (or
equivalent), and any conditions of SAR (or equivalent) approval. Approval signifies that DOE
has accepted the analysis as appropriately documenting the safety basis of a facility and as serving
as the basis for operational controls necessary to maintain an acceptable operating safety
envelope.
SAFETY CLASS STRUCTURES, SYSTEMS, AND COMPONENTS. Nuclear safety
structures, systems, and components (SSCs) that are relied upon to protect the safety and health
of the offsite public as identified by safety analyses.
SAFETY PROGRAMS. Programs, required by DOE or other regulatory authority or
committed to in the contractor’s SMS description, that will be adhered to for a scope of work by
a facility or site in support of the work.
SAFETY SIGNIFICANT STRUCTURES, SYSTEMS, AND COMPONENTS. Structures,
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systems, and components (SSCs) that are not designated as safety class SSCs, but whose
preventive or mitigative function is a major contributor to defense in depth (i.e., prevention of
uncontrolled material release) and/or worker safety as determined from hazard analyses.
SAFETY STRUCTURES, SYSTEMS AND COMPONENTS. Both safety significant
structures, systems, and components (SSCs) and safety class SSCs.
SECRETARIAL OFFICER. The head of a first-tier organization; a DOE Headquarters
employee reporting directly to the Secretary, the Under Secretary, or the Deputy Secretary.
STANDARD. A generic, all-encompassing term used to describe documents that provide a
specified set of mandatory or discretionary rules, requirements, or conditions concerned with
performance, design, operation, or measurements of quality to accomplish a specific task.
Standards may include Federal laws, regulations, State laws, Federal agency directives, national
and internal technical standards, codes of conduct, or even organizational “internal use only”
documents.
SURVEILLANCE. Any periodic monitoring to ensure operability or adequacy of performance.
TAILORING. Adapting something, such as a safety program, practice, or requirement, within
the integrated SMS to suit the need or purposes of a particular operation/activity, taking into
account the type of work and associated hazards.
TECHNICAL SAFETY REQUIREMENTS (TSRs). Those requirements that define the
conditions, safe boundaries, and management or administrative controls necessary to ensure the
safe operation of a nuclear facility and to reduce the potential risk to the public and facility
workers from uncontrolled releases of radioactive materials or from radiation exposures due to
inadvertent criticality. TSRs consist of safety limits, operating limits, surveillance requirements,
administrative controls, use and application instructions, and the basis thereof.
Section 7
TECHNICAL STANDARD. A document that sets down a discretionary set of actions that must
be accomplished to meet the purpose of the encompassing document. These actions are generally
concerned with descriptions or steps which must be met to accomplish a specific task such as
classification of components, operation of equipment, enhancement of quality, or protection of
personnel. They may also be used for procurement activities such as specification of materials,
products, or services in accordance with a specific set of conditions for delivery. Technical
standards may only be made mandatory by direct reference in a requirements-type document, such
as a contract, law, rule, or Federal agency directive.
UNREVIEWED SAFETY QUESTION (USQ).
a. An Unreviewed Safety Question exists if one or more of the following conditions is
identified:
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(1) the probability of occurrence or the consequences of an accident or malfunction of
equipment important to safety as previously evaluated in the facility safety analyses
could be increased;
(2) the possibility for an accident or malfunction of a different type than any evaluated
previously in the facility safety analyses could be created; and,
(3) any margin of safety as defined in the bases of the TSRs could be reduced.
b. A USQ determination is made when one of the following circumstances occurs:
(1) temporary or permanent changes in the facility as described in existing safety
analyses;
(2) temporary or permanent changes in the procedures as derived from existing safety
analyses; and
(3) tests or experiments not described in existing safety analyses.
USQ PROCESS. A process to determine when DOE is to be involved in decision making
involving a USQ.
WORK. Process of performing a defined task or activity; for example, research and
development, operations, maintenance and repair, administration, software development and use,
inspection, safeguards and security, data collection, and analysis.
WORK FOR OTHERS. The performance of work for non-DOE entities by DOE /contractor
personnel and/or the utilization of DOE facilities that is not directly funded by DOE
appropriations.
WORK PERFORMANCE. The act of performing work.
WORK PLANNING. The process of planning a defined task or activity. Addressing safety as
an integral part of work planning includes execution of the safety-related functions in preparation
for performance of a scope of work. These functions include (1) definition of the scope of work,
(2) formal analysis of the hazards bringing to bear in an integrated manner specialists in both
ES&H and engineering depending on specific hazards identified, (3) identification of resulting
safety controls including safety structures, systems and components, and other safety-related
commitments to address the hazards, and (4) approval of the safety controls.
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APPENDIX B
RESOURCES FOR COMPLYING WITH THE SMS POLICY
AND THE DEAR
1. INTRODUCTION
Section 8
This Appendix is intended to be used as a resource for complying with 48 CFR Chapter 9
(DEAR) Part 970.5204-78, “Laws, Regulations, and DOE Directives” which standardizes the
manner in which applicable requirements are included in contracts between DOE and its
contractors. The appendix is developed as a resource tool rather than a comprehensive list. DOE
maintains a web site that allows access to current Department directives
(http://www.explorer.doe.gov:1776/htmls/directives.html). To focus the selection and aid
tailoring of standards, DOE has prepared many guides for particular safety activities (e.g., fire
protection) that link to acceptable codes and industry standards. Many canceled or partially
canceled DOE directives are included in this list because they may have been incorporated into a
contract (see Section 2.8 of this appendix).
2. RESOURCES BY TOPICAL AREA
2.1 DEFINE SCOPE OF WORK AND BALANCED PRIORITIES
Federal Rules
• 48 CFR 970.1001 and 970.5204: Department of Energy Acquisition Regulations
DOE Policies, Notices, and Orders
• DOE P 450.4: DOE SAFETY MANAGEMENT SYSTEM POLICY
• DOE O 130.1: BUDGET FORMULATION PROCESS
• DOE O 135.1: BUDGET EXECUTION - FUNDS DISTRIBUTION AND
CONTROL
• DOE O 251.1: DIRECTIVES SYSTEM
• DOE P 251.1: DIRECTIVES SYSTEM
• DOE O 331.1: DEPARTMENTAL EMPLOYEE PERFORMANCE
MANAGEMENT SYSTEM
• DOE O 350.1: CONTRACTOR HUMAN RESOURCE MANAGEMENT
PROGRAMS
• DOE O 413.1: MANAGEMENT CONTROL PROGRAM
• DOE O 430.1: LIFE-CYCLE ASSET MANAGEMENT (see also DRAFT
DOE O 430.1A)
• DOE O 470.1: SAFEGUARDS AND SECURITY PROGRAM
• DOE O 471.1: IDENTIFICATION AND PROTECTION OF UNCLASSIFIED
CONTROLLED NUCLEAR INFORMATION
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• DOE O 471.2A: INFORMATION SECURITY PROGRAM
• DOE O 472.1B: PERSONNEL SECURITY ACTIVITIES
• DOE O 541.1: APPOINTMENT OF CONTRACTING OFFICERS AND
CONTRACTING OFFICER REPRESENTATIVES
• DOE 4300.1C: REAL PROPERTY MANAGEMENT
• DOE 4320.2A: CAPITAL ASSET MANAGEMENT PROCESS
• DOE 4700.1: PROJECT MANAGEMENT SYSTEM
• DOE 5500.6B: SHUTDOWN OF DEPARTMENTAL OPERATIONS UPON
FAILURE BY CONGRESS TO ENACT APPROPRIATIONS
DOE Guides and Technical Standards
• DOE-STD-1082-94: Preparation, Review, and Approval of Implementation
Plans for Nuclear Safety Requirements
• DOE-STD-XXXX-YR: Guidelines for Risk Based Prioritization of DOE
Activities
• DOE G 120.1-5: GUIDELINES FOR PERFORMANCE MEASUREMENT
• DOE G 430.1-1: COST ESTIMATING GUIDE
• DOE G 440.1-4: CONTRACTOR OCCUPATIONAL MEDICAL PROGRAM
GUIDE FOR USE WITH DOE O 440.1
• DOE G 460.2-1: IMPLEMENTATION GUIDE FOR USE WITH DOE O 460.2,
DEPARTMENT MATERIALS TRANSPORTATION AND PACKAGING
MANAGEMENT
DOE Manuals and Handbooks
• DOE M 135.1-1: BUDGET EXECUTION MANUAL
• DOE M 411.1-1: MANUAL OF SAFETY MANAGEMENT FUNCTIONS,
RESPONSIBILITIES AND AUTHORITIES (FRAM)
• DOE M 471.2-1: MANUAL FOR CLASSIFIED MATTER PROTECTION &
CONTROL
Defense Nuclear Facilities Safety Board Technical Reports
• DNFSB/TECH-5, Fundamentals for Understanding Standards-Based Safety
Management of Department of Energy Defense Nuclear Facilities
• DNFSB/TECH-6, Safety Management and Conduct of Operations at the
Department of Energy’s Defense Nuclear Facilities
• DNFSB/TECH-16, Integrated Safety Management
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2.2 ANALYZE HAZARDS
Federal Rules
Section 9
• 10 CFR 830: Nuclear Safety Management
• 10 CFR 835: Radiation Protection for Occupational Workers
• 10 CFR 1021: National Environmental Policy Act
• 29 CFR 1910: Occupational Safety and Health Standards
• 29 CFR 1926: Occupational Safety and Health Regulations for Construction
• 40 CFR 50 to 195: EPA Air, Water and Radiation Protection Requirements
DOE Policies, Notices, and Orders
• DOE P 410.1A: DEVELOPING NUCLEAR SAFETY REQUIREMENTS
• DOE O 420.1: FACILITY SAFETY
• DOE O 430.1: LIFE CYCLE ASSET MANAGEMENT
• DOE O 440.1: WORKER PROTECTION MANAGEMENT FOR DOE
FEDERAL AND CONTRACTOR EMPLOYEES
• DOE O 440.2: AVIATION
• DOE O 452.1A: NUCLEAR EXPLOSIVE AND WEAPONS SURETY
• DOE O 452.2A: SAFETY OF NUCLEAR EXPLOSIVE OPERATIONS
• DOE O 452.4: SECURITY AND CONTROL OF NUCLEAR EXPLOSIVES
AND NUCLEAR WEAPONS
• DOE O 460.1A: PACKAGING AND TRANSPORTATION SAFETY
• DOE 5480.23: NUCLEAR SAFETY ANALYSIS REPORTS
• DOE 5480.25: SAFETY OF ACCELERATOR FACILITIES
• DOE 5480.30: NUCLEAR REACTOR SAFETY DESIGN CRITERIA
DOE Guides and Technical Standards
• DOE-STD-1021-93: Natural Phenomena Hazards Performance Categorization
Guidelines for Structures, Systems, and Components
• DOE-STD-1022-94: Natural Phenomena Hazards Site Characterization Criteria
• DOE-STD-1023-95: Natural Phenomena Hazards Assessment Criteria (including
Change Notice 1; January 1996)
• DOE-STD-1027-92: Guidance on Preliminary Hazard Classification and
Accident Analysis
• DOE-STD-1088-95: Fire Protection for Relocatable Structures
• DOE-STD-1101-96: Process Safety Management for Highly Hazardous
Chemicals
• DOE-STD-1104-96: Review and Approval of Nonreactor Nuclear Facility Safety
Analysis Reports
• Draft DOE-STD-1120-97: Integration of Safety and Health into Facility
Disposition Activities
• DOE-STD-3007-93: Guidelines for Preparing Criticality Safety Evaluations at
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Department of Energy Non-Reactor Nuclear Facilities
• DOE-STD-3009-94: Preparation Guide for U.S. Department of Energy
Nonreactor Nuclear Facility Safety Analysis Reports
• DOE-STD-3014-96: Accident Analysis for Aircraft Crash into Hazardous
Facilities
• DOE-STD-3015-97: Nuclear Explosive Safety Study Process
• DOE-STD-6002-96: Safety of Magnetic Fusion Facilities: Requirements
• DOE-STD-6003-96: Safety of Magnetic Fusion Facilities: Guidance
• DOE-EM-5502-94: Hazard Baseline Documentation
• DOE-EM-5503-94: EM Health and Safety Plan Guidelines
• DRAFT DOE G 420.1-X: IMPLEMENTATION GUIDE FOR NONREACTOR
NUCLEAR SAFETY DESIGN CRITERIA AND EXPLOSIVES SAFETY
CRITERIA
• DRAFT DOE G 420.1-Y: IMPLEMENTATION GUIDE FOR THE
MITIGATION OF NATURAL PHENOMENA HAZARDS FOR DOE
NUCLEAR FACILITIES AND NON-NUCLEAR FACILITIES
DOE Manuals and Handbooks
• DOE M 440.1-1: DOE EXPLOSIVES SAFETY MANUAL
• DOE-HDBK-1100-96: Chemical Process Hazards Analysis
• DOE-HDBK-1101-96: Process Safety Management for Highly Hazardous
Chemicals
• DOE-HDBK-3010-94: Airborne Release Fractions/Rates and Respirable
Fractions for Nonreactor Nuclear Facilities, Vols. I & II
Non-DOE Documents
• Guidelines for Hazard Evaluation Procedures, Second Edition with Worked
Examples, Center for Chemical Process Safety, AIChe, 1992
• Risk Assessment and Risk Management for the Chemical Process Industry, Stone
and Webster Engineering Corporation, 1991
• Management of Process Hazards, American Petroleum Institute Recommended
Practice 750, 1990
Section 10
• DNFSB/TECH-5, Fundamentals for Understanding Standards-Based Safety
Management of Department of Energy Defense Nuclear Facilities
• DNFSB/TECH-6, Safety Management and Conduct of Operations at the
Department of Energy’s Defense Nuclear Facilities
• DNFSB/TECH-16, Integrated Safety Management
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Appendix B 11-26-97
2.3 DEVELOP/IMPLEMENT HAZARDS CONTROLS, IDENTIFICATION OF
SAFETY STANDARDS AND REQUIREMENTS; AND HAZARD
CONTROLS TAILORED TO WORK BEING PERFORMED
Federal Rules
• 10 CFR 708: DOE Contractor Employee Protection Program
• 10 CFR 830: Nuclear Safety Management
• 10 CFR 834: Radiation Protection of the Public and the Environment (Draft)
• 10 CFR 835: Radiation Protection for Occupational Workers
• 10 CFR 1021: National Environmental Policy Act
• 29 CFR 1910: Occupational Safety and Health Standards
• 29 CFR 1926: Occupational Safety and Health Regulations for Construction
• 40 CFR 50 to 195: EPA Air, Water and Radiation Protection Requirements
DOE Policies, Notices, and Orders
• DOE O 360.1: TRAINING
• DOE O 420.1: FACILITY SAFETY
• DOE O 440.1: WORKER PROTECTION MANAGEMENT FOR DOE
FEDERAL AND CONTRACTOR EMPLOYEES
• DOE N 441.1: RADIOLOGICAL PROTECTION FOR DOE ACTIVITIES
• DOE P 441.1: DEPARTMENT OF ENERGY RADIOLOGICAL HEALTH
AND SAFETY POLICY
• DOE P 450.1: ENVIRONMENT, SAFETY, AND HEALTH POLICY FOR THE
DEPARTMENT OF ENERGY COMPLEX
• DOE P 450.2A: IDENTIFICATION, IMPLEMENTATION, AND
COMPLIANCE WITH ENVIRONMENT, SAFETY AND HEALTH
REQUIREMENTS
• DOE N 450.3: USE OF NECESSARY AND SUFFICIENT PROCESS
• DOE P 450.3: AUTHORIZING USE OF THE NECESSARY AND
SUFFICIENT PROCESS FOR STANDARDS-BASED ENVIRONMENT,
SAFETY AND HEALTH MANAGEMENT
• DOE P 450.4: SAFETY MANAGEMENT SYSTEM POLICY
• DOE O 451.1A: NATIONAL ENVIRONMENTAL POLICY ACT
COMPLIANCE PROGRAM
• DOE O 452.4: SECURITY AND CONTROL OF NUCLEAR EXPLOSIVES
AND NUCLEAR WEAPONS
• DOE O 460.2: DEPARTMENTAL MATERIALS TRANSPORTATION AND
PACKAGING MANAGEMENT
• DOE O 470.1: SAFEGUARDS AND SECURITY PROGRAM
• DOE O 471.1: IDENTIFICATION AND PROTECTION OF UNCLASSIFIED
CONTROLLED NUCLEAR INFORMATION
• DOE O 471.2A: INFORMATION SECURITY PROGRAM
• DOE O 472.1B: PERSONNEL SECURITY ACTIVITIES
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• DOE 4330.4B: MAINTENANCE MANAGEMENT PROGRAM
• DOE 5480.20A: PERSONNEL SELECTION, QUALIFICATION, AND
TRAINING REQUIREMENTS FOR DOE NUCLEAR FACILITIES
• DOE 5480.21: UNREVIEWED SAFETY QUESTIONS
• DOE 5480.22: TECHNICAL SAFETY REQUIREMENTS
• DOE 5480.23: NUCLEAR SAFETY ANALYSIS REPORTS
• DOE 5530.1A: ACCIDENT RESPONSE GROUP
• DOE 5530.2: NUCLEAR EMERGENCY SEARCH TEAM
• DOE 5530.3: RADIOLOGICAL ASSISTANCE PROGRAM
• DOE 5530.4: AERIAL MEASURING SYSTEM
• DOE 5610.13: JOINT DEPARTMENT OF ENERGY/DEPARTMENT OF
DEFENSE NUCLEAR WEAPON SAFETY, SECURITY AND CONTROL
ACTIVITIES
• DOE 5820.2A: RADIOACTIVE WASTE MANAGEMENT
DOE Guides and Technical Standards
• DOE-STD-1023-95: Natural Phenomena Hazards Assessment Criteria (including
Change No. 1; January 1996)
• DOE-STD-1027-92: Guidance on Preliminary Hazard Classification and
Accident Analysis Techniques for Compliance with DOE 5480.23 NUCLEAR
SAFETY ANALYSIS REPORTS (above)
• DOE-STD-1029-92: Writer’s Guide for Technical Procedures
• DOE-STD-1030-92: Guide to Good Practices for Lockouts and Tagouts
• DOE-STD-1040-93: Guide to Good Practices for Control of On-Shift Training
• DOE-STD-1053-93: Guideline to Good Practices for Control of Maintenance
Section 11
Activities at DOE Nuclear Facilities
• DOE-STD-1066-97: Fire Protection Design Criteria
• DOE-STD-1070-94: Guidelines for Evaluation of Nuclear Facility Training
Programs
• DOE-STD-1073-93: Guide for Operational Configuration Management
Program
• DOE-STD-1077-94: Training Accreditation Program Standard: Requirements
and Guidelines
• DOE-STD-1082-94: Preparation, Review, and Approval of Implementation
Plans for Nuclear Safety Requirements
• DOE-STD-1083-95: Requesting and Granting Exemptions to Nuclear Safety Rules
• DOE-STD-1088-95: Fire Protection for Relocatable Structures
• Draft DOE-STD-1120-97: Integration of Safety and Health into Facility
Disposition Activities
• DOE-STD-3007-93: Guidelines for Preparing Criticality Safety Evaluations at
DOE Non-Reactor Nuclear Facilities
• DOE-STD-3009-94: Prep. Guide for U.S. DOE Nonreactor Nuclear Facility
Safety Analysis Reports
• DOE-STD-3011-94: Guidance for Preparation of DOE 5480.22 TECHNICAL
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Appendix B 11-26-97
SAFETY REQUIREMENTS (TSR) and DOE 5480.23 NUCLEAR SAFETY
ANALYSIS REPORTS (SAR) Implementation Plans
• EH-STD-0256T: Radiological Control Manual
• EH-STD-0416: Criteria for the Department’s Standards Program
• EH-STD-0433: DOE Voluntary Protection Program, Part I: Program Elements
• EH-STD-0433: DOE Voluntary Protection Program, Part II: Procedures Manual
• EH-STD-0433: DOE Voluntary Protection Program, Part III: Application
Guidelines
• EH-STD-0433: DOE Voluntary Protection Program, Part IV: Onsite Review
Handbook
• EH-STD-0486: Integrating Safety and Health During Deactivation, With
Lessons Learned From Purex
• EH-STD-0535: Handbook for Occupational Health and Safety During
Hazardous Waste Activities
• DOE/EH-0536: Management Perspectives on Worker Protection During DOE
Hazardous Waste Activities
• EM-STD-5502-94: Hazard Baseline Documentation
• EM-STD-5503-94: EM Health and Safety Plan Guidelines
• TSL-1-96: DOE Technical Standards List
• DOE-76-45-19: Job Safety Analysis, 1979
• DOE-76-45: Barrier Analysis, 1985
• DOE G 414.1-1: IMPLEMENTATION GUIDE FOR USE WITH
INDEPENDENT AND MANAGEMENT ASSESSMENT REQUIREMENTS OF
10 CFR PART 830.120 AND DOE 5700.6C, QUALITY ASSURANCE
• DRAFT DOE G 430.1-2: SURVEILLANCE AND MAINTENANCE DURING
FACILITY DISPOSITION
• DRAFT DOE G 430.1-3: DEACTIVATION IMPLEMENTATION GUIDE
• DRAFT DOE G 430.1-4: DECOMMISSIONING IMPLEMENTATION GUIDE
• DOE G 440.1-1: WORKER PROTECTION MANAGEMENT FOR DOE
FEDERAL AND CONTRACTOR EMPLOYEES GUIDE FOR USE WITH
DOE O 440.1
• DOE G 440.1-2: CONSTRUCTION SAFETY MANAGEMENT GUIDE
• DOE G 440.1-4: CONTRACTOR OCCUPATIONAL MEDICAL PROGRAM
GUIDE FOR USE WITH DOE O 440.1
• DOE G 440.1-5: IMPLEMENTATION GUIDE FOR FIRE SAFETY PROGRAM
• DOE G 460.1-1: IMPLEMENTATION GUIDE FOR USE WITH DOE O 460.1A,
PACKAGING AND TRANSPORTATION SAFETY
DOE Manuals and Handbooks
• DOE M 450.3-1: THE DEPARTMENT OF ENERGY CLOSURE PROCESS
FOR NECESSARY AND SUFFICIENT SETS OF STANDARDS
• DOE M 471.2-1: MANUAL FOR CLASSIFIED MATTER PROTECTION &
CONTROL
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• DOE-HDBK-1078-94: Training Program Handbook: A Systematic Approach to
Training
• DOE-HDBK-1079-94: Primer for Tritium Safe Handling Practices
• DOE-HDBK 1100-96: Chemical Process Hazards Analysis
• DOE-HDBK 1101-96: Process Safety Management for Highly Hazardous
Section 12
Chemicals
• DOE-HDBK 1105-96: Radiological Training for Tritium Facilities
• DOE-HDBK 1106-97: Radiological Contamination Control Training for
Laboratory Research
• DOE-HDBK 1107-97: Knowledge, Skills, and Abilities for Key Radiation
Protection Positions at DOE Facilities
DOE Documents
• Department Report, Standards/Requirements Identification Document
Development and Approval Instruction, September 1994
• Department Report, Standards/Requirements Implementation Assessment
Instruction, September 1994
Non-DOE Documents
• Management of Process Hazards, American Petroleum Institute Recommended
Practice 750, 1990
• ISO/FDIS 2919: Radiation protection—Sealed radioactive sources—General
requirements and classification
• ISO 8194:1987, Radiation protection—Clothing for protection against
radioactive contamination—Design, selection, testing and use
• ISO 14001:1996, Environmental management systems—Specification with
guidance for use
• ISO 14004:1996, Environmental management systems—General guidelines on
principles, systems, and supporting techniques
• DNFSB/TECH-5, Fundamentals for Understanding Standards-Based Safety
Management of Department of Energy Defense Nuclear Facilities
• DNFSB/TECH-6, Safety Management and Conduct of Operations at the
Department of Energy’s Defense Nuclear Facilities
• DNFSB/TECH-16, Integrated Safety Management
2.4 PERFORM WORK AND OPERATIONS AUTHORIZATION
Federal Rules
• 10 CFR 71: PACKAGING AND TRANSPORTATION
DOE Policies, Notices, and Orders
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Appendix B 11-26-97
• DOE O 151.1: COMPREHENSIVE EMERGENCY MANAGEMENT SYSTEM
• DOE O 425.1: STARTUP AND RESTART OF NUCLEAR FACILITIES
• DOE O 440.1: WORKER PROTECTION MANAGEMENT FOR DOE
FEDERAL AND CONTRACTOR EMPLOYEES
• DOE O 451.1A: NATIONAL ENVIRONMENTAL POLICY ACT
COMPLIANCE PROGRAM
• DOE O 452.2A: SAFETY OF NUCLEAR EXPLOSIVE OPERATIONS
• DOE 4330.4B: MAINTENANCE MANAGEMENT PROGRAM
• DOE 5480.19: CONDUCT OF OPERATIONS REQUIREMENTS FOR DOE
FACILITIES
• DOE 5480.20A: PERSONNEL SELECTION, QUALIFICATION, AND
TRAINING REQUIREMENTS FOR DOE NUCLEAR FACILITIES
• DOE 5480.22: TECHNICAL SAFETY REQUIREMENTS
• DOE 5530.1A: ACCIDENT RESPONSE GROUP
• DOE 5530.2: NUCLEAR EMERGENCY SEARCH TEAM
• DOE 5530.3: RADIOLOGICAL ASSISTANCE PROGRAM
• DOE 5530.4: AERIAL MEASURING SYSTEM
DOE Guides and Technical Standards
• DOE-STD-1029-92: Writer’s Guide for Technical Procedures
• DOE-STD-1030-92: Guide to Good Practices for Lockouts and Tagouts
• DOE-STD-1032-92: Guide to Good Practices for Operations Organization and
Administration
• DOE-STD-1037-93: Guide to Good Practices for Operations Aspects of Unique
Processes
• DOE-STD-1039-93: Guide to Good Practices for Control of Equipment and
System Status
• DOE-STD-1040-93: Guide to Good Practices for Control of On-Shift Training
• DOE-STD-1041-93: Guide to Good Practices for Shift Routines and Operating
Practices
• DOE-STD-1050-93: Guideline to Good Practices for Planning, Scheduling, and
Coordination of Maintenance at DOE Nuclear Facilities
• DOE-STD-1051-93: Guideline to Good Practices for Maintenance Organization
and Administration at DOE Nuclear Facilities
• DOE-STD-1052-93: Guideline to Good Practices for Types of Maintenance
Activities at DOE Nuclear Facilities
• DOE-STD-1053-93: Guideline to Good Practices for Control of Maintenance
Activities at DOE Nuclear Facilities
• DOE-STD-1055-93: Guideline to Good Practices for Maintenance Management
Section 13
Involvement at DOE Nuclear Facilities
• DOE-STD-1056-93: Guide to Good Practices for Line and Training Manager
Activities Related to Training and Qualification
• DOE-STD-1065-94: Guideline to Good Practices for Postmaintenance Testing
at DOE Nuclear Facilities
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• DOE-STD-1070-94: Guidelines for Evaluation of Nuclear Facility Training
Programs
• DOE-STD-1077-94: Training Accreditation Program Standard: Requirements
and Guidelines
• DOE-STD-3006-95: Planning and Conduct of Operational Readiness Reviews
• DOE-STD-3012-96: Guide to Good Practices for Operational Readiness
Reviews
• EH-STD-0256T: Radiological Control Manual
• NE-STD-1001-91: Guide to Good Practices for Training and Qualification of
Instructors
• NE-STD-1002-91: Guide to Good Practices for Training and Qualification of
Chemical Operators
• NE-STD-1003-91: Guide to Good Practices for Training and Qualification of
Maintenance Personnel
• DOE G 120.1-5: GUIDELINES FOR PERFORMANCE MEASUREMENT
• DRAFT DOE G 430.1-2: SURVEILLANCE AND MAINTENANCE DURING
FACILITY DISPOSITION
• DOE G 440.1-1: WORKER PROTECTION MANAGEMENT FOR DOE
FEDERAL AND CONTRACTOR EMPLOYEES GUIDE FOR USE WITH
DOE O 440.1
• DOE G 440.1-2: CONSTRUCTION SAFETY MANAGEMENT GUIDE
• DOE G 440.1-4: CONTRACTOR OCCUPATIONAL MEDICAL PROGRAM
GUIDE FOR USE WITH DOE O 440.1
• DOE G 440.1-5: IMPLEMENTATION GUIDE FOR FIRE SAFETY PROGRAM
DOE Manuals and Handbooks
• DOE-HDBK-1078-94: Training Program Handbook: A Systematic Approach to
Training
• DOE-HDBK-1079-94: Primer for Tritium Safe Handling Practices
• DOE-HDBK 1105-96: Radiological Training for Tritium Facilities
• DOE-HDBK 1106-97: Radiological Contamination Control Training for
Laboratory Research
• DOE-HDBK 1108-97: Radiological Safety Training for Accelerator Facilities
• DOE-HDBK-3012-96: Guide to Good Practices for Operational Readiness
Reviews (ORR), Team Leader’s Guide
• DOE-HDBK-5504-95: Guidance for Evaluation of Operational Emergency Plans
Non-DOE Documents
• DNFSB/TECH-5, Fundamentals for Understanding Standards-Based Safety
Management of Department of Energy Defense Nuclear Facilities
• DNFSB/TECH-6, Safety Management and Conduct of Operations at the
Department of Energy’s Defense Nuclear Facilities
• DNFSB/TECH-16, Integrated Safety Management
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Appendix B 11-26-97
2.5 FEEDBACK/IMPROVEMENT
DOE Policies, Notices, and Orders
• DOE O 210.1: PERFORMANCE INDICATORS AND ANALYSIS OF
OPERATIONS INFORMATION
• DOE O 225.1: ACCIDENT INVESTIGATIONS
• DOE O 231.1: ENVIRONMENT, SAFETY, AND HEALTH REPORTING
• DOE O 232.1A: OCCURRENCE REPORTING AND PROCESSING OF
OPERATIONS INFORMATION
• DOE O 413.1: MANAGEMENT CONTROL PROGRAM
• DOE P 450.5: LINE ENVIRONMENT, SAFETY AND HEALTH OVERSIGHT
• DOE 5480.29: EMPLOYEE CONCERNS MANAGEMENT SYSTEM
DOE Guides and Technical Standards
• DOE-STD-1010-92: Guide to Good Practices for Incorporating Operating
Experience
• DOE-STD-1036-93: Guide to Good Practices for Independent Verification
• DOE-STD-1055-93: Guideline to Good Practices for Maintenance Management
Involvement at DOE Nuclear Facilities
• DOE-STD-1063-93: Establishing and Maintaining a Facility Representative
Program at DOE Nuclear Facilities
• DOE-STD-1065-94: Guideline to Good Practice for Postmaintenance Testing at
DOE Nuclear Facilities
• DOE-STD-1070-94: Guidelines for Evaluation of Nuclear Facility Training
Section 14
Programs
• DOE-STD-1077-94: Training Accreditation Program Standard: Requirements
and Guidelines
• DOE-STD-7501-95: Development of DOE Lessons Learned Programs
• EM-STD- 5505-96: Operations Assessments
• Draft DOE G 440.1/C-0: EXPERIENCE ASSESSMENT
• DOE G 120.1-5: GUIDELINES FOR PERFORMANCE MEASUREMENT
• DOE G 225.1-1: IMPLEMENTATION GUIDE FOR USE WITH DOE O 225.1,
ACCIDENT INVESTIGATIONS
• DOE G 414.1-1: IMPLEMENTATION GUIDE FOR USE WITH
INDEPENDENT AND MANAGEMENT ASSESSMENT REQUIREMENTS OF
10 CFR PART 830.120 AND DOE 5700.6C, QUALITY ASSURANCE
DOE Manuals and Handbooks
• DOE-HDBK-1085-95: DOE Enforcement Program Roles and Responsibilities
• DOE-HDBK-1089-95: Guidance for Identifying, Reporting, and Tracking
Nuclear Safety Noncompliances
• DOE-HDBK-5504-95: Guidance for Evaluation of Operational Emergency Plans
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• DOE-HDBK-7502-95: Implementing U.S. Department of Energy Lessons
Learned Programs
• DOE and contractor management self-assessment requirements
• DOE-SAFT-0065-97: Draft Integrated Safety Management System Verification
(ISMSV) Process, Team Leader’s Handbook
Other Documents
• DOE and contractor management self-assessment requirements, including–
– Health and Safety Audit Report guidance
– Industrial Hygiene Report guidance
– Radiological Protection Audit Report guidance
– Quality Assurance Audit Report guidance
– Specific details from the contract being administered by DOE
– Specific Site/Facility/Process/Activity Assessment and programs
– Oversight Programs, such as Occurrence Reporting, Facility Representative,
– Corrective Action, and Quality Assurance Programs
• DNFSB/TECH-5, Fundamentals for Understanding Standards-Based Safety
Management of Department of Energy Defense Nuclear Facilities
• DNFSB/TECH-6, Safety Management and Conduct of Operations at the
Department of Energy’s Defense Nuclear Facilities
• DNFSB/TECH-16, Integrated Safety Management
2.6 LINE MANAGEMENT RESPONSIBILITY FOR SAFETY AND CLEAR
ROLES AND RESPONSIBILITIES
References
• 10 CFR 820: PROCEDURAL RULES FOR DOE NUCLEAR ACTIVITIES
• DOE M 411.1-1: MANUAL OF SAFETY MANAGEMENT FUNCTIONS,
RESPONSIBILITIES AND AUTHORITIES (FRAM)
• DOE P 411.1: SAFETY MANAGEMENT FUNCTIONS, RESPONSIBILITIES,
AND AUTHORITIES POLICY
2.7 COMPETENCE COMMENSURATE WITH RESPONSIBILITY
References
• Federal Acquisition Regulation 15.605
• 41 U.S.C. 253a
• 10 CFR 830: Nuclear Safety Management
• DOE O 360.1: TRAINING
• DOE O 440.1: WORKER PROTECTION MANAGEMENT FOR DOE
FEDERAL AND CONTRACTOR EMPLOYEES
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Appendix B 11-26-97
• DOE O 541.1: APPOINTMENT OF CONTRACTING OFFICERS AND
CONTRACTING OFFICER REPRESENTATIVES
• DOE 5480.20A: PERSONNEL SELECTION, QUALIFICATION, AND
TRAINING REQUIREMENTS FOR DOE NUCLEAR FACILITIES
• DOE 5700.6C, QUALITY ASSURANCE
• DOE-STD-1056-93: Guide to Good Practices for Line and Training Manager
Activities Related to Training and Qualification
• NE-STD-1001-91: Guide to Good Practices for Training and Qualification of
Instructors
• NE-STD-1002-91: Guide to Good Practices for Trng. and Qual. of Chemical
Operators
• NE-STD-1003-91: Guide to Good Practices for Trng. and Qual. of Maintenance
Personnel
• DOE-HDBK-1107-97: Knowledge, Skills, and Abilities for Key Radiation
Protection Positions at DOE Facilities
2.8 CANCELED DOE DIRECTIVES
Section 15
Many canceled or partially canceled DOE directives remain on the list because they may
have been incorporated into a contract. Requirements of the canceled directives remain
applicable until the contract has been renegotiated.
• DOE G 151.1-1: EMERGENCY MANAGEMENT GUIDE (CANCELED)
• DOE 1540.1A: MATERIAL TRANSPORTATION AND TRAFFIC
MANAGEMENT PROGRAM (CANCELED)
• DOE 1540.2A: HAZARDOUS MATERIAL PACKAGING FOR
TRANSPORTATION - ADMINISTRATIVE PROCEDURES (CANCELED)
• DOE 3790.1B: FEDERAL EMPLOYEE OCCUPATIONAL SAFETY
PROGRAM (PORTIONS CANCELED)
• DOE 3792.2A: FEDERAL EMPLOYEE MOTOR VEHICLE SAFETY
PROGRAM (CANCELED)
• DOE 5400.1: GENERAL ENVIRONMENT PROTECTION PROGRAM
(PORTIONS CANCELED)
• DOE 5400.2A: ENVIRONMENTAL COMPLIANCE ISSUE COORDINATION
(CANCELED)
• DOE 5400.4: CERCLA REQUIREMENTS (CANCELED)
• DOE 5400.5: RADIATION PROTECTION OF THE PUBLIC (CANCELED)
• DOE 5440.4E: NATIONAL ENVIRONMENTAL POLICY ACT
COMPLIANCE PROGRAM (PORTIONS CANCELED)
• DOE 5480.4: ENVIRONMENTAL PROTECTION, SAFETY, AND HEALTH
PROTECTION (PORTIONS CANCELED)
• DOE 5480.6: SAFETY OF DEPARTMENT OF ENERGY-OWNED NUCLEAR
REACTORS (CANCELED)
• DOE 5480.7A: FIRE PROTECTION (CANCELED)
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• DOE 5480.8A: CONTRACTOR OCCUPATIONAL MEDICAL PROGRAM
(CANCELED)
• DOE 5480.9A: CONSTRUCTION PROJECT SAFETY AND HEALTH
MANAGEMENT (CANCELED)
• DOE 5480.10: CONTRACTOR INDUSTRIAL HYGIENE PROGRAM
(CANCELED)
• DOE 5480.11: RADIATION PROTECTION FOR OCCUPATIONAL
WORKERS (CANCELED)
• DOE 5480.13: AVIATION SAFETY (CANCELED)
• DOE 5480.15: DEPARTMENT OF ENERGY LABORATORY
ACCREDITATION PROGRAM FOR PERSONNEL DOSIMETRY
(CANCELED)
• DOE 5480.16A: FIREARMS SAFETY (CANCELED)
• DOE 5480.17: SITE SAFETY REPRESENTATIVES NUCLEAR
(CANCELED)
• DOE 5480.18B: NUCLEAR FACILITY TRAINING ACCREDITATION
PROGRAM (CANCELED)
• DOE 5480.24: NUCLEAR CRITICALITY SAFETY (CANCELED)
• DOE 5480.31: STARTUP AND RESTART OF NUCLEAR FACILITIES
(CANCELED)
• DOE 5481.1B: SAFETY ANALYSIS AND REVIEW SYSTEM (CANCELED)
• DOE 5482.1B: ENVIRONMENT, SAFETY AND HEALTH APPRAISAL
PROGRAM ASSESSMENT REQUIREMENTS OF 10 CFR PART 830.120
AND DOE 5700.6C, QUALITY ASSURANCE (CANCELED)
• DOE 5483.1B: OCCUPATIONAL, SAFETY AND HEALTH PROGRAM FOR
DOE CONTRACTOR EMPLOYEES AT GOVERNMENT-OWNED
CONTRACTOR-OPERATED FACILITIES (CANCELED)
• DOE 5484.1: ENVIRONMENTAL PROTECTION, SAFETY, AND HEALTH
PROTECTION INFORMATION REPORTING REQUIREMENTS
(PORTIONS CANCELED)
• DOE 5500.1B: EMERGENCY MANAGEMENT (CANCELED)
• DOE 5500.2B: EMERGENCY CATEGORIES, CLASSES, AND
NOTIFICATION AND REPORTING REQUIREMENTS (CANCELED)
• DOE 5500.3A: PLANNING AND PREPAREDNESS FOR OPERATIONAL
EMERGENCIES (CANCELED)
• DOE 5500.4A: PUBLIC AFFAIRS POLICY AND PLANNING
REQUIREMENTS FOR EMERGENCIES (CANCELED)
• DOE 5500.7B: EMERGENCY OPERATING RECORDS PROGRAM
(CANCELED)
• DOE 5500.10: EMERGENCY READINESS ASSURANCE PROGRAM
(CANCELED)
• DOE 5610.11: NUCLEAR EXPLOSIVE SAFETY (CANCELED)
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Appendix C 11-26-97
APPENDIX C
DEVELOPMENT AND EVALUATION GUIDANCE
FOR AN INTEGRATED SMS
AT A HAZARD CATEGORY 2 NUCLEAR FACILITY
Section 16
This appendix is specifically developed to provide a baseline of expectations for Category 2
nuclear facilities. Category 1 nuclear facilities would require more rigor and detailed descriptions
while Category 3 nuclear facilities and other less hazardous facilities would require less rigor and
detail. Each section has a separate list of references that provide helpful information for both
developing and implementing an integrated SMS. Most contractors will have additional site
specific references that will be important to include in their integrated SMS.
The considerations below focus on the five core functions and the seven guiding principles, as
defined in the SMS Policy, that must be addressed in the contractor’s SMS, as required by the
DEAR. DOE and its contractors should ensure that the SMS is consistent with the objectives,
guiding principles, and core functions discussed in this Guide. The acceptability of the level of
detail given to each item in a specific case should be based on the work and its associated hazards
to ensure adequate protection for employees, the public, and the environment. The following
considerations will assist a contractor in developing, evaluating and implementing the SMS core
functions and guiding principles. See Volume 1, Chapter II, Sections 1 through 6, for more
detail. In addition, the general guidance in Volume 1, Chapter III, Section 2, should also be
utilized. The considerations will also help DOE in review and approval of the contractor’s SMS.
1. CONSIDERATIONS FOR CORE FUNCTION 1, DEFINE SCOPE OF WORK
AND GUIDING PRINCIPLE 4, BALANCED PRIORITIES
As noted in Volume 1, Chapter II, Section 1.1, there are formal methods used internally
by DOE and between DOE and its contractors and internal methods used by contractors
to define the scope of work. Each organizational level contributes to the definition of the
scope of work, (e.g., from the sitewide mission to the processes at an individual facility to
the individual operational or maintenance item within a facility). Only through clear
definition of the work, is it possible to manage the work safely.
The DOE Approval Authority should have a set of processes which interface efficiently
and effectively with the contractor organization. DOE processes should include elements
of the other core requirements as they apply to the responsibilities of DOE to translate
missions into work, set expectations, and allocate resources as well as to approve, control,
and authorize operations.
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a. Translate Mission into Work. An integrated SMS should include the following:
(1) a process to identify the activities necessary to accomplish the assigned
mission safely. DOE uses strategic plans, goals, objectives and mission
statements as input to define the contractor’s broad work assignments.
(2) a process to identify the activities necessary to accomplish the assigned
mission safely. The contractor uses DOE strategic plans, goals, objectives,
mission statements and work assignments as input to define the
contractor’s work proposals.
(3) processes to be used by the contractor to develop these DOE approved
proposals into discrete work activities with manpower loadings and
schedules.
The above processes would involve DOE and contractor line management, ES&H
safety professionals and the workers, where appropriate [e.g., for tasks requiring
work permits (WPs) and radiation work permits (RWPs)]. (See Volume I,
Chapter II, Section 2.1.)
Section 17
b. Set Expectations. An integrated SMS should include processes for establishing
performance objectives (e.g., quality, schedule and quantity) including safety for
work assigned to the site. The processes would include:
(1) DOE budget execution guidance and direction.
(2) the Department of Energy Acquisition Regulation including 48 CFR
970.1001.
The processes should indicate:
(a) the linkage of performance objectives to the work.
(b) the integration of safety objectives with work performance
objectives.
(c) line management’s role in establishing these objectives.
The performance objectives would then be negotiated with DOE as part of the
contracting process (see Volume I, Chapter II, Section 2.3).
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c. Provide for Integration
The DEAR ES&H clause (48 CFR 970.5204-2) and DOE P 450.4 require that
environment safety and health functions and activities are integrated into work
planning and execution. Integration should be evident throughout all
organizational functions at all organizational levels from the site to the individual
activity. Volume I, Chapter I, Section 1 provides detailed discussions of important
considerations for proper integration. The following sections provide an outline of
key integration elements for planning work that should be considered for a hazard
Category 2 nuclear facility:
(1) An integrated SMS should invoke integrated environment, safety, and
health management processes, procedures and/or programs that apply to
site, facility, and work activities. Typical sitewide processes, procedures
and/or programs would include engineering support, fire protection,
emergency preparedness, maintenance, environmental, waste management,
industrial hygiene, occupational safety, chemical safety, radiological
protection and training.
(2) An integrated SMS should establish clearly that it will be applied to all
types of work and address all types of hazards. An integrated SMS should:
(a) identify necessary processes so that provisions will flow down to
each person (employees, subcontractors, temporary employees,
visiting researchers, vendor representatives, etc.) performing work.
(b) identify the contractor as responsible for compliance with integrated
SMS requirements regardless of who is performing the work.
(See Volume 1, Chapter II, Section 2.4 for additional details.)
d. Prioritize Tasks and Allocate Resources
Resources are effectively allocated to address safety, programmatic, and
operational considerations. Protecting the public, the workers, and the
environment is a priority whenever activities are planned and performed.
Balancing priorities is particularly important when defining work, assessing
hazards, identifying controls, and in designing feedback and continuous
improvement programs. Once a decision is made that a work item is to be
conducted, all the identified controls are necessary and thus the decision to do the
work includes a prioritization decision to apply the necessary resources as defined
by the agreed-upon controls.
(1) An integrated SMS should include processes that will be used to prioritize
the work performed such as the draft Standard on Risk-Based
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Prioritization (STDs Project MISC-002) or site-specific methods such as
the Laboratory Integration and Prioritization System (LIPS) at Los Alamos
National Lab (LA UR 94-1696). The processes should indicate:
Section 18
(a) prioritization of tasks at all levels of planning
(b) the bases for determining priority
(c) line management’s role
(d) ES&H safety professionals’ role
(2) An integrated SMS should include processes for allocating resources based
on priority. The processes would include:
(a) specific details from the contract being administered by DOE
(b) Activity Data Sheets
(c) DOE budget execution guidance and direction
(d) UNICALL budget requests
(e) Internal Review Budget
These processes would generally be part of the contractor’s project management
system that would be used in defining operations plans, work plans and budgets
(see Volume I, Chapter II, Sections 2.1 and 2.5 ).
e. References
Rules
48 CFR 970.1001 and 970.5204, DEPARTMENT OF ENERGY ACQUISITION
REGULATIONS
DOE Orders and Policies
DOE P 450.4: SAFETY MANAGEMENT SYSTEM POLICY
DOE O 130.1: BUDGET FORMULATION PROCESS
DOE O 135.1: BUDGET EXECUTION - FUNDS DISTRIBUTION AND
CONTROL
DOE O 251.1: DIRECTIVES SYSTEM
DOE P 251.1: DIRECTIVES SYSTEM
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DOE O 331.1: DEPARTMENTAL EMPLOYEE PERFORMANCE
MANAGEMENT SYSTEM
DOE O 350.1: CONTRACTOR HUMAN RESOURCE MANAGEMENT
PROGRAMS
DOE O 413.1: MANAGEMENT CONTROL PROGRAM
DOE O 430.1: LIFE CYCLE ASSET MANAGEMENT (See also DRAFT
DOE O 430.1A.)
DOE O 470.1: SAFEGUARDS AND SECURITY PROGRAM
DOE O 471.1: IDENTIFICATION AND PROTECTION OF UNCLASSIFIED
CONTROLLED NUCLEAR INFORMATION
DOE O 471.2: INFORMATION SECURITY PROGRAM
DOE O 472.1B: PERSONNEL SECURITY ACTIVITIES
DOE O 541.1: APPOINTMENT OF CONTRACTING OFFICERS AND
CONTRACTING OFFICER REPRESENTATIVES
DOE 4300.1C: REAL PROPERTY MANAGEMENT
DOE 4320.2A: CAPITAL ASSET MANAGEMENT PROCESS
DOE 4700.1C: PROJECT MANAGEMENT SYSTEM
DOE Guides
DOE G 120.1-5: GUIDELINES FOR PERFORMANCE MEASUREMENT
DOE G 430.1: COST ESTIMATING GUIDE
DOE G 440.1-4: CONTRACTOR OCCUPATIONAL MEDICAL PROGRAM
GUIDE FOR USE WITH DOE O 440.1
DOE Manuals
DOE M 135.1-1: BUDGET EXECUTION MANUAL
DOE M 411.1-1: MANUAL OF SAFETY MANAGEMENT FUNCTIONS,
RESPONSIBILITIES AND AUTHORITIES (FRAM)
DOE M 471.2-1: MANUAL FOR CLASSIFIED MATTER PROTECTION &
CONTROL
Other Documents
DOE-STD-XXXX-YR: Guidelines for Risk Based Prioritization of DOE
Activities
Specific details from the contract being administered by DOE
Lower-level functions, responsibilities, and authorities (FRA) documents
Specific site/facility/process/activity assignment, responsibility and reporting
processes, procedures, and program
Strategic Plans promulgated by DOE Headquarters
Strategic Plans provided to the contractor from DOE
Goals and objectives provided to the contractor from DOE
Mission statements provided to the contractor from DOE
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2. CONSIDERATIONS FOR CORE FUNCTION 2, ANALYZE HAZARDS
Hazard analyses are performed at each organizational level from the work defined in the
sitewide mission (as in an Environmental Impact Statement) to the processes at an
individual facility (as in a Safety Analysis Report) to the individual operational or
maintenance item which is contemplated within a facility (as in a Process Hazards
Analysis). The hazards which are analyzed should include nuclear as well as chemical and
common industrial hazards. The analysis should be balanced to the complexity of the work
as well as the significance of the risk.
Section 19
The objective of hazards analysis is to develop an understanding of the potential for the
hazard to impact the worker, public and the environment. Hazard controls should be
established based on this understanding and other factors related to the work.
a. Identify Hazards. An integrated SMS should include methods for identifying
hazards.
(1) They should address all types of hazards that are present (e.g., nuclear,
chemical, industrial, fire, natural phenomena, construction, etc.)
(2) They should address hazards for all the stages of the work to be performed
(e.g., normal operations, surveillance, maintenance, facility modification,
decontamination and decommissioning, etc.)
The identification process would normally be keyed to the type and magnitude of
the hazards (e.g., walk-throughs for normal industrial hazards).
b. Analyze Hazards. An integrated SMS should include methods for analyzing
hazards. These methods should implement:
(1) the requirements from DOE O 420.1, DOE O 452.2, and DOE 5480.23
appropriate to the identified hazards,
(2) hazard prevention programs appropriate to the facility’s life cycle. For
example, facilities in operation would implement criticality safety, fire
protection, radiological protection, natural phenomena hazard protection,
occupational safety, and maintenance programs.
The hazard analysis methods should address:
(1) all types of hazards (nuclear, industrial fire, external events, natural
phenomena, construction, chemical, etc.)
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(2) all types and stages of work (normal operations, surveillance, deactivation,
maintenance, facility modification, decontamination and decommissioning, etc.)
These methods should implement DOE and other regulatory requirements
(e.g., DOE O 440.1, DOE 5480.23, DOE 5480.25, 29 CFR 1910, NEPA, EPA
etc.) as applicable to the type and magnitude of the hazard. The hazard analysis
methods should be tailored to the type and magnitude of identified hazards, and
should consider alternatives that could eliminate or reduce the hazards.
c. Categorize Hazards. An integrated SMS should include:
(1) a process for categorizing hazards consistent with DOE-STD-1027 and
DOE O 430.1.
(2) a process which defines the use of the categories in the hazard analysis,
including decommissioning. Revised DOE O 430.1A, LIFE CYCLE
ASSET MANAGEMENT, and the associated Guides and Draft DOE-
STD-1120-97 provide special hazard identification and analysis methods
applicable to facility disposition activities. The analytical method and level
of detail would be determined by the hazard category (see Volume I,
Chapter II, Section 3).
d. References
Rules
10 CFR 830: NUCLEAR SAFETY MANAGEMENT
10 CFR 835: RADIATION PROTECTION FOR OCCUPATIONAL WORKERS
10 CFR 1021: NEPA
29 CFR 1910: OCCUPATIONAL SAFETY AND HEALTH STANDARDS
29 CFR 1926: OCCUPATIONAL SAFETY AND HEALTH REGULATIONS
FOR CONSTRUCTION
40 CFR 50 TO 195: EPA AIR, WATER AND RADIATION PROTECTION
REQUIREMENTS
DOE Orders and Policies
DOE P 410.1A: DEVELOPING NUCLEAR SAFETY REQUIREMENTS
DOE O 420.1: FACILITY SAFETY
DOE O 430.1: LIFE CYCLE ASSET MANAGEMENT (See also DRAFT
DOE O 430.1A.)
DOE O 440.1: WORKER PROTECTION MANAGEMENT FOR DOE
FEDERAL AND CONTRACTOR EMPLOYEES
DOE O 452.2: SAFETY OF NUCLEAR EXPLOSIVE OPERATIONS
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Section 20
DOE O 452.4: SECURITY AND CONTROL OF NUCLEAR EXPLOSIVES
AND NUCLEAR WEAPONS
DOE O 460.1A: PACKAGING AND TRANSPORTATION SAFETY
DOE 5480.23: NUCLEAR SAFETY ANALYSIS REPORTS
DOE 5480.30: NUCLEAR REACTOR SAFETY DESIGN CRITERIA
DOE 5610.11: NUCLEAR EXPLOSIVE SAFETY
DOE Guides and Technical Standards
DOE-STD-1021-93: Natural Phenomena Hazards Performance Categorization
Guidelines for Structures, Systems, and Components
DOE-STD-1022-94: Natural Phenomena Hazards Site Characterization Criteria
DOE-STD-1023-95: Natural Phenomena Hazards Assessment Criteria (including
Change Notice 1; January 1996)
DOE-STD-1027-92: Guidance on Preliminary Hazard Classification and
Accident Analysis
DOE-STD-1088-95: Fire Protection for Relocatable Structures
DOE-STD-1101-96: Process Safety Management for Highly Hazardous
Chemicals
DOE-STD-1104-96: Review and Approval of Nonreactor Nuclear Facility Safety
Analysis Reports
Draft DOE-STD-1120-97: Integration of Safety and Health into Facility
Disposition Activities
DOE-STD-3007-93: Guidelines for Preparing Criticality Safety Evaluations at
Department of Energy Nonreactor Nuclear Facilities
DOE-STD-3009-94: Preparation Guide for U.S. Department of Energy
Nonreactor Nuclear Facility Safety Analysis Reports
DOE-STD-3014-96: Accident Analysis for Aircraft Crash into Hazardous
Facilities
DOE-STD-3015-97: Nuclear Explosive Safety Study Process
EM-5502-94: Hazard Baseline Documentation
EM-5503-94: EM Health and Safety Plan Guidelines
DOE G 420.1-X: IMPLEMENTATION GUIDE FOR NONREACTOR
NUCLEAR SAFETY DESIGN CRITERIA AND EXPLOSIVES SAFETY
CRITERIA
DOE G 420.1-Y: IMPLEMENTATION GUIDE FOR THE MITIGATION OF
NATURAL PHENOMENA HAZARDS FOR DOE NUCLEAR FACILITIES
AND NON-NUCLEAR FACILITIES
DOE Manuals and Handbooks
HDBK-1100-96: Chemical Process Hazards Analysis
HDBK-1101-96: Process Safety Management for Highly Hazardous Chemicals
HDBK-3010-94: Airborne Release Fractions/Rates and Respirable Fractions for
Nonreactor Nuclear Facilities, Vols. I & II
DOE M 440.1-1: DOE EXPLOSIVES SAFETY MANUAL
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3. CONSIDERATIONS FOR CORE FUNCTION 3, DEVELOP/IMPLEMENT
HAZARDS CONTROLS, GUIDING PRINCIPLE 5, IDENTIFICATION OF
SAFETY STANDARDS AND REQUIREMENTS; AND GUIDING PRINCIPLE 6,
HAZARD CONTROLS TAILORED TO WORK BEING PERFORMED
Before work is performed, the associated hazards are evaluated and an agreed-upon set of
safety standards and requirements are established which, if properly implemented, will provide
adequate assurance that the public, the workers, and the environment are protected from
adverse consequences of identified hazards. Figure 4 (Chapter II, Volume 1) illustrates the
conceptual process for establishing sitewide standards and requirements.
a. Identify Standards and Requirements (Core Function 3 and Guiding Principle 5)
(1) An integrated SMS should include processes to establish the set of ES&H
standards and requirements for the work consistent with the requirements of the
DEAR (see Volume 1, Attachment 2, 48 CFR 970.5204 and 970.5204-78). The
process for identifying standards/requirements should be one of the existing,
accepted approaches (see Volume 1, Chapter II ), or it should be consistent with
the objectives and concepts of existing, accepted approaches. Figure 5 (Volume 1,
Chapter II) provides an illustration of typical standards and requirements for a
Hazard Category 2 nuclear facility. The processes should :
Section 21
(a) identify a set of ES&H standards and requirements that provide
adequate assurance that employees, the public and the environment
are protected from adverse consequences.
(b) conform to applicable laws, statutes, Federal rules and DOE
directives and use appropriate national consensus standards, DOE
Technical Standards, and DOE Guides (see Volume I, Chapter II,
Section 4.1 for additional details).
(c) provide for DOE review and concurrence.
b. Identify Controls to Prevent/Mitigate Hazards. An integrated SMS should
include a process for identifying administrative controls, safety controls, safety
programs, and other conditions on the work [e.g., Technical Safety Requirements
(TSRs) and Operational Safety Limits]. Figure 2 (Volume 1, Chapter I) illustrates
the types of controls and conditions that would be identified for work processes at
a typical Hazard Category 2 nuclear facility. The process should:
(1) tailor the controls to the work and associated hazards (see Volume I,
Chapter II, Section 4.3 for additional details).
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(2) address controls for all activities (e.g., normal operations, surveillance,
maintenance work, facility modifications, etc.)
(3) address controls for all aspects of the work (e.g., initiation, review,
authorization, and execution).
c. Establish Safety Controls. An integrated SMS should include a process to
establish and document administrative controls, safety controls, safety programs,
and other conditions on the work. An integrated SMS should include process(s)
for establishing and maintaining the safety boundaries (safety envelope) for the
work.
An integrated SMS should include method(s) for establishing and maintaining the
safety boundaries (safety envelope) for the work. The method should:
(1) define the composition of the safety boundaries (safety envelope).
(2) identify appropriate controls, conditions, and requirements (e.g., TSRs or
Operational Safety Limits) that constitute the safety boundaries (see
Volume I, Chapter II, Section 4.3 for additional details).
d. Implement Controls
The integrated SMS should provide for a method to implement the controls
identified at every level of work and hazard. The methods should provide for
assurance that the controls remain in effect so long as the hazard is present.
(1) An integrated SMS should include processes the contractor and
subcontractors will use to implement the controls. Figure C.1 illustrates
the types of procedures and documentation that Westinghouse uses to
implement necessary controls at the Savannah River Site. Table C.1
provides the list of titles for the Westinghouse documents in Figure C.1.
Figure C.2 provides a similar illustration of identified documents and
procedures for a nuclear facility (Building 332) at LLNL. Table C.1
provides the list of topics for the LLNL documents cited in Figure C.2.
The process of implementing controls should:
(a) include processes the contractor will use to implement the
administrative controls, safety controls, safety programs, and other
conditions that affect the work to be performed. A method should
be briefly described for translating these processes to the working
level (“floor level”) controls used by workers performing the
program work (see Volume I, Chapter II, Section 4.3 for additional
details).
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Including management personnel.1
Section 22
(b) provide for testing or verifying the controls (self assessment).
(2) An integrated SMS should include processes (e.g., a personnel training and
qualification program) to ensure that personnel are qualified to discharge1
their responsibilities (Guiding Principle 3; see Volume I, Chapter II,
Section 1). The process should include:
(a) an analysis of work assignments to identify necessary experience,
knowledge, skills, and abilities for each assignment.
(b) provision for appropriate training of personnel in the knowledge,
skills, and abilities required for their work assignments.
e. References
Rules
10 CFR 830: NUCLEAR SAFETY MANAGEMENT
10 CFR 835: RADIATION PROTECTION FOR OCCUPATIONAL WORKERS
10 CFR 1021: NEPA
29 CFR 1910: OCCUPATIONAL SAFETY AND HEALTH STANDARDS
29 CFR 1926: OCCUPATIONAL SAFETY AND HEALTH REGULATIONS
FOR CONSTRUCTION
40 CFR 50 TO 195: EPA AIR, WATER AND RADIATION PROTECTION
REQUIREMENTS
DOE Policies and Orders
DOE O 360.1: TRAINING
DOE O 420.1: FACILITY SAFETY
DOE O 440.1: WORKER PROTECTION MANAGEMENT FOR DOE
FEDERAL AND CONTRACTOR EMPLOYEES
DOE P 450.1: ENVIRONMENT, SAFETY, AND HEALTH POLICY FOR THE
DEPARTMENT OF ENERGY COMPLEX
DOE P 450.2A: IDENTIFICATION, IMPLEMENTATION, AND
COMPLIANCE WITH ENVIRONMENT, SAFETY AND HEALTH
REQUIREMENTS
DOE N 450.3: USE OF NECESSARY AND SUFFICIENT PROCESS
DOE P 450.3: AUTHORIZING USE OF THE NECESSARY AND
SUFFICIENT PROCESS FOR STANDARDS-BASED ENVIRONMENT,
SAFETY AND HEALTH MANAGEMENT
DOE P 450.4: SAFETY MANAGEMENT SYSTEM POLICY
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DOE O 451.1: NATIONAL ENVIRONMENTAL POLICY ACT
COMPLIANCE PROGRAM
DOE O 452.4: SECURITY AND CONTROL OF NUCLEAR EXPLOSIVES
AND NUCLEAR WEAPONS
DOE 4330.4B: MAINTENANCE MANAGEMENT PROGRAM
DOE 5400.4: CERCLA REQUIREMENTS
DOE 5480.18B: TRAINING ACCREDITATION
DOE 5480.19: CONDUCT OF OPERATIONS REQUIREMENTS FOR DOE
FACILITIES
DOE 5480.20A: PERSONNEL SELECTION, QUALIFICATION, AND
TRAINING REQUIREMENTS FOR DOE NUCLEAR FACILITIES
DOE 5480.21: UNREVIEWED SAFETY QUESTIONS
DOE 5480.22: TECHNICAL SAFETY REQUIREMENTS
DOE 5480.23: NUCLEAR SAFETY ANALYSIS REPORTS
DOE 5500.7B: EMERGENCY OPERATING RECORDS PROGRAM
DOE 5500.10: EMERGENCY READINESS ASSURANCE PROGRAM
DOE 5530.1A: ACCIDENT RESPONSE GROUP
DOE 5530.2: NUCLEAR EMERGENCY SEARCH TEAM
DOE 5530.3: RADIOLOGICAL ASSISTANCE PROGRAM
DOE 5530.4: AERIAL MEASURING SYSTEM
DOE 5610.13: JOINT DEPARTMENT OF ENERGY/DEPARTMENT OF
DEFENSE NUCLEAR WEAPON SAFETY, SECURITY AND CONTROL
ACTIVITIES
DOE 5820.2A: RADIOACTIVE WASTE MANAGEMENT
DOE Guides and Technical Standards
DOE-STD-1023-95: Natural Phenomena Hazards Assessment Criteria (including
Change No. 1; 01/96)
DOE-STD-1027-92: Guidance on Preliminary Hazard Classification and
Accident Analysis Techniques for Compliance with DOE 5480.23 NUCLEAR
SAFETY ANALYSIS REPORTS (above)
DOE-STD-1029-92: Writer’s Guide for Technical Procedures
DOE-STD-1030-92: Guide to Good Practices for Lockouts and Tagouts
DOE-STD-1040-93: Guide to Good Practices for Control of On-Shift Training
STD-1053-93, Guideline to Good Practices for Control of Maintenance Activities
at DOE Nuclear Facilities
DOE-STD-1066-97: Fire Protection Design Criteria
DOE-STD-1070-94: Guidelines for Evaluation of Nuclear Facility Training
Programs
DOE-STD-1073-93: Guide for Operational Configuration Management
Program
DOE-STD-1077-94: Training Accreditation Program Standard: Requirements
and Guidelines
Section 23
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DOE-STD-1082-94 Preparation, Review, and Approval of Implementation Plans
for Nuclear Safety Requirements
DOE-STD-1083-95: Requesting and Granting Exemptions to Nuclear Safety
Rules
DOE-STD-1088-95: Fire Protection for Relocatable Structures
Draft STD-1120-97: Integration of Safety and Health into Facility Disposition
Activities
DOE-STD-3007-93: Guidelines for Preparing Criticality Safety Evaluations at
DOE Nonreactor Nuclear Facilities
DOE-STD-3009-94: Prep. Guide for U.S. DOE Nonreactor Nuclear Facility
Safety Analysis Reports
DOE-STD-3011-94: Guidance for Preparation of DOE 5480.22 TECHNICAL
SAFETY REQUIREMENTS (TSR) and DOE 5480.23 NUCLEAR SAFETY
ANALYSIS REPORTS (SAR) Implementation Plans
EH-0256T: Radiological Control Manual
EH-0416: Criteria for the Department’s Standards Program
DOE/EH-0536: Management Perspectives on Worker Protection During DOE
Hazardous Waste Activities
EM 5502-94: Hazard Baseline Documentation
EM-5503-94: EM Health and Safety Plan Guidelines
DOE G 414.1-1: IMPLEMENTATION GUIDE FOR USE WITH
INDEPENDENT AND MANAGEMENT ASSESSMENT REQUIREMENTS OF
10 CFR PART 830.120 AND DOE 5700.6C, QUALITY ASSURANCE
DOE G 151.1-1: EMERGENCY MANAGEMENT GUIDE
DOE G 414.1-1: IMPLEMENTATION GUIDE FOR USE WITH
INDEPENDENT AND MANAGEMENT ASSESSMENT REQUIREMENTS OF
10 CFR PART 830.120 AND DOE 5700.6C, QUALITY ASSURANCE
Draft DOE G 430.1-2: SURVEILLANCE AND MAINTENANCE DURING
FACILITY DISPOSITION
Draft DOE G 430.1-3: DEACTIVATION IMPLEMENTATION GUIDE
Draft DOE G 430.1-4: DECOMMISSIONING IMPLEMENTATION GUIDE
DOE G 440.1-1: WORKER PROTECTION MANAGEMENT FOR DOE
FEDERAL AND CONTRACTOR EMPLOYEES GUIDE FOR USE WITH
DOE O 440.1
DOE G 440.1-2: CONSTRUCTION SAFETY MANAGEMENT GUIDE
DOE G 440.1-4: CONTRACTOR OCCUPATIONAL MEDICAL PROGRAM
GUIDE FOR USE WITH DOE O 440.1
DOE G 440.1-5: IMPLEMENTATION GUIDE FOR FIRE SAFETY
PROGRAM
DOE Manuals and Handbooks
DOE M 450.3-1: THE DEPARTMENT OF ENERGY CLOSURE PROCESS
FOR NECESSARY AND SUFFICIENT SETS OF STANDARDS
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DOE-HDBK-1078-94: Training Program Handbook: A Systematic Approach to
Training
DOE-HDBK-1079-94: Primer for Tritium Safe Handling Practices
DOE-HDBK-1100-96: Chemical Process Hazards Analysis
DOE-HDBK-1101-96: Process Safety Management for Highly Hazardous
Chemicals
DOE-HDBK-1105-96: Radiological Training for Tritium Facilities
DOE-HDBK-1106-97: Radiological Contamination Control Training for
Laboratory Research
DOE-HDBK-1107-97: Knowledge, Skills, and Abilities for Key Radiation
Protection Positions at DOE Facilities
Other Documents
Department Report: Standards/Requirements Identification Document
Development and Approval Instruction, September 1994
Department Report: Standards/Requirements Implementation Assessment
Instruction, September 1994
ISO/FDIS 2919: Radiation protection—Sealed radioactive sources—General
requirements and classification
ISO 8194:1987: Radiation protection—Clothing for protection against
radioactive contamination—Design, selection, testing and use
ISO 14001:1996: Environmental management systems—Specification with
guidance for use
ISO 14004:1996: Environmental management systems—General guidelines on
principles, systems and supporting techniques
4. CONSIDERATIONS FOR CORE FUNCTION 4, PERFORM WORK AND
GUIDING PRINCIPLE 7, OPERATIONS AUTHORIZATION
Section 24
Contractor policies, procedures, and documents are established to implement safety management
and fulfill commitments to DOE and are adequate for the work or process to be performed, safely.
a. Confirm Readiness. An integrated SMS should include a process to confirm that
the facility or process and the operational work force are in an adequate state of
readiness prior to authorizing the performance of the work [e.g., Guiding
Principle 7, readiness assessments, operational readiness reviews (ORRs), Title III
inspections (project design), etc.]. (See Volume I, Chapter II, Section 5.) The
processes should ensure that—
(1) personnel are qualified and trained for performance of work in accordance
with the controls established (Guiding Principle 3; see Volume I,
Chapter II, Section 1);
(2) controls are adequate to ensure safe work performance and to prevent
accidents, uncontrolled releases, or unacceptable exposures to hazardous
materials (see Volume I, Chapter II, Section 5);
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(3) the necessary safety support functions and interfaces required (e.g.,
training, maintenance, radiological protection, etc.) have been established
(see Volume I, Chapter II, Section 5);
(4) the operability of the necessary facility or process systems required for safe
operation has been verified in accordance with the bases established in
appropriate authorization agreements.
b. Operations Authorization. The integrated SMS should provide for gaining
authorization to conduct operations. Provisions should be included to grant
operations authorizations for each level of effort at the site, facility, activity, or
process. Such provisions or procedures may include an Operational Readiness
Review, approval to resume operations following a weekend shutdown, and
authorization to start individual procedures or work items through mechanisms
such as work clearance permits, shift orders, or shift manager’s control. The
integrated SMS should also provide for updating and configuration control for the
operations authorization documentation such as authorization agreements, permits,
SARs, etc. (See Volume I, Chapter II, Section 5 for additional details.)
(1) The scope of an authorization agreement should correspond to the scope
and complexity of the operation(s) being authorized, and the scope and
complexity of the operation should be clearly defined. For nuclear
facilities, a formally established and documented authorization basis is
required and it must be approved by DOE. For non-nuclear activities, a set
of controls should be established and agreed to between DOE and the
contractor. Such agreements are established in Health and Safety Plans
(HASPs) or other similar documents.
(2) An authorization agreement should clearly delineate terms and conditions
for authorizing site, facility or activity operations. Reference should be
made to formal documents [e.g., SARs, associated SERs, USQ process
documents, TSRs and HASPs].
(3) An authorization agreement for operations that are conducted in more than
one facility should identify the authorization basis for each part of the
operation performed in a different facility.
(4) An integrated SMS should include a process for determining when an
additional authorization agreement is needed.
(5) An authorization agreement should reference or describe the process for
assessing and approving changes. It should also identify the types of
changes that require revising an authorization agreement.
Section 25
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c. Perform Work Safely. An integrated SMS should include the processes
(i.e., work practices) for ensuring that safety requirements are integrated into work
performance (e.g., via work practices and floor level procedures). Procedures and
programs should be adequate to insure that work is performed within the controls
which have been developed and implemented. Controls may include site or facility
commitments such as conduct of operations and maintenance programs, worker
safety programs, specified engineered safety systems, or specific controls in
worker safety permits. The controls may be specified in site-level programs or
facility specific authorization bases documents. The integrated SMS should include
provisions to insure that ongoing work continues to be performed within the
specified and agreed-upon controls. The processes should ensure that–
(1) personnel are qualified, trained, responsible and accountable for
performance of work in accordance with the controls established (see
Volume 1, Chapter II, Section 1);
(2) the work practices routinely are applied commensurate with the hazards;
(3) the processes are sufficiently rigorous to ensure safe work performance and
to prevent accidents, releases, and exposures, considering the hazards;
(4) the controls (TSRs, OSRs, etc.) are a discernible part of the work
practices;
(5) the necessary safety support functions (e.g., training, maintenance,
radiological protection, etc.) are identified; and
(6) interfaces with safety support organizations are identified.
d. Performance Measures. An integrated SMS should include a process to identify
performance measures, including safety performance measures for the work (see
Section 1.b above and Volume I Chapter II, Sections 5 and 6).
(1) The performance measures should provide information that is truly a direct
indicator of how safely the work is being performed.
(2) The performance measures should be clearly linked to the performance
objectives and expectations.
(3) The performance measures should be performance based.
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e. References
DOE Orders
DOE O 425.1: STARTUP AND RESTART OF NUCLEAR FACILITIES
DOE O 440.1: WORKER PROTECTION MANAGEMENT FOR DOE
FEDERAL AND CONTRACTOR EMPLOYEES
DOE O 451.1: NATIONAL ENVIRONMENTAL POLICY ACT
COMPLIANCE PROGRAM
DOE O 452.2: SAFETY OF NUCLEAR EXPLOSIVE OPERATIONS
DOE 4330.4B: MAINTENANCE MANAGEMENT PROGRAM
DOE 5400.4: CERCLA REQUIREMENTS
DOE 5480.19: CONDUCT OF OPERATIONS REQUIREMENTS FOR DOE
FACILITIES
DOE 5480.18B: TRAINING ACCREDITATION
DOE 5480.20A: PERSONNEL SELECTION, QUALIFICATION, AND
TRAINING REQUIREMENTS FOR DOE NUCLEAR FACILITIES
DOE 5480.22: TECHNICAL SAFETY REQUIREMENTS
DOE 5500.7B: EMERGENCY OPERATING RECORDS PROGRAM
DOE 5500.10: EMERGENCY READINESS ASSURANCE PROGRAM
DOE 5530.1A: ACCIDENT RESPONSE GROUP
DOE 5530.2: NUCLEAR EMERGENCY SEARCH TEAM
DOE 5530.3: RADIOLOGICAL ASSISTANCE PROGRAM
DOE 5530.4: AERIAL MEASURING SYSTEM
DOE Guides and Technical Standards
DOE-STD-1029-92: Writer’s Guide for Technical Procedures
DOE-STD-1030-92: Guide to Good Practices for Lockouts and Tagouts
DOE-STD-1032-92: Guide to Good Practices for Operations Organization and
Administration
DOE-STD 1037-93: Guide to Good Practices for Operations Aspects of Unique
Processes
Section 26
DOE-STD 1039-93: Guide to Good Practices for Control of Equipment and
System Status
DOE-STD-1040-93: Guide to Good Practices for Control of On-Shift Training
DOE-STD-1041-93: Guide to Good Practices for Shift Routines and Operating
Practices
DOE-STD 1050-93: Guideline to Good Practices for Planning, Scheduling, and
Coordination of Maintenance at DOE Nuclear Facilities
DOE-STD-1051-93: Guideline to Good Practices for Maintenance Organization
and Administration at DOE Nuclear Facilities
DOE-STD-1052-93: Guideline to Good Practices for Types of Maintenance
Activities at DOE Nuclear Facilities
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DOE-STD-1053-93: Guideline to Good Practices for Control of Maintenance
Activities at DOE Nuclear Facilities
DOE-STD-1055-93: Guideline to Good Practices for Maintenance Management
Involvement at DOE Nuclear Facilities
DOE-STD-1056-93: Guide to Good Practices for Line and Training Manager
Activities Related to Training and Qualification
DOE-STD-1065-94: Guideline to Good Practices for Postmaintenance Testing
at DOE Nuclear Facilities
DOE-STD-1070-94: Guidelines for Evaluation of Nuclear Facility Training
Programs
DOE-STD-1077-94: Training Accreditation Program Standard: Requirements
and Guidelines
DOE-STD-3006-95: Planning and Conduct of Operational Readiness Reviews
DOE-STD-3012-96: Guide to Good Practices for Operational Readiness
Reviews EH-0256T Radiological Control Manual
NE-1001-91: Guide to Good Practices for Training and Qualification of
Instructors
NE-1002-91: Guide to Good Practices for Training and Qualification of
Chemical Operators
NE-1003-91: Guide to Good Practices for Training and Qualification of
Maintenance Personnel
DOE G 440.1-1: WORKER PROTECTION MANAGEMENT FOR DOE
FEDERAL AND CONTRACTOR EMPLOYEES GUIDE FOR USE WITH
DOE O 440.1
DOE G 440.1-2: CONSTRUCTION SAFETY MANAGEMENT GUIDE
DOE G 440.1-4: CONTRACTOR OCCUPATIONAL MEDICAL PROGRAM
GUIDE FOR USE WITH DOE O 440.1
DOE G 440.1-5: IMPLEMENTATION GUIDE FOR FIRE SAFETY
PROGRAM
DOE Handbooks
DOE-HDBK-1078-94: Training Program Handbook: A Systematic Approach to
Training
DOE-HDBK-1079-94: Primer for Tritium Safe Handling Practices
DOE-HDBK-3012-96: Guide to Good Practices for Operational Readiness
Reviews (ORR), Team Leader’s Guide
DOE-HDBK-5504-95: Guidance for Evaluation of Operational Emergency
Plans
5. CONSIDERATIONS FOR CORE FUNCTION 5, FEEDBACK AND
IMPROVEMENT
All aspects of the integrated SMS should be subject to continuous improvement through
an assessment and a feedback process. At each level of work and at every stage in the
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work process, the feedback and continuous improvement programs should be functioning.
Feedback information on the adequacy of controls is gathered, opportunities for improving
the execution and planning of work are identified and implemented, line and independent
oversight is conducted, and if necessary, regulatory enforcement actions occur (see
Volume I, Chapter II, Section 6).
a. Collect Feedback Information. An integrated SMS should include processes for
operational safety, such as self assessment, monitoring against performance
objectives, occurrence reporting, and routine observation. The processes should
include line management and worker feedback as well as independent oversight
(see Volume 1, Chapter II, Section 6 and Appendix D).
Section 27
b. Identify Improvement Opportunities. An integrated SMS should evaluate
feedback and oversight information. Such an evaluation should include processes
for translating this operational information into recommendations for improvement
and processes for translating lessons learned both onsite and from other sites into
recommendations for improvement. An integrated SMS description should include
a worker suggestion program for improving safety.
c. Make Changes to Improve. An integrated SMS should contain processes for
management to consider and dispose of recommendations for improvement,
including worker suggestions. The description should illustrate the process for
translating feedback from assessments, lessons learned programs, and other inputs
into improvements.
d. Oversight and Enforcement. An integrated SMS should include processes for
oversight by contractor management. Interfaces for communication with external
oversight organizations should be indicated (for example, EPA, OSHA, DOE
Office of Oversight, etc.).
e. References
DOE Policies and Orders
DOE O 210.1: PERFORMANCE INDICATORS AND ANALYSIS OF
OPERATIONS INFORMATION
DOE O 225.1: ACCIDENT INVESTIGATIONS
DOE O 231.1: ENVIRONMENT, SAFETY, AND HEALTH REPORTING
DOE O 232.1A: OCCURRENCE REPORTING AND PROCESSING OF
OPERATIONS INFORMATION
DOE P 450.5: LINE ENVIRONMENT, SAFETY AND HEALTH OVERSIGHT
DOE 5480.18B: NUCLEAR FACILITY TRAINING ACCREDITATION
PROGRAM
DOE 5480.29: EMPLOYEE CONCERNS MANAGEMENT SYSTEM
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DOE 5482.1B: ENVIRONMENT, SAFETY AND HEALTH APPRAISAL
PROGRAM
Assessment Requirements of 10 CFR PART 830.120 and DOE 5700.6C,
QUALITY ASSURANCE
DOE Guides and Technical Standards
DOE-STD-1010-92: Guide to Good Practices for Incorporating Operating
Experience
DOE-STD-1036-93: Guide to Good Practices for Independent Verification
DOE-STD-1055-93: Guideline to Good Practices for Maintenance Management
Involvement at DOE Nuclear Facilities
DOE-STD-1065-94: Guideline to Good Practice for Postmaintenance Testing at
DOE Nuclear Facilities
DOE-STD-7501-95: Development of DOE Lessons Learned Programs
EM 5505-96: Operations Assessments
DOE-HDBK-7502-95: Implementing U.S. Department of Energy Lessons
Learned Programs
Draft DOE G 440.1/C-0: EXPERIENCE ASSESSMENT
DOE G 120.1-5: GUIDELINES FOR PERFORMANCE MEASUREMENT
DOE G 225.1-1: IMPLEMENTATION GUIDE FOR USE WITH DOE O 225.1,
ACCIDENT INVESTIGATIONS
DOE G 414.1-1: IMPLEMENTATION GUIDE FOR USE WITH
INDEPENDENT AND MANAGEMENT ASSESSMENT REQUIREMENTS OF
10 CFR PART 830.120 AND DOE 5700.6C, QUALITY ASSURANCE
DOE Handbooks
DOE-HDBK-1085-95: DOE Enforcement Program Roles and Responsibilities
DOE-HDBK-1089-95: Guidance for Identifying, Reporting, and Tracking
Nuclear Safety Noncompliances
DOE-HDBK-7502-95: Implementing U.S. Department of Energy Lessons
Learned Programs
DOE and contractor management self assessment requirements
DOE-SAFT-0065: Draft Integrated Safety Management System Verification
(ISMSV) Process, Team Leader’s Handbook
Other Documents
DOE and contractor management self assessment requirements, including:
– Health and Safety Audit Report guidance
– Industrial Hygiene Report guidance
– Radiological Protection Audit Report guidance
– Quality Assurance Audit Report guidance
– Specific details from the contract being administered by DOE
– Specific Site/Facility/Process/Activity Assessment and programs
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Appendix C 11-26-97
Oversight Programs, such as Occurrence Reporting, Facility Representative,
Corrective Action, and Quality Assurance Programs
6. CONSIDERATIONS FOR GUIDING PRINCIPLES 1, LINE MANAGEMENT
RESPONSIBILITY FOR SAFETY AND 2, CLEAR ROLES AND
RESPONSIBILITIES
At every level of control, line management must be responsible for safety. Clear and
unambiguous roles and responsibilities should be defined and maintained at all levels
within the organization defined by the integrated SMS description. All aspects of work
identification, planning and execution must be under the control and responsibility of line
management. Support organizations such as ES&H or Human Resources must have
clearly defined roles and responsibilities which insure work is performed safely within the
clearly defined principle that line management is responsible for safety.
a. An integrated SMS should include processes that require and provide for the
flowdown of authority and accountability and requirements for the flow-up of
information.
b. An integrated SMS should provide for communication of the potential impact of
specific work across the institution, other programs, other facilities, other work,
and the public.
c. An integrated SMS should include processes for interfacing support activities with
the work.
(See Volume I, Chapter II, Section 1 for additional details.)
References
10 CFR 820 PROCEDURAL RULES FOR DOE NUCLEAR ACTIVITIES
DOE M 411.1-1, MANUAL OF SAFETY MANAGEMENT FUNCTIONS,
RESPONSIBILITIES AND AUTHORITIES (FRAM)
DOE P 411.1, SAFETY MANAGEMENT FUNCTIONS, RESPONSIBILITIES, AND
AUTHORITIES POLICY
7. CONSIDERATIONS FOR GUIDING PRINCIPLES 3 COMPETENCE
COMMENSURATE WITH RESPONSIBILITY
Personnel possess the experience, knowledge, skills, and abilities that are necessary to
discharge their responsibilities. All organizations and activities within the integrated SMS
should be evaluated to insure that the competence is commensurate with the assigned
responsibilities. Support and line personnel, workers as well as managers, should have
core competencies. The actual competence as well as the programs to define the
expectations, provide the training, and evaluate whether expectations are met, should be
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addressed. The process for the determination of the required competence should consider
the roles and responsibilities of each position. (See Volume I, Chapter II, Section 1, for
additional details.)
References
Federal Acquisition Regulation 15.605
41 USC 253a
10 CFR 830: Nuclear Safety Management
DOE O 360.1: TRAINING
DOE O 440.1: WORKER PROTECTION MANAGEMENT FOR DOE FEDERAL
AND CONTRACTOR EMPLOYEES
DOE O 541.1: APPOINTMENT OF CONTRACTING OFFICERS AND
CONTRACTING OFFICER REPRESENTATIVES
DOE 5480.20A: PERSONNEL SELECTION, QUALIFICATION, AND TRAINING
REQUIREMENTS FOR DOE NUCLEAR FACILITIES
DOE 5700.6C, QUALITY ASSURANCE
DOE-STD-1056-93: Guide to Good Practices for Line and Training Manager Activities
Related to Training and Qualification
NE-1001-91: Guide to Good Practices for Training and Qualification of Instructors
NE-1002-91: Guide to Good Practices for Training and Qualification of Chemical
Operators
NE-1003-91: Guide to Good Practices for Training and Qualification of Maintenance
Personnel
DOE-HDBK-1107-97: Knowledge, Skills, and Abilities for Key Radiation Protection
Positions at DOE Facilities
Section 29
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TASK
WSRC 2S
WSRC 1Y
SITE
WSRC 5Q
WSRC 6Q
WSRC 8Q
WSRC E7
WSRC 2Q
WSRC 2S
WSRC 4Q
WSRC 5Q
WSRC 14Q
WSRC 7E
WSRC 1Y
WSRC 4B
WSRC 1S
WSRC 11Q
WSRC 11Q
WSRC 18Q
WSRC 20Q
WSRC 3Q
WSRC 1-01
Policy Manual
WSRC 9B
WSRC 8B
WSRC 3Q
WSRC 12Q
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Appendix C 11-26-97
Figure C.1. Example of documentation and procedures to implement
the Safety Management System at Westinghouse/Savannah River.
(See Table C.1 for document titles.)
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Table C.1. References for
Westinghouse Savannah River Corporation (WSRC) Safety Management.
WSRC No. Title
1-01 Management Policy Manual
4B Training and Qualification Manual
5B HR Policies, Practices, and Procedures
8B Compliance Assurance Manual
9B Site Item Reportability and Issue Management
7E Configuration Management
1Q Quality Assurance Manual
2Q Fire Protection Program
3Q Environmental Compliance Manual
4Q Industrial Hygiene Manual
5Q Radiological Control Manual
6Q Emergency Management Program Procedure Manual
8Q Employee Safety Manual
11Q Facility Safety Document Manual
12Q Assessment Manual
14Q Material Control and Accountability
18Q Safe Electrical Practices and Procedures
19Q Transportation Safety
20Q Health and Safety for Hazardous Waste Operations
1S SRS Waste Acceptance Criteria Manual
2S Conduct of Operations Manual
1Y Conduct of Maintenance Manual
E7 Conduct of Engineering and Technical Support Procedure Manual
SCD-3 Criticality Safety Manual
IM-90-135 SRS Process Safety Management Manual
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Appendix C 11-26-97
Figure C.2. Example of documentation and procedures to implement
the Safety Management System at LLNL. Note that “chapter” and
“suppl.” refer to chapters and supplements of the LLNL Health and
Safety Manual (see Table C.2).
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Table C.2. References for LLNL Safety Management System.
LLNL’s Health and Safety Manual
Chapter 1: LLNL ES&H Policies and Responsibilities, November 1996
Chapter 2: Integrating ES&H into Laboratory Activities, September 1994
Supplement 2.02: Preparation of Operational Safety Procedures and Facility Safety
Procedures
Supplement 2.10: Guidelines for the Shutdown or Transfer of Operations or Buildings,
October 1996
Supplement 2.19: Conduct of Operations for LLNL Facilities, November 1992
Supplement 2.20: Personnel Selection, Qualification, Training, and Staffing at LLNL
Nuclear Facilities, November 1996
Supplement 2.21: Implementation Guide for the Unreviewed Safety Question Process,
September 1994
Supplement 2.30: Guidelines for Decontamination and Disposition of Radioactively
Contaminated Facilities and Associated Equipment, March 1994
Supplement 2.31: Startup and Restart of Nuclear Facilities, November 1996
Chapter 3: Emergency Management, January 1997
Chapter 4: Incidents-Notification, Analysis, and Reporting, February 1996
Chapter 6: Design and Construction, July 1990
Supplement 6.06: Safety Analysis Guide, September 1988
Chapter 8: Hazardous Material Control, November 1995
Chapter 10: Personal Protective Equipment, August 1991
Chapter 11: Access Control, Safety Signs, and Alarm Systems, July 1990
Supplement 11.07: Personnel Safety Interlocks, August 1989
Section 30
Chapter 12: Ventilation, May 1991
Supplement 12.01: Evaluation and Control of Facility Airborne Effluents, February 1989
Supplement 12.03: Work Enclosures for Toxic and Radioactive Materials, August 1991
Supplement 12.05: High-Efficiency Particulate Air (HEPA) Filter System Design Guidelines for
LLNL Applications, August 1991 T-4
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Chapter 21: Chemicals, December 1991
Supplement 21.01: Chemical Hygiene Plan for Laboratories, February 1994
Supplement 21.10: Safe Handling of Beryllium and Its Compounds, December 1991
Supplement 21.11: Safe Handling of Mercury, March 1989
Supplement 21.12: The Safe Handling of Fluorine, April 1990
Supplement 21.13: Hydrogen, July 1984
Supplement 21.14: Safe Handling of Alkali Metals, October 1994
Supplement 21.15: Safe Handling of Acids and Bases, July 1982
Chapter 22: Cryogens, May 1991
Chapter 23: Electrical Safety, February 1996
Supplement 23.01: Safe Work Practices for Electrical and Electronic Equipment, and
Utility and Facility Power Systems, May 1996
Chapter 24: Explosives, January 1997
Chapter 25: Fire, May 1995
Chapter 26: Hazards—General and Miscellaneous, November 1992
Supplement 26.13: Lockout and Tag Program, April 1996
Chapter 27: Earthquakes, July 1990
Supplement 27.02: Seismic Safety Program, September 1995
Chapter 29: Material Handling, July 1990
Supplement 29.04: Fork Truck Safety, September 1995
Supplement 29.04B: Crane and Hoist Safety, February 1990
Chapter 31: Criticality, April 1996
Chapter 33: Radiation - Ionizing, January 1990
Supplement 33.011: LLNL ALARA Program, February 1990
Supplement 33.02: Occupational Radiation Protection; Implementation 10 CFR 835,
November 1995
Supplement 33.03: Exposure to Radiation in an Emergency, September 1986
Supplement 33.10: LLNL Internal Dosimetry Program Manual
Supplement 33.42: Workplaces for Radionuclides, July 1982
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Supplement 33.45: Hazard Classification of Sealed Radioactive Sources, May 1987
Supplement 33.47: X-Ray Machine Safety Requirements, September 1993
Supplement 33.48: Uniform Accelerator Safety Standard, July 1988
Supplement 33.55: Exposures to Radioiodine, Aug. 86 Chapter 34: Sanitation, October
1989
Chapter 35: Vehicle Operations and Traffic, January 1997
Environmental Compliance Manual, June 1996
Guidelines for Soil and Debris Management
Guidelines for Permitting of Air Emission Sources
Guidelines for Polychlorinated Biphenyls
Guidelines for Preparing Office and Shop Supplies for Disposal
LLNL Radiological Control Manual, 1993
Nuclear Material Controls and Accountability Manual, (Vol. 1 to 7), 1990
Onsite Hazardous Materials Packaging and Transportation Safety Manual, February 1996
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APPENDIX D
DISCUSSION OF SAFETY MANAGEMENT ASSESSMENT
1. INTRODUCTION
The purpose of this appendix is to provide supplemental guidance for the use of assessments in
integrated Safety Management Systems (SMSs).
An integrated SMS is implemented using the legal and contractual requirements established for
doing work safely. All work that is subsequently performed should be performed within the
framework of those requirements.
Section 31
Integrated SMS-related assessments need to be conducted to verify that these contractual and
legal obligations are being safely met. The feedback and continuous improvement function is
directly related to the effectiveness of assessments. To effectively accomplish the objectives of an
assessment program, the assessment process needs to be more than development of a list of
deficiencies. The process must produce a robust, rigorous, and credible assessment that is
acceptable to DOE and the contractor. The results can be used with confidence to accomplish the
following:
• Identify areas that do not meet the requirements. These departures from requirements are
generally called “deficiencies” or “findings.” Coincident with identifying problems,
specific strengths and successes may be discovered that may be worthy of identification.
• Prioritize those problems identified using a prioritization system based upon each
problem’s importance in the execution of integrated SMS policies. Such priority
classification can be assigned by the assessor or the manager responsible for the
expenditure of resources and program execution in the work area assessed or by both.
• Correct problems and follow up to help ensure that the problems assessed and prioritized
for correction have in fact been corrected, and that the correction has been effective
enough to result in sustained, long-term improvement for generic problems. Deficiencies
or potential problem areas (e.g., from “lessons learned”) would generally result in a
“watch list” of items for followup assessments.
Although finding and correcting problems associated with the implementation of an integrated
SMS, as described in the three steps above, is fundamental to the proper and effective execution
of integrated SMS in the organization assessed, a fourth effort is required to help ensure that
other organizations learn from the problems identified and do not repeat them. Effective sharing
of significant assessment issues and identified strengths and successes can and should be an
important mechanism for improving the effectiveness of integrated SMS in the DOE complex.
Such an effort will enhance safety, save scarce resources, and improve mission effectiveness.
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2. (TYPES OF) ASSESSMENTS
The overarching assessment should be developed within the framework of DOE P 450.5, LINE
ENVIRONMENT, SAFETY AND HEALTH OVERSIGHT. This Policy’s key element is a
rigorous and credible contractor self assessment program that is linked to the DOE SMS. Input
to such an assessment is linked to and would derive substantial benefit from–
• performance measures and performance indicators,
• line and independent evaluations,
• compliance with applicable requirements,
• data collection, analysis, and corrective actions, and
• continuous feedback and performance improvement.
The results and conclusions of the contractor self-assessments are available to DOE.
There are many different types of individual assessments within DOE. For example, some assess
compliance with the law, while others seek areas for improvement.
Some assessments are required by DOE directives as implemented at a site or facility. Many of
the documents listed in Volume 2, Appendix B, to this Guide, “Resources for Complying with the
SMS Policy and the Dear,” describe assessment requirements, and some describe specific
assessment processes.
Section 32
Examples of these referenced requirements and descriptions include DOE O 225.2, ACCIDENT
INVESTIGATIONS, and DOE O 232.1, OCCURRENCE REPORTING AND PROCESSING OF
OPERATIONS INFORMATION, which describe specific types of assessments that focuses generally
on a specific event. DOE O 425.1, STARTUP AND RESTART OF NUCLEAR FACILITIES,
describes the much broader assessment processes involved in operational readiness reviews ORRs) and
readiness assessments required to evaluate the readiness of DOE nuclear facilities to conduct initial
startup or to restart after specific types of shutdowns. DOE G 414.1-1, IMPLEMENTATION
GUIDES FOR USE WITH THE INDEPENDENT AND MANAGEMENT ASSESSMENT
REQUIREMENTS OF 10 CFR 830.120 and DOE 5700.6C,
QUALITY ASSURANCE, provide guidance in assessing Quality Assurance Programs with respect to
the requirements of the Rule and the Order.
Other types of assessments include–
• assessments conducted by the Office of the Deputy Assistant Secretary, Oversight (EH-2),
• assessments associated with the administration of the Price Anderson Amendments Act,
• routine and frequent performance assessments conducted in DOE facilities by Facility
Representatives,
• Verification (see Appendix E) of effective implementation of the requirements of an
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integrated SMS is a specific type of assessment associated with the establishment of an
integrated SMS.
3. PRINCIPLES OF THE ASSESSMENT EFFORT
As stated in DOE P 450.5, the contractor and DOE have the following common principles:
a. Work together to develop ES&H performance objectives, measures, and expectations that
are tied to Department strategic goals and objectives, as well as to performance goals and
objectives of the SMS elements. Mutual agreement is reached on expected ES&H
performance.
b. Work together to develop contract performance measures and performance indicators that
are linked to the DOE SMS.
c. Work together to develop a high level of performance assurance that results in improved
ES&H performance.
4. ATTRIBUTES OF ASSESSMENTS
The introduction to this appendix briefly discussed the attributes of assessments. Those attributes
were identification of problems/issues, prioritization of issues found with respect to significance,
correction of identified issues, and promulgation of lessons learned from the identified
issues/problems at other sites and facilities when doing so will add value to the complex. This
section of this appendix provides additional information about these attributes.
4.1 IDENTIFICATION OF PROBLEMS/ISSUES
A systematic, organized approach to assessing performance in a facility with respect to integrated
safety is required. An ad hoc approach in assessing performance will, more than likely, not be
focused and, as a result, will be ineffective in evaluating the key aspects of compliance with
requirements. Chapter III and Appendix C of this Guide provide guidance to assist contractors in
developing and implementing integrated SMS. Chapter III and Appendix C can also assist
assessment personnel in determining areas for review. The features discussed in this section
should be considered when planning an assessment.
Those facilities in which the hazards are greatest should be the facilities that are assessed with the
greatest rigor. However, all facilities should be assessed over some finite period of time.
Section 33
Most assessments will probably be scheduled such that those doing the assessments can
effectively schedule their time and prepare for the assessment and those being assessed can
arrange the facility’s schedule to accommodate the assessment and minimize its impact on
ongoing facility work. Because all assessments may affect a facility’s ability to do work, the
impact of the assessments should be minimized wherever and whenever possible. For example, it
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is more cost effective to observe work when it is in progress than to schedule that work for
observation outside normal operations.
In addition, there is a distinct advantage to conducting some assessments on an unannounced
basis. It is only human nature to want to do well during any evaluation. Consequently, strong
efforts to prepare for an assessment that has been scheduled are not unusual. Conversely, it is
probable that there may be a natural relaxing of performance after an assessment is completed.
The possibility of unannounced assessments will help to minimize the potential for reduced
performance, especially if some unannounced assessments are periodically conducted. The
routine day-to-day assessments of performance by facility managers at any level and by DOE
Facility Representatives similarly need to be sufficiently random to prevent complacency in a
facility. If a manager or Facility Representative always does the same thing when he or she
spends time in the facility or if those people only conduct their assessments during the normal
work day, Monday through Friday, the workers in the facility may assume that areas not being
assessed or efforts ongoing on back shifts, weekends, or holidays are not as important to
assessors. As a result, workers may tend to emphasize effective safety performance only in those
places and during those times that their management or local DOE personnel emphasize. Data
derived from such observations will be a very valuable input to the assessment process.
Assessors must also be knowledgeable in the areas they assess. They need to understand the
requirements applicable to the areas they are assessing. These assessors also need to have
technical competence in the areas being assessed. Assessors who are not knowledgeable in both
the requirements to be evaluated and how to assess professionally will more than likely be
ineffective. Assessors also need to be trained to the requirements for access to the facilities being
assessed to the maximum extent practical to minimize the need for escorts from the facility.
Additionally, training in areas in which facility personnel are trained, such as Rad Worker II,
Criticality Safety, Conduct of Operations, etc., will prepare the assessor to consider those areas
during the evaluation. An assessor who lacks the training required to perform effectively and
professionally will not be credible and the effort may very well be wasted.
In conducting assessments, it is essential that the evaluation be done to requirements identified
and not to some expectation of the assessor that is not a requirement. Assessors who have their
own agenda, which they use instead of identified requirements to find the organization deficient,
will cause a diversion of effort that will be counter productive and that is inappropriate. On the
other hand, an assessor who has good ideas for improving the requirements or the methods used
for operating a facility should provide those ideas to the appropriate organization for evaluation.
These good ideas should be offered for what they are and should not be subject to the same
rigorous approach appropriate for correction of identified safety deficiencies.
Section 34
It is not unusual during an assessment to identify individual departures from requirements that are
inappropriate to formally report and track to closure. For example, if a fire door is found blocked
open when it should be shut, the assessor should tell someone in authority in the facility when it is
discovered so that the fire door’s function can be restored. If no other symptoms are found
related to fire doors or similar fire safety discipline issues, cataloging this item as a deficiency
would be inappropriate. Most Facility Representatives provide information concerning this type
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of deficiency to facility management at the appropriate level. If continued assessment reveals
generic problems rather than isolated individual problems, more formal deficiency identification
and correction tracking action would be appropriate.
4.2 PRIORITIZATION OF DEFICIENCIES
Once a deficiency has been formally identified as significant enough to be processed for
correction, it should be assigned a priority for attention consistent with its significance. That
prioritization may be made by the organization doing the assessment or by the one being assessed.
If one of these two organizations disagrees on the priority assigned, a means should be available
to resolve this difference.
The priority assigned to the deficiencies identified should be based upon the safety significance of
the items. There are many different schemes of assigning priorities to deficiencies. Whatever the
scheme, it should not be too complicated and should help facility management focus on correcting
the highest-priority and most important safety-related issues first. The scheme used should be
understood both by the assessors and the facility staff.
The number of priority categories should be sufficient to adequately categorize the comparative
importance of the issues to be corrected and yet not so numerous as to make management
impractical. Schemes observed have ranged from two to eleven priorities. Two categories
probably do not give sufficient definition to prioritize while eleven make management of
deficiency correction too complicated. A division of priorities into three or four categories based
upon significance to safety will probably suffice.
4.3 PROBLEM CORRECTION
The combination of managing deficiencies of limited significance on the floor of the facility when
they are found and the more formal process of identifying issues/deficiencies using an effective
prioritization scheme should establish the foundation for managing facility safety in compliance
with requirements. But all of this effort will be of little consequence without an effective way of
managing the correction of the deficiencies, validating that the correction has been completed,
and, if the problem is generic, as some of the significant deficiencies may be, ensuring that the
corrective actions taken are realistically extended to the areas in which they apply and not just to
the correction of a specific deficiency. This diagnostic approach is the hallmark of effective
assessment programs.
Section 35
Many sites and facilities use an “issue management” or “deficiency tracking” scheme to manage
the correction of identified problems, whether those problems are identified by the contractor,
DOE locally or externally, or other assessment/oversight organizations such as EH-2 and the
Defense Nuclear Facilities Safety Board. Normally, these management efforts use a computer
tabulation of deficiencies, which can be sorted by priority as well as by other schemes useful to
those responsible for managing the correction effort. Sorting by identification date, correction
due date, variance with respect to schedule, responsible organization (such as “Maintenance”), or
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safety disciplines such as radiological controls or electrical safety are examples of other sorting
categories that could be used.
At some sites, a computer printout of the issues being tracked is used effectively as a management
review document. At other sites, the computer program in use may be so cumbersome and user
unfriendly that it may not be readily available for use as a management aid at all. At some sites,
the facility manager and his staff use the tracking system daily to monitor the status of the highest
priority deficiency listing. Whatever the scheme, the highest priority deficiencies should be
reviewed by the responsible managers the most frequently and all deficiencies should be reviewed
periodically depending upon priority assigned. This management technique helps facility
management and staff focus on what is needed to correct the problems identified and helps them
to determine what assets are needed to do the job; it also helps those responsible for the facility to
be acutely aware of the safety status of the facility.
A tracking system that is updated after each review and significant change in status is appropriate.
A user-friendly system, reviewed and updated at an appropriate frequency, and available to those
who need it, can be an extremely effective management tool. A facility manager who ensures the
tracking system is current and accurate at an appropriate periodicity can make this data available
to his staff for their use, to the management to whom he reports, and to the local DOE
management interested in that facility. All concerned can keep themselves informed of problem
resolution status without unduly intruding on the managers involved with the corrective action.
4.4 SHARING OF SIGNIFICANT ASSESSMENT ISSUES
The results of assessments that contain significant issues/problems of general applicability should
be shared with other parts of the organization (i.e., other facilities at the same site) and with other
organizations in the DOE complex to preclude those problems from occurring elsewhere. As
appropriate, the process used to correct the problem should also be shared.
The objective of this sharing effort is to enable other organizations to evaluate their practices to
determine if the same problem or a similar one exists requiring action to preclude departures from
safety that could adversely affect the public, the workers, or the environment. Using information
developed from assessments to avoid problems is an effective way to enhance safety and facility
mission performance that will enhance integrated SMS when used well.
Section 36
An excellent example of feedback concerning operational issues with respect to DOE nuclear
facilities is the “Operating Experience Weekly Summary” published by the Office of Nuclear and
Facility Safety (NFS). This summary is available in either hard copy or electronically. This
document provides assessment-like information (mostly from ORPS reports), which contains
timely, well written, easily understood descriptions of the problem reported, some analysis of
previous problems that were similar, and describes some actions that were used or should be used
to correct the problem and prevent recurrence. Even though these weekly summaries use
information from nuclear facilities for the most part, the information provided for most of the
events is valuable for evaluating safety performance in non-nuclear as well as nuclear facilities.
Review of the material in these summaries on a weekly basis by those responsible for facility
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operations, both government and contractor, will take but a few minutes, but has the potential to
help enhance facility safety if the lessons learned are effectively applied.
5. OTHER CONSIDERATIONS
Many modern management methods have been tried and are being used to enhance performance
in the work place. Quality circles, process improvement teams, and process action teams are
among those efforts and when done correctly can result in improved organizational performance
and safety. These methods, however, are not a substitute for assessments that evaluate the results
of the assessed organization’s safety performance. On the other hand, assessment results should
be used as a source of information in the exercise of management techniques aimed at improving
performance.
Some approaches for improving safety performance rely on the individual worker being
responsible for a self-assessment effort that would, when done correctly, be the major
contribution to safety assessments. There is no question that the work force should participate in
improving safety performance with involvement, for example, in developing new procedures or in
revising others, in enhanced work planning, in ensuring that all hazards are evaluated before
performing work, and in self-checking, etc. Employee-related programs, such as a beneficial
suggestion program, an employee concerns program, or a “hot line” reporting scheme, are
appropriate and can, when used properly, enhance safety. But these are not assessment programs.
Some assessment regimes limit the window of time allotted to assessments. These limits, when
applied, are intended to limit the impact of the assessment effort upon the facility being assessed
from a time perspective and to force those doing the assessment to be organized and ready to
perform the assessment in a reasonable period of time. Today, DOE ORRs are generally
completed within 2 weeks. Several years ago, they required a significantly longer period of time.
The DOE ORR process was improved when DOE streamlined the process and required facilities
being assessed to be as ready as possible when the start of the DOE ORR was recommended. In
this context, limiting the time allotted to assessment efforts has been effective. But declaring that
other assessment efforts may be limited to a specific time window may be counter-productive.
Obvious examples include self-assessments conducted by a facility’s manager. As a general rule,
these managers should spend some significant portion of their time on a continuing basis
evaluating the performance of work in their facilities.
Section 37
The purpose of facility management assessment is two-fold:
1. To satisfy the facility managers doing the assessment that work is being done safely and
effectively, in accordance with the requirements and standards that have been prescribed.
2. To find areas of execution of the prescribed safety requirements and facility mission that
are not being done satisfactorily such that the assessing manager can take action to correct
the problems found and bring the organization back into compliance.
If these managers perform their assessment effort effectively, assessors from outside the facility
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will find should find little during their assessments. Assessments conducted by external
organizations on facilities that have been effective in managing their own assessment program will
have minimal impact because the facility staff will be found to be doing their work safely and
effectively within the bounds of the specified requirements.
Based upon the discussion in the paragraph above, one might conclude that a well-run facility
would not need external assessments. Ideally, that is so. Probably the better conclusion would be
that a facility found to have an exemplary integrated SMS would require less external assessment
than a facility whose integrated SMS is not as strong. Key to DOE P 450.5 is the concept that
DOE will first “verify, then trust.” And the best way to ascertain that a strongly performing
facility stays that way is to assess facility performance. Some periodic assessment effort is
required to ensure integrated SMS is still effective. The promise of routine scheduled, or
unscheduled, external assessment also has the benefit of helping provide a stimulus to the facility
to remain focused on performing its integrated SMS functions effectively.
A natural tendency by many people who conduct assessments is to focus on administrative areas
or documentation reviews. For many assessments, such efforts may be appropriate, but only if
limited to the extent that they help assess the daily performance of the workforce. Performance-
based assessments that evaluate conformance to safety requirements are the most effective
assessment approach. When weaknesses are uncovered that may be based upon inadequate
programs, the administrative programs can be explored to help determine how much of the
problem is programmatic.
6. CONCLUSION
Assessments in support of an integrated SMS are essential to validate compliance with
requirements and to identify weaknesses requiring correction. Prioritization of problems found
with respect to safety significance and managing the correction of these problems is required.
Otherwise, the assessment process will be ineffective, no matter how well the assessment itself
was done. Using the lessons learned from the problems uncovered in the assessments of other
organizations is a cost-effective way to improve safety performance in a timely fashion.
Well-run, effective assessment programs have been drivers in improving performance and in
sustaining improved performance. Assessments are an integral part of integrated SMS.
DOE P 450.4 established the integrated SMS core functions, which are discussed in Chapter II of
this Guide. Assessing performance of an organization in execution of each of the five core
functions can be accomplished. Assessments are a cornerstone of the integrated SMS core
function to “Provide Feedback and Continuous Improvement.”
Section 38
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APPENDIX E
INTEGRATED SMS VERIFICATION
TEAM LEADER GUIDANCE
This appendix replaces the draft protocol attached to the memorandum dated February 21, 1997,
from Thomas P. Grumbly, Under Secretary. The following information is being developed by
DOE based on reviews of integrated Safety Management Systems (SMSs) to date by a DOE team
charged with implementing integrated SMS activities. When finalized, this guidance will be
published as “Integrated Safety Management System Verification (ISMSV) Process, Team
Leader’s Handbook,” currently in draft form as Project SAFT 0065.
A key point of this review and approval process is the use of technically competent people with
appropriate experience, knowledge, and training to review, assess adequacy relative to mission
and hazards, and recommend approval of the documented integrated SMS descriptions. This is
also a key point in the subsequent review of the implementation of the integrated SMS. The
review team will consist of a team leader selected using the process described in Section 9.2.2.6
of the FRAM. The team leader will be selected by and report to the cognizant DOE Line
Manager responsible for the approval of the documented SMS descriptions—the Approval
Authority. Team composition will be approved by the Approval Authority. Team membership
will include established Federal safety management professionals with appropriate experience,
knowledge, and training from the line and staff and may be supplemented by independent
contractor and laboratory personnel when needed or appropriate. Team qualification will be the
responsibility of the team leader and will be accomplished through determination of–
• established expertise in their area of review;
• appraisal experience, which may include ORRs, SARs, or other types of appraisals with
strong emphasis on the ability to recognize systems, programs, and products that
acceptably satisfy safety management principles and functions without necessarily
requiring “one size fits all” or requiring “only my way is right”;
• familiarity with the mission and processes being reviewed; and
• training on integrated SMS policy and expectations.
Once selected, team members will be included in the Core Technical Group (CTG) database. The
team may be supplemented with personnel who will be mentored by the established safety
management professionals for inclusion in the CTG database as potential team members in the
future.
The review process may be accomplished in multiple phases as directed by the Approval
Authority. The first part might involve a review of the documented SMS descriptions for
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acceptability. The final part of the review evaluates the acceptability of the SMS implementation.
Section 39
The integrated SMS description is not intended to be a “plan for a plan,” such as a plan to
develop a given process, or a plan to define responsibilities by a certain date. Rather, the essential
elements of an integrated SMS must be defined—not necessarily implemented at the facility
level—but defined. For instance, relative to “provide feedback on the adequacy of controls and
continue to improve safety management,” the feedback and continuous improvement system
should be defined. Lower-level or implementation programs for that system, such as self-
assessment and independent assessment, quality surveillances, performance indicator utilization,
lessons learned, and corrective action, etc., should also be described and documented through a
system of programs, manuals, and procedures. It is important to note that although the programs,
manuals, and procedures would be assessed (on a sampling basis) for determination of adequacy
relative to the integrated SMS description, they are not intended to be subject to DOE approval
within the integrated SMS review and approval process itself. During this initial phase of a multi-
phased review, programs should be implemented at the corporate level.
The strategy for review and recommendation for approval of the integrated SMS description as
well as the evaluation for adequacy of implementation of these systems is to employ a cadre of
recognized senior safety management professionals utilizing a review plan that includes core
objectives.
It is recognized that the development and implementation of an integrated SMS is at various
stages at sites and facilities throughout the complex. The review and approval approach should
be appropriately tailored to the given site or facility. For example, a site or facility with a fully
implemented integrated SMS could complete the review of both the description and
implementation of the system simultaneously. Conversely, for sites or facilities where
implementation is not fully complete, a phased approach should be considered. The first phase
could include the review and approval of the description, with verification of implementation at
the facility level deferred to a later date. As noted previously however, the integrated SMS
description is not a “plan for a plan” and implementation at the corporate level should be achieved
prior to beginning any review processes. Specific attributes of this review process follow:
• It is a line review, not an independent review. The team leader and team reports to and
supports the Approval Authority.
• The review can be done in phases and as such assists management in the development and
implementation of the system.
In view of the partnership of the team and the Approval Authority in this approval processes, it is
necessary that the responsible party, the Approval Authority, communicate clearly to the team the
expectations and requirements of the specific review and approval process. This guidance should
be provided formally and should include such items as the phased approach (if used), the scope of
the review (particularly if the reviews are conducted at the facility level), the reporting
requirements, and any other items deemed necessary by the Approval Authority.
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Section 40
The integrated SMS review and approval is most effective if conducted in accordance with a
prepared plan. This plan should include objective criteria by which the integrated SMS would be
evaluated. To assist in this process, a team leader’s handbook is available that contains sample
Criteria and Review Approach Documents (CRADs), which guide the review and identify the
basis for the review. These criteria are drawn from a group of core requirements that, if met, will
ensure a satisfactorily integrated SMS plan has been proposed for implementation, and that, when
implemented will result in a satisfactory condition to “do work safely.” A suggested set of core
requirements for both corporate- and for facility-level implementation phase review of the
integrated SMS is included with this guidance. These core requirements will serve as a guide for
achieving consistency in the implementation of integrated Safety Management across the complex.
Further, the team leader’s handbook will contain additional suggested processes, formats, and
lessons learned from previous reviews. This information will also be available on-line on the ISM
home page.
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INTEGRATED SAFETY MANAGEMENT SYSTEM VERIFICATION (ISMSV)
CORE REQUIREMENTS
From the initial ISMSV at the Savannah River Site (SRS), it became evident it would be helpful in
the design of future reviews to have a set of core requirements upon which the review could be
based. The following core requirements were developed from the requirements of DOE P 450.4,
the requirements of the DEAR, and the fundamental attributes that support implementation of the
integrated SMS. Each core requirement is accompanied by an explanatory paragraph to further
assist the team in developing a Criteria and Review Approach Document (CRAD) for a specific
review. The elements of the explanatory paragraph, when developed into criteria for the CRAD,
should ensure all the principles for integrated SMS evaluation are covered. Two CRADs from the
Savannah River evaluation are offered as examples following this discussion. They are site-
specific and so they are examples only.
A. The following core requirements should permit a full evaluation of an integrated SMS for a
site, facility, activity, or process. Completion of the 13 core requirements will verify
successful implementation of an integrated SMS. However, the Approval Authority may want
to use two phases for the evaluation. In that situation, a second set of core requirements that
focuses on implementation is provided (see Section B.).
1. Consistent and Responsive Integrated SMS Description
The integrated SMS description should be consistent with DOE P 450.4, the DEAR, and the
guidance as to the expectations for integrated safety management provided to the contractor
by the Approval Authority.
2. Define the Scope of Work
This requirement should be assessed at each organizational level (e.g., from the sitewide
mission tasks to the processes at an individual facility to the individual operational or
maintenance item within a facility). Only through clear definition of the work is it possible to
manage the work safely. Some elements of this requirement, as discussed in DOE P 450.4
include the statement, “Missions are translated into work, expectations are set, tasks are
identified and prioritized, and resources are allocated.”
3. Analyze Hazards
Section 41
This requirement should be assessed at each organizational level from the work defined in the
sitewide mission tasks [as in an Environmental Impact Statement (EIS)] to the processes at an
individual facility [as in a Safety Analysis Report (SAR)] to the individual operational or
maintenance item contemplated within a facility [as in a Process Hazard Analysis (PHA) or a
Radiological Work Permit (RWP)]. The hazards analyzed should include nuclear as well as
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chemical and common industrial hazards. The analysis should be balanced to suit the
complexity of the work as well as the significance of the risk. As described in DOE P 450.4,
“Hazards associated with the work are identified, analyzed and categorized.”
4. Develop Controls
Controls are developed that provide satisfactory mitigation for the hazards analyzed. The
controls may include programmatic, administrative, and engineering requirements. Those
controls should be appropriate to the hazards that have been identified for work at all levels
from the sitewide mission to the facility processes to the individual operation or maintenance
action. As specified in DOE P 450.4, the controls include “applicable standards and
requirements which are identified and agreed-upon, controls to prevent/mitigate hazards are
identified, and the safety envelope is established.”
5. Implement Controls
The integrated SMS should provide for a method to implement the controls identified at every
level of work and hazard. The methods should provide assurance that the controls remain in
effect so long as the hazard is present.
6. Operations Authorizations
The integrated SMS should provide for gaining authorization to conduct operations.
Provisions should be included to grant operations authorizations for each level of effort at the
site, facility, activity, or process. Such provisions or procedures may include an operational
readiness review, approval to resume operations following a week-end shutdown, and
authorization to start individual procedures or work items using controls such as work
clearance permits, shift orders, or shift managers control. The integrated SMS should also
provide for updating and configuration control for the operations authorization documentation
such as authorization agreements, permits, SARs, etc.
7. Perform Work within Controls
Procedures and programs should be adequate to ensure work is performed within the controls
that have been developed and implemented. Controls may include site or facility
commitments, such as conduct of operations and maintenance programs, worker safety
programs, specified engineered safety systems, or specific controls in worker safety permits.
The controls may be specified in site-level programs or facility-specific authorization bases
documents. The integrated SMS should include provisions to ensure that ongoing work
continues to be performed within the specified and agreed-upon controls.
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8. Provide Feedback and Continuous Improvement
All aspects of the integrated SMS should be subject to continuous improvement through an
assessment and feedback process. At each level of work and at every stage in the work
process planning, the feedback and continuous improvement programs should be functioning.
Feedback information on the adequacy of controls is gathered, opportunities for improving the
definition and planning of work are identified and implemented, line and independent oversight
is conducted, and if necessary, regulatory enforcement actions occur.
Section 42
9. Line Management is Responsible for Safety and Clear Roles and Responsibilities are
Established and Maintained.
At every level of control, line management must be responsible for safety. Clear and
unambiguous roles and responsibilities should be defined and maintained at all organizational
levels within the organization defined by the integrated SMS description. All aspects of work
identification, planning, and control must be executed under the control and responsibility of
line management. Support organizations such as ES&H or personnel departments must have
clearly defined roles and responsibilities that ensure work is performed safely within the
clearly defined principle that line management is responsible for safety.
10. Competence is Commensurate with Responsibility.
Personnel shall possess the experience, knowledge, skills, and abilities necessary to discharge
their responsibilities. All organizations and activities within the integrated SMS should be
evaluated to ensure that competence is commensurate with the assigned responsibilities.
Support and line personnel, workers as well as managers, should be included within the
verification of this core requirement. Actual competence as well as programs to define the
expectations, provide the training, and evaluate that expectations are met, should be assessed.
The process for the determination of the required competence should consider the roles and
responsibilities of each position.
11. Balanced Priorities
Resources shall be effectively allocated to address safety, programmatic, and operational
considerations. Protecting the public, the workers, and the environment shall be a priority
whenever activities are planned and performed. Balancing priorities is particularly important
when defining work, assessing hazards, identifying controls, and designing feedback and
continuous improvement programs. Once a decision is made that a work item is to be
conducted, all the identified controls are necessary and thus the decision to do the work is a
prioritization decision to apply the necessary resources as defined by the agreed-upon
controls.
12. Adequate Implementation and Integration Mechanisms.
Implementation and integration mechanisms should be identified. Integration should be
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evident throughout all organizational functions and at all organizational levels from the site to
the individual activity (horizontal and vertical integration). Integrated SMS-specific
programmatic requirements should include assessment, continuous improvement, and annual
updates.
13. DOE Organization and Processes Support ISM.
The DOE Approval Authority should have a set of processes that interface efficiently and
effectively with the contractor organization. DOE processes must include elements of the
other core requirements as they apply to the responsibilities of DOE to translate missions into
work, set expectations, and allocate resources as well as to approve, control, and authorize
operations.
B. Phase II ISMSV Core Requirements.
The following core requirements were developed to conduct the separate Phase II ISMSV for
identified facilities at SRS. They should be considered for any Phase II-facility specific
assessment of integrated SMS implementation in those circumstances in which a Phase I
ISMSV determined that the contractor-integrated SMS description, as well as its
implementation at the corporate or site level, was satisfactory.
Section 43
1. Define the Scope of Work
A process has been established to clearly define facility missions. These missions have been
translated into discrete tasks or processes that facility personnel understand and can
adequately control. Specific tasks, operations, or work items are identified and prioritized.
2. Analyze the Hazards
The full spectrum of hazards associated with work or a task have been identified, analyzed,
and categorized. Those personnel responsible for the analysis of environment, safety, and
health effects have been effectively integrated into the contractor’s organization and work
closely with those individuals responsible for the analysis of the processes.
3. Develop and Implement Hazard Controls
A process has been established that identifies appropriate safety requirements and readily
adapts them to the diverse activities and hazards present within a facility. The set of
requirements must be comprehensive and ensure adequate protection of the public, the
worker, and the environment.
The contractor has established adequate mechanisms for implementing the set of safety
requirements agreed upon with DOE. These mechanisms ensure that consideration is given to
the protection of the public, the worker, and the environment and that the appropriate controls
merge at the workplace to prevent or mitigate the hazards that have been identified.
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4. Authorize and Perform Work within Controls
A process has been established for the effective planning of hazardous work. Personnel
assigned responsibility for completing this work are instructed on the hazards and the
engineered and administrative controls that will be used to control the hazards. Personnel
performing the work are provided a single set of instructions that effectively integrate the
necessary controls. Appropriate mechanisms are in place to authorize the performance of the
work, including a process that confirms the readiness to perform the work before it is started.
5. Feedback and Continuous Improvement
A process has been established to measure performance and identify opportunities for
improvement. This includes identifying opportunities for improvement even in those cases
where the current level of performance has been demonstrated to meet current expectations or
safety goals. Recommended improvements are appropriately evaluated and are implemented
when proven to be cost effective. Safety performance is measured by line management and is
periodically validated by independent parties.
6. DOE Oversight
DOE line management has a clearly defined oversight role and is appropriately involved in the
management of safety at the site level, facility level, and the work or task level. DOE has
established an effective operations authorization process.
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EXAMPLES
CRITERIA AND REVIEW APPROACH DOCUMENT
The following CRADs are examples of the way a review might be structured for two core
requirements: (2) Define the Scope of Work and (11) Balanced Priorities.
It is important to understand that the examples draw from the manner in which WSRC defined
their integrated SMS. A second variable in the specific content of the CRAD is the manner in
which the ISMSV team is structured and the functional area selection by the ISMSV Team. For
example, some of the criteria might appear in a different CRAD because they are within the
expertise of the individual to whom that CRAD is assigned.
Section 44
OBJECTIVE
BBC.1 DOE and contractor procedures ensure that missions are translated into work,
expectations are set, tasks are identified and prioritized, and resources are allocated.
Criteria
1. DOE procedures translate programmatic missions reflected in strategic plans, binding
commitments, and other requirements into work expectations and priorities, which are
communicated to the contractor.
2. Contractor procedures translate mission expectations received from DOE into tasks that
permit identification of resource requirements, relative prioritization, and performance
measures.
3. DOE and contractor procedures provide for DOE approval of the contractor’s proposed tasks
and prioritization of the mission expectations transmitted to the contractor.
4. DOE and contractor procedures provide change control of the approved task identification,
prioritization, and funding.
5. Contractor procedures provide for flowdown of DEAR 970.5204-2, “Integration of
Environment, Safety and Health into Work Planning and Execution,” requirements into
subcontracts involving complex or hazardous work.
6. The prioritization and allocation process clearly addresses both ES&H and programmatic
needs. The process involves line management input and approval of the results.
7. Maintenance items and process operations are adequately planned and prioritized to ensure
that adequate resources are allocated to support adequate safety.
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Approach
Record Review: Review WSRC 6B Manual. Review AOP, the Management Plan, Program
Execution Guidance (PEG), and other WSRC Work Authorization and Control (WAC)
documents, as well as the procedures for their development. Review DOE-SRS SRIPs or other
procedures for identification of mission requirements, balancing of resource allocations, and
approval of contractor AOP. Review WSRC and DOE-SRS change control procedures. Review
WSRC and DOE-SRS procedures requiring safety requirements flowdown into subcontracts.
Select several mission tasks from the Defense Programs (DP) requirements and the EM 10-year
plan and track the tasks through the process to evaluate how the above criteria are met. Review
future year planning and current year authorized work. Select several current year authorizations
and track change control. Select several DOE and WSRC subcontracts and review for
appropriate flowdown clauses.
Review the 2S Manual and the 1Y manual to verify adequacy of the process by which resources
are allocated to permit conduct of the scope of the work item or process procedure. Review
several Work Clearance Permits (WCPs) to verify the adequacy of the process in practice.
Interviews: Interview DOE-SRS personnel responsible for management of budget process. Interview
line managers responsible for Headquarters-directed mission accomplishment. Interview ES&H
manager to determine process for integration of safety into mission tasks. Interview WSRC personnel
for management of the budget process. Interview managers at each level from the vice president to the
facility manager to determine understanding and implementation of the defined process for translation
of mission into work authorization. Interview ES&H professionals and managers at each level to
determine how safety is incorporated into the budget plans and authorization. Interview DOE-SR and
WSRC procurement personnel regarding subcontract flowdown requirements. Interview work
planners and line managers to ensure that tasks are appropriately identified and prioritized with
adequate resources being allocated.
Section 45
Observations: If possible, observe actual budgetary discussions (including meetings involving the
development of the FY98 AOP) within and between WSRC and DOE-SRS to observe the
practical application and results of the procedures.
OBJECTIVE
BBC.2 Contractor-integrated SMS procedures ensure balanced priorities. Resources are
allocated to address safety, programmatic, and operational considerations. Protecting the public,
workers, and environment is a priority whenever activities are planned and performed.
Criteria
1. The prioritization and allocation process clearly addresses both ES&H and programmatic
needs. The process involves line management input and approval of the results.
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2. Priorities include commitments to and agreements with DOE as well as stakeholders.
3. Contractor ISM procedures provide adequate resources to adequately analyze hazards
associated with the work being planned.
4. Contractor ISM procedures and practice for resource allocations include provisions for
implementation of hazard controls for tasks being funded.
5. Resource allocations reflect the tailored hazard controls.
6. The incentive and performance fee structure promote balanced priorities.
7. Contractor ISM procedures ensure that priorities are balanced to ensure feedback is provided
and continuous improvement results.
8. The ISM procedures provide for balanced priorities to ensure adequate resources are made
available to provide for a satisfactory level of safety for individual maintenance items as well
as process procedures.
Approach
Record Review: Review WSRC 6B Manual. Review AOP, the Management Plan, PEG, and
other WSRC Work Authorization and Control (WAC) documents, as well as the procedures for
their development. Review DOE-SRS SRIPs or other procedures for identification of mission
requirements, balancing of resource allocations, and approval of contractor AOP. Review WSRC
and DOE-SRS change control procedures.
Select several mission tasks from the DP requirements and the EM 10-year plan and track the
tasks through the process to evaluate how the above criteria are met. Review future year
planning and current year authorized work. Select several current year authorizations and track
change control.
Review 12Q manual to ensure balanced priorities associated with self assessment and
management of self assessment findings and issues.
Review 1Y and 2S manuals to verify adequacy of balancing of resource priorities in the selection
and conduct of maintenance items and process activities. Review several plans of the day as well
as associated work control documents to verify that balanced priorities are being practiced.
Interviews: Interview DOE-SRS personnel responsible for management of budget process.
Interview line managers responsible for Headquarters-directed mission accomplishment.
Interview ES&H manager to determine process for integration of safety into mission tasks.
Interview WSRC personnel for management of budget process. Interview managers at each level
from the vice president to the facility manager to determine understanding and implementation of
the defined process for translation of mission into work authorization. Interview ES&H
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11-26-97 Appendix E
professionals and managers at each level to determine how safety is incorporated into the budget
plans and authorization.
Observations: If possible, observe actual budgetary discussions (including meetings involving the
development of the FY98 AOP) within and between WSRC and DOE-SRS to observe the
practical application and results of the procedures.
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