DOE O 5484.1 Chg 7, Environmental Protection, Safety and Health Protection Information Reporting Requirements
Functional areas: Environmental Quality & Impact
Canceled by DOE N 251.35.
Version history and related documents
Superseded by
A newer version replaces this document.
- DOE N 251.35Cancellation of Directives (May 08, 2000)
Related documents
Document text
Text extracted from the attached file. Refer to the original document for the authoritative version.
Section 1
U.S. Department of Energy ORDER
Washington, D.C.
DOE 5484.1
2-24-81
SUBJECT: ENVIRONMENTAL PROTECTION, SAFETY, AND HEALTH PROTECTION INFORMATION
REPORTING REQUIREMENTS
1. PURPOSE. This Order establishes the requirements and procedures for the
reporting of information having environmental protection, safety, or
2.
health protection significance for Department of Energy operations.
SCOPE. This Order applies to all Department of Energy contractor operations
where, under the contractual arrangements for the work to be performed, the
Department of Energy has established control over environmental protection,
safety, and health protection program content. The provisions of this Order
also apply to Federal operations but not to the Federal employee occupa-
tional safety and health program (as defined in DOE 3790.1). This Order
will serve as guidance for the Federal employees occupational safety and
health program until it is specifically amended to apply directly to that
p r o g r a m .
REFERENCES.
a.
b.
c.
d.
e.
f.
g.
DOE Procurement Regulation 9-50.704-2, which provides environmental
protection, safety, and health protection contract clauses.
Accident/Incident Investigation Manual, ERDA 76-20, which provides
guidance for conducting Department of Energy accident investigations.
ERDA Guide to the Classification of Occupational Injuries and
Illnesses, ERDA-76/45-7, which provides guidance for recording
and reporting occupational injuries and illnesses.
29 CFR 1904, Recording and Reporting Occupational Injuries and
Illnesses, which provides the Occupational Safety and Health
Administration (OSHA) standards for recording and reporting of
occupational injuries and illnesses.
29 CFR 1960, 10-21-80, Basic Program Elements for Federal
Employee Occupational Safety and Health Programs and Related Matters,
Subpart I, Recordkeeping and Reporting Requirements, which provides
Occupational Safety and Health Standards for recording and reporting
Federal employee occupational injuries and illnesses.
DOE 5480.1, ENVIRONMENTAL PROTECTION, SAFETY, AND HEALTH PROTECTION
PROGRAM, of 5-5-80 which establishes the environmental protection,
safety, and health protection program for the Department.
49 CFR 173, General Requirements for Shipments and Packaging.
DISTRIBUTION: INITIATED BY:
All Departmental Elements Operational and Environmental
Federal Energy Regulatory Commission Safety Division
3.
2
h. Privacy Act, PL 93-579.
2-24-81
i. Freedom of Information Act, PL 90-23.
j. A Guide for Environmental Radiological Surveillance at Energy Research
and Development Administration Installations, ERDA-77-24, March 1977.
k. Effluent Information System (E IS) and Onsite Discharge Information System
(ODIS) User’s Manual, October 1977.
l. Quality Criteria for Water, 1976, Environmental Protection Agency.
m. Guidance for Air Quality Monitoring Network Design and Instrument
Siting, January 1974, Environmental Protection Agency.
n. Ambient Monitoring Guidelines for Prevention of Significant Deterioration
(PSD) , May 1978, Environmental Protection Agency.
o. Guide to Sampling Airborne Radiative Materials in Nuclear Facilities,
American National Standards Institute, N13.1.
p. Standard Methods for the Examination of Water and Wastewaters,
14th Edition, 1976, American Public Health Association.
q. American Society of Testing Materials (ASTPI) Standards, Parts 23 and 31,
Water and Atomspheric Analysis, 1970.
Section 2
r. Manual of Methods for Chemical Analysis of Water and Wastes, 1974,
Office of Technology Transfer, Environmental Protection Agency.
s. 40 CFR 136, Guidelines Establishing Test Procedures for the Analysis of
Pollutants.
t. 40 CFR 141, Interim Primary Drinking Water Regulations: Radioactivity,
June 28, 1976.
u. DOE 5632.2, PHYSICAL PROTECTION OF SPECIAL NUCLEAR MATERIALS, of 2-16-79
which establishes minimum protection standards for special nuclear materials.
v. 40 CFR 125, Policies and Procedures for the National Pollutant Discharge
Elimination System.
w. DOE 3790.1, OCCUPATIONAL SAFETY AND HEALTH PROGRAM FOR FEDERAL EMPLOYEES
of 12-11-80.
4. DEFINITIONS.
a. Occurrence. Any deviation from the planned or expected behavior or
course of events in connection with any Department of Energy or
Department of Energy-controlled operation if the deviation has
environmental protection, safety, or health protection significance.
DOE 5484.1
DOE 5484.1
2-24-81
b. Trained Investigator. An individual who has compl
Energy Accident Investigation Workshop.
c.
d.
Substantial. Clearly outside normally accepted or experienced bounds.
Department of Energy Contractor. Any Department of Energy prime
contractor or subcontractor subject to the provisions of the Department
of Energy Procurement Regulation 9-50.704-2 or other contractual
e.
3
eted the Department of
provisions (e.g., cost-shared) where the Department of Energy has
elected to enforce environmental protection, safety, and health
protection regulations by specific negotiated contract requirements.
f.
g.
h.
i.
j.
k.
l.
Notification. The actions taken to notify cognizant Department of
Energy officials of an occurrence, and the subsequent actions taken
at successive levels within the Department of Energy to notify
the Secretary of an occurrence.
Investigation. A detailed, systematic search to uncover the “who,
what, when, where, why and how” of occurrences and to determine what
corrective actions are needed in order to prevent a recurrence.
Investigation Report. A clear and concise written account of the
results of the investigation.
Contracting Officer. An official designated to enter into or administer
contracts and make related determination and findings.
Terminated Employee. An individual employed by the Department of
Energy or a Department of Energy contractor who terminates his
employment; an individual assigned to work in the Department of
Energy or Department of Energy contractor facility, but not employed
by the Department of Energy or a Department of Energy contractor, who
completes his work assignment in the facility; an individual who
transfers to another Department of Energy or contractor facility or
office; an individual who begins a leave of absence of greater than
12 months’ duration; all monitored employees of contractors whose
contracts with the Department of Energy are terminated.
Visitor. Any individual visiting a Department of Energy or Department
Energy contractor facility under circumstances requiring that he
be monitored for radiation exposure.
Recorded Exposure. That number, zero and above, which is recorded
as representing a specific individual exposure to ionizing radiation
determined in accordance with established health physics principles
and Order DOE 5480.1, Chapter XI, requirements.
Positive Exposure. Any recorded exposure greater than the established
minimum sensitivity of the monitoring device or the measuring technique
employed.
4
m.
n.
Section 3
o.
p.
q.
r.
s.
DOE 5484.1
2-24-81
Dose Commitment. Dose commitment is the dose equivalent (reins)
received by specified organs during a period of one calendar year
which was the result of an uptake of a radionuclide by a person
occupationally exposed.
Radiation Records Repository. The Department of Energy centralized
data base which maintains occupational radiation exposure information
for individuals monitored while engaged in activities associated with
the Department of Energy or Department of Energy contractor opera-
tions, The Repository includes similar data for the Atomic Energy
Commisson and the Energy Research and Development Administration
activities.
Effluent. Airborne and liquid wastes discharged from a Department
of Energy site or facility following such engineered waste treatment
and all effluent controls, including onsite retention and decay,
as may be provided. This term does not include solid wastes, wastes
for shipment offsite, wastes which are contained (e.g., underground
nuclear test debris) or stored (e.g., in tanks) or wastes which
are to remain onsite through treatment or disposal.
Effluent Monitoring. Collection and analysis of samples and other
measurements for the purpose of establishing the type and concentration
of radioactive and nonradioactive pollutants in liquids and airborne
discharges from Department of Energy facilities.
Environmental Monitoring. Sample collection and analysis of environ-
mental media, i.e., air, water, soil, foodstuff, biota, etc., from the
environs of Department of Energy sites for the purpose of assessing
effects of Department of Energy operations at that site on the local
environment. Generally, environmental monitoring is required
to determine compliance with applicable environmental radiation
standards.
Onsite Discharge. Airborne and liquid wastes discharged to onsite
treatment or disposal systems, e.g., sewage lagoons, retention
ponds, and cribs, for retention, settling, decay, or storage onsite.
Department of Energy Site.
(1) A Department of Energy-owned or -controlled tract used for
Department of Energy operations:
(a) Containing one or more facilities (excluding tracts used
primarily for substations and transmission towers, and similar
utility facilities), or
(b) At which one or more major Department of Energy operations
or program activities are being carried out.
DOE 5484 5
(2) A Department of Energy-controlled site is one which is leased or
otherwise made available to the Government under terms which
afford to the Department of Energy rights of access and control
substantially equal to those which the Department of Energy would
possess if it were the holder of the fee (or pertinent interest
therein) as agent of and on behalf of the Government.
5. POLICY AND OBJECTIVES.
a. It is the policy of the Department of Energy that timely notification
of occurrences involving Department of Energy and Department of
Energy contractor operations be made to responsible authority; that
all occurrences be investigated; that reports be submitted to respon-
sible Department of Energy officials; that management take responsive
action; and that there be consistency in the treatment of such
occurrences.
b. The objectives of the information reporting system are:
(1)
(2)
(3)
(4)
(5)
(6)
To investigate and evaluate occurrences to determine their causes
and the appropriate measures to prevent recurrences and improve
the safety of the Department of Energy and Department of Energy
contractor operations.
Section 4
To obtain early, complete, and factual information on occurrences
as a basis for: (a) reports to the Secretary, Congress, and other
Federal agencies; and (b) where appropriate, informing the public.
To assure the gathering of adequate information on which to base
management action.
To provide a basis for the improvement of codes, guides, and standards
used in the Department of Energy and Department of Energy contractor
operations.
To establish a procedure for the development and reporting of
occupational radiation exposure information to the Radiation Records
Repository that will be of assistance to the Department of Energy in
determining that radiation doses to individuals are maintained
at the lowest levels technically and economically practicable.
To monitor, evaluate, and report onsite discharges, liquid and
airborne effluents, and environmental conditions in the vicinity of
Department of Energy sites to assess the levels of radioactive and
nonradioactive pollutants and their impact on the public and the
environment.
RESPONSIBILITIES AND AUTHORITIES.
a. Assistant Secretary for Environment:
(1) Appoints Headquarters investigation boards and establishes the
scope of Headquarters investigations.
(2) Accepts
(3) Directs
‘boards’
Headquarters investigation boards’ reports.
corrective actions based on Headquarters investigation
recommendations.
b. The Director, Operational and Environmental Safety Division:
(1) Develops policies, procedures, standards, and guidelines for notifi-
cation, investigation, and reporting of occurrences in the Department
of Energy and Department of Energy contractor operations.
(2) Establishes requirements and prescribes procedures for the collection
and compilation of data and reports related to occurrences and other
information of environmental protection, safety, and health protec-
tion significance.
(3) Recommends Headquarters or field investigations (when not other-
wise required by this Order) for occurrences which have an overall
impact on Department of Energy programs.
(4) Recommends members for Headquarters investigation boards to the
Assistance Secretary for Environment.
(5) Reviews the reports of Headquarters and field investigation
boards to:
(a) Determine whether the investigations and the reports meet
Department of Energy standards for thoroughness, objectivity,
and independence.
(b) Assure prompt identification and correction of injury and
property damage causes.
(c) Assure appropriate distribution of the reports in those instances
where the lessons learned are potentially applicable to other
Department of Energy and Department of Energy contractor sites.
(6) Recommends to the Assistant Secretary for Environment the accept-
ance of the reports of Headquarters investigation boards and the
necessary corrective actions based on the boards’ reports and other
appropriate considerations.
DOE 5484.1
2-24-81
DOE 5484.1
2-24-81
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
Assures that the corrective actions that are directed by the Assistant
Secretary for Environment are satisfactorily completed.
Accepts field investigation reports and, if appropriate, recom-
mends to heads of field organizations additional corrective actions.
Informs the Secretary and the Assistant Secretary for Environment,
the appropriate Congressional Committees, other Federal agencies,
the Inspector General and other appropriate Headquarters offices and
divisions of significant occurrences in the Department of Energy and
Department of Energy contractor operations.
Section 5
Maintains, consolidates, and summarizes information regarding
occurrences in the Department of Energy and Department of Energy
contractor operations in order to:
(a)
(b)
(c)
(d)
Provide basic safety statistics used in evaluating safety
program performance.
Provide safety information to the Secretary, the Congress,
Department of Energy offices, Department of Energy contractors,
other Federal agencies, and the public.
Provide a basis for identifying needed improvements in
safety codes, standards, and regulations.
Identify areas where research or development work is needed
for safety evaluation or control purposes.
Develops and maintains a cadre of Department of Energy trained
accident investigators who are available to participate as members of
Headquarters and field investigation boards.
Circulates investigation reports for review by appropriate
Headquarters divisions and offices when the recommendations for
corrective actions involve or may affect activities under their
jurisdiction.
Conducts and coordinates all activities associated with operation and
maintenance of the Department of Energy Radiation Records Repository,
including:
(a) Submission of radiation exposure data to the Repository.
(b) Processing of requests for exposure information from the
Repository.
Establishes and interprets Department of Energy environmental and
effluent monitoring and reporting requirements.
7
DOE 54848
(15) Reviews and approves field organization recommendations as to which
sites need not perform routine effluent or environmental monitor-
ing and reporting. This approval authority does not extend to
monitoring and reporting required by Federal, state, and local laws,
regulations, and permits.
(16) May waive specific Department of Energy effluent and environmental
monitoring and reporting requirements for existing sites if not
otherwise required by law or permit conditions.
c. The Director, office of Health and Environmental Research:
(1) Provides, upon request, personnel monitoring devices for Depart-
ment of Energy Headquarters employees who are planning to visit
facilities not operated by the Department of Energy or Department
of Energy contractors where they might encounter radiation exposure.
(2) Furnishes copies of the results of monitoring to the Director,
Operational and Environmental Safety Division, and to the head of
the appropriate office or division, Headquarters.
d. Inspector General:
(1) Reviews and recommends policies and standards for notification,
investigation, and reporting of occurrences, in the Department of
Energy and Department of Energy contractor operations.
(2) Reviews Department of Energy notification, investigation, and
reporting of occurrences for adequacy and consistency with the
requirements of this chapter and, as appropriate, reports results
of such reviews to the Secretary.
(3) Conducts investigations as required by the Secretary.
(4) Concurs in the membership of al 1 Headquarters investigation boards
recommended by the Director, Operational and Environmental Safety
Division.
e. Heads of Offices and Divisions, Headquarters:
(1) Review reports of occurrences for operations for which they are
cognizant in order to determine if any instructions or procedures
for which they are responsible need revision. Those responsible
Headquarters officials having contractor organizations directly
under their jurisdiction will assume the same responsibilities as
heads of field organizations in paragraph 6f below. The Deputy
Assistant Secretary for Naval Reactors shall assume, for Naval
Reactor’s activities, the same responsibilities as heads of
field organizations.
Section 6
DOE 5484.1
2-24-81
(2)
(3)
(4)
9
Notify within 24 hours after receipt of exposure information, any
Department of Energy employee in their organization of any radia-
tion exposure received which exceeds the dose equivalent standards
specified in Order DOE 5480.1, Chapter XI.
Assure that employees in their organization obtain a personnel
monitoring device prior to visiting facilities not operated by the
Department of Energy or Department of Energy contractors where
exposure to radiation is possible, and instruct Department of
Energy employees who might unexpectedly visit a contractor or
licensed facility without a monitoring device to use the personnel
monitoring device provided by the facility and to request that any
resultant exposure information along with the individual’s name,
social security number , and date of birth be sent to the Department
of Energy Headquarters, Attention: Director, Operational and
Environmental Safety Division.
Assign a staff member to act as liaison for the purpose of
notifying the Office of Health and Environmental Research of their
anticipated needs for personnel dosimeters and to facilitate the
movement of dosimeters to and from the Office of Health and
Environmental Research.
f. Heads of Field Organizations and Other Contracting Officers:
(1) Establish procedures to assure proper notification (internally
and to Federal, state, regional, and local agencies), investi-
gation, and reporting of occurrences as required in this Order.
(2) Identify occurrences which are to be investigated by field organi-
zation boards. Appoint field investigation boards and establish
the scope of their investigations including limitations, if any.
Heads of field organizations may desire to use Department of Energy
personnel from other offices. Arrangements for use of such per-
sonnel may be made by contacting the Director, Operational and
Environmental Safety Division, or communicating directly with
another field organization. If arrangements are made with another
field organization, the Operational and Environmental Safety
Division should be advised.
(3) Review reports of field investigation boards and order additional
investigation, if necessary.
(4) Transmit reports of field investigation boards to the Operational
and Environmental Safety Division with copies to the Inspector
General and other appropriate Headquarters officials. Transmit
with each report a field organization evaluation of the report
including a statement of the corrective actions which have been
taken or are planned by the field organization.
(5) Assure that corrective actions are satisfactorily completed and
so advise the Operational
copies to the appropriate
and Environmental Safety Division with
Headquarters program organization.
DOE 548410
(6) Assure that, except for necessary emergency actions, the scene
of any occurrence requiring or possibly requiring a Headquarters
or field organization board investigation is not disturbed until
the investigation board concurs that recovery or normal operations
may be resumed.
(7) Assure that Headquarters and field investigation boards receive the
necessary logistic and administrative support.
(8) Direct the preparation and release of public statements on occur-
rences, where deemed appropriate.
(9) Assure that all individuals under their jurisdiction are:
(a) Notified within 24 hours after receipt of exposure informa-
tion of any radiation exposures that exceed the dose equiva-
lent standards specified in Order DOE 5480.1, Chapter XI.
Section 7
(b) Provided, upon written and signed request, with a summary of
their reported occupational radiation exposures. Such report
shall be furnished within 30 days from the time the request is
made, or within 30 days after the exposure has been determined,
whichever is later.
(10) Prepare an Annual Summary of Fire and Other Property Damage Experi-
ence Report and submit it to the Director, Operational and Environ-
mental Safety Division on or before March 15 of each year.
(11 ) Determine when preoperational and environmental surveys are required
to obtain background and baseline data in advance of start up of any
new site or a new facility or process at an existing site; review and
approve the preoperational survey program prior to its implementation;
and review and approve the report of the survey results prior to
start up of the new facility or site operation.
(12) Assure that the Department of Energy facilities and sites under
their purview conduct the effluent and environmental monitoring and
reporting programs in accordance with the requirements of this Order
and as necessary to determine compliance with all applicable Federal,
state, and local effluent standards and permit conditions and report
to the local, state, and regional environmental protection agencies,
the public and Department of Energy Headquarters on the status of
such compliance.
DOE 5484.1
11
(13) Recommend to the Director, Operational and Environmental Safety
Division, with the concurrence of the Director(s) of the responsible
program office(s), when routine environmental monitoring and report-
ing is not required (programs to be waived) or is to be terminated
at Department of Energy sites. Requests for approval to terminate
any environmental monitoring and reporting activities should include
an explanation, with supporting data, as to why the site is not
expected to have significant releases or a significant effect on the
environment. For any site holding an exemption from environmental
reporting requirements, the respective field organization head or
contract administrator shall assure that an annual environmental
summary is prepared as required by Chapter III, paragraph 4C of
this Order, and copies forwarded to the Director, Operational and
Environmental Safety Division.
(14) May grant an exemption from monitoring and reporting for those
effluents which meet all of the following criteria:
(a) Do not routinely contain and are not a potential source of
accidental releases of significant quantities or concentra-
tions of radioactivity or nonradioactive pollutants in
relation to applicable standards.
(b) Are of no health and safety or environmental significance.
(c) Are not required to be maintained by other Federal, state, or
local pollution control agencies or regulations. (The Opera-
tional and Environmental Safety Division will assist in the
interpretation of “significant” as used above, and elsewhere
in this Order, on a case-by-case basis as requested.)
Members of Headquarters and Field Organization Boards of Investigation:g.
(1)
(2)
(3)
(4)
Report directly to the Department of Energy appointing official
during the investigation.
Understand the scope of the investigation including the limitations,
if any, prior to initiating the investigation. If necessary, the
board should discuss the scope of the investigation with the-appoint-
ing official or his designee.
Conduct an investigation and prepare an investigation report which
satisfies the requirements in this Order.
Section 8
Transmit the report with a cover memorandum which includes the
board’s recommendations to the appointing official within a speci-
fied period of time.
2-24-81
DOE 5484
h. Requestors of Radiation Exposure Information:
All requests for exposure information for individuals from the Department
of Energy Records Repository should be directed to the Director,
Operational and Environmental Safety Divison. Exposure information
which identifies the individual will be disclosed only upon written
authorization of the individual or his duly authorized representative
pursuant to the Privacy Act of 1974 and the Freedom of Information Act.
The release of summary statistical information reported in accordance
with this Order is governed by Chapter 3101, “Public Information
Program.”
William S. Heffelfinger
Director of Administration
12
TABLE OF CONTENTS
CHAPTER I - Notification OF OCCURRENCES Page
1. Immediate Notification . . . . . . . . . . . . . . . . . . . . . . . . . I-1
2. Notification Within 72 Hours . . . . . . . . . . . . . . . . . . . . . I-3
3. Information Required in Notifications Made Immediately
or Within 72 Hours . . . . . . . . . . . . . . . . . . . . . . . . . I-4
CHAPTER II - INVESTIGATION REQUIREMENTS
1. Types of Investigations . . . . . . . . . . . . . . . . . . . . . . . . . II-1
Type A Investigations . . . . . . . . . . . . . . . . . . . . . . . . . II-1
b. Type B Investigations . . . . . . . . . . . . . . . . . . . . . II-2
c. Type C Investigations . . . . . . . . . . . . . . . . . . . . . . . II-2
d. Submission of Type A and Type B Investigation Reports . . . . . . II-2
e. Submission of Type C Investigation Reports . . . . . . . . . . . . . . . II-3
2. Standards for Investigation . . . . . . . . . . . . . . . . . . . . . . . . II-3
a. Appointing the Board . . . . . . . . . . . . . . . . . . . . . . . . . . . II-3
b. The Investigation Report .. . . . . . . . . . . . . . . . . . . . . . . . . II-4
3. Corrective Action s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . II-9
a. Immediate Corrective Actions . . . . . . . . . . . . . . . . . . . . . . II-9
b. Recommendations of the Board . . . . . . . . . . . . . . . . . . . . . II-9
c. Corrective Actions from Appointing Official. . . . . . . . . . . . II-9
d. Corrective Actions from Headquarters . . . . . . . . . . . . . . . . . II-9
e. Closing the Case . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . II-10
CHAPTER III - EFFLUENT AND ENVIRONMENTAL MONITORING PROGRAM REQUIREMENTS
1. Monitoring New Sites, Processes, and Facilities . . . . . . . . . . III-1
2. Monitoring Existing Sites . . . . . . . . . . . . . . . . . . . . . . . . III-1
3. Quality Assurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . III-1
4. Scope and Content of Environmental Monitoring Program,
Reports, and Summaries . . . . . . . . . . . . . . . . . . . . III-2
a. Environmental Monitoring . . . . . . . . . . . . . . . . . . . . . . . III-2
b. Environmental Monitoring Report . . . . . . . . . . . . . . . . III-2
c. Environmental Summary . . . . . . . . . . . . . . . . . . . . . . III-3
d. Reporting Units and Format . . . . . . . . . . . . . . . . . . . . . III-4
5. Effluent Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . III-7
a. Effluent Monitoring . . . . . . . . . . . . . . . . . . . . . . . . III-7
b. Onsite Discharge Monitoring . . . . . . . . . . . . . . . . . . . III-7
c. Monitoring Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . III-7
d. Monitoring Data Recordkeeping . . . . . . . . . . . . . . . . . . . . III-9
Section 9
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ii DOE 5484.1
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CHAPTER IV - ENVIRONMENTAL PROTECTION, SAFETY, AND HEALTH Page
PROTECTION REPORTS
1. General .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. Type C Investigation Reports . . . . . . . . . . . . . . . . . . . . . . .
3. Quarterly Summaries and Other Reports . . . . . . . . . . . . . . . . .
a. Form EV-102A, Summary of Department of Energy and
Department of Energy Contractor Occupational
Injuries and Illnesses . . . . . . . . . . . . . . . . . . . . . . .
b. Form 5484.4, Tabulation of Property Damage
Experience . . . . . . . . . . . . . . . . . . . . . . . .
c. Form OSHA-200, Log of Occupational Injuries and
Illnesses, and Form OSHA-1OOF, Log of Federal
Occupational Injuries and Illnesses . . . . . . . . . . .
d. Reports of Occupational Exposure to Radiation for
Department of Energy and Department of Energy
Contractor Personnel Upon Termination of
Employment.. . . . . . . . . . . . . . . . . . . . . . . . . .
e. Report of Radiation Exposures to Headquarters
Employees . . . . . . . . . . . . . . . . . . . . . . . . . .
f. Report of Radiation Exposures to Visitors . . . . . . . . . . . . .
g. Preoperational Environmental Survey Reports . . . . . . . . .
h. Aircraft Accident/Incident Reports . . . . . . . . . . . . . . . .
4. Annual Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
a. Annual Radiation Exposure Reports . . . . . . . . . . . . . . .
b. Annual Industrial Summary of Fire and Other
Property Damage Experience (Suggested Format).. . . . . . . . .
c. Effluent and Environmental Monitoring Reports . . . . . . . . . . . . .
5. Unusual Occurrence Reporting . . . . . . . . . . . . . . . . . . . . .
a. General . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Guidelines and Examples . . . . . . . . . . . . . . . . . . . . . . .
IV-1
IV-1
IV-4
IV-4
IV-4
IV-4
IV-4
IV-5
IV-5
IV-5
IV-5
IV-6
IV-6
IV-6
IV-9
IV-10
IV-10
IV-10
CHAPTER V - CRITERIA FOR DETERMINING DEPARTMENT OF ENERGY
PROPERTY VALUATION AND DEPARTMENT OF ENERGY LOSSES
1. Department of Energy Property Valuation . . . . . . . . . . . . . . . . V-1
a. Include. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . V-1
b. Exclude . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . V-1
2. Guidelines Governing Loss Estimation . . . . . . . . . . . . . . . . . . . . V-1
Include . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . V-1
b. Exclude . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . V-2
c. Miscellaneous Guidelines . . . . . . . . . . . . . . . . . . . . . . . V-2
a.
DOE 5484.1 I-1
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CHAPTER I
NOTIFICATION OF OCCURRENCES
1. IMMEDIATE NOTIFICATION. Notification to Headquarters Emergency Operations
Center of the following occurrences shall be made as soon as sufficient
information is obtained to indicate the general nature and extent of
the occurrence:
a. Any fatal or imminently fatal injury or illness involving a Department
of Energy Jr Department of Energy contractor employee or a member of
the public due to an occurrence associated with a Department of Energy
or Department of Energy contractor operation. (Type A investigation.)
b. Any one occurrence (involving either occupational injuries or illness)
in a Department of Energy or Department of Energy contractor operation
which results in five or more lost workday cases. (Type A investigation. )
Section 10
c. Estimated “loss or damage to Department of Energy or other property amount-
ing to $100,000 or more, or estimated costs of $100,000 or more required
for cleaning (including decontamination), renovating, replacing, or
rehabilitating structures, equipment, or property. (Type A investigation,
if the costs exceed $250,000. See Chapter V of this Order “Criteria for
Determining DOE Property Valuation and DOE losses.”)
d. Any occurrence involving a nuclear explosive under Department of
Energy jurisdiction which results in an explosion, fire, the spread
of radioactive material, personal injury or death, or damage to
private property. (Type A investigation. )
e. Any accidental releases of pollutants which result or could result in
significant effect on the public or on the offsite environment, e.g. ,
need to relocate people, substantial fish kill, requirements for
corrective action in the environment, requests that downstream water
supply intakes be shut down, etc. (Type A investigation. )
f. Any accidental releases of pollutants designated by the Environmental
Protection Agency as “hazardous” and requiring activation by the Environ-
mental Protection Agency or the U.S. Coast Guard of the National Oil and
Hazardous Substances Pollution Contingency Plan to effect removal or
corrective measures. (Type A investigation. )
g. Any apparent loss or theft of radioactive or nonradioactive material
in such quantities and under such circumstances that it could constitute
a hazard to the health and safety of individuals. Where this involves
the possible theft of Government property, the Federal Bureau of
Investigation shall be notified by the Office of Safeguards and Security
for a decision as to acceptance of investigation jurisdiction. For
apparent losses of source material, special nuclear material, and such
other material included in the category “Special Nuclear Materials,”
see Order DOE 5632.2. (Type A investigation. )
h.
i.
j.
k.
l.
m.
n.
o.
p.
q.
DOE 5484.1
2-24-81
A single or annual accumulated whole-body exposure of an individual
to 25 rem or more of radiation, a single exposure of the skin of the
whole body of an individual to 75 rem or more of radiation, a single
exposure of the forearms of an individual to 150 rem or more of radiation,
or a single exposure of the hands or feet of any individual to 375 rem or
more of radiation. (Type A investigation. )
Any internal uptake of radioactive material which on the basis of a small
number of early assay data could result in a dose or dose commitment in
excess of 5 times the pertinent annual standard set forth in the chapter.
For whole body dose, 5 rem is the pertinent annual standard. (Type A
investigation. )
Any nuclear criticality achieved in a system not intended to reach
criticality. (Type A investigation. )
Any release of radioactive material to controlled or uncontrolled areas in
concentrations which, if averaged over a period of 24 hours, would exceed
5,000 times the respective concentration guides specified for such
materials in the Order DUE 5480.1, Chapter XI “Standards for Radiation
Protection.” (Type B investigation. )
Any release of radioactive material offsite that could reasonably be
expected to result in an annual dose or dose commitment to any member of
the general population greater than the annual standards set forth in
Order DOE 5480.1, Chapter XI, “Standards for Radiation Protection.”
(Type B investigation. )
Section 11
Any occurrence which is likely to give rise to an inquiry by members of
the public or press, if the field organization head involved considers the
inquiry to be of sufficient importance to notify Headquarters. (Level of
investigation shall be determined by the head of the field organization. )
Any occurrence where a press release is made or where information is
provided to the news media, other Federal agencies, or state or local
authority, either by the field organization or a Department of Energy
contractor. (Level of investigation shall be determined by the head of
the field organization. )
Any radiological assistance occurrence. (Level of investigation shall
be determined by the head of the field organization.)
Any request to an offsite authority for emergency assistance involving a
nuclear operation. (Level of investigation shall be determined by the
head of the field organization.)
Any discovery of significant radioactive or nonradioactive contamination
in the onsite or offsite environment attributable to current or past
Department of Energy operations.
I-2
DOE 5484.1
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I-3
r. Any aviation related occurrence involving: a fatality or fatalities;
lost workday injuries to crew members, ground crew, or other personnel
assigned to aviation operdtions; injuries to passengers or members of
general public; downtime for aircraft; an explosion or fire involving
2.
the
an
aircraft; substantial damage to property, and classified, radioactive,
high explosive or other hazardous cargo. (Level of investigation for
these occurrences not already requiring Type A or B investigate on shall be
determined by the head of the field organization. ) Investigations shall
comply with all applicable Federal Aviation Administration, Department of
Transport at i on, and National Transportation Safety Board regulations, and
with state accident reporting requirements.
NOTIFICATION WITHIN 72 HOURS. Notification to Headquarters of the following
occurrences shall be made within 72 hours of the occurrence.
a.
b.
c.
d.
e.
f.
Estimated loss or damage to Department of Energy or other property
amounting to between $50,000 and $100,000 or estimated costs within these
limits required for cleaning (including decontamination), renovating,
replacing, or rehabilitating structures, equipment, or property.
(Type B investigation is required for loss or damage between $50,000 and
$250,000. See Chapter V of this Order, “Criteria for Determining DOE
Property Valuation and DOE losses.”)
Any occupational illness which results in inpatient hospitalization.
(Type B investigation. )
Any series of occupational illnesses with the same or similar causes
involving five or more persons of which at least one is a lost workday
case. (Type B investigation. ) If the occurrence results in five or
more lost workday cases then a Type A investigation must be performed.
See paragraph 16 of this Chapter.
Any occupational illness which is a lost workday case involving more
than 5 days away from work. (Type B investigation. )
Any radiation exposure to an individual which in 1 calendar quarter
exceeds the following (Type B investigation):
(1) 5 rem to the whole body.
(2) 15 rem to skin of whole body or thyroid.
(3) 30 rem to the forearms.
(4) 75 rem to the hands or feet.
Any internal uptake of radioactive material which on the basis of a
small number of early assay data could result in a dose or dose commit-
ment in excess of the pertinent annual standard set forth in the Order
DOE 5480.1, Chapter XI, “Standards for Radiation Protection.” For
whole-body dose, 5 rein is the pertinent annual standard. (Type B
investigation.)
Section 12
g. Any unplanned nuclear excursion in a reactor, whether or not terminated
by protective actions, which is clearly outside the routinely accepted
and experienced bounds fur that reactor. (Type B investigation. )
h. Any vehicle transporting radioactive material that is known by the
shipper or the receiver to have been found on arrival at a Department
of Energy or Department of Energy contractor facility to be contaminated
in either the interior or exterior above the limits specified in
Section 173.397, "Contamination Control,” Department of Transportation
Regulations, 49 CFR 173. (Level of investigation shall be determined by
the head of the field organization.)
i. Any shipment of radioactive material that arrives at a Department of
Energy contractor facility damaged to the extent that there is sub-
stantial reduction in the effectiveness of the package; from which
radioactive contents are leaking or may have leaked; or contaminated
above the limits specified in Section 173.397, "Contamination Control,”
Department of Transportation Regulations, 49 CFR 173. (Level of investi-
gation shall be determined by the tread of the field organization.
3. INFORMATION REQUIRED IN NOTIFICATIONS MADE IMMEDIATELY OR WITHIN 72 HOURS.
a. For immediate notifications, as soon as sufficient information is
obtained to indicate the general nature and extent of the occurrence,
the reporting official shall notify the Emergency Operations Center by
telephone (301-353-5555 or FTS 233-5555). All calls on this emergency
number are tape recorded. A confirming teletype shall be sent as soon
as possible.
b. For the immediate notification confirmation and the 72 hour notifica-
tion, a teletype shall be directed to the Director, Operational and
Environmental Safety Division, with copies to the appropriate program-
matic division director and to the Inspector General and the Director,
Office of Public Affairs. If possible, the teletype shall state:
(1) Time, date, location, contractor, general nature of the occur-
rence, and its major consequences.
(2) Whether a press release has been issued or is contemplated.
(3) Whether known facts eliminate need for investigation by a
Department of Energy board.
(4) Known significant details of the occurrence, the consequences,
programmatic and public effects, injuries, property damage,
action taken for emergency control
of actions to initiate investigate
causes of occurrence.
(5) If appropriate, the names and tit’
board, advisors, and consultants.
and amelioration, status
on, and comments on possible
es of proposed investigation
DOE 5484.1
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I-4
I-5 (and I-6) DOE 5484.1
2-24-81
c. The following information shall be obtained and filed on occurrences
which take place during the transportation of radioactive materials:
(1) Identification of the shipper and receiver.
(2) Identification of service used for shipment, i.e., public vehicle
or common carrier and mode of shipment (truck, rail, air, or
waterway). Include the name of the carrier and the specific
vehicle or car number.
(3) Location of occurrence.
(4) Driver’s account or report of the occurrence.
(5) Identification of the packaging by model, special permit,
specification, or certificate
(6) Type and quantity of material
quantity in the shipment(s).
(7) Nature of package and vehicle
n u m b e r .
in each package, and total
contamination, if any.
(8) Radiation levels detected (direct) and amount if removable con-
taminants (microcuries per 100 square centimeters).
Section 13
(9) Personnel exposure and contamination, how determined, and action
taken.
(10) Extent of contamination and estimated cost of cleanup.
(11) Nature of packaging failure, if any.
(12) Source of contamination if the package is undamaged.
(13) Nature of any defects or deterioration of the packaging.
(14) Evidence of improper package handling.
CHAPTER II
INVESTIGATION REQUIREMENTS
1. TYPES OF INVESTIGATIONS.
a. Type A Investigations - shall be conducted by a Department of Energy
Headquarters or field organization board. Standards for the appoint-
ment of the board, for conducting the investigation, and for preparing
the investigation report are in paragraph 2 below. In addition, any
other occurrence that Headquarters or the head of the field organi-
zation determines to be of sufficient severity or to have significant
impact on the Department of Energy program may be investigated by a
Department of Energy Headquarters or a field organization board.
Under certain circumstances the head of the field organization involved,
with the concurrence of the Director of the Operational and Environmental
Safety Division, may decide that a field organization board of investi-
gation is not necessary even though it is required by this Chapter;
for example, the facts regarding the occurrence are known or another
Federal agency is conducting an acceptable investigation.
(1) Investigation of occurrences by Headquarters.
(a) Investigation of occurrences required by the Assistant
Secretary for Environment to be conducted by Headquarters
will be made by the Inspector General or by a Department
of Energy board of investigation, appointed by the Assistant
Secretary for Environment.
(b) For investigations to be conducted by the Inspector General,
the Inspector General shall direct the Assistant Inspector
General for Investigations, and where appropriate, One Or
more technical experts to investigate the occurrence and to
prepare an investigation report. Investigation procedures
and preparation of the report shall be in accordance with
paragraph 2 below.
(c) The Assistant Secretary for Environment shall appoint the
members of a Headquarters board with advice from the
Director, Operational and Environmental Safety Division.
Appointment of the board, investigation procedures, and
preparation of the report shall be in accordance with
paragraph 2 below. The Assistant Secretary for Environment
shall accept the Headquarters investigation board’s report.
DOE 5484.1
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II-1
II-2 DOE 5484.1
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b.
c.
d.
(2) Investigation of Occurrences by a Field Organization. Investiga-
tions of occurrences required by the field organization shall be
conducted by a Department of Energy board of investigation
appointed by the head of tile field organization, to consist
entirely of Department of Energy personnel unless it is determined
by the head of the field organization and the Director, Operational
and Environmental Safety Division, that the facts concerning the
occurrence are known and no Department of Energy board of investi-
gation is necessary.
Type B Investigations - shall be conducted by a Department of Energy
board appointed by the head of the field organization to consist of
Department of Energy or contractor personnel or both, at the discretion
of the field organization head. Standards for the appointment of the
board, for conducting the investigation and for preparing the investi-
gation report are in paragraph 2 below.
Section 14
Type C Investigations - shall be conducted by Department of Energy
contractor personnel when their operations are involved and by
Department of Energy personnel when Federal operations are involved.
Standards for these investigations beyond those in this part shall be
established by the individual management.
Submission of Type A and Type B Investigation Reports.
(1)
(2)
(3)
(4)
The investigation board shall submit the investigation report to
the appointing official within the amount of time prescribed by
that official. The investigation report shall be transmitted by
a memorandum which contains, but is not limited to, the board’s
recommendations.
The appointing official shall submit 4 copies of the investi-
gation report to the Operational and Environmental Safety
Division within 45 days, with one copy to the appropriate
program division director. In addition, one copy of the Type A
investigation report shall be submitted to the Assistant
Secretary for Environment, and one copy to the Inspector General.
If the investigation report cannot be submitted within 45 days,
the Operational and Environmental Safety Division shall be
notified as to the reason for the delay and the anticipated date
of submission.
Investigation reports shall be accompanied by a memorandum signed
by the head of the reporting office which contains, but is not
limited to, the actions taken, or to be taken, as a result of
the findings.
DOE 5484. 1 II-3
e. Submission of Type C Investigation Reports.
(1)
(2)
(3)
(4)
All occupational injuries and illnesses shall be investigated to
determine corrective action appropriate to minimize or preclude
similar injuries and illnesses. A report shall be made on
Form 5484.3, Supplementary Record of Occupational Injuries and
Illnesses, Attachment 1, for occupational illnesses as defined by
the Occupational Safety and Health Administration, and for lost
work day cases and nonfatal cases without lost work days as
defined-in 29 CFR 1904.
All accidents involving Government-owned, -rented, or -leased
vehicles (including Interagency Motor Pool vehicles) or privately
owned vehicles while operated on official business shall be
investigated and the number of such occurrences reported on
Form 5484.4, Tabulation of Property Damage Experience, Attach-
ment 2. The investigation for each accident causing $250 or
more damage and/or injury shall be recorded on SF-91A, Investi-
gation Report of Motor Vehicle Accident, Attachment 3, and copies
submitted to the System Safety Development Center (SSDC), EG&G
Idaho, Inc., on or before the 25th of the month following the
end of the quarter in which the accident occurred.
All accidents resulting in Department of Energy or other property
damage or loss shall be investigated. The investigation for each
loss exceeding $500 shall be recorded on Form 5484.5, Report of
Property Damage or Loss, Attachment 4, and copies submitted to
the System Safety Development Center (SSDC), EG&G Idaho, Inc.,
on or before the 25th of the month following the end of the
quarter in which the accident occurred.
All radiation exposures of individuals which in one calendar
quarter exceed the following shall be reported by memo to the
Operational and Environmental Safety Division:
(a) 3 rem to whole body.
(b) 5 rem to skin of whole body or thyroid.
(c) 10 rem to forearms.
(d) 25 rem to hands or feet.
2. STANDARDS FOR INVESTIGATION.
a“ Appointing the Board
(1) A board of investigation shall consist of three to five members,
one of whom is appointed as chairman.
Section 15
2-24-81
II-4
(2)
(3)
(4)
(5)
(6)
(7)
DOE 5484.1
2-24-81
All members of Type A investigation boards shall be Department of
Energy employees. Type B investigation boards may consist of
Department of Energy employees, Department of Energy contractor
employees, or both, at the discretion of the head of the field
organization. Department of Energy employees appointed to a
Type A investigation board, and Department of Energy and Depart-
ment of Energy contractor employees appointed to a Type B investi-
gation board shall work for, and report to, the appointing
official during the investigation.
At least one of the members of the board shall be a trained
accident investigator.
All competencies should be considered in appointing each board,
including managerial, scientific, professional, and investigative.
The use of necessary consultants or advisors who are experts in
certain areas or who are familiar with the operations or management
of the program involved in the occurrence is encouraged. These
persons may be contractor personnel.
A superior and his subordinate shall not serve on the same board.
Employees directly related to the operation or activity involved
in the occurrence shall not serve on a board.
b. The Investigation Report. The purpose of the investigation report is
to convey in clear and concise language the results of the investi-
gation (the facts surrounding the occurrence, the analysis of these
facts, and the conclusions). The investigation report constitutes a
record of the occurrence by which the investigation is measured as to
thoroughness, accuracy, and objectivity, and to which reference may be
made at a later date. In addition, any corrective actions directed by
the appointing or the reviewing official will be based largely on the
contents of the report.
(1) General. The investigation report shall consist of, but is not
limited to, four sections: summary, facts, analysis, and
conclusions.
(a) The summary is a brief account of the essential facts of the
occurrence and the investigators’ conclusions. The facts
section consists of a recitation of the factual information
determined in the course of the investigation. It should
relate the “who, what, when, where, why, and how,” of the
occurrence. The analysis section of the report is based on
the factual information developed and consists of the
reasoning of the investigators which support the conclusions.
The conclusions section consists of the findings, the pro-
able causes of and contributing factors to the occurrence,
and the judgments of needs.
DOE 5484.1
2-24-81
(2)
(b)
(c)
II-5
The investigation report shall fully cover and explain the
technical elements of the causal sequences of the occur-
rence and shall also describe the management systems which
should have, or could have, prevented the occurrence, e.g.,
the hazard review system and the quality assurance program
for safety, including the monitoring of actual operations.
The investigators’ recommendations for corrective actions
to prevent a similar occurrence shall not be contained in
the report but shall be included in the cover memorandum
that transmits the investigation report to the appointing
official.
Outline of the Report.
(a) Cover. The cover and title page shall state the subject and
date of occurrence, the date of the report, and the security
classification. The cover and title page shall not include
distribution lists, internal organization nomenclature, name
of organization participating or preparing the report, or
other such information.
Section 16
(b) Table of Contents. The table of contents shall identify the
sections and subsections of the report, illustrations, charts,
and appendixes with their report page number designated.
(c) Scope of Investigation. This statement shall set forth the
issues or objectives to be investigated and any special
limitations or instructions to the board.
(d) Summary. This section shall be written in such a manner that
the reader, who may be relatively unfamiliar with the subject
matter, can obtain the essential facts, the findings, and the
probable causes and contributing factors with a minimum of
effort and time. The summary shall not contain information
that is not discussed elsewhere in the report.
(e) Facts. This section of the report shall cover the major
areas of investigation in a uniform manner and in a reason-
able, logical sequence. Another good investigation board
should be able to reproduce this section.
1 Make this section factual. Do not include any conclusion
in this section.
2 Give the reader a good understanding of the accident.
3 Stress the areas of the accident investigation bearing
on the causal consideration.
II-6 DOE 5484.1
2-24-81
4 Establish a complete and substanti
analysis and conclusions sections
ve basis for the
of the report. This
It also elimi-assures both accuracy and completeness.
nates the tendency to introduce new facts in the
analysis and conclusions sections.
5 Stress the areas which form the basis for corrective
measures.
6 Inform the reader, where appropriate, that additional
information on a subject is contained elsewhere in the
report. Use a footnote or note of reference naming the
section or appendix where such material can be found.
7 Do not omit any relevant fact for any reason whatever,
i.e., that it might conflict with some preconceived notion
of the investigator or interfere with the dissemination
of information (bulletins, news releases, etc.). Investi-
gators must, at all times, be critical of their own
reasoning to assure a completely objective and independent
account of the occurrence. Examples of information to
include are:
Pertinent background information, where available,
i.e., brief description of facilities, climate,
history, etc.
Description of injury, exposure, or loss due to
occurrences, as well as the property damage or
decontamination costs.
Physical evidence.
Chronological account of events.
Physical hazards and review of safety controls.
Technical data accumulated.
Related events not in the causal sequence, but reveal-
ing deficiencies (to be placed at the end of the
section).
a
b
c
d
e
f
g
DOE 5484.1
II-7
2-24-81
(f) The Analysis.
1 This section of the report is intended to present an
analysis of the factual material contained in the investi-
gation. Its purpose is to show the reader the interpreta-
tion of the facts, conditions, circumstances and inferences
which support the findings, probable causes, and judgments
of needs. This section should include a discussion of the
causal sequences, and due consideration should be given to
charting the relationship of events and causal factors.
Speculated events, facts in controversy, denial of allega-
tions, and what could not be determined should also be
discussed in the analysis section.
2 Do not put additional facts in this section. This
section is for analysis of the facts.
3 Make the analysis lead up to the findings, probable
causes, and judgments of needs. The qualified reader
should be able to anticipate the causal factors from
Section 17
the analysis.
4 Make the analysis “accident prevention-worthy” not
blameworthy.
(9) Conclusion.
1 Findings. This subsection consists of the significant
facts and the analytical conclusions of the investigators.
a Organize findings sequentially, preferably in
chronological order, or in logical sets of sequences,
e.g., hardware, procedures, people, organization.
b Make analytical conclusions which can be understood
on the basis of the facts and the subsequent analysis.
c Keep findings to a minimum number. They are a recap
of the significant facts and the analytical high-
lights, not the entire sequence of events.
d Keep findings as short as possible and, to the extent
possible, put only one highlight in each finding.
2 Probable causes. The statement of probable causes shall
consist of a series of relatively simple statements
which summarize the causes and contributing factors,
including any systemic factors.
II-8
(h)
(i)
(j)
(k)
DOE 5484.1
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Judgments of needs. This section consists of the
investigators’ conclusions as to the kinds of
managerial controls and safety measures believed
necessary and sufficient to prevent, or to minimize
the probability or severity of, a recurrence. These
judgments provide the basis for the subsequent recom-
mendations for corrective action. These statements
should be clear, concise, direct, and should be based
on the weight of the substantive evidence.
Signatures. The chairman and members of the board shall
sign the report. Any board member has the right to set
forth a dissenting position to the report. A dissenting
position shall be stated in a letter to the board chairman
and shall be transmitted to the appointing official with
the investigation report.
Minority report. If there is a minority report, it should
be limited to the analytical highlights and conclusions which
are at variance. The minority report should be signed.
Board authority. This is the letter (board appointment)
which established the investigation board. It shall include
the names, employer, job titles, positions of board members,
and the authority for the investigation. It should also
detail the scope of the investigation including the limita-
tions, if any.
Appendix. (Exhibits). Material that is pertinent but need
not be made a part of the written report in order to under-
stand or use the report shall be included as exhibits to
the report, and shall follow the body of the report. These
may include written statements, witnesses’ statements,
letters, laboratory analyses, memoranda, pictures, death
certificates, etc. Medical records and legal opinions
shall not be included in the report. Only material that a
reader may want to evaluate or material that is in contro-
versy should be included in the appendix. All such material
should be identified the same; e.g., “ E x h i b i t
“Appendix .” Where more than one such item is used, they
shall be numbered in sequence as introduced in the report,
i.e., “Exhibit A,” “Exhibit B,” etc. Every exhibit shall
be introduced in the report in appropriate sequence and,
at the time introduced, there shall be a brief recitation
of its contents. Long, detailed, complex exhibits shall
be avoided.
3
DOE 5484.1 II-9
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Section 18
(3) Recommendations. The natural followup to the judgments of needs
is the recommendations. Each board shall arrive at recommenda-
tions intended to prevent similar occurrences. The utmost care
should be exerted in forming the recommendations so that all are
clear-cut, feasible, logical, and applicable in the field for
which they are intended. These recommendations shall be trans-
mitted to the appointing official in the cover memorandum for the
investigation report. The purpose in separating the recommenda-
tions from the body of the report is to reflect the actual imple-
mentation process. The head of the field organization, the
Operational and Environmental Safety Division, the Secretary, and
finally Congress may add to or modify recommendations. In
practice, higher authorities have often added or strengthened
recommendations. They have seldom, if ever, deleted
tions. Recommendations concerning major policies or
requirements are properly reserved for the Secretary
Congress.
3. CORRECTIVE ACTIONS.
a.
b.
c.
d.
recommenda-
large funding
or the
Immediate Corrective Actions. These are the immediate measures taken
by the Department of Energy or Department of Energy contractors that
are necessary to prevent a second occurrence. They are needed since
the long range corrective actions resulting from the investigation are
usually not transmitted for implementation until 6-8 weeks after the
date of the occurrence.
Recommendations of the Board. Headquarters and field investigation
boards shall formulate appropriate recommendations for corrective
actions to prevent the recurrence of a similar type of event and to
correct any systemic problems that contributed to the occurrence.
These recommendations shall be transmitted to the appointing official
in the cover memorandum.
Corrective Actions from the Appointing Official. The recommendations
of the board are reviewed by the appointing official. Any additional
corrective actions that the-official considers appropriate; for the
operation involved and for other Department of Energy operations with
a similar accident potential shall be included in the memorandum
transmitting the investigation report to the Director, Operational
and Environmental Safety Division.
Corrective Actions from Headquarters. The reconmnendations of the
board and the corrective actions of the appointing official are
reviewed by Headquarters. If necessary, major policy issues will
be discussed with the Secretary. Any additional corrective actions
suggested by Headquarters shall be included in the memorandum to the
appointing official which accepts the investigation report. Copies
of the investigation report and a memorandum with appropriate
corrective actions shall also be transmitted for consideration to
all Department of Energy field organizations whose contractors
conduct operations with a similar potential.
e. Closing the Case. When all proposed actions are complete, the
appointing official shall inform the Director, Operational and
Environmental Safety Division, with copies to the Inspector General
and the appropriate programmatic division director(s), that the case
is closed. Only those occurrences investigated by Type A and Type B
boards must be closed officially.
II-10 DOE 5484.1
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DOE 5484.1
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III-1
CHAPTER III
EFFLUENT AND ENVIRONMENTAL MONITORING PROGRAM REQUIREMENTS
1. MONITORING NEW SITES, PROCESSES, AND FACILITIES. An environmental survey
shall be conducted prior to actual start up of a new site, facility,
or process which has the potential for adverse environmental impact, or
Section 19
which will process, release, or dispose of pollutants. The preoperational
survey should begin about 2 years, but not less than 1 year before start up
to cover seasonal changes adequately. The survey shall establish background
levels of radioactive and toxic pollutants; characterize pertinent environ-
mental and ecological parameters; and identify potential pathways for human
exposure or environmental impact as a basis for determining the nature and
extent of the subsequent routine operational effluent and environmental
monitoring program.
2. MONITORING EXISTING SITES. An environmental radioactivity monitoring
program shall be maintained at existing sites and, as determined on a
case-by-case basis by the Director, Operational and Environmental Safety
Division, at certain former sites to determine:
a. Whether containment and control of releases of radioactivity from site
operations are functioning as planned.
b. Whether and to what extent environmental levels of radioactivity and
other pollutants, as appropriate, released from Department of Energy
sites comply with applicable standards.
c. The overall impact of Department of Energy operations on the
environment.
3. QUALITY ASSURANCE. Quality assurance with respect to sampling and
analytical procedures, data processing, and reporting shall be an integral
part-of the” program. Judgment regarding the extent of environmental
monitoring must be exercised by the Department of Energy field organi-
zations and contractor management based on hazard potential, quantities
and concentrations of materials released, specific local public interest
or concern, and extent and type of utilization of affected offsite air,
land, and water. Environmental monitoring for nonradioactive pollutants
is necessary if it is not possible to determine compliance with Federal,
state, or local environmental quality standards on the basis of effluent
monitoring data. Before a new facility becomes operational at an exist-
ing site, the environmental monitoring program should be modified to
establish background information with respect to those radionuclides or
other pollutants likely to be released and those environmental parameters
likely to be affected by operation of that facility.
III-2 DOE 5484.1
2-24-81
4. SCOPE AND CONTENT OF ENVIRONMENTAL MONITORING PROGRAM, REPORTS, AND
SUMMARIES.
a. Environmental Monitoring. Programs for monitoring the environment
shall be conducted at Department of Energy sites to determine:
(1) Compliance with the requirements of Order DOE 5480.1, Chapters I,
XI, and XII.
(2) The background levels and site contribution of radioactivity; and,
as appropriate, other pollutants, in the site environs.
(3) Compliance with applicable environmental quality and public
exposure limits and other environmental commitments (e.g., those
published in environmental impact statements or other official
documents).
b. Environmental Monitoring Report.
(1) An environmental monitoring report
summarize and interpret the levels
shall be prepared annually to
of radioactivity and, as appro-
priate, nonradioactive pollutants in the environs of Department of
Energy sites attributable to site operations. Levels of pollutants
should be placed in perspective by comparing them to applicable
standards and to relevant parameters, such as background and
natural radioactivity. Copies of this report shall be distributed
as indicated in Chapter IV, paragraph 4c(2), of this Order.
Section 20
(2) The environmental monitoring report shall summarize the results of
monitoring to determine compliance with applicable effluent stand-
ards and permit conditions and should incorporate any other
effluent and environmental data and information derived from
routine sampling or special studies or measurements that would
indicate adherence to or deviations from public safety and prop-
erty protection commitments published by the Department of Energy
in environmental impact statements or other official Department
of Energy documents. Any results of offsite radiation surveys
made with the Aerial Measurement System should be summarized and
included in the report as they become available. The results
of pertinent environmental surveys conducted by other Federal,
state, or local environmental protection agencies (as available)
should be characterized in the report and referenced.
(3) In general, onsite monitoring data need not be included in the
environmental monitoring report unless the data are necessary to
demonstrate compliance with applicable standards or may be helpful
in interpreting offsite data. Effluent monitoring data for pollut-
ants shall be included in the report (a) if needed to demonstrate
DOE 5484.1 III-3
whether or not such effluents are in compliance with applicable
effluent, emission, or environmental standards; or (b) if used to
calculate offsite impacts. With regard to effluent monitoring data
for radioactivity, the total number of curies in airborne and
liquid effluents released to the offsite environment, and the
nuclides of particular local interest, shall be included in the
portions of the report dealing with air and water monitoring,
respectively. In instances where liquid effluents released to
different receiving streams results in separate routes of potential
environmental exposure, the radioactivity discharged to each
receiving stream should be identified.
(4) Detailed effluent data, such as that submitted annually on
Form DOE F 5821.1, should not be included in the Environmental
Monitoring Report. Onsite discharge data should also be
excluded from this report.
c. Environmental Summary. An environmental summary shall be prepared
annually for all sites exempted from preparing an Environmental
Monitoring Report.
(1) To summarize and interpret the levels of radioactive and non-
radioactive pollutants in the environs of Department of Energy
sites resulting from facility operations in relation to
applicable standards.
(2) To be less detailed and of lesser magnitude than the environ-
mental monitoring report. It should be inclusive enough to
determine the environmental impact of facility operations.
The summary shall include the following topics:
(a) Facility Description.
1 Location.
2 Work performed.
3 Environmental setting.
(b) Pollutants Released in Effluents.
2 Liquid (including those released to sanitary sewers).
(c) Comparison of Effluents with Respect to Applicable
Standards.
2-24-81
1 Air.
III-4
d. Reporting Units and Format.
DOE 5484.1
2-24-81
(1) Units.
(a) Radiological.
1 Air. µCi/ml (for uranium and thorium also include µg/m3).
2 Water. µCi/ml (for uranium and thorium also include mg/l).
3 Soil.
µCi/m2 or pCi/m2. (Specify depth or profile depth.
For tritium the concentration may be expressed in
µCi/ml of soil moisture.)
b µCi/g or pCi/g dry weight. (Specify depth and
method of obtaining dry weight. )
Section 21
4 Sediment. µCi/g or pCi/g dry weight. (Specify depth
and method of obtaining dry weight. For uranium and
thorium also include ~/g dry or wet weight, where feasible.
For tritium the concentration may be expressed in mCi/ml
of moisture content in unit volume of wet samples.)
5 Food and Vegetation. µCi/g or pCi/g dry weight. (Specify
percent moisture and method of obtaining dry weight. For
tritium the concentration may be expressed in mCi/ml of
moisture content in unit volume of wet samples.)
6 Milk. µCi/ml.
7 Penetrating. mrem/year.
(b) Nonradioactive Pollutants. The reporting units should be the
same as those prescribed by the applicable effluent and
environmental quality standards. In reporting other measurements
the commonly used and accepted units for the pollutant
question should be used. When the metric equivalent is
in the standard, it will be the unit of preference.
(c) Metric Units. Metric units may be used throughout the
report with English equivalents included parenthetically
except as in (b) above.
in
specified
a
III-5DOE 5484.1
2-24-81
(2) Format.
(a) The Environmental Monitoring Report shall include for each
sampling station the number of samples taken with an indication
of the central tendency and spread of the data. Where appro-
priate, this should include concentration (C) maximum and C
minimum, the mean concentration per report period (C mean) and
two standard deviations, and the percent of the relevant
effluent or environmental quality standard for each parameter.
The relevant standard also should be shown and the source
referenced. The minimum detection levels should be indicated.
Data below the minimum detection level may be expressed as
being less than (<) the minimum detection value. Background
levels should be subtracted from the sampling results
included in the report.
(b) In computing averages, the preferred method is the method
outlined in ERDA-77-24, “A Guide for Environmental Radio-
logical Surveillance at ERDA Installations.” However, as an
alternate met-hod, it is acceptable that sample results below
the detection level be assigned the detection level value,
and the average expressed as less than (<) the computed
value. In either case, the methods used to calculate these
numbers should be outlined in the report.
(c) The prescribed format for a typical Environmental Monitoring
Report is indicated in Attachment 5 of this Order. The
prescribed format for a typical Environmental Summary is
indicated in Attachment 6 of this Order.
(d) Assessment and Reporting of Potential Dose to the Public.
The environmental monitoring report shall contain an assess-
ment of the potential radiation exposure to the public which
could have resulted from site operations during the calendar
year. The assessment should be as accurate and realistic
as is practical and shall incorporate the dose reference
Points in 2 below. As the potential exposure to an individual
or population group increases with respect to the relevant
Order DOE 5480.1, Chapter XI, dose standards, the dose assess-
ment should be increasingly more detailed.
1 Basic approach and methodology. Average or typical
effluent and environmental data and exposure conditions
(after subtracting background contributions) shall be
used in making the assessment rather than atypical data
and assumptions which exaggerate the estimates. Gen-
erally the most accurate dose estimates can be calcu-
lated using actual measurements of radioactivity in the
pathways of exposure as close to man as possible, e.g.,
measurements in drinking water after treatment rather
Section 22
III-6
than in liquid
circumstances,
and tritium in
DOE 5484.1
2-24-81
effluents or surface water. Under certain
such as the discharge of noble gases
stack effluents. calculations of poten-
tial dose using average annual-effluent and meteoro-
logical data, and applicable dispersion equations may
provide an acceptable estimate. In the latter case,
the related environmental monitoring data that are
available should be evaluated and interpreted to
verify, or qualify, the calculated dose estimate.
Simple modeling and calculational methods are accept-
able, e.g., use of the ratio of the observed average
concentration to the applicable Radioactivity Concen-
tration Guide (RCG), as the basis for estimating the dose
to the critical organ. Specific isotope data are
preferred for dose calculations. However, gross
activity measurements may be used if supporting data
relating gross activity to specific radionuclide values
can be referenced. All significant potential pathways
of exposure should be evaluated, including, particularly,
those wherein reconcentration is likely to occur.
2 Dose Reference Points. Generally, the assessment should
provide realistic estimates of:
The “fence-post” dose rate at the location on the site
boundary where the maximum exposure rates exist.
Maximum organ (whole body included) doses to any
individual exposed in an offsite location.
Average dose to the critical organs (whole body
included) of a suitable sample of the exposed
population.
The man-rem (whole body) dose to the population
within 80 km (50 miles). The 80-kiloineter distance
shall be measured from-a point located centrally
with respect to major facilities or Department of
Energy program activities.
3 Reporting of Dose Assessments. All assessments
developed pursuant to this section shall be summarized
and incorporated in the annual environmental monitoring
report. The modeling and calculational methodology
should be included or referenced. A comparison of
results with applicable standards and relevant param-
eters, e.g., natural and artificial sources of exposure
shall also be included.
a
b
c
d
DOE 5484.1
2-24-81
III-7
5. EFFLUENT MONITORING. Monitoring shall be conducted for pollutants as
follows:
a. Effluent Monitoring. Effluents shall be monitored:
(1)
(2)
(3)
(4)
To determine compliance with the requirements of Order DOE
5480.1, Chapters I, XI, and XII.
To evaluate the effectiveness of effluent treatment and control.
For radioactivity inventory purposes.
To determine compliance with all Department of Energy, Environmental
Protection Agency, state agencies, etc., imposed effluent limits
and other environmental commitments, e.g., those published in
environmental impact statements, or other official documents.
b. Onsite Discharge Monitoring. Radioactivity released to onsite waste
treatment or disposal systems shall be monitored to assess the efficacy
of treatment and-control, and to provide a quantitative and qualitative
annual summary of the radioactivity released onsite.
c. Monitoring Guidelines.
(1) General.
(a) As a general rule, monitoring should be conducted in a
manner that provides accurate measurements of the quantity
and concentration of liquid and airborne pollutants in
effluents as a basis for:
Determining compliance with applicable discharge and
effluent control limits, including self-imposed
administrative limits designed to assure compliance
with in-plant operating limits, effluent standards or
guides, and with environmental standards or guides.
Section 23
Evaluating the adequacy and effectiveness of contain-
ment and waste treatment and control as well as of
efforts toward achieving levels of radioactivity which
are as low as reasonably achievable considering
technical and economical constraints.
Compiling an annual inventory of the radioactivity
released in effluents and onsite discharges.
1
2
3
DOE 5484.1
2-24-81
(b) Technical specifications on sample collection and
analysis are not included here since they do not lend them-
selves to development of broad guidance but must be
tailored to the monitoring requirements in each specific
situation. However, standard sampling and analytical
techniques should be used to the extent practical (see
references).
(2) Monitoring Locations. Measurements of volume, rate of discharge,
content, etc., should be made, insofar as is practical, at the point
at which the data most closely represent what is being released.
This implies that measurements should be made at the point of dis-
charge, though there are exceptions. Effluents should be monitored
at the point at which the applicable standards apply. In the case
of onsite discharges, the monitoring location may be the waste
treatment or disposal system; and in case of effluents, the monitor-
ing location may be the point of release to the offsite environment
after all treatment and control, including retention and decay,
have been effected. In many instances, the monitoring location is
specified in a discharge or operating permit.
(3) Type and Frequency of Sampling.
(a) Sampling frequency and type should be determined by con-
sidering the purpose for which the data are being obtained,
e.g. , evaluation of the effectiveness of waste treatment
and control, compliance with operating limits of applicable
effluent or performance standards, compilation of release
data, etc. Continuous sampling is desirable and may be
necessary where there is wide variation in the concentration
or mixture of potential pollutants in the effluent stream.
However, periodic sampling may suffice when the concentra-
tions and mixtures are reasonably constant and there is
little likelihood of unusual variations. Similarly, pro-
portional sampling may be necessary when effluent flow
rates fluctuate, whereas a representative grab-sample may
suffice for batch discharges. The method of sampling may
be specified in the applicable regulation or permit.
(b) For purposes of reporting radiological data, gross radio-
activity measurements are generally inadequate. They are
appropriate only:
1 When gross radioactivity releases are a small fraction
of the offsite Radioactivity Concentration Guides
(RCG’s) for “unidentified mixtures” and are of no
health or environmental significance;
III-8
DOE 5484.12-24-81 III-9
2 When the relative concentrations of specific radio-
nuclides are so well known by other means that gross
radioactivity measurements are truly indicative of
the activity being released; or
3 When the activity of waste streams is so low as to
preclude specific nuclide measurements.
d. Monitoring Data Recordkeeping. Radioactive effluents and onsite
charge monitoring and reporting shall be adequate to provide an
annual average concentration and an annual summary of the quantities
of radioactivity released. The summary should be complete to the
extent that all significant releases are reported. It is necessary,
therefore, that the annual average flow and the specific concentration
in each waste stream be known. For the purpose of determining com-
pliance with standards, the data should be collected and recorded in
the units in which relevant standards are expressed. The onsite
discharge and effluent data reports will be used to compile a Depart-
ment of Energy-wide summary of radioactivity which has been released
onsite and to the offsite environment from its facilities.
Section 24
DOE 5484.1
2-24-81
1.
2.
IV-1
CHAPTER IV
ENVIRONMENTAL PROTECTION, SAFETY, AND HEALTH PROTECTION REPORTS
GENERAL.
a. Requirements for reports resulting from Type A and B
provided in Chapter 11 to this Order.
investigations are
b. Approval of the Operational and Environmental Safety Division is
necessary prior to substitution of contractor forms for those required
in this Chapter.
c. Department of Labor, Occupational Safety and Health Administration (OSHA)
rules and definitions shall govern the recording and measuring of work
injury experience. Chapter V of this Order shall govern the deter-
mination of Department of Energy property valuation for property damage
experience. “American National Standards Institute Method of Recording
and Measuring Motor Vehicle Fleet Accident Experience,” D15.1 (latest
edition) shall govern the recording and measuring of motor vehicle
accident experience. Revision of annual reports for each of the
2 calendar years immediately preceding shall be transmitted to the
System Safety Development Center (SSDC), EG&G Idaho, Inc., before
February 28 of each year. Doubtful cases of occupational injury or
illness classification shall be forwarded to the Operational and
Environmental Safety Division for final determination.
TYPE C INVESTIGATION REPORTS.
a. A quarterly report of Radiation Exposures defined i n paragraph e(4)
of Chapter II of this Order, which occurred during the calendar quarter
shall be prepared by field organizations and submitted to the System
Safety Development Center (SSDC), EG&G Idaho, Inc., on or before the
25th of the month following the end of the quarter in which the
exposure occurred; negative reports are not required. The report
shall include the following information:
(1) A brief description of how the exposure occurred.
(2) Personal information:
(a) ‘Name.
(b) Date of birth.
(c) Place of birth.
(d) Sex.
(e) Social security number.
IV-2 DOE 5484.1
2-24-81
(3) Radiation exposure information:
(a) Approximate dates for period during which the exposure was
accumulated.
(b) Types of radiation involved.
(c) Total estimated radiation dose in rem.
b. Form 5484.3, Supplementary Record of Occupational Injuries and
Illnesses, Attachment 1, shall be prepared by each Department of
Energy office and Department of Energy contractor organizational
unit, for all “recordable occupational injuries and illnesses,” as
defined on the Form OSHA No. 200, Log of Occupational Injuries
and Illnesses, Attachment 7. The Office of Workers’ Compensation
Programs Forms CA 1 and 2, which shall include additional informa-
tion (items 1 through 5 on page 3 of “Recordkeeping and Reporting
Guidelines for Federal Agencies”), may be completed in lieu of
Form 5484.3 for Federal Employees. One copy of each of these forms
shall be submitted to the System Safety Development Center (SSDC),
EG&G Idaho, Inc., on or before the 25th of April, July, October, and
January.
c. Form 5484.5, Report of Property Damage or Loss, Attachment 4,
shall be prepared for” each accident or loss in the categories listed
on the form. This form is to be prepared by the Department of Energy
or Department of Energy contractor employee designated to investigate
such an accident at the time of the accident. One copy shall be
submitted to the System Safety Development Center (SSDC), EG&G Idaho,
Inc., with Form 5484.4. Form 5484.5 is to be used in reporting
Department of Energy property damage or loss from all accidental
causes, exclusive of that resulting from use and occupancy considera-
tions, from motor vehicle accidents, or from aircraft accidents.
In general, loss estimates should be predicated on the net cost for
replacing or restoring damaged facilities to the condition existing
prior to the accident. Due allowance should be made for salvage
values but no allowance made for prior depreciation. The appro-
priate method for filling in Form 5484.5 is self evident, with the
exception of Sections 4 and 5.
Section 25
(1) Section 4.
(a) All damage to, or loss of Department of Energy-owned
cargo, or damage caused by such cargo, which occurs
during transportation should be classed as Type 4e
irrespective of the cause.
DOE 5484.1
2-24-81
(b)
(c)
(d)
(e)
(f)
IV-3
"Vital appendages” include all equipment and materials
directly associated with or necessary to the sustaining of
reactor operation.
All damage or loss sustained as a consequence of (and follow-
ing the outbreak of) fire should be classed as Type 4a except
fire losses involving cargo during transportation (see (a),
above). Contamination damage caused by fire should be
included in the loss reportable under Type 4a accidents.
Except for cases covered by (a), (b), or (c), above, all losses
suffered as a consequence of explosion (including any losses
from contamination spread during the explosion) are classed
as Type 4b.
All contamination-caused losses, exclusive of those cases
covered by (a), (b), (c), or (d), above, or those which result
from nonreactor criticality accidents, should be classed as
Type 4g1.
Section 4d (Electrical Fault or Failure with LOSS over $1000)
should not be used for reporting losses resulting from other”
than accidental (i.e., reasonably unforeseeable) causes.
(2) Section 5. If a given loss involves more than one accident type
(see section 4 of Form 5484.5), list each such accident type con-
tributing to the loss in the “Accident Type No.” olumn and
“opposite each enter appropriate data.
d. SF-91A, Investigation Report of Motor Vehicle Accident, Attachment 3,
shall be prepared for each incident resulting in injury or property
damage of $250 or more. One copy shall be submitted to the System
Safety Development Center (SSDC), EG&G Idaho, Inc., with Form 5484.4.
The description of the occurrence, item number 26, shall include the
following information:
(1) Whether or not the vehicle was equipped with seat belts.
(2) Whether or not the seat belts were in use at the time of
the accident.
(3) The dollar loss incurred.
All damage to, or loss of, or damage caused by, nuclear
reactors or vital appendages thereto ( e.g., cooling system
components, control equipment), should be classed as Type 4g3
IV-4
DOE 5484.1
2-24-81
3. QUARTERLY SUMMARIES AND OTHER REPORTS.
a.
b.
c.
d.
Form EV-102A. Form EV-102A, Summary of Department of Energy and
Department of Energy Contractor Occupational Injuries and Illnesses,
Attachment 8, shall be prepared by each Department of Energy office
and Department of Energy contractor organizational unit. Form EV-102A
data may be obtained from the Form OSHA No. 200, or its equivalent,
maintained at the individual establishments. One copy from each field
organization, area office, and contractor organizational unit, plus
a consolidated Form EV-102A for each field organization shall be sub-
mitted to the System Safety Development Center (SSDC), EG&G Idaho,
Inc., on or before the 25th of April, July, October, and January.
Revisions of annual reports are due February 28 for each of the two
preceding calendar years. The revisions should reflect the new
(corrected) totals rather than the additions or deletions which
should be applied to the previous report.
Form 5484.4. Form 5484.4, Tabulation of Property Damage Experi-
ence, Attachment 2, shall be prepared by each Department of Energy
office and Department of Energy contractor organization unit. One copy
from each field organization, area office, and contractor organizational
unit, plus a consolidated Form 5484.4 for each field organization shall
be submitted to the System Safety Development Center (SSDC), EG&G
Idaho, Inc., on or before the 25th of April, July, October, and January
Revisions of annual reports are due February 28 for each of the two
preceding calendar years.
Section 26
Forms OSHA-200 and OSHA-100F. Form OSHA-200, Log of Occupational
Injuries and Illnesses, Attachment 7, shall be completed for Department
of Energy contractor employees, and Form OSHA-1OOF, Log of Federal
Occupational Injuries and Illnesses, Attachment 9, shall be completed for
Federal employees and maintained on file for a period of at least 5
years.
Reports of Occupational Exposure to Radiation for Department of
Energy and Department of Energy Contractor Personnel Upon Termination
of Employment. Upon termination of employment, report on Form 5484 8
Termination occupational Exposure Report, Attachment 10, all external
and internal radiation exposures recorded for the terminated individual
during his period of employment or work assignment at a Department of
Energy or Department of Energy contractor facility. These reports are
to be submitted to the System Safety Development Center (SSDC), EG&G
Idaho, Inc., within 30 days from the individual’s date of termination
or within 30 days after his exposure has been determined, whichever
is later. Upon written and signed request, a copy of the report
shall be provided to the individual terminating employment or work
assignment.
DOE 5484.1
2-24-81
IV-5
e. Report of Radiation Exposures to Headquarters Employees. Report all
recorded external and internal radiation exposures that occur during
a visit by Department of Energy Headquarters employees to a Department
of Energy field organization or contractor facility. Complete the
appropriate portions of Form 5484.8 and submit it to the System
Safety Development Center (SSDC), EG&G Idaho, Inc., within 30 days
after the individual’s date of visit or within 30 days after his
exposure has been determined, whichever is later.
f. Report of Radiation Exposures to Visitors.
(1) Report all positive external and internal radiation exposures
recorded for visitors during the period of their visit to a
Department of Energy or Department of Energy contractor facility.
Complete the appropriate portions of Form 5484.8 and submit copies
of these reports to the visitor’s employer (or to the visitor if
he has no employer) and to the System Safety Development Center
(SSDC), EG&G Idaho, Inc., within a period of 30 days after the
date of the visit or within 30 days after the visitor’s exposure
has been determined, whichever is later. For visitors who are
employees of the Department of Energy or Department of Energy
contractors, a report should be submitted only to the visitor’s
employer.
(2) Any radiation exposure in excess of the radiation dose equivalent
standards established by Order DOE 5480.1, Chapter XI, shall be
reported within 24 hours after the exposure or within 24 hours
after the exposure has been determined, whichever is later, to the
visitor and his employer by telephone or teletype message. If the
initial report is made by telephone, a written report shall follow
within 30 days.
g. Preoperational Environmental Survey Reports shall be prepared as
specified in Chapter III, paragraph 1, which summarize preoperational
survey data and information. Five copies shall be submitted to the
Operational and Environmental Safety Division and one copy to appropriate
program offices before the new site becomes operational.
Section 27
h. Aircraft Accident/Incident Reports. Form 5484.1, Aircraft Accident/
Incident Preliminary Report, Attachment 11, and Form 5484.2, Aircraft
Accident/Incident Record, Attachment 12, shall be prepared for all
aircraft accidents and incidents. One copy of each form as soon as
completed shall be forwarded to the Operational and Environmental
Safety Division, Safety Analysis Branch, EV-134, and one copy to the
appropriate Headquarters program office. Copies of both completed forms
will also be included in the regular report of an Aircraft Accident/
Incident Investigation Board.
IV-6 DOE 5484.1
2-24-81
4. ANNUAL REPORTS.
d. Annual Radiation Exposure Reports. Field organization managers shall
submit the following reports (Forms 5484.6, 5484.7 only) to the System
Safety Development Center (SSDC), EG&G Idaho, Inc., by March 31 for
the preceding calendar year for monitored Department of Energy and
Department of Energy contractor employees and for visitors to Depart-
ment of Energy or Department of Energy contractor facilities.
(1) Whole Body Exposures. Form 5484.6, Annual Summary of Whole Body
Exposures to Ionizing Radiation, Attachment 13.
(2) Internal Exposures.
(a) Form 5484.7, Summary of Exposures Resulting in the Internal
Body Depositions of Radioactive Materials for CY______,
Attachment 14. The report shall include:
1 Any uptake of radioactive material occurring during the
reporting year that independently, or when added to a
current burden, is estimated to result in a dose commit-
ment to the critical organ in excess of 50 percent of the
pertinent annual dose equivalent standards set forth in
Order DOE 5480.1, Chapter XI.
2 Any previously unreported uptake of radioactive material
that is determined to have been reportable according to
the above criteria by reason of more recent dose estimates.
(b) Any dose commitment to a critical organ resulting from an
uptake of radioactive material should be added to the dose
received by that organ from external sources when determining
uptakes that are reportable according to the above criteria.
In those cases where the whole body is considered to be the
critical organ and the dose commitment from each internal
uptake is combined with the dose contributed by external
sources for the purpose of reporting cumulative whole body
exposures on Form 5484.6, it is not necessary to report
those internal exposures on Form 5484.7.
b. Annual Industrial Summary of Fire and Other Property Damage Experi-
ence (Suggested Format). The report summarizes the CY experience
and activities of this office relative to the control of Department
of Energy property damage and loss from fire and other accident
causes. An aggregate loss of $ was suffered during 19 CY as
a consequence of property damage accidents on Department of Energy-
owned property for which this office has responsibility. About
percent of this loss resulted from the accidents listed below.
A description of each accident involving a loss of $5,000 or more
is attached.
DOE 5484.1 IV-7
2-24-81
Major 19 CY Department of Energy Property Damage Accidents
Loss Date Location
$15,000 7/24 Power Plant,
Fernald
Type of Accident
Spontaneous ignition of
coal in boiler feed bin.
(1) Loss Experience Analysis. The monetary damage or loss suffered
from the following categories of accidents should be presented:
(a) Fire.
(b) Explosion.
(c) Nature.
(d) Mechanical.
(e) Electrical.
(f) Radiation/Contamination.
(g) Other.
Section 28
(2) Recurring Loss Prevention Costs. The major available recurring
costs of control or property damage or loss from the subject
causes are primarily incurred as a consequence of paid fire
department, volunteer brigade, and fire protection engineering
expenses. A comparison of such costs with that of previous years
should be set forth in charts (or tables). Data should be given for
19 CY’ and at least 2 previous years. If too voluminous, data
should be given in an attached exhibit or reduced to chart form.
Minimum data should include:
(a) Dollar cost in 19 CY and 1 previous year for contractor and
field organization fire department, fire brigade, and fire
protection engineering expenses.
(b) As above, but expressed in terms of dollar cost per
$1,000,000 of Department of Energy-owned property.
(c) Department of Energy field organization fire protection
engineering expense during 19 CY expressed in $/$1,000,000
of Department of Energy-owned property. The (higher)
(lower) recurring costs of 19 CY as compared with the
previous 19 CY, are attributed to: (Give reasons.)
DOE 5484.1
(3) Property Damage Vulnerability of Department of Energy Projects.
While property damage risks have been reduced to proportions
(4)
(5)
(6)
(7)
warranting little concern by management at most locations, it
should be noted that, under existing conditions, high property
damage loss and/or serious interruption of Department of Energy
operations are considered as being reasonably possible at the
locations given below:
(a) Locations. Limit to locations where losses of $1,000,000
or serious interruption of important operations may
reasonably be anticipated. If lengthy, summarize in this
section and furnish details in an exhibit.
(b) Remarks. (Be brief.)
Department of Energy Fire Engineering Risk Appraisal. The
responsibilities of this off ice for Department of Energy
appraisals of fire risks detailed in this Chapter were discharged
by conduct of the Department of Energy fire protection engineer-
ing appraisals of the installations detailed in Exhibit .
This exhibit also includes for each facility brief comments as
to the overall status of fire protection, the estimated replace-
ment value of Department of Energy property, the number of
inspections made during 19 CY, and notations as to their relative
importance to the Department of Energy program.
Major Fire Protection Accomplishments During 19 CY. Summarize
the categories of fire protection in which major improvements
have been made. For example, mention should be made of automatic
protection systems installed, increased inspection activities,
organizational improvement, cost reductions, and promotional
activities (e.g., National Fire Prevention Week, etc.).
Major Fire Protection Objectives for Next Year. Briefly
summarize in this section areas in which major expenditures of
effort or funds are anticipated.
Observations, Conclusions, and Recommendations. While no
suggested format is given for the content of this section, in
individual cases it may be appropriate to suggest basic changes
in Department of Energy regulations or to point out especially
important risks (e.g., arson, sabotage, explosions risk to the
public, radiation hazards from fires, etc.). In general, any
items of interest to other field organizations should be
included. The material in this section should very briefly
summarize conclusions resulting from 19 CY experience.
IV-8
2-24-81
DOE 5484.1
2-24-81
IV-9
Section 29
(8) Cover Memorandum. The covering memorandum should call particular
attention to any section of the report considered to be of out-
standing importance or interest. Brief comments on the high-
lights of the report are also appropriate.
c. Effluent and Environmental Monitoring Reports.
(1) Reports of Effluent Monitoring Data.
(a) Effluent monitoring data for nonradioactive pollutants should
be reported in the site environmental monitoring report or
summary as described in Chapter III of this Order.
(b)
(c)
Radioactive Effluent and Onsite Discharge Data Reports
covering the previous calendar year shall be submitted to the
Information Systems Branch, EG&G Idaho, Inc., by April 1,
with a copy of the cover letter (enclose maps only) to
the Operational and Environmental Safety Division. The
reports, including the data forms, cover sheet, maps, and, if
necessary, explanatory information shall be submitted in
accordance with instructions provided in Section 11 of
the Effluent Information System and Onsite Discharge Informa-
tion System User’s Manuals. Maps should be included only
when they reflect modifications (terminations or startups,
etc.) from previous years. The Monitoring Data Report shall
consist of:
A cover sheet listing the site, facility, report period,
contractor(s), and address.
A summary providing pertinent descriptive and inter-
pretative information which would serve to explain any
facets of the data which are not adequately described
on the forms. (Classified effluent data should be sub-
mitted on separate forms.)
Maps, 8-1/2 x 11 inch, showing the locations of effluent
streams and onsite discharge points.
Completed Radioactive Effluents/Onsite Discharges/
Unplanned Releases Form, Form DOE F 5821.1, Attachment 1b,
unless submitted via the Secure Automatic Communications
Network (SACNET) or directly to the computer operations.
Unplanned releases of radioactivity in effluents, or that
go offsite by spills, leaks, etc., which are reported accord-
ing to Chapter I of this Order, and unplanned releases of
radioactivity in onsite spills, leaks, etc., shall be
reported to the Information System Branch, EG&G Idaho, Inc.,
on a separate Form DOE F 5821.1.
1
2
3
4
IV-10 DOE 5484.1
2-24-81
(2)
(3)
(4)
(d) Field organizations should assure that any data errors on the
Radioactive Effluent/Onsite Discharge Data Form are reported
promptly to the Information Systems Branch, EG&G Idaho,
Inc., using amended forms.
Environmental Monitoring Reports covering the previous calendar
year shall be prepared annually and distributed by May 1 to the
Operational and Environmental Safety Division (10 copies), appro-
priate program offices, the Department of Energy Technical Informa-
tion Center, and to other agencies and organizations, as appropriate.
Attachment 5 of this Order provides the suggested format for this
report.
Environmental Summaries for the previous calendar year shall be
submitted annually to the Operational and Environmental Safety
Division (10 copies) by May 1 for all sites which are exempted
from (2) above, in accordance with the provisions of Chapter III of
this Order. Attachment 6 of this Order provides the suggested
format for this report.
Environmental Reports to Regulatory Agencies shall be submitted in
accordance with schedules established by the applicable permits
or regulations.
Section 30
a. General. Heads of field organizations shall establish a system for the
notification, investigation, and reporting of unusual occurrences that
are not otherwise required by this Order. The objective of this system
is to identify the full significance and the potential impact of these
occurrences so that needed improvements in Department of Energy and
Department of Energy contractor operations are not overlooked and to
keep Department of Energy and Department of Energy contractor manage-
ment advised of deficiencies in their operations so that informed
decisions can be made on corrective actions needed to keep the level
of risk acceptably low.
b. Guidelines and Examples. The following guidelines and examples are
included to illustrate the general type of occurrences to be con-
sidered when implementing this system. These have been identified in
general terms, as identification of all potential circumstances is
not feasible. Heads of field organizations shall provide specifics
since operational areas vary widely among field organizations and
contractors.
(1) Any substantial loss of capability by a protective system to
perform its intended safety function, e.g.:
(a) Loss or partial loss of the thermal shield on Type B
packages.
5. UNUSUAL OCCURRENCE REPORTING.
DOE 5484.1
2-24-81
(b)
(c)
(d)
(e)
(f)
(g)
(h)
IV-11
Failure of the shipping cask external cooling system.
Failure of effluent monitors, high radiation alarms, and
evacuation signals.
Failure of a safety channel to cause a reactor to scram
(for any reason) when conditions are more severe than those
expected to produce a scram.
Discovery of a shut valve controlling a sprinkler system when
the reason for the closure is unknown (the insurance survey
reports included at least 20 such instances).
Failure of a building or site alarm system where an emer-
gency power supply was not adequate to supply backup power
for the duration of the outage.
Failure of a primary supply system (water tank, reservoir
water supply mains) due to freezing, mechanical damage,
shut valves, earthquake, drought, leakage, or other
unplanned cause.
Failure of instrument systems designed to warn of airborne
hazards, criticality, stack releases, etc.
(2) Any violation of a Department of Energy prescribed or approved
safety limit, e.g. ,:
(a) Violation of critical mass limits.
(b) Violation of pressure or temperature limits specified for
safety purposes.
(c) A reactivity transient which momentarily exceeds the
established safety limit for reactor power (or neutron
flux).
(d) An increased fire loss potential beyond Department of
Energy limits where the increase is due to a failure of
ad inistrative controls to limit the values at risk.
(3) Any violation of a limiting safety system setting (for those
nuclear operations conducted under technical specifications),
e.g.:
(a) Operation of equipment above specified speed.
(b) Failure to ascertain that neutron poison systems meet
specifications.
IV-12 DOE 5484.1
2-24-81
(c) An instrument found set to provide a scram signal at a
level less conservative than the limiting safety system
setting.
(4) Any substantial degradation of a barrier designed to contain
radiation or other toxic materials or any substantial unplanned
release of radioactive or toxic material past this barrier, e.g.:
(a) Leaks from broken pipelines, tanks, or drums which could
create onsite, offsite, or public concerns.
(5)
(b) Holding pond failure or overflow.
Section 31
(c) Failure of stack emission controls.
(d) Failure or deterioration of radiation shields.
(e) Any glove breach in a glovebox operation
(f) The release of toxic materials which results or could
result in significant or substantial exposures to personnel.
(g) A visible crack detected in a reactor primary system pipe,
or a reactor primary system leak.
(h) Failure of ventilation system, or fire doors and dampers
in radioactive cell.
(i) “Channeling” in charcoal filters.
Any substantial unplanned or unexpected change in a process
condition or variable (temperature, pressure, pH, reactivity
flow, concentration, etc.) of importance to safety, whether
abrupt or long term, e.g.:
(a)
(b)
(c)
(d)
Excessive increased or decreased temperatures in a gaseous
diffusion stage.
pH changes that result in precipitation of fissile
materials in equipment designed to be safe for dilute
solution processes.
(Abrupt) - On restarting the reactor, the critical rod
positions indicate a core reactivity well outside the
expected error of the predicted reactivity value.
(Long term) - A fuel channel T has increased over the
past week of operation until it is now only 5° Celsius below
the maximum acceptable, instead of the normal 20° Celsius.
DOE 5484.1 IV-13
2-24-81
(6) Any fire, explosion, or electrical or mechanical malfunction, or
other operating problem which substantially affects or directly
threatens safe operation, e.g.:
(a)
(b)
(c)
(d)
(e)
(f)
(g)
(h)
(i)
A glovebox fire, a roof fire, a lube oil fire, a trans-
former fire, a shield material fire, any fire involving
fissionable or other radioactive materials, fires in shipping
or storage containers.
Explosions as
Any explosion
Components of
to be missing
Any fire in a
fires limited
applicable
in process
to
or
an experiment
any of the above.
storage equipment.
in the reactor vessel are found
when the experiment is removed.
reactor or process control room, including
to within control panels.
Any fire in electronic equipment such as tape drives and
process control electronics.
Any fire in electrical power supply or switchgear supply-
ing or controlling critical process or safety equipment.
Any detonation or fire occurring in chemical explosives
intended for use in nuclear weapons or devices.
Fires and explosions in containment areas (hoods, glove-
boxes, cells) that result in releases of hazardous
materials.
(7) Substantial failure of a process controlling device of importance
to safety to function as intended during operation, including
periodic in-service testing, e.g.:
(a)
(b)
(c)
(d)
(e)
Failure of pressure or temperature controls in a gaseous
diffusion plant.
Failure of pH control in a dissolving or precipitating
operation.
Failure of gas release detectors and alarms.
Failure of control valves.
Failure of a safety rod in a reactor to scram on demand
during a prestartup check.
—
IV-14 DOE 5484.1
2-24-81
(f) Failure of oven, boiler, or furnace controls; especially
flame-failure devices, fuel shutoff valves, and temperature
limit switches.
(g) Failure of relief devices on pressure vessels.
(h) Failure of circuits that signal unsafe/safe conditions when
radiation producing machinery (X-ray, accelerators, etc.)
is activated/deactivated.
(8) Any design deficiency or construction error found during construc-
tion, modification, or operation which, had it remained undetected,
could have had a Substantial adverse effect on the safety of the
operation at some point during its design
Section 32
(a) Improper location of temperature sensing
radiation detectors.
(b) Insufficient fire protection devices.
lifetime, e.g.:
devices, high
(c) Inadequate shielding for the projected operation.
(d) Cracking of a reactor component is detected. Breakage
could potentially result in interference with safety
devices or coolant flow.
(e) Failure to install fire dampers or automatic door and
damper releases of improper installation of such devices
preventing proper operation.
(f) Omission of vents, drains, curbs, or other devices intended
to limit flammable vapor or liquid accumulations.
(9) personnel barriers or guards missing or not installed
correctly.
(h) Nonuniform density of cell wall shielding.
(i) Inadequate or improperly located air sampling devices.
(9) Any condition resulting from natural events or man-made activi-
ties which substantially affects or threatens safe operation,
e.g.:
(a) Wind damage, disruption of water supply.
(b) Sabotage, personnel operations errors, strikes, and work
stoppage.
DOE 5484.1
2-24-81
IV-15
(c) Nearby construction activity that results in an unplanned
loss of all water to the complex containing a reactor using
water for cooling purposes.
(d) Construction or modification penetrations of fire-radiation
barriers that have not been corrected or are made while
operations are continued that require the integrity of the
barrier.
(e) Flood, rainstorms, or windstorm occurrences that damage
stacks, ducts, filter banks, or power sources or cause soil
stability problems threatening important buildings or
facilities.
(f) Soil stability problems affecting important Utility lines or
threatening the structural integrity of vital buildings.
(g) Natural or man-made barriers that limit emergency access to,
or egress from, important facilities.
(10) Any unplanned substantial accumulation of fissionable material
in a process system, e.g.:
(a) Unplanned condensation in a gaseous diffusion plant.
(b) Precipitation in equipment designed for dilute solution.
(c) Residue buildup in any process equipment.
(d) Malfunctioning of d bypass cleanup system of a homogeneous
reactor that leads to discovery that fuel has crystallized
(solidified) in the process vessel.
(11) Any gross deviation from approved procedures.
(a) Operation of a condenser at temperatures and pressures
above those specified.
(b) Operation of barrier unplugging process above prescribed
rates.
(c) Failure of workers to use protective equipment.
(d) Conversion of equipment to unapproved use.
(e) Without obtaining the required approvals, bypassing a
safety channel in an effort to avoid a reactor scram.
IV-16 DOE 5484.1
2-24-81
(12) Any foreign object discovered in a process system which affects
could threaten the safety of the operation, e.g.:
or
(a) Water in a system to be operated in the absence of moisture.
(b) Unplanned or unexpected isotopes present; e.g., tritium in
scrap reprocessing, americium such as occurred in processing
Zero Pulse Power Reactor (ZPPR) fuel plates.
(c) Recovery of a fabric object from the plenum of a heat
exchanger during other maintenance to that unit.
(d) Contaminated material in a nonradioactive waste disposal
system.
(13) Any structure, system, or component failure which directly affects
or threatens safe operation.
(a) Failure of structural timbers, girders, beams, I-beams, pre-
stressed concrete, and similar items.
(b) Failure of building ventilation systems to perform according
to specification.
Section 33
(c) Failure of fire fighting equipment.
(d) Vibration resulting in a component in the reactor vessel
being free of its normal constraints.
(e) Failures that al low personnel to enter areas thought to be
free from hazards. (Work spaces with high residual ozone,
CO, CO2, airborne radioactivity, high gamma levels, etc.)
(14) Any series of related events which individually do not warrant
reporting, but which collectively reach a level of substantial
concern, e.g.:
(a) Minor occurrences of the type items listed which taken
collectively indicate a general deterioration of pro-
visions for safety.
(D) Failure of a redundant circuit, e.g., a diode in a reactor
scram circuit found shorted during a routine maintenance
check. The scram function is not impaired because of a
second good diode. Checks of other identical circuits
reveal a number of similar failures.
DOE 5484.1
2-24-81
(c)
(d)
(e)
IV-17 (and IV-18)
Failures or impairments of individual fire detectors or
sprinklers which do not prevent the overall system from
functioning but which are occurring in increasing numbers
or with increasing frequency.
Frequent tripping of circuit breakers, ground fault circuit
interrupters, and similar protective devices of a common
type or serving a common area.
Numerous or increasingly frequent failures of one make or
type of safety device, such as tire nose, extinguisher
cylinders, or breathing air cylinders, during periodic
pressure testing programs.
(15) Any evacuation of personnel from a facility housing nuclear
operations, except a false alarm or a preplanned practice
evacuation.
(16) Cases of illness of obscure cause where the occupational medical
director determines that an occupational relationship is sus-
pected but not demonstrable.
DOE 5484.1 V-1
2-24-81
CHAPTER V
CRITERIA FOR DETERMINING DEPARTMENT OF ENERGY PROPERTY VALUATION
AND DEPARTMENT OF ENERGY LOSSES
1. DEPARTMENT OF ENERGY PROPERTY VALUATION.
a. Include (for fire, property damage, and contamination accidents).
(1) Approximate replacement value of al 1 Department of Energy-owned
buildings and equipment. The replacement value shall be calcu-
lated by applying to the original cost (or most recent appraised
value) an appropriate cost index ratio (cost index data pub-
lished by “Engineering News Record” shall be used.)
(2) Cost of all Department of Energy-owned supplies.
(3) Average inventory of al 1 source and special nuclear materials.
b. Exclude (for fire, property damage, and contamination accidents).
(1) Land and land improvements, such as sidewalks, roads, etc.
(2) Below-ground facilities not susceptible to damage by fire or
explosion, such as major water mains, water ponds, etc., which are
carried as separate capital accounts.
2. GUIDELINES GOVERNING LOSS ESTIMATION.
a. Include.
(1) All estimated or actual costs to restore Department of Energy
property to preoccurrence conditions irrespective of whether
this is done in fact. Where the occurrence involves property
that has been lost, completely destroyed, or contaminated to a
degree precluding economically justifiable recovery, estimates
should be based on cost for actual replacement and installation
of identical building equipment, devices, or materials (including
nuclear materials). In the case of unused, obsolete, or
buildings, equipment, or materials, the estimated market
at time of occurrence should be used.
(2) Estimated cost for restoring to preoccurrence condition,
improvement. all partially lost or damaged Department of
Section 34
excess
value
without.
Energy
(3)
property. Include cost for decontamination where required.
Estimated costs for reprocessing and reclaiming partially
destroyed and damaged materials. Include damage resulting from
firefighting, such as that caused by water and smoke.
DOE 5484.1
2-24-81
(4) All post-occurrence cleanup expenses, e.g., cleanup of radio-
active contamination resulting from accidents, explosions, fires,
or other occurrences.
b. Exclude.
(1) Expenses directly resulting solely from loss of the use or
occupancy of facilities affected by the occurrence.
(2) All post-occurrence expenses paid for by non-~ apartment of Energy
sources, e.g. , expenses covered by private insurance.
c. Miscellaneous Guidelines.
(1)
(2)
(3)
(4)
Credit should be allowed for the estimated salvaged value of items
recovered.
The damage and loss of privately-owned property is not reportable,
under the requirements of this appendix, except to the extent that
the Department of Energy is liable for damage and loss consequences
resulting from the occurrence.
Burnout of electric motors and other electrical equipment through
overheating from electrical causes will be considered a “fire loss”
only if self-sustdined combustion exists after power is shut off.
Expenses due to normal wear are not considered as reportable loss
providing that all of the loss is reasonably foreseeable and pre-
accepted. However, unanticipated loss accompanying such occur-
rences is reportable. For example, the cost for repairing or
replacing a tank, which developed a leak due to corrosion, may not
be an accidental loss; but the cost for recovery and/or replace-
ment of released material, including accompanying costs for
product recovery, or replacement and costs for cleanup and decon-
tamination, should be considered as an accidental loss.
V - 2
DOE 5484.1
2-24-81
Attachment 1
Page 1
Supplementary Record of Occupational Injuries and Illness
Attachment 1
Page 2
DOE 5484.1
2-24-81
GUIDELINES CONCERNING THE
SUPPLEMENTARY RECORD OF
OCCUPATIONAL INJURIES
AND ILLNESSES
U.S. DEPARTMENT OF ENERGY
TABULATION OF PREPERTY DAMAGE EXPERIENCE
Attachment 2
Page 1 ( and 2)
DOE 5484.1
2 - 2 4 - 8 1
DOE 5484.1
2-24-81
Attachment 3
Page 1
INVESTIGATION REPORT OF
MOTOR VEHICLE ACCIDENT
Attachment 3
Page 2
KILLED OR INJURED
DOE 5484.1
2-24-81
Attachment 3
Page 3 (and 4)
DOE 5484.1
2-24-81
Attachment 4
Page 1
U.S. DEPARTMENT OF ENERGY
REPORT OF PROPERTY DAMAGE OR LOSS
DOE 5484.1
2-24-81
Attachment 4
Page 2
CAUSE AND CONTROL
a. CAUSE
Metal being melted and liner materials were incompatible, and at elevated temperature
the liner quickly deteriorated.
b FACTORS CONTRIBUTING TO EXTENT OF LOSS
1. Lack of liner deterioration monitoring.
2 . Contamination of material being processed.
9. STORY AND RECOMMENDATIONS
The “C” shift emergency squad responded to fire alarm box 347 at 1911 hours. There
were many small fires inside the building and a grass fire to the east of the
bui ld ing. six 15-pound C02 and one 150-pound C0 2 extinguishers were used to extinguish
the f i res. All support systems for the furnace were tagged out and the furnace was
lef t to cool by i tsel f . The all clear was given at 1952 hours and the extinguishers
were replaced.
8 .
DOE 5484.1
2-24-81
Attachment 5
Page 1
QUALITY AND FORMAT FOR A TYPICAL ENVIRONMENTAL MONITORING REPORT
1.
2.
3.
4.
Qquality of Report. The report shall be of the high quality
typical of DOE and contractor technical and public reports
Section 35
(e.g., appropriate cover, printed text, quality 8-1/2 x 11"
figures and maps, and professional editing).
Title Page. Include the name of site, facility, report
period, address, and operating contractor.
Introduction. Provide a brief description of the site, the
nature of its primary operations or activities, and a general
discussion of environmental features and land and water use,
including pertinent demographic information, that could be
affected by site operations.
Summary. Provide a concise evaluation and interpretation
of the monitoring data contained in the report in relation
to applicable standards and requirements with explanation,
as appropriate, of unusual incidents or releases. This
section should include discussion of any abnormal occurrences,
such as flooding, forest fires, fish kills, altered land use,
etc., which could have resulted from or have some impact
upon either the program activity or the site, and should be
written in a manner understandable by the informed layman,
summarization of population dose estimates should be included.
Attachment 5
Page 2
DOE 5484.1
2-24-81
5.
6.
7.
Monitoring Data Collection, Analysis, and Evaluation.
a. Include a brief description of the type and frequency
of sampling, methods of analysis, and accompanying
tables and graphs which clearly and accurately present
the monitoring results. Quality assurance programs
should also be discussed for sampling and analysis.
A“ map showing the location of monitoring stations and
sampling points also shall be included.
b. As a general rule, data should only be presented for
radioactivity and pollutants in media for which there
are applicable standards or other meaningful bases for
interpreting the results (e.g., background levels,
upstream versus downstream concentration). Inter-
pretations shall be made, as appropriate, of how the
environmental levels resulting from site operations
compare to relevant parameters such as background,
natural radioactivity, and applicable effluent and/or
environmental quality standards.
References. List and explain, as appropriate, the effluent,— —
air and water quality, and other standards or documents
cited in the body of the report.
Distribution. A standard distribution list which includes
all persons and/or organizations to whom the environmental
monitoring report is regularly distributed should be included
as an integral part of the report.
DOE 5484.1
2-24-81
1.
2.
3.
4.
5.
6.
Attachment 6
Page 1 (and 2)
Quality of Report. The report shall be of high quality
typical of DOE and contractor technical and public reports,
and be suitable for publication by the Operational and
Environmental Safety Division.
Include the name of the site, facility, report
period, address, and operating contractor.
Provide a concise evaluation and interpretation of
the data included in the body of the Summary in relation to
applicable standards and requirements.
Body of the Summary. Include a discussion of those topics
listed in Chapter III of this Order as well as any other
topics of relevant interest.
References. List and explain as” appropriate the applicable
standards cited in the body of the report.
Distribution. Include a listing of those persons or organi-
zations receiving copies of the environmental summary.
QUALITY AND FORMAT OF A TYPICAL ENVIRONMENTAL SUMMARY
Title Page.
Summary.
DOE 5484.1
Attachment
7
2-24-81
Page 1
Attachment 7
Page 2
DOE 5484.1
2-24-81
Section 36
DOE 5484.1
2-24-81
Attachment 8
Page 1
U.S. DEPARTMENT OF ENERGY
SUMMARY OF DOE AND DOE CONTRACOTR
OCCUPATIONAL INJURIES AND ILLNESSES
Attachment 8
Page 2
DOE 5484.1
2-24-81
SUMMARY OF OCCUPATIONAL INJURIES AND ILLNESSES
i
..II
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m
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.
Page 1
:
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Attachment 10
Page 1
Fusion Research Laboratory R. Carrington
U.S. DEPARTMENT OF ENERGY
TERMINATION OCCUPATIONAL EXPOSURE
REPORT Cupertino, California 94553
Attachment 10
Page 2
INSTRUCTIONS FOR COMPLETING DOE F 5484.1
Termination Occupational Exposure Report
DOE 5484.1
2-24-81
DOE 5484.1
2-24-81
Attachment 11
Page 1
U.S. DEPARTMENT OF ENERGY
AIRCRAFT ACCIDENT/INCIDENT PRELIMINARY REPORT
Attachment 11
Page 2
Attachment 12
Page 1
U.S. DEPARTMENT OF ENERGY
AIRCRAFT ACCIDENT/INCIDENT RECORD— .
A - GENERAL IDENTIFICATION (WHAT, WHERE, WHEN)
1. CATEGORY 2. AGENCY AIRCRAFT 3. TYPE OCCURRENCE
~ 135 Aircraft ❑ Large Aircraft ❑ Owned ❑ Rented ❑ Accident ❑ Incident
4. AIRCRAFT MAKE. AND MODEL 5. REGISTRATION MARK 6. LOCATION OF ACCIDENT (City, County,
State)
Conair C 1000 N-3624 Copinsburg, Colorado
7. NAME OF OPERATOR a ADDRESS OF OPERATOR 10. TIME (local)
T h r e e M i l e R o a d—
Atlas Aviation Brunswick, New Mexico Unknown
- B - NARRATIVE (Explanations- Remarks)
.
Aircraft departed Markel Airport at 091620 April, 1980. Did not arrive at destination,
declared overdue and missing 1141 20 April . Subsequent search discovered wreckage and
bodies approximately 100 feet below peak of Mt. Moran.
DOE 5484.1
2-24-81
Attachment 12 DOE 5484.1
Page 2 2-24-81
I- CREW HISTORY (Who)
DOE 5484.1
2-24-81
Attachment 13
Page 1
ANNUAL
SUMMARY
OF
WHOLE
BODY
EXPOSURES
TO
IONIZING
RADIATION
U.S. DEPARTM
ENT OF ENERGY
Attachment 13
Page 2
A N N U A L S U M M A R Y O F W H O L E B O D Y E X P O S U R E S T O I O N I Z I N G R A D I A T I O N
Attachment
14
Page 1
SUMMARY
OF
EXPOSURES
RESULTING
IN
INTERNAL
BODY
DEPOSITIONS
OF
RADIOACTIVE
MATERIALS
FOR
CV
19_
_
Instruct ions for Complet ing DOE F 5484.7
ANNUAL SUMMARY OF EXPOSURES
RESULTING IN INTERNAL BODY DEPOSITIONS OF RADIOACTIVE MATERIALS
Attachment 14
Page 2
DOE 5484.1
2-24-81
Attachment 15
Page 1
U.S. DEPARTMENT OF ENERGY
RADIOACTIVE EFFLUENT/ONSITE DISCHARGES/UNPLANNED RELEASES
DOE 5484.1
2-24-81
Attachment 15
Page 2
DOE 5484.1
2-24-81
INSTRUCTIONS
U.S. Department of Energy PAGE CHANGE
Washington, D.C.
DOE 5484.1 Chg 1
6-9-81
SUBJECT: ENVIRONMENTAL PROTECTION, SAFETY, AND HEALTH PROTECTION INFORMATION
REPORTING REQUIREMENTS
1. PURPOSE. This Page Change transmits the revised page of DOE 5484.1,
ENVIRONMENTAL PROTECTION, SAFETY, AND HEALTH PROTECTION INFORMATION
REPORTING REQUIREMENTS , OF 2-24-81.
2. EXPLANATION OF CHANGE. The $500 value contained on page II-3,
paragraph 1e(3), line 3, is incorrect. The correct value is $1,000.
The instructions on the back of Attachment 2 were omitted when DOE 5484.1
was printed. These instructions are now included.
3. FILING INSTRUCTIONS.
a. Remove Page Dated Insert Page Dated
II-3 2-24-81 II-3 6-9-81
II-4 2-24-81 II-4 2-24-81
Atch 2, page 1 2-24-81 Atch 2, page 1 2-24-81
Atch 2, page 2 6-9-81
b. After filing the attached pages, this transmittal may be discarded.
William S. Heffelfinger
Assistant Secretary
Management and Administration
DISTRIBUTION: INITIATED BY:
All Departmental Elements Operational and Environmental
Federal Energy Regulatory Commission Safety Division
Section 37
DOE 5484.1 Chg 1
6-9-81
e. Submission of Type C Investigation Reports.
II-3
(1)
(2)
(3)
(4)
All occupational injuries and illnesses shall be investigated to
determine corrective action appropriate to minimize or preclude
similar injuries and illnesses. A report shall be made on
Form 5484.3, Supplementary Record of Occupational Injuries and
Illnesses, Attachment 1, for occupational illnesses as defined by
the Occupational Safety and Health Administration, and for lost
work day cases and nonfatal cases without lost work days as
defined in 29 CFR 1904.
All accidents involving Government-owned, -rented, or -leased
vehicles (including Interagency Motor Pool vehicles) or privately
owned vehicles while operated on official business shall be
investigated and the number of such occurrences reported on
Form 5484.4, Tabulation of Property Damage Experience, Attach-
ment 2. The investigation for each accident causing $250 or
more damage and/or injury shall be recorded on SF-91A, Investi-
gation Report of Motor Vehicle Accident, Attachment 3, and copies
submitted to the System Safety Development Center (SSDC), EG&G
Idaho, Inc., on or before the 25th of the month following the
end of the quarter in which the accident occurred.
All accidents resulting in Department of Energy or other property
damage or loss shall be investigated. The investigation for each
loss exceeding $1000 shall be recorded on Form 5484.5, Report of
Property Damage or Loss, Attachment 4, and copies submitted to
the System Safety Development Center (SSDC), EG&G Idaho, Inc.,
on or before the 25th of the month following the end of the
quarter in which the accident occurred.
All radiation exposures of individuals which in one calendar
quarter exceed the following shall be reported by memo to the
Operational and Environmental Safety Division:
(a) 3 rem to whole body.
(b) 5 rem to skin of whole body or thyroid.
(c) 10 rem to forearms.
(d) 25 rem to hands or feet.
2. STANDARDS FOR INVESTIGATION.
a. Appointing the Board.
(1) A board of investigation shall consist of three to five members,
one of whom is appointed as chairman.
Vertical line denotes change
II-4
(2) All members
DOE 5484.1
2-24-81
of Type A investigation boards shall be Department of
(3)
(4)
(5)
(6)
(7)
Energy employees. Type B investigation boards may consist of
Department of Energy employees, Department of Energy contractor
employees, or both, at the discretion of the head of the field
organization. Department of Energy employees appointed to a
Type A investigation board, and Department of Energy and Depart-
ment of Energy” contractor employees appointed to a Type B investi-
gation board shall work for, and report to, the appointing
official during the investigation.
At least one of the members of the board shall be a trained
accident investigator.
All competencies should be considered in appointing each board,
including managerial, scientific, professional, and investigative.
The use of necessary consultants or advisors who are experts in
certain areas or who are familiar with the operations or management
of the program involved in the occurrence is encouraged. These
persons may be contractor personnel.
A superior and his subordinate shall not serve on the same board.
Employees directly related to the operation or activity involved
in the occurrence shall not serve on a board.
Section 38
b. The Investigation Report. The purpose of the investigation report is
to convey in clear and concise language the results of the investi-
gation (the facts surrounding the occurrence, the analysis of these
facts, and the conclusions). The investigation report constitutes a
record of the occurrence by which the investigation is measured as to
thoroughness, accuracy, and objectivity, and to which reference may be
made at a later date. In addition, any corrective actions directed by
the appointing or the reviewing official will be based largely on the
contents of the report.
(1) General. The investigation
limited to, four sections:
conclusions.
(a)
report shall consist of, but is not
summary, facts, analysis, and
account of the essential facts of theThe summary is a brief
occurrence and the investigators’ conclusions. The facts
section consists of a recitation of the factual information
determined in the course of the investigation. It should
relate the “who, what, when, where, why, and how,” of the
occurrence. The analysis section of the report is based on
the factual information developed and consists of the
reasoning of the investigators which support the conclusion.
The conclusions section consists of the findings, the pro-
able causes of and contributing factors to the occurrence,
and the judgments of needs.
U.S. DEPARTMENT OF ENERGY
TABULATION OF PROPERTY DAMAGE EXPERIENCE
DOE 5484.1
2-24-81
Attachment 2
Page 1
Attachment 2
Page 2
DOE 5484.1 Chg 1
6-9-81
INSTRUCTIONS FOR COMPLETION OF DOE F 5484.4
U.S. Department of Energy PAGE CHANGE
Washington, D.C.
DOE 5484.1 Chg 2
8-13-81
SUBJECT: ENVIRONMENTAL PROTECTION, SAFETY, AND HEALTH PROTECTION
INFORMATION REPORTING REQUIREMENTS
1. PURPOSE. This Page Change revises Chapter IV of DOE 5484.1.
2. EXPLANATION OF CHANGE.
a. Paragraphs 3a and 3b of Chapter IV have been changed to delete the
requirement for the preparation of a consolidated Form EV-102A and a
consolidated DOE F 5484.4 by each field organization.
b. Paragraph 5 of Chapter IV has been deleted because it has been replaced
by DOE 5484.2, UNUSUAL OCCURRENCE REPORTING SYSTEM.
3. FILING INSTRUCTIONS.
a. Remove Dated Insert Dated
Pages IV-3 2-24-81 Pages IV-3 2-24-81
IV-4 2-24-81 IV-4 8-13-81
IV-9 thru IV-17 2-24-81 IV-9 2-24-81
(and IV-18) IV-10 8-13-81
b. After filing the attached, this transmittal may be discarded.
William S. Heffelfinger
Assistant Secretary
Management and Administration
DISTRIBUTION: INITIATED BY:
All Deparmental Elements Assistant Secretary, Environmental
Federal Energy Regulatory Commission Protection, Safety, and Emergency
Preparedness.
DOE 5484.1
2-24-81
(b)
(c)
(d)
(e)
IV-3
All damage to, or loss of, or damage caused by, nuclear
rectors or vital appendages thereto (e.g., cooling system
components, control equipment , should be classed as type 4g3.
"Vital appendages" include all equipment materials
directly associated with or necessary to the sustaining of
reactor operation.
All damage or lOSS sustained as a consequence of (and follow-
ing the outbreak of) fire should be classed as Type 4a except
fire losses involving cargo during transportation (see (a).
above). Contamination damage caused by fire should be
included in the loss reportable under Type 4a accidents.
Except for cases covered by (a), (b), or (c), above, all losses
suffered as a consequence of explosion (including any losses
from contamination spread during the explosion) are classed
as Type 4b.
Section 39
All contamination-caused losses, exlusive of those cases
covered by (4), (b), (c , or (d), above, or those which result
from nonreactor criticality accidents, should be Classed as .
Type 4gl.
Section 4d (Electrical Fault or Failure with Loss over $1000)
should not be used for reporting losses resulting from other
than accidental (i.e., reasonably unforeseeable) causes.
(2) Section 5. If a given loss involves more than one accident type
(see Section 4 of Form 5484.5), list each such accident type con-
tributing to the loss in the "Accident Type Mc." olumn and
opposite each enter appropriate data.
d. SF-91A, Investigation Report of Motor Vehicle Accident, Attachment 3,
shall be prepared for each incident resulting in injury or property
damage of $250 or mure. One copy shall be submitted to the System
Safety Development Center (SSDC), EG&G Idaho, Inc., with Form 5484.4.
The description of the occurrence, item number 26, shall include the
following information:
(1) Whether or not the vehicle was equipped with seat belts.
(2) Whether or not the seat belts were in use at the time of
the accident.
(3) the dollar loss incurred.
(f)
DOE 5484.1 Chg 2
8-13-81
3. QUARTERLY SUMMARIES AND OTHER REPORTS.
I
a.
b.
c.
d.
Form EV-1O2A. Form EV-102A, Summary of Deparment of Energy and Department
of Energy contractor Occupational Injuries and Illnesses, Attachment 8,
shall be prepared by each Department of Energy office and Department of
Energy contractor organizational unit. Form EV-102A data may be obtained
from the Forms OSHA-200 and/or OSHA-100F, or their equivalents, maintained
at the individual establishments. One copy from each field organization,
area office, and contractor organizational unit shall be submitted to the
System Safety Development Center (SSOC), Eg&G Idaho, Inc., on or before
the 25th of April, July, October, and January. Revisions of reports
for each of the two preceding calendar years are due February 28. The
revisions should reflect the new (corrected) totals rather than the
additions or deletions which should be applied to the previous report.
DOE F 5484.4. DOE F 5484.4, "Tabulation of Property Damage Experience,"
Attachment 2 shall be prepared by each Department of Energy office and
Department of Energy contractor organization unit. One copy from each
field organization, area office, and contractor organizational unit shall
be submitted to the System Safety Development Center (SSDC), EG&G Idaho,
Inc., on or before the 25th of April, July, October, and January. Revi-
sions of reports for each of the two preceding calender years are due
February 28. .
Forms OSHA-200 and OSHA-1OOF. Form OSHA-200, "Log of Occupational
Injuries and Illnesses, "Attachment 7, shall be completed for Department
of Energy contractor employees, and Form OSHA-1OOF, "Log of Federal
Occupational Injuries and Illnesses, "Attachment 9, shall be completed
for Federal employees and maintained on file for a period of at least
5 years.
Reports of Occupational Exposure to Radiation for Department of Energy
Termination Occupational Exposure Report, Attachment 10, all external
and internal radiation exposures recorded for the terminated individual
during his period of employment or work assignment at a Department of
Energy or Department of Energy contractor facility. These reports
are to be submitted to the System Safety Development Center (SSDC),
EG&G Idaho, Inc., within 30 days from the individual's date of termina-
tion or within 30 days after his exposure has been determined, whichever
is later. Upon written and signed request, a copy of the report shall
be provided to the individual terminating employment or work assignment.
Section 40
Vertical line denotes change.
IV-4
and Department of Energy Contractor Personnel Upon Termination of
Employment. Upon termination of employment, report on Form 5484.8,
DOE 5484.1
2-24-81
(8) Cover Memorandum. The covering
attention to any section of the
IV-9
memorandum should call particular
report considered to be of out-
standing importance or interest. Brief comments on the high-
lights of the report are also appropriate.
c. Effluent and Environmental Monitoring Reports.
(1) Report of Effluent Monitoring Data.
(a) Effluent monitoring data for nonradioactive pollutants should
be reported in the site environmental monitoring report or
summary as described in Chapter III of this Order.
(b) Radioactive Effluent and Onsite Discharge Data Reports
covering the previous calendar year shall be submitted to the
Iinformation Systems Branch, EG&G Idaho, Inc., by April 1, .
with a copy of the cover letter (enclose maps only) to
the Operational and Environmental Safety Division. The
report, including the data forms, cover sheet, maps, and, if
necessary, explanatory information shall be submitted in
accordance with instructions provided in Section II of
the Effluent Information Systom and Onsite Discharge Informa-
tion System User’s Manuals. Maps should be included only
when they reflect modifications (terminations or startups,
etc.) from previous years. The Monitoring Data Report shall
consist of:
1 A cover sheet listing the site, facility, report period,
constractor(s), and address.
2 A summary prividing pertinent descriptive and inter-
pretative information which would serve to explain any
facets of the data which are not adequately described
on the forms. (Classified effluent data should be sub-
mitted on separate forms.)
3 Maps, 8-1/2 x 11 inch, shoulwing the locations of effluent
streams and onsite discharge points.
4 Completed Radioactive Effluens/Onsite Discharges/
Unplanned Releases Form, Form DOE F 5821.1, Attachment 15,
unless submitted via the Secure Automatic Communications
Network (SACNET) or directly to the computer operations.
(c) Unplanned releaseS of radioactivity in effluents, or that
go offsite by spills, leaks, etc., which are reported accord-
ing to chapter 1 of this Order, and unplanned releases of
radioactivity in waste spills, leaks, etc., shall be
reported to the Information System Branch, EG&G Idaho, Inc.,
on a separate Form, DOE F 5821.1.
IV-10
(d)
(2)
(3)
(4)
DOE 5484.1 Chg 2
8-13-81
Field organizations should assure that any data errors on the
Radioactive Effluent/Onsite Discharge Data Form are reported
promptly to the Information Systems Branch, EG&G Idaho, Inc.,
using amended fores.
Environmental Monitoring Reports covering the previous calendar year
shall be prepared annually and distributed by May 1 to the Operational
and Environmental Safety Division (10 copies), appropriate program
offices, the Department of EnergyTechnical Information Center; and
to other agencies and organizations, as appropriate. Attachment 5
of this Order provides the suggested forest for this report.
(2) ab. ., in accordance with the provisions of Chapter III of this
Order. Attachment 6 of this Order provides the suggested format for
this report.
Environmental Reports to Regulatory Agencies shall be submitted In
accordance with schedules established by the applicable permits or
regulations.
Vertical line denotes change.
Section 41
Environmental summaries for the previous calendar year shall be
submitted annually to te Operational and Environmental Safety
Division (10 copies) by May 1 for all sites which are exempted from
The Table of Contents was inadvertently omitted from DOE 5484.1 Chg 2,
ENVORONMENTAL PROTECTION, SAFETY, AND HEALTH PROTECTION INFORMATION
REPORTING REQUIREMENTS, of 8-13-81. The Table of Contents should be
E R R A T A S H E E T
replaced with the attached pages.
DOE 5484.1
2-24-81
TABLE OF CONTENTS
i
CHAPTER I - NOTIFICATION OF OCCURRENCES Page
1. Immediate Notification.................................................... I-1
2. Notification Within 72 Hours.............................................. I-3
3. Information Required in Notifications Made Immediately
or Within 72 Hours.............................................. I-4
CHAPTER II - INVESTIGATION REQUIREMENTS
1. Types of Investigations..............................................
a. Type A Investigations...................................................
b. Type B Investigations......................................................
c. Type C Investigations................................................
d. Submission of Type A and Type B Investigation Reports...........
e. Submission of Type C Investigation Reports.........................
2. Standards for Investigation..............................................
a. Appointing the Board....................................................
b. The Investigation Report............................................
3. Corrective Actions.......................................................
a. Immediate Corrective Actions..............................................
b. Recommendations of the Board.........................................
II-1
II-1
II-2
II-2
II-2
II-3
II-3
II-3
II-4
II-9
II-9
II-9
c. Corrective Actions from Appointing Official .............................. II-9
d. Corrective Actions from Headquarters............................... II-9
e. Closing the Case. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . II-10
CHAPTER III - EFFLUENT AND ENVIRONMENTAL MONITORING PROGRAM REQUIREMENTS
1. Monitoring New Sites, Processes, and Facilities. . . . . . . . . . . . . . . . . . .III-1
2. Monitoring Existing Sites. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . III-1
3. Quality Assurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . III-1
4. Scope and Content of Environmental Monitoring Program,
Reports, and Summaries............................................III-2
a. Environmental Monitoring. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .III-2
b. Environmental Monitoring Report.......................................... III-2
c. Environmental Summary.................................................... III-3
d. Reporting Units and Format............................................. III-4
5.Effluent Monitoring..................................................... III-7
a. Effluent Monitoring............................................... III-7
b. Onsite Discharge Monitoring.......................................... III-7
c. Monitoring Guidelines................................................... III-7
d. Monitoring Data Recordkeeping............................................III-9
DOE 5484.1 Chg 2
8-13-81
Section 42
1. General.....................................................................
2. Type C Investigation Reports.......................................
3. Quarterly Summaries and Other Reports................................
a. Form Ev-102A, Summary of Department of Energy and
Department of Energy Contractor Occupational
Injuries and Illnesses....................................
b. Form 5484.4, Tabulation of Property Damage
Experience ........................................
c. Form OSHA-200, Log of Occupational Injuries and
Illnesses, and Form OSHA-100F, Log of Federal
Occupational Injuries and Illensses.......................
d. Reports of Occupational Exposure to Radiation for
Department of Energy and Department of Energy
Contractor Personnel Upon Termination of
Employment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
e. Report of Radiation Exposures to Headquarters
Employees..............................................
f. Report of Radiation Exposures to Visitors........................
g. Preoperational Environmental Survey Reports.............................
h. Aircraft Accident/Incident Reports ....................................
4. Annual Reports......................................................
a. Annual Radiation Exposure Reports..........................
b. Annual Industrial Summary of Fire Other
Property Damage Experience (Suggested Format)........................
c. Effluent and Environmental Monitoring Reports.......................
IV-4
IV-4
IV-4
IV-6
IV-9
1. Department of Energy Property Valuation................................V-1
a. Include.............................................................V-1
b. Exclude............................................................ V-1
2. Guidelines Governing Loss Estimation................................. V-1
a. Include......................................................... V-1
b. Exclude......................................................... V-2
c. Miscellaneous Guidelines............................................ V-2
Vertical line denotes change.
P a g e
CHAPTER V - CRITERIA FOR DETERMINING DEPARTMENT OF ENERGY
PROPERTY VALUATION AND DEPARTMENT OF ENERGY LOSSES
IV-1
IV-1
IV-4
IV-4
IV-5
IV-5
IV-5
IV-5
IV-6
IV-6
CHAPTER IV- ENVIRONMENTAL PROTECTION, SAFETY, AND HEALTH
PROTECTION REPORTS
ii
U.S. Department of Energy PAGE CHANGE
Washington, D.C.
DOE 5484.1 Chg 3
11-6-87
SUBJECT: PROTECTION, SAFETY, AND HEALTH PROTECTION INFORMATION
REPORTING SYSTEM
1.
2.
3.
PURPOSE. To transmit revised pages to DOE 5484.1, ENVIRONMENTAL PROTECTION,
SAFETY, AND HEALTH PROTECTIONN INFORMATION REPORTING SYSTEM, of 2-24-81.
EXPLANATION OF CHANGE. Revisions have been made to the Radiation Exposure
Information Records System which is used to report occupational radiation
exosures to Department of Energy (DOE) and DOE contractor employees and
radiation exposure to visitors. A suggested reporting format formerly
included in paragraph 4b of Chapter IV has been reformatted as Attachment 13
and several attachments have been deleted. As a result, changes have been
made in pagination and in attachment numbers.
FILING INSTRUCTIONS.
8. Remove Page Dated Insert Page
3 thru 12 2-24-81 3 thru 12
2-24-81
ii 2-24-81 ii
iii,(and iv)
IV-4 8-13-81
IV-5 thru IV-9 2-24-81 IV-5 thru IV-7
(and IV-8)
IV-10 8-13-81 -
Attachment 8 2-24-81 Attachment 8
Attachment 11 2-24-81 Attachment 11
Attachment 12 2-24-81 Attachment 12
Attachment 13 2-24-81 Attachment 13
Attachment 14 2-24-81 -
Attachment 15 2-24-81 -
Section 43
b. After filing the attached pages, this transmittal may be
BY ORDER OF THE SECRETARY OF ENERGY:
Dated
11-6-87
2-24-81
11-6-87
11-6-87
11-6-87
11-6-87
11-6-87
11-6-87
11-6-87
11-6-87
discarded.
LAURENCE F. DAVENPORT
Assistant Secretary
Management and Administration
INITIATED BY:
All Departmental Elements Assistant Secretary for Evvironment
Safety, and Health
DISTRIBUTION:
DOE 5484.1 Chg 3 3
I
I
I
I
1
11-7-87
b.
c.
d.
e .
f.
g.
h.
i.
j.
k.
l.
Trained Investigator. An individual who has completed the Department of
Energy Accident Investigation Workshop.
Substantial. Clearly outside normally accepted or experienced bounds.
Department of Energy Contractor. Includes prime contractor or
Subcontractor subject to the contractual provisions of 48 CFR 923.70.
48 cfr 970.23, or other contractural provisions where DOE has elected to
enforce environment, safety, and health requirements by specific
negotiated contract provisions.
Notification. The actions taken to notify cognizant Department of
Energy Officials of an occurrence, and the subsequent actions taken at
successive levels within the Department of Energy to notify the
Secretary of an occurrence.
Investigation. A detailed, systematic search to uncover the "who, what,
when, where, why, and how" occurrences and to determine what
corrective actions are needed in order to prevent recurrence.
Investigation Report . A clear and concise written account of the
results of the investigation.
Terminated Employee. For the purpose of this Order, an individual
employee by DOE or a DOE contractor who terminates his or her employment,
an individual who transfers to another DOE or contractor facility or
office, an Individual who begins a leave of absence which results in the
termination of radiation monitoring of greater then 12 months duration,
or all employees of a contractor whose contracts with DOE terminated.
Monitored Visitor. Any nonemployee, including subcontractors, not
class ified as a "nonemployee radiation worker" (page 5, paragraph 4x.)
visiting a facility that is operated by DOE or a DOE contractor under
circumstances requiring that he or she be monitored for radiation
exposure.
Recorded Dose and Dose Equivalent. That number ( corrected for
background). zero (minimal or negligible) and above, which is recorded
as representing an individual's dose from external radiation sources or
internally deposited radioactive materials determined in accordance with
DOE 5480.1B, Chapter XI, requirements.
Positive Exposure. Any recorded exposure, corrected for background,
greater than the established minimum detection limit of the monitoring
device or the measuring technique employed.
Vertical line denotes change.
Contracting Officer. An official designated to enter into or administer
contracts and make related determination and findings.
4
m.
n.
o.
p.
q.
r.
s.
Dose Commitment. Dose committment is the dose equivalent (rems) received
by specified organs during a period of 1 calendar year that was the
result of an uptake of a radionuclide by a person occupationally
exposed.
Radiaton Records Repository The DOE centralized data base located at
the System Safety Development Center EG&G Idaho, Inc. which contains
statistical summaries of occupational radiation exposure information for
activities associated with DOE operations. Individual occupational
exposure records are maintained by DOE sites. The Radiation Records
Repository also contains summary data submitted for the DOE predecessor
agencies, the Atomic Energy Commission and the Energy Research and
Development Administration activities.
Section 44
Effluent. Airborne and liquid wastes deliberately discharged from a
Department of Energy site or facility following such engineered waste
treatment and all effluent controls, including onsite retention and decay,
as may be provided. This term does not include mild wastes, wastes for
shipment offsite, wastes that are contained (e.g., underground nuclear
test debris) or stored (e.g., in tanks) or wastes that are to remain
onsite thorugh treatment or disposal.
Effluent Monitoring. Sample collection and analysis of samples and
other measurements for the purpose of establishing the type and
Concentration of radioactive and nonradioactive pollutants in liquids
and a airborne discharges from Department of Energy facilities.
Enviromental Monitoring. Sample Collection and analysis of
environmental media, i.e., air, water, soil, foodstuff and biota
from the environs of Department of Energy sites for the purpose of
assessing effects of Department of Energy operations at that site on the
local environment. Generally. environmental monitoring is required to
determine compliance with applicable environmental radiation standards.
Onsite Discharge. Airborne and liquld wastes discharge to onsite
treatment or disposal system, e.g., sewage lagoons, retention ponds,
and e cribs, for retention, settling, decay, or storage onsite.
Department of Energy Site. Either a tract owned by DOE or a tract
otherwise made available to the Federal Government under terms
that afford to the Department of Energy rights of access and control
substantially equal to those that the Department of Energy would possess
if it were the holder of the fee (or pertinent interest therein) as
agent of and on behalf of the Government. One or more DOE operations/
program activities are carried out within the boundaries of the described
tract.
Vertical line denotes change.
DOE 5484.1 Chg 3
11-6-87
DOE 5484.1 Chg 3
11-6-87
5
t.
u.
v.
w.
x.
Department of Energy Operations. Those activities funded by DOE for
which DOE has authority to enforce for environmental protection, safety,
aond health protection requirements.
Field Element. A general term for any officially established
Departmental component (excluding individual duty stations) located
outside the Washington, D.C. metropolitan area.
Monitored Worker. Any employee of the reporting organization who works
with, or is in the proximity of, ionizing radiation or radioactive
material and who is monitored in accordance with DOE 5480.1B,
Chapter XI.
Monitored Personnel Locator File. A DOE centralized file maintained at
the System Safety Devlopment Center. EG&G Idaho, that contains all
monitored DOE and DOE contractor personnel employed, and visitors who have
positive exposures. The file consists of identification information only.
e.g., name, social security number, birth year, and employer organization
(or organization visited). The file is used to identify personnel work
locations so that inquiries can be made to the reporting organization for
official dose records.
Nonemployee Radiation Worker. An individual who is either a subcontractor
to a DOE contractor or who visits a DOE site to perform work for or in
conjunction with DOE or utilizes DOE facilities - and who is monitored for
occupational expsure as required in DOE 5480.1B, Chapter XI.
POLICY AND OBJECTIVES.
Section 45
a. It is the policy of the Department of Energy that timely notification of
occurrences involving Department of Energy and Department of Energy
contractor operations be made to responsible authority; that all
occurrences be investigated; that reports be submitted to responsible
Department of Energy officials; that management take responsive action;
and that there be consistency in the treatment of such occurrences.
b. The objectives of the information reporting system are:
(1)
(2)
(3)
To investigate and evaluate occurrences to determine their causes
and the appropriate measures to prevent recurrences and improve the
safety of the Department of Energy and Department of Energy
contractor operrations.
To obtain early, complete, and factual information on occurrences
as a basis for: (a) reports to the Secretary, Congress, and other
Federal agencies; and (b) where appropriate, informing the public.
To assure the gathering of adequite information on which to base
management action.
Vertical line denotes change.
b.
6
(4)
(5)
(6)
DOE 5484.1 Chg 3
11-6-87
To provide a basis for the improvement of guides, sales, and
standards used in the Department of Energy and Department of Energy
contractor operations.
to establish a procedure for the development and reporting of
occupational radiation exposure information to the Radiation
Records Repository that will be of assistance to the Department of
Energy in determining that radiation doses to individuals are
maintained at the lowest levels technically and econonmically
practicable.
To monitor, evaluate, and report onsite discharges, liquid and
airborne effluents and environmental Conditions in the vicinity of
Department of Energy sites to access the levels of radioactive and
nonradioactive pollutants and their impact on the public and the
environment.
6. RESPONSIBILITIES AND AUTHORITIES.
a. Assistant Secretary for Environment, Safety, and Health (EH-1).
(2) Accepts Headquarters investigation boards' reports; and
(3) Directs corrective actions based on Headquarters investigation
boards’ recommendations.
b. Director of Operational Safety (EH-34).
(1) Develops policies, procedures, standards, and guidelines for
notification, investigation, and reporting of occurrences in the
Department of Energy and Department of Energy contractor
operations.
(2) Establishes requirements and prescribes procedures for the
collection and compiliation of data and reports related to
occurrences and other information of environmental protection,
safety, and health protection significance.
(3) Recommends Headquarters or field investigations (when not otherwise
required by this order) for occurrences that an overall impact
on Department of Energy programs.
(4) Recommends Headquarters or field investigation boards to the
Assistant Secretary for Environment, Safety and Health.
(5) Reviwes the reports of Headquarters and field investigation boards
to:
Vertical line denotes change.
(1) Appoints Headquarters investigation boards and establishes the
scope of Headquarters investigations;
DOE 5484.1
11-6-8?
(6)
(7)
(8)
(9)
Chg 3
(a) Determine whether the investigations and the reports meet
Department of Energy standards for thoroughness, objectivity,
and independence.
(c) Assure appropriate distribution of the reports in those
instances where the lessons learned are potentially applicable
to other Department of Energy and Department of Energy
contractor sites.
Section 46
Recommends to the Assistant Secretary for Environment Safety, and
Health the acceptance of the reports of Headquarters investigation
boards and the necessary corrective actions based on the boards'
reports and other appropriate considerations.
Assure that the corrective actions that are directed by the
Assistant Secretary for Environment, Safety, and Health are
satisfactorily completed.
Accepts field investigation reports one, if appropriate.
recommends to Heads of Field Elements additional corrective
actions.
Informs the Secretary and the Assistant Secretary for Environment,
(10)
safety, and Health the appropriate congressional committees, other
federal agencies, the Inspector General, and other appropriate
Headquarters elements of significant occurrences in the Department
of Energy and Department of Energy contractor operations.
Maintains, consolidates, and summarizes information regarding
occurrences in the Department of Energy and Department of
Energy contractor operations in order to:
(8) Provide basic safety statistics used in evaluating safety
program performance.
(0) Provide safety information to the Secretary, the Congress,
Department of Energy offices, Department of Energy
contractors, other Federal agencies, and the public.
(C) Provide a basis for identifying needed improvements to
safety codes, standards, and regulations.
(d) Identify areas wjere researcj pr deve;p[,emt work is
needed for safety evaluation or control purposes.
Vertical line denotes change.
7
(b) Assure prompt identification and correction of injury and
property damage causes.
(11)
(12)
(13)
(14)
(15)
(16)
DOE 5584.1 Chg 3
11-6-87
Develops and maintains a cadre of Department of Energy trained
accident investigators who are available to participatre as
memebers of Headquarters and field investigation boards.
Circulates investigation reports for review by appropriate
Headquarters elements when the recommendations for corrective actions
involve or may affect activities under their jurisdiction.
Conducts and coordinates all activities associated with
operation and maintenance of the DOE Radiation Records Repository
assuring that:
(a)
(b)
Radiation exposure date are
Monitored personnel locator
to the repository.
submitted to the repository.
file information is submitted
(c)
(d)
Requests for information from the repository are
Information that identifies the individual will be disclosed
only in accordance with the Privacy Act of 1974 and the Freedom
of Information Act, as amended. The release of summary
statistical information reported in accordance with this Order
is governed by DOE 1340.1A, MANAGEMENT OF PUBLIC COMMUNICAIONS,
PUBLICATIONS, AND SCIENTIFIC, TECHNICAL, AND ENGINEERING
PUBLICATIONS.
Establishes and interprets Department of Energy environmental and
effluent monitoring and reporting requirements.
Reviews and approves field element recommendations as to which sites
need not perform routine effluent or environmental and
reporting. This approval authority does not extend to monitoring and
reporting required by Federal, State, and local laws, regulations,
and permits.
May waive specific Department of Energy effluent and environmental. .
monitoring and reporting requirements for existing sites if not
otherwise required by law or permit conditions.
c. Inspector General (IG-1).
(1) Reviews and recommends policies
investigation, and importing of
Energy and Department of Energy
Vertical line denotes change.
Section 47
and standards for notification
occurrence in the Department of
contractor operations.
8
processed.
DOE 5484.1
11-6-87
(2)
Chg 3
Reviews Department of Energy
reporting of occurrences for
notification, investigation, and
adequacy and consistency with the
requirements of Order and, as appropriate, reports results
of such reviews to the Secretary.
(3) Conducts investigations as required by the Secretary.
(4) Concurs in the membership of all Headquarters investigation boards
recommended by the Director of Operational Safety.
d. Heads of Departmental Elements.
(1)
(2)
(3)
Review reports of occurrences for operations for which they are
cognizant in order to determine if any instructions or procedures
for which they are responsible need revision. Those responsible
Headquarters officials having contractor organizations directly
under their jurisdiction will assume the same responsibilites
as Heads of Field Elements in paragraph 6f, below. The Deputy
Assistant Secretary for Naval Reactors shall assume, for Naval
Reactor's activities, the same responsibilities as Heads of Field
Notify, within 24 hours after receipt of exposure information, any
Department of Energy employee in their organization of any
radiation exposure received that exceeds the dose equivalent
standards specified in DOE 5480.1A, Chapter XI; notify the Director
of Safeguards and Security if the incident would apppear to
have Interface with nuclear material control/accountability and/or
security interests.
Assure that employees in their organization obtain a personnel
monitoring devide prior to visiting facilities not operated by the
Department of Energy or Department of energy contractors where
exposure to radiation is possible. Instruct Department of Energy
employees who might unexpectedly visit a contractor or licensed
facility without a monitoring device to use the personnel monitoring
device provided by the facility and to request that any resultant
exposure information along with the individual's name, social
security number, and date of birth be sent to the Department of
Energy Headquarters, Attention: Director of Operational Safety,
EH-34.
e. Heads of Field Elements and Other Contracting Officers.
(1) Establish procedures to assure proper notification (internally and
to Federal, State, regional, and local agencies), investigation,
and reporting of occurrences as required in this Order.
Vertical line denotes change.
9
elements.
10
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
DOE 3484.1 Chg 3
11-6-87
Identify occurrences that are to be investigated by field
element boards. Appoint field investigation boards and
establish the scope of their investigations including limitations,
if any. Heads of Field Elements may desire to use Department
of Energy personnel from other offices. Arrangements for use of
such personnel may be made by contacting the Director of
Operational Safety, or communicting directly with another field
element. If arrangements are made with another field
element, the Office of Operational Safety should be advised.
Review reports of field investigation boards and order additional
investigation, if necessary.
Transmit reports of field investigation boards to the Office of
Operational Safety (EN-34) with copies to the Inspector General
(IG-1) and other appropriate Headquarters officials. Transmit with
each report a field element evaluation of the report including a
statement of the corrective actions that have been taken or are
planned by the field element.
Section 48
Assure that corrective actions are satisfactorily completed and so
advise the Office of Operational Safety with copies to the
appropriate Headquarters program organization.
Assure that, except for necessary emergency actions, the scene of
any occurrence requiring or possibly requiring a Headquarters or
field elment board investigation is not disturbed until the
investigation board concurs that recovery or normal operations may
be resumed.
Assure that Headquarters and field investigation boards receive the
necessary logistic and administrative support.
Direct the preparation and release of public statements on
occurrences, where deemed ppropriate.
Assure that all individuals under their Jurisdiction are:
(a) Notified within 24 hours after receipt of exposure information
of any radiation exposures that exceed the dose equivalent
standards specified in DOE 5480.1A, Chapter XI.
(b) Provided, upon written and signed request, with a summary of
their reported occupational radiation exposures. Such
reports shall be furnished within 30 days from the time the
request is made, or within 30 days after the exposure has been
determined, whichever is later.
Vertical line denotes change.
(10)
(12)
(13)
(14)
Chg 3 11
Prepare an Annual Summary of Fire and Other Property Damage
Experience Report and submit it to the Director of
Oporational Safety (EH-34) on or before 3-15 of each year.
Determine when preoperational and environmental surveys are
required to obtain background and baseline dada in advance of start
up of any new site or a new facility or process at an existing
site; review and approve the preoperational survey program prior to
its implementation; and review and approve the report of the survey
results prior to start up of the new facility or site operation.
Assure the Department of Energy facilities and sites under their
purview conduct the effluent and environmental monitoring and
reporting programs in accordance with the requirements of this
Order and as necessary to determine compliance with all applicable
Federal, State, and local effluent standards and permit conditions;
and report to the local, state, and regional environmental
protection agencies, the public and Department of Energy
Headquarters on the status of such compliance.
Recommend to the Director of Operational Safety, with the
concurrence of the director(s) of the responsible program
office(s), when routine environmental monitoring and reporting is
not required (programs to be waived) or is to be terminated at
Department of Energy sites. Requests for approval to terminate
any environmental monitoring and reporting activities should
include an explanation, with supporting data, as to why the site
is not expected to have significant releases or a significant
effect on the the environment. For any site holding an exemption from
environmental reporting requirements, the respective field
element head or contract administrator shall assure that an
annual environmental summary is prepared as required by page III-3,
paragraph 4c, of this Order, and copies forwarded to the Director
of Operational Safety (EH-34).
May grant an explanation from monitoring and reporting for those
effluents that meet all of the following criteria:
accidental releases of significant quantities or
concentrations of radioactivity or nonradioactive pollutants
in relation to applicable standards.
(b) Are of no health and safety or environmental significance.
Section 49
(c) Are not required to be maintained by other Federal, State, or
local pollution control agencies or regulations. (The Office
Vertical line denotes change.
DOE 5484.1
11-6-87
(11)
(a) Do not routinely contain and are not a potential source of
12
g.
of Operational Safety will assist in the interpretation of
"significant" as used above, and elsewhere in this Order, on
a case-by-case basis as requested.)
Members of Headquarters and Field Elements Boards of Investigation.
(1)
(2)
(3)
(4)
Report directly to the Department of Energy appointing official
during the investigation.
Understand the scope of the investigation including the
limitations, if any, prior to initiating the investigation. If
necessary, the board should discuss the scope of the investigation
with the appointing official or his or her desingee.
Conduct an investigation and prepare an investigation report that
satisfies the requirements in this Order.
Transmit the report with a cover memorandum that includes the
board’s recommendation to the appointing official within a
specified period of time.
Requestors of Radiation Exposure Information. All requests for
information from the Department of Energy Records Repository should be
directed to the Director of Operational Safety. Information that
identifies the individual will be disclosed only upon written
authorization of the individual or his or her duly authorized
representative pursuant to the Privacy Act of 1974 and the Freedom of
Information Act.
BY ORDER OF THE SECRETARY OF ENERGY:
LAURENCE F. DAVENPORT
Assistant Secretary
Management and Administration
Vertical line denotes change.
DOE 5484.1 Chg 3
11-6-87
f.
DOE 5484.1
2-24-81 i
TABLE OF CONTENTS
CHAPTER I - NOTIFICATION OF OCCURRENCES Page
1. Immediate Notification.............................................. I-1
2. Notification Within 72 Hours..................................
3. Information Required in Notifications Made Immediately
or Within 72 Hours.......................................... I-4
CHAPTER II - INVESTIGATION REQUIREMENTS
1. Types of Investi
b. Type B
c. Type C
d. Submiss
e. Submiss
2. Standards
b. The In
3. Corrective
a. Immediate
b. Recommend
c. Corrective
d. Corrective
e. Closing
gations.....................................................
Investigations.........................................
Investigations..........................................
Investigations.........................................
ion of Type A and Type B Investigation Reports...........
ion of Type C Investigation Report........................
for Investigation......................................
the Board.........................................
vestigation Report....................................
Actions..............................................
Corrective Actions...................................
ations of the Board....................................
Actions from Appointing Official........................
Actions from Headquarters.....................................
the Case..................................................
II-1
II-1
II-2
II-2
II-2
II-3
II-4
II-3
II-4
II-9
II-9
II-9
II-9
II-9
II-10
CHAPTER III- EFFLUENT AND ENVIRONMENTAL MONITORING PROGRAM REQUIREMENTS
1. Monitoring New Sites, Processes, and Facilities....................
2. Monitoring Existing Sites............................................
3. Quality Assurance.................................................
4. Scope and Content of Environmental Monitoring Program,
Section 50
Reports, and Summaries...................................
a. Environmental Monitoring.....................................
b. Environmental Monitoring Report............................
c. Environmental Summary.......................................
d. Effluent Monitoring........................................
5. Effluent Monitoring ............................................
a. Effluent Monitoring.........................................
b. Onsite Discharge Monitoring...............................
c. Monitoring Guidelines........................................
d. Monitoring Data Recordkeeping.............................
I-3
a. Type A
III-1
III-1
III-1
III-2
III-2
III-2
III-3
III-4
III-7
III-7
III-7
III-7
III-9
a. Appointing
CHAPTER IV - ENVIRONMENTAL PROTECTION, SAFETY, AND HEALTH
DOE 5484.1 Chg 3
11-6-87
1. General ........................................................
2. Type C Investigation Reports.........................................
3. Quarterly Summaries and Other Reports..................................
a. DOE F 5484.4, "Tabulation of Property Damage Experience".....
b. Form OSHA-200, "Log and Summary of Occupational Injuries and
Illnesses,: " and OSHA-100F, "Log of Federal Occupational
Injuries and Illnesses . . . . . . . . . . . . . . . . . . . . . . . . . . .
c. Report of Radiation Exposure to Headquarters Employees........
d. Report of Radiation Exposures to Visitors.............................
e. Preoperational Environmental Survey Reports..................
4. Annual Reports..............................................
a. Annual Radiation Exposure Reports...................................
b. Annual Industrial Summary of Fire and Other Property
Damage Experience (Suggested Format)..........................
c. Effluent and Environmental Monitoring Reports....................
CHAPTER V-CRITERIA FOR DETERMINING DEPARTMENT OF ENERGY PROPERTY
1. Department of Energy Property Valuation................................
a. Include.............................................................
b. Exclude........................................................
2. Guidelines Governing Loss Estimation ..............................
a. Include.................................................
b. Exclude ...................................................
c. Miscellaneous Guidelines .........................................
Attachment 1 -
Attachment 2 -
Attachment 3-
Attachment 6 -
Attachment 7-
AttacMent8-
DOE F 5484.3, "Supplementary Record of Occupational
Injuries and Illnesses"
DOE 5 5484.4, "Tabulation of Property Damage Experience"
Standard Form 91-A, "Investigation Report of Motor Vehicle
Accident"
DOE 5484.5. "Report of Property Damage or Loss"
Quality and Format for a Typical Environmental Monitoring
Report
Quality and Format of a Typical Environmental Summary
Form OSHA-200, "Log and Summary of Occupational Injuries
and Illnesses.
Annual Radiation Dose Summary
IV-1
IV-1
IV-4
IV-4
IV-4
IV-4
IV-4
IV-s
IV-6
IV-5
Vertical line denotes change.
ii
Attachment 4 -
Attachmetn 5 -
IV-6
IV-6
PagePROTECTION REPORTS
VALUATION AND DEPARTMENT OF ENERGY LOSSES
V-1
V-1
V-1
V-1
V-1
V-2
V-2
Atachment 9 - Form OSHA-1OOF, "Log of Federal Occupational Injuries
and Illnesses"
Attachment 10-
Attachment 11-
Attachment 12-
Attachment 13-
DOE F 5484.8, "Termination Occupational Exposure Report"
DOE F 5484.7, "Summary of Exposures Resulting in Internal
Body Depositions of Radioactive Materials for CV 19"
DOE F 5821.1, "Radioactive Effluent/Onsite Discharges/
Unplanned Releases"
Annual Industrial Summary of Fire and Other Property
Damage Experience (Suggested Format)
Section 51
Vertical line denotes change.
DOE 5484.1 Chg 3
11-6-87 iii (and iv)
IV-4 DOE 5484.1 Chg 3
11-6-87
3. QUARTERLY SUMMARIES AND OTHER REPORTS.
a. DOE F 5484.4. DOE F 5484.4 "Tabulation of Property Damage Experience,"
Attachment 2, shall be prepared by each Departmental Element and
contractor organization unit. One copy from each field element, area
office, and contractor organizational unit shall be submitted to the
System Safety DevelopCenter (SSDC), EG&G Idaho Inc., on or before the
25th of January, April, July, and October. Revisions of reports for each
of the 2 preceding calendar years are due 2-28.
b.
c.
d.
Forms OSHA-200 AND OSHA-100F. Form OSHA-200, "Bureau of Labor Statistics
Log and Summary of Occupational Injuries and Illnesses," Attachment 7
shall be completed for Department of Energy contractor employees, and Form
OSHA-100 F, "Log of Federal Occupational Injuries and Illnesses," Attachment
9, shall be completed for Federal employees and maintained on file for a
period of at least 5 years.
Report of Radiation Exposures to Headquarters Employees. Report all
recorded external and internal radiation exposures that occur during a
visit by Deparment of Energy Headquarters employees to a field element or
contractor facility. complete the appropriate portions of DOE F 5484.8,
and submit it to the System Safety Development Center (SSDC), EG&G Idaho,
Inc., wihtin 30 days after the individual's date of visit or within 30
days after his or her exposure has been determined, whichever is later.
Report of Radiation Exposures to Visitors.
(1) Report all positive external and internal radiation exposures
recorded for visitors during the period of their visit to a
Department of Energy or contractor facility. Complete the
appropriate portions of DOE F 5484.8 and submit copies of these
reports to the visitor's employer (or to the visitor if he or she has
no employer) within a period of 30 days after the date of the visit
or 30 days after the visitor's exposure has been determined,
whichever is later. For visitors who are employees of the Department
of Energy or Department of Energy contractors, a report should be
submitted only to the visitor's employer.
(2) Any radiation exposure in excess of the radiation dose equivalent
standards established by DOE 5480.1B, Chapter XI, shall be
reported within 24 hours after the exposure or within 24 hours
after the exposure has been determined, whichever is later, to the
visitor and his employer by telephone or teletype message. If the
initial report is made by telephone, a written report shall follow
within 30 days.
Vertkal ltne denotes change.
DOE 5484.1 Chg 3
11-6-87
IV-5
e. Preoperational Environmental Survey Reports shall be prepared as
specified on page III-1, which summarized preoperational
survey data and information. Five copies shall be submitted to the
Office of Environment, Safety, and Health and one copy to appropriate
program offices before the new site becomes operational.
4. ANNUAL REPORTS.
Annual Radiation Exposure Reports. Heads of Field Elements shall
submit the following reports("Annual Radiation Dose Summary," and DOE F
5484.7, "Summary of Exposures Resulting in Internal Body Depositions of
Cernter (SSDC), EG&G Idaho, Inc., by 3-31 for the preceding calendar year
Radioactive Materials for CY 19__.") to the System Safety Development
for monitored Department of Energy and Department of Energy contractor
employees and for visitors to Department of Energy or Department of Energy
contractor facilities.
Section 52
--
(2)
contractor employees, nonemployee radiation workers, and visitors
with positive exposures, to the System Safety Development Center at
EG&G Idaho no later than 3-31 for the preceding calendar year.
Exposures received by employees of DOE contractors while on trips to
other DOE contractor sites are included in the annual summary of the
individual. The transmittal should include the total number of
monitored visitors. Submittal should be via the Secrue Automatic
Communications Network. Alternatively, hard copies of the report may
be used (Attachment 8). Whatever form of transmittal is selected, it
should be safeguarded to avoid unwarrented public release or privacy
act protection information.
Internal Exposures.
(a) DOE F 5484.7, Attachment 11. The report shall include:
Any uptake of radioactive material occurring during the
reporting year that independently, or when added to a
current burden, it estimated to result in a dose commitment
to the critical organ in excess of 50 percent of the
pertinent annual dose equivalent standatrds set for in
DOE 5480.1A, Chapter XI.
Vertical line denotes change.
Summary of Worker and visitor Radiation Exposure and Locator
File Input. field elements shall submit an "Annual Radiation Dose
Summary," Attachment 8, for all monitored workers, including DOE and DOE
(1)
1
a.
IV-6
b.
c.
Any previously unreported uptake of radioactive material
that is determined to have been reportable according to the
above criterial by reason of more recent dose estimates.
(b) Any dose commitment to a critical organ resulting from an uptake
of radioactive material should be added to the dose received by
that organ from external sources when determining uptakes that
are reportable according to the above criteria. In those cases
where the whole body is considered to be the critical organ and
the dose commitment from each internal uptake is combined with
the dose contributed by external sources for the purpose of
reporting cumulative whole body exposures in the Annual Radiation
Dose Summary, it is not necessary to report those internal exposures
on DOE F 5484.7.
of Energy property damage and loss from fire and other accident causes. A
suggested reporting format is provided as Attachment 13.
Effluent and Environmental Monitoring Reports.
(1) Reports of Effluent Monitoring Data.
(a) Effluent monitoring data for nonradioactive pollutants should be
reported in the site environmental monitoring report or summary
as described in Chapter III of this Order.
(b) Radioactive Effluent and Onsite Discharge Data Reports covering
the previous calendar year shall be submitted to the Information
Systems Branch, EG&G Idaho, Inc., by April 1, with a copy of the
cover letter (enclose maps only) to the Office of Operational
Safety. The reports, including the data forms, cover sheet,
maps, and, if necessary, explanatory information shall be
submitted in accordance with Instructions provided in Section II
of the Effluent Information System and Onsite Discharge
Information System User's Manuals. Maps should be included only
when they reflect modifications (terminations or startups, etc.)
from previous years. The Monitoring Data Report shall consist
of:
1 A cover sheet listing the site, facility, report period,
contractor(s), and address.
Vertical line denotes change
DOE 5484.1 Chg 3
11-6-87
2
Annual Industrial Summary of Fire and Other Property Damage Experience
(Suggested Format). The report summarizes the calendar yeear experience
and activities of this organization relative to the control of Deparment
Section 53
DOE 5484.1 Chg 3
11-6-87
(2)
(3)
(4)
IV-7 (and IV-8)
2 A summary providing pertinenet descriptive and interpretative
information which would serve to explain any facets of the
data which are not adequately described on the forms.
(c)
(d)
(Classified effluent data should be submitted on separate
Maps, 8-1/2 x 11 inch, showing the locations of effluent
streams and onsite discharge points.
Completeed Radioactive Effluents/Onsite Discharges/Unplanned
Releases, DOE F 48212.1., Attachment 12, unless submitted via
the Secure Automatic Communications Network (SACNET) or
directly to the computer operations.
Unplanned releases of radioactivity in effluents, or that go
offsite by spills, leaks, etc., whichare reported according to
Chapter I of this Order, and unplanned releases of
radioactivity in onsite spills, leaks, etc. shall be reported to
the Information System Branch, EG&G Idaho, Inc., on a separate
DOE F 5821.1.
Field elements should assure that nay data errors on the
Radioactive Effluent/Onsite Discharge Data Form are reported
promptly to the Information Systems Branch, Eg&G Idaho, Inc.,
using amended forms.
Operational Safety (10 copies), appropriate program offices, the
Department of Energy Technical Information Center, and to other
agencies and organizations, as appropriate. Attachment 5 of this
Order provides the suggested format for this report.
Environmental Summaries for the previous calendar year shall be
submitted annually to the Office of Operational Safety (10 copies) by
May 1 for all sites which are exempted from (2) above, in accordance
with the provisions of Chapter III of this Order. Attachment 6 of
this Order provides the suggested format for this report.
Environmental Reports to Regulatory Agencies shall be submitted in
accordance with schedules established by the applicable permits or
Vertical line denotes change.
3
4
regulations.
Environmental Monitoring Reports covering the previous calendar year
shall be prepared annually and distributed by May 1 to the Office of
forms.)
Attachment 8
DOE 5484.1 Chg 3 Page 1
11-6-87
REVISED RADIATION EXPOSURE INFORMATION REPORTING SYSTEM
ANNUAL RADIATION DOSE SUMMARY
for
Monitored Workers and for Visitors with a Positive Exposure
(Example)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Item
Calendar year of reported data
Social security number
Beginning of monitoring
date (MMDDYY)
End of monitoring date, end
of visit date, or termination
date
Occupation code
Vertical line denotes change
1986
123456789
1942
M
(see TABLE 1)
0567002
(see TABLE 2)
(see TABLE 3)
60-60
61-66
74-80
Emample
Code or Data
Field Size
(Characters)
C o l u m n
Range
Name of monitored individual
(left justify)
a. First name or initial
b. Middle name or initial
c. Last name
Birth year
JOHN
Q
D O E
4
9
15
12
15
4
Sex (F or M) 1
6
6
1
67-72
73-73
Employment status
A= Monitored worker
T= Terminated employee
V= Monitored Visitor
N= Nonemployee radiation
worker
Organization code
Facility type code 81-82
83-85
7
2
3
1-4
9-13
14-28
29-40
41-55
56-59
010182
U.S. DEPARTMENT OF ENERGY
A
Attachment 8
Page 2
Item
12. Annual whole body dose
a. Total effective dose
equivalent*
b. External penetrating
(including neutron)
- Neutron
c. Internal*
Year of uptake
Radionuclide(s)
(left justified)
Effective dose
equivalent
Year of uptake
Radionuclide(s)
(left justified)
Effective dose
equivalent
Uptakes continued
elsewhere (Y/N)
13. Annual shallow dose
Section 54
14. Annual extremity dose*
a. Forearms and hands
b. Lower legs and feet
DOE 5484.1 Chg 3
11-6-87
Example Field Size
Code or Data (Characters)
(dose equivalent**)
(dose equivalent**)
(dose equivalent**)
1981
PU239PU24OAM241
(effective dose
equivalent**)
1986
N3
(effective dose
equivalent**)
N
(dose equivalent**)
(dose equivalent**)
(dose equivalent**)
86-92
93-99
100-106
107-110
111-125
126-132
133-136
137-151
160-166
Assumes computerized data base input. Hard copy forms will be made available.
Items 1-9 will be copied to the Monitored Personnel Locator File with Items 2
and 3 being deleted form the annual dose file within 60 days of the
transmittal to the System Safety Development Center, EG&G Idaho, Inc.
* These reporting requirements will replace DOE F 5484.7. However, at this
time, reporting deferred pending revision of DOE 5480.1B, Chapter XI.
**Dose equivalent in units of mrem, right justified.
Vertical line denotes change.
Column
Range
7
7
7
4
15
7
4
15
7
1
7
7
7
167-173
174-180
159-159
152-158
For visitors with a positive exposure complete Items 1-3, 6-9, and 12-14
DOE 5484.1 Chg 3
11-6-87
Instructions for Preparing Annual Radiation Dose Summary
Attachment 8
Page 3
this report is required for all employees and for those visitors having a
positive exposure who were monitored for radiation exposure in accordance
with DOE 5480.1A, Chapter XI. Reporting units shall submit report to the System
Safety Development Center, EG&G Idaho, Inc., by 3-31 following the year of
monitoring. The transmittal should include the total number of visitors
monitored. The report summarized the individual's annual exposure data in the
following manner:
1.
2.
3.
4.
5.
6.
7.
8.
CALENDAR YEAR - Eneter the calendar year for which data are being
submitted. A site dosimetry record year may differ slightly from the
actual calendar year because of dosimeter processing scheduling. Minor
variances (up to 2 weekds) are permissible as long as the period of
of reporting is consistent from year to year.
SOCIAL SECURITY NUMBER - if less that 9 digits, left justify.
NAME - FIRST name or initial, in upper case and left justified.
- MIDDLE name or initial, in upper case and left justified.
- LAST name, in upper case and left justified.
BIRTH YEAR - Enter full year of birth (example = 1942). This is
optional for visitors.
SEX - Female "F" or Male "M". This is optional for visitors.
BEGINNING OF MONITORING DATE - Enter the beginning monitoring date
for calendar year.
TERMINATION OR END OF MONITORING DATE - For terminated employees, enter the
date of latest termination. for visitors, enter the ending date of the visit
during which positive exposure is received. A separate report is required
for each successive visit where a positive exposure is experienced. If a
monitoring period of a visitor bridges 2 calendar years (see Item 1, above)
and the visitor is provided a single dosimeter for the duration of his visit,
any positive exposure recorded should be reported in the year the dosimeter
is processed. However, if a visitor is provided a separate dosimeter in each
calendar year, a separate report is required for each year.
EMPLOYMENT STATUS - Definitions are provided in Table 1.
- MONITORED WORKER, enter"A" for those persons employed as of the close
of the calendar year (see Item 1, above).
- TERMINATED EMPLOYEE, enter "T" for those persons who have
Section 55
terminated employment during the calendar year and are not rehired as
of the end of the calendar year (see Item 1, above).
- MONITORED VISITOR, enter "V" for individuals visiting during the calendar
year.
- NON-EMPLOYEE RADIATION WORKER, enter "N" for visitors who are
considered radiation workers during the calendar year.
Vertical line denotes change.
Attachment 8
Page 4 DOE 5484.1 Chg 3
11-6-87
ORGANIZATION CODE - Enter the organization code (obtained from the System
Safety Development Center (SSDC), EG&G, Idaho, FTS: 583-0141) of the
employer. For visitors, enter the organization code of the host..
FACILITY CODE - Enter the code from Table 2 for the facility contributing
the predominant portion of the individual's effective dose equivalent.
Otherwise, indicate the facility wherein the greater portion of work service
is recorded.
OCCUPATION CODE - Enter the code from Table 3 for the generic occupation
that best fits the individual's occupation title.
ANNUAL WHOLE BODY DOSE - Enter the dose equivalent or effetive dose
equivalent in units of millirem, right justified.
a.
b.
c.
TOTAL EFFECTIVE DOSE EQUIVALENT - Enter the sum of the external
whole body penetrating dose equivalent and the weighted internal dose
equivalents in units of millirem.
EXTERNAL PENETRATING - Enter the total annual penetrating dose
equivalent at 1.0 cm from external radiation sources, including neutron
exposure in units of millirem.
NEUTRON - Enter the dose equivalent in units of milllirem from
neutron exposure only.
INTERNAL - Enter the actual or suspected year of uptake, the major
radionuclide(s) involved, and the resulting annual effective dose
equivalent associated with any internally deposited radio-nuclides
contributing to the total annual internal effective dose equivalent in
units of millirem. Where more than one uptake of the same radionuclide
occurs during the year, these should be combined. Provision is given
for reporting the annual effective dose equivalent due to deposition of
other radionuclides. Indicate "Yes" (Y) or "No" (N), whether a
separate form is submitted for continuation of uptakes.
ANNUAL SHALLOW DOSE - Total dose equivalent at 0.007 cm in units of
millirem, right justified (excluding neutron dose).
ANNUAL EXTREMITY DOSE - Enter the dose equivalent in units of millirem right
justified for all monitored workers. When only a whole body dosimeter is
worn, enter the dose equivalent from the whole body dosimeter. When both an
extremity and a whole body dosimeter are used during a monitoring period, do
not include the contribution from the whole body dosimeter to the extremity
entry. When bot the left and right extremity are monitored, record the
higher of the right or left exposure.
Vertical line denotes change.
11.
12.
13.
14.
9.
10.
DOE 5484.1 Chg 3 Attachment 8
11-6-87 Page 5
Vertical line denotes change.
*Reporting outerred pending revision of DOE 5480.1B, Chatpter XI.
(Note: Leaving a dose amount blank indicates specific monitoring was not
conducted. A zero dose represents a "less thatn measureable" exposure.)
b. LOWER LEGS AND FEET - Enter the total dose for the leg below the
knee.
a. FOREARMS AND HANDS- Enter the total dose for the arm below the
elbow.
Attachment 8
Page 6 DOE 5484.1 Chg 3
11-6-87
Table 1
Definitions for Employment Status
Monitored worker. Any active employee of the reporting organization who works
with, or is in the proximity of, ionizing radiation or radioactive material and
who is monitored in accordance with the DOE 5480.1B, Chapter XI.
Section 56
Terminated Employee. For the purposes of this Order, an individual employed by
DOE or DOE contractor who terminates his or her employment, an indicudual who
transfers to another DOE or contractor facility or office that results in
termination of radiation monitoring, an individual who begins a leave of absence
of greater than 12 months duration, or all employees of a contractor whose
contracts with DOE are terminated.
Monitored Visitor. Any nonemployee visiting a facility that is operated by
Department of Energy (DOE) or DOE contractor under circumstances other
than as a nonemployee radiation worker, requiring that he or she be
monitored for radiation exposure.
Nonemployee Radiation Worker. An individual who is either a subcontractor to a
DOE contractor or who visits a DOE site to perform work for or in conjunction with
DOE or utilizes DOE facilities and who is monitored for occupational exposure as
required in DOE 5480.1B, Chapter XI.
Vertical line denotes change.
DOE 5484.1 Chg 3
11-6-87
21
22
23
40
50
61
62
70
80
99
Attachment 8
Page 7
FUEL PROCESSING
MAINTENANCE AND SUPPORT (SITE-WIDE)
REACTOR
RESEARCH, GENERAL
RESEARCH, FUSION
WASTE PROCESSING/MANAGEMENT
WEAPONS FABRICATION AND TESTING
OTHER
Vertical line denotes change.
Table 2
Facility Type
1 /
Workers should be assigned to one facility type where the predominant amount
of the individual's work takes place.
1 /
CODE FACILITY TYPE OR OPERATION
ACCELERATOR
FUEL/URANIUM ENRICHMENT
FUEL FABRICATION
10
Attachment 8
Page 8 DOE 5484.1 Chg 3
11-6-87
CODE
Table 3
Occupational Codes
OCCUPATIONAL CODES 1 /
OCCUPATIONAL CATEGORIES SOC REFERENCE
MANAGERS AND ADMINISTRAORS
PROFESSIONAL
Engineers
Scientists
Health Physicists
Misc. Professionals
Doctors and Nurses
Technicians
Health Technicians
Engineering Technicians
Science Technicians
Radiation Monitors/Techs.
Misc. Technicians
SALES
ADMIN, SUPPORT AND CLERICAL
SERVICE
Firefighters
Security Guards
Food Service Employees
Janitors
Misc. Service
AGRICULTURE
Groundskeepers
Forest workers
Misc. Agriculture
REPAIR/CONSTRUCTION
Mechanics/Repairers
Masons
Carpenters
Electricians
Painters
Pipe Fitter
Miners/Drillers
Misc. Repair/Construction
PRECISION/PRODUCTION
Machinists
Sheet Metal Workers
Operators, Plant/System/Utility
Machine Setup/Operators
Welders and Solderers
Misc. Precision/Production
Vertical line denotes change.
11-14
15-39
16
17-19
1843
20-25, 32-34
26-30
35-39
36
37
38
383
39
40-44
45-47
50-52
5 1 2
513/4
5 2 1
524
523, 525/6
55-58
562
57
55, 561, 58
60-65
60-61
641
642
643
644
645
65
62,640
67-78
681
682
69
71-76
771
67, 683-688, 772-78
642
643
644
645
650
660
-
661
662
690
710
771
730
110
-
160
170
134
200
260
350
360
370
380
383
390
400
450
-
512
513
521
524
525
-
562
570
580
-
610
641
1 /
Attachment 8
Page 9 (and 10)
Vertical line denotes change.
DOE 5484.1 Chg 3
11-6-87
TRANSPORT
Truck Drivers
Bus Drivers
Pilots
Equipment Operators
Misc. Transport
HANDLERS/LABORERS/HELPERS
MILITARY
MISCELLANEOUS
-
820
821
825
830
840
850
910
990
81-83
8212-8214
8215
825
83
81, 8216-824, 826
85-87
91
99
1 /
The occupational classifications provided have been standardized to the
codes in the Department of Commerce's Standard Occupational Classification (SOC)
Manual (1980). If a differing classification system exists onsite, arrange-
ments should be made with EG&G Idaho to have them develop a conversion
program if retentionof the existing classification system is desired.
DOE 5484.1 Chg 3
11-6-87
Section 57
Attachment 11
Page 1
SUMMARY OF EXPOSURES RESULTING IN INTERNAL BODY DEPOSITIONS
OF RADIOACTIVE MATERIALS FOR CV 19
Vertical line denotes change.
DOE 5484.1 Chg 3
11-6-87
Vertical line denotes change.
Attachment 11
Page 2
ANNUAL SUMMARY OF EXPOSURES
RESULTING IN INTERNAL BODY DEPOSITION OF RADIOACTIVE MATERIALS
Attachment 12
Page 1
RADIOACTIVE EFFLUENT/ONSITE DISCHARGES/UNPLANNED RELEASES
DOE 5484.1 Chg 3
11-6-87
Vertical line denotes change.
ANNUAL INDUSTRIAL SUMMARY OF FIRE AND OTHER PROPERTY DAMAGE EXPERIENCE
(Suggested Format)
an aggregate loss of $__ was suffered during 19 CV as a consequence of property
damage accidents on Department of Energy-owned property for which this office has
responsibility. About __ percent of this loss resulted from the accidents
listed below. A description of each accident involving a loss of $5,000 or more
is attached.
Major 19 CV Department of Energy Property Damage Accidents
(1)
(2)
Loss Date Location Type of Accident
$15,000 7/24 Powerplant, Spontaneous ignition of
Fernald coal in boiler feed bin.
Loss Experience Analysis. The monetary damage or loss suffered
from the following categories of accidnets should be presented:
(a)
(b)
(C)
(d)
(e)
(f)
(g)
Fire.
Explosion.
Nature.
Mechanical.
Electrical.
Radiation/Contamination.
Other.
Recurring Loss Prevention Costs. The major available recurring
costs of control or property damage or loss from the subject causes
are primarily incurred as a consequence of paid fire department,
volunteer brigade, and fire protection engineering expenses. A
comparison of such costs with that of previous years should be set
forth in charts (or tables). Data should be given for 19 CV and at
least 2 previous years. If too voluminous, data should be given in
an attached exhibit or reduced to chart form. Minimum data should
include:
(a) Dollar cost in 19 CV and 1 previous year for contractor and
field element fire department, fire brigade, and fire
protection engineering expenses.
Vertical line denotes change.
DOE 5484.1 Chg 3
11-6-87
Attachment 13
Page 1
(4)
(5)
13
(b)
(c)
As above, but expressed in terms of dollar cost per $1,000,000
of Department of E