24
DOE G 414.1-5
3-2-06
circumstances or conditions to those in the identified finding or an operational failure). Has
sufficient time elapsed since implementation of the corrective actions for the same or similar
problem or failure to occur? If the same or similar problems occur, the causal factors need to
be analyzed to determine if they are also the same or similar to the previously identified
finding.
·
The review participants should determine whether completed corrective actions comply with
applicable laws, regulations, directives, and other applicable requirements.
·
The review participants should review selected samples of corrective actions for each finding
both individually and collectively, to verify closure and effectiveness in resolving findings
and preventing recurrence. For example, individual corrective actions may be ineffective or
indeterminate, but collectively they may have effectively resolved a finding. Conversely,
even if all the corrective actions have been individually effective, the original finding may
not have been adequately resolved and the collective corrective actions may be ineffective in
resolving the causal factors contributing to the finding. In this situation, new or revised
corrective actions may need to be developed and implemented.
·
If the conditions for implementing a corrective action can occur only under specific
conditions or at a specific time, the review participants should determine whether those
conditions occurred. If not, the review participants should determine the feasibility of testing
corrective action effectiveness under simulated conditions. If not feasible, review
participants may include a description of the necessary conditions in their report and
recommend that the review be conducted later, when those conditions will occur. For
example, if the effectiveness review team recommends the most realistic and cost effective
way to review the effectiveness of specific corrective actions just completed for a specific
finding is to observe the annual site-wide emergency response exercise scheduled in 8
months, the lead manager will need to decide on the recommendation and other review
alternatives. If the corrective action effectiveness review is due to be completed in 6 months,
the lead manager may decide to extend the planned review completion date. This decision
should be annotated and followed up.
·
If the initial sample of corrective actions indicates problems in their closure and/or effective
resolution of the problem finding, the review participants should expand the sample of
completed corrective actions to analyze the status of the finding.
7.5
TYPES OF EFFECTIVENESS REVIEW ACTIVITIES
Several types of review activities to determine the effectiveness of corrective actions are
available for use by the review individual(s) and/or team(s). Effectiveness review participant
members should carefully plan activities to ensure a thorough and accurate verification of
closure. In some instances, it may be feasible to use more than one type activity in order to
cross-check conclusions and enhance validity of review results. Types of activities review
Summary :
For example, if the effectiveness review team recommends the most realistic and cost effective way to review the effectiveness of specific corrective actions just completed for a specific finding is to observe the annual site-wide emergency response exercise scheduled in 8 months, the lead manager will need to decide on the recommendation and other review alternatives. 7.5 TYPES OF EFFECTIVENESS REVIEW ACTIVITIES Several types of review activities to determine the effectiveness of corrective actions are available for use by the review individual(s) and/or team(s).
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