Audit Report: IG-0736

The Office of Civilian Radioactive Waste Management's Corrective Action Program

Office of Inspector General

August 16, 2006
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August 16, 2006

The Office of Civilian Radioactive Waste Management's Corrective Action Program

Under the Department of Energy's (Department's) Corrective Action Program (CAP), the Yucca Mountain Project staff was instructed to report potential conditions adverse to quality (hereafter referred to as conditions) or safety into the Program database. Potential conditions include all failures, deficiencies, defective items, safety issues, and nonconformances with Quality Assurance requirements, which could affect the quality of the supporting technical information. As an alternative, employees who wish their identity to remain confidential can report potential conditions through the Employee Concerns Program (ECP). However, all conditions reported in the ECP and other tracking systems that are adverse to quality, must also be entered into the CAP database and assigned to a line management organization to develop and implement timely corrective actions. The benefit of a single tracking system is that deficiencies can be screened for significance, common cause analyses can be performed, and trending analyses can be used to identify repeat occurrences and potential significant problems. The CAP process also provides for the assignment of a significance level to the condition, ranging from Level A to Level D, depending on the actual or potential consequences of the condition. Level "A" condition reports, the most significant, include conditions, which if uncorrected could have a serious effect on safety, or serious effects on the performance of the repository, such as the ability to isolate waste. Level "D" condition reports are the least significant. Of the approximately 5,600 condition reports in the Corrective Action Program system, 14 were Level A; 783 were Level B; and, approximately 4,800 were Level C or D.

  • Under the Department of Energy's (Department's)
    Corrective Action Program (CAP), the Yucca Mountain
    Project staff was instructed to report potential conditions
    adverse to quality (hereafter referred to as conditions) or
    safety into the Program database. Potential conditions
    include all failures, deficiencies, defective items, safety
    issues, and nonconformances with Quality Assurance
    requirements, which could affect the quality of the
    supporting technical information. As an alternative,
    employees who wish their identity to remain confidential
    can report potential conditions through the Employee
    Concerns Program (ECP). However, all conditions
    reported in the ECP and other tracking systems that are
    adverse to quality, must also be entered into the CAP
    database and assigned to a line management organization to
    develop and implement timely corrective actions. The
    benefit of a single tracking system is that deficiencies can
    be screened for significance, common cause analyses can
    be performed, and trending analyses can be used to identify
    repeat occurrences and potential significant problems.
    The CAP process also provides for the assignment of a
    significance level to the condition, ranging from Level A to
    Level D, depending on the actual or potential consequences
    of the condition. Level "A" condition reports, the most
    significant, include conditions, which if uncorrected could
    have a serious effect on safety, or serious effects on the
    performance of the repository, such as the ability to isolate
    waste. Level "D" condition reports are the least significant.
    Of the approximately 5,600 condition reports in the
    Corrective Action Program system, 14 were Level A; 783
    were Level B; and, approximately 4,800 were Level C
    or D.