Occurrence Reporting

Tlie DOE Office of Environmental Safety and Health distributes monthly summaries ba.scd on data retreived from the DOE Occurrence Reporting and Processing System (ORPS) to share chemical safety concerns throughout the industry to alert operators of similar processes. In addition quarterly and annual reviews feature lessons learned from ORPS by trending analyses of ini an... 

The Abnormal Occurrences Reporting System contains unusual plant events and human factors associated with normal operation from the U.S., Sweden, and all relevant ECC countries except Germany (discussions are in progress there). 

US Department of Energy s Occurrence Reporting and Processing System (ORPS)... 

Commodity Pipeline Occurrence Report - Natural Gas Pipeline Rupture. Transportation Safety Board of Canada Report Number P94H0003, 1995-08-23. 

May 26. 1999 TOCDF - Occurrence Report No 99-05-26-Al After repeated decontamination and stripping down to bare skin of four workers ACAMS alarms continued to ring off in the B airlock. 

Complete an adverse occurrence report on the primary nurse. 

Because the client did not receive the crushed enteric-coated ASA, no adverse occurrence report needs to be completed. This form is completed if the client s condition has been compromised in some way. 

An occurrence report should not be completed because the charge nurse stopped the action before the client received the injection in the incorrect muscle. The charge nurse would want to discuss... 

Occurrence Report—A documented evaluation of an event or condition that is prepared in sufficient detail to enable the reader to assess its significance, consequences, or implications and to evaluate the actions being proposed or employed to correct the condition or to avoid recurrence. 

Are occurrence reports evaluated for applicability and communicated to the right individuals ... 

The following lessons learned are extracted from DOE Operating Experience (OE) Weekly Summary and Occurrence Reporting and Processing System (ORPS) reports and are included in this Appendix as potential learning and training tools for the reader. 

DEFENSE PROGRAMS OCCURRENCE REPORTING BINNED INFORMATION TRENDING TOOL (DP/ORBITT)... 

Source Review of Occurrence Reports by Department analysts. 

The designers will identify many of the hazards, but not all - which provides insight into the importance of the Occurrence Reporting System (see Section 11.2.5). 

Continuing airworthiness is the responsibility of the owner/operator. The most important element for the success of the continuing airworthiness function is a cooperative and efficient international system of data and information exchange between the owners, operators, maintainers, airworthiness authorities and equipment manufacturers. This is the purpose of the Occurrence Reporting System. 

To correct any deficiencies found as a result of the Occurrence Reporting system, a Design Organisation might elect to issue a Service Bulletin (SB) to end users. From a legal perspective, the SBs are not mandatory in character (unless under AD cover letter). ... 

The immature and inconsistent processes used to determine and validate human responses to failure identified in the Safety Assessment (see Step 3c in Chapter 10). There require extra vigilance in certification, entry to service and should be supported by in-service occurrence reporting [EASA Part 21.A.3A]. 

The Mandatory Occurrence Reporting Scheme (MORS) Provides a mechanism for notifying and reporting a range of adverse occurrences regardless of whether they result in an accident. MORS feeds into a database at national level for trend analysis and feedback to the industry. 

Approvals - SAR, TSR and changes thereto. -tests and experiments. Operating procedures and changes thereto. -HCF changes and modifications. -maintenance and testing activities. -conduct of operations. -operationai abnormaiities and occurrence reports. 17.4... 

DOE O 232.1A, Occurrence Reporting and Processing of Operations Information (DOE 1997), establishes criteria and procedures for the reporting of unusual occurrences, including those that are the result of human error and that have programmatic significance. 

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