NOS Observation / Assessment

• Observation / Assessment Topic

• Location

• Conducted on

  Date

• Prepared by

• Observation / Assessment Completed

  Off

  On

• Observation Topic

• Date

  Date

• Departments Assessed / Observed

  Select Engineering Design Engineering Projects Work Management Maintenance Security Emergency Preparedness Nuclear Oversight Regulatory Affairs Engineering Systems Engineering Programs Operations Chemistry Radiation Protection Admin Training NCOT Maintenance, Modification Contractor Vendor

  • Engineering Design
  • Engineering Projects
  • Work Management
  • Maintenance
  • Security
  • Emergency Preparedness
  • Nuclear Oversight
  • Regulatory Affairs
  • Engineering Systems
  • Engineering Programs
  • Operations
  • Chemistry
  • Radiation Protection
  • Admin
  • Training
  • NCOT
  • Maintenance, Modification Contractor
  • Vendor

• Location (Field Observation)

• Assessor(s)

• Paired Observation?

  Yes

  No

Summary

• Overall Effectiveness Rating

  Effective

  Effective w/ Concerns

  Ineffective

• Assessment Results / Overall Evaluation

• Attributes / Activity Assessed

Evidence (Delta / Positives / Improvements)

• For Deltas, document what follow-up actions were performed to resolve issue (CAR, TRRQ, coaching, etc.)

• Deltas

• Positives

• Improvements

• Supporting Photos

  Media

• Insights

• Personnel Briefed

• References

• Observer / Assessor

  Sign