By International Atomic Energy Agency
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Extra info for A system for the feedback of experience from events in nuclear installations : safety guide
Training (both initial and refresher) should be provided for the staff who might take part in an investigation. This should include training in investigation techniques, documentation needs, witness interviews, conflict resolution and dealing with confidentiality issues. Event investigation training for personnel from operating organizations is frequently available at the corporate department, the supporting organizations, the WANO and the Institute of Nuclear Power Operations, as well as through the IAEA.
For low level events, data collection, analysis and storage should be performed by the relevant technical departments. Operating organizations should store coded information from the feedback of operational experience in company-wide or (in some cases) national databases to facilitate easy access to and handling of the data (see also Annex I). The information should be organized with a clear and logical structure and should be readily available to any user without the need for extensive searching.
However, in some cases, such as for generic safety issues, the development of the corrective actions should involve other relevant organizations and, depending on the national regulatory infrastructure, may involve the regulatory body. Recommended actions should be aimed at 15 improving human performance, equipment or managed processes, such as by means of: — Modifications to equipment and the installation of additional devices and means to prevent the recurrence of the same or similar events; — Improvements of procedures and administrative measures, and additional checks and control; — Rectifying deficiencies revealed in the documentation for operation (operation manuals); — Rectifying deficiencies in normative documents; — Training personnel to perform jobs properly; — Making changes to the working environment; — Making changes to the planning and scheduling of work and/or to the individuals assigned to particular duties.