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General Information: |
| A. Evaluator:_______________________ |
Organization:___________________ |
Ph:_________________ |
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B. Interviewee:_____________________ |
Organization:____________________ |
Ph:_________________ |
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C. Activity Name :_____________________________________________________ |
| General/Administrative Support |
Mission/Facility Support |
(Circle One) |
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| D. Safety Related: |
_____Yes |
_____No |
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| E. Procedure #: _______________________________________________________ |
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| F. Charge Number: _____________________________________________________ |
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| G. Frequency for Conducting the Activity: (Circle One) |
- Hourly
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Shiftly |
Daily |
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Weekly |
Bi-weekly |
Monthly |
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Quarterly |
Semi-Annually |
Annually |
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Other:_______________________ |
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| H. Will the performance of this activity be required until this facility is dispositioned? If no, when will the performance of this activity no longer be required? |
- Yes
- No; Date or Terminating Event: _________________________________
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| I. Approximate number of personnel and man-hours required to complete the activity each time the activity is performed? (Include all support personnel and pre- and post- evolution time) |
- Number of Personnel:___________
| Man-Hours:_________ | |
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| J. Comments:
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| RBSM Prioritization Process Interview Form - Section A |
| A-1. Is the activity driven by a regulatory requirement?____________________(List)
| Yes | No
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- Yes - Go to Question # A-2
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| No- Go to Question #A-4 |
| A-2. Have operations or conditions changed significantly such that the driver is no longer applicable to this activity? | Yes | No |
- Yes - "Activity is a candidate for cancellation"
- No - Go to Question # A-3
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| A-3. Can and/or should this requirement be renegotiated? | Yes/Maybe | No
| - Yes/Maybe - "Activity is a candidate for further evaluation " Go To Section G
- No - Mission/Facility Support Go to Section B
- General/Administrative Support Go to Section E
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| A-4. Is the activity driven by a commitment to the DNFSB or to a stakeholder group? | Yes | No
| - Yes - Go to Question # A-5 _______________________________(List)
- No - Go to Question # A-7
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| A-5. Have operations or conditions changed significantly such that the driver is no longer applicable to this activity? | Yes | No
| - Yes - "Activity is a candidate for cancellation"
- No - Go to Question # A-6
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| A-6. Can and/or should this requirement be renegotiated? | Yes/Maybe | No
| - Yes/Maybe - "Activity is a candidate for further evaluation " Go To Section G
- No - Mission/Facility Support Go to Section B
- General/Administrative Support Go to Section E
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| A-7. Is the activity driven by a DOE Order? ________________________(List) | Yes | No
| - Yes - Go to Question # A-8
- No - Go to Question # A-14
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| A-8. Have operations or conditions changed significantly such that the driver is no longer applicable to this activity? | Yes | No
| - Yes - "Activity is a candidate for cancellation"
- No - Go to Question # A-9
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| A-9. Has a documented evaluation been done to establish the need and the frequency or level of effort for this activity? | Yes | No
| - Yes - Go to question # A-10
- No - Go to Question # A-11
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| A-10. Has the activity been revised to reflect the results of that evaluation? | Yes | No
| - Yes - "Activity requires no further evaluation"
- No - Mission/Facility Support Go to Section B
- General/Administrative Support Go to Section E
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| A-11. Has the order been revised in the last 2 years? | Yes | No
| - Yes - Go to Question # A-12
- No - Mission/Facility Support Go to Section B
- General/Administrative Support Go to Section E
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| A-12. Has the current activity been updated to reflect the revised DOE Order? | Yes | No
| - Yes - Go to Question # A-13
- No - "Activity is a candidate for further evaluation " Go To Section G
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| A-13. Can and/or should relief be obtained from performing all or part of this activity? | Yes/Maybe | No
| - Yes/Maybe - "Activity is a candidate for further evaluation " Go To Section G
- No - Mission/Facility Support Go to Section B
- General/Administrative Support Go to Section E
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| A-14. Is the activity addressed in an identified technical safety document? | Yes | No
| - Comment: __________________________________________
- Yes - Go to Question # A-15
- No - Go to Question # A-17
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| A-15. Have operations or conditions changed significantly such that the driver is no longer applicable to this activity? | Yes | No
| - Yes - "Activity is a candidate for cancellation"
- No - Go to Question # A-16
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| A-16. Is the activity being conducted in accordance with that technical safety document? | Yes | No
| - Comment: __________________________________________
- Yes - Mission/Facility Support Go to Section C
- General/Administrative Support Go to Section F
- No - "Activity is a candidate for further evaluation " Go To Section G
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| A-17. Is the activity being performed based on national commercial standards? | Yes | No
| | List: _______________________________________________
| - Yes - Go to Question # A-18
- No - General/Administrative Support Go to A-22;
- Mission/Facility Support Go To A-19
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| A-18. Have operations or conditions changed significantly such that the driver is no longer applicable to this activity? | Yes | No
| - Yes - "Activity is a candidate for cancellation"
- No - Mission/Facility Support Go to Section B
- General/Administrative Support Go to Section E
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| A-19. Is the activity being performed in accordance with a technical or vendor specification? | Yes | No
| - Comment: ____________________________________________
- Yes - Go to Question # A-20
- No - Go to Question # A-22
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| A-20. Have operations or conditions changed significantly such that the driver is no longer applicable to this activity? | Yes | No
| - Yes - "Activity is a candidate for cancellation"
- No - Go to Question # A-21
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| A-21. Has a graded approach been taken to the performance of this activity? | Yes | No
| - Yes - Go to Section D
- No - "Activity is a candidate for further evaluation " Go To Section G
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| A-22. Is the activity based on best management practices / best practices or on lessons learned? | Yes | No
| - (General/Admin Support) (Mission/Facility Support)
- Comment: __________________________________________
- Yes - Go to Question A-23
- No - "Activity is a candidate for cancellation"
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| A-23. Have operations or conditions changed significantly such that the driver is no longer applicable to this activity? | Yes | No
| - Yes - "Activity is a candidate for cancellation"
- No - Mission/Facility Support Go to Section C
- General/Administrative Support Go to Section F
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| RBSM Prioritization Process Interview Form - Section B |
| B-1. Is the activity performed on a material? | Yes | No
| - Yes - Go to Question # B-2
- No - Go to Question # B-4
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| B-2. Are there identified vulnerabilities with this material in its current configuration? | Yes | No
| - Comment::_________________________________________________
- Yes - Go to Question # B-3
- No - "Activity is a candidate for a frequency change"
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| B-3. Is the activity being performed specifically to address these vulnerabilities? | Yes | No
| - Yes - "Activity requires no further evaluation"
- No - "Activity is a candidate for further evaluation " Go To Section G
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| B-4. Is the activity performed on a system or one of its components? | Yes | No
| - Yes - Go to Question # B-6
- No - Go to Question # B-5
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| B-5. Is this activity performed on an area/room or on a piece of equipment? | Area/room | Equipment
| - Area/Room - Go to Question # B-6
- Equipment - Go to Question # B-6
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| B-6. Is the activity being conducted or is the system/component or equipment being operated to support a current or future mission? (circle one) | Yes | No
| - Yes - Go to Question # B-7
- No - "Activity is a candidate for cancellation"
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| B-7. Is the activity being conducted or is the system/component or equipment being operated for a safety related purpose? (circle one) | Yes | No
| - Yes - Go to Question # B-8
- No - Go to Question # B-9
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| B-8. Is this safety related activity being conducted at a level greater than the minimal level required? | Yes | No
| - Yes - "Activity is a candidate for a frequency change"
- No - "Activity requires no further evaluation"
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| B-9. Is the activity being conducted at a level greater than the minimal level required? | Yes | No
| - Yes - "Activity is a candidate for a frequency change"
- No - "Activity is a candidate for further evaluation"
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| RBSM Prioritization Process Interview Form - Section C |
| C-1. Is the activity performed on a material? | Yes | No
| - Yes - Go to Question # C-2
- No - Go to Question # C-4
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| C-2. Are there identified vulnerabilities with this material in its current configuration? | Yes | No
| - Yes - Go to Question # C-3
- No - "Activity is a candidate for a frequency change"
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| C-3. Is the activity being performed specifically to address these vulnerabilities? | Yes | No
| - Yes - "Activity requires no further evaluation"
- No - "Activity is a candidate for further evaluation " Go To Section G
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| C-4. Is the activity performed on a system or one of its components? | Yes | No
| - Yes - Go to Question # C-6
- No - Go to Question # C-5
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| C-5. Is this activity performed on an area/room or on a piece of equipment? | Area/room | Equipment
| - Area/Room - Go to Question # C-6
- Equipment - Go to Question # C-6
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| C-6. Is the activity being conducted or is the system/component or equipment being operated to support a current or future mission? (circle one) | Yes | No
| - Yes - Go to Question # C-7
- No - "Activity is a candidate for cancellation"
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| C-7. Is the activity being conducted or is the system/component or equipment being operated for a safety related purpose? (circle one) | Yes | No
| - Yes - "Activity requires no further evaluation"
- No - "Activity is a candidate for further evaluation " Go To Section G
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| RBSM Prioritization Process Interview Form - Section D |
| D-1. Is the activity performed on a system or one of its components? | Yes | No
| - Yes - Go to Question # D-3
- No - Go to Question # D-2
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| D-2. Is this activity performed on an area/room or on a piece of equipment? | Area/room | Equipment
| - Area/Room - Go to Question # D-3
- Equipment - Go to Question # D-3
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| D-3. Is the activity being conducted or is the system/component or equipment being operated to support a current or future mission? (circle one) | Yes | No
| - Yes - Go to Question # D-4
- No - "Activity is a candidate for cancellation"
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| D-4. Is the activity being conducted or is the system/component or equipment being operated for a safety related purpose? (circle one) | Yes | No
| - Yes - "Activity requires no further evaluation"
- No - "Activity is a candidate for further evaluation " Go To Section G
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| RBSM Prioritization Process Interview Form - Section E |
| E-1. Does this activity involve the management of records, data, information, etc.? | Yes | No
| - Yes - Go to Question E-2
- No - Go to Question E-4
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| E-2. Is this the only process on-site that can be used to perform this same task? | Yes | No
| - Yes - Go to Question E-3
- No - "Activity is a candidate for further evaluation " Go To Section G
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| E-3. Is the activity being conducted at a level greater than the minimal level required? | Yes | No
| - Yes - "Activity is a candidate for a frequency change"
- No - "Activity requires no further evaluation"
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| E-4. Does the activity involve the development or review of policies, procedures or work plans? | Yes | No
| - Yes - Go to Question # E-5
- No - Go to Question # E-8
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| E-5. Is the activity done for a safety related purpose? | Yes | No
| - Yes - Go to Question # E-6
- No - Go to Question # E-7
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| E-6. Is the activity being conducted at a level greater than the minimal level required? | Yes | No
| - Yes - "Activity is a candidate for a frequency change"
- No - "Activity requires no further evaluation"
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| E-7. Is the activity being conducted at a level greater than the minimal level required? | Yes | No
| - Yes - "Activity is a candidate for a frequency change"
- No - "Activity is a candidate for further evaluation " Go To Section G
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| E-8. Does the activity involve personnel or the procurement of goods and services? | Personnel | Procurement
| - Personnel - Go to Question # E-9
- Procurement of Goods/Services - Go to Question # E-19
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| E-9. Does the activity involve personnel training or other routine requirements? | Yes | No
| - Yes - Go to Question # E-10
- No - Go to Question # E-13
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| E-10. Does the activity support the current job assignment of the individual? | Yes | No
| - Yes - Go to Question # E-11
- No - "Activity is a candidate for cancellation"
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| E-11. Is the activity being provided more frequently than required? | Yes | No
| - Yes - "Activity is a candidate for a frequency change"
- No - Go to Question # E-12
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| E-12. Do all the personnel in this job classification need to meet this requirement? | Yes | No
| - Yes - "Activity requires no further evaluation"
- No - "Activity is a candidate for further evaluation " Go To Section G
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| E-13. Does this involve activities related to stakeholder support? | Yes | No
| - Yes - Go to Question # E-14
- No - Go to Question # E-15
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| E-14. Is the activity conducted at a level greater than that committed to? | Yes | No
| - Yes - "Activity is candidate for a frequency change"
- No - "Activity requires no further evaluation"
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| E-15. Does the activity involve the supervision or oversight of personnel? | Supervision | Oversight
| - Supervision - Go to Question # E-16
- Oversight - Go to Question # E-17
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| E-16. Does this activity involve the management/supervision of fewer than five direct reports? | Yes | No
| - Yes - "Activity is a candidate for a frequency change"
- No - "Activity requires no further evaluation"
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| E-17. Does the driver specify the amount or frequency of oversight? | Yes | No
| - Yes - Go to Question # E-18
- No - "Activity is a candidate for further evaluation " Go To Section G
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| E-18. Is the activity being performed at the specified frequency? | Yes | No
| - Yes - "Activity requires no further evaluation"
- No - "Activity is a candidate for a frequency change"
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| E-19. Is the procurement related to an identified safety class item? | Yes | No
| - Yes - "Activity requires no further evaluation"
- No - Go to Question # E-20
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| E-20. Are safety class requirements being applied anyway? | Yes | No
| - Yes - "Activity is a candidate for further evaluation " Go To Section G
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- No - "Activity requires no further evaluation"
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| RBSM Prioritization Process Interview Form - Section F |
| F-1. Does this activity involve the management of records, data, information, etc.? | Yes | No
| - Yes - Go to Question # F-2
- No - Go to Question # F-3
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| F-2. Is this the only process on-site that can be used to perform this same task? | Yes | No
| - Yes - "Activity requires no further evaluation"
- No - "Activity is a candidate for cancellation"
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| F-3. Does the activity involve the development or review of policies, procedures or work plans? | Yes | No
| - Yes - Go to Question # F-4
- No - Go to Question # F-5
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| F-4. Is the activity done for a safety related purpose? | Yes | No
| - Yes - "Activity requires no further evaluation"
- No - "Activity is a candidate for further evaluation " Go To Section G
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| F-5. Does the activity involve personnel or the procurement of goods and services? | Personnel | Procurement
| - Personnel - Go to Question # F-6
- Procurement of Goods/Services - Go to Question # F-11
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| F-6. Does the activity involve personnel training or other routine requirements? | Yes | No
| - Yes - Go to Question # F-7
- No - Go to Question # F-9
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| F-7. Does the activity support the current job assignment of the individual? | Yes | No
| - Yes - Go to Question # F-8
- No - "Activity is a candidate for cancellation"
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| F-8. Do all the personnel in this job classification need to meet this requirement? | Yes | No
| - Yes - "Activity requires no further evaluation"
- No - "Activity is a candidate for further evaluation " Go To Section G
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| F-9. Does the activity involve the supervision or oversight of personnel? | Supervision | Oversight
| - Supervision - Go to Question # F-10
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