**INDEPENDENT VERIFICATION**

**1.0 Objective**

The objective of this surveillance is to evaluate the conduct of
selected independent verification activities. This surveillance provides
a basis for evaluating the effectiveness of the contractor\'s
independent verifications programs and for establishing compliance with
DOE requirements.

**2.0 References**

2.1 DOE 5480.19, *Conduct of Operations Requirements for DOE Facilities*

2.2 DOE-STD-1036-93, *Guide to Good Practices for Independent
Verification*

**3.0 Requirements Implemented**

This surveillance is conducted to implement requirements of the
Functions, Responsibilities and Authorities Manual, Section 20,
Operations, FRAM #s 4253, 4258, and 4261. These requirements are drawn
from DOE 5480.19.

**4.0 Surveillance Activities**

The Facility Representative selects an activity (e.g., returning
equipment to service following maintenance, removing equipment from
service, system lineups) that requires independent verification of
selected components. The Facility Representative observes conduct of the
original check of component position as well as the independent
verification.

**Surveillance Guideline**

**INDEPENDENT VERIFICATION**

Surveillance No.: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Facility: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Date Completed: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

[Yes]{.underline} [No]{.underline} [N/A]{.underline}

\_\_\_ \_\_\_ \_\_\_ 1. Are personnel who perform independent
verification trained and qualified on the subject system?

DOE 5480.19, Attachment 1, Chapter 10, C. 3.

\_\_\_ \_\_\_ \_\_\_ 2. Are personnel who perform independent
verification trained on independent verification procedures and methods?

DOE 5480.19, Attachment 1, Chapter 10, C. 3.

\_\_\_ \_\_\_ \_\_\_ 3. Is the independent verifier separated from the
original checker by time and distance?

DOE 5480.19, Attachment 1, Chapter 10, C. 3. a.

\_\_\_ \_\_\_ \_\_\_ 4. Is the interaction between personnel who operate
the equipment and those who perform independent verification minimized?

DOE 5480.19, Attachment 1, Chapter 10, C. 3. a.

\_\_\_ \_\_\_ \_\_\_ 5. Do the original and independent verification
checks consist of component identification and a determination of both
required and actual position?

DOE 5480.19, Attachment 1, Chapter 10, C. 3. a.

\_\_\_ \_\_\_ \_\_\_ 6. Has a facility specific list of systems and
components which should receive independent verification been developed?

DOE 5480.19, Attachment 1, Chapter 10, C. 1.

\_\_\_ \_\_\_ \_\_\_ 7. Does the independent verifier understand that he
should not attempt to position a component to correct a verification
inconsistency, but should report the inconsistency to his supervisor?

DOE 5480.19, Attachment 1, Chapter 10, C. 2. d.

[Yes]{.underline} [No]{.underline} [N/A]{.underline}

\_\_\_ \_\_\_ \_\_\_ 8. Is independent verification performed locally?
Is the use of remote indicators minimized?

DOE 5480.19, Attachment 1, Chapter 10, C. 3. b.

\_\_\_ \_\_\_ \_\_\_ 9. Are position indicators, scribe marks, or other
approved designated indicators used to determine throttle valve
positions?

DOE 5480.19, Attachment 1, Chapter 10, C. 3. d.

\_\_\_ \_\_\_ \_\_\_ 10. If surveillance testing is used as a means of
independent verification, does it confirm the position of each required
component?

DOE 5480.19, Attachment 1, Chapter 10, C. 3. e.

\_\_\_ \_\_\_ \_\_\_ 11. Is each of the independent verification methods
approved in facility procedures?

DOE 5480.19, Attachment 1, Chapter 10, C. 3.

\_\_\_ \_\_\_ \_\_\_ 12. Are process parameters used where applicable as
an additional method for confirming component position? (In most
instances, checking of process parameters is not a substitute for other
independent verification methods.)

DOE 5480.19, Attachment 1, Chapter 10, C. 3. c.

\_\_\_ \_\_\_ \_\_\_ 13. Are programmatic operations appraisals
independently conducted and/or verified to ensure that environment,
safety, and health considerations, and operations functions (such as
training) are being conducted in accordance with established operational
criteria?

DOE 5480.19, Attachment 1, Chapter 10, C. 3. f.

OTHER:

NOTES/COMMENTS:

PERSONNEL CONTACTED:

FINDINGS:

Finding No.:

Description:

OBSERVATIONS:

Observation No.:

Description:

FOLLOWUP ITEMS:

CONTRACTOR MANAGEMENT DEBRIEFED AND RESULTS:

Signature: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Date: \_\_\_\_\_/\_\_\_\_\_/\_\_\_\_\_

Facility Representative