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DOE-STD-1197-2011

October 17, 2011

Occurrence Reporting Causal Analysis

The purpose of causal analysis is to identify and understand the causes (both individual and organizational) that contributed to an occurrence in order to correct deficiencies. DOE O 232.2, Occurrence Reporting and Processing of Operations Information, requires the investigation and analysis of occurrences. Pursuant to DOE O 232.2, causal analyses of occurrences and near misses must go beneath the surface to identify how the underlying sources of operational vulnerability combined to produce unintended or undesired results.