Name of the QA Program Being Audited

QA: Nonpermanent

Office of Environmental Management

Audit Plan

YY-DOE-AU-0XX

Name of the QA program being audited

Location of the audit

Month, DD-DD, YYYY when audit is to be conducted

Preparer:

Insert Audit Team Leader NameDate

Insert Audit Team Leader Organization

Approved:

Robert D. Murray Date

Director

Office of Standards and Quality Assurance

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QA: Nonpermanent

1.0SCOPE

Representatives from the Office of Standards and Quality Assurance will conduct a quality assurance audit of [Insert Audited Organization]. The audit team will evaluate the adequacy and effectiveness of the [Select one of the following: High-Level Waste (HLW) or Spent Nuclear Fuel (SNF)]program implementation in compliance with the requirements of DOE/RW-0333P, Revision 20, Quality Assurance Requirements and Description (QARD). In addition, the audit team will review the effectiveness of corrective actions from previously closed corrective action reports. The status of the any remaining open corrective action reports from previous audits or surveillances will also be evaluated by the audit team.

2.0SCHEDULE

Pre-Audit Meetinghh:mm am to hh:mm am, Month DD, YYYY

Audit Activitieshh:mm am to hh:mm pm, Month DD, YYYY

hh:mm am to hh:mm pm, Month DD-DD, YYYY

hh:mm am to hh:mm pm, Month DD, YYYY

Daily Audit Team Caucushh:mm am to hh:mm pm, Month DD-DD, YYYY

Management Briefinghh:mm am to hh:mm am, Month DD-DD, YYYY

Post-Audit Meetinghh:mm pm to hh:mm pm, Month DD, YYYY

Audit Report Developmenthh:mm am to hh:mm pm, Month DD, YYYY

The daily team caucus is scheduled to review audit results, progress, and activities to be completed. The management briefings will communicate audit progress, issues, and any changes in the audit schedule. All meetings will be held at locations coordinated with the management of the audited organization.

3.0TEAM

Alpha, Office of Standards and Quality Assurance, Audit Team Leader

Bravo, [Enter Organization or Company], [Select one: Auditor or Technical Specialist]

Charlie, [Enter Organization or Company], [Select one: Auditor or Technical Specialist]

Delta, [Enter Organization or Company], [Select one: Auditor or Technical Specialist]

4.0PROCEDURES

The audit team will be qualified per the effective revision of Administrative Procedure AP-2.1Q, Qualification of Personnel. The effective versions of the following EM procedures will govern the conduct of the audit:

• AP-16.1Q, Corrective Action
• AP-18.1Q, Audits

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QA: Nonpermanent

5.0WASTE ACCEPTANCE ITEMS IMPACTING/ACTIVITIES AND APPLICABLE REQUIREMENTS

Item or Activity / Applicable Requirements / Team Assignment
[Include description of item or activity from the audited organization’s list of waste acceptance impacting items or activities.]
[In cases of programs not having a list of waste acceptance impacting items or activities (e.g. HLW and UNF Oversight Program,), this column can be deleted.] / QARD
x.0Section Title
y.0Section Title
WASRD (as needed)
x.0Section Title
y.0Section Title / [Include the name(s) of those listed in Section 3.0 of the audit plan assigned to audit this item or activity.]

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