RSF 03.09_11
(WSC-TEM-CRT)
Condition Report
Issue 2 07/2016
Page 1 of 4
Condition Report Reference:
Ranking:
Category:
Associated Early Warning Notice Reference:
Enter CR reference.
Choose Ranking.
Choose Category.
Enter associated EWN reference or N/A.
Introduction
This Condition Report (CR) is issued by LLW Repository Ltd to notify:
1.
The Customer of an issue in regards to Waste Management that has been highlighted by LLW Repository Ltd. (or one of its
service providers) for Treatment and / or Disposal.
2.
The Service Provider of an issue encountered with their offered service.
Or
It provides details of the issue and requested actions required to be underaken by the Customer/Service Provider.
If you need any assistance or have any questions following receipt of this Condition Report, please contact Name.,
by e-mail: Email or by telephone: Phone Number who has/have been assigned as the contact(s) for this Condtion Report.
1. Customer/Service Provider Information
Company Name:
Site Name:
Customer Code:
Contact Name:
Contact E-mail address:
Contact Telephone Number:
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2a. Consignment Information (as applicable)
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Customer Consignment ID:
Anticipated
Volume:
Container Type
and Serial No.
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Description:
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Date Consigned: (if known)
Date
Receipt Date at Facility: (if known)
Date
Date issue raised
Date
Receipt Location:
☐
Low Level Waste Disposal (including disposal of any Secondary Waste)
☐
Supercompactable Waste Treatment @ Click here to enter text.
☐
Metallic Waste Treatment @ Click here to enter text.
☐
Combustible Waste Treatment @ Click here to enter text.
☐
Very Low Level Waste Disposal @ Click here to enter text.
☐
Other (please give details): Click here to enter text.
2b. Service Information (as applicable)
Service Provider
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Service Description
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Service Location
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Date
Date
RSF 03.09_11 Issue 2 July 2016
A company owned by UK Nuclear Waste Management Ltd
Page 1 of 4
Produced by Document Production Team, LLWR
RSF 03.09_11
LLW Repository Ltd
(WSC-TEM-CRT)
Issue 2 07/2016
Condition Report
Page 2 of 4
Title
3. Condition Report Information
CR Date:
CR Identified During
Date
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CR Description:
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4. LLW Repository Ltd Action
On issuing of the CR detailed above, LLW Repository Ltd has taken the following Immediate Action
Action Taken:
☐ Waste Consignment placed On Hold (Consignment on hold until CR close out)
☐ Wastestream Suspended (Specific wastestream suspended until CR close out)
☐ Further Waste Consignments Suspended (No further consignments until CR close out)
☐ Waste Consignment Processed (Consignment processed but CR close out required)
☐ Other:
Additional Information
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RSF 03.09_11 Issue 2 July 2016
A company owned by UK Nuclear Waste Management Ltd
Page 2 of 4
Produced by Document Production Team, LLWR
RSF 03.09_11
LLW Repository Ltd
(WSC-TEM-CRT)
Issue 2 07/2016
Condition Report
Page 3 of 4
5.Title
Customer/Service Provider Action (Requested by LLWR)
Click here to enter text. is requested to take the following actions following receipt of this CR Report:
Action Required*:
☐ Immediate mitigation required to prevent further occurance.
*Select as required dependant on
☐ Provide additional information to support LLW Repository Ltd’s Investigation.
assigned ranking
☐ Investigate the CR and provide feedback with any Corrective Actions (as applicable).
☐ Meet with LLW Repository Ltd to jointly agree Corrective Actions.
☐ Review and accept LLW Repository Ltd’s proposals for Corrective Actions.
☐ No Further Action Required.
☐ Other: Click here to enter text.
Additional Information / Proposed Corrective Actions
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6. Customer/Service Provider Response
I Choose an item. this Condition Report and any Actions specified by LLW Repository Ltd in Section 5.
Name: (Please Print)
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Position: Click here to enter text.
Signature:
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Date:
Date
Description of Proposed Corrective Actions to be undertaken:
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Reason for Rejection of CR: (Where applicable)
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RSF 03.09_11 Issue 2 July 2016
A company owned by UK Nuclear Waste Management Ltd
Page 3 of 4
Produced by Document Production Team, LLWR
RSF 03.09_11
LLW Repository Ltd
(WSC-TEM-CRT)
Issue 2 07/2016
Condition Report
Page 4 of 4
FOR
LLW REPOSITORY LTD USE ONLY
Title
OSHENS Learning
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Report Reference
Issued On:
Date
Issued By:
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Closed On :
Date
Closed By:
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OSHENS Action
Reference
Position
Position
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Close out Statement
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Disrtibution List
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RSF 03.09_11 Issue 2 July 2016
A company owned by UK Nuclear Waste Management Ltd
Page 4 of 4
Produced by Document Production Team, LLWR