Get 10cfr21

The 10cfr21 form is essential for reporting defects and non-compliance concerning safety-related components in the nuclear industry. Filling out this form accurately ensures that necessary notifications are communicated effectively, maintaining safety and compliance standards.

Follow the steps to complete the 10cfr21 form online.

1. Click the ‘Get Form’ button to access the document and open it in the online editor.
2. Begin by accurately filling in the report number, revision number, and date in the designated fields at the top of the form. Ensure these details match the specific report you are creating.
3. In the ‘component’ section, specify the affected component, providing a detailed description such as ‘Speed Switch Capacitor Failure’ along with the part number.
4. Detail the system impacted, for example, ‘Emergency Diesel Generator’, in the relevant field to clarify the context of the report.
5. In the ‘conclusion’ section, affirm that the issue is reportable according to 10CFR Part 21. Clearly state your findings based on your investigation.
6. Provide a concise but informative summary of the issue, outlining the timeline and actions taken during the investigation in the summary section.
7. In the discussion area, include technical specifications and any relevant compliance details related to the component's performance and issues identified.
8. Complete the impact on operability section by describing how the failure of the component could affect the system's operation, particularly concerning safety.
9. Document the root cause evaluation thoroughly, providing findings from any analysis conducted, including specifics on component ratings and failures.
10. List any corrective actions proposed or implemented, ensuring to clarify measures taken to prevent future recurrence.
11. Upon finishing all sections, review the information for accuracy, then proceed to save changes, download, print, or share the form as needed, ensuring all stakeholders receive a copy.

Ensure compliance and safety by completing the 10cfr21 form online today.