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NRC FORM 366 (777)CONTROL BLOCK:LU2 8lVi. License!: CODE::IN 'To 781 I o II, LICENSEE EVENT REPORT10(PLEASE PRINT OR TYPE ALL REQUIRED INFORMATIONI1 “:,6 I p I s I 1 101 0IA I s9!. C L E A R REGULATORY
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To fill out the LER 81-00901T-0ON 810522Westinghouse identified form:
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Start by entering the current date in the designated field.
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Provide the necessary identification details such as your name, employee number, and department.
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Specify the location where the identification was made, including the plant or facility name.
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Describe the identified issue or problem in detail, including its potential impact and any immediate actions taken.
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Provide any supporting evidence or documentation related to the identified issue.
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Enter the names and titles of any individuals involved or notified about the identification.
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The form helps in documenting and reporting identified issues so that appropriate actions can be taken to address them and prevent any potential hazards or failures.
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