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PURPOSE This procedure defines the requirements and responsibilities for the control and calibration of measuring and test equipment (M&TE) at Oak Ridge National Laboratory (ORNL). APPLIES TO This procedure applies to control and calibration of M&TE at ORNL. Specifically, it is applicable to M&TE users and support organizations engaged in the control and calibration of M&TE. Calibration and control measures are not required for rulers, tape measures, levels, and other such devices if normal commercial equipment provides adequate accuracy. Requirements to be met are: o M&TE and test systems shall be calibrated at either prescribed intervals or before use. o M&TE users are required (1) to exercise the basic responsibility for control of M&TE used in their operations, (2) to coordinate with the calibration and verification organizations to maintain current all calibrated M&TE in use, and (3) to determine the impact of, and perform corrective action for, data collected and items evaluated or tested with M&TE found to be out of tolerance. o Calibration organizations are required to maintain (1) a calibration recall system for all M&TE under their cognizance and (2) standards in current calibration or verification. OTHER o ORNL Procedure X-AD-7, ORNL Records Management DOCUMENTS NEEDED WHAT TO DO A. Responsible User/Task Leader Calibrator NOTE 1: The following definitions are essential to proper application of this procedure: o calibration--the comparison of a measurement system or device of unverified accuracy to a measurement system or device of known and greater accuracy to detect or to correct any variation from required performance specifications of the unverified measurement system or device o M&TE--items used for measuring, gauging, testing, or evaluating performance or conformance to measurement requirements o verification--the act of reviewing, inspecting, testing, checking, auditing, or otherwise determining and documenting whether items, processes, services, or documents conform to specified requirements Note 2: Calibrations/verifications performed by the user are subject to the same general requirements as those done by a support organization providing calibration services. Documentation of calibration activities may be recorded in a technical notebook or a calibration log. User/Task 1. Reviews the application of M&TE for each task and Leader consults with appropriate technical staff to ensure that M&TE is of the proper type, range, accuracy, and tolerance for its intended use. 2. Establishes the status of M&TE (i.e., to be calibrated or verified by the user or the support organizations or not to be calibrated). 3. Identifies M&TE requiring a calibration verification as opposed to a calibration. 4. Initiates a user program or requests the services of a calibration support organization to place identified M&TE on a calibration recall program as appropriate. 5. Determines, in consultation with the support organizations, the interval, procedures, certification range, and accuracy to be achieved for calibrating or verifying M&TE. These determinations shall be documented between the user and the calibrating organizations. Extensions to the interval (i.e., grace period) up to 30 days may be given by the user. If the 30-day grace period is prohibited by a U.S. Department of Energy (DOE) order, law, safety requirement, or regulation, then the exception should be documented, and the new requirements should be defined. The maximum period between calibrations is 5 years. 6. Ensures that calibration procedures, internally developed or provided by a manufacturer or calibrating organization, are adequate and accessible. Calibration data should include the as-found and the as-left status of the M&TE being calibrated. 7. If calibration support is requested, then delegates record keeping to the appropriate calibrating organization. 8. Labels M&TE indicating calibration status (see Appendix A). The label provides for identification of the M&TE, calibrating organization, calibration date and next due date, and identification of the person performing the calibration. 9. When M&TE is found to exceed the calibration limits, then determines the effect on data, the impact on items evaluated or tested, and performance of M&TE since the date of most recent calibration. 10. When M&TE is found to be consistently out of calibration, then determines whether the M&TE should be repaired or replaced or whether the calibration frequency should be shortened. If the M&TE being calibrated is found to be consistently within the limits of calibration, then may extend the frequency of calibration. 11. Ensures that personnel using M&TE are cognizant of the calibration status of M&TE. 12. Ensures that M&TE found to be out of calibration is tagged and/or segregated and not used until recalibrated. 13. When recall is no longer required, then provides written notification to calibrating organizations to remove M&TE from a recall system. B. Organizations Responsible for Calibration Note 1: The Office of Radiation Protection, the Office of Safety and Health Protection, the Office of Quality Programs and Inspection, the Instrumentation and Controls Division, and the Plant and Equipment Division typically perform calibrations. Note 2: Calibration services shall include but are not limited to (1) a recall system for the periodic calibration of M&TE, (2) the ability to uniquely identify M&TE under their control, and (3) maintenance of a system for inventory, maintenance history, calibration history, calibration status, standards identification, and notification of M&TE overdue for calibration. Calibration 1. Must be cognizant of the applicable codes, standards, Organizations DOE orders, and ORNL and ORNL policies and procedures. 2. Consult with the M&TE user and agree on calibration procedures to be used, certification range, calibration interval, and accuracy to be achieved. 3. Perform calibrations on M&TE in accordance with the provisions of this procedure. 4. Determine the qualifications needed by personnel engaged in performing calibration activities. Identify training requirements, provide for training, and maintain training records as evidence of personnel qualification. 5. Provide for management of calibration standards used in performing calibration activities. Standards used for calibration activities shall be traceable to nationally recognized standards. Standards management shall be carried out in accordance with each organization's specific operating procedure. If no nationally recognized standards exist, then the basis of calibration shall be documented. 6. Maintain calibration standards in good repair, ensuring that standards are recalled at regular intervals for recalibration. 7. Provide for the recording and storage of calibration data. The calibration process shall include the recording of the as-found and the as-left condition of the M&TE. 8. When M&TE being calibrated is found to exceed the calibration limits, then notify the user in writing of the as-found and as-left condition. 9. Provide notification to the user of calibration records exceeding retention periods of 5 years or greater and a request for disposition. 10. Verify the status of M&TE used for calibration prior to performing calibration activities. 11. Perform calibrations in accordance with documented, reviewed, and approved procedures. Calibration procedures may be specific to ORNL activities or provided by the M&TE manufacturer. Procedures recommended by a manufacturer shall be reviewed for adequacy prior to use. 12. If M&TE is found to be consistently out of calibration, then notify the user. 13. Secure approval of the responsible user or facility manager prior to removing M&TE from a recall system. 14. Upon completion of the calibration process, affix to the M&TE, container, or other retrievable documents a calibration label or tag (see Appendix A for sample of label or tag) indicating the calibration status. 15. If calibrations are performed under controlled environmental conditions, then record the existing environmental conditions. If not, then document the conditions affecting the calibration process and the impact on the results. 16. Evaluate the calibration program for effectiveness and take actions based on the results to improve effectiveness. 17. When standards are found to exceed calibration limits, then provide to the user a list of M&TE calibrated with the standard since the last acceptable calibration. RECORDS NOTE: Calibration records are quality assurance records and shall be kept in accordance with an approved Records Inventory and Disposition schedule and ORNL X-AD-7. User/Task 1. Determines the retention time and disposition of Leader calibration records associated with the task requirements. Calibration 2. Maintain records of calibrations performed for a Organizations minimum of 5 years. This applies to organizations (internal and external to ORNL) that provide calibration services. User/Task 3. If calibration records are to be retained for more Leader than 5 years, then determines the disposition of the calibration records. Approved by: [J. H. Swanks] Associate Director Operations, Environment, Safety, and Health Oak Ridge National Laboratory
PIC - D. G. Prater
FPM - P. B. Hoke
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Updated:Wednesday, 12-Feb-97 12:49:32 EST(npn)