CONFIDENTIAL
THE INTERNATIONAL NUCLEAR EVENT SCALE (INES)
EVENT RATING FORM (ERF)
to be sent to: IAEA, WAGRAMERSTRASSE 5, P.O. BOX 100, A-1400 VIENNA, AUSTRIA
TFLEX: 1-12645, CABLE: INATOM VIENNA, FACSIMILE: 43 1 2309723, TELEPHONE: 43 1 2360 2685
EVENT
EVENT DATE
TITLE
ON SCALE
RATING
PROVISIOVIAL C
RATING
DATE
OUT OF BELOW
SCALE
DEGA CEFENCE INOSPTH
SCALE 0 | 1
2
3
4
6 6
SAFETY
ATTRIBUTE
FINAL
C
ON-SITE IMPACT
OFF-SITE IMPACT
+
COUNTRY
FACILITY
NAME
FACILITY TYPE
ASPECTS OF SIGNIFICANCE TO THE PUBLIC:
YES
NO
ACCIDENT O
INCIDENT □
DEVIATION O
RADIOACTIVE RELEASES OFF-SITE
RADIOACTIVE RELEASES ON-SITE
WORKERS INJURED BY RADIATION
WORKERS INJURED PHYSICALLY
PLANT SAFETY IS UNDER CONTROL
THE EVENT REPORTED IS A DISCOVERY OF A DEFICIENCY
BY ROUTINE SURVEILLANCE
A PRESS RELEASE WAS MADE (IF YES, PLEASE ATTACH IT)
SHORT DESCRIPTION OF THE EVENT:*
NAME
CONTACT PERSON FOR
ADDRESS
FURTHER INFORMATION
DO
O O
PHONE
FAX
• PLEASE ATTACH •OOTYOSAL INFORMATION ON JUSTIFICATION OF THE EVENT BATING AND DIFFICULTIES ENCOUNTERED, IN NODDED
·