ML19249C705
| ML19249C705 | |
| Person / Time | |
|---|---|
| Site: | Crane  |
| Issue date: | 02/25/1979 |
| From: | Hoyt K METROPOLITAN EDISON CO. |
| To: | |
| References | |
| PROB-790225, TM-0869, TM-869, NUDOCS 7909170684 | |
| Download: ML19249C705 (5) | |
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JOB TICKET (WORK REQUEST)
REVIEW - CLASSIFICATION - ROUTING CONTROL FORfA JOB TICKET NUMBER f
1.
Does work represent a change or modificatien to en existing systens or compcnent?
If yes, an approved change modificatier,is required per AP 1021.
y C/M No.
Yas No 2a.
Doeswork require an RWP Yes No 2b. Is an approved procedure required to minimize parsonnel exposure.
Yes No 3a.
Is work on a QC component a: defined in GP 1003.
Yes No 3 b.
If 3a is yes does work have an effect on Nuclear Safety? If 3b is yes, PORC reviewed Superintendent approved procedure must b2 used.
Yes No 4
Agreement that a PO R C reviewed, Superintendent ep;: roved procedure is not required for this work ber. se it has no effect en nut! ear safety. ( Applias only if 3a is Yes and 3b is No).
Unit Sacerintendent Date 53.
Is the syst2m cn the Environmental Impact list in AP 102S Yes No Eb. If 5a is Yes, is =n approved prcctdure required to limit environrnentalimpact Yes No 6.
A;reement that 55 is No. (Required caly if Sa is Yes).
Unaf $uperirte'iden!'SuCe."visCr Of CQer3tlOf 5 O3{g 7.
Aant :tatus er nrere;uisite :encit: ens required for work.
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GC Da;:t. review,if required in item No. 3 GC Sucervisor Date C
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Su;:ervisor of Maintenance approval to ccmmence work: L. t4 w rA Date 24 79
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10.
'laintenance For man Assigned:
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Shif t Foreman's approval to commence work !NU i ' /y,C.W..GA'^
Date 3' /.7 / 7 7 j j s
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R:.jianan Warw Peet No.
signature is not required 7@348
i JOB TICKET (WORK REQUEST)
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REVIEW - CLASS!FICATION - ROUTING CONTROL FORM JOB TICKET (WORK REQUEST) NUMBER 12.
Retest met acceptanca criteria Yes No 13.
Werk Perf ormed by dateltime Work Reviewed - Maintenanca Foreman's Sicnature Date 14.
Work complated and compcnent al'igned for testing.
I Jnitiai if S. F. signature is nat required.
oa:e sn ec Foreman i s.gna ure 15.
Testing completed anc ccmpenent released for normal use.
Initial if S. F. signature is not required Cate shif t Foreman's S.; nature Quality Central Department review of work and testing comptated (QC work only).
16.
Cate Survedlance Report r43.
CO Capartment Supervisor of Maintenanca Job Ticket (Work Recuest) and procedure are complete and signed 17.
off as required. Change / modification term has been signed cff as required.
care supervnur o r.n.. w....ic c:;natu. s
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