ML20235R606

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Rev 8 to Procedure CPP-010, Preparation of Deviation Repts
ML20235R606
Person / Time
Site: Comanche Peak  Luminant icon.png
Issue date: 07/16/1987
From: Hausel J, Zill R
EVALUATION RESEARCH CORP.
To:
Shared Package
ML20235R515 List:
References
CPP-010, CPP-10, NUDOCS 8710080123
Download: ML20235R606 (17)
v • d • e


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.R EVALUATION' RESEARCH CORPORATION -

FORINFORMATION ONLY COMANCHE PEAK RESPONSE TEAM, PROJECT PROCEDURE FOR-QA/QC ISSUE-SPECIFIC ACTION-PLANS.

PROCEDURE NO: CPP-010 REVISION NO: ,8' I

ISSUE DATE: 07-17-87 -

O PREPARATION OF~ DEVIATION REPORTSL Prepared by: 'Date: 7/[h/ 7 Approved by: :Date: 7- /d N7 On-SiteQARepjsentative Approved by: -

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. Date': 7 /6 I7 QA Review Team Leader - / "/-

8710000123 871002' i PDR ADOCK 05000445 A:

PDR 4f_

e CPP-010 4

Ravision: 8 i

1.0 PURPOSE '

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S This procedure establishes the method to prepare, process, and control reports of deviations.

2.0 APPLICABILITY i

This procedure is applicable to safety-related equipment and  !

material as well as safety-related hardware ~ constructed, final QC i accepted, and reinspected at Comanche Peak Units 1, 2 and areas common to both units.

3.0 REFERENCES

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l 3.1 CPP-016. " Safety Significance Evaluations of Deviation i l Reports."

l 3.2 CPP-Oll, " Evaluations of Adverse Trend Analyses, Construction Deficiencies, and QA/QC Program Deficiencies." -

3.3 CP-QP 16.3, " Processing CPRT Deviation Reports / Observation Notices." )l 3.4 CPP-009, " Performance of Reinspection and Documentation Reviews."

3.5 CPP-018 "QA/QC Interface with the Design Adequacy Program." )

36 CPP-004, " Project Working Files."

l 3.7 CPP-020. "Out-of-Scope Observations."

3.8 CPP-027, " Reinspection / Documentation Review for Purchased Safety-Related Material and Equipment."

4.0 GENERAL Qualified QA/QC Review Team personnel perform field reinspection of specific hardware and reviews of appropriate documents in accordance with established procedures and instructions. Should an attribute deviate from specified acceptance criteria, the inspector / reviewer initiates a Deviation Report (DR).

Subsequently, DRs are reviewed for validity and, as required, evaluated by the Safety Significance Evaluation Group (SSEG) in accordance with Reference 3.1, reviewed for root cause and generic implication (see Reference 3.2), and f orwarded to TUGC0 for f urther processing. (See Reference 3.3.)

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a CPP- 010 Ravision: 8 O 4.1 Responsibilities .;

4.1.1 ,QA/QC Deviation Report Originators (Refer to. Table- l 4.1-1) i Responsible QA/QC Review Team personnel initiate i reports which document each apparent difference between a specific. attribute and~the item / process ~ I

. reinspected / reviewed'and those deviations that appear j to be common to the entire population or work activity.

Originators also review reports.they' initiated and '

which were determined to be inaccurate'and/or were. .]

classified as invalid'during the review process.

l QA/QC Inspectors initiating reports are responsible.to tag and release hardware associated with DRs as.

required. j i

4.1.2 Reviewers (Refer to Table 4.1-1)

"First reviewers" determine whether or not the DR ~

l accurately documents a difference in the observed  !

condition and the specified criterion.

"Second reviewers" provide confirmation of the first 'I reviewer's decision and determine the. validity of the r DR.

Each reviewer documents the results of their review and distributes-reports in'accordance with this procedure. I i

Table 4.1-1

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l DEVIATION REPORT ORIGINATORS / REVIEWERS l REVIEWERS-Originator First- Second

  • Tiscipline Inspector Lead Inspector Lead Engineer or ,

Lead Discipline Inspection Issue Inspector Supervisor Coordinator .

Discipline Engineer Lead Engineer . Supervisor  ;

i Issue Coordinator Supervisor QA/QC RTL D

  • t In addition, the QA/QC Review Team Leader (RTL), th'e responsible Supervisor, and the SSEG Supervisor review all unclassified deviations and those reports which ' document deviations that appear to be prevalent in.a population or work activity.

3

CPP-010

, R: vision: 8 tN 4.1.3 QA/QC Review Team Leader 5

The QA/QC RTL performs reviews as required and is the  ;

final arbitrator of differences with a second I reviewer's determination regarding the validity of DRs.

4.1.4 QA/QC Records Administrator The QA/QC Records Administrator distributes and controls reports sent from the reviewers in accordance witr this procedure, maintains memorandums which supersede / cancel previously issued DRs, and makes entries, as required, in Verification Packages.

4.1.5 QA/QC Lead Discipline Engineers / Coordinators The QA/QC Lead Discipline Engineers / Coordinators ensure that recipients of DRs are advised when a DR is cancelled.

4.2 Policy -

Activities performed under this procedure shall conform to the  ;

policies contained in the latest Cotaanche Peak Response Team l Program Plan, ERC Management Program Plan, and the applicable

,_ Issue-Specific Action Plan (ISAP).

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~/ Should an activity be designated as the responsibility of a Lead Discipline Engineer, or higher, it may be delegated by that individual to an individual under.his or her supervision.

1 4.3 Conflicts In the case of a conflict between this procedure and the documents referenced in Section 4.2, the latter shall govern.

4.4 Definitions l'

4.4.1 Deviation Report ,

A form used to document an apparent difference (deviation) in an attribute from that defined as acceptable and based on approved design documents which is observed while verifying the acceptability of that j attribute. -

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CPP-010 Rsvision: 8 4.4.2 (Construction) Deviation

.(N-,_s)  ;

a. Any identified discrepancy related to construction 1 or installation of safety-related hardware that has been determined to constitute a verified failure to construct or install a safety-related structure, system or component in accordance with  ;

cafety-significant attributes and criteria contained in design dranings and specifications or installation procedures / requirements.

b. Any identified discrepancy, discovered during document review for inaccessible or non-recreatable items or attributes, which is related to l documentation of construction'or installation of I safety-related hardware that has been determined to constitute a verified failure to the construction or l l

installation of a safety-related structure, system or component in accordence with safety-significant attributes and criteria contained in design drawings and specifications or in installation / inspection -

J procedures / requirements.

4.4.3 Unclassified Deviation A deviation, or set of deviations which, when it is l fg determined that no safety-significant evaluation will

' ('~) be performed, leads to a root cause investigation and generic implications analysis of any identified root cause(s) and specification of corre nive action (s).

l Should such a determination be made, performing a safety significance evaluation of the unclassified deviation (s) would serve no purpose and shall not be l accomplished.

4.4.4 (Manufacturing) Deviations Any identified discrepancy related to the manufacture of safety-related equipment and/or material that has been determined to constitute a verified failure to manufacture safety-related equipment and/or material in accordance with procurement and/or design requirements specified by TUGC0 and/or the vendor.

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CPP-010 Ravicion: 8 5.0 PROCEDURE j

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\~ / .5.1 Initiation Should responsible QA/QC Review Team personnel (Refer to Table 4.1-1) determine that a (construction or manuf acturing)' l deviation exists, or there appears to be a deviation common to ,

the population or work activity, they shall initiate a DR in 1 accordance with Attachment 6.1. l l

Inspectors shall identify the hardware associated with each 1 (construction or manufacturing) deviation by attaching a. tag l I in a conspicuous location, j l NOTE: For ISAP VII.a.9, tags will be placed after the DR l 1s validated in accordance with Reference 3.8.

Tags shall, as a minimeme indicate:

J l

} DR NO: (Number)

ID:

i (Item Number) -

ERC: (Signature of Inspector and Date)  !

I It is unnecessary to tag any of the hardware which comprises  !

the population or work activity associated with a common deviation. However, should a common (construction or l 7g manufacturing) DR be issued that, in effect supersedes any

( ,) (construction or manufacturing) DRs, any tags attached

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l previously to the deviating hardware may remain intact.

Upon the completion of DRs in accorcance with Attachment 6.1, originators forward them to the first reciewer.

5.2 Review and Approval Reviews are conducted by responsible personnel in accordance with the following procedures. Should a reviewer determine that a subsequent review is unnecessary based upon this procedure, he or she marks those portions of the DR "N/A" (not j applicable).

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5.2.1 First Reviewer First reviewers ensure that DRs forwarded from the originator state the applicable criteria and the apparent difference that caused the initiation of the DR. They also ensure that DRs are otherwise complete, l accurate, and consistent with the. requirement of this procedure. Accordingly, he or she checks the block on the form marked "YES", then signs and dates it.

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,qr lCPP-010:

Rsvision: .8 2

.n .Should the first-reviewer disagree with'the

(' originator's' assessment:oflthe finding'..he or she checks:the block markedL"NO" and provides reasonable-justification ~in the appropriate block on'the form,,

-then obtains the concurrence of the' originator..-

NOTE: Sh'ould the originator; concur in,the'first'.

reviewer'sLdetermination that'the finding

'doesnotdiffer[fromthespecifiedcriterion'. ,

the originator ensures that anyEassociated hold tag is:immediately removed.

Should the originator ma'intain that:the' finding'ldoes differ from'the specified criterion, he or she checks the block on the form marked "PENDING", then signs'and" dates it.

NOTE: Shouldtheoriginatorl disagree'.with$the'first reviewer's determination'.aayjgssociated hold-tag and previous reference remains intact.

Upon completion of reviews in accordancs wit'h, this .

paragraph, the first . reviewer sends DRs:

Determined to be erroneous and which indicates

'the originator's agreement to the-QA/QC Records D

Administrator for control ~.*

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. Determined to be accurate to the second <

reviewer.* j Which indicate the originator's disagreement-.to 3 '-

the second reviewer.* ,

} 1 For ISAPs VII.b.2, VII.b.3, and VII.c. this~may be accomp11shed i i :j upon transmittal.'of the . Verification Package .in laccordance. with -(

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Reference 3.4. For ISAP VII.a.9,the QA/QC Engineer, after: j ,1 obtaining the Issue' Coordinator's' approval on the validated DR,  !

will make a copy of.the valid DR and send the copy, by way of i

memorandum, to SSEG for evaluation in'accordance'with Reference i i

3.1. The'QA/QC Engineer will file the original DR and a copy.;of l the memorandum sent to SSEG in the original ISAP VII.a.9 package. -l Also see Paragraph 5.3.1.

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'CPP-010 W .j/g r Ravision: 8-O f 7 5.2.2 'Second' Reviewer

t bi j'.Sscond reviewers. provide confirmation 'of the first . .

. reviewer's decisica and/or make determinations. relative to reports which indicate' disagreement between the

' originato.t and the first reviewer.. Second reviewers

' determine when a deviation-or set o'f deviations constitute an unclassified deviation. [

The QA/QC RTL, responsible Supervisor, and the.SSEG'-

Supervisor supplement the confirmations / determinations of the second reviewer relative to' unclassified-

.devintions. They also review all'DRs'which address a-t ' common deviation to ensure that they. depict a deviating condition tha't is prevalent in'the population or' work' activity.nnd to ensure that-any necessary data is.

., provided.

s; -thould the deviation be relative to inspector h L' certification, the responsible QA/QC Lead Discipline Engineer shall sign and date the' form adjacent to the.1

-first reviewer to indicate his or her concurrence. The engineer lines out the. entry on the Verification

. Package Contents form and indicates that the DR was forwarded to the'ISAP I'.d.1 Issue Coordinator. The engineer removes the appropriate DR originals from the

{ package and' transmits them directly.to the ISAP;I d.1' Issue Coordinator in accordance with Paragraph 5.3.1.

The ISAP 1.d.1 Issue Coordinator (in) validates'and {

$ further evaluates the DR in accordance with ISAP I.d.1.,

Accordingly, the second reviewer evaluates the reported ,.

condition., For example L Reviewing applicable drawings'/ diagrams,. notes, Design Change Authorizations (DCAs),J Component Edification Cards etc. to determine.if the report.ed condition conforms to the approved

- 7 design. , ,,

Should the reported condition conform to the approved design'at the. time'of.the original--

inspecticn and be exempt from any later design changes, the report is considered invalid..  ;

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.CPP-010:

Revision: 8:

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Reviewing Nonconformance Reports GCRs![iscued'

~.1 in accordance with Reference-3.3 aaid any

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4 contractor- controlled ;Detriation Report to'-.-

. determine if the: reported gondition duplicates

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one previously reported., *

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. reinspection / review bs the subject of a previously issued NCR, Lor' contract controlled' deviation report, the-DR is" considered invalid.

Should a previcucly issued NCR or contractor-

. controlled deviation raport disposition the l reported condition' as "repsdrtor "use
as 'is" o and11ncorrectly records the actual condition, the!(QA/QC) DR.is constriere'd valid..-.

.h.

Reviewing' applicable-Safety etalysis Report,-

Regulatory and/or industry statAards/:-

requirements..

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'Because not all ISAP VII.'a.9 reins'pection:

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attributes arc safety-significant the'ISAP VII.a.9 Issue Coordinator reviews-valid DRs to determine;if:they.have the potential.to be saf e ty-significant . - DRs identified asLnot having the potential to be~ safety-significant-C' by this review shall have a memo-attached to-the DR by the Issue: Coordinator which provides justification for.this determination. The review of these DRs'for--safety significance consists of r'eview for concurrence of the justification by the QOC Deputy Program Manager and the SSEG Supervisor.

Deviation Reports of;this type do not require-distribution to the SSEG. ,All'other distribution will remain:the'same.

, Should the condition, as reported,.be_ invalid', the l second reviewer records; reasonable-justification which supports the conclusion on the form, then signs and dates it.

The second reviewer ensures that any information:used.

in the validation process is traceable to an acceptable.

source document.and is' referenced onLthe' form. Any-attachments are indicated on the form.

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________a_. _m ._.m___..&-_ 2_ _. __-_________ ___.___a _..__ ____ _m.__ _ _ - . _ _ _ - _.m.

CPP-010 R: vision: 8 4

Should the results of the review indicate that the

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reported condition is invalid, the second reviewer obtains the concurrence of the originator and the first reviewer (s), or individuals acting in those capacities should they no longer be assigned to the Project (indicated by their signatures and dates on the form).

Otherwise, the second reviewer enters "N/A" in the spaces provided for those signatures.

NOTE: Should the reported condition be invalid, the.

originator ensures that any associated hold tag is immediately removed.

The QA/QC RTL is the final arbitrator of any unresolved differences.

Upon' completion of reviews in accordance with this paragraph, the second rev1 ewer signs and dates the DR, then forwards those determined to be:

Invalid and which indicate the concurrence of -

the originator and the first reviewer; to the QA/QC Records Administrator for control.*

Valid; to the QA/QC Records Administrator for distribution and control.*

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  • Unclassified; to the responsible Supervisor for confirmation and further reviews by.the SSEG Supervisor and the QA/QC RTL.*

The QA/QC RTL, the responsible Supervisor, and the SSEG Supervisor initial and date unclassified DRs and those DRs that are common to the population or work' activity adjacent to the "SECOND REVIEWER" block.

I For ISAPs VII.b.2, VII.b.3, and VII.c, this may be accomplished upon the transmittal of the Verification Package in accordance with Reference 3.4. For ISAP VII.a.9, the QA/QC Engineer, after obtaining the Issue Coordinator's approval on the validated DR, will make a copy of the valid DR and send the copy, by way of memorandum, to SSEG for evaluation in accordance with Reference 3.1. The QA/QC Engineer will file the original DR and a copy of the memorandum sent to SSEG in the original ISAP VII.a.9 package.

Also see Paragraph 5.3.1.

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CPP-010 Revision: 6 l

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-_ 5.3 Distribution and Control s

<- -) 5.3.1 Reviewers With the exception the QA/QC RTL, the responsible Supervisor, and the SSEG Supervisor performing reviews of DRs which address an unclassified or common deviation, reviewers sending DRs to another reviewer, or the QA/QC Records Administrator document the transmittal in a memorandum which includes, as applicable, the:

Report number.

ISAP number when other than ISAP Vll.c.

Whether the DR is valid or invalid. I 1

The date of (in) validation. 1 Whether the DR is considered " unclassified." -

First reviewers also provide a copy of each transmittal and a copy of each DR (without attachments) to the responsible Supervisor for information and the QA/QC Coordinating Engineer.

I v 5.3.2 QA/QC Records Administrator The QA/QC Records Administrator normally transmits l

copies of valid DRs received from the second reviewer (refer to ParaFraph 5.2.2) to:

the SSEG Supervisor for analyses, the CPSES QC Coordinator for further processing in accordance with Reference 3.3,.and the QA/QC Interface Coordinator for action as ,

required per Reference 3.5.

Valid DRs in the following categories are also transmitted to the Project Manager, Pipe Stress and Pipe Support Reconciliation Project:

LBCO PlWM LBSR SBPS SBC0 PBFA LBSN PWRE i

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CPP-010 ,

, Rsvision: 8 f Unclassified DRs and those reviewed by the ISAP I.d.'l

( Issue Coordinator are transmitted to the SSEG {

Supervisor for information only, as safety-significant j evaluations for those DRs are unwarranted. DRs reviewed by the ISAP I.d.1 Issue Coordinator are also transmitted to the appropriate first reviewer for use l in the collective evaluation. {

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! The QA/QC Records Administrator documents transmittals l

' of valid DRs including their revisions on uniquely 'l l numbered memorandums which include provision for'the CPSES-QC Coordinator to acknowledge receipt'. In addition, the QA/QC P.ecords Administrator maintains records to ensure that the CPSES QC Coordinator.is in receipt of all valid DRs, e.g., a' file of transmittals.

forwarded to and.receLved from the CPSES QC Coordinator. A copy of the transmittal and a copy of each DR (without attachment) is sent to the QA/QC Coordinating Engineer for information.  ;

I The QA/QC Records Administrator maintains DRs reviewed" by the ISAP I.d.1 1ssue Coordinator in the file marked VII.c-5. DRs that are not associated with any specific  ;

Verification Packages, including those that are unclassified and those that are common to the <

population / work activity, are filed with the applicable

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[ ISAP.

The QA/QC Records Administrator maintains memorandums that, in effect, cancel DRs previously determined to be i valid in the appropriate Verification Package, or when Verification Packages are not required, with the applicable ISAP.

NOTE: Meeurandums added to the Verification Packages shall be recorded, as required, on the Verification Package Contents form and applicable DRs clearly marked " CANCELLED.

Refer to (Names)'s memo dated (date)."

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l CPP-010 f Ravision: 8 {

g 5.4 Revision k

Should a DR be prepared that, in effect, will supersede any DRs issued previously, or should it be necessary to make a change to a DR that would alter its finding or disposition, the cognizant individual prepares a new DR which includes the l necessary change (s), is identified by the next appropriate DR number, and clearly denotes " SUPERSEDES (DR Number) ." When numerous'DRs are superseded, e.g., when a DR common to the population / work activity supersedes any DRs issued previously, it is advisable to denote " SUPERSEDES THE DRs NOTED ON THE ATTACHMENT" and identify each of.the affected DRs on the attachment.

In addition, the cognizant individual prepares a memorandum which is addressed to " File" and provides a reasonable explanation regarding.the change. The memorandum notes the superseded and superseding DR numbers. The memorandum, with the new-DR attached, is routed for review. Except when a DR that is common to a population or work activity supersedes any (construction) deviations issued previously and the additional review and approval of the QA/QC RTL, the responsible l Supervisor, and the SSEG Supervisor is required, the new DR is reviewed, approved, distributed, and controlled the same as the one it supersedes.*

l O NOTE: Memorandums and superseding DRs, other than d I.d.1 DRs, added to the Verification Packages shall be recorded, as recuired, on the Verification Package Contents forms and l applicable DRs clearly marked " SUPERSEDED.

REFER T0 (New DR Number)." Should a 1.d.1 DR be, superseded, the required memorandum is listed on the Verification Package Contents form as " MEMO DATED (Date) RE: DR (Number) to I.d.1 Issue Coordinator" and a copy, without the referenced DRs, is included in the Verification Package.

Otherwise, the cognizant individual shall make any innocuous changes to DRs in accordance with Reference 3.6 and ensure that any previous recipients of the DR are advised of its current status by distribution of the revised DR in accordance with Paragraph 5.3.2.

  • For ISAPs VII.b.2, VII.b.3, and VII.c, this may be accomplished upon the transmittal of the Verification Package in accordance with Reference 3.4. For ISAP VII.a.9, the QA/QC Engineer, after obtaining the Issue Coordinator's approval on the validated DR, will make a copy of the valid DR and send the copy, by way of g memorandum, to SSEG for evaluation in accordance with Reference 3.1. The QA/QC Engineer will file the original DR and a copy of the memorandum sent to SSEG in the original ISAP VII.a.9 package.

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CPP-010 Revision: 8 5.5 Cancellation-Should there be documented.'evidenc'e'that, in effect, cancels a, previously validated and issued DR, the-cognizant QA/QC' Discipline Engineer ensures that the recipients of those DRs are advised by memorandum'of their correct status..

The memorandum is. addressed to " Distribution", provides a reasonable explanation.regarding the cancellation, and is routed for review and approva11to the'same organizations

/ disciplines.that performed the previous' review and approval.

. Determinations relative to. cancellations shall be traceable to an acceptable. source document.

Copies of the memorandum are forwarded to,the individuals noted for distribution, e.g., the:

Responsible QA/QC Supervisor or Issue ' Coordinator -

SSEG Supervisor QA/QC Interface Coordinator QA/QC' Coordinating Engineer.

QA/QC Records Administrator-CPSES QC Coordinator Should the DR be cancelled, e.g., the item was duermined to be an invalid sample, the cognizant QA/QC Discipline Engineer shall prepare an Out-of-Scope Observation in accordance with Reference 3.7 to address'the unsatisfactory condition reported on the cancelled DR.

6.0 ATTACHMENTS 61 Deviation Report (Sample and Instruction)'.

6.2 Flow Diagram - Initiating a Deviation Report..

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Attachasnt 6.1.

CPP-010 Revision:.8 Page l'of 2 f ERC DEVIATION REPORT f

COMANCHE PEAK RESPONSE TEAM ERC DEVIATION REPORT (DR)

DR NLh5ER ORIGINATOR DAIE (1) (2) (2)

IDENTIFICATION OF ITEM UNIT .

(3) O oNe O TWO O C0xxon SYSTEM AND LOCATION l

(5) l l REQUIREMENT (CHECKLIST ITEM NO. )

(6)

DEVIAT10N 3J (7) l 0 Tes O wo. O rzxotuc (twCtcos 3t'sttrtCittou ^s atoutazo)

FIRST REVIEWER DATE ORIGINATOR DATE VALID DR O Trs O *O (INCtcDE JusitrtCArlow As RroutaED)

FIRbT RIVIEWER DATE SECOND REVIEVER DATE ORIGINATOR DATE CPP-010.1, Revision 3

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Attachmsnt 6.1-CPP-010 Revision: 8 p INSTRUCTIONS TO COMPLETE j

( I FORM CPP-010.1 "ERC DEVIATION REPORT (DR)"

Originators initiate DRs by entering:

(1) The unique DR number. For example:

I-S-/-001 - DR 1 Unique Number, e.g., 1, 2, 3 etc.

Deviation Report Designation 1

Dash Unique Verification Package Number (for ISAP VII.c), or~ i "I" for reinspection for "R" for reviews of documentation and the ISAP number,'e.g., R- VII.a.7.

For DRs that are common to the population or work -

activity, enter " GEN" in lieu of the unique Verification Package Number, e.g., I-S-CONC-GEN-DR1, or R-VII.a.2-GEN-DR1.

(2) Signature as originator and date.

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\/ (3) The identification of the equipment, material, component, procedure, e.g., 1 l " bolts on Cire. Water Pump." Include the applicable drawing number and l revision.

(4) The appropriate unit (s). I (5) The system and location including elevation, column /line designation, etc.,

or "UNKNOWM" or "N/A" if applicable. "

(6) The criterion, i.e., attribute, by which the item was measured and found l

unacceptable. Reference the source of the specific requirement, e.g., the QI I che:;klist item number.

NOTE: Each DR shall describe only one attribute.

l (7) A description of the deviation. Include sketches and additional pages as required.

NOTE: Reference to any attachment shall be made on the DR. Any attachment shall indicate the appropriate DR number. ~The total number of pages of any attachment shall be determinable.

Upon completion, the originator forwards DRs to the appropriate first reviewer (refer to Table 4.1-1) for review in accordance with Section 5.2.

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Attachmsnt 6.2 CPP-010 Revision: 8

!. Page 1 of 1 1

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INITIATING A DEVIATION REPORT  !

OR V IST REVIEWER PLACES HnLD TAG

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  1. 5 *E0VI*E0 V I

NO YYES DEVIATION YES g ORIGINATOR FROM CR TERION y- g, s%

I INO(INCLJUS) 8 PEND (INCL JUS) g h, j 3 AGREE NO g g n,. e _ ,

3 WITH IST REVIEWER y

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/ h 2ND REVIEWER h

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^9 mc aEcy?S J NO 97, OR VALID NO O'INISTRAT0t 7 g33,g7g gg,,,

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NVE$ YES C9NT00L ORIGINATOR q PM h j 2ND P EWER IM EM N'""*

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gg PROCESS PER CPP-025 CA/1C RTL NO AGREE NO DR COMON i gs7Eq;rDES WITH 2N0 REVIE9ER OR UNCLASS!FIED  ;

I wCLS tar, VES YES CEw1YED %

85 QE70! RED Y l INO(INCJUS)

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SSEG SUPERVISOR NECESSARY _

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