FBOP WO Tech Facility Minor Work Request NYM TO: FACILITY MANAGER You are requested to perform the following work: # DVR Failure # 2 # DVR Failure # 1/DVR failure # 2 If Applicable, ensure all safety precautions are followed to include but not limited to "Lockout/Tagout, Confined Space Entry, & Fall Protection" | Date Active: 7/19/2019 | Status: ACTIV | Priority No: 2 | | :--- | :--- | :--- | | TMS No.: 10481 | Facility Manager: (Authorizing Signature) | You are authorized to perform the above work: To Foreman: CM01 - CM01 - Skill: Communication Warden's signature for greater than $10,000 IF WORK ORDER WAS CREATED FROM A PM, ENTER PM WORK ORDER #: List below all materials used: **Description** | **Quantity** | **UOM** | **Unit Price** | **Total** ------- | --- | --- | --- | --- 500 GB Handdrive | 2 | EA | O | O BIN STOCK Grand Total: $\textcircled{a}$ If Applicable, ensure that the equipment has a MWI label affixed in clear view and legible. MWI #: ☐ Asbestos Abatement is required or has been completed. □ FITARA process is required.
Foreman's Total Hours:2.0
Date Completed:
Completion Comments: Replaced Damaged Drives Upon completion of work, complete form and return to the Facility Manager. Staff Signature 1 EFTA00126230 # FBOP WO Tech Facility Minor Work Request NYM 10481 CM01 TO: FACILITY MANAGER FROM: NYM Facilities - Facilities THRU: Facility Manager //S// (Entered by:) (Department) (Phone) (Department Head Signature) Site: NYM Building: 3RD Location: LIEUTENANT OFF - LIEUTENANT OFF Work Location: SIS Com Tech You are requested to perform the following work: DVR Failure # 2 DVR Failure # 1/DVR failure # 2 If Applicable, ensure all safety precautions are followed but not limited to "Lockout/Tagout, Confined Space Entry, & Fall Protection" Date Active: 7/19/2019 Status: CMPLT Priority No: 2 TMS No.: 10481 Facility Manager: (Authorizing Signature) You are authorized to perform the above work: To Foreman: CM01 - CM01 - Skill: Communication Warden's signature for greater than $10,000 IF WORK ORDER WAS CREATED FROM A PM, ENTER PM WORK ORDER #: List below all materials used: Description Quantity UOM Unit Price Total Grand Total: ___ If Applicable, ensure that the equipment has a MWI label affixed in clear view and legible. MWI #: ☐ Asbestos Abatement is required or has been completed. □ FITARA process is required. Foreman's Total Hours: ___ Date Completed: 8/26/2019 Completion Comments: Upon completion of work, complete form and return to the Facility Manager. 1 EFTA00126231