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¶