EFTA00141793



FBOP WO Tech
Facility Minor Work Request
NYM




8158
CM2


TO: FACILITY MANAGER

FROM: ___ Facilities ___ THRU: ___
(Entered by:) (Department) (Phone) (Department Head Signature)

Site: NYM Building: GEN Location: INSTITUTIO - THROUGHOUT THE INSTITUTION Work Location:

You are requested to perform the following work:
One ninety six (96) channel RAID-configured DVR has failed repeatedly, leaving critical areas of the institution without recording capability.

If Applicable, ensure all safety precautions are followed, to include, but not limited to "LOCKOUT/TAGOUT AND CONFINED SPACE ENTRY"

Date Active: 4/24/2018 Status: CMPLT Priority No: 1
TMS No.: 8158 Facility Manager: ___

You are authorized to perform the above work:
To Foreman: CM2 - Comm Tech/H.
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. Foreman's Total Hours: 3.00
☐ FITARA process is required. Date Completed: 4/24/2018

Upon completion of work, complete form and return to the Facility Manager. Staff Signature

Completion Comments:

OEM, parts no longer produced by man segate contacted manufacture. All available hard drive are second hand or reman.

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