Sample Prestartup Safety Review

Exhibit 2.7

DOE-HDBK-1101-96

Sample Prestartup Safety Review

Date: ______________

PSR Team Leader: ________________________________________

___________________________________________________

Facility / Process / Equipment:

___________________________________________________

New Construction ______ Process Modification ______

Type of Startup:

List of Assocciated PSR Checklist Materials (and location if not attached to this form):

_________________________________________________________________________________

The following issues have been resolved and the undersigned

PSR Completion Summary:

believe the process/facility is ready for startup.

1. The construction and equipment meet design specifications.

2. Safety, operating, maintenance, and emergency procedures are in place and adequate.

3. For new facilities, the initial PrHA has been performed and recommendations have

been resolved.

4. Changes made to modify the process/facility have been reviewed and authorized

under the Managment of Change Program.

Authorization for Startup:

Title

Name

Signature

Date

DOE Contractor Manager

Facility/Process Manager

Engineering Manager

Maintenance Manager

Training Manager

PrHA Team Leader

Others as Required