Appendix J: Example Deficiency Identification Review Form

DOE-STD-1072-94

Maintenance Manager

TO:

FROM:

Maintenance Planning Manager

SUBJECT:

Deficiency Identification Review

Pending Work:

Number of job requests reviewed

Number of job requests having tag serial numbers

Number of tags/stickers posted at identified deficiency

Problems Noted:

Completed Work:

Number of job requests reviewed

Number of tags/stickers remaining in facility

Problems Noted:

Comments:

The functioning of the deficiency identification system is considered to be

Maintenance Planning Manager

J-2