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|  DOE-HDBK-1101-2004
Exhibit 2.7
Sample Prestart Safety Review
Date: ______________ PSR Team Leader: ________________________________________
Facility / Process / Equipment:
_______________________________________
_______________________________________
Type of Startup:
New Construction ______ Process Modification ______
List of Associated PSR Checklist Materials (and location if not attached to this form):
______________________________________________________________________________
_____________________________________________________________________________
______________________________________________________________________________
PSR Completion Summary:
The following issues have been resolved and
the undersigned 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 Management of Change Program.
Authorization For Startup:
Title
Name
Signature
Date
DOE Contract Manager
Facility/Process Manager
Engineering Manager
Maintenance Manager
Training Manager
PrHA Team Leader
Others as Required
65
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