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DOE-STD-1073-2003
Configuration Management
Step
Item
Required Information/Action
Comments
Requirements (FPR) and 2)
16
Special Quality Requirements
Functional Design Criteria
Special
(FDC) documents per Manual
17
Operability/Maintainability/Test
E7, Procedures 2.10 and 2.11.
ability Requirements
Identify other special approvals
For example, interfacing or
Other Required Design Output
18
required based on the technical
support organizations, special
Reviewers
scope of the modification.
committees, etc.
Name, Department, and Phone
Number of person responsible for
Technical agency or Mod.
19
Design Input Change Contact
reviewing proposed changes to the
Mngr.
design input
Name, Department, and Phone
20
Modification Manager
Number
Indicate whether a SPHR is
Screening Process Hazards
21
required (yes or no), and if yes,
Review (SPHR)
provide the SPHR No.
Select the highest functional
Designate as one of the following:
classification or the SSCs
22
Functional Classification
NS CP PS GS
involved.
CCB review and approval is
required for all NS and CP
Indicate whether CCB review and
designations, and when
23
CCB Reviews
approval is required (yes or no)
requested by the responsible
division/department
Any modification with
Indicate whether USQ screening
potential impact on facility
24
USQ Screening
was performed (yes or no). If yes,
authorization basis must have
provide USQ Screen No.
a USQ screen performed
Environmental Evaluation
Indicate whether EEC review is
25
Checklist (EEC)
required (yes or no)
Signature (and date, department,
Signifies that the design input
26
Design Authority Approval
and phone number) of appropriate
information for the
Design Authority Representative
modification is acceptable.
Signatures (and date, department,
and phone number) of other
27
Other Approvals
reviewers whose approval is
requested/required
If required (optional if
Signature of Task Sponsor or Mod
28
Approval in Concept
required by
Mngr
department/division)
Signifies acceptance of the
Signature (and date, department,
design input provided for the
29
Design Agency Acceptance
and phone number) of appropriate
modification (information
received is sufficient and
Design Agency representative
complete)
May include PHAs, FDDs,
SDDs, DCP, Calculations,
List all design output documents
Procurement Specifications,
30
Design Output Documents
related to the task
drawings/diagrams, permits,
etc.
Reference the document or
31
Functional Acceptance Criteria
attachment that contains the post-
modification acceptance/test
F-10


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