Verification by the user showing sign off by initials

DOE-STD-1029-92

[3]

Position a blank signature or initial line (for entering initials that identify the

persons signing off the action step) immediately following the affected action step,

or on a separate data sheet or checklist, if necessary.

[4]

If the signoff is located in one procedure and the action to be signed off is located

in a referenced procedure, indicate in the base procedure action step that

documentation occurs in the referenced procedure signoff space.

EXAMPLE 4-22. Verification by the user showing sign off by initials.

[14]

Verify ISV Pump A discharge valve (ISV-A-D2) CLOSED.

[5]

Use the following methods to differentiate between sign offs required of the user

and those required of other personnel.

[a] If the action step is to be signed off by someone other than the principal user,

place the title or function of the responsible person under the blank line.

[b] If the action step is to be signed off by the user, place no identifying title or

function under the blank line.

[6]

Do not combine two closely related actions each requiring a sign off into a single

action step. Make two separate action steps with individual sign offs.

[7]

If an independent witness or other second sign off is needed, provide an additional

space for initials and identify that an IV (independent verification) sign off or other

specified signature is required.

EXAMPLE 4-23. Independent verification or second sign off of same

action step showing sign off by initials.

[13]

Verify safety system pneumatic valve (ISV-P-2) CLOSED.

[8]

Identify action steps requiring a hold point (action steps that require inspection of

the actions performed). Inspections of the results of a action step before initiating