Appendix A: Instruction for Completing Post Maintenance Test Control Form

D OE-STD -1065-94

Appendix A

INSTRUCTIONS FOR COMPLETING POST MAINTENANCE

TEST CONTROL FORM

The Maintenance Supervisor should ensure that the Test Form Preparer

(typically the planner estimator) has provided on the form the equipment

identification, the MJR number, description of the test, the test instructions

and attachments, signatures, badge numbers, and dates.

The Maintenance Supervisor should ensure that the Test-Start Approval

signature, badge number, and date have been obtained from the Equipment

Owner, (or designee) prior to starting test.

The Test Performer should fill in the Test Results (Comments) section of

form, indicating whether test was Satisfactory or Unsatisfactory and any

Corrective Actions taken, if applicable.

Upon completion of test the Test Performer should sign, add badge number,

and date.

The Maintenance Supervisor should obtain signature, badge number, and

date from the Equipment Owner in the applicable Test Accepted By section.

The Maintenance Supervisor should sign, add badge number and date to

indicate test acceptance in the applicable Test Accepted By section.

The Test Performer and Maintenance Supervisor should ensure that the

PMT Control Form is kept together with the complete job package.

N OTE:

If an equipment-specific data sheet and a PMT procedure are

available, they may be referenced instead of duplicating the

test-result data.

The location of the completed data sheets, if separate from the

job package, should be identified.

A ppropriate signatures on this PMT Control Form are

required and should be returned to the PE w ith the job

package.

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