Craft Work Package

CRAFT WORK PACKAGE

Work Package No.: Rev No.: Page of Job Description/Scope:

Plann er: Name Signature Date

CONCURRENCE I have conducted the required peer review using the Peer Review Checklist, any issues resulting from this review have been corrected, and I concur that this Work Control Document is compliant with PAS-2- 1.1.

Peer Review: Name Signature Date Based on my personal review, I agree all work described in this package meets technical requirements under my cognizance.

Work Supervisor: Name Signature Date P S Name Signature Date R

Name Signature Date E P L

+ Organization Name Signature Date - + Organization Name Signature Date - + Organization Name Signature Date USQ If no; Project Screening Yes Engineer or USQ Evaluator - print No name, sign and date:

If yes, Screening/Determinati on/CX No.: USQ Evaluator(s) print name, sign, date: FHC Yes No Evaluation

If yes, FHC Evaluation No.: Project Engineer or Nuclear Safety print WORK PACKAGE APPROVAL name, sign, date:

Work approved by Responsible Manager to perform work (instructions and attachments meet technical requirements, work can be performed safely, and package adequately covers the hazard controls):

Responsi ble Manager: Name Signature Date CRAFT WORK PACKAGE Print Form Work Package No.: Rev No.: Page of WORK PACKAGE CLOSURE RECOMMENDATION Based on my personal review of this work package, and inspection of the work site, I recommend closure of this work package. Work Supervisor: (or designee) Name Signature Date

I have reviewed the Work Package and ensure as-left conditions are documented on the design drawings and/or other applicable documents for future reference. Project Engineer: Name Signature Date WORK PACKAGE CLOSURE APPROVAL Responsible Manager: Name Signature Date WORK DEFINITION Utilities In Service:

Precautions/Limitations, Comments and/or Special Tools/Equipment (if any):

Prerequisites (if any): Additional Guidance (if any):