UFC 4-390-01
23 July 2003
(1)
(2)
SYSTEM RE-ENTERED:
REC #
REV:
(4)
(3)
REASON FOR REC:
PAGE _________
OF
______
Alteration
Repair
(5)
Maintenance
Trouble
DRAWING OR REF. NO.
Shooting
Retest
Other (state)
-------------------------------
-------------------------
(6)
SYSTEM ISOLATION (List Vlv
#'s):
(7)
OTHER SYSTEMS AFFECTED BY
THIS REC:
(8)
WORK DESCRIPTION (USE REVERSE SIDE OR OTHER SHEET IF
REQUIRED):
_______________________________________
_______________
CRAFTSMAN
DATE
(9)
STEPS TO BE TAKEN TO PRECLUDE CONTAMINATION OF ANY PORTION
OF THE SYSTEM BEING ENTERED:
(10)
TESTING/RECERTIFICATION SUPPORTING DOCUMENTATION:
NDT DOCUMENTATION
SKETCHES OR DRAWINGS
CLEANING
DOCUMENTATION
TEST LINE UP
STRENGTH TEST
SEAT TIGHTNESS TEST
JOINT TIGHTNESS TEST
DROP TEST
(11)
(12)
WORK AUTHORITY APPROVAL:
CLOSURE COMPLETE
_____________
________
_____________
_________
Signature
Date
Signature
Date
NOTE: Local Re-entry formats may be generated, but require SCA
approval.
Figure C.3
Unmanned Pressure Test Facility Re-Entry Control Form
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