diff --git a/PROMS/VEPROMS.CSLA.Library/Extension/ItemExt.cs b/PROMS/VEPROMS.CSLA.Library/Extension/ItemExt.cs
index 66389e26..b7295ae6 100644
--- a/PROMS/VEPROMS.CSLA.Library/Extension/ItemExt.cs
+++ b/PROMS/VEPROMS.CSLA.Library/Extension/ItemExt.cs
@@ -1306,6 +1306,21 @@ namespace VEPROMS.CSLA.Library
 				return retval.ToString();
 			}
 		}
+		// B2019-121 tell us if the step item in part of a caution or note type
+		public bool HasAncestorCautionOrNote
+		{
+			get
+			{
+				ItemInfo item = this.ActiveParent as ItemInfo;
+				while (item is ItemInfo && !item.IsHigh)
+				{
+					if (item.IsInCautionOrNote)
+						return true;
+					item = item.ActiveParent as ItemInfo;
+				}
+				return false;
+			}
+		}
 		private static int CalcStepLevel(ItemInfo item)
 		{
 			if (item == null) return 0;
@@ -1344,6 +1359,8 @@ namespace VEPROMS.CSLA.Library
 			{
 				if (item.Cautions != null || item.Notes != null)
 					level += 2;
+				else if (item.HasAncestorCautionOrNote) // B2019-121 step part is in a caution or note
+					level += 3;
 			}
 			// Paginate before first caution, not between cautions.
 			else if (item.IsCautionPart)