vcba
V. C. SUMMER
STEP
ACTION/EXPECTED{sp}RESPONSE
RESPONSE{sp}NOT{sp}OBTAINED
South Carolina Electric and Gas Company
V. C. SUMMER NUCLEAR STATION
V. C. SUMMER
Effective{sp}Date:
Responsible{sp}Department
PROCEDURE LEVEL OF USE CLASSIFICATION
CATEGORY
SECTIONS
Continuous
Reference
Information
IV
Person Contacted
Date/Time
CV
/
Initials Date
/
Initials Date - Time
Trip
OR
Bypass
Equipment ID Number:
QC Inspector
Date
M&TE/FS #
Calibration Due Date
REMARKS
Person Notified
Date
Time
Task Number:
Performed By
Date
Supervisor
Date
Yes
No
Initials
Performed By
Date
Verified By
Date
Yes
No
N/A
Initials
Place in Bypass
Place in Trip
CRS/SM
Date