Microsoft Word - FN2.003.1-R0.doc

{ "sections": [ { "title": "Customer Information", "data": [ {"Customer Name": ""}, {"Project Name": "", "Purchase Order No.": ""}, {"Customer Contact": "", "Telephone": ""}, {"Customer Contact": "", "Email": ""}, {"Address": "", "Control System Type": ""}, {"City": "", "Vendor Platform": ""}, {"State": "", "Platform Version": ""}, {"Date Required": "", "Program File Name": ""} ] }, { "title": "Therma Information", "data": [ {"Project No.": ""}, {"Project Manager": "", "Telephone": ""}, {"Project Manager": "", "Email": ""}, {"Project Engineer": "", "Telephone": ""}, {"Project Engineer": "", "Email": ""} ] }, { "title": "Summary of Requested Changes", "data": ["", "", "", ""] }, { "title": "List Affected Documents to be Revised by Therma", "data": [ {"Document Name": "", "Revision": "", "Document Type": "", "Prerequisite Approval Required": ""}, {"Document Name": "", "Revision": "", "Document Type": "", "Prerequisite Approval Required": ""}, {"Document Name": "", "Revision": "", "Document Type": "", "Prerequisite Approval Required": ""}, {"Document Name": "", "Revision": "", "Document Type": "", "Prerequisite Approval Required": ""} ] }, { "title": "Customer Approval to Proceed", "data": [ {"Customer Approval": "____________________________", "Date": "/__/"} ] }, { "title": "Change Request Close Out", "data": [ {"Control System Program or Document File Name": "", "Rev": "", "Program/Document": "", "Customer Turnover Date": ""}, {"Control System Program or Document File Name": "", "Rev": "", "Program/Document": "", "Customer Turnover Date": ""}, {"Control System Program or Document File Name": "", "Rev": "", "Program/Document": "", "Customer Turnover Date": ""}, {"Control System Program or Document File Name": "", "Rev": "", "Program/Document": "", "Customer Turnover Date": ""} ] }, { "title": "Final Customer Reviews and Approvals", "data": [ {"Review Approval": "\uBox", "Dept": "", "Name": "", "Signature": "", "Date": ""}, {"Review Approval": "\uBox", "Dept": "", "Name": "", "Signature": "", "Date": ""}, {"Review Approval": "\uBox", "Dept": "", "Name": "", "Signature": "", "Date": ""} ] }, { "title": "Final Therma Reviews and Approvals", "data": [ {"Review Approval": "\uBox", "Dept": "", "Name": "", "Signature": "", "Date": ""}, {"Review Approval": "\uBox", "Dept": "", "Name": "", "Signature": "", "Date": ""}, {"Review Approval": "\uBox", "Dept": "", "Name": "", "Signature": "", "Date": ""} ] } ], "instructions": { "1": "Provide customer and project related information. Control system types options include PLC, DCS, or HMI. Include name of vendor platform (i.e. Rockwell, Siemens, etc.). Platform version defined by current processor type, firmware release, or operating system (i.e 1756-L61, V19.0). Identify customer’s current control system program file name.", "2": "Provide Therma internal contact and project related information.", "3": "Brief description of programming and any documentation changes.", "4": "List all documents that are associated with this change request and whether their approval is a prerequisite for proceeding.", "5": "Customer authorization and acknowledgment to proceed.", "6": "List all program files and documents that were revised and turned over in accordance with this change request.", "7": "Final customer reviews and approvals.", "8": "Final Therma reviews and approvals. Final versions to transferred to Therma secured archives for electronic storage." } }