SERTICA CHANGE REQUEST FORM

SERTICA CHANGE REQUEST FORM

Initiating Stakeholder*

Select or enter value

Initiating Vessel*

Select or enter value

Change Applies to*

This vessel only

ART - Original Class

ART - New Class

RAstar 85 Class

RAstar 2800 Class

All Rivtow Fleet

All Riverside Fleet

All ART Class

All RAstar Class

Sertica Component No*

Sertica Job Name*

Change Type*

Change to procedure of work instructions

Change of Title of Description

Job Interval change

New Job / Job does not currently exist

Deactivate Job

Change to operating parameters

Organizational Structure

Modification or addition to equipment

Substitution of equipment

Substitution of material / substance

Reassigning work between groups

Date Submitted*

Change Form Completed and attached*

Sertica Change Form File Upload*

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