National Synchrotron Light Source

ESH&Q Forms & Templates

Please Print Double-Sided before submitting any documents to the QCC

Forms
Description	Number	File Format
Assessment Tracking System (ATS):
NSLS Family ATS Entry Request Form	QF-053	Word
Controlled Documents/Procedure:
Controlled Document Distribution List	QF-051	Word
Document Approval Form	DL-QAF-036	Word
Periodic Review Form	QF-055	Word
Revision Log (for paper/PDF documents)	QF-037	Word
Revision Log (for html documents)	QF-038		Html
Engineering Design:
Calculation Forms: Cover Blank Page Worksheet Large Grid Worksheet Small Grid Worksheet	QF-046 QF-047 QF-048 QF-049	Word Word Word Word
Design Checklist	QF-060	Word
Design Review Report	QF-031	Word
Engineering Change Request/Notice (ECR/ECN)	QF-010	Word
Engineering Change Request/Notice (ECR/ECN) Continuation Sheet	QF-010-A	Word
Engineering Design Plan (EDP)	QF-033	Word
Engineering Design Plan (EDP) - Change Form	QF-034	Word
Requests For Prints	QF-032	Word
Inspection:
Inspection Test Record (ITR)	QF-003	Word
Nonconformance:
Nonconformance Report	QF-015	Word
Procurement/QA:
Seller Quality Assurance Requirements	BNL-QA-101	Word
Records:
EMS/OHSAS Records Submission Form	QF-041	Word
Reviews:
General Review Form	QF-044	Word
EMS, FUA, and SAD/ASE Checklist for NSLS Reviews	----	Word
Interlocks:
Interlock Bulb Replacement Request Form	QF-061	Word

Please Print Double-Sided before submitting any documents to the QCC

Templates
Form Description	Form No.	File Format
NSLS Document Header Template #1 (for paper/PDF documents)	----	Word
NSLS Document Header Template #2 (for paper/PDF documents)	----	Word
NSLS Document Header Template (for html documents)	----		Html
NSLS Beamline Safety Checklist Header Template	----	Word
NSLS Beamline Padlock Checklist Header Template	----	Word
NSLS Specification	QF-043	Word