Appendix K

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<td colspan="2"><img src="media/image1.wmf" /></td>
<td colspan="11"><strong>Software Problem Report (SPR)</strong></td>
<td colspan="4"><p><strong>Form Number:</strong></p>
<p><strong>NP 19-1-10</strong></p>
<p><strong>Page ____ of ____</strong></p></td>
</tr>
<tr class="even">
<td colspan="3">1. Software Name and Version:</td>
<td colspan="13">     </td>
<td></td>
</tr>
<tr class="odd">
<td colspan="4">2. SPR Classification:</td>
<td colspan="12"></td>
<td></td>
</tr>
<tr class="even">
<td colspan="17"><p> Major (Problems that cause the calculations to be
re-run or necessitates a change to all baseline documents, if this is a
condition adverse to quality initiate a CAR per NP 16-1. An impact
statement is needed from each person designated by Responsible
Manager)</p>
<p> Minor (Everything else)</p></td>
</tr>
<tr class="odd">
<td colspan="17">3. Summary of Error: [how to reproduce it and
suggestions for fixing it (optional)] (attach pages as needed or use
continuation sheet at end of form)</td>
</tr>
<tr class="even">
<td></td>
<td colspan="15">     </td>
<td></td>
</tr>
<tr class="odd">
<td colspan="17">4. Impact Analysis: (report reference with ERMS# and a
decision to re-do or use the analysis as is) (attach pages as needed or
use continuation sheet at end of form)</td>
</tr>
<tr class="even">
<td></td>
<td colspan="8"><u>Title</u></td>
<td colspan="2"><u>ERMS#</u></td>
<td colspan="5"><u>Decision</u></td>
<td></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="7">     </td>
<td></td>
<td>     </td>
<td colspan="2"></td>
<td colspan="4">     </td>
<td></td>
</tr>
<tr class="even">
<td></td>
<td colspan="7">     </td>
<td></td>
<td>     </td>
<td colspan="2"></td>
<td colspan="4">     </td>
<td></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="7">     </td>
<td></td>
<td>     </td>
<td colspan="2"></td>
<td colspan="4">     </td>
<td></td>
</tr>
<tr class="even">
<td></td>
<td colspan="7">     </td>
<td></td>
<td>     </td>
<td colspan="2"></td>
<td colspan="4">     </td>
<td></td>
</tr>
<tr class="odd">
<td colspan="17"></td>
</tr>
<tr class="even">
<td></td>
<td colspan="4"></td>
<td></td>
<td colspan="8"></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="4">     </td>
<td></td>
<td colspan="8"></td>
<td></td>
<td>     </td>
<td></td>
</tr>
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<td></td>
<td colspan="4">5. Code Team/Sponsor Name (<em>print</em>)</td>
<td></td>
<td colspan="8"><em>Signature</em></td>
<td></td>
<td>Date</td>
<td></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="4"></td>
<td></td>
<td colspan="8"></td>
<td></td>
<td></td>
<td></td>
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<tr class="even">
<td></td>
<td colspan="4">     </td>
<td></td>
<td colspan="8"></td>
<td></td>
<td>     </td>
<td></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="4">6. Technical Reviewer Name (<em>print</em>)</td>
<td></td>
<td colspan="8"><em>Signature</em></td>
<td></td>
<td>Date</td>
<td></td>
</tr>
<tr class="even">
<td></td>
<td colspan="4"></td>
<td></td>
<td colspan="8"></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="4">     </td>
<td></td>
<td colspan="8"></td>
<td></td>
<td>     </td>
<td></td>
</tr>
<tr class="even">
<td></td>
<td colspan="4">7. Responsible Manager Name (<em>print</em>)</td>
<td></td>
<td colspan="8"><em>Signature</em></td>
<td></td>
<td>Date</td>
<td></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="4"></td>
<td></td>
<td colspan="8"></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td></td>
<td colspan="4">     </td>
<td></td>
<td colspan="8"></td>
<td></td>
<td>     </td>
<td></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="4">8. SCM Coordinator Name (<em>print</em>)</td>
<td></td>
<td colspan="8"><em>Signature</em></td>
<td></td>
<td>Date</td>
<td></td>
</tr>
<tr class="even">
<td colspan="7"><blockquote>
<p>9. SPR No. (Year and sequence, e.g., 2004-01):</p>
</blockquote></td>
<td colspan="9">     </td>
<td></td>
</tr>
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<td colspan="17"></td>
</tr>
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</table>

Appendix K (continued)

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<col style="width: 2%" />
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</colgroup>
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<tr class="odd">
<td colspan="5"><strong>Software Problem Report (SPR) (continuation
sheet)</strong></td>
<td colspan="6"><p><strong>Form Number:</strong></p>
<p><strong>NP 19-1-10</strong></p>
<p id="page-____-of-____" class="heading"><strong>Page ____ of
____</strong></p></td>
</tr>
<tr class="even">
<td colspan="8"></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="8">Continuation of Item 3, Summary of Error, or Item 4,
Impact Analysis:</td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td></td>
<td colspan="8">     </td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td></td>
<td></td>
<td colspan="2"></td>
<td></td>
<td colspan="3"></td>
<td></td>
</tr>
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