Oromia Health Bureau: HRMIS Version 1.0, 2023

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Oromia Health Bureau

Standard Operation Procedure (SOP) forHealth Regulatory Management


Information System (HRMIS)

June, 2023

HRMIS Version 1.0, 2023


ACKNOWLEDGMENTS

Oromia Health Bureau acknowledges the commitment and unreserved efforts of the senior
experts listed below for development of HRMIS SOP.

Mr. Getachew Chala, Oromia Health Bureau

Mr. Abdeta Kekeba, Oromia Health Bureau

Mr. Haile Abera, Oromia Health Bureau

Mr. Dejene Hunde, Oromia Health Bureau

Mr. Asefa Beyi, Oromia Health Bureau

Mrs. Chaltu Alemu, Oromia Health Bureau

Mr. Zerihun Yakob, Oromia Health Bureau

Mr. Dereje Teshome, Oromia Health Bureau

Mr. Yeneshet Bekele, Oromia Health Bureau

Sr. Emebet Tesfaye, Oromia Health Bureau

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Table of Contents
1. Introduction ....................................................................................................................................... 1
2. Purpose: ............................................................................................................................................... 1
3. Scope: ................................................................................................................................................... 1
4. Abbreviations: ..................................................................................................................................... 2
5. Role and Responsibility ...................................................................................................................... 2
5.1. Root .............................................................................................................................................. 2
5.2. Admin ........................................................................................................................................... 2
5.3. Oromia Health Bureau Health and Health related Directorate (Approver) ....................... 2
5.4. Reviewer (Zonal/Town/City) .................................................................................................... 2
5.5. Applicants..................................................................................................................................... 3
6. Definitions:........................................................................................................................................... 3
7. Activity description/procedure .......................................................................................................... 4
7.1. Steps to create new account/sign up for applicants................................................................ 4
7.2. Reset password (only for Applicant/Guest) ............................................................................. 4
7.3. Steps to Sign in to the system .................................................................................................... 5
8. Customer Workspace ......................................................................................................................... 5
8.2. Application Category ..................................................................................................................... 5
8.3. Application History......................................................................................................................... 5
7.4. Payment Processing .................................................................................................................... 6
7.5. License Generating ...................................................................................................................... 6
7.6. Good Standing Letter Generating ............................................................................................. 6
7.7. Designation Letter Generating ................................................................................................... 6
8. Customer Panel ................................................................................................................................... 6
8.1. Helps on Requirements ................................................................................................................... 7
8.2. Mandatory Document.................................................................................................................... 7
8.4. Application................................................................................................................................... 7
8.5. Institutions Graduated From ..................................................................................................... 7
8.6. Publications (if there is any)....................................................................................................... 8
8.7. Additional Attachments (if there is any) .................................................................................. 8
8.8. Sign and Apply ............................................................................................................................ 8
9. Zone/Town/City Reviewal Panel...................................................................................................... 8
9.1. Steps to Upgrades/Renewal for eligible applicants ..................................................................... 9
9.2. Upgrade and Renewal Reviewal Panel ineligible (not licensed by the system previously) ..............9

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9.3. Pending Upgrades/Renewals ................................................................................................... 10
9.4. Approved Upgrades/Renewals................................................................................................ 10
9.5. Licensed Upgrades/Renewals ................................................................................................... 10
10. Approval Workspace .................................................................................................................... 10
How to access Approval Workspace...................................................................................................... 10
10.1. New Applications...................................................................................................................... 11
10.2. Approved Applications ........................................................................................................ 11
10.3. Pending Applications ............................................................................................................ 11
10.4. Licensed Applications............................................................................................................ 11
10.5. Rejected Applications ........................................................................................................... 11
10.6. Payment Approval ................................................................................................................ 11
10.7. Approved Payment............................................................................................................... 12
11. Approval Panel.............................................................................................................................. 12
11.1. Help button ............................................................................................................................... 12
11.2. Mandatory Documents ............................................................................................................ 12
11.2.1. When Feedback is required .................................................................................................. 12
11.3. Application................................................................................................................................. 13
11.3.1. When feedback is required................................................................................................... 13
11.4. Institution Graduated From ..................................................................................................... 13
11.4.1. When feedback is required................................................................................................... 14
11.5. Publication (if there is any) ...................................................................................................... 14
11.5.1. When feedback is required................................................................................................... 14
11.6. Additional Attachments (if there is any) ................................................................................ 14
11.6.1. When feedback is required................................................................................................... 15
11.7. Application Approval ............................................................................................................... 15
11.7.1. When feedback is required................................................................................................... 16
11.7.2. When rejection required ...................................................................................................... 16
12. Reference ....................................................................................................................................... 16
13. Supporting document and records ............................................................................................. 16
Content of Declaration ............................................................................................................................ 17
REVISION AND AMENDMENT.............................................................................................................. 18

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1. Introduction

HRMIS is a web-based application to capture, store, process professional licensing (from


application to license generating), manage license status, archive, generate report &
manage dashboard. It is platform independent. It is one of OHB strategies in information
revolution endeavor which is one of the HSTP transformation agenda.

This SOP is intended to equip health care taskforces with knowledge and skill to effectively
use HRMIS software for professional license processing. It enables the Applicant how to
apply and get new license, upgrade, renewal, letter of designation, letter of good standing
and replacement for lost/damaged license online from his/her workplace .It enables also
the Approver how to review and approve for new license, upgrade, renewal, designation,
letter of good standing and replacement for lost/damaged license online, that tasks are
completed consistently and efficiently, and to reduce the risk of errors(non-conformity),
improve quality and customer service. Additionally, it enables Zonal/Town reviewers how
to review, attach professional license (expired or not expired) /Letter of Designation and
Add the applicants not previously licensed by system using an account opened by the
regional system admin.

2. Purpose:
This procedure gives instructions/steps on how applicant accesses, apply and receive new
license, renewal license, upgrade, lost/damaged license, letter of designation and letter of
good standing.
Approver accesses and process (new license, renewal license, upgrade, lost/damaged
license, letter of designation and letter of good standing).
Zone/Town/City Reviewer access and attach previous license/designation letter for
Renewal and Upgrade.
Administrator create account for Approver and Reviewer. Aside, with inclusive and overall
system management and control with some restrictions.
3. Scope:
This procedure applies for activities to be performed using HRMIS such as New License,
Renewal License, Upgrade, Replacement for lost/damaged license, Letter of Designation
and Letter of Good standing implemented within Oromia Region jurisdiction.

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4. Abbreviations:
HRMIS-Health Regulatory Management Information System
OHB-Oromia Health Bureau
SOP- Standard Operation Procedure
URL-Universal Resource Locator
5. Role and Responsibility
5.1. Root
Has inclusive and overall system management and control
5.2. Admin
Next to root user, admin has also inclusive role with some restrictions. For instance,
admin cannot change user name and has no access to root privileged modules.
5.3. Oromia Health Bureau Health and Health related Directorate (Approver)
Is to ensure:
 Effective implementation, maintenance and follow-up of this procedure (Review
and Approve application)
 Review/revise and communicate if any amendment is needed.
 Capacity building and support Health workforce at different levels (training, and
technical support)
 Early communication and taking feedback for applicant soon.
 When gap/non-conformity is identified by approver, take administrative measures
when necessary and follow the correction of identified gap.
 Communicate and provide information on any issue of HRMIS professional license
processing and authentication.
 Compile, aggregate and generate report.
5.4. Reviewer (Zonal/Town/City)
 Zonal/Town/City reviewers receive expired professional license for Renewal and
professional license (active or expired)/letter of designation for upgrade from
applicants and attach to HRMIS. Additionally, they can update attached
documents and their Reviewal profile (till approved).
 Reviewers can follow, communicate, and take administration measures on Expired
license
 Reviewers can view the status of health professionals' licenses (Pending, Approved
and Licensed Renewal/Upgrade) in their catchment area.

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 For applicants not previously licensed by system but need professional license for
Renewal and Upgrade they need to Add the applicants in to the system by using
Add New Customer button on Reviewal Panel
5.5. Applicants
 They have to sign up to access the system online using URL defined by OHB and
manage their account profile.
 An applicant applied for Health Professional license process, must be under practice
of Oromia Health Bureau
 Degree-level applicants who are newly graduating from higher institution request
health professional license should have grade 11 and 12 transcript from Oromia
Region.
 Diploma, level-IV and level-V applicants who request Heath professional license
must graduate from recognized higher institutions from Oromia region.
 An applicant who requests professional license (New, Renewal, Upgrade and
Replacement), letter of designation and letter of good standing must meet the
requirements.
 Every health professional should renew the professional license every five year.
 The applicant can process professional licensing online at any time from any place
6. Definitions:
Approver means an expert who approves required document/s for Health professionals
license processing at the regional level.
Reviewers are Zone/Town/City Regulatory expert who receive and attach previous
license/designation letter from applicants who are previously licensed by HRMIS (eligible)
and make applicants eligible who have not yet licensed by system.
Professional means a person trained at a recognized higher education institution and
registered /licensed by regulatory bodies to provide health service.
Applicant means an eligible health professional who applies /request for new health
professional license, Renewal license, Upgrade, Designation Letter, Letter of Good standing
and Professional license replacement.
Mandatory documents are an item required for Professional License Processing.
New Application, from the perspective of applicant, is an application that has to be filled
by an applicant who has never had professional license.
New Application, from the perspective of approver, is an item which contains list of
applications (New, Upgrade, Renewal, Replacement, Designation Letter and Letter of
Good Standing) applied by applicant.
New professional license means the regional regulatory body provide a license for the first
time and grants the recipient legal authority to practice a specific scope.
Renewal Application is Customer Workspace item to renew for the action of extending
the period of validity of license

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Upgrade Application is Customer Workspace item to upgrade an extension of existing
professional status/the license scope on the basis of an existing license.
Letter of Designation is an official name, description or title which is given to a requested
institutions regarding health professional.
Letter of Good Standing is an official letter given for an applicant regarding his/her
performance.
Replacement Application is Customer Workspace item to replace License that is issued to
substitute for a license that has been lost or damaged.
Rejection means the regulatory bodies’ action to reject the applications if the document
provided by applicant is not legal and /or invalid
Restore is an action to be taken by administrator to change the application status to New
when license is approved or issued wrongly by approver.
Suspended means any administrative measure that prevents health professional from
performing his/her professional duties for a period of time due to violation or non-
compliance with the regulations.
Revoke means an administrative measure to cancel/withdraw health professional license
from performing his/her professional duties by regulatory bodies.
Active state means the professional license is valid and has not expired so that health
professionals can practice in the scope of service.
Inactive state means a health professional whose professional license is invalid (revoked),
expired or health professional has not performed using the given professional license.
7. Activity description/procedure
7.1. Steps to create new account/sign up for applicants
 Open browser and type URL on address bar.
 Click on Agree
 Homepage
 Click on Get Started
 Click Signup/Sign in button
 Applicant/Guest Homepage
 Click on Next button to navigate to Applicant Workspace
7.2. Reset password (only for Applicant/Guest)
 Click on Forgot Username/Password button
 Open a dialog box to enter email to send the link for updating password
 Enter your email

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 Click on send reset link

 Then the link will be sent to your email

 Open your email to get the link and reset your password

 Enter new password, confirm new password and update


7.3. Steps to Sign in to the system

 Enter Username and Password

 Click on Sign in button to navigate to Applicant/Guest Homepage

When an Applicant Sign in to the system, Applicant's Homepage will be


appeared, and then, click on the Next button to navigate to Customer
Workspace

8. Customer Workspace

 The following items are available on Customer Workspace


o Applications Category
o Application History
o Payment Processing
o License Generating
o Good Standing Letter Generating
o Designation Letter Generating
8.2. Application Category
Click on Application Category to select an application item

 New Application

 Renewal Application

 Upgrade Application

 Letter of Good standing

 Letter of Designation

 Replacement (Lost/Damage) Documents Applications


8.3. Application History

 Click on Application History to view fields on List of Your Application table

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When an applicant-required documents or profile is reviewed and
approved by Approver, the payment needed for the license processing
message is appeared as number 1 in side badge icon on Payment
Processing

7.4. Payment Processing


 Click on Payment Processing
 Click on List of Your Payments table
 Click on Browse
 Then attach Payment Receipt

When Approver approves an attached payment receipt, a message is


appeared preceded by spinner indicating license is ready

7.5. License Generating


 Click on License Generating button
 Download and color-print professional license
7.6. Good Standing Letter Generating
 Click on Good Standing Letter Generating button
 Download and print letter of Good Standing
7.7. Designation Letter Generating
 Click on Designation Letter Generating button
 Download and print letter of Resignation Letter Generating

When Applicants click on one item of the Application Category under


Customer Workspace, the Applicant will navigate to the Customer Panel

8. Customer Panel
The following items are available on Customer Panel
 Helps on Requirements
 Mandatory Document
 Application

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 Institution/s Graduated From
 Publications (if there is any)
 Additional Attachments (if there is any)

8.1. Helps on Requirements


 Click on Help button to view mandatory documents requirements
8.2. Mandatory Document.
 Click on Mandatory Documents item to attach documents
 Click on Add New button to get Add Mandatory Documents
 Click on Choose File and attach required document/s
 click on choose file button which will take you to file location.
 Select the documents and click on Browse button to attach
 Click on Save button and then Data is Saved Successfully dialog box will appear
 Click on the Close button to close the dialog box
1. The applicant can view a list of attached documents, edit or delete
them until the document is approved by the approver. He/ She can
sort, search, or filter for mandatory document.
2. The applicant can attach more document/s by clicking on Add New
button
8.4. Application
 Click on Application, fill application profile & attach 3x4 photo (3.5KB-4KB) in
JPG/JPEG format.
 Select number of profession/s to be applied for by selecting from drop down menu
 Click on Save button to save the application, and then, Data is Saved Successfully
dialog box is appeared
 Then click on the Close button to close dialog box
8.5. Institutions Graduated From
 Click on Institution’s Graduated From item
 Click Add New button to fill all required information
 Fill fields on Add Professional Training window

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 Click on Save button and then, Data is Saved Successfully dialog box is appeared.
 Click on the Close button to close Dialog box

Applicant can add more institutions by Clicking Add New button under
Institutions Graduated From

8.6. Publications (if there is any)


 Click on Publications (if there is any)
 Click on Add New button to fill required fields on Add Publication window
 Click on Save button, and then, Data is Saved Successfully dialog box is appeared
 Then click on the Close button to close the Dialog box
8.7. Additional Attachments (if there is any)
 Click on Additional Attachments (if there is any)
 Click on Add New button to get Add Additional Attachment/s window
 Click on Choose File and attach required document/s
 Select the documents and click on Browse button to attach document
 Click on Save button, and then, Data is Saved Successfully dialog box will appear
 Click on the Close button to close the dialog box

8.8. Sign and Apply


 After an Applicant attaches Mandatory Document and Additional Attachments (if
there is any), and fill Application, Institution/s Graduated From and Publications (if
there is any) and click on Sign and Apply button
1. The Customer Panel will be disappeared automatically and navigate
to Customer Workspace immediately when applicant clicked on Sign
and Apply button
2. When you click on Sign and Apply button, it is to mean that you have
put your signature and submit your application.
9. Zone/Town/City Reviewal Panel
How to access HRMIS
 Open browser and type URL on address bar
 Click on Agree
 Homepage

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 Click on Get Started
 Enter your Username and password
 Reviewer Homepage
 Click on Next button to navigate to Reviewal Panel
 The following items are available on Reviewer Panel page
o Upgrades/Renewals Eligible for Approval
o Pending Upgrades/Renewals
o Approved Upgrades/Renewals
o Licensed Upgrades/Renewals
9.1. Steps to Upgrades/Renewal for eligible applicants
 Sign in to HRMIS using Username and password
 Reviewer Homepage
 Click on Next button
 Reviewal Panel-Zone/Town/City appeared
 Click on Upgrades/Renewals Eligible for Reviewal
 List of eligible professional licensing customers for upgrade/renewals in your
respective organization will be displayed
 Click on search text box to search list of eligible customers for renewal/upgrade.
 Write name of applicant in search box and hit enter to filter.
 Click on file button under approve column
 Attach previous license/designation letter in PDF format
 Select approval type (Upgrade/Renewal) from drop down box
 Enter your full name, position, email, phone number and remark if any
 Click on approve to enable further processing by approver at OHB and applicant
 After you click on approve, confirmation pop up message appears
 Click on Close button to close
 Sign out to exit from the system
9.2. Upgrade and Renewal Reviewal Panel ineligible (not licensed by the system
previously)
 The applicant needs to Sign up

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 Zone/Town reviewer searching the Applicant from sign up
 Click on Add New Customer button to search the Applicant
 Click on file button under Approve column
 Attach previous license/designation letter in PDF format
 Select approval type (Upgrade/Renewal) from drop down box
 Enter your full name, position, email, phone number and remark if any
 Click on approve to enable further processing by approver at OHB and applicant
 After you click on approve, confirmation pop up message appears
 Click on Close button to close
 Sign out to exit from the system
9.3. Pending Upgrades/Renewals
 This item is where list of reviewed customers by the Zone/Town are populated.
These customers are either not yet processed their application or approved by
Approver
9.4. Approved Upgrades/Renewals
 This item is where list of approved applications by Approver are populated.
9.5. Licensed Upgrades/Renewals
 This item is where list of licensed applications is populated
10. Approval Workspace
How to access Approval Workspace
 Open browser and type URL on address bar
 Click on Agree
 Homepage
 Click on Get Started
 Sign in to HRMIS using Username and password
 Approval Homepage
 Click on Next button to navigate to Approval Workspace

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The following items are available on Approval Workspace
o New Applications
o Approved Applications
o Pending Applications
o Licensed Applications
o Rejected Applications
o Payment Approval
o Approved Payments
10.1. New Applications
 Clicking on New Application, the following items are available
o List of New Applications for:
o New, Upgrade, Renewal, Replacement
o Letters of Good standing
o Letters of Designation
 Click on Browse button under Approve column to navigate to Approval Panel
10.2. Approved Applications
 Click on Approved Applications
 Click on Browse button under Approve column to navigate to Approval Panel
10.3. Pending Applications
 Click on Pending Application
 Click on Browse button under Approve column to navigate to Approval Panel
10.4. Licensed Applications
 Click on Licensed Application
 Click on Browse button under Approve column to navigate to Approval Panel
10.5. Rejected Applications
 Click on Rejected Application
 Click on Browse button under Approve column to navigate to Approval Panel
10.6. Payment Approval
 Click on Payment Approval
 Click on Browse Receipt to review receipt attached by the applicant

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 Click on Approve-to-approve payment
 The confirmation dialog box will be appeared
 Click on Close button
10.7. Approved Payment
 Click on Approved Payment
 Click on Browse Receipt button under Browse Receipt column to view the
receipt
11. Approval Panel
The following items are available on Approval Panel
o Help button
o Mandatory Documents
o Application
o Institution Graduated From
o Publication (if there is any)
o Additional Attachments (if there is any)
o Application Approval
11.1. Help button
 Click on Help button to view Mandatory Documents required
11.2. Mandatory Documents
 Click on Mandatory Documents item to view each attached document
 Click on the name of attached mandatory document to check and review each
document
 Click on Feedback button under Action column if it is required
 Click on Approve button after the Approver check and review the Mandatory
Documents of the applicant
 Then Confirmation dialog box for Approved successfully dialog box will appear
 Click on the Close button to close the dialog box

11.2.1. When Feedback is required


 Click on Feedback button under Action column, and then dialog box of
Feedback on the specified document will appear.
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 Write your feedback in the Feedback text box
 Click on Save button and Feedback Submitted Successfully confirmation dialog
appeared
 Click on Ok button to close the dialog

The written feedback will appear automatically under Feedback column


of applicant’s Attached Documents table

11.3. Application
 Click on Application then the Application profile will be displayed.
 Check, review the application profile such as Personal Information, Birth Address
Information, Current Address Information and The Applicant is Applied for the
Profession Option/s
 Click on Feedback button if it is required
 Click on Approve button then
 The Confirmation dialog box for Approved successfully dialog box will appear
 Click on the Close button to close the dialog box

11.3.1. When feedback is required


 Click on Feedback button then dialog box of Feedback appeared
 Write your feedback in the Feedback text box
 Click on Save button and Feedback Submitted Successfully confirmation dialog
appeared
 Click on Ok button to close the dialog

The written feedback will appear automatically in Feedback text box


on Application form

11.4. Institution Graduated From


 Click on Institution Graduated From
 The Institution/s from which the applicant was graduated will be displayed.
 Check, review, and click on Feedback button under Action column if it is required

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 Click on Approve button
 The Confirmation dialog box for Approved successfully dialog box will appear
 Click on the Close button to close the dialog box

11.4.1. When feedback is required


 Click on Feedback button under Action column, and then dialog box of
Feedback on the specified document will appear
 Write your feedback in the Feedback text box
 Click on Save button and Feedback Submitted Successfully confirmation dialog
appeared
 Click on Ok button to close the dialog
11.5. Publication (if there is any)
 Click on Publication, then publication/s of the applicant will be displayed
 Check, review, and click on Action button to give feedback on Publication/s
attached or linked
 Click on Approve button then
 The Confirmation dialog box for Approved successfully dialog box will appear
 Click on the Close button to close the dialog box

11.5.1. When feedback is required


 Click on Feedback button under Action column, and then dialog box of
Feedback on the specified document will appear
 Write your feedback in the Feedback text box
 Click on Save button and Feedback Submitted Successfully confirmation dialog
appeared
 Click on Ok button to close the dialog
11.6. Additional Attachments (if there is any)
 Click on Additional Attachments then
 An Additional Attachment/s of the applicant will be displayed.
 Check, review, and Click on Action button to give feedback to Additional
Attachment/s

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 Click on Approve button then
 The Confirmation dialog box for Approved successfully dialog box will appear
 Click on the Close button to close the dialog box

11.6.1. When feedback is required


 Click on Feedback button under Action column, and then dialog box of
Feedback on the specified document will appear
 Write your feedback in the Feedback text box
 Click on Save button and Feedback Submitted Successfully confirmation dialog
appeared
 Click on Ok button to close the dialog
11.7. Application Approval
 Click on Application Panel
 Information to be Filled by officials’ only form will be displayed
 Select COC status, fill CPD (# of CEUs), select Licensure Exam year, month and
fill List Number, select Number of Application Approved for Registration, Select
The applicant is approved for registration (like Qualification, Profession,
Designation and good standing Letter)
 Write comment and other observation if any
 Select Temporary Registration (Yes/No), select Approval Date (G.C and E.C) and
fill Service Amount Payment
 Click on Save Button and then, the Confirmation dialog box Approval Panel
Data Inserted Successfully will be displayed
 Click on Close button to close, and then, the Application Status will be changed
to New.
 Clicking on Approve button, and then, the Application Status will be changed
to Approved
 Click on Approve this Application button when all required documents are
approved

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 The Confirmation dialog box for Application is approved Successfully will be
displayed
 Click on the Close button to close the dialog box

11.7.1. When feedback is required


 Click on Feedback on this Application button under Over all Application
feedback dialog box will appear
 Write your feedback in the Application Feedback text box
 Click on Save button and over all Feedback Submitted Successfully confirmation
dialog appeared then click on Ok button. note

If you want to cancel Application Feedback, click on Close button

11.7.2. When rejection required


 Click on Reject this Application button under Approval Panel, and then Are you
sure to reject this application dialog box will be appeared
 Click on OK button to proceed or Click on Cancel button to cancel
 Reason for Application Rejection dialog box will be appeared
 Write your rejection reason in the Rejection text box
 Click on Save button and then Rejected Successfully confirmation dialog box will
appear
 Click on Close button to close the dialog box

If you want to cancel Application rejection, click on Close button

12. Reference
 Health professionals’ Registrations and licensing directive number 770/2021
 Wikipedia Dictionary
13. Supporting document and records
HRMIS Participant manual, SOP
Helps button for required document

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Content of Declaration
Declaration

I, the undersigned regulatory expert personnel, certify that I am conducting every step of
the procedures incorporated in this SOP after a prior reading.

Name Signature and Date

……………………………... ……………………………... E. C.

……………………………... ……………………………... E. C.

……………………………... ……………………………... E. C.
……………………………... ……………………………... E.
C.

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……………………………... ……………………………... E. C.

……………………………... ……………………………... E. C.

……………………………... ……………………………... E. C.

……………………………... ……………………………... E. C.

……………………………... ……………………………... E. C.

……………………………... ……………………………... E. C.

……………………………... ……………………………... E. C.

……………………………... ……………………………... E. C.

……………………………... ……………………………... E. C.

……………………………... ……………………………... E. C.

……………………………... ……………………………... E. C.

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REVISION AND AMENDMENT
i. Review of Document

Review Reviewed by: Approved by:


Date Name Signature Name Signature

A. Version Change History/Description

Version. Effective Description of Version Reviewer Approver


No. Date Change Name Sig Name Sign

B. Amendment

Rev. Page Description of Amendment Amendment Effective Approval


No. No Date Date Name Sign

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