2.03a RFP Attachment (I)-2 TGI_38K6A49503A01_c0v0.pdf

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Attached to
USS RAFAEL PERALTA (DDG-115) SCAFFOLDING (YOKOSUKA, JAPAN)
Solicitation number
N6264925RB008
Issued by

About this file

This document is a WebAIM Short Form Task Group Instruction (TGI) for scaffolding installation and removal on the USS Rafael Peralta (DDG-115) located at Commander, Fleet Activities Yokosuka. The TGI covers a specific maintenance task for antenna number 6-13, with scaffolding to be erected and removed by ship's force between 8/30/2025 and 9/20/2025. The work will be performed at the Pole Mast, Frame 179, Ship's Center Line, with SRF-JRMC providing supplemental services including crane and rigging service, safety inspections, and quality assurance inspections.

Key references include NAVSEA Standard Items, Local Standard Items, and the Code of Federal Regulations (29 CFR Part 1915.71) regarding scaffolding and staging. The instruction is marked FOUO (For Official Use Only) and involves personnel from Code 231B (Planner K. Ishikawa) and Code 333 (Work Integration Manager T. Yaginuma). No government-furnished material is required, and the job is associated with Job Control Number (JCN) OT01-0649.

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Text version

FOUO

WebAIM Short Form TASK GROUP INSTRUCTION

24-JUN-2025 1138

20.14.15.2.9020 (September 2024) ICN: 38K6A49503 KeyOp: A01

COMPONENT NAME: TYPE: PHASE: REPEAT: CHG/VER:TGI NO: TEMPORARY STAGING SF TST A 0 0/0

SHIP/HULL NO: SHIP/HULL NAME: PROJECT: SYSTEM: PLANT ID: CASREP CAT:

DDG-115 USS RAFAEL PERALTA K6A 86512

CU PHASE TITLE: *F/O - INSTALL AND REMOVE SCAFFOLDING TO/FROM ANT NO. 6-13 FOR SHIP’S FORCE WORK

WORK CERTIFICATION SIGNATURES: DLs

COMPLETION OF WORK REVIEW: BADGE NO: SHOP/CODE: PHONE: DATE:

RECORDS REVIEW: BADGE NO: SHOP/CODE: PHONE: DATE:

FOUO Pg 1 of 3

OT010649

PREPARING ACTIVITY: STATUS: APP WORKING STATUS:

PREPARED BY: CODE: PHONE: DATE:

ISHIKAWA, KENICHIRO 231B 3152432479 20-JUN-2025

APPROVED BY: CODE: PHONE: DATE:

TAKEISHI, TAKAYUKI 231B 3152436704 20-JUN-2025

CONCURRED BY: CODE: PHONE: DATE:

REASON FOR WORK/NEED FOR CHANGE:

JCN:

OT01-0649

SPECIAL REQUIREMENTS:

CU PHASE DESCRIPTION:

ZONE MANAGER: ZONE: COMPARTMENT: LEVEL: FRAME: SIDE:

YAGINUMA, TAKEHIDE VARIOUS U

JOB SUMMARY ID: TOT MAN HR.: TOT DUR: TOT JML COST: PLANNING ACCEPTANCE:

495A4103

1. SCOPE/PURPOSE:

1.1 Title: Scaffolding for Ship’s Force Work; install and remove

1.2 Location of Work:

1.2.1 Pole Mast, Frame 179, Ship’s Center Line

1.3 Identification:

1.3.1 Quantity (One Lot), Scaffolding Assembly

Location: 1.2.1 Remarks: Maintenance work of antenna number 6-13 will be accomplished by Ship's Force.

1.4 Security Classification: None.

TGI Short Form

24-JUN-2025 1138

20.14.15.2.9020 (September 2024) (Continued) ICN: 38K6A49503 KeyOp: A01

COMPONENT NAME: TYPE: PHASE: REPEAT: CHG/VER:TGI NO: TEMPORARY STAGING SF TST A 0 0/0

SHIP/HULL NO: SHIP/HULL NAME: PROJECT: SYSTEM: PLANT ID: CASREP CAT:

DDG-115 USS RAFAEL PERALTA K6A 86512

CU PHASE TITLE: *F/O - INSTALL AND REMOVE SCAFFOLDING TO/FROM ANT NO. 6-13 FOR SHIP’S FORCE WORK

FOUO Pg 2 of 3

CU PHASE DESCRIPTION (Cont.)

Ref.

No.

Document/Drawing Number DOCUMENT/DRAWING TITLE REV

CHG

NO.

CPY

REQ PARAGRAPH SECT PG CHPT

1.5 Initial Condition: None.

1.6 Contractor work start date:

1.7 Contractor work completion date:

2. PROCEDURE:

2.1 Erect/hang scaffolding listed in 1.3.1 in accordance with Ref. No. 3.

2.2 Remove scaffolding listed in 1.3.1 upon completion of the work in accordance with Ref. Ref. No. 3 when requested by Ship’s Force via Code 333.

2.3 Notes:

2.3.1 Planner: Code 231B K. Ishikawa, 243-2479

2.3.2 Work Integration Manager (WIM): Code 333 T. Yaginuma, 080-5419-0598

2.3.3 JCN OT01-0649 is related to this TGI.

2.4 Government Furnished Material (GFM): None.

2.5 SRF-JRMC will provide the following service work: (TGI No. 38K6A49503S02).

2.5.1 [C740] Crane and crane rigging service.

2.5.2 [C106.1] Safety inspection for SRF-JRMC employees.

2.5.3 [C133] QA inspection for (G) symbol(s).

Kouichi.Yoshida.ja Typewritten Text 8/30/2025

Kouichi.Yoshida.ja Typewritten Text 9/20/2025

24-JUN-2025 1138

20.14.15.2.9020 (September 2024) (Continued) ICN: 38K6A49503 KeyOp: A01

COMPONENT NAME: TYPE: PHASE: REPEAT: CHG/VER:TGI NO: TEMPORARY STAGING SF TST A 0 0/0

SHIP/HULL NO: SHIP/HULL NAME: PROJECT: SYSTEM: PLANT ID: CASREP CAT:

DDG-115 USS RAFAEL PERALTA K6A 86512

CU PHASE TITLE: *F/O - INSTALL AND REMOVE SCAFFOLDING TO/FROM ANT NO. 6-13 FOR SHIP’S FORCE WORK

FOUO Pg 3 of 3

Ref.

No.

Document/Drawing Number DOCUMENT/DRAWING TITLE REV

CHG

NO.

CPY

REQ PARAGRAPH SECT PG CHPT

1 NSI FY-25 NAVSEA Standard Items - 1 N 2 LI FY-25 Local Standard Items - ORG N

3 TM 29 CFR PART

1915.71 Scaffolding or Staging - N

SHOP/

TSD TS

SF

WC

CREW

# MHRS RWRK

MATERIAL LIST

ITEM

NO.

PC

NO.

REF

NO.

M

C DESCRIPTION

STOCK

NUMBER

GENERIC

MATL

TYPE LVL QA

HAZ

MAT

DOC

NO.

QTY

REQD/

UNIT

QTY

USED/

UNIT

MATERIAL REFERENCES

REF

NO.

DOCUMENT/DRAWING NUMBER DOCUMENT/DRAWING TITLE

REV

ICN: 38K6A49503 KEY OP: A01

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