Attachment 6- QA FORMS v1.0 (MYRTLE HAZARD DD FY-27).pdf
PDF 275 KB Posted
- Attached to
- DRYDOCK: USCGC MYRTLE HAZARD DD FY27
- Solicitation number
- 70Z08026QPBPL0055
About this file
This is Attachment 6, a preservation plan template and quality assurance forms document for a U.S. Coast Guard vessel coating project for WPC-1139 MYRTLE HAZARD. The document provides a standardized framework for contractors to document and certify coating system specifications and quality assurance data throughout the surface preparation and application phases.
The preservation plan template requires contractors to specify vessel identification, prime and subcontractor names, work item numbers, tasks/surfaces, coating system names (such as PolySLXN2a, CA5, RollOn3b, and SGW2), brand names, storage temperature and humidity requirements, colors, acceptable anchor tooth profile ranges, preparation/cleanliness standards (SSPC standards referenced), target dry film thickness (DFT) ranges, cure times/recoat windows, environmental application ranges, and notes on alternates or deviations. Eight coating systems are identified for the vessel: Tank systems (Work Item 2), Sewage and Grey Water System (Work Item 12), Topside structures including freeboard and weather decks (Work Item 13), Underwater Body (Work Item 14), and Stern Launch Door System (Work Item 11). The document includes three quality assurance forms: QA1 captures surface preparation data including method verification, abrasive blasting equipment testing, surface profile measurements per ASTM D4417, and cleanliness certification; QA2 documents application conditions including final soluble salt conductivity measurements (FSSCM) with maximum allowable values of 30 microsiemens/cm for submerged surfaces and 70 for non-submerged surfaces, environmental and surface conditions, and dew point/relative humidity tracking; QA3 records final coating thickness measurements per SSPC PA-2 standards with spot measurements and certification. All forms require dual certification signatures from both the contractor (KTR) and designated coatings inspector (CI) with initials, dates, and times.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Attachment 6
1a. Vessel Name 1b. Prime Contractor
1c. Subcontractor
2. Work Item Number(s)
3. Task(s)/Surfaces
4. Coating System Name
Coat 1 (Primer) Coat 2 Coat 3 Coat 4 Coat 5 Coat 6
5. Brand Name
6. Storage TEMP/Humifity Requirements
7. Color
8. Acceptable Anchor Tooth Profile Range
9. Preparation/Cleanliness Standard(s)
10. Target DFT Range
11. Cure Time/Recoat Window
12. Enviromental Range
13. Notes/Addendums
2. Work Item Number(s)
3. Task(s)/Surfaces
4. Coating System Name
Coat 1 (Primer) Coat 2 Coat 3 Coat 4 Coat 5 Coat 6
5. Brand Name
6. Storage TEMP/Humifity Requirements
7. Color
8. Anchor Tooth Profile Range
9. Preparation/Cleanliness Standard(s)
10. Target DFT Range
11. Cure Time/Recoat Window
12. Enviromental Range
13. NOTES/ADDENDUMS
2. Work Item Number(s)
3. Task(s)/Surfaces
4. Coating System Name
Coat 1 (Primer) Coat 2 Coat 3 Coat 4 Coat 5 Boot Top
5. Brand Name
6. Storage TEMP/Humifity Requirements
7. Color
8. Anchor Tooth Profile Range
9. Preparation/Cleanliness Standard(s)
10. Target DFT Range
11. Cure Time/Recoat Window
12. Enviromental Range
13. NOTES/ADDENDUMS
INSTRUCTIONS
1a. List the vessel name that will be coated, 1b. the name of the prime contractor, and 1c. if coatings application work will be subcontracted the name of the subcontractor who will be prepping surfaces or applying the coatings. 2. Identify each work item number the coating system will be used in. 3. List either the preservation Tasks from the work item, or the surfaces that will be coated. 4. Provide the "Coating System Name" that is being applied (e.g., PolySLXN4, RollOn1(FlxMbrn), WthrDck1(STL-BG), etc.). These are either listed in the SOW with the Task (will map to Section 6 of VCS), and listed in Section 6 or Section 8 of Coast Guard Vessel Coatings Specifications (VCS).
5. Brand Name List each brand name of paint that will be used. Ideally, these will be listed in Section 7 of VCS, but may also be listed in Section 8 of VCS if appropriate. If it is not possible/practicable to use a coating from either of those lists an alternate coating may be proposed. Indicate that a new coating is being proposed and provide justification for using an alternate in the NOTES/ADDENDUMS section of the affected coating system below. That proposed coating may be approved for use, pending.
FO2
6. Storage TEMP/Humifity Requirements - Describe the Storage TEMP/Humifity Requirements specified on the Product Data Sheet of each coating that will be used. This is certifying/acknowledging that the coatings will be stored in accordance with the manufacturer's requirements.
7. Color - List the colors that will be procured and used as described in the SOW for each system.
8. Acceptable Anchor Tooth Profile Range - Describe the acceptable anchor tooth profile range described in the Product Data Sheet for the primer coating. This range must be achieved prior to applying the primer coat.
Discrepancies with the existing anchor tooth profile of a surface must be reported immediatly so that corrective action can be authorized.
9. Preparation/Cleanliness Standard(s) - List or describe the preparation standards (e.g., SSPC SP-10, SSPC SP-11, SSPC-SP WJ-2(L), etc.) that will be met, as specified on the applicable coating Product Data Sheet.
10. Target DFT Range - List/describe the DFT ranges that will be met for each coat as prescribed on the applicable on the applicable coating Product Data Sheet.
11. Cure Time/Recoat Window - List/describe the Cure Time/Recoat Window that will be met for each coat as prescribed on the applicable coating Product Data Sheet.
12. Enviromental Range - List/Describe the enviromental temperatures and humidity ranges that are allowable for coating application as prescribed on the applicable coating Product Data Sheet.
13. Notes/Addendums - List/describe all other pertanant information applicable to the application of the coating system (e.g., proposals for alternate coatings, a description of tents/enclosures that will be constructed to control climate/prevent overspray/etc., min time between top-coat and undocking, required deviations from coating MFG’s instructions, etc.)
Coating System 1 WORK ITEM 2: Tanks and Voids Tanks 11 Oily Water Tank (3-34-1-W)
PRESERVATION PLAN
WORK ITEM 11: Stern Launch Door System
PolySLXN2a
GENERAL - Provide a complete description of each "coating system" that will be used to complete this SOW. Submit this spreadsheet, or provide the same information in a word doc, PDF, etc. A "Sample" Preservation Plan is provided on the "Sample PRESERVATION PLAN" tab of this Excel doc.
WPC-1139 MYRTLE HAZARD
Coating System 3 WORK ITEM 11: Stern Launch Door System All Stern Launch Door surfaces (lower) CA5 (2AC 3AF+2BT) or NCA5 (2AC 3AF + 2BT)
Coating System 2
All Stern Launch Door surfaces, P/S door hinge-pin foundations (upper)
2. Work Item Number(s)
3. Task(s)/Surfaces
4. Coating System Name
Coat 1 (Primer) Coat 2 Coat 3 Coat 4 Coat 5 Coat 6
5. Brand Name
6. Storage TEMP/Humifity Requirements
7. Color
8. Anchor Tooth Profile Range
9. Preparation/Cleanliness Standard(s)
10. Target DFT Range
11. Cure Time/Recoat Window
12. Enviromental Range
13. NOTES/ADDENDUMS
2. Work Item Number(s)
3. Task(s)/Surfaces
4. Coating System Name
Coat 1 (Primer) Coat 2 Coat 3 Coat 4 Coat 5 Coat 6
5. Brand Name
6. Storage TEMP/Humifity Requirements
7. Color
8. Anchor Tooth Profile Range
9. Preparation/Cleanliness Standard(s)
10. Target DFT Range
11. Cure Time/Recoat Window
12. Enviromental Range
13. NOTES/ADDENDUMS
2. Work Item Number(s)
3. Task(s)/Surfaces
4. Coating System Name
Coat 1 (Primer) Coat 2 Coat 3 Coat 4 Coat 5 Coat 6
5. Brand Name
6. Storage TEMP/Humifity Requirements
7. Color
8. Anchor Tooth Profile Range
9. Preparation/Cleanliness Standard(s)
10. Target DFT Range
11. Cure Time/Recoat Window
12. Enviromental Range
13. NOTES/ADDENDUMS
2. Work Item Number(s)
3. Task(s)/Surfaces
4. Coating System Name
Coat 1 (Primer) Coat 2 Coat 3 Coat 4 Coat 5 Coat 6
5. Brand Name
6. Storage TEMP/Humifity Requirements
7. Color
8. Anchor Tooth Profile Range
9. Preparation/Cleanliness Standard(s)
10. Target DFT Range
11. Cure Time/Recoat Window
12. Enviromental Range
13. NOTES/ADDENDUMS
2. Work Item Number(s)
3. Task(s)/Surfaces
4. Coating System Name
Coat 1 (Primer) Coat 2 Coat 3 Coat 4 Coat 5 Boot Top
5. Brand Name
6. Storage TEMP/Humifity Requirements
7. Color
8. Anchor Tooth Profile Range
9. Preparation/Cleanliness Standard(s)
10. Target DFT Range
11. Cure Time/Recoat Window
12. Enviromental Range
Underwater Body CA5 (2AC 3AF+2BT) or NCA5 (2AC 3AF+2BT)
PolySLXN2a
Coating System 8 WORK ITEM 14: Underwater Body
Coating System 7 WORK ITEM 13: Topside Structure and Coating Systems
SUPERSTRUCTURE
Coating System 6 WORK ITEM 13: Topside Structure and Coating Systems MAIN DK WEATHER DECK, 01 DK WEATHER DECK (FWD FR 16.5), 01 DK WEATHER DECK (AFT FR RollOn3b
Coating System 5 WORK ITEM 13: Topside Structure and Coating Systems Freeboard PolySLXN3b
Coating System 4 WORK ITEM 12: Sewage and Grey Water System The coating system inside the Grey Water Tank
SGW2
13. NOTES/ADDENDUMS
QA1 (PREPARATION DATA)
4a 4b
4c
4d
MAX (mils) MIN (mils)
MEAN
(mils)
1 □ SAT | □ UNSAT
2 □ SAT | □ UNSAT
3 □ SAT | □ UNSAT
4 □ SAT | □ UNSAT
4. LOCATION and AREA
4d. Surface Cleanliness & Profile
Are In Tolerance
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
INSTRUCTIONS
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM□ SAT | □ UNSAT |□ Not Applicable
1.
VERIFICATION INITIALS - Both the KTR and the designated CI must certify the accuracy of each Certify that each test/measurement is accurate and meets standards by 1) initialing, 2) dating, and 3) time-stamping each measurement. Do not apply coatings to a surface/area that has not been certified satisfactory.
2. SURFACE PREPARATION METHODS AND
ABRASIVES
3. ABRASIVE BLAST EQUIPMENT TESTING
LOCATION and AREA - At least 3 measurement sets must be recorded (i.e., each numbered row in the table below is 1 measurement set) . An additional measurement set must be recorded every 500 sqft of prepared surface beyond 1500 sqft (e.g., up to 1500 sqft requires at least 3 measurement sets, 1501 sqft requires at least 4 measurement sets, 2001 sqft requires at least 5 measurement sets, etc.) . The locations of the measurement sets must be approximately equally spaced and taken in locations that are representative of the actual mean surface profile in the subject area. Describe the location of the measurement set in the space provided (i.e., “FREEBOARD, ~FR40, midway between main deck/boot-top, 500sqft”, etc.). See the SAMPLE QA1 tab in this spreadsheet for a sample data sheet that has been filled out properly.
Method (ASTM D4417) - Record in the blank the method used ("B" or "C") to take the readings for the measurement set, either ASTM D4417 Method B or ASTM D4417 Method C.
Allowable Range (mils) - Record the acceptable profile range. This should already be designated on the PRESERVATION PLAN (Submission), and will either be specified in the Coatings Manufacturer's Instructions or in the SOW.
Profile Measurement Set - Record the actual measured minimum, maximum, and mean of all surface profile readings taken per ASTM D4417 Methods B & C for that measurement set. The Contractor may just attach profile measurement tape strips to a separate sheet and submit in lieu of recording data.
Surface Cleanliness & Profile Are In Tolerance - Certify that the LOCATION and AREA belonging to the measurement set is ready for primer-coat application prior to proceeding (i.e. surface is clean, possesses a proper profile, etc) by checking the SAT box.
GENERAL - These forms must be filled out and submitted when tasked to perform COATINGS QUALITY ASSURANCE CHECKPOINTS (631b) and submit COATINGS QA FORMS (631b) by the SOW. The intent is for the Contractor to "print off" paper copies of QA FORMs 1-3 so that data can be recorded on or near the vessel, immediately after preparation and coatings application data has been taken, and so that the data can be certified accurate by the Coatings Inspector (CI).
Then, after the forms are completed and signed, scan the forms back into the computer and Submit the final signed/dated version as a .pdf electronic document upon completion of work. The Contractor may submit forms of their own design in lieu of these, as long as each the parameter/property described herein are captured in their version.
5. VERIFICATION INITIALS
Write into the form the information identifing the vessel, work item, surface being coated, etc. An individual representing the contractor must print his/her name, sign (sig), and then provide an initial (int) that will be used to certify the data points being taken. The designated Coatings Inspector (CI) must do the same.
SURFACE PREPARATION METHODS AND ABRASIVES - List all of the surface preparation methods (e.g., SSPC SP10, SSPC SP11, etc.) that were used to prepare the designated surfaces/components. If abrasive blasting is used, describe the abrasive type/manufacturer/sieve-size.
ABRASIVE BLAST EQUIPMENT TESTING - If 1) abrasive blasting is required, or 2) the Contractor elects to use abrasive blasiting, and if the SOW designates that ABRASIVE BLAST EQUIPMENT TESTING (631b) is required then certify that the blasting equipment is properly adjusted and profiled the disposable coupon as required by the applicable standard and the coatings manufacturer's instructions. This must be performed prior to blasting Coast Guard owned components/surfaces to ensure they are not damaged, and that the correct profile is ultimately obtained. Certify that this testing has been accomplished satisfactoriy before proceeding.
4a.
Method
(ASTM
D4417)
4b.
Allowable
Range (mils)
CONTRACTOR (KTR) NAME (print) (sig) (int)
COATINGS INSPECTOR (CI) NAME (print) (sig) (int)
VESSEL NAME/HULL#: WORK ITEM # TITLE: SURFACE/COMPONENT/TASK NAME:
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
4c. Profile Measurement Set
5 □ SAT | □ UNSAT
6 □ SAT | □ UNSAT
7 □ SAT | □ UNSAT
8 □ SAT | □ UNSAT
9 □ SAT | □ UNSAT
10 □ SAT | □ UNSAT
11 □ SAT | □ UNSAT
12 □ SAT | □ UNSAT
13 □ SAT | □ UNSAT
14 □ SAT | □ UNSAT
15 □ SAT | □ UNSAT
16 □ SAT | □ UNSAT
17 □ SAT | □ UNSAT
18 □ SAT | □ UNSAT
19 □ SAT | □ UNSAT
20 □ SAT | □ UNSAT
21 □ SAT | □ UNSAT
22 □ SAT | □ UNSAT
23 □ SAT | □ UNSAT
24 □ SAT | □ UNSAT
25 □ SAT | □ UNSAT
26 □ SAT | □ UNSAT
27 □ SAT | □ UNSAT
28 □ SAT | □ UNSAT
29 □ SAT | □ UNSAT
30 □ SAT | □ UNSAT
31 □ SAT | □ UNSAT
32 □ SAT | □ UNSAT
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
33 □ SAT | □ UNSAT
34 □ SAT | □ UNSAT
35 □ SAT | □ UNSAT
36 □ SAT | □ UNSAT
37 □ SAT | □ UNSAT
38 □ SAT | □ UNSAT
39 □ SAT | □ UNSAT
40 □ SAT | □ UNSAT KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
Notes:
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
QA2 (APPLICATION DATA)
2a
4a 4b 4c
2a. VERIFICATION INITIALS KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45
46 47 48 49 50 51 52 53 54 55 56 57 58 59 60
61 62 63 64 65 66 67 68 69 70 71 72 73 74 75
76 77 78 79 80 81 82 83 84 85 86 87 88 89 90
91 92 93 94 95 96 97 98 99 100 101 102 103 104 105
106 107 108 109 110 111 112 113 114 115 116 117 118 119 120
121 122 123 124 125 126 127 128 129 130 131 132 133 134 135
INSTRUCTIONS
GENERAL - These forms must be filled out and submitted when tasked to perform COATINGS QUALITY ASSURANCE CHECKPOINTS (631b) and submit COATINGS QA FORMS (631b) by the SOW. The intent is for the Contractor to "print off" paper copies of QA FORMs 1-3 so that data can be recorded on or near the vessel, immediately after preparation and coatings application data has been taken, and so that the data can be certified accurate by the Coatings Inspector (CI). Then, after the forms are completed and signed, scan the forms back into the computer and Submit the final signed/dated version as a .pdf electronic document upon completion of work.
Write into the form the information identifing the vessel, work item, surface being coated, etc. An individual representing the contractor must print his/her name, sign (sig), and then provide an initial (int) that will be used to certify the data points being certified. The Coatings Inspector (CI) designated in the SOW must do the same.
Final Soluble Salt Conductivity Measurements (FSSCM) - Record the total Prepared Surface Area in sqft. Immediately prior to applying the primer-coat record at least 5 total “Final Soluble Salt Conductivity Measurements”, and for areas over 1,125 sqft, takes at least 1 measurement for every 225 sqft (approx 15' x 15' area) of prepared surface in accordance with SSPC-Guide 15. These measurements must be equally spaced across the entire prepared surface.
Maximum allowable value for a Submerged Surface: 30 microsiemens/cm Maximum allowable value for a Non-Submerged Surface: 70 microsiemens/cm
VERIFICATION INITIALS - Certify that the measured/recorded FSSCM data is accurate and satasafcory.
Enviromental and Surface Conditions - In conjunction with completing FSSCM, record and certify accurate and satisfactory an initial set of ambient climate/surface readings; must be certified immediately prior to applying the primer-coat. Then a least one set of ambient climate/surface readings must be recorded at the start of each shift until the top-coat has dried/cured. A set of ambient climate/surface readings must also be taken immediately prior to applying each subsequent coat of paint. There are 3 types of sets of ambient climate/surface readings: 1) Initial – This is the first set of readings logged immediately prior to applying the primer coat; requires CI witness/initials.
2) Application Time (A) – This is logged immediately prior to applying any subsequent coat; requires CI witness/initials. 3) Periodic (P) – This is any other periodic set of readings taken while a coat is drying/curing; CI initials may be left blank. Check the Reading Type below (“A” or “P”). ΔT = This is the Dew Point minus the Surface Temp. RH = Relative Humidity
1.
VESSEL NAME/HULL#: WORK ITEM # TITLE: SURFACE/COMPONENT/TASK NAME:
CONTRACTOR (KTR) NAME (print) (sig) (int)
COATINGS INSPECTOR (CI) NAME (print) (sig) (int)
Initial Reading Set - certify that the prepared surface is clean, dry, and FSSCM readings are satisfactory, per Product Data Sheet requirements, immediately prior to applying the primer coat.
Application Time Reading Set - certify that the prepared surface is clean and dry, per Product Data Sheet requirements, immediately prior to applying all subsequent coats.
Periodic Reading Set - certify that the prepared surface is clean and dry readings, per Product Data Sheet requirements, as prescribed in 3 above.
VERIFICATION INITIALS - Certify the accuracy of each reading set and record the date and time the readings were taken.
2. Final Soluble Salt Conductivity Measurements (FSSCM) in (microsiemens/cm)
Prepared Surface Area (sqft)
Dew Point Surface Ambient ΔT 5. VERIFICATION INITIALS
1 Initial
2 □ A □ P
3 □ A □ P
4 □ A □ P
5 □ A □ P
6 □ A □ P
7 □ A □ P
8 □ A □ P
9 □ A □ P
10 □ A □ P
11 □ A □ P
12 □ A □ P
13 □ A □ P
14 □ A □ P
15 □ A □ P
16 □ A □ P
17 □ A □ P
18 □ A □ P
19 □ A □ P
20 □ A □ P
21 □ A □ P
22 □ A □ P
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
3. Enviromental and Surface Conditions
Temperatures Readings (˚F) RH
□ SAT Clean □ SAT Dry
□ SAT FSSCM
Reading Set Type
□ SAT Clean □ SAT Dry
4. Observed Condition of Surface
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
23 □ A □ P
24 □ A □ P
25 □ A □ P
26 □ A □ P
27 □ A □ P
28 □ A □ P
29 □ A □ P
30 □ A □ P
31 □ A □ P
32 □ A □ P
33 □ A □ P
34 □ A □ P
35 □ A □ P
36 □ A □ P
37 □ A □ P
38 □ A □ P
39 □ A □ P
40 □ A □ P
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
□ SAT Clean □ SAT Dry KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
QA3 (FINAL DFT DATA)
4. VERIFICATION INITIALS
1 2 3 4 5
1 □ SAT □ UNSAT
2 □ SAT □ UNSAT
3 □ SAT □ UNSAT
4 □ SAT □ UNSAT
5 □ SAT □ UNSAT
6 □ SAT □ UNSAT
7 □ SAT □ UNSAT
INSTRUCTIONS
GENERAL - These forms must be filled out and submitted when tasked to perform COATINGS QUALITY ASSURANCE CHECKPOINTS (631b) and submit COATINGS QA FORMS (631b) by the SOW. The intent is for the Contractor to "print off" paper copies of QA FORMs 1-3 so that data can be recorded on or near the vessel, immediately after preparation and coatings application data has been taken, and so that the data can be certified accurate by the Coatings Inspector (CI). Then, after the forms are completed and signed, scan the forms back into the computer and Submit the final signed/dated version as a .pdf electronic document upon completion of work.
Write into the form the information identifing the vessel, work item, surface being coated, etc. An individual representing the contractor must print his/her name, sign (sig), and then provide an initial (int) that will be used to certify the data points being taken. The designated Coatings Inspector (CI) must do the same.
Coating Thickness Measurement Instrument Data - Describe in this block: A) the type of instrument used, including manufacturer, model number, serial number, and date of calibration, B) the type of certified standard used to verify gage accuracy, including manufacturer, model number, serial number, and thickness value(s), C) the thickness of the measured shim(s) used to adjust a Type 2 gage, D) the average BMR (if appropriate).
Coating Thickness Measurements - Conform to SSPC PA-2. Fill out the measurement table.
At least 1 measurement set (i.e., each row in the table below is 1 measurement set) must be recorded per 100 sqft of coated surface. An additional measurement set must be recorded every 100 sqft of coated surface beyond 100 sqft (e.g., up to 100 sqft requires at least 1 measurement set, 101 sqft requires at least 2 measurement sets, 201 sqft requires at least 3 measurement sets, etc.) . The locations where the measurement sets are taken must be approximately equally spaced and must be representative of the actual mean coating thickness in the subject area.
Location: Describe the location of the measurement set (i.e., “FREEBOARD, ~FR40, centered 5ft below main deck”, etc.).
SPOT MEASUREMENTS: See SSPC PA-2 for instructions. Certify the measurements are in tolerance by circling “SAT”.
VERIFICATION INITIALS - Certify the accuracy of each reading set and record the date and time the readings were taken.
2. Coating Thickness Measurement Instrument Data
1.
VESSEL NAME/HULL#: WORK ITEM # TITLE: SURFACE/COMPONENT/TASK NAME:
CONTRACTOR (KTR) NAME (print) (sig) (int)
COATINGS INSPECTOR (CI) NAME (print) (sig) (int)
Location
3. Coating Thickness Measurements
SPOT MEASUREMENTS
(each is an avg of 3 readings)
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
8 □ SAT □ UNSAT
9 □ SAT □ UNSAT
10 □ SAT □ UNSAT
11 □ SAT □ UNSAT
12 □ SAT □ UNSAT
13 □ SAT □ UNSAT
14 □ SAT □ UNSAT
15 □ SAT □ UNSAT
16 □ SAT □ UNSAT
17 □ SAT □ UNSAT
18 □ SAT □ UNSAT
19 □ SAT □ UNSAT
20 □ SAT □ UNSAT
21 □ SAT □ UNSAT
22 □ SAT □ UNSAT
23 □ SAT □ UNSAT
24 □ SAT □ UNSAT
25 □ SAT □ UNSAT
26 □ SAT □ UNSAT
27 □ SAT □ UNSAT
28 □ SAT □ UNSAT
29 □ SAT □ UNSAT
30 □ SAT □ UNSAT
31 □ SAT □ UNSAT
32 □ SAT □ UNSAT
33 □ SAT □ UNSAT
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
34 □ SAT □ UNSAT
35 □ SAT □ UNSAT
36 □ SAT □ UNSAT
37 □ SAT □ UNSAT
38 □ SAT □ UNSAT
39 □ SAT □ UNSAT
40 □ SAT □ UNSAT KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
KTR ______ (int) CI _______ (int) Date:______/______/______ Time: _____:_____ AM/PM
| PRESERVATION PLAN |
| QA1 (PREPARATION DATA) |
| QA2 (APPLICATION DATA) |
| QA3 (FINAL DFT DATA) |
File details come from the government source that posted it. Updated .