Appendix E Template.pdf

24 November 2015 Appendix E - AE2100 QEC Electrical Inspection

Appendix E- Page 1 of 22

UNCLASSIFIED/FOR OFFICIAL USE ONLY

QEC S/N: LMG7169- Performed at: TMMC Date:______________ Removed from Engine S/N: KC-130J Event BUNO:

Instrument Type Instrument S/N Probe Type Probe S/N Cs -137

Efficiency (%)

Nominal Minimum Detectible

Activity (MDA)

Calibration Date

LAM12 1309LAM12008 N/A N/A N/A

*All items within this document were surveyed for radioactive contamination using the LAM 12 bulk counter or inspection probe in accessible locations. Some items were also swiped/swabbed depending on geometry or presence of loose debris (ex. dirt) to obtain a removable (loose) contamination value. The highest reading was placed in data column.

_____No loose contamination above 1,000 dpm/100 cm2, fixed contamination above 5,000 dpm/100 cm2, or 15,000 dpm total activity per component was found on any component.

X X X Radiation Safety Officer Surveyor Reviewer Signature/Printed Name/Date Signature/Printed Name/Date Signature/Printed Name/Date

X X X Signature/Printed Name/Date Signature/Printed Name/Date Signature/Printed Name/Date

X X X Signature/Printed Name/Date Signature/Printed Name/Date Signature/Printed Name/Date

Appendix E- Page 2 of 22

UNCLASSIFIED/FOR OFFICIAL USE ONLY

QEC Electrical Inspection Requirements:

List all of the equipment used for the inspection on Page 1.

Wiring bundles may be surveyed in place. If contamination is found then loosen clamping, wipe down the affected areas, survey the wipes and re-survey the areas. If contamination is still evident disassemble, decontaminate, and re-survey as required. Annotate actions performed in the comments column or attach additional documentation.

Circumferential items/features shall be inspected at a minimum of three locations with up to a 360 degree inspection as available.

Reading from circumferential location with highest reading shall be recorded.

Inspection surface points that exceed 0.5 inch from survey instrument probe shall be wiped, and the wipe analyzed for radioactivity.

This inspection has instances where multiple items share the same figure and description; survey all items and record the highest value.

For parts with a large surface area describe the dimensions and location of the area(s) that exhibits contamination in excess of 5,000 dpm/100 cm2.

Part numbers are representative numbers listed for reference only. Refer to applicable C-130 publications for alternate part numbers.

All fittings, gaskets, couplings, nuts and bolts connecting the removed components shall be inspected. If the removed component is being inspected via the LAM 12, these items can remain on the removed component. If the removed component is being surveyed using a hand held survey instrument, these items shall be removed from the component and the complete outside surface surveyed with the inside surface of fittings being inspected by wiping the surface and analyzing the wipe for radioactivity.

Mounting brackets shall be surveyed when components are removed.

“N/R” used throughout this document signifies “not required”. “N/A” used throughout this document signifies “not applicable”.

Appendix E- Page 3 of 22

UNCLASSIFIED/FOR OFFICIAL USE ONLY

QEC Electrical Inspection Requirements: (continued)

For item surveys which have an Item # “All Assy”, items shall be hand frisked as an assembly and record the highest hand frisk survey reading in the initial survey block.

For items requiring LAM 12 survey, if hand frisk survey readings are below limits, items shall also be surveyed in the LAM 12 bulk counter as an assembly and record the reading in the Initial LAM 12 survey block.

If bulk counter and hand frisk survey readings are within the limits on page 1 of this appendix, then further disassembly is not required and the “All Assy” reading shall be applied to all parts in the table.

If hand frisk survey or LAM 12 survey readings are above the limits, then followed approved DECON procedures identified in the plan, record individual item survey data, and circle any parts on the diagram that are quarantined.

For item surveys which have an Item # “All Assy” and require LAM 12 survey, if all of the items identified will not fit in the LAM 12 simultaneously, annotate on the survey page accordingly, and use the LAM 12 results ID column to differentiate between “lots” of parts surveyed.

If contamination is found on items not specifically identified in the tables, then manually annotate survey location and values on the bottom of the survey sheet.

Apply any transmission factors to the LAM 12 results as deemed appropriate for the component being surveyed and ensure the transmission factor is recorded on the LAM 12 survey form. As a guide, use the following transmission factors:

Thickness of Metal Transmission Factor

0.5 inch 0.75

1.0 inch 0.50

2.0 inch 0.25

For items surveyed utilizing the LAM 12 bulk counter, insert the LAM 12 results ID number in the applicable results ID column of the survey sheet and attach applicable LAM 12 printouts to the inspection package. Annotate appendix page, figure number, item number, and applied transmission factors on each LAM 12 printout.

Appendix E- Page 4 of 22

UNCLASSIFIED/FOR OFFICIAL USE ONLY

SUPPLEMENTAL QUARANTINE PARTS LIST SHEET INSTRUCTIONS

One sheet is provided. Attach additional sheets, as necessary.

Enter engine S/N from Page 1, module (QEC, PGB, GMAD, torquemeter, or power section), and last survey date.

In the Appen. - Page # column, enter the appendix letter, followed by a “–“, then the appendix page number.

Enter the figure #, item #, and description from the applicable survey sheet, in the applicable columns.

Enter the P/N and S/N identified on the part, in the applicable columns. If the part is not serialized, enter “N/A” in the S/N column.

Enter final survey measurement, final loose measurement, final LAM 12 results ID, and final LAM 12 measurement from the applicable DECON sheet, in the applicable columns.

In the space provided in page footer, enter the page number of the applicable quarantine page.

Engine S/N Module Module S/N Date

FRISK Surveyor's Signature/Printed Name/Date FRISK Reviewer's Signature/Printed Name/Date

LAM 12 Surveyor's Signature/Printed Name/Date LAM 12 Reviewer's Signature/Printed Name/Date

Appendix E - Page __________ of 22

UNCLASSIFIED/FOR OFFICIAL USE ONLY

QUARANTINED PARTS LIST

Appen.

Page # Figure # Item # Description P/N S/N Final Survey

(dpm/100 cm2)

Final Loose/ Swipe (dpm/

100 cm2)

Final LAM 12 Results

ID

Final LAM 12 Survey (dpm total activity)

Appendix E - Page 6 of 22

UNCLASSIFIED/FOR OFFICIAL USE ONLY

SUPPLEMENTAL DECON SHEET INSTRUCTIONS

Attach sheet(s) as required following the frisk/LAM 12 initial survey page and before applicable LAM 12 survey sheets.

Enter the survey date, meter, probe, engine S/N, LAM 12 survey date, LAM 12 S/N, background, and Beta efficiency.

In the DECON Method column, annotate method of decontamination used (such as wipe, wash tank, etc.); provide additional comments as required.

Enter the figure number and item number that corresponds to the applicable survey page.

At the bottom of the page annotate survey plan page followed by “–“ then number of Supplemental DECON sheets.

Add detailed findings in the “Additional Comments” section, to include, but not limited to, areas on each component with the highest survey readings.

Survey Date Meter P/N 2224 Meter S/N

Probe P/N 43-93 Probe S/N

QEC S/N

LMG7169-

LAM 12 Survey Date LAM 12 S/N

1309LAM12008

Background (cpm) (field intentionally left blank)

FRISK Surveyor's Signature/Printed Name/Date FRISK Reviewer's Signature/Printed Name/Date

LAM 12 Surveyor's Signature/Printed Name/Date LAM 12 Reviewer's Signature/Printed Name/Date

Appendix E – Page __________ of 22

UNCLASSIFIED/FOR OFFICIAL USE ONLY

SUPPLEMENTAL DECON SHEET

FIGURE NUMBER:

Item # Initial Survey

(dpm/100 cm2)

Final Survey (dpm/100 cm2)

Initial Loose/ Swipe

(dpm/100 cm2)

Final Loose/ Swipe

(dpm/100 cm2)

Initial LAM 12 Results ID

Initial LAM 12 Survey (dpm total activity)

Final LAM 12 Results ID

Final LAM 12 Survey (dpm total activity)

DECON

Method

Quarantined?

(Y or N)

ADDITIONAL COMMENTS:

Appendix E - Page 8 of 22

UNCLASSIFIED/FOR OFFICIAL USE ONLY

71-50-00 Figure 1 NACELLE ELECTRICAL

Appendix E - Page 9 of 22

71-50-00 Figure 1 NACELLE ELECTRICAL (continued)

Survey Date Meter P/N 2224 Meter S/N

Probe P/N 43-93 Probe S/N

QEC S/N

LMG7169-

LAM 12 Survey Date LAM 12 S/N

1309LAM12008

Background (cpm) (field intentionally left blank)

FRISK Surveyor's Signature/Printed Name/Date FRISK Reviewer's Signature/Printed Name/Date

LAM 12 Surveyor's Signature/Printed Name/Date LAM 12 Reviewer's Signature/Printed Name/Date

Appendix E - Page 10 of 22

UNCLASSIFIED/FOR OFFICIAL USE ONLY

71-50-00 Figure 1 NACELLE ELECTRICAL

Item No Description P/N Initial Survey

(dpm/100 cm2)

Initial Loose/ Swipe

(dpm/100 cm2)

Initial LAM 12 Results ID

Initial LAM 12 Survey (dpm total activity)

DECON

Performed?

(Y or N)

Quarantined?

(Y or N)

10 HARNESS, FIREWALL/FADEC A 3350941-3 N/R N/R

30 HARNESS, FIREWALL/FADEC A 3350942-3 N/R N/R

50 HARNESS, BUS A FIREWALL/NIU 3350943-3 N/R N/R

70 HARNESS, BUS B FIREWALL/NIU 3350946-3 N/R N/R

90 HARNESS, FADEC A/FADEC B 3350949-3 N/R N/R

95 HARNESS, FIREWALL/FADEC B 3350950-3 OR

3350950-5 N/R N/R

115 HARNESS, FIREWALL/FADEC B 3350951-3 N/R N/R

155 HARNESS, BUS A FIREWALL/FADEC A 3351619-3 N/R N/R

175 HARNESS, BUS A FIREWALL/FADEC B 3351620-3 N/R N/R

Survey Date Meter P/N 2224 Meter S/N

Probe P/N 43-93 Probe S/N

QEC S/N

LMG7169-

LAM 12 Survey Date LAM 12 S/N

1309LAM12008

Background (cpm) (field intentionally left blank)

FRISK Surveyor's Signature/Printed Name/Date FRISK Reviewer's Signature/Printed Name/Date

LAM 12 Surveyor's Signature/Printed Name/Date LAM 12 Reviewer's Signature/Printed Name/Date

Appendix E - Page 11 of 22

UNCLASSIFIED/FOR OFFICIAL USE ONLY

71-50-00 Figure 1 NACELLE ELECTRICAL (continued)

Item No Description P/N Initial Survey

(dpm/100 cm2)

Initial Loose/ Swipe

(dpm/100 cm2)

Initial LAM 12 Results ID

Initial LAM 12 Survey (dpm total activity)

DECON

Performed?

(Y or N)

Quarantined?

(Y or N)

195 HARNESS, BUS B FIREWALL/FADEC A 3351621-3 N/R N/R

215 HARNESS, BUS B FIREWALL/FADEC B 3351622-3 N/R N/R

235 HARNESS ASSY, PROPELLER

CONTROL 666000335 N/R N/R

255 HARNESS ASSY, PROPELLER

CONTROL

666000348 OR

666000570 N/R N/R

260 HARNESS ASSY, PROPELLER

CONTROL

666000349 OR

666000555 N/R N/R

280 HARNESS ASSY, PROPELLER

CONTROL 666000350 N/R N/R

Appendix E - Page 12 of 22

71-50-00 Figure 2 AC GENERATOR WIRING CLAMPS

Survey Date Meter P/N 2224 Meter S/N

Probe P/N 43-93 Probe S/N

QEC S/N

LMG7169-0

LAM 12 Survey Date LAM 12 S/N

1309LAM12008

Background (cpm) (field intentionally left blank)

FRISK Surveyor's Signature/Printed Name/Date FRISK Reviewer's Signature/Printed Name/Date

LAM 12 Surveyor's Signature/Printed Name/Date LAM 12 Reviewer's Signature/Printed Name/Date

Appendix E - Page 13 of 22

UNCLASSIFIED/FOR OFFICIAL USE ONLY

71-50-00 FIG. 2 AC GENERATOR WIRING CLAMPS

Item No Description P/N Initial Survey

(dpm/100 cm2)

Initial Loose/ Swipe

(dpm/100 cm2)

Initial LAM 12 Results ID

Initial LAM 12 Survey (dpm total activity)

DECON

Performed?

(Y or N)

Quarantined?

(Y or N)

6 HARNESS ASSY, AC GENERATOR

CONTROL 3350940-3 N/R N/R

7 HARNESS ASSY, AC GENERATOR

POWER TO FIREWALL 3352193-1 N/R N/R

8 HARNESS ASSY, AC GENERATOR TO

GROUND 3352194-1 N/R N/R

Appendix E - Page 14 of 22

UNCLASSIFIED/FOR OFFICIAL USE ONLY

77-50-00 FIG. 1 NACELLE INTERFACE UNIT

73-20-00 FIG. 4 FADEC/NIU ENCLOSURE

Survey Date Meter P/N 2224 Meter S/N

Probe P/N 43-93 Probe S/N

QEC S/N

LMG7169-

LAM 12 Survey Date LAM 12 S/N

1309LAM12008

Background (cpm) (field intentionally left blank)

FRISK Surveyor's Signature/Printed Name/Date FRISK Reviewer's Signature/Printed Name/Date

LAM 12 Surveyor's Signature/Printed Name/Date LAM 12 Reviewer's Signature/Printed Name/Date

Appendix E - Page 15 of 22

UNCLASSIFIED/FOR OFFICIAL USE ONLY

77-50-00 FIG. 1 NACELLE INTERFACE UNIT

73-20-00 FIG. 4 FADEC/NIU ENCLOSURE

Item No Description P/N Initial Survey

(dpm/100 cm2)

Initial Loose/ Swipe

(dpm/100 cm2)

Initial LAM 12 Results ID

Initial LAM 12 Survey (dpm total activity)

DECON

Performed?

(Y or N)

Quarantined?

(Y or N)

ALL

ASSY

77-50-00 FIG 1 NACELLE INTERFACE

UNIT AND 73-20-00 FIG 4 FADEC/NIU

ENCLOSURE

N/A

N/A 77-50-00 FIG. 1 NACELLE INTERFACE

UNIT N/A

10 NACELLE INTERFACE UNIT 698015-1 OR -

3 OR -5

N/A 73-20-00 FIG.4 FADEC/NIU

ENCLOSURE N/A

5 ENCLOSURE ASSY, FADEC/NIU 3350024-1

Note: Remove FADECs for NIU and FADEC/NIU enclosure survey. Reference Appendix J, Full Authority Digital Electronic Controls (FADEC) Installation, 73- 25-00 FIG. 01 and NAVAIR 01-75GAJ-4-73-1, 73-20-00 for FADEC survey requirements.

Appendix E - Page 16 of 22

24-20-00 FIG. 2 AC GENERATOR

Survey Date Meter P/N 2224 Meter S/N

Probe P/N 43-93 Probe S/N

QEC S/N

LMG7169-

LAM 12 Survey Date LAM 12 S/N

1309LAM12008

Background (cpm) (field intentionally left blank)

FRISK Surveyor's Signature/Printed Name/Date FRISK Reviewer's Signature/Printed Name/Date

LAM 12 Surveyor's Signature/Printed Name/Date LAM 12 Reviewer's Signature/Printed Name/Date

Appendix E - Page 17 of 22

UNCLASSIFIED/FOR OFFICIAL USE ONLY

24-20-00 FIG. 2 AC GENERATOR

Item No Description P/N Initial Survey

(dpm/100 cm2)

Initial Loose/ Swipe

(dpm/100 cm2)

Initial LAM 12 Results ID

Initial LAM 12 Survey (dpm total activity)

DECON

Performed?

(Y or N)

Quarantined?

(Y or N)

ALL

ASSY 77-20-00 FIG 2 AC GENERATOR N/A

5 AC GENERATOR 697970-1 OR

-3

Appendix E - Page 18 of 22

26-10-00 Figure 17 ENGINE NACELLE FIREWIRE AND OVERHEAT DETECTOR

Appendix E - Page 19 of 22

26-10-00 Figure 17 ENGINE NACELLE FIREWIRE AND OVERHEAT DETECTOR (continued)

Appendix E - Page 20 of 22

26-10-00 Figure 17 ENGINE NACELLE FIREWIRE AND OVERHEAT DETECTOR (continued)

Survey Date Meter P/N 2224 Meter S/N

Probe P/N 43-93 Probe S/N

QEC S/N

LMG7169-

LAM 12 Survey Date LAM 12 S/N

1309LAM12008

Background (cpm) (field intentionally left blank)

FRISK Surveyor's Signature/Printed Name/Date FRISK Reviewer's Signature/Printed Name/Date

LAM 12 Surveyor's Signature/Printed Name/Date LAM 12 Reviewer's Signature/Printed Name/Date

Appendix E - Page 21 of 22

UNCLASSIFIED/FOR OFFICIAL USE ONLY

26-10-00 Figure 17 ENGINE NACELLE FIREWIRE AND OVERHEAT DETECTOR

Item No Description P/N Initial Survey

(dpm/100 cm2)

Initial Loose/ Swipe

(dpm/100 cm2)

Initial LAM 12 Results ID

Initial LAM 12 Survey (dpm total activity)

DECON

Performed?

(Y or N)

Quarantined?

(Y or N)

ALL

ASSY

26-10-00 FIG 17 ENGINE NACELLE

FIREWIRE AND OVERHEAT

DETECTOR

N/A N/R N/R

10 ELEMENT SENSING, (FIRE WIRE) 058089-1 N/R N/R

15 ELEMENT SENSING, (FIRE WIRE) 058089-2 N/R N/R

20 ELEMENT SENSING, (FIRE WIRE) 058089-14 N/R N/R

25 ELEMENT SENSING, (FIRE WIRE) 058094-1 N/R N/R

30 ELEMENT SENSING, (FIRE WIRE) 058094-2 OR

35790-211-400 N/R N/R

35 ELEMENT SENSING, (FIRE WIRE) 058094-3 N/R N/R

40 ELEMENT SENSING, (FIRE WIRE) 058094-4 N/R N/R

Appendix E - Page 22 of 22

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