Appendix H Template.pdf

24 November 2015 Appendix H - AE2100 Propeller Gearbox Disassembly Inspection

Appendix H - Page 1 of 26

UNCLASSIFIED/FOR OFFICIAL USE ONLY

PGB S/N: 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 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 H - Page 2 of 26

UNCLASSIFIED/FOR OFFICIAL USE ONLY

Inspection Requirements:

Publication references refer to Rolls-Royce AE 2100D3 Engine Illustrated Parts Catalog (IPC), CSP33004. Part numbers are representative numbers listed for reference only, refer to IPC for alternate part numbers. Disassembly and re-assembly instructions are provided in Rolls- Royce AE2100D3 Maintenance Manual, CSP34042, and/or Rolls-Royce AE2100D3 Engine Manual, CSP32004.

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

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 shall be 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 dimensions and location of area that exhibits contamination in excess of 5,000 dpm/100 cm2.

Parts will be measured with o-ring packings attached unless otherwise noted. Support clamps shall remain on the removed component and be inspected along with the removed component. Air tubing that does not fit in the LAM 12 shall be surveyed externally and shall be inspected by wiping internally at least 2 inches from the end and analyzing the wipe for radioactivity.

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

Appendix H - Page 3 of 26

UNCLASSIFIED/FOR OFFICIAL USE ONLY

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 follow 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.

Locations where only a loose surface contamination survey (wipe) is required are annotated on the survey (shaded fixed recording cell).

Appendix H - Page 4 of 26

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 H - Page __________ of 26

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 H - Page 6 of 26

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, number of DECON attempts total, and any other notes of significance.

Survey Date Meter P/N 2224 Meter S/N

Probe P/N 43-93 Probe S/N

PGB S/N

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 H – Page __________ of 26

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 H - Page 8 of 26

UNCLASSIFIED/FOR OFFICIAL USE ONLY

72-05-00 FIG 60 SHIPPING CONTAINER - PROPELLER GEARBOX

Survey Date Meter P/N 2224 Meter S/N

Probe P/N 43-93 Probe S/N

PGB S/N

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 H - Page 9 of 26

UNCLASSIFIED/FOR OFFICIAL USE ONLY

72-05-00 FIG 60 SHIPPING CONTAINER - PROPELLER GEARBOX

Item # 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

72-05-00 FIG 60 SHIPPING

CONTAINER - PROPELLER GEARBOX 23055358 N/R N/R

* EXTERIOR TOP SIDE N/A N/R N/R

* EXTERIOR BOTTOM SIDE N/A N/R N/R

* EXTERIOR FRONT SIDE N/A N/R N/R

* EXTERIOR REAR SIDE N/A N/R N/R

* EXTERIOR LEFT SIDE N/A N/R N/R

* EXTERIOR RIGHT SIDE N/A N/R N/R

* INTERIOR TOP SIDE N/A N/R N/R

* INTERIOR BOTTOM SIDE N/A N/R N/R

* INTERIOR FRONT SIDE N/A N/R N/R

* INTERIOR REAR SIDE N/A N/R N/R

* INTERIOR LEFT SIDE N/A N/R N/R

* INTERIOR RIGHT SIDE N/A N/R N/R

NOTE: This section (72-05-00 Figure 60) is only intended to be used if suspected radioactive contaminated hardware is transported in the shipping container (i.e.: suspected radioactive propeller gearbox is transported to the facility in the shipping container vs. installed on an engine). If the shipping container has not transported suspected radioactive contaminated hardware and is only being used to transport a propeller gearbox which is below established radioactive thresholds, “N/R” the initial survey and loose/swipe sections.

* Include attaching hardware.

Appendix H - Page 10 of 26

72-00-00 FIG 10 PROPELLER GEARBOX UNIT ASSEMBLY

Survey Date Meter P/N 2224 Meter S/N

Probe P/N 43-93 Probe S/N

PGB S/N

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 H - Page 11 of 26

UNCLASSIFIED/FOR OFFICIAL USE ONLY

72-00-00 FIG 10 PROPELLER GEARBOX UNIT ASSEMBLY

Item # 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

72-00-00 FIG 10 PROPELLER

GEARBOX UNIT ASSEMBLY 23088987 N/R N/R

NA EXTERIOR TOP SIDE NA N/R N/R

NA EXTERIOR BOTTOM SIDE NA N/R N/R

NA EXTERIOR FRONT SIDE NA N/R N/R

NA EXTERIOR REAR SIDE NA N/R N/R

NA EXTERIOR LEFT SIDE NA N/R N/R

NA EXTERIOR RIGHT SIDE NA N/R N/R

* Include PGB (item 10), GMAD (item 20), and all PGB/GMAD mounted accessories and hardware when surveying.

NOTE: If propeller gearbox unit assembly (PGB and GMAD) has already been cleared from the RADCON list or never identified as a RADCON asset, as formally communicated by NAVAIR, external frisk only is acceptable (no further disassembly is required). Check the appropriate box below and proceed as stated:

☒ PGB and/or GMAD identified as a RADCON asset, as reported by NAVAIR.

- Complete survey above and proceed to remaining pages within Appendix H.

☐ Neither PGB nor GMAD ever identified as a RADCON asset, as reported by NAVAIR.

- Complete survey above. If initial readings are found within established limits, remove remaining pages from Appendix H. No further action is required.

If initial readings are found above limits, notify NAVAIR before proceeding further.

☐ Both PGB and GMAD have already been cleared from the RADCON list via CNAF MSG DTG: XXXXXXX XXX XX , as reported by NAVAIR.

Survey Date Meter P/N 2224 Meter S/N

Probe P/N 43-93 Probe S/N

PGB S/N

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 H - Page 12 of 26

UNCLASSIFIED/FOR OFFICIAL USE ONLY

- Complete survey above. If initial readings are found within established limits, remove remaining pages from Appendix H. No further action is required.

If initial readings are found above limits, notify NAVAIR before proceeding further.

Appendix H - Page 13 of 26

UNCLASSIFIED/FOR OFFICIAL USE ONLY

72-11-00 FIG 35 PROP GEARBOX ASSY - EXTERNALS

(GMAD and Oil Pump Omitted for Clarity)

Survey Date Meter P/N 2224 Meter S/N

Probe P/N 43-93 Probe S/N

PGB S/N

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 H - Page 14 of 26

UNCLASSIFIED/FOR OFFICIAL USE ONLY

72-11-00 FIG 35 PROP GEARBOX ASSY - EXTERNALS

Item # 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*

72-11-00 FIG 35 PROP GEARBOX

ASSY – EXTERNALS (ITEM 1) 23088983 N/R N/R

20*

CONNECTOR, 0.7188-20 MALE

DYNAMIC BEAM SEAL TO 0.750-16

MALE FLARED TUBE (INCLUDING O-

RING, ITEM 10)

23035963-08 N/R N/R

40*

NIPPLE, 0.4375-20 MALE STRAIGHT

TO 0.4375-20 MALE FLARED TUBE

(INCLUDE O-RING, ITEM 30)

MS9193-04 N/R N/R

60*

PLUG, OIL - BORESCOPE

(FORWARD) (INCLUDING O-RING,

ITEM 50)

23053642 N/R N/R

60* PLUG, OIL - BORESCOPE (AFT)

(INCLUDING O-RING, ITEM 50) 23053642 N/R N/R

100* VALVE, OIL DRAIN - PGB (INCLUDING

O-RING, ITEM 90) 23066049 N/R N/R

* Include attaching hardware and o-rings.

Appendix H - Page 15 of 26

UNCLASSIFIED/FOR OFFICIAL USE ONLY

79-21-00 FIG 5 PROP GEARBOX LUBE &

SCAVENGE PUMP INSTALLATION

THIS SECTION INTENTIONALLY LEFT BLANK

Survey Date Meter P/N 2224 Meter S/N

Probe P/N 43-93 Probe S/N

PGB S/N

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 H - Page 16 of 26

UNCLASSIFIED/FOR OFFICIAL USE ONLY

79-21-00 FIG 5 PROP GEARBOX LUBE & SCAVENGE PUMP INSTALLATION

Item # 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)

110*

PUMP ASSY, LUBE AND SCAVENGE -

PGB (INCLUDING BRACKET ASSY

ITEM 140, TUBE ASSY, SCAVENGE

TRANSFER, ITEM 20, O-RING ITEM 10,

TUBE ASSY, PRESSURE TRANSFER

ITEM 50, O-RING ITEM 40, AND

ATTACHING HARDWARE, AND O-

RINGS AS SHOWN IN CIRCLED

AREAS)

23087916

* PGB Lube and Scavenge Pump P/N:________________________ S/N:________________________

Appendix H - Page 17 of 26

UNCLASSIFIED/FOR OFFICIAL USE ONLY

72-00-65 FIG 1 GEARBOX MOUNTED

ACCESSORY DRIVE INSTALLATION

72-65-00 FIG 5 GEARBOX MOUNTED ACCESSORY DRIVE

ASSY - SPLITLINE & EXTERNALS

Appendix H - Page 18 of 26

Survey Date Meter P/N 2224 Meter S/N

Probe P/N 43-93 Probe S/N

PGB S/N

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 H - Page 19 of 26

UNCLASSIFIED/FOR OFFICIAL USE ONLY

72-00-65 FIG 1 GEARBOX MOUNTED ACCESSORY DRIVE INSTALLATION

AND 72-65-00 FIG 5 GEARBOX MOUNTED ACCESSORY DRIVE ASSY - SPLITLINE & EXTERNALS

Item # 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

72-00-65 FIG 1 GMAD INSTALLATION

AND 72-65-00 FIG 5 GMAD ASSY -

SPLITLINE & EXTERNALS

N/A

N/A 72-00-65 FIG 1 GMAD INSTALLATION N/A

ACCESSORY DRIVE ASSY, G/B

MOUNTED (INCLUDING O-RINGS AND

ATTACHING HARDWARE)

23088835

TUBE ASSY, PLANET OIL SUPPLY

(INCLUDING O-RINGS ITEM 110,

SPRING, PISTON RING - PLANETARY

ITEM 120, RING, PISTON - SPLIT

(INNER/OUTER) ITEM 130)

23066316

N/A 72-65-00 FIG 5 GMAD ASSY -

SPLITLINE & EXTERNALS N/A

170 PLUG, OIL DRAIN (INCLUDING O-RING

ITEM 160) 23053618

ADAPTER ASSY, PRESSURE SWITCH

(IF PRESENT, DELETED BY 23070314

GMAD HOUSING) (INCLUDING O-RING

ITEM 200)

23064297

PLUG, OIL SUPPLY - PROPELLER

BRAKE (INCLUDING O-RINGS ITEMS

240 AND 250)

23061037

280 COVER, PROPELLER BRAKE

(INCLUDING O-RING ITEM 270) 23061034

* GEARBOX MOUNTED ACCESSORY DRIVE (GMAD) P/N:________________________ S/N:________________________

Appendix H - Page 20 of 26

UNCLASSIFIED/FOR OFFICIAL USE ONLY

72-11-00 FIG 25 PROP GEARBOX ASSY –

REAR COVER INSTALLATION

71-11-00 FIG 20 OR 20A PROP GEARBOX ASSY –

PINION & MAIN DRIVE GEAR BAFFLES

Survey Date Meter P/N 2224 Meter S/N

Probe P/N 43-93 Probe S/N

PGB S/N

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 H - Page 21 of 26

UNCLASSIFIED/FOR OFFICIAL USE ONLY

72-11-00 FIG 25 PROP GEARBOX ASSY - REAR COVER INSTALLATION

AND 71-11-00 FIG 20 OR 20A PROP GEARBOX ASSY - PINION & MAIN DRIVE GEAR BAFFLES

Item # 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

72-11-00 FIG 25 PROP GEARBOX

ASSY - REAR COVER INSTALLATION

AND 71-11-00 FIG 20 OR 20A PROP

GEARBOX ASSY - PINION & MAIN

DRIVE GEAR BAFFLES

N/A

N/A 72-11-00 FIG 25 PROP GEARBOX

ASSY - REAR COVER INSTALLATION N/A

TUBE, TRANSFER - OIL SUPPLY

(INCLUDING O-RINGS ITEMS 10 AND

20)

23066026

50 TUBE, TRANSFER - SCAVENGE

(INCLUDING O-RINGS ITEM 40) 23053629

80 PACKING, PREFORMED O-RING,

0.103 THK 23053383

90 COVER ASSY, REAR - PGB 23057425

N/A

71-11-00 FIG 20 OR 20A PROP

GEARBOX ASSY - PINION & MAIN

DRIVE GEAR BAFFLES

N/A

10 BAFFLE, PINION GEAR OIL 23076615

40 BAFFLE, PINION GEAR OIL RETURN 23065343

90 BAFFLE, MAIN DRIVE GEAR OIL 23065342

Appendix H - Page 22 of 26

UNCLASSIFIED/FOR OFFICIAL USE ONLY

PGB - INTERNAL INSPECTION GUIDE

3 8 4 9

1A

1C

1B

PROP SHAFT FLANGE

ADAPTER REMOVED FROM

THIS VIEW FOR CLARITY

Survey Date Meter P/N 2224 Meter S/N

Probe P/N 43-93 Probe S/N

PGB S/N

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 H - Page 23 of 26

UNCLASSIFIED/FOR OFFICIAL USE ONLY

PGB - INTERNAL INSPECTION GUIDE

Item # 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)

1A* FLANGE, ADAPTER – PROP SHAFT

(EXTERNAL - FWD) 23059626 N/R N/R

1B* FLANGE, ADAPTER – PROP SHAFT

(EXTERNAL, MID AND AFT) 23059626 N/R N/R

1C* FLANGE, ADAPTER – PROP SHAFT

(INTERNAL) 23059626 N/R N/R

2* HOUSING ASSY, PROPELLER SHAFT

SEAL 23080302 N/R N/R

3* SHAFT, PROPELLER (BORE) (72-11-00,

FIG 5, INDEX 20) 23078576 N/R N/R N/R

4* MANIFOLD ASSY, OIL - PROP SHAFT

(BORE) (72-11-00, FIG 5, INDEX 150) 23053494 N/R N/R N/R

5*

CAVITY ACCESSED THROUGH FRONT

BORESCOPE PLUG FOR SHAFT,

PROPELLER (BORE) (72-11-00, FIG 5,

INDEX 20) AND HOUSING ASSY, FRONT

- PGB (INTERNAL, FORWARD) (72-11-00,

FIG 40, INDEX 10)

23078576 23089341 N/R N/R N/R

6* FLANGE ASSY, CARRIER OIL DELIVERY

(AFT FACE) (72-11-00 FIG 5, INDEX 50) 23090208 N/R N/R N/R

7* GEAR, SPUR - SUN (INTERNAL BORE)

(72-11-00, FIG 15, INDEX 170) 23057974 N/R N/R N/R

8* HUB, SUN GEAR (INTERNAL BORE) (72-

11-00, FIG 15, INDEX 160) 23057976 N/R N/R N/R

NOTE: Items 5 and 6 are not required if able to drain and survey residual oil (20 milliliters minimum) using gamma spectroscopy, due to potential FOD hazard. If gamma spectroscopy is performed, attach survey results at the end of this appendix and “N/R” the initial loose/swipe sections for items 5 and 6.

* Smears required for all items/areas identified within this figure.

Appendix H - Page 24 of 26

UNCLASSIFIED/FOR OFFICIAL USE ONLY

PGB - INTERNAL INSPECTION GUIDE

3 8 4 9

1A

1C

1B

PROP SHAFT FLANGE

ADAPTER REMOVED FROM

THIS VIEW FOR CLARITY

Survey Date Meter P/N 2224 Meter S/N

Probe P/N 43-93 Probe S/N

PGB S/N

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 H - Page 25 of 26

UNCLASSIFIED/FOR OFFICIAL USE ONLY

PGB - INTERNAL INSPECTION GUIDE (continued)

Item # 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)

9* SHAFT, INPUT DRIVE - GMAD (BORE)

(72-11-00, FIG 15, INDEX 180) 23089324 N/R N/R

10*

HOUSING ASSY, FRONT - PGB

(INTERNAL, AFT) (72-11-00, FIG 40,

INDEX 10)

23089341 N/R N/R

11*

GEAR ASSY, SPUR - MAIN DRIVE (AFT

FACE AND GEAR TEETH) (72-11-00, FIG

15, INDEX 90)

23053411 N/R N/R

12*

SHAFT, INPUT DRIVE - GMAD

(EXTERNAL) (72-11-00, FIG 15, INDEX

180)

23089324 N/R N/R

13* FLANGE, SUN GEAR HUB (AFT FACE)

(72-11-00, FIG 15, INDEX 200) 23055953 N/R N/R

14*

GEARSHAFT, PINION (AFT FACE AND

GEAR TEETH) (72-11-00, FIG 15, INDEX

10)

23078039 N/R N/R

15* DIAPHRAGM ASSY, MAIN - PGB (AFT

FACE) (72-11-00, FIG 40, INDEX 30) 23080736 N/R N/R N/R

* Smears required for all items/areas identified within this figure.

Appendix H - Page 26 of 26

THIS PAGE INTENTIONALLY LEFT BLANK