J-1 Composite Work Package SOW CMAV SING-017-26_USS HIGGINS DDG-76.pdf

DEPARTMENT OF THE NAVY

SRF DET SINGAPORE (NMD)

USS HIGGINS (DDG 76)

SPECIFICATIONS FOR WORK TO BE ACCOMPLISHED

SPECIFICATION NUMBER: SING-017-26

Period of Performance: 28 February to 19 March 2026

Location: HMAS Kuttubal, Sydney Australia

INCLUDES ALL CHANGES THROUGH 1/29/2026

INDEX

SHIP: USS HIGGINS (DDG 76) SING-017-26

ITEMS THAT ARE STRUCK OUT IN THIS INDEX DO NOT APPLY TO THIS CONTRACT.

CATEGORY I. FY-26 STANDARD ITEMS APPLICABLE TO THIS JOB ORDER WITHOUT FURTHER REFERENCE.

ITEM_NO. TITLE CHANGE DATE CHANGE

009-001 General Criteria; accomplish 09/04/2024 Original

009-002 Environmental Compliance Report for Material Usage; accomplish 07/22/2024 Original

009-003 Toxic and Hazardous Substance; control 07/22/2024 Original

009-004 Quality Management System; provide 09/16/2024 Original

009-005 Temporary Access; accomplish 11/18/2024 CH-1

009-006 Maintaining Protection and Cleanliness from Non-Radioactive Operations;

accomplish

07/22/2024 Original

009-007 Confined Space Entry, and Certification; accomplish 09/04/2024 Original

009-008 Shipboard Fire Protection and Fire Prevention; accomplish 09/30/2024 Original

009-010 Asbestos-Containing Material (ACM); control 09/16/2024 Original

009-018 Mine Warfare Ships Magnetic Material; control 09/04/2024 Original

009-019 Provisioning Technical Documentation (PTD); provide 07/22/2024 Original

009-020 Government Property; control 07/22/2024 Original

009-021 Alteration Verification, Logistic and Technical Data; provide 07/22/2024 Original

009-023 Interference; remove and install 11/18/2024 CH-1

009-024 Authorization, Control, Isolation, Blanking, Tagging, and Cleanliness; accomplish 09/16/2024 Original

009-034 Fire Protection of Unmanned Vessel at Contractor Facility; accomplish 07/22/2024 Original

009-039 Technical Manual Contract Requirement (TMCR) for a New Technical Manual for

Commercial Equipment/Component; accomplish

07/22/2024 Original

009-040 Contractor Crane, Multi-Purpose Machine and Material Handling Equipment at a

Naval Facility; provide

07/22/2024 Original

009-060 Schedule and Associated Report for CNO Availability; provide and manage 09/16/2024 Original

009-061 Shipboard Use of Fluorocarbons; control 09/16/2024 Original

009-067 Integrated Total Ship Testing; manage 09/16/2024 Original

009-068 Availability Work Certification (AWC) Data for Chief of Naval Operations (CNO)

Availabilities; provide

09/16/2024 Original

009-069 Heavy Weather/Mooring Plan; provide 09/16/2024 Original

009-070 Confined Space Entry, Certification, Fire Protection, Fire Prevention and

Housekeeping for Unmanned Vessels; accomplish

09/16/2024 Original

009-072 Physical Security at a Private Contractor Facility; accomplish 09/16/2024 Original

009-073 Shipboard Electrical/Electronic Cable Procedure; inspect, test, install, remove, and repair

09/16/2024 Original

009-074 Occupational, Safety and Health Plan; accomplish 09/16/2024 Original

009-080 Ship Facility; maintain 09/16/2024 Original

009-081 Compartment Closeout; accomplish 09/16/2024 Original

009-082 Installation of Equal Component Vice Specified Component; report 07/22/2024 Original

009-084 Threaded Fastener Requirement; accomplish 07/22/2024 Original

009-088 Collection, Holding and Transfer (CHT) and Motor Gasoline (MOGAS) Tank, Space, and Piping, including Sewage or MOGAS-Contaminated Tank, Space, and Piping; certify

09/16/2024 Original

009-093 Emergency Planning and Community Right-to-Know Act (EPCRA) and Pollution

Prevention Act (PPA) Information; provide

07/22/2024 Original

Page 1 of 4 EXECUTING WORK

ITEM_NO. TITLE CHANGE DATE CHANGE

009-099 Ship Departure Report; provide 09/16/2024 Original

009-100 Ship's Stability; maintain 09/16/2024 Original

009-101 Ship Transit and Berthing; accomplish 09/16/2024 Original

009-106 Work Authorization Form Coordinator (WAFCOR); provide 09/16/2024 Original

009-109 Non-SUBSAFE Work on SUBSAFE-Certified Vessel; accomplish 07/22/2024 Original

009-110 Non-Nuclear Work on a Nuclear Vessel; accomplish 07/22/2024 Original

009-111 Schedule and Associated Report for Non-CNO Availability; provide and manage 09/16/2024 Original

009-117 Combat Systems, Light-Off Suport; provide 09/17/2024 Original

009-118 CG Deck Loading; accomplish 07/22/2024 Original

009-120 Fact Finding and Critique of Unplanned Event; manage 09/17/2024 Original

009-122 Temporary Padeye; install and remove 11/18/2024 CH-1

009-125 Boat 65 Feet (20meters) Long and Less; accomplish 11/18/2024 CH-1

009-126 Schedule Model Review (SMR); accomplish 09/17/2024 Original

Page 2 of 4 EXECUTING WORK

CATEGORY II. FY-26 STANDARD ITEMS WHICH MAY BE INVOKED IN THE WORK ITEMS OF THIS JOB ORDER.

TITLE CHANGE DATEITEM NO. CHANGE

009-011 Insulation and Lagging; accomplish 09/16/2024 Original

009-012 Weld, Fabricate, and Inspect; accomplish 09/16/2024 Original

009-025 Structural Boundary Test; accomplish 09/04/2024 Original

009-026 Deck Covering; accomplish 09/25/2024 Original

009-032 Cleaning and Painting Requirements; accomplish 09/25/2024 Original

009-037 General Procedure for Woodwork; accomplish 09/16/2024 Original

009-047 Gate Valve; repair 07/22/2024 Original

009-052 Relief Valve; repair 07/22/2024 Original

009-071 Piping System; test 09/16/2024 Original

009-107 Piping System Cleanliness Restoration and Flushing

(Non-Nuclear); accomplish

09/16/2024 Original

Page 3 of 4 EXECUTING WORK

ITEM NO. TITLE

Seawater Supply Relief Valve; overhaul256-61-001

Fuel Oil Service Pump Suction Valve; replace261-12-001

Multiple Cable Transit (MCT) Block; install320-10-001

Electrical Cable Replacement; accomplish320-11-001

No. One Oil Distribution Box Prairie Air Flexible Hose Fabricate;

accomplish

551-62-001

7 Meter Rigid Hull Inflatable Boat (RHIB) Boat Sling Assembly Weight

Test; accomplish

583-11-001

Large Pulper Left Side Frame Guard; fabricate and install593-32-001

J-Bar Davit weight test; accomplish611-11-001

Access Trunk Safety Net; replace612-21-001

Dressing Line, Forward and Aft; fabricate613-00-001

Nomex Deck Panel; replace622-12-001

Cosmetic Polymeric (PRC) Deck Covering; replace634-11-001

Insulation and Lagging; replace635-11-001

Self-contained Breathing Apparatus Breathing Air Charging System

(SCBA BACS) Air Booster Pump Assembly Relief Valves; test

664-11-001

Temporary Service, provide992-21-001

Page 4 of 4 EXECUTING WORK

SHIP: USS HIGGINS (DDG 76) ITEM NO: 256-61-001

COAR: 26 PCN: EM02-L053

CSWT FILE NO: 256-014 (DDG 51) CMP: NONE

REVISED: 28 MAY 2025 PLANNER: GRAY, CHARLES

BAUSER, BRANDON

TOILOLO, JESMOND

SSP: SING-017-26 1 of 7 ITEM NO: 256-61-001

1. SCOPE:

1.1 Title: Seawater Supply Relief Valve; overhaul

1.2 Location of Work:

1.2.1 Engine Room Number Two (4-254-0-E)

1.3 Identification:

1.3.1 Quantity (One EA), 8-Inch Flanged Relief Valve, SW-V-088/SWC- V0269; MIL-DTL-24332 , MFG: Hunt Valve Co., INC.; MFG Part No.:

R10AQ2Q2AT-BM3; Set Pres: 64PSIG, Max Accum Press: 74PSIG; APL:

883119536

2. REFERENCES:

2.1 NAVSEA Standard Items , (FY26)

2.2 S0400-AD-URM-010 Rev 8, Tag-out Users Manual

2.3 256-6218410 Rev R, Seawater Cooling System Diagram

2.4 S9086-RJ-STM-010 Rev 7, Naval Ship's Technical Manual, Chapter 504, Pressure, Temperature and Other Mechanical and Electromechanical Measuring Instruments

2.5 S9086-RK-STM-010/CH-505 Rev 6, Naval Ship's Technical Manual, Chapter 505, Piping Systems

2.6 802-5959353 Rev BT, Schedule of Piping, Valves, Fittings, and Associated Piping Components

2.7 BIW_D50959 Rev A, Valve, 8-Inch Flanged Relief Valve

2.8 804-5284201, Reinforced Rubber Gasket Material for Pipeline Joints

2.9 256-6218410 BK Rev R, DDG-51 Class Seawater Cooling System Engineering Data Booklet

3. REQUIREMENTS:

3.1 Procure and provide the following materials:

TOTAL

QUANTITY

REQUIRED NAME OF PART PIECE NO. REF. NO.

FIGURE/DRAWING

NO. PART NO.

28 EA Bolt, 2-inch x 0.625-inch, QQ-N-

N/A 2.6 N/A MIL-DTL-

1222, Grade

28 EA Nut, 0.625-inch

N/A 2.6 N/A MIL-DTL-

1222, Grade

2 EA Gasket, 12.375-inch

N/A 2.8 N/A NIR,

Type I

SHIP: USS HIGGINS (DDG 76)

SSP: SING-017-26 2 of 7 ITEM NO: 256-61-001 x 0.0625 inch or 2

3.2 Submit one legible copy, in approved transferrable media, of a report listing Contractor Furnished Material (CFM) used in accomplishing this work item. The report must include status of materials not already on-hand, description of material, quantity, and delivery date. Document on Enclosure (One).

(V)(G) "TAG-OUT VERIFICATION"

3.3 Prior to commencement of work, contractor must obtain Ship's Force signature on Enclosure (One) as verification of tag out and record tag out serial number using 2.2 and 2.5 for guidance. Document on Enclosure (One). See Note 4.2.

3.4 Remove existing valve listed in 1.3 and located in 1.2, using 2.3 and 2.5 for guidance. System cleanliness shall be maintained during repair. Place caps or temporary blind covers over open piping to prevent entry of debris. Remove all foreign material such as paint, heavy scale, grease, or other contaminants for at least 6 inches on each side of the repair area. It is not necessary to polish the piping. The piping should be clean, dry, and free of solvents and flammable vapors.

3.4.1 Matchmark each valve part.

3.4.2 Drain and dispose of system fluids.

3.4.3 Disassemble, clean each internal and external surface free of foreign matter (including paint), and inspect each parts for defect.

3.4.3.1 Retain all serviceable fasteners and hardware for re-use.

3.5 Repair valve per 009-052 of 2.1, as follows using GFM provided in

5.1 and using 2.7 for guidance:

3.5.1 Remove existing and install new lifting stem provided in

5.1.2. Ensure stem is polished to a 32 Root-Mean-Square finish and free of raised edges and foreign matter.

3.5.2 Remove existing and install new metallic disc provided in

5.1.1. Machine, grind, or lap and spot-in metallic disc to seat to obtain a 360-degree continuous contact.

3.5.2.1 Inspect contact using blueing method. Transfer line must not exceed 1/16-inch in width.

3.5.3 Dress and true each gasket mating surface.

3.5.4 Chase and tap each exposed threaded area.

3.5.5 Assemble valve installing new each packing, each soft seat, each gasket, and each fastener for those removed in 3.4.3.

3.5.6 Set valve to lifting pressure 64 psig.

(I)(G) "HYDROSTATIC TEST (SHOP)"

3.6 Accomplish a hydrostatic test using clean fresh water at 87 PSIG for a minimum of 10 minutes, for the equipment listed in 1.3.1, using 2.4 and

2.9 for guidance. Allowable leakage: None. Document in Enclosure (One).

See Note 4.2.

3.6.1 Submit one legible copy, in hard copy or approved

SSP: SING-017-26 3 of 7 ITEM NO: 256-61-001 transferrable media, a report listing calibration certification of all gauges used for hydrostatic testing. Report must contain gauge serial number, gauge test range, and expiration date of certification. Document in Enclosure (One). See Note 4.2.

3.6.2 Master and backup test gauges with gauge range and graduation in accordance with Table 504-6-1 of 2.4. The backup gauge must be cross-checked to the master hydrostatic test gauge up to the maximum test pressure just prior to start of testing. Master and backup gauges must track within 2 percent of each other.

(I)(G) "SEAT TIGHTNESS TEST (SHOP)"

3.7 Accomplish seat tightness testing for a minimum of 3 minutes.

Allowable leakage: None. Purge valve of test medium, Install wire and lead lock seals following testing. Document on Enclosure (One).

3.7.1 Ensure the seat tightness test pressure is 58 PSIG for the valve listed in 1.3.1.

3.7.2 Master and backup test gauges with gauge range and graduation in accordance with Table 504-6-1 of 2.4. The backup gauge must be cross-checked to the master hydrostatic test gauge up to the maximum test pressure just prior to start of testing. Master and backup gauges must track within 2 percent of each other.

3.8 Install each wire and leadlock seal after setting each relief valve.

Attach metal tag to each valve stamped with ship name and hull number, valve number or identification, valve lifting pressure, date valve tested and set and name of repair facility.

(I)(G) "OPERATIONAL TEST (SHOP)"

3.9 Accomplish an operational test using clean fresh water for the equipment listed in 1.3.1 and using 2.4 for guidance. Document in Enclosure (One).

3.9.1 Master and backup test gauges with gauge range and graduation in accordance with Table 504-6-1 of 2.4. The backup gauge must be cross-checked to the master hydrostatic test gauge up to the maximum test pressure just prior to start of testing. Master and backup gauges must track within 2 percent of each other.

3.10 Install valve listed in 1.3 and located in 1.2, using 2.3 and 2.5 for guidance.

(V)(G) "VERIFY CLEANLINESS"

3.11 Verify existing cleanliness Level III was maintained throughout the performance of this work item. Level III cleanliness is a degree of cleanliness that results in a surface that is reasonably free of contamination and any remaining residue on the surface does not interfere with system operations or damage system components. Document in Enclosure (One). See Note 4.2.

3.12 Accomplish the requirements of 009-032 of 2.1 for each new and disturbed surface.

(V)(G) "FINAL VISUAL INSPECTION"

3.13 Accomplish final visual inspection with the SUPERVISOR and designated Ship's Force Representative of the repaired and installed

SSP: SING-017-26 4 of 7 ITEM NO: 256-61-001 valve. Document in Enclosure (One). See Note 4.2.

3.14 Submit one legible copy, in hard copy or approved transferrable media, of Enclosure (One) to the SUPERVISOR within 3 days of repair.

4. NOTES:

4.1 NAVSEA Standard Items (NSIs) are located at:

https://www.navsea.navy.mil/Home/RMC/CNRMC/Our-Programs/SSRAC/

4.2 Enclosure (One) is a Test and Inspection Verification Sheet (TIVS).

5. GOVERNMENT FURNISHED MATERIAL(GFM):

5.1 LLTM:

TOTAL

QUANTITY

PROVIDED NAME Of PART

PIECE

NO.

REF

NO.

NATIONAL

STOCK

NO.

REQ

PARA NO.

1. 1 EA DISC ASSEMBLY

B50810MF

D

4820-01- 326-1513 3.5.2

2. 1 EA

LIFTING STEM,

MONEL, QQ-N-288

B49432MF

D 2.7

4820-01- 326-3087 3.5.1

3. 1 EA

SEAT RING,

MONEL, QQ-N-288

B50809MF

D 2.7

4820-01- 260-6982 3.5

4. 3 EA

PREFORMED

PACKING, TEFLON

A49366MR

K 2.7

5330-01- 151-8359 3.5.5

5. 1 EA

O-RING,

FLUOROCARBON

RUBBER, SAE-AMS-

M83248/1 -219 2.7

5331-00- 166-8406 3.5.5

6. 1 EA

O-RING,

FLUOROCARBON

RUBBER, SAE-AMS

M83248/1 -242 2.7

5331-00- 165-1960 3.5.5

7. 1 EA

O-RING,

FLUOROCARBON

RUBBER, SAE-AMS

M83248/1 -269 2.7

5331-00- 167-5150 3.5.5

8. 1 EA

O-RING,

FLUOROCARBON

RUBBER, SAE-AMS

M83248/1 -273 2.7

5331-01- 361-4786 3.5.5

5.2 PUSH MATERIAL:

1. None.

5.3 KITTED MATERIAL:

1. None.

SSP: SING-017-26 5 of 7 ITEM NO: 256-61-001

ENCLOSURE (ONE)

TEST AND INSPECTION VERIFICATION SHEET (TIVS)

REV/

PARA

REQUIREMENTS / COMPONENT

IDENTIFICATION RESULTS ACTIVITY SIGNATURE/PRINTED

NAME

KTR

3.2

Submit one legible copy, in approved transferrable media, of a report listing Contractor Furnished Material

(CFM) used in accomplishing this work item. The report must include status of materials not already on-hand, description of material, quantity, and delivery date.

Date Submitted:

Report Serial#:

SRF

KTR

S / F3.3

(V)(G) “TAG-OUT VERIFICATION”

Prior to commencement of work, contractor must obtain Ship's Force signature on Enclosure (One) as verification of tag out and record tag out serial number using 2.2 and 2.5 for guidance.

SAT / UNSAT

Tag-Out Serial #:

Date Verified:

____________________ SRF

KTR

3.6

(I)(G) "HYDROSTATIC TEST (SHOP)"

Accomplish a hydrostatic test using clean fresh water at 87 PSIG for a minimum of 10 minutes, for the equipment listed in 1.3.1, using 2.4 and 2.9 for guidance. Allowable leakage: None.

SAT / UNSAT

Date/Time:

_________________ SRF

SSP: SING-017-26 6 of 7 ITEM NO: 256-61-001

KTR

3.6.1

Submit one legible copy, in hard copy or approved transferrable media, a report listing calibration certification of all gauges used for hydrostatic testing.

Report must contain gauge serial number, gauge test range, and expiration date of certification.

Date Submitted:

Report Serial#:

SRF

KTR

3.7

(I)(G) "SEAT TIGHTNESS TEST" (SHOP)

Accomplish seat tightness testing for a minimum of 3 minutes. Allowable leakage: None.

Ensure the seat tightness test pressure is 58 PSIG

SAT / UNSAT

Date/Time:

_________________ SRF

KTR

3.9

(I)(G) “OPERATIONAL TEST (SHOP)”

Accomplish an operational test using clean fresh water for the equipment listed in 1.3.1 and using 2.4 for guidance.

SAT / UNSAT

Date/Time:

SRF

KTR

3.10

(V)(G) “VERIFY CLEANLINESS”

Verify existing cleanliness Level III was maintained throughout the performance of this work item. Level III cleanliness is a degree of cleanliness that results in a surface that is reasonably free of contamination and any remaining residue on the surface does not interfere with system operations or damage system components.

SAT / UNSAT

Date/Time:

SRF

3.13

(V)(G) “FINAL VISUAL INSPECTION”

Accomplish final visual inspection with the SUPERVISOR and designated Ship's Force

Representative of the repaired valve.

SAT / UNSAT

DATE/TIME:__________________

KTR

SSP: SING-017-26 7 of 7 ITEM NO: 256-61-001

Work Completed:

Sign: _____________________________ Print: _____________________________Date: __________

PROJECT MANAGER

S / F

SRF

SHIP: USS HIGGINS (DDG 76) ITEM NO: 261-12-001

COAR: 26 PCN: EB14-L010

CMP: NONE

PLANNER: CARPIO, EDWIN

BAUSER, BRANDON

SSP: SING-017-26 1 of 7 ITEM NO: 261-12-001

1. SCOPE:

1.1 Title: Fuel Oil Service Pump Suction Valve; replace

1.2 Location of Work:

1.2.1 Engine Room Number 2 (4-254-0-E)

1.3 Identification:

1.3.1 Quantity (One EA), Motor Operated Fuel Oil Gate Valve, Size:

3.00 IPS, 150 PSI FLGE., Mfr: Morpac Industries Inc., Mfr ID: 10017- 2, Equipment Spec: MIL-V-18110, Capacity: 72 GPM, NSN:4810-01-658- 7068, APL: 883041370, Valve No.: 2-FS-V-2B for 2B F/O Service Tank.

1.3.1.1 Quantity (One EA), Gate Valve, 3.00 IPS 150 PSI, Flange, Stainless Steel, Mfr ID/Part Number: S15F2316MP 3" DDG 870110, NSN: 4820-01-327-7736, APL: 883041233

2. REFERENCES:

2.1 NAVSEA Standard Items, (FY26)

2.2 S0400-AD-URM-010 Rev 8, Tag-Out Users Manual

2.3 S6435-SZ-MMA-010 Rev 1, Electric Motor Operated Valves

2.4 261-6218469 Rev J, PRPLN GTRB and Gas Turbine Gen Fuel Service System Diagram

2.5 505-6596813 Rev Y, Instl Mchry & Pp Hold Fr 254 to 300 (Stbd)

2.6 802-5959353 Rev BT, MIL-STD-777D Modified for DDG-51 Class, Schedule of Piping, Valves, Fittings and Associated Piping Components for Naval Surface Ships

2.7 10017 Rev M, Valve Assembly 3 IN Gate

3. REQUIREMENTS:

(V)(G) "TAG-OUT VERIFICATION"

3.1 In accordance with 2.3, prior to commencement of work, contractor must obtain Ship's Force signature on Enclosure (One) as verification of tag out and record tag out serial number for equipment identified in

1.3.1 and located in 1.2, using 2.2 for guidance. Allowable discrepancy None. Annotate tag-out serial number. Document on Enclosure (One).

3.2 Remove and dispose of each system fluid from the equipment listed in 1.3.1.

3.3 Disconnect electrically and mechanically and remove the valve listed in 1.3, using paragraph 6-6.8 of 2.3 and 2.4 for guidance. Record and retain electrical hook-up data.

3.3.1 Remove existing and install new material provided in 5.1, and listed in 1.3, using 2.3 through 2.6 for guidance.

TOTAL

QUANTITY

NAME OF

PART PIECE NO. REF. NO.

FIGURE/DRAWING

NO. PART NO.

SSP: SING-017-26 2 of 7 ITEM NO: 261-12-001

REQUIRED

1 SH Gasket, 3" Valve, (Bluegard 3000 or equal)

5 2.3/2.6 Table 7-12, page 69/154

Commercial

4 EA Screw, Cap, Hex Head, 3/8- 16 X 1", Monel

4 2.3 Table 7-12 Commercial

4 EA Screw, Cap, Hex Head, 3/4- 10 X 1- 1/8", Monel

5 2.3 Table 7-12 Commercial

3.3.2 Restore piping flange mating surfaces exposed by disassembly of piping system. Repair by removing high spots, burrs, abrasions, and foreign matter, where removal can be accomplished by hand tools.

Take precautions to maintain phonographic finish on flanges that have it.

3.3.3 Chase and tap each exposed threaded area.

3.3.4 Each new material must conform to 2.6, including Category and Group E-5.

3.4 Assemble valve and install actuator using paragraph 6-6.8.4 of 2.3 for guidance and material requirements.

3.4.1 Install new gaskets, o-rings, pins, keys, studs, bolts, and nuts. Material shall conform to specifications in Chapter 7 of 2.3.

(V)(G) "STRAIN FREE"

3.5 Align piping to the valve. Piping shall be supported independently and shall not impose a strain. Accomplishment of alignment by adjustment of the first adjacent hanger is to be considered within the scope of the work. Document results on Enclosure (One).

(V)(G) "POSITION INDICATOR ASSEMBLY ADJUSTMENT"

3.6 Accomplish valve position indicator adjustment using paragraph 6-2 of 2.3 for guidance. Document results on Enclosure (One).

3.6.1 Adjust 1/4 and 1/2 turn valve position indicator using Table 6-2, pinion to switch matrix and Figure 6-1 of 2.3.

(V)(G) "STOP SCREW ADJUSTMENT"

3.7 Accomplish turn assemblies stop screw adjustment using paragraph 6-3 of 2.3 for guidance. Document results on Enclosure (One).

3.7.1 Adjust stop screws using paragraph 6-3.1 of 2.3 for guidance.

(V)(G) "MECHANICAL INDICATOR ADJUSTMENT"

3.8 Accomplish mechanical indicator adjustment using paragraph 6-4.1 of

2.3 for guidance. Acceptance criteria: Mechanical Indicator Open/Close

SSP: SING-017-26 3 of 7 ITEM NO: 261-12-001 position: Satisfactory. Document results on Enclosure (One).

(V)(G) "TORQUE LIMIT ADJUSTMENT"

3.9 Accomplish torque limit adjustment in accordance with Paragraph 6.5, and Figure 6-4 of 2.3. Allowable over torque: None. Document results on Enclosure (One)

3.9.1 Set torque barrel adjustment using paragraph 6-5.1 of 2.3 for guidance.

3.9.2 Adjust torque arm using paragraph 6-5.2 of 2.3.

3.9.3 Accomplish torque adjustment:

3.9.3.1 Back off the torque barrel nut (1) until there is no

tension on the torque spring (10).

3.9.3.2 Turn the torque barrel nut (1) in 1/2 turn increments until actuator operates through a full cycle.

(V)(G) "OPERATIONAL TEST"

3.10 Accomplish an operational test of the motor operated valve listed in 1.3, locally and remotely using shipboard procedures and Chapter 2 of

2.3 for guidance. Allowable external leakage or deformation: None.

Document results in Enclosure (One).

3.10.1 Cycle the valve from full closed to full open to full closed 3 times once manually, once locally and once remotely from fuel oil console verifying valve position open/closed each time. Allowable binding: None.

3.11 Accomplish the requirements of 009-032 of 2.1 for disturbed surfaces.

3.12 Install new aluminized cloth spray shields on fuel oil piping and valve flanges and components in accordance with ASTM-F-1138.

(V)(G) "COMPARTMENT CLOSEOUT"

3.13 Accomplish a joint inspection with the SUPERVISOR upon completion, inspection, and acceptance, by the contractor, of work within each compartment. Acceptance criteria is completion of all contractor work within the compartment inclusive of associated Work Items, and settled changes to associated Work Items. Document results on Enclosure (One).

3.14 Submit one legible copy, in hard copy or approved transferrable media, of Enclosure (One) to the SUPERVISOR within 3 days from completion of repair. Document results on Enclosure (One).

4. NOTES:

4.1 NAVSEA Standard Items are available at:

https://www.navsea.navy.mil/Home/RMC/CNRMC/Our-Programs/SSRAC/

4.2 Enclosure (One) is a Test and Inspection Verification Sheet (TIVS).

5. GOVERNMENT FURNISHED MATERIAL (GFM):

5.1 LLTM:

TOTAL

QUANTITY

PROVIDED NAME Of PART

PIECE

NO.

REF

NO.

NATIONAL

STOCK

NO.

REQ

PARA NO.

SSP: SING-017-26 4 of 7 ITEM NO: 261-12-001

1. 1 EA

Actuator Assembly, Stainless Steel Gate Valve, 3", Integral Controller, P/N:

10017-2

Table 7- 12, 6-15 2.3

4810-01- 658-7068 3.3

5.2 PUSH MATERIAL:

1. None.

SSP: SING-017-26 5 of 7 ITEM NO: 261-12-001

Enclosure (One)

TEST AND INSPECTION VERIFICATION SHEET (TIVS)

REV/

PARA

REQUIREMENTS / COMPONENT

IDENTIFICATION RESULTS ACTIVITY SIGNATURE/PRINTED NAME

KTR

3.1

(V)(G) "TAG-OUT VERIFICATION"

In accordance with 2.3, prior to commencement of work, contractor must obtain Ship’s Force signature on Enclosure (One) as verification of tag-out and record tag-out serial number for equipment identified in 1.3.1 and located in 1.2, using 2.2 for guidance.

Allowable discrepancy: None

Annotate tag-out serial #: _____________

SAT / UNSAT

Date/Time_____________________

SRF DET SG

KTR

3.5

(V)(G) “STRAIN FREE”

Align piping to the valve. Piping shall be supported independently and shall not impose a strain.

Accomplishment of alignment by adjustment of the first adjacent hanger is to be considered within the scope of the work.

SAT / UNSAT

Date/Time_____________________

SRF DET SG

KTR

3.6

(V)(G) “POSITION INDICATOR

ASSEMBLY ADJUSTMENT”

Accomplish valve position indicator adjustment using paragraph 6-2 of 2.3 for guidance.

SAT / UNSAT

Date/Time_____________________

SRF DET SG

KTR

3.7

(V)(G) “STOP SCREW ADJUSTMENT”

Accomplish turn assemblies stop screw adjustment using paragraph

6-3 of 2.3 for guidance.

Date/Time_____________________ SRF DET SG

SSP: SING-017-26 6 of 7 ITEM NO: 261-12-001

Work Completed:

KTR

3.8

(V)(G) “MECHANICAL INDICATOR

ADJUSTMENT”

Accomplish mechanical indicator adjustment using paragraph 6-4.1 of 2.3 for guidance.

Date/Time_____________________

SRF DET SG

KTR

3.9

(V)(G) “TORQUE LIMIT ADJUSTMENT”

Accomplish torque limit adjustment in accordance paragraph 6.5 and

Figure 6-4 of 2.3.

SAT / UNSAT

Date/Time_____________________ SRF DET SG

KTR

3.10

(V)(G) “OPERATIONAL TEST”

Accomplish an operational test of the motor operated valve listed in 1.3, locally and remotely using shipboard procedures and Chapter 2 of 2.3 for guidance.

SAT / UNSAT

Date/Time_____________________

SRF DET SG

KTR

3.13

(V)(G) “COMPARTMENT CLOSEOUT”

Accomplish a joint inspection with the SUPERVISOR upon completion, inspection, and acceptance by the contractor, of work within each compartment. Acceptance criteria is completion of all contractor work within the compartment inclusive of associated Work Items, and settled changes to associated Work Items.

Date/Time_____________________

SRF DET SG

KTR

3.14

Submit one legible copy, in hard copy or approved transferrable media, of Enclosure (One) to the SUPERVISOR within 3 days from completion of repair.

Enclosure (One) Submitted

YES / NO

Date:______________ SRF DET SG

SSP: SING-017-26 7 of 7 ITEM NO: 261-12-001

Sign: _______________________Print:___________________Date:________________________

SHIP: USS HIGGINS (DDG 76) ITEM NO: 320-10-001

COAR: 26 PCN: CM02-L011

BWST FILE NO: 000-001 CMP: NONE

REVISED: 05 APR 2019 PLANNER: CANLAS, CHRISTIAN

BALDOVINO, ROMMEL

BAUSER, BRANDON

GRAY, CHARLES

SSP: SING-017-26 1 of 15 ITEM NO: 320-10-001

1. SCOPE:

1.1 Title: Multiple Cable Transit (MCT) Block; install

1.2 Location of Work:

1.2.1 Fan Room (1-78-2-Q)

1.3 Identification:

1.3.1 Quantity (One EA), Multi-Cable Transit, Steel, Hole No. 1450- E-745, Penetration No. ETR-SR-44104, Checkpoint No. T016 (18'-0" OFF

CL, PORT, 0'-5" AFT OF FR 78, 5" BELOW 01 LVL).

2. REFERENCES:

2.1 NAVSEA Standard Items, (FY 26)

2.2 MIL-STD-2003-3B Rev 3B, Electric Plant Installation Standard Methods for Surface Ships and Submarines (Penetrations)

2.3 S1005506, Roxtec R Frames Information Drawing

2.4 ASS2005002501, Roxtec Installation Instructions

3. REQUIREMENTS:

(V)(G) "RECEIPT INSPECTION"

3.1 Accomplish receipt inspection of each equipment listed in 1.3. and provided in 5.2 with the SUPERVISOR to ensure equipment is suitable to existing vessel configuration. Allowable damage or deformation: None.

Documents results in Enclosure (One).See Note 4.2.

3.2 Install new each missing or defective MCT neoprene insert block for the equipment listed in 1.3 and located in 1.2, as designated by the SUPERVISOR, in accordance with Section 4 of 2.2, using 2.3 and 2.4 for guidance.

3.2.1 Template exact size, location and configuration from existing shipboard condition.

(V)(G) "AIR TEST"

3.3 Accomplish the requirements of 009-025 of 2.1 for air hose test of the restored MCT listed in 1.3 and located in 1.2, to include each sealing block and compression plate. Allowable leakage: None.

3.3.1 Air hose nozzle must be placed at less than 3 inches, but greater than zero inches, from the area to be tested and pressure directed at the structure under test in a manner most likely to disclose leaks. The minimum nozzle diameter must be 3/8 inch and the nozzle pressure must be 90 plus or minus 5 PSIG as monitored at the nozzle.

3.3.1.1 Apply a soapy solution to the opposite side of the

structure and inspect for leaks.

SSP: SING-017-26 2 of 15 ITEM NO: 320-10-001

3.3.1.2 Inspect joint or fitting for leakage by observing for formation of bubbles. Allowable leakage: None.

3.3.2 Submit one legible copy, in hard copy or electronic media, of a report listing results of the requirements of 3.3 to the SUPERVISOR. Document in Enclosure (One).

3.4 Accomplish the requirements of 009-032 of 2.1 for new and disturbed surfaces.

(V)(G) "COMPARTMENT CLOSE-OUT"

3.5 Accomplish a joint inspection with the SUPERVISOR upon completion, inspection, and acceptance, by the contractor, of work within each compartment. Acceptance criteria is completion of all contractor work within the compartment inclusive of associated Work Items, and settled changes to associated Work Items. Document on Enclosure (One).

3.6 Submit one legible copy, in hard copy or approved transferrable media, of Enclosure (One) to the SUPERVISOR within 3 days of repair completion. Document in Enclosure (One)

4. NOTES:

4.1 NAVSEA Standard Items are available at:

https://www.navsea.navy.mil/Home/RMC/CNRMC/Our-Programs/SSRAC/

4.2 Enclosure (One) - Test and Inspection Verification Sheet.

5. GOVERNMENT FURNISHED MATERIAL(GFM):

5.1 LLTM:

1. None.

5.2 PUSH MATERIAL:

TOTAL

QUANTITY

PROVIDED NAME Of PART

PIECE

NO.

REF

NO.

NATIONAL

STOCK

NO.

REQ

PARA NO.

1. 4 EA

RM 20W40 3.5-

16.5 2 2.4

RM001204

01000 3.2

2. 2 EA RM30 10-25 3 2.4

RM001003

01000 3.2

3. 2 EA RM20 4-14.5 4 2.4

RM001002

01000 3.2

4. 1 BX RM 10/0 x 12 5 2.4

RM003101

21000 3.2

SSP: SING-017-26 3 of 15 ITEM NO: 320-10-001

SSP: SING-017-26 4 of 15 ITEM NO: 320-10-001

Installation Instructions

Project:

Location:

Transit:

Solution:

Print date:

HIG

Fan Room (1-78-2-Q), LCL WW Hole

No. 1450-E-745

R 125 AISI316 WITH

NET 2026-01-21

SSP: SING-017-26 5 of 15 ITEM NO: 320-10-001

SSP: SING-017-26 6 of 15 ITEM NO: 320-10-001

SSP: SING-017-26 7 of 15 ITEM NO: 320-10-001

Installation instructions Roxtec R frame

Installation

Remove any dirt from the sleeve/ hole.

Lubricate the frame sparsely on the outside with Roxtec Lubricant.

Insert the frame into the sleeve/ hole. Please see table “Aperture dimensions”.

If pipes/cables are pre-routed, an R frame can be cut open with a sharp tool. Cut the longside open between screws.

For R100, cut between screw and corner.

5 6 7

Push the front fittings to the sides. Lubricate the inside of the frame thoroughly, especially into the corners.

If the frame is provided with a net, cut or bend the net with a sharp tool, or your fingers, to enable cables/pipes to pass through at their position in the frame.

Pull the cables through. Please see note on reverse page.

1 2 3 4

SSP: SING-017-26 8 of 15 ITEM NO: 320-10-001

8 9 0.1–1.0 mm 0.004- 0.039”

Adapt modules which are to seal cables or pipes by peeling off layers until you reach the gap seen in pic. 9. The halves may not differ by more than one layer.

Achieve a 0.1-1.0 mm gap between the two halves when held against the cable/pipe.

Lubricate all modules for the frame thoroughly, both the inside and the outside surfaces.

SSP: SING-017-26 9 of 15 ITEM NO: 320-10-001

Insert the modules and cables/ pipes according to your installation plan (transit plan).

Push the front fittings back towards the center.

Tighten the nuts crosswise. The frame will compress until it is sealed. Please see recommended torque in the table.

Torque settings

R 70-R 127 6-7

* The recommended torque depends on several things, e.g cable or pipe size, amount of used lubricant, sleeve size or material in the cable sheath, etc.

R 150-R 200 9-11

Aperture dimensions Type: Aperture

Ø (mm) Clearance depth (mm) Packing space (mm)

R 70 70-71 75 40 x 40

R 75 75-76 75 40 x 40

R 100 100-102 80 60 x 60

R 125 125-127 75 80 x 80

R 127 127-129 75 80 x 80

R 150 150-152 75 90 x 90

R 200 200-202 75 120 x 120

Disassembly Reverse order

Note

■ For optimum reliability, wait 24 hours or longer after installation before exposing the cables/pipes to strain or pressure.

■ To be used with: RM modules.

■ Cables/pipes shall be parallel to the sleevehole.

■ Cable/pipe with a considerable weight needs to be supported to prevent damage or subsidence to the seal.

DIsclaImer ”The Roxtec cable entry sealing system (”the Roxtec system”) is a modular-based system of sealing products consisting of different components. Each and every one of the components is necessary for the best performance of the Roxtec system. The Roxtec system has been certified to resist a number of different hazards. Any such certification, and the ability of the Roxtec system to resist such hazards, is dependent on all components that are installed as a part of the Roxtec system. Thus, the certification is not valid and does not apply unless all components installed as part of the Roxtec system are manufactured by or under license from Roxtec (“authorized manufacturer”). Roxtec gives no performance guarantee with respect to the Roxtec system, unless (I) all compo-nents installed as part of the Roxtec system are manufactured by an authorized manufacturer and (II) the purchaser is in compliance with (a), and (b), below.

Type: Rec. torque* (Nm)

A S

S ver_1.8

/G B

/1235/stsa n

R oxtec ® and M ultidiam eter ® are registered tradem arks of R oxtec in S w eden and/or other countries.

SSP: SING-017-26 10 of 15 ITEM NO: 320-10-001

(a)During storage, the Roxtec system or part thereof, shall be kept indoors in its original packaging at room temperature.

(b) Installation shall be carried out in accordance with Roxtec installation in-structions in effect from time to time.

The product information provided by Roxtec does not release the purchaser of the Roxtec system, or part thereof, from the obligation to independently determine the suitability of the products for the intended process, installation and/or use.

Roxtec gives no guarantee for the Roxtec system or any part thereof and assumes no liability for any loss or damage whatsoever, whether direct, in-direct, consequential, loss of profit or otherwise, occurred or caused by the Roxtec systems or installations containing components not manufactured by an authorized manufacturer.

Roxtec expressly excludes any implied warranties of merchantability and fitness for a particular purpose and all other express or implied representations and warranties provided by statute or common law.

User determines suitability of the Roxtec system for intended use and assumes all risk and liability in con-nection therewith. In no event shall Roxtec be liable for consequential, punitive, special, exemplary or incidental damages.”

Roxtec International AB Box 540, 371 23 Karlskrona, SWEDEN

PHONE +46 455 36 67 00, FAX +46 455 820 12

EMAIL info@roxtec.com, www.roxtec.com mailto:info@roxtec.com http://www.roxtec.com/

SSP: SING-017-26 11 of 15 ITEM NO: 320-10-001

NTS I I Hole No. 1450-E-745 D<awingnumbor

1/1

SSP: SING-017-26 12 of 15 ITEM NO: 320-10-001

RTD Version No: 4.41.14.0

Respo,,S<ble Created Date

SSP: SING-017-26 13 of 15 ITEM NO: 320-10-001

Enclosure (One)

TEST AND INSPECTION VERIFICATION SHEET (TIVS)

PARAGRAPH

REQUIREMENT/COMPONENT

IDENTIFICATION RESULTS ACTIVITY SIGNATURE/PRINTED NAME

KTR

3.1

(V)(G) "RECEIPT INSPECTION"

Accomplish receipt inspection of each equipment listed in

1.3 and provided in 5.2 with the SUPERVISOR to ensure equipment is suitable to existing vessel configuration. Allowable damage or deformation: None.

SAT / UNSAT

DATE/TIME:________________

SRF DET SG

KTR

3.3

(V)(G) "AIR TEST"

Accomplish the requirements of 009-025 of 2.1 for air hose test of the restored MCT listed in 1.3 and located in 1.2, to include each sealing block and compression plate.

Allowable leakage: None.

SAT / UNSAT

DATE/TIME:

SRF DET SG

3.3.2

Submit one legible copy, in hard copy or electronic media, of a report listing results of the requirements of 3.3 through 3.3.1.2 to the

SUPERVISOR.

Report submitted:

YES / NO

DATE/TIME:_________________

KTR

SSP: SING-017-26 14 of 15 ITEM NO: 320-10-001

SRF DET SG

KTR

3.5

(V)(G) "COMPARTMENT CLOSE-

OUT"

Accomplish a joint inspection with the SUPERVISOR upon completion, inspection, and acceptance, by the contractor, of work within each compartment. Acceptance criteria is completion of all contractor work within the compartment inclusive of associated Work Items, and settled changes to associated

Work Items. Document on Enclosure (One).

Report submitted:

YES / NO

DATE/TIME: ______________

SRF DET SG

KTR

3.6

Submit one legible copy, in hard copy or approved transferrable media, of Enclosure (One) to the

SUPERVISOR within 3 days of repair completion.

Report submitted:

YES / NO

DATE/TIME:_______________

SSP: SING-017-26 15 of 15 ITEM NO: 320-10-001

Work Completed:

Sign: Print: Date:

SHIP: USS HIGGINS (DDG 76) ITEM NO: 320-11-001

COAR: 26 PCN: EE02-L007

CSWT FILE NO: 320-002 (DDG 51) CMP: NONE

REVISED: 30 SEP 2024 PLANNER: BALDOVINO, ROMMEL

CANLAS, CHRISTIAN

CARPENTER,

DAVID.SING

GRAY, CHARLES

SSP: SING-017-26 1 of 7 ITEM NO: 320-11-001

1. SCOPE:

1.1 Title: Electrical Cable Replacement; accomplish

1.2 Location of Work:

1.2.1 Passage (1-338-1-L)

1.2.2 AFFF Stowage Room (1-338-3-A)

1.2.3 AFFF Station No. 2 (1-330-1-Q)

1.2.4 Service Interface Room (1-330-0-Q)

1.2.5 Security Station (1-330-2-Q)

1.2.6 Passage (1-318-2-L)

1.2.7 Stateroom (1-330-2-L)

1.2.8 Stateroom (1-314-2-L)

1.2.9 Damage Control Locker (1-304-2-A)

1.2.10 Passage (1-300-01-L)

1.3 Identification:

1.3.1 Quantity (175 LF), Cable Power, Electrical, Circuit: (1-344- 3)-4P-G(1), Cable Type: TXW-4, NSN: 6145-01-225-2151

1.3.2 Quantity (One), Power Panel, 1-344-3, Class Z Vent Zone 3- Panel 2

1.3.3 Quantity (3), Power Transformer, 1-300-2, 3kVA, 450V/120V

2. REFERENCES:

2.1 NAVSEA Standard Items, (FY26)

2.2 320-6218728 Rev AL, One Line Diagram Power System - 60HZ

2.3 321-6220410 Rev AR, Main Cableway - Routing by Checkpoint

2.4 301-6221038 Rev W, DDG-51 Class Installation Electrical Local Wireway Design Zone 3250, Main Deck FR 338-370

2.5 301-6221033 Rev Y, DDG-51 Class Installation Electrical Local Wireway Design Zone 3150, Main Deck FR 300-338

2.6 MIL-STD-2003-3B, Electric Plant Installation Standard Methods for Surface Ships and Submarines

2.7 MIL-STD-1310H, Shipboard Bonding, Grounding and Other Techniques for Electromagnetic Pulse (EMP) Mitigation and Safety

2.8 S9086-KC-STM-010/300 Rev 11, ELECTRIC PLANT - GENERAL

3. REQUIREMENTS:

3.1 Ensure only Qualified Personnel prepare electrical cable endings to

SSP: SING-017-26 2 of 7 ITEM NO: 320-11-001 receive connectors, assemble connector parts on the cable endings, attach the connectors to the cable endings, supervise, and inspect the execution of the process.

3.1.1 Submit one legible copy, in hard copy or approved

transferrable media, of the credentials of the Qualified Personnel accomplishing connector fabrication, Supervision, and QA Inspection to the SUPERVISOR prior to the start or continuation of work. Submit any change as it occurs. Document in Enclosure (One)

(V)(G) "RECEIPT INSPECTION"

3.2 Accomplish receipt inspection with the SUPERVISOR of the materials provided in 5.1 to accomplish required repairs for the equipment listed in 1.3.1 and located in 1.2.2. Allowable deformation or damage: None.

Documents results in Enclosure (One). See Note 4.2.

(V)(G) "TAG-OUT VERIFICATION"

3.3 Prior to commencement of work, contractor shall obtain Ship's Force signature on Enclosure (One) as verification of tag out and record tag-out serial number using 2.2 for guidance. Document results in Enclosure (One).

3.4 Accomplish an insulation resistance test of each electric cable conductor using the appropriate direct current megger using Table 300-3-4 of 2.8 for guidance prior to disconnecting cable.

3.4.1 Submit one legible copy, in hard copy or approved

transferrable media, of a report listing results of the requirements of 3.3 to the SUPERVISOR within 24 hours of testing. Document in Enclosure (One).

3.5 Disconnect and remove cable listed in 1.3 in the location listed in

1.2 from Power Panel 1-344-3 to Power Transformer 1-300-2 using sheet 163A of 2.2 for guidance. Record electrical hook-up data.

3.5.1 Accomplish a visual inspection of the equipment listed in 1.3 at the location listed in 1.2 for any signs of burns, cracks, or fraying of insulation..

3.5.1.1 Submit one legible copy, in hard copy or approved

transferrable media, of a report listing results of the requirements of 3.5.1 to the SUPERVISOR. Document in Enclosure (One)

3.6 Install new cable identified in 1.3 in the location listed in 1.2, installing new terminal lugs, fasteners and nuts conforming to MIL-DTL- 1222, Type I or II, Grade 5, zinc coated inside void and 316 CRES fasteners and nuts.

3.6.1 Electrically connect equipment listed in 1.3 using 2.6 and hook-up data of 3.5 for guidance.

3.6.2 Bond and ground equipment listed in 1.3 in accordance with 2.7.

3.7 Accomplish an insulation resistance test of each electric cable conductor using the appropriate direct current megger using Table 300-3-4 of 2.8 for guidance after reconnecting cable.

3.7.1 Submit one legible copy, in hard copy or approved

transferrable media, of a report listing results of the requirements

SSP: SING-017-26 3 of 7 ITEM NO: 320-11-001 of 3.7 to the SUPERVISOR within 24 hours of testing. Document in Enclosure One

(V)(G) "LOCAL AIR HOSE TEST"

3.8 Accomplish the requirements of 009-025 of 2.1 for a local air hose test on each bulkhead penetration using 2.3 through 2.5 for guidance.

Allowable leakage: None. Document in Enclosure (One)

3.8.1 The minimum nozzle diameter must be 3/8 inch and the nozzle pressure must be 90 plus or minus 5 PSIG as monitored at the nozzle.

3.8.2 Apply a soapy solution to the opposite side of the structure and inspect for leaks.

3.8.3 Air hose nozzle must be placed at less than 3 inches, but greater than zero inches, from the area to be tested and pressure directed at the structure under test in a manner most likely to disclose leaks.

3.8.4 Submit one legible copy, in hard copy or approved

transferrable media, of a report listing results of Local Air Hose Test on each bulkhead penetration to the SUPERVISOR. Document in Enclosure (One).

3.9 Accomplish the requirements of 009-032 of 2.1 for each new and disturbed surface.

(V)(G) "COMPARTMENT CLOSE-OUT"

3.10 Accomplish a joint inspection with the SUPERVISOR upon completion, inspection, and acceptance, by the contractor, of work within each compartment. Acceptance criteria is completion of all contractor work within the compartment inclusive of associated Work Items, and settled changes to associated Work Items. Document on Enclosure (One).

3.11 Submit one legible copy, in hard copy or approved transferrable media, of Enclosure (One) to the SUPERVISOR within 3 days of repair completion.

4. NOTES:

4.1 NAVSEA Standard Items (NSIs) are located at:

https://www.navsea.navy.mil/Home/RMC/CNRMC/Our-Programs/SSRAC/

4.2 Enclosure (One) is a Test and Inspection Verification Sheet (TIVS).

5. GOVERNMENT FURNISHED MATERIAL(GFM):

5.1 LLTM:

TOTAL

QUANTITY

PROVIDED NAME Of PART

PIECE

NO.

REF

NO.

NATIONAL

STOCK

NO.

REQ

PARA NO.

1. 250 FT

Cable, Power, Electrical N/A 2.2

61450122 52151 3.6

5.2 PUSH MATERIAL:

1. None.

SSP: SING-017-26 4 of 7 ITEM NO: 320-11-001

Enclosure (One)

TEST AND INSPECTION VERIFICATION SHEET (TIVS)

PARAGRAPH

REQUIREMENT/COMPONENT

IDENTIFICATION RESULTS ACTIVITY SIGNATURE/PRINTED NAME

KTR

3.1.1

Submit one legible copy, in hard copy or approved transferrable media, of the credentials of the Qualified Personnel accomplishing connector fabrication, Supervision, and QA Inspection to the

SUPERVISOR prior to the start or continuation of work. Submit any change as it occurs.

Report submitted:

YES / NO

DATE/TIME:_________________

SRF DET SG

KTR

3.2

(V)(G) "RECEIPT INSPECTION"

Accomplish receipt inspection with the SUPERVISOR of the materials provided in

5.1 to accomplish required repairs for the equipment listed in 1.3.1 and located in 1.2.2. Allowable deformation or damage: None.

Acceptable Criteria: Allowable deformation or damage: None.

SAT / UNSAT

DATE/TIME:________________

SSP: SING-017-26 5 of 7 ITEM NO: 320-11-001

KTR

S / F3.3

(V)(G) “TAG-OUT VERIFICATION”

Prior to commencement of work, contractor shall obtain Ship's Force signature on Enclosure (One) as verification of tag out and record tag-out serial number using 2.2 for guidance.

Tag-out No. _____________

SAT / UNSAT

DATE/TIME:__________________

SRF DET SG

KTR

3.4.1 Submit one legible copy, in hard copy or

approved transferrable media, of a report listing results of the requirements of 3.4 to the SUPERVISOR within 24 hours of testing.

Report submitted:

YES / NO

DATE/TIME:_________________

SRF DET SG

KTR

3.5.1.1

Submit one legible copy, in hard copy or approved transferrable media, of a report listing results of the requirements of 3.5.1 to the SUPERVISOR.

Report submitted:

YES / NO

SSP: SING-017-26 6 of 7 ITEM NO: 320-11-001

KTR

3.7.1

Submit one legible copy, in hard copy or approved transferrable media, of a report listing results of the requirements of 3.7 to the SUPERVISOR within 24 hours of testing

Report submitted:

YES / NO

DATE/TIME:_________________

SRF DET SG

KTR

3.8

(V)(G) "LOCAL AIR HOSE TEST”

Accomplish the requirements of 009-025 of 2.1 for a local air hose test on each bulkhead penetration using 2.3 through

2.5 for guidance.

Acceptable Criteria: Allowable leakage:

None.

SAT / UNSAT

DATE/TIME:

SRF DET SG

KTR

3.8.4 Submit one legible copy, in hard copy or

approved transferrable media, of a report listing results of Local Air Hose Test on each bulkhead penetration to the

SUPERVISOR.

Report submitted:

YES / NO

SSP: SING-017-26 7 of 7 ITEM NO: 320-11-001

S/F

KTR

3.10

(V)(G) "COMPARTMENT CLOSE-OUT"

Accomplish a joint inspection with the SUPERVISOR upon completion, inspection, and acceptance, by the contractor, of work within each compartment. Acceptance criteria is completion of all contractor work within the compartment inclusive of associated Work Items, and settled changes to associated Work Items.

Acceptable Criteria:

SAT / UNSAT

DATE/TIME:

SRF DET SG

KTR

3.11

Submit one legible copy, in hard copy or approved transferrable media, of

Enclosure (One) to the SUPERVISOR within 3 days of repair completion.

report submitted:

YES / NO

DATE/TIME:_________________

SRF DET SG

Work Completed:

SHIP: USS HIGGINS (DDG 76) ITEM NO: 551-62-001

COAR: 26 PCN: EM01-3347

CMP: NONE

PLANNER: MARCOS, FRANK SRFDS

BARTOLOME, LUCIANO

BAUSER, BRANDON

SSP: SING-017-26 1 of 6 ITEM NO: 551-62-001

1. SCOPE:

1.1 Title: No. One Oil Distribution Box Prairie Air Flexible Hose Fabricate; accomplish

1.2 Location of Work:

1.2.1 Ship to Shop

1.3 Identification:

1.3.1 Quantity (One EA), Prairie Air Supply Flexible Hose to O.D.

Box, 1 1/2 Inch NPS, 150 PSI, Flanged, Bronze, Hose Number: 1-PA-F-1, MIL-H-24135-10 Aeroquip 2651 or Equal, Sheet 3A, Plan 3A-4A, Zone 8E of 2.2 and Sheet 19A of 2.3

2. REFERENCES:

2.1 NAVSEA Standard Items, (FY26)

2.2 551-6218461 Rev N, GTRB Bleed, Starting Anti-Icing & Prairie/Masker Air Sys Diag

2.3 551-6218461BK Rev N, GTRB Bleed, Starting, Anti-Icing & Prairie/Masker Air System Diagram Engineering Data Booklet

2.4 S6430-AE-TED-010 Rev 8, Piping Devices and Flexible Hose Assemblies

3. REQUIREMENTS:

3.1 Obtain from SUPERVISOR the equipment identified in 1.3 and take to contractor facility.

3.2 Fabricate new Flexible Hose Assembly using Government Furnish Material (GFM) listed in 5.2. Template from existing size and configuration of the Flexible Hose Assembly obtained in 3.1, using 2.2 through 2.4 for guidance.

3.2.1 Inspect existing flexible hose end fittings in accordance with paragraph 5-2 of 2.4., and reuse where found acceptable. Allowable damaged: None

3.2.2 Inspect new flexible hose in accordance with paragraph 5-1 of

2.4. Allowable damaged: None

3.2.3 Submit one legible copy, in hard copy or approved

transferrable media, of a report listing results of the requirements of 3.2.1 and 3.2.2 to the SUPERVISOR. Document on Enclosure (One).

(I)(G) "HYDROSTATIC TEST"

3.3 Accomplish hydrostatic test in accordance with paragraph 7-2 of 2.4 of the new flexible hose assembly. Acceptance criteria: Hose shall not burst, leak, or show signs of fitting separation. Document results on Enclosure (One).

3.3.1 Draw a chalk line around the circumference of the hose next to each fitting attachment in accordance with 7-2.a of 2.4. Measure distance from the lines to fitting edges radially at four places that

SSP: SING-017-26 2 of 6 ITEM NO: 551-62-001 are 90° apart, record measurement.

3.3.2 Using freshwater or other appropriate liquid, apply a proof pressure (300 PSIG) equivalent to twice the rated hose working pressure. Hold this pressure for 1 to 5 minutes.

3.3.2.1 Use two pressure gauges when performing hydrostatic

tests. Use a master gauge having a scale range greater than the maximum test pressure, but not exceeding 200 percent of maximum test pressure.

3.3.2.2 Each master and backup test gage shall conform to gage range and graduation shown on Table 504-6-1 of 2.4. The backup gage shall be cross-checked to the master hydrostatic test gage up to the maximum test pressure just prior to start of testing.

Master and backup gages shall track within 2 percent of each other. Record serial number, range, and calibration due date for each gauge used on Enclosure (One).

(I)(G) "HOSE MEASUREMENT"

3.3.3 Upon completion of test, measure the distance from the chalk lines to the fittings in accordance with paragraph 7-2.d of 2.4.

Allowable change in measured distance from chalk line to fitting:

None. Document results on Enclosure (One).

3.4 Upon satisfactory hydrostatic test install on new CRES

identification tag on each flexible hose assembly engraved in accordance with Paragraph 7-4 of 2.4.

3.4.1 Submit one legible copy, in hard copy or approved

transferrable media, of a report listing the identification tag test data for each hose assembly tested to the SUPERVISOR. Document on Enclosure (One).

(I)(G) "HOSE CLEANLINESS INSPECTION"

3.5 Inspect new flexible hose assembly for cleanliness prior to delivery. Surface shall be visually free of grease, oil, flux, scale, dirt, loose particles and any other foreign contamination. Document result on Enclosure (One).

3.6 Deliver new flexible hose assembly to the SUPERVISOR.

3.7 Submit one legible copy, in hard copy or approved transferrable media, of Enclosure (One) to the SUPERVISOR within 3 days from completion of repair. Document results on Enclosure (One).

4. NOTES:

4.1 NAVSEA Standard Items (NSI) are available at:

https://www.navsea.navy.mil/Home/RMC/CNRMC/Our-Programs/SSRAC.

4.2 Enclosure (One) is a Test and Inspection Verification Sheet (TIVS).

5. GOVERNMENT…