J-11 MSC Dry Dock Eval Form.pdf

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USNS MEDGAR EVERS ( T-AKE 13) ROH/DD
Solicitation number
N3220526R6120
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MSC Dry Dock Evaluation Form Summary

This is a Military Sealift Command (MSC) Dry Dock Evaluation form (MSC 9997/1, Rev. 02-23) used to assess shipyard capabilities for dry-docking naval vessels. The form evaluates a specific ship (in this example, USNS MEDGAR EVERS, Hull Number T-AKE 13) against available dry dock facilities and supporting services at candidate shipyards.

Part A, completed by MSC, documents minimum required services including the vessel's characteristics (689 feet length overall, 106 feet molded breadth, 30 feet summer draft, 41,000 long tons full load displacement) and required electrical power, ground connections, sewage, fire main, auxiliary seawater, fresh water, compressed air, shore steam, and high-pressure water specifications. Part B, completed by all shipyards, details the dry dock's physical characteristics (length, clear width, lift capacity, water depths) and available services that must meet or exceed MSC requirements. Part C requires certification information for non-IACS or non-MIL STD 1625 certified dry docks, including dockmaster credentials, insurance details, and years of experience. Part D requires shipyards to provide a two-year vessel history, describe any dry-docking accidents from the past five years with corrective actions, and certify the accuracy of all submitted information through signature of a shipyard official. The evaluation ensures shipyards possess adequate physical facilities, infrastructure capacity, safety plans (flooding, firefighting, earthquake, typhoon/hurricane), and operational experience for safe vessel dry-docking operations.

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MSC 9997/1 (Rev. 02-23) Page 1 of 3

MSC DRY DOCK EVALUATION N7.721.9997.8-Q

1. SHIP NAME: 2. HULL NUMBER:

PART A (to be completed by MSC) (Note: PART A consists of left columns for pages 1-2)

PART B (to be completed by ALL shipyards) (Note: PART B consists of right columns for pages 1-2)

17. SHIPYARD NAME: 18. DRY DOCK NUMBER:

19. DRY DOCK TYPE: 20. DRY DOCK CERTIFIED?

Yes No

21. CERTIFYING / CLASSIFYING AGENCY:

22. CERTIFICATE NUMBER: 23. EXPIRATION DATE:

3. SHIP CHARACTERISTICS: ENGLISH MEASURE: METRIC MEASURE: 24. DRY DOCK CHARACTERISTICS: ENGLISH MEASURE: METRIC MEASURE:

a. Length, overall: ft.; in m a. Length, overall: ft.; in m

b. Breadth, molded: ft.; in m b. Clear width, at top of blocks: ft.; in m

c. Draft, summer load line: ft.; in m c. Max dry dock lift capacity: LT MT

d. Displacement, Full Load: LT MT d. Allowable linear loading: LT / ft MT / m

e. Max stern trim for graving dock: ft.; in m e. Water depths around dock area and approaches, tidal conditions, and any unusual conditions for entering / leaving dry dock ft.; in m

4. ANTICIPATED ARRIVAL DRAFT: ENGLISH MEASURE: METRIC MEASURE: f. Water depth over floor, at zero tide: ft.; in m

a. Draft – forward: ft.; in m g. Water depth over blocks, at zero tide: ft.; in m

b. Draft – aft: ft.; in m h. Water depth over sill, at zero tide: ft.; in m

5. POSITIONING CLEARANCES:

a. Bottom: keel to dry-dock floor:

ENGLISH MEASURE:

ft.; in

METRIC MEASURE:

m

25. MAXIMUM BLOCK LOADING CAPACITY:

LT / ft.² MT / m²

b. Side: hull to dry-dock wall: ft.; in m 26. KEEL AND SIDE BLOCK INFORMATION:

6. LOADING PRESSURES: ENGLISH MEASURE: METRIC MEASURE: a. Construction:

Maximum allowable block loading: LT / ft.² MT / m² b. Cap Material:

Note: All blocks to be positioned under longitudinal strength numbers and transverse bulkheads. c. Cap Thickness: in. cm.

d. Block Age (Years): years

e. Height: ft.; in m

f. Width (perpendicular to ship centerline): ft.; in m

g. Length (parallel to ship centerline): ft.; in m

UNCONTROLLED DOCUMENT IF PRINTED. Verify current version at https://flankspeed.sharepoint-mil.us/sites/USFF-MSC/policies/SitePages/Directives.aspx james.parker5 Inserted Text 29.5

MSC 9997/1 (Rev. 02-23) Page 2 of 3

PART A (to be completed by MSC) (continued) PART B (to be completed by ALL shipyards) (continued)

MINIMUM REQUIRED SERVICES: MINIMUM AVAILABLE SERVICES:

7. ELECTRICAL POWER:

a. AC Voltage:

b. Number of Phases:

c. Amperage (total):

d. Frequency:

e. Number of Lines:

VAC

amps

Hz

27. ELECTRICAL POWER:

a. AC Voltage:

b. Number of Phases:

c. Amperage (total):

d. Frequency:

e. Number of Lines:

VAC

amps

Hz

8. GROUND CONNECTIONS:

a. Number of ground connections:

b. Cable size, each:

cir mils

28. GROUND CONNECTIONS:

a. Number of ground connections:

b. Cable size, each:

cir mils

9. SEWAGE CONNECTIONS:

a. Number of sewage connections:

b. Pipe size:

c. Capacity:

inch ips gallons / day cm liters / day

29. SEWAGE CONNECTIONS:

a. Number of sewage connections:

b. Pipe size:

c. Capacity:

gallons / day liters / day

10. FIRE MAIN:

a. Number of connections:

b. Connection size:

c. Pressure:

d. Capacity:

psig gallons / min kilo-pascals liters / min

30. FIRE MAIN:

a. Number of connections:

b. Connection size:

c. Pressure:

d. Capacity:

gallons / min liters / min

11. AUX SEAWATER:

a. Pressure:

b. Capacity:

gals / min liters / min

31. AUX SEAWATER:

12. FRESH WATER:

32. FRESH WATER:

13. COMPRESSED AIR:

cu ft / min

33. COMPRESSED AIR:

cu ft / min

14. SHORE STEAM:

lbs / hour kg / hour

34. SHORE STEAM:

lbs / hour kg / hour

15. HIGH PRESSURE WATER PRESSURE: psig kilo-pascals 35. HIGH PRESSURE WATER PRESSURE: psig kilo-pascals

16. SAFETY RESPONSE PLANS REQUIRED:

a. Flooding (accidental):

b. Firefighting:

c. Earthquake:

d. Typhoon/hurricane:

Yes

No

No

No

36. SAFETY RESPONSE PLANS AVAILABLE:

a. Flooding (accidental):

b. Firefighting:

c. Earthquake:

d. Typhoon/hurricane:

No

UNCONTROLLED DOCUMENT IF PRINTED. Verify current version at https://flankspeed.sharepoint-mil.us/sites/USFF-MSC/policies/SitePages/Directives.aspx

MSC 9997/1 (Rev. 02-23) Page 3 of 3

PART C (to be completed by Shipyard if dry-dock is not certified by IACS or under MIL STD 1625)

37. CONTRACTOR NAME: 38. DOCKMASTER NAME:

39. CERTIFYING AGENCY: 40. CERTIFICATE NO: 41. YEARS OF EXPERIENCE:

42. IS DRY DOCK INSURED?

Yes No

43. POLICY INSURER:

44. POLICY NUMBER: 45. AMOUNT INSURED: 46. DATE OF EXPIRATION:

PART D (to be completed by ALL Shipyards)

1. The Offeror shall provide a list of the vessels (and their principal characteristics) dry-docked in this dry dock over the past 2 years. (Attach a separate page)

2. The Offeror shall describe the nature and cause of accidents experienced by the shipyard in dry-docking operations over the past 5 years. The Offeror shall describe corrective action taken or practices implemented to prevent recurrence of accidents. (Attach a separate page)

Per below signature, I hereby certify that information provided in PARTS B-D are true and accurate.

47. NAME AND TITLE OF SHIPYARD OFFICIAL: 48. SIGNATURE OF SHIPYARD OFFICIAL: 49. DATE SIGNED:

UNCONTROLLED DOCUMENT IF PRINTED. Verify current version at https://flankspeed.sharepoint-mil.us/sites/USFF-MSC/policies/SitePages/Directives.aspx

1 SHIP NAME: USNS MEDGAR EVERS
2 HULL NUMBER: (T-AKE 13)
17 SHIPYARD NAME:
18 DRY DOCK NUMBER:
21 CERTIFYING CLASSIFYING AGENCY:
22 CERTIFICATE NUMBER:
23 EXPIRATION DATE:
37 CONTRACTOR NAME:
38 DOCKMASTER NAME:
39 CERTIFYING AGENCY:
40 CERTIFICATE NO:
41 YEARS OF EXPERIENCE:
43 POLICY INSURER:
44 POLICY NUMBER:
45 AMOUNT INSURED:
46 DATE OF EXPIRATION:
47 NAME AND TITLE OF SHIPYARD OFFICIAL:
49 DATE SIGNED:
3 SHIP CHARACTERISTICS:
0:
0: 689
1:
2:
1:
0: 106
1:
2:
2:
0: 29.5
1:
2:
3:
0: 41000
1:
2:
4:
0:
1:
2:
4 ANTICIPATED ARRIVAL DRAFT:
0:
0:
1:
2:
1:
1:
2:
0:
0:
5 POSITIONING CLEARANCES:
0:
0:
1:
2:
1:
0:
1:
2:
6 LOADING PRESSURES:
0:
1:
19 DRY DOCK TYPE: [ ]
20 DRY DOCK CERTIFIED: Off
24 DRY DOCK CHARACTERISTICS:
0:
0:
1:
2:
1:
0:
1:
2:
2:
0:
2:
3:
0:
2:
4:
0:
1:
2:
5:
0:
1:
2:
6:
0:
1:
2:
7:
0:
1:
2:
25 MAX BLOCK LOADING CAPACITY:
0:
1:
26 KEEL AND SIDE BLOCK INFO:
0:
0:
1:
0:
2:
0:
2:
3:
0:
4:
0:
2:
1:
5:
0:
1:
2:
6:
0:
1:
2:
7 ELECTRICAL POWER:
0:
1:
2:
3:
4:
8 GROUND CONNECTIONS:
0:
1:
9 SEWAGE CONNECTIONS:
0:
0:
1:
0:
1:
2:
0:
1:
10 FIRE MAIN:
0:
0:
1:
0:
1:
2:
0:
1:
3:
0:
1:
11 AUX SEAWATER:
0:
0:
1:
1:
0:
1:
12 FRESH WATER:
0:
0:
1:
1:
0:
1:
13 COMPRESSED AIR:
0:
0:
1:
1:
0:
1:
14 SHORE STEAM:
0:
0:
1:
1:
0:
1:
15 HIGH PRESSURE WATER:
0:
1:
16d SAFETY RESPONSES: Off
16c SAFETY RESPONSES: Off
16b SAFETY RESPONSES: Off
16a SAFETY RESPONSES: Off
27 ELECTRICAL POWER:
0:
1:
2:
3:
4:
28 GROUND CONNECTIONS:
0:
1:
29 SEWAGE CONNECTIONS:
0:
0:
1:
0:
1:
2:
0:
1:
30 FIRE MAIN:
0:
0:
1:
0:
1:
2:
0:
1:
3:
0:
1:
31 AUX SEAWATER:
0:
0:
1:
1:
0:
1:
32 FRESH WATER:
0:
0:
1:
1:
0:
1:
33 COMPRESSED AIR:
0:
0:
1:
1:
0:
1:
34 SHORE STEAM:
0:
0:
1:
1:
0:
1:
35 HIGH PRESSURE WATER:
0:
1:
36d SAFETY RESPONSES: Off
36c SAFETY RESPONSES: Off
36b SAFETY RESPONSES: Off
36a SAFETY RESPONSES: Off
42 DRY DOCK INSURED?: Off
Reset:

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