Attachment J-11 - Quality Assurance Surveillance Form for DH.pdf
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- Maintenance Support for Inactive Ships in Bremerton, WA and CG/LSD Modernization Support in San Diego, CA
- Solicitation number
- N00024-17-R-4404
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Attachment 11
Periodicity: Spec Code: Berthed At: Quarter:
NSTM 50 INSPECTION GUIDELINES DH1 Insp Date:
TDL Remarks N/A NO YES Description Item
1 Record elapsed time meter readings and date. Are machines operating less than 50% of the time?
2 Is machine operable ? (Start idle machine manually to ensure operability.)
3 Have all other discrepancies been reported? If not report them here.
D/H Elapsed Time
FWD Draft: AFT Draft: List:
Comments:
Inspector Inspector Inspection Manager
Elapsed Time Data Table
Machine Date E.T.I. Date Hours Run Elapsed Time Operation
NSTM 50 INSPECTION GUIDELINES - Descrepancy Listing
Spec Code:
Line Item # Location Discrepancy Discovery Dt Correction Dt
NSTM 50 INSPECTION GUIDELINES DH2 Insp Date:
TDL Remarks N/A NO YES Description Item
1 Are average zone readings 40% RH (+ or - 5%)?
2 Are individual relative humidity (RH) readings 45% or less?
3 Are air zones in balance? (High or low zone readings within plus or minus 5% RH of the zone average.)
4 Are permanent zone closures and blanks properly sealed, painted and stenciled?
5 Access closures operate and seal properly?
6 Are all exterior hatches, vent openings and huts properly sealed?
7 Are individual humidistats locations properly identified and labled?
8 Have all other discrepancies been reported? If not report them here.
D/H Inspection
FWD Draft: AFT Draft: List:
Comments:
Inspector Inspector Inspection Manager
Elapsed Time Data Table
Zone H1 H2 H3 H4 H5 Avg. Zone H1 H2 H3 H4 H5 Avg.
Topside Hut R.H. and Test Specimen Data Table
Zone H1 H2 H3 H4 H5 Avg. Zone H1 H2 H3 H4 H5 Avg.
NSTM 50 INSPECTION GUIDELINES DH3 Insp Date:
TDL Remarks N/A NO YES Description Item
1 Are filters on DH machines located on the interior of the vessel being changed Annually?
2 Have all other discrepancies been reported? If not report them here.
D/H Filters (Inspection)
FWD Draft: AFT Draft: List:
Inspector Inspector Inspection Manager
NSTM 50 INSPECTION GUIDELINES DH4 Insp Date:
TDL Remarks N/A NO YES Description Item
1 Are filters on DH machines located on the weather decks of the vessel being changed Annually?
2 Have all other discrepancies been reported? If not report them here.
D/H Filters (Topside)
FWD Draft: AFT Draft: List:
Inspector Inspector Inspection Manager
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