J_-_11_Dry_Dock_Evaluation_Form.docx

Attachment J-11

MSC DRYDOCK EVALUATION FORM

PART A (to be completed by MSC)

PART B (to be completed by ALL shipyards)

Drydock Certification / Classification Info

Shipyard name

Drydock No.

Drydock Type Graving |_| Floating |_| Marine Railway |_|

I

Certified? Yes |_| No |_|

Certifying / Classifying Agency

Certificate No.

Date of expiration

Provide date in English and Metric Units:

Length, overall ft -

Drydock Characteristics

Breadth, molded ft -

Length, overall ft-in m

Draft, light load line

Breadth ft-in m

Gross Tonnage (U. S.)

Tons

MT

Displacement, Full Load

LT

MT

Maximum drydock lift capability

LT

MT

Minimum Displacement/Draft

Displacement

LT

MT

Draft - forward ft -

Maximum entry draft rating:

LT

MT

Draft – aft ft -

Max stern trim for graving dock ft -

Water depths around dock ft-in m area and approaches, tidal conditions, Anticipated Arrival Draft and any unusual conditions for entering/

Draft - forward

leaving the drydock.

Draft - aft

Depth Over Floor ft-in m

Positioning Clearances

Depth Over Blocks ft-in m

Bottom: keel to drydock floor

Depth Over Sill ft-in m

Side: hull to drydock wall

Depth Over KEEL ft-in m

Loading Pressures

Max block loading

Note: All blocks to be positioned under longitudinal strength members and transverse bulkheads.

Max Block Loading Capability

Blocking Requirements

Block Capability

LT/ft2

LT/m2

Keel & Side Block Information

Construction

Cap Material

Cap Thickness in cm

Block Age

Hardwood: White Oak, California Laurel, Oregon Myrtle, Iron bark, Height ft-in m

Blue Gum, American Rock Elm or Preserved Red Oak.

Width ft-in m

Softwood: Douglas Fir, Tamarack, Long Leaf Pine or Hemlock

Length ft-in m

MSC DRYDOCK EVALUATION FORM (cont’d)

PART A (to be completed by MSC)

PART B (to be completed by ALL shipyards)

Provide data in English and Metric units

Minimum Required Services

Electrical power

Minimum Available Services

Electrical power

AC volts

VAC

number of phases

amperage (total) amps

frequency

Hz number of lines

Ground connections

Ground connections

number cable size, each cir mils

Sewage connections

Sewage connections

number

pipe size inch ips cm capacity gal/day ltr/day

Fire Main

Fire Main

number of connections

connection size inch ips cm

pressure psig kg/m2 capacity gpm ltr/min

Aux Seawater

Aux Seawater

pressure psig kg/m2 capacity gpm ltr/min

Fresh Water

Fresh Water

pressure psig kg/m2 capacity gpm ltr/min

Compressed Air

Compressed Air

pressure psig kg/m2 capacity cfm ltr/min

Shore Steam

Shore Steam

pressure psig kg/m2 capacity lb/hr kg/hr

High Pressure Water Wash pressure psig kg per sq cm

Safety Response Plans Required

Safety Response Plans Available (circle correct answer)

MSC DRYDOCK EVALUATION FORM (cont’d)

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

Dockmaster info

Contractor name

Dockmaster name

Certifying Agency

Certificate No.

Years experience

Drydock Insurance Info

Insurer

Policy No.

Amount Insured

Date of expiration

SURVEY (continued) SHIPYARD:

IS SNUBBING NECESSARY?

YES NO

IS FIRE PROTECTION AVAILABLE

ON BUILDING WAY?

YES NO

TIDAL RANGE (DIFF. OF M.L. M.H)

CERTIFICATION DATE &

CERTIFIED BY WHOM

LIFT CAPACITY

(std. tons)

TYPE

CRANES SERVING WAY

NO.

AT DROP

OFF

OVER

WAY END

DEPTH OF WATER

LENGTH OF LAUNCHING RUN DEPTH OF RUN AT M.L.W.

[ ] END LENGTH: LENGTH:

[ ] SIDE

[ ] BASIN WIDTH: WIDTH:

[ ] SLAB

DEPTH: DEPTH:

[ ] END LENGTH: LENGTH:

[ ] SIDE

[ ] BASIN WIDTH: WIDTH:

[ ] SLAB

DEPTH: DEPTH:

[ ] END LENGTH: LENGTH:

[ ] SIDE

[ ] BASIN WIDTH: WIDTH:

[ ] SLAB

DEPTH: DEPTH:

[ ] END LENGTH: LENGTH:

[ ] SIDE

[ ] BASIN WIDTH: WIDTH:

[ ] SLAB

DEPTH: DEPTH:

[ ] END LENGTH: LENGTH:

[ ] SIDE

[ ] BASIN WIDTH: WIDTH:

[ ] SLAB

DEPTH: DEPTH:

NO. LAUNCHING DIMENSIONS MAXIMUM SHIP SIZE

OF (check one) (ton 2,240 lbs)

WAY

[ ] END LENGTH: LENGTH:

[ ] SIDE

[ ] BASIN WIDTH: WIDTH:

[ ] SLAB

DEPTH: DEPTH:

BUILDING WAYS (M. I. W.)

SHIPYARD DATA

Telephone No:

Telex No:

Date Found:

SHIPYARD AND ADDRESS

Commander (Code M-4E3) Military Sealift Command Washington, DC 20390 NOTE: If survey form has been previously submitted, then enter changes only.

SURVEY

LIST ANY OTHER RESTRICTIONS (include projects under construction which will after navigational restrictions)

DISTANCE TO NEAREST DISTANCE TO NEAREST AIRPOR

MAXIMUM SHIP SIZE

ACCOMMODATED

LENGTH OA-BEAM

DOCK

NO.

DRY DOCKS (continued) LEGEND (abbreviation of services) Fresh Water --- F.W. - G.P.M. - P.S.I. Steam --- S - P/HR - P.S.I. Electric Power --- E - V - AC - AMP Fire Protection --- FP - G.P.M. - P.S.I.

Salt Water ----- S.W. - G.P.M. - P.S.I Air ------ A - C.F.M. - P.S.I. Electric Power --- E - V- DC - AMP Sanitary Sewer --SS - YES - NO

DATE CERTIFIED, CERTIFIED BY WHOM, &

DATE CERTIFICATION EXPIRES

LIFTING CAPACITY

(ton 2,240)

DEPTH/DRAFT

OVER OVER OVER

SILL FLOOR KEEL

(GD) BLOCKS

CLEAR WIDTH

at top cradle (MR), at keel at top inboard block wing wall (FD, GD) height

LENGTH

at coping (GD), at keel blocks OVERALL on cradle (MR), on PONTOON

(FD)

MATERIAL TYPE

Floating--(FD) Graving--(GD) Marine Railway (MR)

DOCK

SERVICES AVAILABLE

(Use abbreviation of service below)

USE

REPAIR/

OUTFIT-

ING

HEIGHT

OF

DOCK

(M.L.W.)

OUT-

BOARD

IN-

BOARD

WATER DEPTH

(M. L. W.)

LENGTH

(actual & usable)

ACT:

USE:

ACT:

USE:

ACT:

USE:

ACT:

USE:

ACT:

USE:

ACT:

USE:

TYPE

BERTHS OF SHIPS (Piers, Wharves, Bulkheads, etc.) DRY DOCKS (means high water) NAVIGATIONAL RESTRICTIONS (indicate at M.L.W.)

MINIMUM

MAX REACH HEIGHT OF HOOK

Attachment J - 13

ATTACHMENT J - 13