0501_A_FIREFIGHTING_INSPECTION_AND_TESTING_(1-YR)_REV_1.doc

USNS CHARLES DREW

(T-AKE 10)

MACHINERY, AUXILARY SYSTEMS

N32205-18-R-4252

11 DECEMBER 2017

ITEM NO. 501A

Category “A”

N756/CSI/SAA

FIREFIGHTING INSPECTIONS AND TESTING (1-YR)_REV -

1.0 ABSTRACT:

1.1 This item describes the requirement to provide the services of a USCG/ABS approved and Authorized Manufacturer’s Representative to accomplish the one (1) year (Annual) test and inspection services for all firefighting systems.

2.0 REFERENCES/ENCLOSURES:

2.1 REFERENCES:

2.1.1 MSFSC SWIRRR 028, “Fire Fighting System Inspection and Testing”.

2.1.2 MSC Dwg. No. 801-8194507, Rev D.; SRD: Fire Control Plan.

2.1.3 MSC Dwg. No. 555-8498921; FM-200 Fire Extinguishing System Diagram.

2.1.4 Technical Manual T9555-CJ-MMC-010; FM 200 Fire Extinguishing System, Model FM-200.

2.1.5 MSC Dwg. No. 555-8498922; SRD: Foam Firefighting System Diagram.

2.1.6 Technical Manual T9555-CL-MMC-010; Fire Protection System, Foam.

2.1.7 Technical Manual T9555-CN-MMC-010; Fire Fighting System, Carbon Dioxide HP, Semi-Fixed Hose Reel; Operation and Maintenance.

2.1.8 Kidde Fire Systems Technical Bulletin #17-12K; “Marine HPCO2 Hose Reel Installation”.

2.1.9 Technical Manual TE168-BE-MMC-010; Detection System, Fire and Smoke Installation, MDL CS3000; Operation, and Maintenance Instructions.

2.1.10 Tech Manual TE168-BF-MMC-040; Detection System, Fire & Smoke Model CS4000, Installation Manual; Installation, Operation, & Maintenance Manual, Consilium Marine AB.

2.1.11 Technical Manual T9555-CM-MMC-010; Fire Suppression System, MDL WHDR-600, Range Guard.

2.1.12 Tech Manual T9555-CQ-MMC-010; Fire Extinguishing System, Crossflow Water Mist, Installation, Operation, and Maintenance Manual, Novenco A/S.

2.1.13 KIDDE Fire Systems Technical Safety Bulletin #16-35K-3 “Notification of Safety Issue Relating to Fire Suppression System”.

2.2 ENCLOSURES:

2.2.1 MMR FM-200 Cylinder Checklist

2.2.2 Independent FM-200 Cylinder Checklist

2.2.3 Independent FM-200 System Checklist

2.2.4 Semi-Portable CO2 System Checklist

3.0 ITEM LOCATION AND DESCRIPTION:

3.1 Location/Quantity: Various. Refer to enclosures.

3.2 Item Description/Manufacturer's Data:

3.2.1 FM 200 System/Kidde-Fenwal, Inc.

a. MMR (5-66-0): Four (4) 350 pound cylinders, ten (10) 600 pound cylinders, twenty-two (22) 900 pound cylinders, two (2) 108 cu-in N2 pilot cylinders, six (6) 1040 cu-in N2 pilot cylinders, four (4) each pressure switches, One (1) 68 seconds time delay, Ventilation (supply and exhaust) shutdowns, Ventilation Dampers (supply and exhaust), Main activation station, Remote activation station (in EOS), Four (4) Main Diesel Generator Shutdowns, Audible and visual alarms, and MCCS Alarm

b. Purifier Room (4-70-2): one (1) 600 pound cylinder, three (3) five pound CO2 pilot cylinders, two (2) 108 cu-in N2 pilot cylinders, two (2) each pressure switches, audible and visual alarms

c. Cargo and Aux. Pump Room (5-34-0): Two (2) 900 pound cylinders, six (6) 108 cu-in N2 pilot cylinders, two (2) each pressure switches, audible and visual alarms

d. Aft Paint Locker (3-94-2): one (1) 70 pound cylinder, zero (0) each pressure switches, audible and visual alarms

e. Incinerator Room (01-69.5-1): one (1) 200 pound cylinder, two (2) each pressure switches, audible and visual alarms

f. Emergency Diesel Generator Room (02-73-1): one (1) 600 pound cylinder, one (1) 900 pound cylinder, one (1) 108 cu-in N2 pilot cylinder, one (1) 1040 cu in N2 pilot cylinder, two (2) each pressure switches, audible and visual alarms

g. Paint Locker (02-50-1): one (1) 70 pound cylinder, zero (0) each pressure switches, audible and visual alarms

h. Forward Paint Locker (1-13-0): one (1) 125 pound cylinder, zero (0) each pressure switches, audible and visual alarms

i. JP-5 Pump Room (3-82.5-4): One (1) 200 pound cylinder, two (2) each pressure switches, audible and visual alarms

j. Aviation Liquid Locker (1-70.5-3): one (1) 70 pound cylinder, two (2) each pressure switches, audible and visual alarms.

3.2.2 Forward AFFF Skid (Distributed Systems Compartment 5-44-2)

a. 180 gal Capacity

b. Twenty-Three (23) bilge nozzles in Cargo Pump Room (5-34-0)

3.2.3 Aft AFFF Skid (Foam Rm 1-65-1)

a. 400 gal capacity

b. Sixty (60) bilge nozzle in Main Machinery Room (5-66-0)

c. Twenty-Nine (29) overhead nozzles in the Hangar Bay (1-70.5-0)

d. Thirty-Six (36) flush deck nozzles and deck edge nozzles on Flight Deck (Main Deck)

3.2.4 CO2 High Pressure, Semi-Portable Hose Reel Systems:

a. Seven (7) total systems with each system consisting of two (2) 100lbs high pressure CO2 cylinders fixed in cylinder racks with a hose reel and at minimum of 50 feet of hose affixed with a CO2 discharge horn.

b. Refer to Enclosure 2.2.4 for locations.

3.2.5 Consilium Smoke/Fire Detection Panel(s)/Consilium Marine AB.

a. CS-3000 (Throughout vessel)

b. CS-4000 (Cargo Hold 1 & 2)

3.2.6 Galley Extinguishing Systems, Kidde WHDR Systems Aqueous Potassium Carbonate (APC):

a. Galley (01-58-1) and Fast Serve (01-62.5-1)

b. WHDR-125 (1.25 gallon) Wet Chemical (APC) System

3.2.7 Portable/Semi-Portable Fire Extinguishers:

a. Refer to Reference 2.1.2 for locations.

3.2.8 Novenco Water Mist System:

a. Propulsion Motor Room (5-75-0)

b. One (1) Pump Skid and Controller

c. Twenty (20) total nozzles between MMR and EDG Room

3.3 Bill of Materials (Contractor Furnished Material):

4.0 GOVERNMENT FURNISHED EQUIPMENT/ MATERIALS/ SERVICES: None.

5.0 NOTES:

5.1 The contractor and all subcontractors, regardless of tier, must consult the General Technical Requirements (GTR) to determine applicability to this work item. In performance of this work item, the contractor and all subcontractors regardless of tier must comply with the requirements of all applicable GTRs.

5.2 The contractor and all subcontractors regardless of tier are advised to review the other work items under this contract to determine their effect on the work required under this work item.

5.3 THIS SHIP CONTAINS HIGH VOLTAGE (HV) ELECTRICAL SYSTEMS. OBEY ALL POSTED AND VERBAL INSTRUCTIONS REGARDING SAFETY AND EXCLUSION FROM HIGH VOLTAGE AREAS. AT NO TIME APPROACH, WORK ON, OR ENTER A HIGH VOLTAGE AREA WITHOUT PROPER AUTHORIZATION.

5.4 T-AKE CLASS ELECTRICAL COLOR CODING DOES NOT FOLLOW CONSISTENT COLOR SCHEME. THE SHIP IS KNOWN TO HAVE CURRENT CARRYING CONDUCTORS COLORED GREEN, BLUE, BLACK, AND WHITE. ASSUME ALL ELECTRICAL CABLES ARE ENERGIZED UNTIL TESTED AND PROVEN OTHERWISE. TEST ALL ELECTRICAL CABLES TO ENSURE THEY ARE DE-ENERGIZED PRIOR TO WORKING ON THE ITEM.

5.5 The contractor shall address all Safety Bulletins during Firefighting Annual Inspections and Testing. See reference 2.1.13 for clarity.

6.0 QUALITY ASSURANCE REQUIREMENTS:

6.1 All items shall be serviced and maintained in accordance with OEMs specifications and certification requirements as set forth by the USCG, ABS, and National Fire Protection Association (NFPA).

7.0 STATEMENT OF WORK:

7.1 Provide all training, certificates, and proof as OEM Technical Representative to the MSCREP prior to attending the vessel.

7.2 Tag-Out all required systems and equipment. Drain and dispose of any liquid in accordance with all federal, state, and local regulations.

7.3 Notify vessel’s crew prior to any maintenance, inspections, or tests being performed.

7.4 Upon completion of tests and demonstrations of each system, or at the completion of the work day, all systems shall be restored to normal operating configuration and left in a ready for use condition.

7.5 FM-200 System Testing (Ref 2.1.3 & 2.1.4):

7.5.1 Prior to any testing, complete Enclosure 2.2.1 and 2.2.2 to ensure accuracy and that every FM-200 cylinder actuation valve is disconnected and capped.

7.5.2 Perform Annual Preventative Maintenance Inspection and retests of FM-200 Cylinders, Nitrogen Pilot Cylinders (hydro) and flexible hoses in accordance with the Technical Manual.

7.5.3 Test all control stations that activate all FM-200 Systems.

7.5.4 This will require the rigging and movement of test cylinders throughout the vessel. All cylinder movement and connections/disconnections shall be completed by the Contractor.

7.5.5 Furnish and utilize blue carpenter’s painters tape to cover the FM-200 cylinder actuation pins to ensure the pins actuate when system is tested. Duct tape shall not to be used.

7.5.6 Visually inspect that all supply and exhaust dampers close and the supply and exhaust fans secure when the systems are activated. Restart all supply and exhaust fans and visually verify all dampers open. If a fan or damper does not operate properly, immediately report this to the MSCREP for corrective action.

7.5.7 Verify all four (4) MDG’s shutdown upon activation of the MMR FM-200 systems.

7.5.8 Verify the time delay activates within the required time interval.

7.5.9 Document all inspection results of FM-200 Systems within Service Report and Enclosure 2.2.3.

7.5.10 Recharge all Nitrogen bottles utilized for testing system and return them to their original locations.

7.5.11 Document the following information in EXCEL format for each FM-200 Cylinder:

a. Cylinder #

b. Location

c. Serial Number

d. Capacity

e. Operating Pressure

f. Gross Weight

g. Tare Weight

h. Last Hydro Date

i. Hydro Due Date

7.5.12 Document the following information in EXCEL format for each Nitrogen cylinder within the system and spare test cylinders:

a. Cylinder #

b. Location

c. Serial Number

d. Capacity

e. Operating Pressure

f. Last Hydro Date

g. Hydro Due Date

7.5.13 Upon completion of tests and demonstrations, all systems shall be restored to normal operating configuration and left in a ready for use condition. Complete Enclosures 2.2.1 and 2.2.2 to document every FM-200 valve is placed back in service.

7.6 AFFF Foam Systems (Ref 2.1.5 & 2.1.6):

7.6.1 Test both the fwd and aft foam systems in recirculation.

a. Each system shall be started from every push button.

b. Obtain AFFF samples from each of the two (2) AFFF Tanks, forward and aft. Provide samples to MSCREP for analyzing for proper concentrations.

7.6.2 Complete all Annual requirements listed within the Technical Manual.

7.6.3 Visually inspect all operational components of the ILBP Foam Systems for leakage, operational deficiencies, or defects.

7.6.4 Verify the foam level in each tank is “Mid Height” in the expansion dome.

a. Add foam (GFM) to bring level to mid height.

b. Document TLI read-out level with foam at mid-height on Service Report.

7.6.5 Inspect each non-collapsible foam hose for defects.

a. Unreel all hoses and inspect the entire length including up the attachment to the hose reel.

b. Grease hose reels as required.

c. Verify there are no adapters from the hose reel to the hose and from the hose to the vari-nozzle.

d. All threads on the hoses and vari-nozzles shall be 1 ½ inch NH 9 TPI.

e. Any deviation is to be reported on a CFR.

f. Re-reel the hoses on the hose reel.

7.6.6 Install a new seal on each push button control cover after completion of testing.

7.6.7 Upon completion of tests and demonstrations, all systems shall be restored to normal operating configuration and left in a ready for use condition.

7.7 AFFF System Blow-Down (Ref 2.1.5 & 2.1.6):

7.7.1 Blank off AFFF piping to prevent air backflow at AF-V-04 in the Main Machinery Room and at AF-V-12 in the Cargo and Auxiliary Pump Room.

7.7.2 Attach air hose at test connection points:

a. Main Machinery Room: At 40 mm (1.5-inch) FPT Test Connection; Downstream of Valve AF-V-04

b. Cargo and Auxiliary Pump Room: At 40 mm (1.5-inch) FPT Test Connection; Downstream of Valve AF-V-12

7.7.3 Perform an air blow-down test of the AFFF piping system, per GTR No.3., by pressurizing the AFFF piping system to 75 psi (not to exceed 200 psi).

7.7.4 Remove nozzle assemblies suspected of clogging, clear piping and rod out suspected blockages.

a. There are approximately 60 nozzles in the Main Machinery Room and 23 nozzles in the Cargo and Auxiliary Pump Room.

b. Assume that 25 nozzles and piping assemblies will require clearing.

c. Report all deficiencies to the MSCREP for evaluation.

7.7.5 Reinstall nozzle assemblies after removal of debris. Maintain Cleanliness of AFFF Piping.

7.7.6 An air test is required following completion of system blow-down and repairs. Test shall be in accordance with GTR No. 3 and as described herein in the presence of the MSCREP and ABS Surveyor.

7.7.7 Upon completion of tests and demonstrations, all systems shall be restored to normal operating configuration and left in a ready for use condition.

7.8 Semi-Portable CO2 Systems (Ref 2.1.7 & 2.1.8):

7.8.1 Inspect the seven (7) Semi-Portable CO2 systems.

a. The inspection should include, but not limited to, the hose reels, hose reel hoses, connection from hose to reel, hose fittings, horn and valve assembly, cylinder discharge hoses, cylinders and brackets.

7.8.2 Visually inspect the external condition of the CO2 cylinders;

7.8.3 Verify the cylinders are mounted correctly;

7.8.4 Inspect the condition of the flexible hose from the cylinder to the piping;

7.8.5 Verify the hose reel moves freely. Grease if there are any grease points.

7.8.6 Unwind hose from reel to its full length. Inspect the entire condition of the hose on the reel;

7.8.7 Inspect the condition and tightness of the hose connection to the reel;

7.8.8 Operate horn valve to ensure it does not stick;

7.8.9 Inspect the coupling nuts installation arrangement using reference 2.1.8 as direct guidance. All coupling nuts shall be temporarily uninstalled and reinstalled into proper configuration. Inspection results and any work required shall be documented within the Service Report.

7.8.10 Temporarily disconnect the cylinders from the discharge hoses. Temporarily disconnect the discharge head and install the valve protection cap as necessary. Complete Enclosure 2.2.4 for all disconnections.

7.8.11 Weigh each cylinder with a calibrated scale in each system. Reassemble the cylinders in the systems with new o-rings for the “Lever Operated Control Head” and the “Inner and Outer O-rings” on the discharge head. Provide a report that includes the following in EXCEL format for each system:

a. Date

b. Cylinder Serial #

c. Location

d. Tare Weight

e. Gross Weight

f. Date of Mfr

g. Last Hydro Date

h. Hydro Due Date

7.8.12 Upon completion of tests and demonstrations, all systems shall be restored to normal operating configuration and left in a ready for use condition. Complete Enclosure 2.2.4 for all reconnections.

7.9 Smoke and Heat Detection System (Ref 2.1.9 & 2.1.10):

7.9.1 Complete all maintenance and testing in accordance with the Technical Manuals.

7.9.2 Visually inspect the alarm panels and ensure there are no alarms and/or faults;

7.9.3 Test the alphanumeric display, all indications on the control panel and the local buzzer with the function Test display;

7.9.4 Test the power supply, emergency back-up power supply including batteries IAW the Tech Manual;

7.9.5 Test all Fault Conditions IAW the Tech Manual; Removed Detector Fault, Fuse Fault, Battery Fault, Earth Fault, and Loop Cable Break.

7.9.6 Test 10% of all detectors in each Alarm Zone. Record which detectors are tested. Ensure detectors were not inspected the previous year.

a. ABS and MSCREP shall be notified to witness testing at random intervals selected by attending Surveyor and MSCREP.

7.9.7 Upon completion of tests and demonstrations, all systems shall be restored to normal operating configuration and left in a ready for use condition.

7.10 Galley Fire Fighting Systems (Ref 2.1.11):

7.10.1 Prior to starting any work, tag out each system.

a. Remove the flexible hose outside the actuator control box connected to the actuation head to ensure no unintended activation.

b. Remove Nitrogen actuation cartridge. Inspect and weigh cartridge and determine if replacement is required.

7.10.2 Test and inspect both the Main Galley’s and Fast Serve Line’s APC Systems, dampers, shutdowns, fans, in accordance with the manufacturer recommendations, and by completing the following:

a. Verify APC nozzles are properly aimed over the covered surfaces. Adjust nozzles to provide proper coverage;

b. Verify each piece of equipment’s electrical shutdowns. The griddles, ovens, deep fat fryers circuit breakers should trip securing all equipment. Reset circuit breakers and equipment.

c. Verify the supply and exhaust fans secure electrically, and that the dampers close and re-open when the fans are restarted.

d. Verify the Gaylord Hood Cleaning System dampers close upon activation of the WHDR APC fire suppression system. Reset all Gaylord Hood dampers.

e. Verify all Detroit Temperature Switches in the Galley exhaust systems to ensure they secure the fans when heated to approximately 300 deg F. These switches do not have to be calibrated.

f. Replace mechanical fusible links for Roller curtain doors (Qty 3 – 160 deg F).

g. Change all fusible links on the Gaylord system, (Qty 7 – 360 deg F).

h. Replace all nozzle foil seals, (Qty 7).

i. Test all galley and scullery roller doors for proper operation by inserting a dummy link where the fusible link is attached and ensuring the roller doors close fully and properly.

j. Verify that when fusible link breaks it trips the WHDR System actuator.

k. Verify that all manual pulls trip the actuator.

l. Verify that audible alarm initiated.

7.10.3 Upon completion of tests and demonstrations, all systems shall be restored to normal operating configuration and left in a ready for use condition.

7.10.4 Document on the service report the following for the two WHDR APC Cylinders:

a. Inspection Date

b. Cylinder Serial No.

c. Cylinder DOT No.

d. Date of Mfr

e. Last Hydro Date

7.11 Portable Fire Extinguishers (Ref 2.1.2):

7.11.1 Inspect all portable extinguishers, including the discharge hoses, onboard the vessel IAW NFPA 10.

7.11.2 CO2 Extinguishers:

a. Check external condition of extinguisher.

b. Check extinguisher is mounted properly and hose/horn are fully secured.

c. CO2 extinguishers are to be weighed.

7.11.3 Dry Powder and PKP Extinguishers

a. Check external condition of extinguisher.

b. Check extinguisher is mounted properly and hose/horn are fully secured.

c. Dry powder extinguishers are to be agitated to ensure powder is not “caked”.

d. Pressure cylinders (CO2 or Nitrogen) are to be removed and checked.

7.11.4 Foam Extinguishers:

a. Are to be refilled once every 3 years;

b. Check external condition of extinguisher;

c. Check extinguisher is mounted properly and hose/horn are fully secured;

7.11.5 Document the following information in EXCEL format and include within the Service Report:

a. Inspection Date

b. Cylinder Serial #

c. Tare Weight

d. Gross Weight

e. Date of Mfr

f. Last Hydro Date

g. Next Hydro Date Due

h. Location of extinguisher

7.12 Main Engine Water Mist System (Ref 2.1.11)

7.12.1 Inspect the system for visual defects.

7.12.2 Perform system testing per Reference 2.1.11, Section 1.3.

7.12.3 Testing at a minimum shall include:

a. Close all outlet valves after section valve.

b. Open test valve below section valve.

c. Open drain valve on the pump unit.

d. Release section manually by activating the relevant push button discharged through drain valve and display in control panel indicates “sprinkler released”.

e. Reset alarm on control panel.

f. Check that section valve is closed and pump stopped.

g. Repeat test for other sections.

h. After completion of all section testing, close drain valve on the pump unit and open all outlet valves after section valves.

i. Check strainer and clean.

j. 10% of the nozzles are to be disassembled and visually checked on the inside strainer. Record which nozzles are inspected. Ensure nozzles were not inspected the previous year.

7.12.4 Perform the weekly, monthly, six month, and annual system testing per the Tech Manual Ref 2.1.11, Section 1.3.

7.12.5 Testing at a minimum shall include:

a. Run the system in test mode per the Tech Manual.

b. System is to be activated from each detector while in test mode.

c. All nozzles are to be witnessed to ensure there is no clogging.

d. Clean any strainers.

e. 10% of the nozzles are to be disassembled and visually checked on the inside strainer. Record which nozzles are inspected. Ensure nozzles were not inspected the previous year.

f. Operate all ball valves during annual inspection.

7.13 Testing/Inspection:

7.13.1 Assist MSCREP in presenting any and all findings to ABS Attending Surveyor.

7.13.2 Any and all testing to be accomplished shall be witnessed by ABS and in accordance with ABS requirements

7.13.3 Conduct preliminary tests on all completed work before calling for an official test.

7.14 Painting: None.

7.15 Marking:

7.15.1 Place new inspection tags on all required tanks/equipment and/or update inspection tag log.

a. New tags shall match existing.

7.16 Preparation of Drawings/Documents:

7.16.1 Certificates:

a. The Manufacturer’s Rep shall issue all new annual certifications for the Fire Fighting Systems and all required documentation to obtain annual certification from ABS and USCG.

7.16.2 Service Report:

a. Submit a final detailed condition report detailing conditions found, work accomplished, parts replaced, inspections, tests, and any new recommendations to the MSCREP, within five (5) days after completion of work.

b. Report shall consist of hard copy and electronic copy in PDF format.

c. Provide the status information recorded in Excel format in both the Service Report and excel files.

d. Provide statement of Portable Extinguishers next hydro and/or replacement dates.

7.16.3 Provide all documentation to obtain annual certification from ABS and USCG.

7.17 Manufacturer’s Representative:

7.17.1 Provide the services of a qualified and certified Original Equipment Manufacturer (OEM) technical field service representative(s) familiar with the T-AKE Class firefighting systems and equipment manufactured by KIDDE. The service representative(s) and company utilized to accomplish all firefighting systems inspections, testing and repairs shall be recognized and certified by ABS and USCG for the performance of these services.

7.17.2 Recommended Source:

Hiller Systems

A Division of The Hiller Companies, Inc.

Fire Protection and Security Solutions

1242 Executive Boulevard

Chesapeake, Virginia 23320

(P) 757.549.9123

(F) 757.549.1083

(C) 757.438.7147

8.0 GENERAL REQUIREMENTS:

8.1 The Contractor and Manufacturer’s Rep shall provide all of his/her own equipment and tools to perform this work. All instruments/tools that require calibration shall have current calibration labels when used in performing any work.

Enclosure 2.2.1 - MMR FM-200 CYLINDER CHECKLIST Ship Name (T-AKE)

Technician’s name:

Fire Protection Contractor (FPC) Company Name:

Ship’s Designated Person’s Name and Billet

Date/Time System Testing started:

Date/Time System Testing completed:

Protected Area

The FM-200 cylinder actuators MUST be disconnected and the cap installed prior to ALL work on the system. For the MMR systems, ALL actuators must be disconnected. The designated person from the ship’s crew and the technician must initial when each actuator is disconnected and capped and again when the actuator is re-connected and the FM-200 cylinder(s) are placed back in service. The system is not to be touched until ALL FM-200 cylinder valves are disconnected and capped. All personnel acknowledge a pre-testing meeting was conducted and understand and agree to follow the safety procedures per the SMS. The ship designated person and the Fire Protection Contractor Technician will each initial for every cylinder confirming the actuator lines are disconnected and the valve capped prior to any work on the system and at the completion of testing when the cylinder actuator is re-connected and the cylinder(s) have been placed back in service.

Signature and Title of Contractor Technician:

Date:

Signature and Title of Ship Designated Person:

Date:

Signature of Master:

Date:

Signature of Chief Engineer:

Date:

Signature of Chief Mate:

Date:

Enclosure 2.2.2 - INDEPENDENT FM-200 CYLINDER CHECKLIST

Ship Name (T-AKE)

Fire Service Contractor Technician’s Name:

Fire Service Contractor Company Name:

Ship’s Designated Person’s Name and Billet

Date/Time System Testing Started:

Date/Time System Testing Completed:

Protected Area

The FM-200 cylinder actuators MUST be disconnected and the cap installed prior to ALL work on the system. For the MMR systems, ALL actuators must be disconnected. The designated person from the ship’s crew and the technician must initial when each actuator is disconnected and capped and initial again when the actuator is re-connected and the FM-200 cylinder(s) are placed back in service. The system is not to be touched until ALL FM-200 cylinder valves are disconnected and capped. All personnel acknowledge a pre-testing meeting was conducted and understand and agree to follow the safety procedures per the SMS. The ship designated person and the Fire Service Contractor Technician will each initial for every cylinder confirming the actuator lines are disconnected and the valve capped prior to any work on the system and at the completion of testing when the cylinder actuator is re-connected and the cylinder(s) have been placed back in service.

Signature and Title of Contractor Technician:

Date:

Signature and Title of Ship Designated Person:

Date:

Signature of Master:

Date:

Signature of Chief Engineer:

Date:

Signature of Chief Mate:

Date:

ENCLOSURE 2.2.3 – INDEPENDENT FM-200 System Checklist Ship Name (T-AKE)

Fire Service Contractor Technician’s Name:

Fire Service Contractor Company Name:

Ship’s Designated Person’s Name and Billet

Date/Time System Testing Started:

Date/Time System Testing Completed:

This form to be completed by the ship designated personnel to verify the Fire Protection Contractor Technician checked all required items typically required by ABS and USCG. The below persons acknowledge a pre-testing meeting was conducted and all personnel understand and agree to follow the SMS safety procedures.

One sheet should be completed for each independent system. The following are the independent systems:

Paint Locker Port Side

Paint Locker Stbd Side

Fwd Paint Locker

Aviation Locker Room

JP5 Pump Room

Incinerator Room

Cargo Pump Room

Purifier Room

EDG Room

Signature and title of Contractor Technician:

Date:

Signature and title of ship designated person:

Date:

Signature of Master:

Date:

Signature of Chief Engineer:

Date:

Signature of Chief Mate:

Date:

SYSTEM

Technician and ship designated personnel will verify the following during testing

ENCLOSURE 2.2.4 – SEMI-PORTABLE CO2 SYSTEM CHECKLIST

Ship Name (T-AKE)

Fire Service Contractor Technician’s Name:

Fire Service Contractor Company Name:

Ship’s Designated Person’s Name and Billet

Date/Time System Testing Started:

Date/Time System Testing Completed:

The designated person from the ship’s crew and the technician must initial when the semi-portable hose reel cylinder actuators are disconnected and capped prior to any work and again when the cylinder valve actuator line is re-connected and the semi-portable hose reels are placed back in service.

This form to be completed by the Fire Service Contractor Technician and the ships designated person. Both personnel are to initial they have visually checked each cylinder and hose reels and verify they are ready for service after the system checks. The below persons acknowledge a pre-testing meeting was conducted and all personnel understand and agree to follow the safety procedures.

Signature and Title of Contractor Technician:

Date:

Signature and Title of Ship Designated Person:

Date:

Signature of Master:

Date:

Signature of Chief Engineer:

Date:

Signature of Chief Mate:

Date:

501A-2