N3220521R4212 Amendment 0003.docx
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- USNS MEDGAR EVERS ROH/DD Federal contract opportunity
- Solicitation number
- N3220521R4212
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This document outlines the requirements for a ship repair contract to perform portable fire extinguisher services aboard the USNS MEDGAR EVERS. The contractor must inspect, service, recharge, and test approximately 315 portable and semi-portable fire extinguishers in accordance with NFPA and US Coast Guard regulations. This includes conducting inspections, maintenance including internal examinations, hydrostatic testing, and recharging. The contractor must properly dispose of any liquids or powders removed and coordinate testing with ABS and USCG inspectors. All work must be completed within one year at the contractor's East or Gulf Coast facility. The contractor will be required to submit inspection reports and service records documenting the work performed.
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N3220521R4212
SECTION SF 30 BLOCK 14 CONTINUATION PAGE
SUMMARY OF CHANGES
SECTION A - SOLICITATION / CONTRACT FORM
The required response date/time has changed from 27-Sep-2021 02:00 PM to 06-Oct-2021 02:00 PM.
SECTION C - DESCRIPTIONS AND SPECIFICATIONS
The following have been modified:
ACRONYM TABLE
| ABIH |
| American Board of Industrial Hygiene |
| ABR |
| Agreement for Boat Repair |
| ABS |
| American Bureau of Shipping |
| ACO |
| Administrative Contracting Officer |
| AGR |
| Additional Government Requirements |
| AIHA |
| American Industrial Hygiene Association |
| ALT |
| Alternate |
| AMT |
| Amount |
| BLDG |
| Building |
| CCO |
| Contract Change Order |
| CD |
| Compact Disc |
| CDRL |
| Contract Data Requirements List |
| CD-ROM |
| Compact Disc Read-Only Memory |
| CFM |
| Contractor Furnished Material |
| CFP |
| Contractor Furnished Property |
| CFR |
| Condition Found Report |
| CHENG |
| Chief Engineer |
| CFR |
| Code of Federal Regulations |
| CIH |
| Certified Industrial Hygienist |
| CLIN |
| Contract Line Item Number |
CONUS
CPARS
Contiguous United States Contractor Performance Assessment Reporting System
| DBIDS |
| Defense Biometric Identification Systems |
| DFARS |
| Defense Federal Acquisition Regulation Supplement |
| DOD |
| Department of Defense |
| DOD SAFE |
| Department of Defense Secure Access File Exchange |
| DON |
| Department of the Navy |
| Electronic Mail |
| ESRS |
| Electronic Subcontract Report System |
| FAPIIS |
| Federal Awardee Performance and Integrity Information System |
| FAR |
| Federal Acquisition Regulation |
| FBLR |
| Fully-Burdened Labor Rate |
| F/CC |
| Fibers Per Cubic Centimeter |
| FPCON |
| Force Protection Condition |
| FTR |
| Federal Travel Regulations |
| G&A |
| General and Administrative |
| GFI-TD |
| Government Furnished Information – Technical Data |
| GFM |
| Government Furnished Material |
| GFP |
| Government Furnished Property |
| GPE |
| Governmentwide Point of Entry |
| IAW |
| In Accordance With |
| ID |
| Identification |
| ISO |
| International Organization for Standardization |
| JTR |
| Joint Travel Regulations |
| KO |
| Contracting Officer |
| KWh |
| Kilowatt Hour |
| LLTM |
| Long Lead Time Material |
| LPTA |
| Lowest Price Technically Acceptable |
| M&IE |
| Meals and Incidental Expenses |
| MSC |
| Military Sealift Command |
| MSCREP |
| Military Sealift Command Representative |
| MM |
| Millimeter |
| MSRA |
| Master Ship Repair Agreement |
| MTA |
| Mid-Term Availability |
| N/A |
| Not Applicable |
| NCACS |
| Navy Commercial Access Control System |
| NDA |
| Non-Disclosure Agreement |
| NO |
| Number |
| NSP |
| Not Separately Priced |
| ODC |
| Other Direct Costs |
| PAT |
| Proficiency in Analytical Testing |
PII
Portable Document Format Personally Identifiable Information
| PM |
| Program Manager |
| PPE |
| Principle Port Engineer |
| PRIME |
| Prime Contractor |
| QA |
| Quality Assurance |
| QC |
| Quality Control |
| REV |
| Revision |
| RFC |
| Request for Specification Clarification |
| RFP |
| Request for Proposal |
| ROH/DD |
| Regular Overhaul/Dry-Docking |
| SECNAV |
| Secretary of the Navy |
| SF |
| Standard Form |
| SUB |
| Subcontractor |
| TPSN |
| Time Phased Sequencing Network |
| TWA |
| Time-Weighted Average |
| USC |
| United States Code |
| USCG |
| United States Coast Guard |
| USNS |
| United States Naval Ship |
| VR |
| Voyage Repair |
| WAWF |
| Wide Area Workflow |
| WI |
| Work Item |
SCOPE OF WORK
1. The contractor shall prepare for and accomplish the VR, overhaul, or alterations of the USNS MEDGAR EVERS (T-AKE 13) as specified herein and IAW the WI package as provided in Attachment J-1 – WI Package (Specifications). Unless otherwise specified, all work shall be performed at the contractor’s shipyard.
2. In performing the WIs specified, the contractor shall be responsible for all of the following related work (in case of a discrepancy, the terms and conditions stated in the WIs take precedence over the following terms and conditions):
a. Providing the necessary management, procurement, production, testing, technical capability and resources, and quality assurance services.
b. Ensuring the timely procurement of CFM/CFP and the timely reporting, receipt, storage, installation, and accountability of GFM/GFP IAW FAR 52.245-1 and DFARS 252.211-7007, 252.245-7001, 252.245-7002, 252.245-7003, and 252.245-7004.
c. Using progress measurement systems to determine the physical progress of completed work for each of the elements in the scheduling plan, including material and manpower control, engineering, production, tests and trials IAW the CDRL and the contractor's own Technical Proposal, and the WI package. The progressing system shall permit a direct comparison of the physical progress of completed work to the planned performance measurement baseline for each of the elements in the scheduling plan.
d. Using management procedures and systems to identify behind-schedule conditions and unfavorable schedule variances based on the TPSN submitted with the contractor’s proposal. The applied procedures and systems shall provide timely identification of scheduling problem areas to permit prompt management action to correct unsatisfactory conditions.
e. Developing a performance milestone schedule/critical path chart to measure scheduled performance. Deviations from the milestone schedule/critical path chart dates in WI 0013 must be submitted to and approved by the KO. A performance milestone schedule and critical path chart shall be developed and submitted IAW the WI Package. The performance milestone schedule shall include and clearly identify primary and parallel critical paths. The resource loaded performance milestone schedule shall include, at a minimum, those milestones identified in WI 0013.
f. Using approved quality control procedures as required by this contract and the WI package to ensure procured material and performed production work conforms to the required quality standards.
g. Ensuring the ship's equipment and systems remain configured to existing baselines with regard to procured material, production work, and software.
h. Applying stringent configuration control procedures to ensure that configuration baselines are maintained for procured material and production work.
i. Providing for staging and storing of material (both Government-furnished and contractor-furnished) and LLTM for use in the availabilities from the date of award.
j. Managing all subcontractors’ performance during the availability. Ensure subcontractor work is to the same quality and standards as expected from the prime contractor. Develop and maintain a subcontractor management plan. The plan shall ensure that all communication and control of subcontractors is maintained by the prime contractor.
k. Employing good judgment and sound engineering practice and principles, particularly when WIs do not describe all details of accomplishing the work. The contractor shall be expected to have, either organically or through subcontractors, access to competent engineers who have a history of working solutions in a maritime environment.
3. Contract work shall be performed by an eligible contractor as defined below.
a. The contractor shall be capable of performing the full scope of the requirement stated herein within its own facilities, utilizing its own shop(s) and work force, or be capable of subcontracting for these elements beyond its managerial, technical, or physical capability or capacity. The contractor shall assume full responsibility for the integrated scheduling, cost, and quality of subcontractor performance.
b. The contractor shall be a company recognized as engaged in ship repair work and possess an organization capable of the full scope of planning, engineering, quality control, shipboard/offship production and component/system testing and trials. The contractor shall provide industry certifications such as: MSRA, ABR, or ISO Certification that would further emphasize the contractor's ability to perform the work. To be determined responsible, the contractor shall submit acceptable evidence to demonstrate its ability to accomplish the work. This will include a conclusive demonstration of having the necessary organization, experience, accounting and operational controls, and technical skills, or the ability to obtain them (including, as appropriate, such elements as production control procedures, property control systems, quality assurance measures, and safety programs applicable to materials to be produced or services to be performed by the prospective contractor and/or subcontractors) at the time of award. The contractor’s proposal shall provide a documented and positive demonstration of established organizational elements as set forth below. These characteristics will be evaluated to determine a firm's eligibility for contract award:
1) Administration/Management Control. Established organization geared toward ship repair at all levels of size, value, and complexity, and toward technology innovation and process improvement. Clear lines of authority. Delegation of responsibility. Mid-level managerial positions in place. Competent and experienced employees with ship repair experience. Capability to develop and integrate planning, estimating, and scheduling functions. Defined managerial responsibilities for production, quality assurance, material procurement/control, and subcontractor control.
2) Financial Control. Segregation of accounting costs. Adequate accounting system. Favorable cash flow-ratios. Availability of a line of credit or other source of financial income to support the work effort. Prompt payment of subcontractors and suppliers.
3) Production Control. A production organization. On board (or ability to obtain) trade mix/skills to perform ship repair work. Control of production efforts. Integration of other key functions with production. Use of scheduling techniques. Methods of progressing. Training available to trades employees.
4) Production Technical Support. Engineering and design support capabilities (in-house or subcontracted) with sufficient capability to diagnose and evaluate technical problems and issues and to make competent technical recommendations to MSC when necessary and appropriate. The offeror shall be fully cognizant of ABS rules and USCG regulations and how they apply and impact this specification package.
5) Material/Procurement Control. A material purchasing department with staff. Procedures for control of material (purchasing, monitoring, receipt, inspection, segregation, issuance, nonconformance, and disposal). An inventory system – ordering, tagging warehousing. CFM/GFM storage, control and protection. Existing environmentally-controlled warehouse space. Material handling equipment. Familiarity with the Navy logistics support system.
6) Subcontractor Control. Procedures for selecting, scheduling, managing, monitoring and controlling subcontractors.
7) Quality Control/Test and Trials. A quality control organization/department/staff. Quality assurance procedures/manual. Calibration and metrology system availability. Test memo writing capability. Nondestructive Testing capabilities. Welding procedures and welders’ qualifications. Ability to perform trend analysis. Quality control system shall be certified or equivalent to ISO 9001:2001 standards.
8) Safety/Security. Safety Organization/Manager or Engineer. Safety manual/procedures. Safety training. First-aid capabilities or medical services. Fire protection/procedures. Physical yard security/security procedures.
9) Hazardous Material/Waste Control. Proper procedures and facilities to meet the legal requirements for removal, storage, and disposal of hazardous waste. Segregated storage. Documentation of licensed subcontractors responsible for control of hazardous waste removal, storage, and disposal. Appropriate state/federal agency-issued hazardous waste generator number. Disposal records which indicate type of material, date, and place of disposal.
10) Facilities. Although facility requirements may vary with the work authorized for a specific ship, the contractor must be a ship repair company that possesses or has available the following facilities:
| o | Pier, with services in place, accessible to the CLASS size ship for berthing |
| o | Structural Shop |
| o | Machine Shop |
| o | Pipe Shop |
| o | Electrical/Electronic Shop |
| o | Carpentry Shop |
| o | Rigging Equipment |
| o | Dry-dock – when required for docking of vessel in performance of the specification |
11) Agreements. To be determined responsible, a prospective contractor must possess an MSRA, ABR or submit acceptable evidence in lieu of the aforementioned to effectively communicate and demonstrate its ability to obtain required resources.
c. The government reserves the right to perform a site survey(s) for verification of policies, procedures, capabilities and facilities prior to award.
4. Asbestos removal requirements.
a. During the performance of this contract the contractor and subcontractors may be required to perform work which involves the removal or disturbance of asbestos or asbestos-containing products. This requirement applies to each instance of asbestos removal or disturbance.
b. The contractor shall comply with the precautions required in 29 CFR 1910.1001, 29 CFR 1926.58 and 40 CFR Part 61 and all other applicable Federal, state, and local restrictions. The contractor shall forward a copy of all required notices, licenses and permits to the KO immediately upon issuance or receipt.
c. The latest change to the Federal, state, and local regulations in effect at the time of issuance of the contract shall govern. Compliance with these regulations is mandatory and is necessary to protect the employees of the contractor and Naval personnel from exposure to asbestos fibers in excess of the OSHA Action level airborne concentration (currently 0.1 f/cc of air).
d. During removal or disturbance, the contractor shall control airborne asbestos concentrations outside the removal boundary to less than 0.1 f/cc at all times.
e. After removal or disturbance is complete, the areas within the removal boundary shall not be released for re-occupancy until clearance air sampling demonstrates these spaces have concentrations of asbestos less than 0.1 f/cc.
f. In all respects, the performance of air sampling and analysis shall be performed IAW the OSHA Reference Method (Appendix A of 29 CFR 1910.1001), with the following additional specifications:
1) Aggressive clearance sampling shall be performed on 25 mm cassettes at 2.0 liters per minute for a minimum of four (4) hours.
2) In performing the clearance sampling, the pump shall be placed within the compartment where the removal or disturbance occurred. When this operation is conducted in a multilevel space, at least one pump shall be placed on each level.
3) Air sampling shall be performed by a person competent in sampling procedures and overseen by a CIH by the ABIH.
4) Laboratory analysis of samples shall be performed by a participant in the AIHA PAT Program rated proficient for asbestos and air.
g. Personal sampling shall be conducted using breathing zone air samples which are representative of the 8-hour TWA exposure of each individual. Samples shall be collected and analyzed using the OSHA Reference Method contained in either 29 CFR 1910.1001 (as amended) or 29 CFR 1926.58 (as amended).
h. The contractor agrees to indemnify MSC for any fines assessed by Federal, state, or local agencies, for the contractor's failure to properly follow applicable regulations.
i. The contractor shall insert this instruction in all subcontracts entered into under this contract.
5. Post-award substitution of any major subcontractor should not be effected unless the proposed substitution is submitted to the KO and official approval is obtained. The post-award substitution or insertion of a second-tier subcontractor will be treated in the same manner as the substitution of a major subcontractor and requires specific approval by the KO.
6. Substitution of key personnel.
a. The contractor agrees to assign to this contract those persons identified as key personnel who are necessary to fulfill the requirements of this contract and whose resumes were submitted with the proposal. No substitution of key personnel shall be made except IAW these instructions.
b. All proposed substitutions must be submitted, in writing, at least seven (7) days in advance of the proposed substitutions to the KO and must provide the information required by paragraph “c” below.
c. All requests for substitution must provide a detailed explanation of the circumstances necessitating the proposed substitution, a resume for the proposed substitute, and any other information as requested by the KO. All proposed substitutes must have qualifications equal to or higher than the qualifications of the person to be replaced. The KO or his authorized representative will evaluate such requests and promptly notify the contractor of the approval or disapproval thereof.
7. It is anticipated the ship will arrive at the contractor’s yard on or about 01 March 2022. All work shall be completed in no more than 75 calendar days from the actual start date designated by the Government at the time of contract award.
8. The place of performance for this contract shall be the contractor’s facility. Due to operational commitments, the location shall be {East & Gulf Coast}.
9. This award consummates the contract, which consists of the following documents: (a) the Government’s solicitation and your final proposal revision submitted on {date} inclusive of all discussion and clarification responses and (b) this award/contract.
Table 1: List of WIs:
CAT A WORK ITEMS
| 0000 | GENERAL REQUIREMENTS |
| 0001 | INTENT, SCOPE, GENERAL REQUIREMENTS, AND DEFINITIONS |
| 0002 | TECHNICAL AND MANUFACTURER’S REPRESENTATIVES |
| 0003 | APPROACH, BERTH, AND MOORING REQUIREMENTS |
| 0004 | TESTING AND QUALITY ASSURANCE |
| 0005 | ELECTRICAL SAFETY PROCEDURE REQUIREMENTS |
| 0006 | HEAVY WEATHER PLAN |
| 0007 | COLD WEATHER PLAN |
| 010 | FURNISH OFFICE FOR OVERHAUL MANAGEMENT TEAM |
| 011 | FURNISH GENERAL SERVICES |
| 012 | INFORMATION TECHNOLOGY SERVICES |
| 013 | PROJECT PLANNING AND PRODUCTION STAUS MONITORING REPORT |
| 014 | PREPARATION OF WEIGHT AND MOMENT REPORT |
| 015 | INTEGRATED LOGISTICS AND GFM SUPPORT REQUIREMENTS |
| 016 | FIRE PROTECTION AND SHIP'S SAFETY PROGRAM |
| 017 | HANDLING SHIP'S STORES |
| 018 | DELIVERY AND REDELIVERY OF VESSEL |
| 019 | SHIPBOARD ACCESS AND SECURITY |
| 020 | GAS FREE CERTIFICATES |
| 021 | CLEAN AND GAS FREE TANKS, VOIDS, COFFERDAMS AND SPACES |
| 022 | MACHINERY SPACE TURN-OVER, DOCK TRIALS AND SEA TRIALS |
| 023 | HAZARDOUR WASTE DISPOSAL AT A CONTRACTOR'S FACILITY |
| 024 | PHYSICAL SECURITY AT PRIVATE CONTRACTOR'S FACILITY |
| 090 | DAILY COVID-19 PREVENTION AND CONTROL SERVICES |
| 100 | HULL STRUCTURES |
| 101 | TAKE_CSI_BALLAST TANK ZINC INSPECTION (2.5 YR) |
| 0102 | TAKE_CSI_FOOD WASTE TANK INSPECTION (2.5 YR) |
| 0154 | TAKE_CCSI_ABS INTERMEDIATE SURVEY - TANK INSPECTION |
| 0155 | TAKE_CCSI_ABS SPECIAL SURVEY - TANK INSPECTION |
| 0156 | TAKE_CCSI_TANK VENT INSPECTION (5 YR) |
| 0162 | TAKE_CCSI_FLIGHT DECK PRESERVATION (3 YR) |
| 0163 | TAKE_CCSI_WATERTIGHT CLOSURE INSPECTION (5 YR) |
| 164 | TAKE_CCSI_FLIGHT DECK SAFETY NET INSPECTION AND TEST (3 YR) |
| 200 | MAIN PROPULSION |
| 0201 | TAKE_CSI_PROPULSION MOTOR AND COOLER CLEANING, INSPECTION AND MAINTENANCE (2.5 YR) (SCSI) |
| 0202 | TAKE_CSI_MAIN ENGINE FLEXIBLE CONNECTION REPLACEMENT (10 YR) |
| 0204 | TAKE_CSI_MDE CONTROL SAFETY INSPECTION AND TEST (1 YR) (SCSI) |
| 0206 | TAKE_CSI_VULKAN COUPLING INSPECTIONS (1 YR) (SCSI) |
| 209 | TAKE_CSI_MAIN ENGINE 9 CYLINDER SERVICE (24K HRS) (SCSI) |
| 0254 | TAKE_CCSI_THRUST AND LINESHAFT BEARING INSPECTION (5 YR) (SCSI) |
| 300 | ELECTRICAL |
| 0301 | TAKE_CSI_CLEANING MAIN GENERATORS & PROPULSION CONTROL SYSTEM (10 YR) (SCSI) |
| 0303 | TAKE_CSI_HIGH VOLTAGE, SHIPS SERVICE, AND EMERGENCY SWITCHBOARD INSPECTION AND CLEANING (2.5 YR) |
| 0305 | TAKE_CSI_PLC SURVEY (2 YR) |
| 0306 | TAKE_CSI_EMERGENCY GENERATOR - INSPECT AND SERVICE (2.5 YR) (SCSI) |
| 0311 | TAKE_CSI_REPLACE UPS AND PLC BATTERIES (5 YR) |
| 0350 | TAKE_CSI_OVERHAUL AND TEST CIRCUIT BREAKERS (10 YR) |
| 0353 | TAKE_CCSI_THERMOGRAPHIC SURVEY (1 YR) |
| 400 | COMMUNIC ATION & NAV AIDS |
| 0402 | TAKE_CSI_ANTENNA PREVENTATIVE MAINTENANCE (5 YR) |
| 0403 | TAKE_CSI_COMMS SYSTEM PREVENTATIVE MAINTENANCE (5 YR) |
0404 OE – 570 ANTENNA OVERHAUL
0405 TAKE_CSI_ANTENNA RIGGING PHOTOS (10 YR)
0410 X BAND RADAR REPAIR
| 0432 | ECDIS Corrective Maintenance |
| 0451 | TAKE_CCSI_ANNUAL RADAR SERVICE |
| 0452 | TAKE_CCSI_ANNUAL ECDIS SERVICE (SCSI) |
| 0453 | TAKE_CCSI_ANNUAL GYRO SYSTEM |
| 0454 | TAKE_CCSI_ANNUAL VDR RECERTIFICATION |
| 0455 | TAKE_CCSI_ANNUAL RADIO COMMUNICATION EQUIPMENT RECERTIFICATION |
| 0460 | TAKE_CCSI_ANNUAL INSPECTION OF MANUALLY OPERATED ALARMS |
| 0461 | NETWORK MGMT SYST UPGRADE – INDUSTRIAL SUPPORT |
| 500 | AUXILIARY MACHINERY |
| 0504B | TAKE_CSI_CARGO CRANE MAINTENANCE AND RETESTING (10 YR) (SCSI) |
| 0509 | TAKE_CSI_DISTILLING PLANT MAINTENANCE (5 YR) |
| 0510 | TAKE_CSI_OILY WATER SEPARATOR AND OIL CONTENT MONITOR INSPECTION (5 YR) (SCSI) |
| 0512B | TAKE_CSI_MAGAZINE SPRINKLER GAUGE CALIBRATION (1 YR) |
| 0516 | TAKE_CSI_SEWAGE SYSTEM PIPING CLEANING (2.5 YR) |
| 0517A | TAKE_CSI_LTFW COOLER CLEANING AND INSPECTION (2.5 YR) |
| 0518 | TAKE_CSI_HTFW COOLER REGASKETING (5 YR) |
| 0519 | TAKE_CSI_REFRIGERATION COMPRESSOR SAFETY VALVE TEST (5 YR) |
| 0527 | TAKE_CSI_BRINE SYSTEM FLUSH (5 YR) |
| 0528B | TAKE_CSI_MAGAZINE SPRINKLER VALVE OVERHAUL_MONTREAL (10YR) (SCSI) |
| 0531 | TAKE_CSI_SCBA CASCADE FILL STATION HYDRO TEST (5 YR) |
| 0546 | TAKE_CSI_STEERING GEAR PREVENTIVE MAINTENANCE (10 YR) |
| 0551 | TAKE_CCSI_OVERHAUL PLATE COOLERS (10 YR) |
| 0552 | TAKE_CCSI_HOSE REPLACEMENT (5 YR) |
| 0553 | TAKE_CCSI_PRESSURE VESSELS AND RELIEF VALVES (5 YR) |
| 0561 | TAKE_CCSI_GAUGE CALIBRATION (1 YR) |
| 0562 | TAKE_CCSI_SCBA ANNUAL INSPECTION |
| 0565 | TAKE_CCSI_FIXED GAS FIREFIGHTING SYSTEM INSPECTION AND TEST (1 YR) (SCSI) |
| 0567 | TAKE_CCSI_FIXED FOAM FIREFIGHTING SYSTEM INSPECTION AND TEST (1 YR) (SCSI) |
| 0570 | TAKE_CCSI_PORTABLE FIRE EXTINGUISHER SERVICE (1 YR) |
| 0571 | TAKE_CCSI_FIRE AND SMOKE DAMPER SERVICE (1 YR) (SCSI) |
| 0573 | TAKE_CCSI_FIRE HOSES (1 YR) (SCSI) |
| 0574 | TAKE_CCSI_FIRE DOORS AND SHUTTERS (1 YR) (SCSI) |
| 0575 | TAKE_CSI_WATER MIST FIREFIGHTING SYSTEM - INSPECTION AND TEST (1 YR) (SCSI) |
| 0576 | TAKE_CSI_EMERGENCY DIESEL GENERATOR ENGINE - TOP END OVERHAUL (10 YR) (SCSI) |
| 0578 | TAKE_CSI_HELO HANGER CRANE LOAD TEST (5 YR) |
| 600 | HABITABILITY |
| 0610 | TAKE_CSI_GALLEY AND MSO EQUIPMENT CALIBRATION (2.5 YR) |
| 0652 | TAKE_CCSI_LIFEBOAT DAVIT SERVICE AND INSPECTION (5 YR) |
| 0654 | TAKE_CCSI_RESCUE BOAT AND DAVIT SERVICE (5 YR) |
| 0655 | TAKE_CCSI_IMMERSION SUIT SERVICE (3 YR) |
| 0656 | TAKE_CCSI_ANNUAL LIFE RAFT CERTIFICATION |
| 0658 | TAKE_CCSI_ACCOMMODATION LADDER MAINTENANCE AND TESTING (5 YR) |
| 0659 | TAKE_CCSI_PILOT BOARDING EQUIPMENT AND EMBARKATION LADDERS (5 YR) |
| 0662 | TAKE_CCSI_DEEP FAT FRYER INSPECTION (1 YR) |
| 0665 | TAKE_CSI_JETTISON READY SERVICE LOCKERS - CLEAN AND PAINT (5 YR) |
| 800 | HEATING, VENTILATION, AND AIR CONDITIONING |
| 801 | PRESTAGE AREA REFRIGERATION |
| 0851 | TAKE_CCSI_ANNUAL GALLEY VENTILATION AND GAYLORD HOOD CLEANING |
| 0852 | TAKE_CCSI_ANNUAL LAUNDRY VENT CLEANING |
| 0853 | TAKE_CCSI_ACCOMMODATION VENT SYSTEM CLEANING (5 YR) |
| 900 | DRY-DOCKING AND UNDOCKING |
| 0901 | TAKE_CCSI_DRYDOCKING AND UNDOCKING THE VESSEL (5 YRS) |
| 0904 | TAKE_CSI_STERN TUBE SEAL INSPECTION (FW SYSTEM) (5 YR) |
| 0905B | TAKE_CSI_BOW THRUSTER MAINTENANCE (5 YR) |
| 0908 | TAKE_CSI_RENEW SEACHEST, ROPE GUARD, AND BOW THRUSTER ZINCS (5 YR) |
| 0909 | TAKE ANCHOR AND ANCHOR CHAIN RANGING |
| 0912 | TAKE_CSI_SHAFT GROUNDING SYSTEM MAINTENANCE (5 YR) |
| 0913 | TAKE_CSI_RENEW WASTER PIECES (5 YR) |
| 0917 | TAKE_CSI_FREEBOARD CLEANING AND PAINTING - NEAR WHITE BLAST (10 YR) |
| 0953 | TAKE_CCSI_ANCHOR CHAINS AND LOCKERS (5 YR) |
| 0954 | TAKE_CCSI_RUDDER AND STERN FRAME EXAMINATION (5 YR) |
| 0956 | TAKE_CCSI_OVERHAULING SEA VALVES (5 YR) |
| 0959 | TAKE_CCSI_UNDERWATER HULL CLEANING AND PAINTING - NEAR WHITE BLAST (10YR) |
| 0962 | TAKE_CCSI_CATHODIC PROTECTION SYSTEM (2.5 YR) |
| 0963 | TAKE_CCSI_SEA CHEST MARINE GROWTH PREVENTION SYSTEM (2.5 YR) |
| 0966 | TAKE_CCSI_SHAFT ALIGNMENT AND BEARING REACTION CHECKS (2.5 YR) |
| 1000 | UNREP EQUIPMENT |
| 1050 | SBD Transfer Head Refurb and Chain Replacement |
| 1051 | HP RLF VLV CAL-TAKE |
CAT B WORK ITEMS
| 025 | PHYSICAL SECURITY AT PRIVATE CONTRACTOR'S FACILITY IN FORCE PROTECTION BRAVO-DELTA |
| 026 | VESSEL FINAL CLEANING |
| 030 | CONTINUATION OF SERVICES |
SECTION J - LIST OF DOCUMENTS, EXHIBITS & OTHER ATTACHMENTS
The following have been added by full text:
REQUEST FOR CLARIFICATION 03
REQUEST FOR SPECIFICATION CLARIFICATION
QUESTION #56:
SPECIFICATION ITEM NO.: 0030
PARAGRAPH / SECTION NO: 7.8
TITLE: CONTINUATION OF SERVICES
Paragraph 7.8 refers to extending Work Item 0090. Work Item 0090 is a “level of effort” item, so the work item allows for an increase or decrease of the cost based on actual effort.
The existing Work Item assumes an average expenditure of 2,000/75 hours and $100,000/75 material per day or roughly 27 hours and $1,334 material per day.
Does MSC want an average “level of effort” estimate for the item or an estimate of $-0-?
ANSWER:
Price the Work Item accordingly; The existing Work Item assumes an average expenditure of 2,000/75 hours and $100,000/75 material per day or roughly 27 hours and $1,334 material per day; continuation of Services task contractor with providing cost for X days of continuation.
QUESTION #57:
SPECIFICATION ITEM NO.: 0202
PARAGRAPH / SECTION NO: 4.2.1
TITLE: MAIN ENGINE FLEXIBLE CONNECTION REPLACEMENT
Are the hoses listed in paragraph 4.2.1 under the heading of GOVERNMENT FURNISHED MATERIALS Government furnished?
ANSWER:
Correct, hoses (bellows) are being provided as GFM.
QUESTION #58:
SPECIFICATION ITEM NO.: 0350
PARAGRAPH / SECTION NO: 3.1.2
TITLE: OVERHAUL AND TEST CIRCUIT BREAKERS
The quantity of breakers in paragraph 3.1.2 is XXX (X). The quantity of breakers in enclosure 2.2.1 (Critical Breaker List) is 325.
How many breakers are to be overhauled and tested?
ANSWER:
QUESTION #59:
SPECIFICATION ITEM NO.: 0519
PARAGRAPH / SECTION NO: 3.1
TITLE: REFRIGERATION COMPRESSOR SAFETY VALVE TEST
The quantity of valves listed in the 3.1 sub-paragraph total forty-four (44). The total number of valves listed in enclosure 2.2.1 is forty-four (44). The number of valves lined out in enclosure 2.2.1 is twelve (12). Are we to estimate the price based on (44) valves or (32) valves?
ANSWER:
44 Valves
QUESTION #60:
SPECIFICATION ITEM NO.: 0531
PARAGRAPH / SECTION NO: 3.1.2
TITLE: SCBA CASCADE FILL STATION HYDRO TEST
Paragraphs 3.1.2 a + b list a quantity of XXX (X). Should we allow for zero DOT Cylinders and zero ISO Cylinders?
ANSWER:
SCBA Compressor, Bauer Compressors Inc., Model Verticus VT13 (5,000 psig, 13.3 SCBA Refilling Station, MAKO, Model SCFS3-3HP.
We have a total of 8 (45.0L) SCBA cylinders in the cascade system. Last hydro stamp was 2012/03 and pressure 518 bar.
And there are a total of 97 SCBA Interspiro Bottles.
QUESTION #61:
SPECIFICATION ITEM NO.: 0570
PARAGRAPH / SECTION NO: 2.1.2 + 7.4.1
TITLE: SCBA CASCADE FILL STATION HYDRO TEST
The reference identified in paragraph 2.1.2 has not been provided. Will the reference be provided?
The sub-paragraphs after Paragraph 7.4.1have unspecified quantities. Will the quantities be provided?
ANSWER:
Work Item has been updated with bottle count; see attached.
QUESTION #62:
SPECIFICATION ITEM NO.: __909
PARAGRAPH / SECTION NO:
TITLE: ANCHOR AND ANCHOR CHAIN RANGING
Pertaining to Amendment 0002 ,received new work item 909 which is same work as item 953. Please clarify intent for both items.
ANSWER:
WI 909 is the most current version. Disregard WI 0953; thank you.
(End of Summary of Changes)
3/5/2021
VB1230-3
VB1230
1) 1 1)
2) 1 2)
3) 4 3)
4) 4)
5) 17 5)
6) 1 6)
7) 1 7)
8) 9)
3/5/2021
2.5# ABC Extinguisher
20# Fast Flow PKP
20# PKP Recharge
Foam Agent Replacement
Jeremy Baldwin
7) Remove, recharge, and replace 20# PKP extinguisher.
6) Provide and replace 5# ABC extinguisher.
2) Remove, recharge, and return 18# Cartridge driven PKP extinguisher.
3) Remove, replace foam agent, and return Foam extinguishers.
5) ( 17 ) 2.5# ABC due for 6 year maintenance.
4) 15# CO2 extinguishers will be replaced from ship's spares per Chief Mate.
6) ( 1 ) 5# ABC due for 6 year maintenence.
5# ABC Extinguisher
Detyens Shipyard
Hugh Chambrovich
Portable Extinguishers
USNS Medgar Evers
2) ( 1 ) 18# PKP discharged.
4) ( 4 ) 15# CO2 Condemned.
18# Cartridge PKP
1) ( 1 ) 20 # PKP Condemned.
5) Provide and replace 2.5# ABC extinguishers.
3) ( 4 ) 2.5 Gal Foam due for chemical replacement.
7) ( 1 ) 20# PKP requires recharge.
1) Provide and replace 20 # Fast Flow PKP extinguisher.
Date
Report Number
Page of
HSI Reference No.
Purchase Order/ Delivery Order No.
Paragraph No.
Response Req. By (Date)
2031 Avenue B, Bldg 44 North Charleston, SC 29405 Tel. 843.767.6500 Fax 843.767.6555 charleston@hillercompanies.com
DCJS# 11-8865
Contractor/ Customer/ Shipyard
Vessel/ Jobsite
Name of Work SpecificationItem No./ Work Spec No.
Description of condition as found
Recommended Repairs
Materials Required
HSI Representative Date
CONDITION REPORT
1 1
Qty Description
Report Designated For
Labor Hrs. Required Line # Line #
Description of condition as found
Recommended Repairs
Qty DescriptionLine # javascript:ClickThumbnail(50)
Condition Report
Quote Sheet image1.wmf image2.emf
Microsoft_Word_Document.docx
ABSTRACT
The purpose of this item is to inspect, service and test the ship’s portable and semi-portable fire extinguishers.
REFERENCE/ENCLOSURE
References:
MSC Drawing No. 801-8390112, Fire Control Plan
1.1.1 USNS MEDGAR EVERS (T-AKE 13) Last Portable Fire Extinguisher Service Record
1.1.2 Resolution A.951(23), Adopted on 5 December 2003, Improved Guidelines for Marine Portable Extinguishers (Available Commercially)
1.1.3 National Fire Protection Association, NFPA 10, Standard for Portable Fire Extinguishers (Available Commercially)
46 CFR §71.25-20
1.2 Enclosures:
1.2.1 Portable Fire Extinguisher - Service Record
1.2.2 Portable Fire Extinguisher – Periodic Inspection
1.2.3 NFPA 10, Annex I, Maintenance Procedures
2.0 ITEM LOCATION/DESCRIPTION/QUANTITY
2.1 Location: See Reference 2.1.1.
2.2 Description/Quantity: See Reference 2.1.2.
Portable/Semi Extinguishers
Quantity
15# CO2 Bottles
17# Powder FORAY
18# or 20# Purple K (PKP)
50# or 20# BC
2.5 Gal Foam
2.5# ABC
200# CO2
3.0 GOVERNMENT FURNISHED EQUIPMENT/MATERIAL/SERVICE: None
4.0 NOTES
4.1 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 GTR’s including but not limited to GTR’s 1 through 7, 22, 23, 24, 28, and 29.
4.2 The contractor and all subcontractors regardless of tier are advised to review other work items under this contract, including but not limited to Work Items 020, 021, 023, and XXX and other work items under this contract to determine their effect on the work required under this work item. Many of the definitions relating to performance of this work item are found in Work Item 001.
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.
THE 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.
4.3 46 CFR §71.25-20 requires all portable fire extinguishers and semi-portable fire extinguishing systems be maintained in accordance with NFPA 10, chapter 7.
5.0 QUALITY ASSURANCE REQUIREMENTS: None additional
6.0 STATEMENT OF WORK REQUIRED
6.1 Inspect, service, recharge, and test the ship’s portable and semi-portable fire extinguishers identified in 3.0 in accordance with IMO, SOLAS, and CFR requirements using References 2.1.1 through 2.1.4 and Enclosures 2.2.1 through 2.2.3 for guidance.
6.2 Dispose of any liquids and powders removed in accordance with all federal, state, and local regulations.
6.3 Conduct inspection, maintenance, and recharging of all portable and semi-portable fire extinguishers using References 2.1.1 through 2.1.4 and Enclosures 2.2.1 through 2.2.3 for guidance.
6.3.1 Inspection
a. Conduct a periodic inspection of all extinguishers within the first week of the vessel’s arrival in the contractor’s facility.
b. Submit completed Enclosure 2.2.2 to the MSCREP along with any recommended service and parts required.
6.3.2 Maintenance
a. Temporarily remove the extinguishers off the ship to the authorized service facility. No more than 25% are to be removed from the vessel at any point. Care is to be used not to remove all fire protection from anyone space at a time.
b. Conduct annual inspection and maintenance on all extinguishers and complete Enclosure 2.2.1. It is to be a thorough examination of the extinguisher including mechanical parts, extinguishing agent, expelling means and physical condition. Maintenance is to include those tasks detailed in the manufacturers service manual.
c. Verify each fire extinguisher is clearly marked with the: name of the manufacturer, class fire rating, type and quantity of extinguishing medium, approval details, instructions for use and recharge, year of manufacture, temperature range for SAT operation and test pressure.
d. Conduct an annual external examination of all extinguishers using Enclosures 2.2.1 through 2.2.3 for guidance. All removable extinguisher boots, foot rings and attachments are to be temporarily removed to accommodate the cylinder exams. Identify obvious physical damage, corrosion, hose or nozzle blockage, operating instructions are present and legible and facing forward and determine if internal exam or hydrostatic test is due.
e. Conduct an internal examination of the extinguishers at intervals not to exceed those specified in NFPA 10.
USNS Medgar Evers
( TAKE 13 )
AUXILIARY MACHINERY
CONTRACT NO. N32205-21-X-XXXX
ITEM NO. 0570
CATEGORY “A”
2021-06-05
PORTABLE FIRE EXTINGUISHER SERVICE (1 YR)
MSC/N756/JAF
0570 - 22
Extinguisher Type
Internal Examination Interval (years)
Dry Chemical, cartridge and cylinder operated, with mild steel shells
Dry Powder, cartridge and cylinder operated, with mild steel shells
AFFF (aqueous film-forming foam)
3*
FFFP (film-forming fluoroprotein foam)
3*
Dry chemical, stored pressure, with stainless steel shells
Carbon Dioxide
Wet Chemical
Dry chemical, stored pressure, with mild steel shells, brazed brass shells and aluminum shells
Halogenated agents
Extinguisher Type
Internal Examination Interval (years)
Dry powder, stored pressure, with mild steel shells
NOTE: The extinguishing agent in liquid charge AFFF and FFFP extinguishers is to be replaced every 3 years and an internal exam is conducted at that time.
f. Perform an annual conductivity test on all Carbon Dioxide hose assemblies. Any hose that fails the test is to be replaced. Carbon dioxide hose assemblies have a continuous metal braid that connects to both couplings to minimize the static shock hazard. The reason for the conductivity test is to determine that the hose is conductive from the inlet coupling to the outlet orifice.
g. Discharge hoses on wheeled type fire extinguishers are to be completely uncoiled and examined annually. They are to be recoiled preventing kinks and to allow rapid deployment.
h. Pressure regulators on wheeled type fire extinguishers are to be tested annually for outlet static pressure and flow rate using the manufacturer’s instructions as guidance.
i. When the inspection reveals any deficiency a condition report is to be submitted to the MSCREP with recommended repair and parts required using Enclosure 2.2.3 for guidance.
6.3.3 Recharging
a. When recharging is required, perform in accordance with the manufacturers service manual.
b. The amount of the recharge is to be verified by weighing.
c. After recharging, perform a leak test on stored-pressure and self-expelling types of extinguishers.
d. In no case is an extinguisher to be recharged if it is beyond its specified hydrostatic test date.
e. Recharge CO2 extinguishers if weight loss exceeds 10 percent of weight of charge.
f. AFFF and FFFP agent is to be replaced at least once every three (3) years.
6.4 Conduct a hydrostatic test on all portable and semi-portable fire extinguishers that are due using References 2.1.1 through 2.1.4 for guidance. See Reference 2.1.2 for last hydrostatic test dates.
6.4.1 Include in estimate the internal examination, hydrostatic testing, and recharging of:
a. XXX (XX) XXX extinguishers
b. XXX (XX) XXXX extinguishers
6.4.2 Cylinders and cartridges with US Department of Transportation (DOT) or Transport Canada (TC) markings are to be retested in accordance with applicable DOT or TC regulations.
6.4.3 Per 29 CFR §1910.157 (Table L-1) and NFPA 10, test intervals are not to exceed those shown below:
Extinguisher Type
Test Interval (years)
Stored-pressure water, water mist, loaded stream, and/or antifreeze
Wetting Agent
AFFF (aqueous film-forming foam)
FFFP (film-forming fluoroprotein foam)
Dry chemical, stored pressure, with stainless steel shells
Carbon Dioxide
Wet Chemical
Dry chemical, stored pressure, with mild steel shells, brazed brass shells and aluminum shells
10**
Dry Chemical, cartridge or cylinder-operated, with mild steel shells
10**
Halon 1211 or 1301
10**
Dry powder, stored pressure, cartridge or cylinder-operated, with mild steel shells
10**
NOTE: 29 CFR and NFPA 10 permit test intervals of 12 years however IMO Resolution A.951(23) mandates intervals not to exceed 10 years.
6.4.4 Conduct a hydrostatic test on all hose assemblies that have a shut-off nozzle at the discharge end of the hose and are due using References 2.1.1, 2.1.3, and 2.1.4 for guidance. In addition, all high-pressure and low-pressure accessory hoses (other than agent discharge hose) used on wheeled extinguishers are to be hydrostatically tested. Test intervals are the same as those for the fire extinguisher or cylinder. Per para 8.6.3 of NFPA 10, Hose assemblies that require a hydrostatic test are to be tested at:
a. CO2 - 1250 psi (8619 kPa)***
b. Dry Chem, Dry Powder, Water, Foam or Halogenated - 300 psi (2068 kPa) or service pressure if higher
c. Wheeled extinguisher - Low pressure accessory hose - 300 psi (2068 kPa)
d. Wheeled extinguisher - High pressure accessory hose - 3000 psi (20.68 MPa)
NOTE: 46 CFR§147.65 (a)(4) permits test pressure of 1000 psig however NFPA 10 mandates 1250 psi.
6.4.5 Hydrostatic testing is to be performed by persons certified and trained in pressure testing procedures and safeguards. All testing is to be conducted using clean fresh water as the test medium.
a. Hydrostatic testing is to always include an internal and external visual examination of the cylinder prior.
b. Tags and labels documenting inspection documenting inspection, maintenance, recharging or hydrostatic testing are to be installed so as not to obstruct the extinguishers use, classification or manufacturers labels.
6.4.6 Securely attach a tag or label to each extinguisher that indicates inspection and maintenance was performed. The tag at a minimum is to identify the following:
a. Month and Year of maintenance
b. Name of person performing the work
c. Name of the company performing the work
6.4.7 Each cylinder that has undergone maintenance that included an internal examination or has been recharged requiring the removal of the valve assembly is also to have a verification-of-service collar installed around the neck of the container using Reference 2.1.4 for guidance. The collar is not to interfere with the operation of the extinguisher and be a single circular piece unable to move over the neck of the container unless the valve is completely removed. The collar as a minimum is to identify the following:
a. Month and Year of the recharge or internal exam
b. Name of the company performing the work.
NOTE: Service Collar Exemptions: New AFFF, FFFP or Wet Chemical extinguishers that required an initial charge in the field. Liquefied gas, halogenated agent and CO2 extinguishers that have been recharged without valve removal. Cartridge and cylinder-operated extinguishers.
6.4.8 Fire extinguishers identified in 7.3.2.d that require the Six-Year Internal Examination and pass are to have the maintenance info recorded on a durable weatherproof label that is a minimum of 2” x 3.5” (51mm x 89mm) affixed to the shell. Any previous six-year exam labels are to be removed. The labels are to be of the self-destructive type when their removal is attempted. The label is to at a minimum identify the following:
a. Month and Year of six-year internal examination
b. Name of person performing the work
c. Name of the company performing the work
6.4.9 Fire extinguishers that are low pressure non-DOT type that pass a hydrostatic test are to have the information recorded on a durable weatherproof label that is a minimum of 2” x 3.5” (51mm x 89mm) affixed by to the shell. Any previous test labels are to be removed. The labels are to be of the self-destructive type when their removal is attempted. The label is to at a minimum identify the following:
a. Month and Year of test
b. Test pressure used
c. Name or initials of person performing the test
d. Name of the company performing the test
6.4.10 High pressure cylinders or cartridges that pass a hydrostatic test are to be stamped with the re-testers ID number and the month and year of the retest per DOT/TC requirements. Stamping is to be placed on the shoulder, top, head, neck or foot ring of the cylinder or in accordance with 49 CFR 180.213 (c)(1).
6.4.11 Carbon Dioxide hose assemblies that pass a conductivity test are to have the test information recorded on a durable weatherproof label that is a minimum of ½” x 3” (13mm x 76mm) affixed to the hose by a heatless process. Any previous labels are to be removed. The label is to include the following:
a. Month and Year of test, indicated by perforation, such as done by hand punch
b. Name or initials of person performing the work
c. Name of the company performing the work
6.5 Testing is to be coordinated with the MSCREP, ABS and USCG Inspectors.
6.6 Upon completion of all inspections, tests and repairs return the Fire Extinguishers to the vessel and leave them in a ready for service condition. Conduct a final inspection aboard with the MSCREP and the ship’s Master.
6.7 Reports:
6.7.1 Complete the Periodic Inspection form shown in Enclosure 2.2.2, documenting the initial condition of every Fire Extinguisher. Submit three (3) typewritten copies and one (1) electronic copy in Portable Document Format (pdf) as soon as the data becomes available.
6.7.2 Upon completion of all inspections, tests, maintenance and recharging, prepare and submit the Service Record form shown in Enclosure 2.2.1. Submit three (3) typewritten copies and one (1) electronic copy in Portable Document Format (pdf).
6.7.3 All reports and checklists are to be completed and signed by the person who carried out the inspection and maintenance work and countersigned by the Company's representative.
6.8 Painting/Lagging: None additional.
6.9 Manufacturer’s Representative:
6.9.1 Companies and persons performing maintenance and testing are to be ABS Recognized External Specialists and have available the appropriate certificates, servicing manuals, service bulletins, correct tools, materials, and manufacturer’s replacement parts. The Coast Guard requires that the servicing persons to be properly licensed to perform fire extinguisher maintenance as required by local Authorities Having Jurisdiction (AHJ).
6.10 Preparation of Drawings: None
7.0 GENERAL REQUIREMENTS: None additional.
Date:
Vessel:
Company:
Location:
Inspector:
FX No.
Location
Size
(lbs)
Class
A/B/C
FX Medium
Serial No.
Year of Mfg
Visual Inspection
Hydrostatic Test
Recharge
Hose Inspection
Last External
Last Internal
Last Test
Pressure
(psi)
XXX
XX-XXX-XX
XXX
X
XXXX
XXXXXX
XXXX
XX/XX/XX
XX/XX/XXX
XX/XX/XX
XXXX
XX/XX/XX
XX/XX/XX
LEGEND
Fire Extinguishing Medium
Carbon Dioxide (CO2)
Halogenated (H)
Dry Powder (DP)
Dry Chemical (DC)
Wet Chemical (WC)
Aqueous film-forming foam (AFFF)
Film-forming fluoroprotein foam (FFFP)
FX No.
Location
Size
(lbs)
Class
A/B/C
FX Medium
Serial No.
Year of Mfg
Visual Inspection
Hydrostatic Test
Recharge
Hose Inspection
Last External
Last Internal
Last Test
Pressure
(psi)
Vessel:
IMO #:
Shipyard:
Date:
Company:
Inspector:
To be completed by the extinguisher inspector at the time of inspection or test. The inspection of the extinguishers shall at a minimum include checks and tests of the following:
1) Extinguisher is in designated place
2) No obstruction to access or visibility
3) Pressure gauge reading or indicator is in the operable range or position
4) Fullness determined by weighing
5) Condition of tires, wheels, carriage, hose and nozzle for wheeled extinguishers
6) Indicator for non-rechargeable extinguishers using push-to-test indicators
7) Verify the operating instructions are legible and face forward
8) Check for missing or broken safety seals and tamper indicators
9) Examine for obvious physical damage, corrosion, leakage or clogged nozzle.
10) Note deficiencies.
Y = Satisfactory N = Unsatisfactory (explain below) N/A = Not applicable
No.
Location
No.
Location
Description of any unsatisfactory conditions noted:
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