J-5 042-007 - 16 JUN 14.pdf

LOCAL WORK TEMPLATEM

MARMC

SHIP: N/A ITEM NO: 042-07

COAR: N/A PCN: N/A

LWT FILE NO: 042-007 CMP: N/A

REVISED: 16 Jun 2014 PLANNER: N/A

1 of 2 ITEM NO: 042-007

EXPORT CONTROLLED DATA: This document contains technical information whose export is governed by U.S.

International Traffic in Arms Regulation (ITAR). This information must not be transferred to a foreign person/entity without proper authorization of the U.S. Government. Violations may result in administrative, civil, or criminal penalties.

1. SCOPE:

(R201501)

1.1 Title: Nuclear Powered Ships/Nuclear Support Ships; special requirements (R201501)

1.2 Location of Work:

(R201501)

1.2.1 Not Applicable

(R201501)

1.3 Identification:

(R201501)

1.3.1 Not Applicable

(R201501)

2. REFERENCES:

(R201501)

2.1 None

(R201501)

3. REQUIREMENTS:

(R201501)

3.1 General Statement on Radiation: This is a nuclear powered ship/nuclear support ship. The radiation levels in accessible areas, where the contractor is to work, are lower than the radiation exposure levels allowed by the Federal Government for members of the general public as set forth in the Code of Federal Regulations, Title 10, Part 20, "Standard for Protection Against Radiation" (10 CFR 20).

(R201501)

3.2 Training of Contractor Personnel: The contractor shall ensure that all personnel assigned to work on this vessel are familiar with the following information, prior to boarding the vessel. A list of trained personnel shall be kept by the contractor for 3 years.

(R201501)

3.2.1 Obey posted, verbal and written radiological control

instructions. (R201501)

3.2.2 Do not enter ANY AREA, or SPACE posted with ANY SIGN that has a magenta (purple) colored three bladed radiation symbol on a yellow background.

(R201501)

3.2.3 Signs with this marking are used to identify areas where personnel will or might be exposed to radiation, radioactive contamination or radioactive material. Yellow and magenta ribbons

(R201501) lyn.sylfest Typewritten Text lyn.sylfest Typewritten Text

ATTACHMENT J-5

SHIP: Line 344

2 of 2 ITEM NO: 042-007

EXPORT CONTROLLED DATA: This document contains technical information whose export is governed by U.S.

International Traffic in Arms Regulation (ITAR). This information must not be transferred to a foreign person/entity without proper authorization of the U.S. Government. Violations may result in administrative, civil, or criminal penalties.

are also used to identify such areas. DO NOT ENTER these areas.

Extending any part of the body over or under this boundary is a violation.

3.2.4 Personnel outside these boundaries do not receive radiation exposure above levels stated in 3.1 due to nuclear propulsion plants, contamination or radioactive material.

(R201501)

3.2.5 Yellow bands or tools, yellow plastic or herculite bags or wrappings, or yellow anti-contamination clothing, if encountered (unattended) shall not be touched. Stay away and keep others away from any material identified as radioactive material or contamination. Send someone to the ship's quarterdeck to report the incident.

(R201501)

3.3 Submit one legible copy, in hard copy or electronic media, of a completed list of trained personnel to the SUPERVISOR. List is due prior to commencement of work aboard the vessel.

(R201501)

4. NOTES:

(R201501)

4.1 None.

(R201501)

5. GOVERNMENT FURNISHED MATERIAL (GFM):

(R201501)

5.1 LLTM:

(R201501)

1. None.

5.2 PUSH MATERIAL:

(R201501)

1. None.

5.3 KITTED MATERIAL:

(R201501)

1. None.