TGI 38JC286503A01.pdf

FOUO

FOUO: Public availability to be determined under 5 USC 552

TASK GROUP INSTRUCTION

AIM REV 20.11.4.0 (OCTOBER 2020)

TGI COMPONENT NAME: TYPE: PHASE: REPEAT: CHANGE:

NO.: TEMPORARY STAGING SF TST A 0 0

SHIP/HULL NO.: SHIP/HULL NAME: SYSTEM: PROJ/WO NO: CASREP CAT:

DDG-83 USS HOWARD 86512 JC2

CU PHASE TITLE:

*F/O - INSTALL AND REMOVE SCAFFOLDING TO/FROM VARIOUS LOCATION

PREPARING ACTIVITY:

PREPARED BY: CODE PHONE DATE

TAKAYUKI TAKEISHI 231B 315-243-6704 07-AUG-2024

APPROVED BY: CODE PHONE DATE

RYOUTA TAKAGI 231B 315-243-4502 07-AUG-2024

CONCURRED BY: CODE PHONE DATE

CONCURRED BY: CODE PHONE DATE

CONCURRED BY: CODE PHONE DATE

CONCURRED BY: CODE PHONE DATE

REASON FOR WORK/NEED FOR CHANGE:

CHANGE INSTRUCTIONS:

SPECIAL REQUIREMENTS:

WORK CERTIFICATION SIGNATURES

COMPLETION OF WORK REVIEW: BADGE NO.: SHOP/CODE: PHONE: DATE:

ACCEPTANCE OF COMPLETED WORK

PHYSICAL INSPECTION PHYSICAL INSPECTION COMPLETED: BADGE NO.: SHOP/CODE: PHONE: DATE:

REQUIRED:☐YES ☒NO

RECORDS REVIEW: BADGE NO.: SHOP/CODE: PHONE: DATE:

TGI NO.: TEMPORARY STAGING SF TST A 0

FOUO

SHIP: DDG-83 CHG/VER: 0/0

LIST OF EFFECTIVE PAGES

SHT NO. CHG NO. SHT NO. CHG NO. SHT NO. CHG NO. SHT NO. CHG NO. SHT NO. CHG NO.

1-4 J-1 M-1

1. SCOPE/PURPOSE:

1.1 Title: Scaffolding for Ship’s Force Work; install and remove

1.2 Location of work:

1.2.1 Between 01 Level and 02 Level Weather, Frames between 105 and 115, Port and Starboard (Stbd)

1.2.2 04 Level Weather, Frames between 125 and 130, Port and Stbd

1.2.3 02 Level Weather, Frames between 140 and 160, Port and Stbd

1.2.4 02 Level Weather, Frames between 165 and 175, Stbd

1.2.5 04 Level Weather, Frames between 185 and 190, Port and Stbd

1.2.6 04 Level Weather, Frames between 217 and 225, Port and Stbd

1.2.7 04 Level Weather, Frames between 235 and 245, Port and Stbd

1.3 Identification:

1.3.1 Quantity (One Lot), Scaffolding Assembly

Location: 1.2.1 Remarks: Maintenance work of bulkhead of underneath CIWS MT 21 will be accomplished by Ship's Force.

1.3.2 Quantity (One Lot), Scaffolding Assembly

Location: 1.2.2 Remarks: Maintenance work of pilothouse windows will be accomplished by Ship's Force.

1.3.3 Quantity (2 Lot), Scaffolding Assembly

Location: 1.2.3 Remarks: Maintenance work of SLQ-32 platforms will be accomplished by Ship's Force.

1.3.4 Quantity (One Lot), Scaffolding Assembly

Location: 1.2.4 Remarks: Maintenance work of life raft will be accomplished by Ship's Force.

1.3.5 Quantity (One Lot), Scaffolding Assembly

Location: 1.2.5 Remarks: Maintenance work of antenna numbers 3-21 and 3-10B platforms will be accomplished by Ship's

Force.

FOUO

SHIP: DDG-83 CHG/VER: 0/0

1.3.6 Quantity (One Lot), Scaffolding Assembly

Location: 1.2.6 Remarks: Maintenance work of antenna number 2-3 platform will be accomplished by Ship's Force.

1.3.7 Quantity (One Lot), Scaffolding Assembly

Location: 1.2.7 Remarks: Maintenance work of antenna number 2-4 platform will be accomplished by Ship's Force.

1.3.8 Quantity (One Lot), Temporary Containment Enclosure

Location: 1.2.1 Remarks: Maintenance work of bulkhead of underneath CIWS MT 21 will be accomplished by Ship's Force.

1.3.9 Quantity (One Lot), Temporary Containment Enclosure

Location: 1.2.2 Remarks: Maintenance work of pilothouse windows will be accomplished by Ship's Force.

1.3.10 Quantity (2 Lot), Temporary Containment Enclosure

Location: 1.2.3 Remarks: Maintenance work of SLQ-32 platforms will be accomplished by Ship's Force.

1.3.11 Quantity (One Lot), Temporary Containment Enclosure

Location: 1.2.4 Remarks: Maintenance work of life raft will be accomplished by Ship's Force.

1.3.12 Quantity (One Lot), Temporary Containment Enclosure

Location: 1.2.5 Remarks: Maintenance work of antenna numbers 3-21 and 3-10B platforms will be accomplished by Ship's

Force.

1.3.13 Quantity (One Lot), Temporary Containment Enclosure

Location: 1.2.6 Remarks: Maintenance work of antenna number 2-3 platform will be accomplished by Ship's Force.

1.3.14 Quantity (One Lot), Temporary Containment Enclosure

Location: 1.2.7 Remarks: Maintenance work of antenna number 2-4 platform will be accomplished by Ship's Force.

1.4 Security Classification: None.

1.5 Initial Condition: None.

1.6 Contractor work start date:

1.7 Contractor work completion date:

2. REFERENCES:

4/7/2025

8/26/2025

FOUO

SHIP: DDG-83 CHG/VER: 0/0

REF.

NO.

DOCUMENT

/DRAWING

NUMBER

DOCUMENT/DRAWING TITLE REV CHG

NO.

COPY

REQ’D

(Y/N)

SOURCE

DOC

(Y/N)

PARA SEC PG CHP

1 NSI FY-25 NAVSEA Standard Items - ORG N 2 LI FY-25 Local Standard Items - ORG N

3 TM 29 CFR

PART

1915.71

Scaffolding or Staging - N

3. APPENDICES:

3.1 Appendix “J” TGI Job Summary Information Sheet

3.2 Appendix "M" TGI Material List

3.3 Appendix “D” Deficiency Form

4. GENERAL REQUIREMENTS:

4.1 Not Applicable.

5. PROCEDURE:

5.1 Erect/hang scaffolding listed in 1.3.1 through 1.3.7 in accordance with 2.3.

5.2 Install each temporary containment enclosure listed in 1.3.8 through 1.3.14 to each scaffolding listed in 1.3.1 through 1.3.7 to prevent environmentally hazardous material from entering surrounding waters.

5.3 Remove each temporary containment enclosure listed in 1.3.8 through 1.3.14 upon completion of the work from each scaffolding listed in 1.3.1 through 1.3.7 when requested by Ship’s Force via Code 333.

5.4 Remove scaffolding listed in 1.3.1 through 1.3.7 upon completion of the work in accordance with 2.3 when requested by Ship’s Force via Code 333.

5.5 Notes:

5.5.1 Planner: Code 231B T. Takeishi, 243-6704

5.5.2 Work Integration Manager (WIM): Code 333 T. Yaginuma, 080-5419-0598

5.5.3 JCN EXSY-ZAC2 is related to this TGI.

5.6 Government Furnished Material (GFM): None.

5.7 SRF-JRMC will provide the following service work: (TGI No. 38JC286503S02)

5.7.1 [C740] Provide Crane and crane rigging service.

5.7.2 [X99E] Provide utility service, electrical.

5.7.3 [X99M] Provide utility service, including low pressure air, water supply, and steam supply.

5.7.4 [C106.1] Provide Safety inspection for SRF-JRMC employees.

5.7.5 [C106.2] Provide gas free inspection for SRF-JRMC employees.

5.7.6 [C133] Provide QA inspection for (G) symbol(s).

C1209.3 Shimizu, 11120180, SS, 8/30/2024

Shinya.Shimizu.ja Line

TGI NO.: TEMPORARY STAGING

SF

TST A 0

FOUO

M-1

SHIP: DDG-83 CHG/VER: 0/0

APPENDIX “M”

TGI MATERIAL LIST

SYSTEM: PLANT NO.: COMPONENT NAME: TYPE: PHASE: REPEAT: CU PH

VERSION:

CASREP

CAT:

86512 TEMPORARY STAGING SF TST A 0 0

CU PHASE TITLE:

*F/O - INSTALL AND REMOVE SCAFFOLDING TO/FROM VARIOUS LOCATION

MATERIAL REFERENCES

REF

NO.

DOCUMENT/DRAWING

NUMBER

DOCUMENT/DRAWING TITLE REV

JOB ORDER: KEY OP:

38JC286503 A01

MATERIAL LIST

ITEM

NO.

PC

NO.

REF

NO.

M

C DESCRIPTION

STOCK

NUMBER

GENERIC

MATL

TYPE LVL QA

HAZ

MAT

DOC

NO.

QTY

REQD/

UNIT

QTY

USED/

UNIT

NOTES:

FOUO: Public availability to be determined under 5 USC 552 SHEET_____OF_____

☐ NUCLEAR APPENDIX "D"

DEFICIENCY FORM

☐ NON-NUCLEAR

1. SHIP/HULL NO.: 2a. DL or DR No.

(Circle One)

2b. REVISION: 3a. COMPONENT NAME: 3b. TYPE: 3c. PHASE: 3d. REPEAT:

DDG-83 TEMPORARY STAGING SF TST A 0

4a. ICN: 4b. KEY OP: 5. LOC SPACE/LVL: FRAME: P/S/C: 6. CAUSED BY:

38JC286503 A01

7. DESCRIPTION:

8. ORIGINATOR: NAME: BADGE: SHOP/CODE: DATE: PHONE NO.:

9. CORRECTIVE ACTION:

10. EVALUATOR: NAME: BADGE: SHOP/CODE: DATE: PHONE NO.:

FOR NON-NUCLEAR USE ONLY

11. RFD/RFW REQ’D ☐ LAR REQ'D ☐

ILS MOD REQ’D ☐

SRD/PLAN REV REQ'D ☐

DWG NO.: _____________________ S/A NO.: ___________________

12. ISOLATION SIGN: BADGE: SHOP/CODE: DATE: PHONE NO.:

SATISFACTORY:

13. SUBSAFE OQE RECORD? SIGN: BADGE: SHOP/CODE: DATE: PHONE NO.

YES ☐ NO ☐

14. CORRECTIVE ACTION SIGN: BADGE: SHOP/CODE: DATE: PHONE NO.

COMPLETE:

15. INSPECTION REQ’D? INSPECTION COMPLETE/SIGN: BADGE: SHOP/CODE: DATE: PHONE NO.

_________:YES ☐ NO ☐

16. RECORDS REVIEW SIGN: BADGE: SHOP/CODE: DATE: PHONE NO.

COMPLETE (DR ONLY)

DL’s ISSUED

(DR ONLY)

FOUO: Public availability to be determined under 5 USC 552 SHEET_____OF_____

☐ NUCLEAR Deficiency Form Continuation Sheet ☐ NON-NUCLEAR

1. SHIP/HULL NO.: 2a. DL or DR No.

(Circle One) 2b. REVISION: 3a. COMPONENT NAME: 3b. TYPE: 3c. PHASE: 3d. REPEAT:

DDG-83 TEMPORARY STAGING SF TST A 0