TGI_3819P52302T01_redact.pdf
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- USS BLUE RIDGE 5C1 DSRA MODERNIZATION BUNDLE 5
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- N6264925RA058
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This document is a WebAIM Short Form Task Group Instruction (TGI) for an operational test of Alarm, Safety, and Warning Systems for the USS Blue Ridge (LCC-19). The task group instruction, dated 13-MAR-2025, is associated with Project 19P, System 43611, and specifically covers the operational testing of S/A 81205K - KTR components. The document outlines three primary work tasks: contractor work (22/KE), Quality Assurance work (33/G1), and Support/Facilities work (EXSA), all of which involve accomplishing and documenting the operational test in accordance with the reference test procedure TP 43611-3-301KTR. The instruction includes preparation details by Nishimura Kazuhiro and approval by Ohta Jason Y., with a job summary ID of 523G0002, though specific man-hours, duration, and costs are not populated on the form.
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Text version
FOUO
WebAIM Short Form TASK GROUP INSTRUCTION
13-MAR-2025 1517
20.14.15.2.9020 (September 2024) ICN: 3819P52302 KeyOp: T01
COMPONENT NAME: TYPE: PHASE: REPEAT: CHG/VER:TGI NO: 43611-3-301KTR TT T 4 0/0
SHIP/HULL NO: SHIP/HULL NAME: PROJECT: SYSTEM: PLANT ID: CASREP CAT:
LCC-19 USS BLUE RIDGE 19P 43611
CU PHASE TITLE: ALARM, SAFETY, AND WARNING SYS (OP), S/A 81205K - KTR
WORK CERTIFICATION SIGNATURES: DLs
COMPLETION OF WORK REVIEW: BADGE NO: SHOP/CODE: PHONE: DATE:
RECORDS REVIEW: BADGE NO: SHOP/CODE: PHONE: DATE:
FOUO Pg 1 of 2
EXSAZCD2
PREPARING ACTIVITY: STATUS: APP WORKING STATUS:
PREPARED BY: CODE: PHONE: DATE:
NISHIMURA, KAZUHIRO 246.2 3152433479 12-FEB-2025
APPROVED BY: CODE: PHONE: DATE:
OHTA, JASON Y. 246.2 3152435901 13-MAR-2025
CONCURRED BY: CODE: PHONE: DATE:
REASON FOR WORK/NEED FOR CHANGE:
JCN:
EXSA-ZCD2
SPECIAL REQUIREMENTS:
CU PHASE DESCRIPTION:
ZONE MANAGER: ZONE: COMPARTMENT: LEVEL: FRAME: SIDE:
TAKAHASHI, YASUHIKO U
JOB SUMMARY ID: TOT MAN HR.: TOT DUR: TOT JML COST: PLANNING ACCEPTANCE:
523G0002
Operational Test for ALARM, SAFETY, AND WARNING SYSTEMS, S/A 81205K - KTR.
TGI Short Form
FOUO
WebAIM Short Form TASK GROUP INSTRUCTION
13-MAR-2025 1517
20.14.15.2.9020 (September 2024) (Continued) ICN: 3819P52302 KeyOp: T01
COMPONENT NAME: TYPE: PHASE: REPEAT: CHG/VER:TGI NO: 43611-3-301KTR TT T 4 0/0
SHIP/HULL NO: SHIP/HULL NAME: PROJECT: SYSTEM: PLANT ID: CASREP CAT:
LCC-19 USS BLUE RIDGE 19P 43611
CU PHASE TITLE: ALARM, SAFETY, AND WARNING SYS (OP), S/A 81205K - KTR
FOUO Pg 2 of 2
Ref.
No.
Document/Drawing Number DOCUMENT/DRAWING TITLE REV
CHG
NO.
CPY
REQ PARAGRAPH SECT PG CHPT
1 TP 43611-3-301KTR ALARM, SAFETY, AND
WARNING SYS (OP) - KTR
LAT Y
TASK NAME / TASK DESCRIPTION
SHOP/
TSD TS
SF
WC
CREW
# MHRS RWRK
(V) Contractor work:
Accomplish/document the operational test in accordance with reference, TP 43611-3-301KTR.
22/KE PC N
(G) QA work:
Accomplish/document the operational test in accordance with reference, TP 43611-3-301KTR.
33/G1 QA N
(S) S/F work:
Accomplish/document the operational test in accordance with reference, TP 43611-3-301KTR.
/ EXSA N
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
MATERIAL REFERENCES
REF
NO.
DOCUMENT/DRAWING NUMBER DOCUMENT/DRAWING TITLE
REV
ICN: 3819P52302 KEY OP: T01
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