Attachment VI SRF-JRMC_4730-141_(REV 00).xlsx

XLSX spreadsheet 41 KB Posted

Attached to
USS BLUE RIDGE (LCC-19) AIT SUPPORT WORK
Solicitation number
N6264926RA024
Issued by

About this file

This is a Condition Report form (SRF-JRMC 4730-141, REV 00) used for documenting work conditions and recommendations during naval ship repair operations at U.S. Naval Ship Repair Facility-JRMC in Yokosuka, Japan.

The form serves as a template for contractors to report on work scope, schedule adjustments, and other operational matters for various U.S. Navy vessels undergoing maintenance and repair. The specific example provided references USS BLUE RIDGE (LCC-19) with Project ID 19P, submitted by Sumitomo Heavy Industries, Ltd. to U.S. Fleet Logistics Center, Yokosuka. The form allows contractors to report on multiple categories of conditions including: new work recommendations not in original scope, work scope or schedule changes, delays and disruptions, configuration data updates, damaged or lost items, environmental reports, quality assurance findings, and requests for information. Key sections include authorization dates for work completion, performance time adjustments with cost impact designation (no cost increase, cost increase, or urgent with cost increase), contractor comments, and approvals from the Work Integration Manager. The document includes an extensive dropdown list of Navy vessels and craft that may be subject to condition reporting, spanning from 2022 through 2045, including destroyers, amphibious ships, mine countermeasure vessels, and specialized craft across multiple classes.

View the file

Other files

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

CFR FORM

ID0CHECKIDBODYID2YRID3MNID4D
22CONDITION REPORTCR DATE:2YEAR2MONTH2DAY
33SRF-JRMC 4730-141 (REV 00)3202633
4444REPORT NO:4
55URGENCY:5NORMAL55
6FROM:6SUMITOMO HEAVY INDUSTRIES, Ltd666
7TO:7U.S. FLEET LOGISTICS CENTER, YOKOSUKA, JAPAN777
8VIA:8U.S. NAVAL SHIP REPAIR FACILITY-JRMC, YOKOSUKA, JAPAN888
99999
10SUBJ: (SHIP NAME)10USS BLUE RIDGE (LCC-19)10The project ID consists of '38' followed by a 3-digit characters of TGI No. i.e., 19P1010
11TGI TITLE:11Project ID:1119P1111
12REF CONTRACT NO.:12TGI NO:1212FISC J/O NO:12
1313131313
14ENCL:14(1) CONTRACTOR CONDITION DESCRIPTION & RECOMMENDATION.141414
1515151515
161. ▢16WORK LISTED ON ENCLOSURE (1) MUST BE AUTHORIZED BYDATE:16YEAR16MONTH16DAY
1717171717
1818TO ENSURE COMPLETION WITHIN WORK SCHEDULE.181818
1919191919
202. ▢20THIS REPORT IS ISSUED FOR ADJUSTMENT OF PERFORMANCE TIME202020
2121FROMDATE:21YEAR21MONTH21DAY
2222222222
2323TODATE:23YEAR23MONTH23DAY
2424242424
2525WITH NO COST INCREASE.25
262626
273. ☑27REPORT IS CATEGORIZED AS:27
2828ODB - OTHER, AS DESCRIBED BELOWIf ODB is selected, describe in CONTRACTOR COMMENTS28
292929
304. ▢30CONTRACTOR COMMENTS30
313131
NAME OF CONTRACTOR'S REP32

ORIG

CONDITION REPORTDATE:YEARMONTHDAY
NAVSHIPREPFAC 4730-14l(REV.12-09)
REPORT NO:
FROM:
TO:U.S. FLEET AND INDUSTRIAL SUPPLY CENTER, YOKOSUKA, JAPAN
VIA:U.S. NAVAL SHIP REPAIR FACILITY-JRMC, YOKOSUKA, JAPAN
SUBJ: (SHIP NAME)TGI NO:JCN:
TGI TITLE:
REF CONTRACT NO.:FISC JO NO.:

ENCL: (1) CONTRACTOR CONDITION DESCRIPTION & RECOMMENDATION.

1WORK LISTED ON ENCLOSURE (1) MUST BE AUTHORIZED BY
YEARMONTHDAY

TO INSURE COMPLETION WITHIN WORK SCHEDULE.

2THIS REPORT IS ISSUED FOR ADJUSTMENT OF PERFORMANCE TIME FROM
YEARMONTHDAY
TO
YEARMONTHDAY

WITH NO COST INCREASE.

3REPORT IS CATEGORIZED AS:
If "OTHER" is selected, describe details →

4 COMMENTS

NAME OF CONTRACTOR'S REP
VIA:SRF-JRMC WORK INTEGRATION MANAGER (WIM) (C333)
1. SHIP CHECK OF ENCL HAS/HAS NOT BEEN PERFORMED.
THE WORK LISTED IS NOT IN THE BASIC SPECIFICATION
2. THIS WORK SHOULD BE ACCOMPLISHED
3. THIS WORK SHOULD NOT BE ACCOMPLISHED
4. COMMENTS
NAME OF CONTRACTOR'S REP
(DATE)
VIA:SRF-JRMC WORK INTEGRATION MANAGER (WIM) (C333)

ORIG (2)

ID1YR1YR2
CONDITION REPORTDATE:YEARMONTHDAY
NAVSHIPREPFAC 4730-14l(REV.12-09)
REPORT NO:
FROM:
TO:U.S. FLEET AND INDUSTRIAL SUPPLY CENTER, YOKOSUKA, JAPAN
VIA:U.S. NAVAL SHIP REPAIR FACILITY-JRMC, YOKOSUKA, JAPAN
SUBJ: (SHIP NAME)TGI NO:JCN:
TGI TITLE:
REF CONTRACT NO.:FISC JO NO.:

ENCL: (1) CONTRACTOR CONDITION DESCRIPTION & RECOMMENDATION.

1WORK LISTED ON ENCLOSURE (1) MUST BE AUTHORIZED BY
YEARMONTHDAY

TO INSURE COMPLETION WITHIN WORK SCHEDULE.

2THIS REPORT IS ISSUED FOR ADJUSTMENT OF PERFORMANCE TIME FROM
YEARMONTHDAY
TO
YEARMONTHDAY

WITH NO COST INCREASE.

3REPORT IS CATEGORIZED AS:
If "OTHER" is selected, describe details →

4 COMMENTS

NAME OF CONTRACTOR'S REP
VIA:SRF-JRMC WORK INTEGRATION MANAGER (WIM) (C333)
1. SHIP CHECK OF ENCL HAS/HAS NOT BEEN PERFORMED.
THE WORK LISTED IS NOT IN THE BASIC SPECIFICATION
2. THIS WORK SHOULD BE ACCOMPLISHED
3. THIS WORK SHOULD NOT BE ACCOMPLISHED
4. COMMENTS
NAME OF CONTRACTOR'S REP
(DATE)
VIA:SRF-JRMC WORK INTEGRATION MANAGER (WIM) (C333)

DropDownList

USS BLUE RIDGE (LCC-19)INFO ONLY - REPORTS/DATA NOT REQUIRED PER DIRECTION OF AN TGI.202211PLANNINGCFR - CONDITION FOUND REPORTNORMALWITH NO COST INCREASE.1. ☑2. ☑3. ☑4. ☑
USS ROBERT SMALLS (CG-62)MANDATORY REPORT - REPORTS/DATA THAT IS REQUIRED PER DIRECTION OF AN TGI.202322EXECUTIONODB - OTHER, AS DESCRIBED BELOWURGENTWITH COST INCREASE.1. ▢2. ▢3. ▢4. ▢
USS BENFOLD (DDG-65)DELAY AND DISRUPTION - EXAMPLE: OUTSIDE INTERFERENCE, LACK OF GFM, WAF NOT OPEN PER SCHEDULE, DELAY OF DECISION.202433
USS MILIUS (DDG-69)WORK SCOPE OR SCHEDULE CHANGE - GROWTH, DE-SCOPE, MATERIAL, OR PERFORMANCE PERIOD CHANGES RELATED TO ORIGINAL WORK SCOPE.202544CD - CONFIGURATION DATA
USS HIGGINS (DDG-76)NEW WORK - WORK RECOMMENDED WHICH IS NOT ORIGINALLY PART OF WORK SCOPE.202655DOL - DAMAGED OR LOST
USS HOWARD (DDG-83)TGI CLARIFICATION - CURRENT SPECIFICATION DOESN'T INCLUDE SUFFICIENT INFORMATION TO CONTINUE/COMPLETE WORK.202766ENV - ENVIRONMENTAL REPORTS
USS MCCAMPBELL (DDG-85)DFS REQUEST - CAN'T COMPLETE PRODUCTION AS PER SPECIFICATION DUE TO MATERIAL,INSUFFICIENT ON-SITE CONDITIONS, OR OTHER. ALSO REPORTS ON ITEMS WHICH WERE COMPLETED, BUT NOT TO SPEC.202877FIO - FOR INFORMATION ONLY
USS SHOUP (DDG-86)OTHER202988PCP - PROCESS CONTROL PROCEDURE
USS PREBLE (DDG-88)203099QA - QA REPORTS
USS MUSTIN (DDG-89)20311010RFI - REQUEST FOR INFORMATION
USS DEWEY (DDG-105)20321111RQ - REQUIRED REPORT SUBMITTAL
USS JOHN FINN (DDG-113)20331212RU - ROUTINE
USS RALPH JOHNSON (DDG-114)203413SAF - SAFETY REPORTS
USS RAFAEL PERALTA (DDG-115)203514SDD - SUBMITTAL OF DELAY AND DISRUPTION
USS GEORGE WASHINGTON (CVN-73)203615
APL 67 (APL-67)203716
YR 85 (YR-85)203817
YR 95 (YR-95)203918
YR 96 (YR-96)204019
YRB-30 BERTHING AND MESSING BG (YRB-30)204120
YRBM 57 (YRBM-57)204221
MERCER (APL-39)204322
NUECES (APL-40)204423
ASSAULT CRAFT UNIT 5 DET (LCAC-70)204524
ASSAULT CRAFT UNIT 1 DET (LCU-1627)204625
USS AMERICA (LHA-6)204726
USS NEW ORLEANS (LPD-18)204827
USS GREEN BAY (LPD-20)204928
USS SAN DIEGO (LPD-22)205029
USS RUSHMORE (LSD-47)205130
USS WARRIOR (MCM-10)205231
USS CHIEF (MCM-14)
USS PATRIOT (MCM-7)
USS PIONEER (MCM-9)
NAVAL BEACHMASTER UNIT (NBU-7)

File details come from the government source that posted it. Updated .