SOW_TGI_38KB386501A01_c0v0.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-76 USS HIGGINS 86512 KB3

CU PHASE TITLE:

*F/O - INST AND RMV SCAFFOLDING TO/FROM VARIOUS LOCATIONS FOR SHIP’S FORCE WORK

PREPARING ACTIVITY:

PREPARED BY: CODE PHONE DATE

TOSHIHIRO TSUTSUI 231A. 315-243-0097 17-DEC-2025

APPROVED BY: CODE PHONE DATE

YUUJI NAKAMURA 231A. 315-243-6041 17-DEC-2025

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-76 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.

1-5 J-1 M-1

1. SCOPE/PURPOSE

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

1.2 Location of Work:

1.2.1 Polemast, 154 Feet - 6 Inches Above Base Line (ABL), Ship’s Center Line

1.2.2 Upper Yardarm, 134 Feet - 6 Inches Above Base Line (ABL), Port

1.2.3 Lower Yardarm, 120 Feet - 5 13/16 Inches Above Base Line (ABL), Port

1.2.4 Between 05 Level and 06 Level Weather, Frames between 125 and 130, Ship’s Center Line

1.2.5 Between 04 Level and 05 Level Weather, Frames between 125 and 150, Port and Starboard (Stbd)

1.2.6 Between 02 Level and 05 Level Weather, Frames between 185 and 220, Port and Stbd

1.2.7 Between 01 Level and 05 Level Weather, Frames between 240 and 300, Port and Stbd

1.2.8 04 Level Weather, Frames between 144 and 157, Port and Stbd

1.2.9 Between 02 Level and 04 Level Weather, Frames between 140 and 162, Port and Stbd

1.2.10 Between 02 Level and 04 Level Weather, Frames between 127 and 142, Port and Stbd

1.2.11 Between 03 Level and 05 Level Weather, Frames between 158 and 175, Port and Stbd

1.2.12 Between 03 Level and 04 Level Weather, Frames between 122 and 129, Port

1.2.13 Between Main Deck and 01 Level Weather, Frames between 368 and 392, Port

1.2.14 02 Level Weather, Frames between 215 and 220, Stbd

1.3 Identification:

1.3.1 Quantity (One Lot), Scaffolding Assembly

Location: 1.2.1 Remarks: Maintenance work of antenna number 6-13 will be accomplished by Ship's Force.

1.3.2 Quantity (One Lot), Scaffolding Assembly

Location: 1.2.2 Remarks: Maintenance work of antenna number 3-15 will be accomplished by Ship's Force.

1.3.3 Quantity (One Lot), Scaffolding Assembly

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SHIP: DDG-76 CHG/VER: 0/0

Location: 1.2.3 Remarks: Maintenance work of antenna number 3-4 will be accomplished by Ship's Force.

1.3.4 Quantity (One Lot), Scaffolding Assembly

Location: 1.2.4 Remarks: Maintenance work of bulkhead and antenna number 4-7 will be accomplished by Ship's Force.

1.3.5 Quantity (One Lot), Scaffolding Assembly

Location: 1.2.5 Remarks: Maintenance work of pilot house windows, wipers and motor will be accomplished by Ship's Force.

1.3.6 Quantity (One Lot), Scaffolding Assembly

Location: 1.2.6 Remarks: Maintenance work of forward stack, including platform for antenna numbers 2-3 will be accomplished by Ship's Force.

1.3.7 Quantity (One Lot), Scaffolding Assembly

Location: 1.2.7 Remarks: Maintenance work of aft stack, including platform for antenna number 2-2 will be accomplished by

Ship's Force.

1.3.8 Quantity (One Lot), Scaffolding Assembly

Location: 1.2.8 Remarks: Preservation work of bridge wing will be accomplished by Ship's Force.

1.3.9 Quantity (One Lot), Scaffolding Assembly

Location: 1.2.9 Remarks: Maintenance work of bulkhead, including platforms for antenna numbers 6-1A and 6-1B will be accomplished by Ship's Force.

1.3.10 Quantity (One Lot), Scaffolding Assembly

Location: 1.2.10 Remarks: Maintenance work of bulkhead, including antenna numbers 5-3A and 5-3B will be accomplished by

Ship's Force.

1.3.11 Quantity (One Lot), Scaffolding Assembly

Location: 1.2.11 Remarks: Maintenance work of bulkhead, including antenna numbers 5-3C and 5-3D will be accomplished by

Ship's Force.

1.3.12 Quantity (One Lot), Scaffolding Assembly

Location: 1.2.12 Remarks: Preservation work of platform for antenna number 3-10A will be accomplished by Ship's Force.

1.3.13 Quantity (One Lot), Scaffolding Assembly

Location: 1.2.13

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SHIP: DDG-76 CHG/VER: 0/0

Remarks: Preservation work of SSGTG stack will be accomplished by Ship's Force.

1.3.14 Quantity (One Lot), Scaffolding Assembly

Location: 1.2.14 Remarks: Maintenance work of vent duct will be accomplished by Ship's Force.

1.4 Security Classification: None.

1.5 Initial Condition: None.

1.6 Contractor work start date: 29/JUN/2026

1.7 Contractor work completion date: 8/DEC/2026

2. REFERENCES:

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-26 NAVSEA Standard Items - 1 N 2 LI FY-26 Local Standard Items - ORG N

3 TM 29 CFR

PART

1915.71

Scaffolding or Staging - N

4 MP PM240-

0049, SURF

AEGIS RADAR SPY ANTENNA

ARRAY SCAFFOLDING

A Y AL

L

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 1.3.14 in accordance with 2.3 and 2.4.

5.2 Remove scaffolding listed in 1.3.1 through 1.3.14 upon completion of the work in accordance with 2.3 and 2.4 when requested by Ship’s Force via Code 333.

5.3 Notes:

5.3.1 Planner: Code 231A T. Tsutsui, 243-0097

5.3.2 Work Integration Manager (WIM): Code 333 T. Yaginuma, 080-6522-9560

5.3.3 This TGI meets the intent of DCG51 SWT File No. 991-001.

5.3.4 JCN EXSY-ZAG5 is related to this TGI.

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SHIP: DDG-76 CHG/VER: 0/0

5.4 Government Furnished Material (GFM): None.

5.5 SRF-JRMC will provide the following service work: (TGI No. 38KB386501S02)

5.5.1 [C740] Crane and crane rigging service.

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

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

FOUO

J-1

SHIP: DDG-76 CHG/VER: 0/0

APPENDIX "J"

TGI JOB SUMMARY INFORMATION SHEET

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 - INST AND RMV SCAFFOLDING TO/FROM VARIOUS LOCATIONS FOR SHIP’S FORCE WORK

PRIMARY COMPONENT:

COMPONENT UNIT LIST (FOR ASSEMBLIES):

ATTACHMENT LIST:

ZONE MANAGER: ZONE: COMPARTMENT: LEVEL: FRAME: SIDE:

YAGINUMA ,TAKEHIDE VARIOUS U

JO: KO: TOTAL MAN HRS: PLANNING ACCEPTANCE:

38KB386501 A01

TOTAL MAT’L COST TOTAL DURATION:

CU PHASE DESCRIPTION:

The purpose of this TGI is to install and remove scaffolding to/from various locations for Ship's Force work.

Location of Work:

Polemast, 154 Feet - 6 Inches Above Base Line (ABL), Ship’s Center Line Upper Yardarm, 134 Feet - 6 Inches Above Base Line (ABL), Port Lower Yardarm, 120 Feet - 5 13/16 Inches Above Base Line (ABL), Port Between 05 Level and 06 Level Weather, Frames between 125 and 130, Ship’s Center Line Between 04 Level and 05 Level Weather, Frames between 125 and 150, Port and Starboard (Stbd) Between 02 Level and 05 Level Weather, Frames between 185 and 220, Port and Stbd Between 01 Level and 05 Level Weather, Frames between 240 and 300, Port and Stbd 04 Level Weather, Frames between 144 and 157, Port and Stbd Between 02 Level and 04 Level Weather, Frames between 140 and 162, Port and Stbd Between 02 Level and 04 Level Weather, Frames between 127 and 142, Port and Stbd Between 03 Level and 05 Level Weather, Frames between 158 and 175, Port and Stbd Between 03 Level and 04 Level Weather, Frames between 122 and 129, Port Between Main Deck and 01 Level Weather, Frames between 368 and 392, Ship’s Center Line 02 Level Weather, Frames between 215 and 220, Stbd

TGI NO.: TEMPORARY STAGING

SF

TST A 0

FOUO

M-1

SHIP: DDG-76 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 - INST AND RMV SCAFFOLDING TO/FROM VARIOUS LOCATIONS FOR SHIP’S FORCE WORK

MATERIAL REFERENCES

REF

NO.

DOCUMENT/DRAWING

NUMBER

DOCUMENT/DRAWING TITLE REV

JOB ORDER: KEY OP:

38KB386501 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-76 TEMPORARY STAGING SF TST A 0

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

38KB386501 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-76 TEMPORARY STAGING SF TST A 0