Statement of Work_ESPEC .pdf

DEPARTMENT OF THE NAVY

NNSY (NMD)

VA

(USS CHASN SC (SSBN

SPECIFICATIONS FOR WORK TO BE ACCOMPLISHED

SPECIFICATION NUMBER: NNSY-501-27

INCLUDES ALL CHANGES THROUGH 4/28/2026

SHIP: (USS CHA NNSY-501-27

INDEX

ITEMS THAT ARE STRUCK OUT IN THIS INDEX DO NOT APPLY TO THIS CONTRACT.

CATEGORY I. FY-27 STANDARD ITEMS APPLICABLE TO THIS JOB ORDER WITHOUT FURTHER REFERENCE.

ITEM NO. TITLE CHANGE DATE CHANGE

009-001 General Criteria; accomplish 10/01/2024 Original

009-002 Environmental Compliance Report for Material Usage; accomplish 10/01/2024 Original

009-003 Toxic and Hazardous Substance; control 10/01/2024 Original

009-004 Quality Management System; provide 10/01/2024 Original

009-005 Temporary Access; accomplish 11/18/2024 CH-1

009-006 Maintaining Protection and Cleanliness from Non-Radioactive Operations; 10/01/2024 Original

009-007 accomplish

Confined Space Entry, and Certification; accomplish

10/01/2024

Original

009-008 Shipboard Fire Protection and Fire Prevention; accomplish 10/01/2024 Original

009-010 Asbestos-Containing Material (ACM); control 10/01/2024 Original

009 018 Mine Warfare Ships Magnetic Material; control 10/01/2024 Original

009-019 Provisioning Technical Documentation (PTD); provide 10/01/2024 Original

009-020 Government Property; control 10/01/2024 Original

009-021 Alteration Verification, Logistic and Technical Data; provide 10/01/2024 Original

009-023 Interference; remove and install 11/18/2024 CH-1

009-024 Authorization, Control, Isolation, Blanking, Tagging, and Cleanliness; accomplish 10/01/2024 Original

009-034 Fire Protection of Unmanned Vessel at Contractor Facility; accomplish 10/01/2024 Original

009-039 Technical Manual Contract Requirement (TMCR) for a New Technical Manual for 10/01/2024 Original

009 040

Commercial Equipment/Component; accomplish

Contractor Crane, Multi Purpose Machine and Material Handling Equipment at a

009-060

Naval Facility; provide

Schedule and Associated Report for CNO Availability; provide and manage

009-061 Shipboard Use of Fluorocarbons; control 10/01/2024 Original

009-067 Integrated Total Ship Testing; manage 10/01/2024 Original

009-068 Availability Work Certification (AWC) Data for Chief of Naval Operations (CNO) 10/01/2024 Original

009 069

Availabilities; provide

Heavy Weather/Mooring Plan; provide

009-070 Confined Space Entry, Certification, Fire Protection, Fire Prevention and 10/01/2024 Original

009 072

Housekeeping for Unmanned Vessels; accomplish

Physical Security at a Private Contractor Facility; accomplish

009-073 Shipboard Electrical/Electronic Cable Procedure; inspect, test, install, remove, 10/01/2024 Original

009-074 and repair

Occupational, Safety and Health Plan; accomplish

009 080 Ship Facility; maintain 10/01/2024 Original

009-081 Compartment Closeout; accomplish 10/01/2024 Original

009-082 Installation of Equal Component Vice Specified Component; report 10/01/2024 Original

009-084 Threaded Fastener Requirement; accomplish 10/01/2024 Original

009 088

009-093

Collection, Holding and Transfer (CHT) and Motor Gasoline (MOGAS) Tank, Space, and Piping, including Sewage or MOGAS Contaminated Tank, Space, and Piping; certify

Emergency Planning and Community Right-to-Know Act (EPCRA) and Pollution

Prevention Act (PPA) Information; provide

009 099 Ship Departure Report; provide 10/01/2024 Original

009-100 Ship's Stability; maintain 10/01/2024 Original

009 101 Ship Transit and Berthing; accomplish 10/01/2024 Original

009-106 Work Authorization Form Coordinator (WAFCOR); provide 10/01/2024 Original

009-109 Non-SUBSAFE Work on SUBSAFE-Certified Vessel; accomplish 10/01/2024 Original

009-110 Non-Nuclear Work on a Nuclear Vessel; accomplish 10/01/2024 Original

009 111 Schedule and Associated Report for Non CNO Availability; provide and manage 10/01/2024 Original

009 117 Combat Systems, Light Off Suport; provide 10/01/2024 Original

009 118 CG Deck Loading; accomplish 10/01/2024 Original

009-120 Fact Finding and Critique of Unplanned Event; manage 10/01/2024 Original

009-122 Temporary Padeye; install and remove 11/18/2024 CH-1

009 125 Boat 65 Feet (20meters) Long and Less; accomplish 11/18/2024 CH 1

009-126 Schedule Model Review (SMR); accomplish 10/01/2024 Original

CATEGORY II. FY-27 STANDARD ITEMS WHICH MAY BE INVOKED IN THE WORK ITEMS OF THIS JOB ORDER.

009-009 Process Control Procedure (PCP); provide and accomplish

10/01/2024 Original

ITEM NO. TITLE

042-02-001 Norfolk Naval Shipyard (NNSY) Work Authorization Form (WAF)

Requirements; accomplish

042-05-001 General Requirements for Work on Submarines for Norfolk Naval

Shipyard (NNSY) Depot Level Availabilities; accomplish

042-11-001 General Occupational Safety, Health and Environment (OSHE)

Requirements for Work Within Norfolk Naval Shipyard; accomplish (PCP)

042-22-001 General Requirements for Work Within Norfolk Naval Shipyard (NNSY);

accomplish

042-26-001 Security Requirements for Work Within Norfolk Naval Shipyard (NNSY);

accomplish

042-27-001 Accountability of Manhour and Material Reservation; accomplish

042-28-001 Special Requirements for Non-SUBSAFE Work On Submarines;

accomplish

042-88-001 Painting Requirements for Submarines Within Norfolk Naval Shipyard

(NNSY); accomplish

042-89-001 General Radiological Requirements for Nuclear Powered Submarines at

Norfolk Naval Shipyard (NNSY); accomplish

176-01-001 Collection, Holding, and Transfer (CHT) Tank Cleaning; accomplish

991-11-001 Scaffolding, provide

SSP: NNSY-501-27 1 of 10 ITEM NO: 042-02-001

SHIP: (USS

CHASN SC (SSBN

ITEM NO: 042-02-001

COAR: 16 PCN: SERV-L002

LWT FILE NO: 042-027 CMP: NONE

REVISED:

13 JUN 2025 PLANNER:

1. SCOPE:

1.1 Title: Norfolk Naval Shipyard (NNSY) Work Authorization Form (WAF)

Requirements; accomplish

1.2 Location of Work:

1.2.1 Throughout the Ship

1.3 Identification:

1.3.1 Not Applicable.

2. REFERENCES:

2.1 Standard Items, (FY26)

2.2 Code 246 Policy And Instruction Memorandum, P&I-44, Work

Authorization and Control Manual

2.3 COMUSFLTFORCOMINST 4790.3 Joint Fleet Maintenance Manual (JFFM), Volume IV, Chapter 10

2.4 NAVSEAINST S0400-AD-URM-010/TUM Rev 08, TAG-OUT User’s Manual (TUM)

2.5 IPI 0000-454 CH-3, Requirements for Controlled Evolutions

3. REQUIREMENTS:

3.1 The Work Authorization Form (WAF) detailed in 2.2 is the document required for authorizing all intrusive shipboard Contractor/Vendor work.

Specific instructions for completing the WAF are provided in 2.2. Work on ship systems and components will be authorized and controlled by the WAF process in accordance with Attachments A, B and C. A WAF is required to authorize the start of work through completion, or until no longer requiring isolation or authorization. Work includes all maintenance, repairs, alterations modifications, and installation or removal of temporary support systems and equipment authorized for accomplishment pursuant to the Job Order. Non-intrusive work (e.g., painting, lagging, sheet metal work) that does not affect ship or personnel safety does not normally require a WAF. If there are any questions regarding whether a

WAF is or is not required, NNSY Code 246 (CTE) has final authority.

3.1.1 Test Engineering Division, Code 246, Work Control, is

responsible for reviewing applicable non-nuclear Technical Work

Documents (TWD’s) and processing WAF(s) for all Contractor/Vendor work in accordance with 2.2. The Contractor/Vendor must prepare a draft WAF using the guidelines, forms, and instructions of 2.2 and be prepared to assist Code 246 in properly identifying the work using the applicable supporting documents and TWDs. Code 246 will act as the Repair Activity Representative on all WAFs, tag-out line items and tags associated with Contractor/Vendor work.

3.1.1.1 Contractors/Vendors will not contact Ship’s Force

directly to prepare WAFs, perform tag-outs or clear tags.

3.1.2 Submit a filled out WAF for each required work authorization to the NNSY Code 246 representative and the SUPERVISOR. The NNSY Code

246 representative will assign a serial number. NNSY Code 246

SHIP: (USS CHASN SC (SSBN

SSP: NNSY-501-27 2 of 10 ITEM NO: 042-02-001 together with the watch/duty officer will determine if adequate isolation and plant/system conditions exist to safely and properly conduct the work, authorize and hang tag-out(s), and sign the WAF.

The WAF is then authorized by NNSY Code 246 and the Ship's authorizing officer. The WAF will remain in the work authorization log until the work is complete and the WAF is cleared by the ship.

Additional sign-offs required by the WAF for work complete, testing, and closed out, must be made as the work progresses.

3.1.3 Submit technical work document(s) (TWD) (block 6 of the WAF) with the WAF when necessary to show or explain the job description.

3.1.4 For any revision or change to the WAF or TWD, verbally notify

NNSY Code 246 and the SUPERVISOR at the time of revision or change.

Submit a copy of the revision or change to NNSY Code 246 and the

SUPERVISOR.

3.1.5 Provide representative(s) on a daily basis to coordinate the requirements of this work item with NNSY Code 246 and the SUPERVISOR.

3.1.6 Submit all requests for Work Authorization using the WAF, along with all supporting Technical Work Documents and Drawings to

NNSY Test Code 246 and the SUPERVISOR; drawings and documents will be returned to the Contractor. (Code 246 is the central point of contact and liaison with Ship's Force (SF) for all Work Authorization and tag-out issues).

3.1.7 WAF's must be submitted to C246 and notification made to the

SUPERVISOR at least 14 days prior to the Contractor's actual scheduled start date of each work item. Contractor "Need by Date" must be annotated on the top of the WAF. "Need by Date" must agree with Contractor's start date on the Contractor's Production Schedule.

3.1.8 If the Contractor/Vendor utilizes a serialized TWD (uniquely numbered or AIM entered work document) to accomplish work, the

Contractor/Vendor must provide Code 246 and notification to the

SUPERVISOR, with a draft Attachment (A) WAF, TWD, and supporting documentation (e.g., drawings, Shipalt records, etc.).

3.1.9 If the Contractor/Vendor does not utilize a serialized

technical work document to accomplish work, the Contractor/Vendor must provide Code 246 and the SUPERVISOR, with a completed Attachment

(B) Contractor/Vendor TWD and provide supporting documentation (e.g., drawings, Shipalt records, etc.). Code 246 will serialize the

Contractor/Vendor TWD and process as any other TWD.

3.1.10 When the Contractor/Vendor submits a WAF form, Code 246 may, at CTE discretion, either utilize the Contractor/Vendor provided WAF or transfer the WAF information to a Contractor/Vendor TWD for processing.

3.1.10.1 Code 246 will evaluate the submitted TWD and supporting documentation to determine if the described work is intrusive or non-intrusive shipboard work.

3.1.10.2 For nonintrusive work or non-shipboard work, the TWD will be annotated No WAF Required (“NWR”) in the ‘WORK RELEASE’ block and signed by Code 246. The signed document will then be released to the Contractor/Vendor. Upon receipt of the annotated

TWD, the Contractor/Vendor may commence work.

3.1.10.3 For intrusive shipboard work, Code 246 may release the

SSP: NNSY-501-27 3 of 10 ITEM NO: 042-02-001 serialized TWD or Contractor/Vendor TWD by processing a new WAF isolating the work or by attaching the work to an existing WAF, as directed by 2.2.

3.1.10.4 If a new WAF (generated by the Contractor/Vendor, Code

246, or in combination) is utilized, Code 246 will process the

WAF through Ship’s Force. Code 246 will indicate in the TWD the

WAF isolating the work, sign as released and attach a copy of the

WAF to the TWD.

3.1.10.5 If the work is attached to an existing WAF, Code 246 will process the WAF by adding the TWD to the WAF (adding the serial number to the TWD Line Item Record sheet). Code 246 will indicate on the TWD which WAF is isolating the work, sign as released, and attach a copy of the WAF to the TWD.

3.1.10.6 The Contractor/Vendor must receive the original TWD or a copy of the Contractor/Vendor TWD with Code 246 authorization signature. A copy of the WAF will be attached and must be retained on the worksite while performing work. The

Contractor/Vendor must also maintain a copy of each WAF with the active Technical Work Document (TWD) and Drawings or Contractor

TWD until the work is completed. Upon receipt of signed authorized documents, work may start.

3.1.10.7 Should special requirements exist (i.e. work on

energized gear, depressurization and draining of systems) the

Contractor/Vendor, will be prepared to assist Code 246, and notify the SUPERVISOR, to meet the requirements of 2.2 prior to the release of the WAF. This may mean the Contractor/Vendor will complete applicable entries on forms, or indicate specific drainage/depressurization points to verify system status. Should any of these be required, the Code 246 Work Control personnel will inform the Contractor/Vendor at the earliest possible time.

3.1.10.8 Code 246 will evaluate the proposed work and isolation to identify abnormal conditions, testing, concurrent work or test which could cause hazardous conditions to personnel or equipment.

Should such conditions exist which would preclude expedient work release, Code 246 Work Control will inform the Contractor/Vendor of the condition and expected delay in processing.

3.1.10.9 If work conditions change, such that a stoppage in work is required, Code 246 will issue a STOP WAF as in accordance with

2.2. The Contractor/Vendor will place the system being worked in a safe condition to stop work when issued a STOP WAF and sign the form and notify the SUPERVISOR. All listed work on the STOP WAF will be stopped until the STOP WAF is cleared. Code 246 may require the Contractor/Vendor to return the TWD and WAF isolating such work until the STOP WAF is cleared and authorization to resume work is granted. When notified, the Contractor/Vendor will sign to release the STOP WAF and can then resume work.

3.1.11 A WAF must be required for all Contractor work items

including installation of DC plugs, except as listed below. Work not normally requiring WAF controls:

3.1.11.1 Preventative maintenance, when integrity of a ship

system is not being disturbed. Code 246 and the SUPERVISOR must be verbally informed, prior to the accomplishment of the

SSP: NNSY-501-27 4 of 10 ITEM NO: 042-02-001 maintenance in order that system status may be checked.

3.1.11.2 Painting, cleaning or surface preparation for painting

(including sandblasting) that is not in way of movable parts of ship's equipment (i.e., radar, SPM, gun turrets, sail planes, rudder) or adjacent to cathodic protection cells.

3.1.11.3 Non-intrusive work inside tanks (example: painting, inspections) when there is a previously approved WAF to open/close the tank.

3.1.11.4 Removal and/or installation of insulation, staging that is not in the removal, installation, or alteration of workbenches

(not attached to a ship's system), lockers, non-structural bulkheads, furniture or joiner work.

3.1.11.5 Removal, installation or adjustment of each label

plate, wire way hanger and cable band.

3.1.11.6 Installation of temporary systems not connected into ship systems and not installed for the maintenance of ship conditions.

3.1.11.7 Replacement of each fluorescent lamp, regular screw in light bulb, starter, and bayonet type sight glass light bulb.

3.1.12 Code 246, must act as Repair Activity Representative for all

Contractor work requests.

3.1.13 Components or equipment with Danger or Caution tags attached will not be worked, operated or removed. If a component to be worked has a Danger or Caution tag attached, contact Code 246 and the

SUPERVISOR immediately for resolution.

3.1.14 Tags of color, size and similar shape to a Danger or Caution tag (NAVSHIPS forms 9890/8 and 9890/5 respectively) must not be used by Contractors.

3.1.15 Should a component which is Danger or Caution tagged

(NAVSHIPS forms 9890/8 and 9890/5, respectively) be accidentally operated or moved, notify SF, Code 246 and the SUPERVISOR, immediately so that any corrective action may be taken to protect personnel and equipment.

3.1.16 Do not start any work until you have received the official copy of the WAF from Code 246 to begin work. Blocks 13 and 14 must be signed at that point. If the work and isolation is electrical in nature, provide personnel to perform an electrical frisk as part of the work. Ensure all restrictions/precautions are noted in the restrictions/precautions block.

3.1.17 Maintain a copy of each WAF received from Code 246 at each shipboard location where a WAF is required.

3.1.18 Requirements of 009- 24 of 2.1, which reference tag-out functions for a Contractor or their designated representative, are not applicable.

3.1.19 Upon completion of the work the Contractor/Vendor must supply

Code 246 and notify the SUPERVISOR, with a copy of the TWD signed indicating work is complete, or sign the Work Complete block on the original Contractor/Vendor TWD form. The Contractor must contact their work authorization representative, who will contact Code 246

SSP: NNSY-501-27 5 of 10 ITEM NO: 042-02-001 and the SUPERVISOR, in order to sign the work completion block on the original WAF. This signature signifies that all work specified by that WAF has been completed and that the Contractor is ready for tags to be cleared. Code 246 personnel will sign for work complete on the associated WAF after satisfactory review, as applicable.

3.1.19.1 Code 246 and Ship’s Force will complete the actions

necessary to clear associated tags and line items. The

Contractor/Vendor is advised clearing the Contractor/Vendor work may not clear all hanging tags, if tags referenced in other work documents for isolation. If notification of tags removal is desired, the Contractor/Vendor will have to check with Code 246, and the SUPERVISOR, to find out if tags have been removed.

Notification is not automatic.

3.1.20 Work requiring testing must have all associated WAFs signed as "Work Complete". Ensure the test boundary is in place and any collateral work, WAF and/or testing is complete. NNSY and Ship's

Force concurrence must be obtained prior to test performance on the project's List of Authorized Test (LAT) or Daily Production Schedule.

The Contractor/Vendor is advised that the operation of ship’s equipment is not authorized. The operation of valves and components will be performed by Ship’s Force or Code 246 within system transfer boundaries when a system transfer WAF is in effect. The operation of any tagged valve or component will result in a critique offense without issuance of warning.

3.1.21 Authorized Contractor/Vendor shipboard testing requires the following actions:

3.1.21.1 WAF clearance: The work requiring testing must have all associated TWDs signed as ‘Work Complete’. Code 246 will evaluate

WAFs to determine if the system status is appropriate to support testing.

3.1.21.2 Pretest Checks: Contractor/Vendor test procedures must include prerequisite requirements to ensure the test boundary is intact and any collateral work, WAFs, and/or other required testing has been completed.

3.1.21.3 JTG/NN Concurrence: When system/component testing is required, the Contractor/Vendor must provide Code 246 and notify the SUPERVISOR with the applicable test procedure information.

The test procedure unique number and title must be listed on the

List of Authorized Tests (LAT) for authorization by the Joint

Test Group (Non-Nuclear) (JTG/NN) prior to testing, if the JTG/NN is assigned. Only those tests listed on the LAT (concurred on by the JTG/NN, if assigned) are authorized for execution. The

Contractor/Vendor may be requested to attend JTG/NN meetings to discuss the details of testing they desire to perform.

3.1.22 When system/component testing in accordance with a TWD or test procedure involves the operation of remotely controlled equipment where safety observers are required to be on station, the

Contractor/Vendor must fulfill the requirements of 2.5 regarding a

Controlled Evolution.

3.1.22.1 Examples of operations which would require a Controlled

Evolution include but are not limited to: Operating torpedo tube muzzle doors, ejection pump doors, stern, fairwater & bow planes, SSP: NNSY-501-27 6 of 10 ITEM NO: 042-02-001 rudders, vertical launch hatches, thin line/fat line towed array, secondary propulsion motors, main ballast tank vent valve/blow systems, anchors, antennas, radars, launchers, periscopes, and masts.

3.1.22.2 Code 246 is the final authority in determining if a

Controlled Evolution is required. The conduct of a Controlled

Evolution involves completing a Controlled Evolution Form

(available from Code 246 and in accordance with 2.5, designating a Person In Charge (PIC), assigning safety observers and supplying a detailed description of the evolution).

3.1.23 Code 246 and Ship’s Force concurrence must be obtained prior to the start any testing evolution. The Contractor/Vendor is responsible for obtaining Ship’s Force support as needed for testing and/or Controlled Evolutions.

3.1.24 Code 246 will provide the initial training for

contractor/vendor personnel. Upon completion, the contractor/vendor will be provided the training materials to identify roles, responsibilities, and basic work requirements while at NNSY. The

Contractor will then be responsible to ensure that they provide the necessary training, including subsequent/refresher training as required, to any other employees/contractors subsequently assigned to perform work on ships at NNSY. The contractor/vendor will sign that such training has been completed. No work will be released or performed until this training is completed.

3.1.24.1 The Contractor/Vendor will be provided a copy of

reference 2.2 and 2.5 and a copy is maintained at Code 246 Work

Control. Copies of references 2.3 and 2.4 will be provided, if requested. This is not intended to be the sole training material for Contractor/Vendor employees but supplemental to their own training requirements.

3.1.24.2 The Contractor/Vendor is responsible to conduct

training of all employees assigned to perform work in the requirements of references 2.2 through 2.5, and this document prior to performing shipboard work. The Contractor/Vendor is required to keep a record of employees trained and provide copies to Code 246 and notify the SUPERVISOR (Record of Training attached may be used).

3.1.24.3 Submit 2 legible copies of Attachment C to NNSY Code

246 and notify the SUPERVISOR via email. List is due prior to commencement of work aboard the ship. Submit updates to the list each time personnel are added and trained, and when subsequent/refresher training is provided.

3.1.25 Any questions regarding the processing of WAFs, control of work, tag-outs, or control of testing should be directed to NNSY Code

246 and the SUPERVISOR.

3.1.26 Contractor Condition Found Report's (CFR's) that increase the scope of work and/or testing of the authorized contract must be routed through NNSY C246 and the SUPERVISOR for a work and test technical review.

4. NOTES:

4.1 Attachments A, B and C are representative of the Navy Standard Work

SSP: NNSY-501-27 7 of 10 ITEM NO: 042-02-001

Authorization Process, WAF, TWD Record Sheet, including general instructions, as identified in 2.3.

4.2 The requirements of this Work Item will apply for all work being tasked and controlled by NNSY; the location of the ship will either be at

NNSY or Naval Station Norfolk.

4.3 Reference 2.3 is available at

https://www.navsea.navy.mil/Home/SUBMEPP/Products/JFMM/

5. GOVERNMENT FURNISHED MATERIAL(GFM):

5.1 LLTM:

1. None.

5.2 PUSH MATERIAL:

5.3 KITTED MATERIAL:

https://www.navsea.navy.mil/Home/SUBMEPP/Products/JFMM/

SSP: NNSY-501-27 8 of 10 ITEM NO: 042-02-001

ATTACHMENT A

WORK AUTHORIZATION FORM

1. USS 2. SYSTEM 3. WAF NO.

4. JSN 5. DIVISION/LWC/RA

7. JOB DESCRIPTION 6.TECHNICAL WORK DOCUMENT

PREPARATION FOR WORK

8. POST WORK TESTING AS SPECIFIED: BELOW IN THE TWD NO TEST REQD FORMAL TEST PROGRAM

9. RESTRICTIONS/PRECAUTIONS/REMARKS

10. DIVISION/REPAIR ACTIVITY READY TO COMMENCE WORK. LPO/DIV OFF / RA DATE

AUTHORIZATION TO WORK

11. SAFETY OF SHIP: YES NO

RA SSO/FSO (if SPOD used) or QUALIFIED WATCH/DUTY OFFICER (if SOSMIL used) DATE

12. CONCURRENCES:

DATE DATE DATE

13. TAGOUT REQUIRED: YES NO TAGOUT NO

SYSTEM/COMPONENT IS LINED UP FOR WORK, A TAG OUT IS HUNG,

VERIFIED AND SIGNED BY THE REPAIR ACTIVITY (IF REQUIRED) AND

SHIP.

WATCH/DUTY OFFICER DATE

14. PLANT/SHIP CONDITIONS (E.G., DRAINED, DE-PRESSURIZED, DE-

ENERGIZED, RESTRAINED) SET. DIVISION/RA IS AUTHORIZED TO

START WORK. WATCH/DUTY OFFICER DATE

REPAIR ACTIVITY DATE

NOTIFICATION OF WORK COMPLETION

15. RESTRICTIONS/PRECAUTIONS/REMARKS

16. WORK IS COMPLETE

LPO/DIV OFF or RA DATE

17. TESTING IS COMPLETE

WATCH/DUTY OFF or RA DATE

18. WAF CLOSED OUT

RA DATE

WATCH/DUTY OFF DATE

CHECK IF CONTINUED ON ANOTHER SHEET Attachment (A)

SHEET OF

SSP: NNSY-501-27 9 of 10 ITEM NO: 042-02-001

SSP: NNSY-501-27 10 of 10 ITEM NO: 042-02-001

ATTACHMENT C

Contractor/Vendor Training Completion Report

The training on Work Authorization and Control provided by NNSY Code 246 has been attended and completed by the following individuals. Training of employees of the listed organization is the responsibility of the supervisor by either performing training using provided materials or by arranging training by Code 246 personnel.

Employee Printed Name Employee Signature NNSY Badge Number

Attachment (C)

SSP: NNSY-501-27 1 of 6 ITEM NO: 042-05-001

SHIP: (USS

ITEM NO: 042-05-001

COAR: 16 PCN: SERV-L003

CMP: NONE

PLANNER:

1.1 Title: General Requirements for Work on Submarines for Norfolk Naval

Shipyard (NNSY) Depot Level Availabilities; accomplish

1.2 Location of Work:

1.2.1 Norfolk Naval Shipyard

1.3 Identification:

1.3.1 Not Applicable.

1.4 Security Classification of Equipment, Components, Spaces and

Documents: The Equipment, Space or Document is classified and subject to the applicable provisions of the National Industrial Security Program

Operating Manual, DOD 5220.22M (0584-LP-179-6400).

1.4.1 Spaces:

1.4.2 Equipment:

1.4.3 Documents:

2. REFERENCES:

2.1 Standard Items, (FY26)

2.2 S9510-AB-ATM-010, Nuclear Powered Submarine Atmosphere Control

Manual

2.3 0902-018-2010 Rev B, Change-9, General Overhaul Specifications for

Deep Diving SSBN/SSN Submarines (26 April 2023)

2.4 4790.3, COMFLTFORCOMINST 4790.3, Joint Fleet Maintenance Manual (US

Navy)

2.5 IPI 9922-454E, Nonnuclear Temporary Services and Shipyard Support

Systems for Naval Systems

2.6 DOD 5220.22M, National Industrial Security Program Operating Manual

(NISPOM)

2.7 NAVSEAINST M-5510.2D, NAVSEA Access and Movement Control

Instruction, DTD 8 Nov 2018 - Includes NAVSEA M-5510.2, NAVSEA Access and

Movement Control Manual, DTD November 2018

2.8 OPNAVINST N9210.3, Safeguarding of Naval Nuclear Propulsion

Information (NNPI)

2.9 COMSUBLANT/COMSUBPACINST 2075.1C, Portable Electronic Device (PED)

Policy for the Submarine Force, DTD 3/2/2018

3. REQUIREMENTS:

3.1 Accomplish the following requirements, in addition to the specific requirements of the Task/Purchase Order, for work accomplished on Naval

Submarine Depot Level Availabilities for NNSY, Portsmouth VA.

3.2 Submit one legible copy, in hard copy or approved transferrable media, of a list of materials with Safety Data Sheets (SDS) to be used on

SSP: NNSY-501-27 2 of 6 ITEM NO: 042-05-001 the Task/Purchase Order to the SUPERVISOR, not later than five days after

Task/Purchase Order Award.

3.2.1 Unless otherwise specifically approved by NAVSEA, the use of any materials furnished or installed must be those designated as

"permitted" on Appendix A of 2.2.

3.2.2 Instruments, equipment, fittings, paint, insulation, adhesives, or other items containing material or components that would give off noxious gas, vapors or fumes at its operating temperature or at any temperature below 200 degrees Fahrenheit must not be installed or applied.

3.3 Use 2.3 for guidance when accomplishing work to support

Task/Purchase Order.

3.4 Attend Radiological Control training provided at NNSY Pass Office to ensure familiarization with posted, verbal and written instructions (to include, do not enter any area or space posted with a sign that has a magenta-colored radiation symbol on a yellow background; do not touch any yellow bands, tools, bags, wrappings, clothing). Project Orientation

Brief (Key Topics: Security Requirements, Casualty Control, Work/WAF and

Testing Control, Work Site Cleanliness, Day to Day Operations within

NNSY) will be provided by the Project. Contractor is required to conduct

Submarine Orientation and SUBSAFE Awareness training using materials (CD

ROM) provided by the NNSY Project Team. Records must be maintained for the two-year qualification period of Submarine Orientation and SUBSAFE

Awareness and is subject to audit by the government. Submarine

Orientation and SUBSAFE Awareness performed at Portsmouth Naval Shipyard is accepted at NNSY with the applicable documentation and periodicity.

All Contractor personnel requiring access aboard ship must attend this training.

3.4.1 The SUPERVISOR must be notified of the time and place the

Contractor's training is to be conducted so it can be monitored. Upon completion of training, proof of training must be provided to the

SUPERVISOR. Contractor personnel must have proof of training on their person while in NNSY.

3.4.2 The Project Orientation Brief will discuss expected actions of all Contractors working onboard ships in the event of a casualty.

Additionally, the Contractor must follow direction of the NNSY

Project Team in the event of drills or actual emergencies. The

Project Orientation Brief is required for each awarded Task/Purchase

Order.

3.4.3 Submit one legible copy, in hard copy or approved

transferrable media, of a completed list of personnel that have received the in-brief and training to the SUPERVISOR. List is due prior to commencement of work aboard the ship or in the drydock, and must be signed by the Project. The list must be submitted prior to personnel coming to the work site. Submit updates to the list each time personnel are added and trained.

3.5 Follow all requirements and restrictions as set forth in 2.9 regarding Portable Electronic Device (PED) and the following for submarine availabilities at NNSY:

3.5.1 Portable Electronic Devices (PEDs) are defined as any

non stationary electronic apparatus with singular or multiple

SSP: NNSY-501-27 3 of 6 ITEM NO: 042-05-001 capabilities of, but not limited to recording, storing, and/or transmitting data, voice, video, or photo images (e.g., cell phones, laptops, tablets and wearable devices such as fitness bands and smart watches) and are PROHIBITED onboard submarines, in a submarine

Sensitive Compartmented Information Facility (SCIF)/Temporary SCIF

(TSCIF) or active Temporary Secure Working Area (TSWA) at NNSY unless the device meets the categories of an "Official Use" Portable

Electronic Device (OU-PED) as defined by 3.5.3. PEDs are also prohibited in Department of the Navy (DON) spaces where collateral classified information is processed, transmitted, stored or discussed, examples in accordance with 2.9.

3.5.2 "Personal" Portable Electronic Devices (P-PEDs) are PROHIBITED and refers to PEDs personally owned by Department of the Navy

Sailors, Marines, Civilians and all other support Contractor personnel.

3.5.3 "Official Use" Portable Electronic Devices (OU-PED) are permitted and refers to PEDs owned by the U.S. Government and operated by military, Government civilian and Government contracted organizations in the performance of official duties in accordance with 2.9. OU-PEDs will require approval in accordance with 2.9.

3.5.4 The Commanding Officer (CO) for each vessel is the local authority with overall responsibility for enforcement of 2.9 during

NNSY Availabilities. The vessel CO can approve the controlled and managed presence of PEDs with capabilities, where collateral classified or unclassified information is processed, transmitted, stored, or discussed and risk to classified information can be controlled. OU-PEDs from outside organizations must be inspected and authorized for introduction to the command environment by the Command

Security Manager and Information Systems Security Manager. Contract

Facility Security Officer may submit OU-PED requests through their sponsors to the submarine CO for approval.

3.5.5 Violation of any provision of 2.9 may subject non-military members, including Department of Defense personnel and Contractors to criminal penalties under applicable federal statutes, administrative sanctions or removal from classified spaces and loss of classified access.

3.5.5.1 If found in violation of 2.9, the Contractor's

supervisor and Base Police (396-7266) must be notified of the incident and the individual will be escorted off the submarine by the person reporting the incident and held until police arrive.

Once police arrive, the following actions will take place:

3.5.5.2 The Contractor's NAVSEA badge and CAC and/or DBIDs Card will be taken and the individual will be escorted by Police

Officer/Master at Arms (MAA) to be questioned and the PED reviewed at the Base Precinct (or on the spot).

3.5.5.3 The PED will be confiscated and all media on the device will be inspected to ensure that there is no sensitive information present.

3.5.5.4 Police Officers/MAA will document the incident via a

police report.

SSP: NNSY-501-27 4 of 6 ITEM NO: 042-05-001

3.5.5.5 The individual and their supervisor must report to the

2nd Floor of Bldg 1575, Room 219. (Code 1122 Industrial

Security).

3.5.5.6 Contractor access to NNSY will be terminated.

3.6 All personnel accessing the Controlled Industrial Area (CIA) must possess a Green badge as a minimum requirement. Personnel who are Green badged must provide notification to the topside watch, prior to access, as to the location of work, (i.e., TOPSIDE or Forward Compartment). All personnel working exclusively inside of Main Ballast Tanks must have at least a Green badge. Anyone accessing the Engine Room must have a Red badge if it is posted as a Nuclear Work Area (NWA) or must adhere to directions/instructions provided by NNSY Code 1120 in regards to Yellow badge access with NNSY/Ship's Force accomplishing/ensuring Restricted

Data (RD) sanitization of work areas/locations and area being posted as a

Controlled Nuclear Information Area (CNIA). NWA and CNIA Security requirements are related to working in or near Naval Nuclear Propulsion

Information (NNPI) spaces. Contractor must adhere to 2.4 and 2.8 with regard to the safeguarding of NNPI. Personnel in unauthorized areas will be turned over to NNSY Security. Contractor supervisors must attend a

Project Orientation Brief to discuss these requirements in detail. The

Contractor will be required to ensure all Contractor and SubContractor personnel have received training and understand the security requirements of the work site.

3.6.1 See 2.7 for additional Shipyard Access Control Badge (SACB) requirements and definitions.

3.7 A Work Authorization Form (WAF) is required to authorize the start of work. Contractor personnel preparing WAFs will be briefed by NNSY Code

246 and acknowledge an understanding of the process prior to submitting a

TWD/WAF. A Contractor TWD must be filled out and presented to NNSY Code

246, who will authorize the work via a serialized WAF. The WAF will remain in the work authorization log, and will be maintained by Ships

Force, until the work is complete and the WAF is cleared by the ship. The

WAF form is subject to change. Contact the Project for the latest version of the WAF. No WAF processing is required for preservation when Code 246 authorizes Contractor work on an existing NNSY WAF.

3.7.1 Submit the original copy of the completed WAF to the

SUPERVISOR upon job completion.

3.8 Service lines running through hatches must have quick disconnects installed. Accomplish the requirements of 009 -07 of 2.1, and the following:

3.8.1 Install NNSY identification tags on lines to indicate ship's name, hull number, location, WAF serial number, Contractors name and phone number, and purpose. Tags can be requested from the Work

Integration Team (WIT) or Project Temporary Service Manager (PTSM) via the SUPERVISOR.

3.8.2 Temporary services and support systems must be installed, maintained and inspected to meet the requirements of 2.5.

3.8.2.1 Surveillances of temporary services will be performed by

PTSM. PTSM will document any discrepancies and enter in a PTSM

Discrepancy Log and forward information to the WIT for notification to the Contractor. Once discrepancy is corrected, the Contractor must sign the appropriate block of the PTSM's Log

SSP: NNSY-501-27 5 of 6 ITEM NO: 042-05-001 verifying corrective action is complete.

3.8.3 Contractor must request temporary service sources from NNSY

Project Team via the SUPERVISOR a minimum of 2 business/working days prior to need. Weekends are not considered in the 2 day request allotment. Request for temporary service sources must be submitted to the NNSY Project Team in writing on forms provided by the WIT via the

SUPERVISOR.

3.9 Contractors and their subcontractors must comply with 2.6 for verification of all U.S. citizens.

3.9.1 No foreign nationals will be permitted on work site or to be utilized as truck drivers.

3.9.2 Establish procedures to comply with 3.9, 3.9.1, and the requirements of 2.7.

3.10 Participate in Pre-Project Planning from date of award to start of execution. The representative(s) must be authorized to make management decisions relative to the routine requirements of the Task/Purchase

Order. The representative(s) must meet with the NNSY Project team on a daily basis (Monday through Friday) and compare programmed NNSY, Ship's

Force, AIT, and FMA work with the Contractor schedule. The representative will address factors that may impact milestones and the Task/Purchase

Order completion and provide recommended courses of action to resolve problem areas. All time durations are subject to discussion for slight adjustments during the Pre-Project Planning phase. Laydown drydock and pier side equipment locations will be finalized.

3.11 Provide a detailed schedule for each step in the production effort once NNSY has provided space turnover dates. Contractors must identify as a minimum the following: the installation and removal of equipment, staging and containment's, surface preparations, each coat of paint, and all inspections. The schedule must provide time durations, number of shifts per day, hours per shift. The schedule must identify the integration and sequencing of work. Contractors will be required to Blast and Paint in several different spaces simultaneously.

3.12 Identify an on-site, dedicated point of contact 24 hours/seven days a week to coordinate and manage the production effort in conjunction with

NNSY's work, who must attend project team meetings as directed by the

SUPERVISOR to ensure a coordinated effort in the accomplishment of work.

Project meetings will be held to evaluate the progress of work and to evaluate overall schedule progress.

3.13 Provide detailed scheduling information and timelines necessary to support integration into the integrated work sequence. When time between award and availability start date permits, a detailed schedule must be made available to allow the project to identify problem areas/conflicts/overlaps and resolve them prior to availability start.

3.14 Coordinate schedules and areas affected by work with the

SUPERVISOR. Obtain a copy of the ship's operations drills, (prior to start of work), avoiding unnecessary delays during the performance period. Contractor must participate in all ship's drills (approximately two hours total time). Drills will be coordinated with the SUPERVISOR and will normally require the Contractor to muster outside of the dry-dock with the WIT or Project Designated Representative. The Contractor must plan for 2 ship's drills per quarter during the availability and one

SSP: NNSY-501-27 6 of 6 ITEM NO: 042-05-001

Shipyard drill per quarter during the availability.

3.15 Accomplish an inspection of workspaces prior to manning to ensure spaces are available for work to avoid unnecessary delays in day-to-day schedule. Any concerns must be immediately (no later than one shift) relayed to the SUPERVISOR.

3.16 NNSY, NAVSEA, and/or Code 130 Group coating representatives will conduct periodic surveillance on Contractor work during the execution of the preservation work.

3.17 Submit one legible copy, in hard copy or approved transferrable media, of a report of applicable NAVSEA Forms 9997/1 through 9997/5 to the SUPERVISOR at least 10 days prior to undocking, providing a record or any changes of ship's configuration, such as major weight alterations, cathodic or anodic protection installation, major hull or shell plate renewals and repairs and underwater hull and tank preservation. The

SUPERVISOR will deliver a copy of applicable NAVSEA Forms to NNSY Code

253.

3.18 Contract specification conformance surveillances of Work

Items/documents within the Specification Package will be performed by the

Naval Supervisory Authority (NSA) during the period of performance in accordance with 2.4. Both conformance and non-conformance items will be reported to the executing contracting authority for information or resolution. When a non-conformance is identified, a resolution must be complete within the scheduled key event and milestone time frame or period of performance.

4. NOTES:

4.1 None.

5. GOVERNMENT FURNISHED MATERIAL(GFM):

5.1 LLTM:

5.2 PUSH MATERIAL:

5.3 KITTED MATERIAL:

SHIP: (USS ITEM NO: 042-11-001

SSP: NNSY-501-27 1 of 48 ITEM NO: 042-11-001

COAR: 16 PCN: SERV-L004

LWT FILE NO: 042-025 CMP: NONE

REVISED: 16 JUN 2025 PLANNER:

1.1 Title: General Occupational Safety, Health and Environment (OSHE)

Requirements for Work Within Norfolk Naval Shipyard; accomplish (PCP)

1.2 Location of Work:

1.2.1 Norfolk Naval Shipyard (NNSY)

1.3 Identification:

1.3.1 Not Applicable.

2. REFERENCES:

2.1 Standard Items, (FY25)

2.2 29 CFR, Occupational Safety and Health Regulations (OSHA) 29 CFR

2.3 P5090.2, NAVSHIPYDNORINST P5090.2, Volume II, Chapter 15, Rev B, Change-1 Occupational Safety, Health and Environment Program Manual, Personal Protective Equipment Requirements

2.4 40 CFR, Environmental Protection Regulations of 40 CFR

2.5 49 CFR, Department of Transportation (DOT) Regulations of 49 CFR

2.6 Administrative Code 9VAC20-60, Virginia Department of Environmental

Quality (DEQ) Hazardous Waste Management Regulations

2.7 5100.23, OPNAVINST 5100.23, Navy Occupational Safety and Health

Program Manual

2.8 US CODE 2019-Title 42-Chapter 116, Emergency Planning and Community

Right to Know Act (EPCRA) of 1986

2.9 5090.1, OPNAVINST 5090.1, Environmental and Natural Resources

Program Manual

2.10 S9086-CQ-STM-010/CH-081, Waterborne Underwater Hull Cleaning of

Navy Ships

2.11 S9086-VD-STM-010/020/030/CH-631, Preservation of Ships

2.12 9922-454E, Change 9, Nonnuclear Temporary Services and Shipyard

Support Systems for Naval Vessels Sections

2.13 OSHECM Chapter 250 Rev A, Hazardous Energy Control (HEC)

2.14 P5090.2, NAVSHIPYDNORINST P5090.2, Volume II, Chapter 25, Rev A, Occupational Safety, Health and Environment Program Manual, Man-Made

Vitreous Fibers

3. REQUIREMENTS:

3.1 The following requirements must be observed, in addition to the specific requirements of the Job/Purchase Order, for work accomplished on

Naval ships and Crafts located at NNSY.

3.1.1 Contractor must assign a dedicated Environmental, Safety and

Health (ESH) representative to the Contractor Project Team. The ESH representative must be located on site (at NNSY) with the Contractor

SSP: NNSY-501-27 2 of 48 ITEM NO: 042-11-001

Project Team. The ESH representative, or alternate, must be on site at NNSY at all times and for all shifts during which Contractor employees are on site.

3.1.1.1 The Contractor ESH representative must participate in daily Project Leadership surveillance of ship work areas. The

Contractor ESH Representative must serve as the primary POC for

Contractor environmental and safety deficiencies, must determine and implement appropriate corrective actions, and must follow-up to ensure that deficiencies are corrected in a timely manner. All corrective actions and status of existing deficiencies must be provided to the NNSY Code 106 Project Safety Manager within 24 hours of discovery and daily thereafter for all unresolved deficiencies.

3.2 REGULATORY CONTACT. The Contractor must notify the SUPERVISOR immediately if they are contacted by an OSHE regulatory agency about its operation at NNSY. OSHE regulatory agencies must not be allowed into the

Shipyard without notification to the SUPERVISOR and approval by NNSY Code

106 via the SUPERVISOR. Information concerning Navy property or operations must not be released to OSHE regulatory agencies without the approval of the SUPERVISOR and NNSY Code 106.

3.3 NNSY OCCUPATIONAL SAFETY, HEALTH AND ENVIRONMENT (OSHE) STAFF OSH

SURVEILLANCE AND ENVIRONMENTAL OVERSIGHT OF OPERATIONS:

3.3.1 The SUPERVISOR will have responsibility for safety and health oversight and inspections. The NNSY Safety and Health Division (Code

106.2) will, on occasion, perform surveillances on the Contractor's work areas.

3.3.2 The Contractor work will not be stopped by NNSY personnel for safety and health issues unless it is an imminent danger situation (a possibility of serious injury, illness, death, major equipment/facility damage). If work is stopped, written corrective actions may be required before work can resume. The SUPERVISOR will coordinate submittal of this documentation and return to work authorization.

3.3.2.1 Safety and health issues not presenting imminent danger will be referred to the SUPERVISOR for appropriate action. The

SUPERVISOR will inform NNSY Code 106.2 and the Work Integration

Team (WIT) of actions taken to resolve findings.

3.3.3 The NNSY Environmental Division (Code 106.3) may on occasion inspect the Contractor's work areas. NNSY Code 106.3 inspectors will direct control measures via the SUPERVISOR if conditions are not consistent with NNSY permits or regulatory requirements. The

SUPERVISOR will inform the WIT of actions taken.

3.3.3.1 Control measures may include stoppage of work pending correction of deficiencies and the investigating of mishaps. If a work stoppage is required, the OSHE Inspector (NNSY Code 106.3) will immediately contact the SUPERVISOR. The SUPERVISOR will inform the WIT of work stoppage.

3.3.3.2 Written corrective actions may be required before work can resume. The SUPERVISOR will coordinate submittal of this documentation and return to work authorization. The SUPERVISOR will inform NNSY Code 106.3 and WIT of actions taken to resolve

SSP: NNSY-501-27 3 of 48 ITEM NO: 042-11-001 findings.

3.3.4 Process documents required by this document are not for approval purposes but to allow NNSY Code 106 surveillance personnel to assess if the Contractors are following their established work processes and the requirements of this Work Item. If there are any process documents, like TGI's or DL's, written that involve both

Contractor employees and NNSY personnel working side by side, then they will require NNSY Code 106 review and approval.

3.4 HAZARDOUS WASTE/REGULATED WASTE MANAGEMENT REQUIREMENTS:

3.4.1 DEFINITIONS:

3.4.1.1 Hazardous Waste (HW) – Any material intended to be

discarded as a solid, liquid, or gas which meets the definition of a HM and/or is designated a hazardous waste by the EPA as ignitable, (I) corrosive,(C) reactive, (R) toxicity characteristic, (i.e., metals)(E), acute hazardous waste, (H), toxic, (poison) (T) as specified in 40 CFR Part 261.20-.30, any material subject to the requirements for manifesting, pre transport inspections, record keeping and reporting, and exports and imports of hazardous waste, as specified in 40 CFR Part 262 or state hazardous material control authority.

3.4.1.2 Non-Hazardous Regulated Waste (NHRW) - Any

nonradioactive, non-hazardous waste generated that requires special handling and control, such as wastes that are governed by

Department of Transportation (DOT) requirements for shipment.

Items that qualify as NHRW typically are prohibited from disposal into dumpsters. At NNSY, Contractors are required to dispose of their own NHRW, including waste streams that are normally “RCRA-hazardous” but are invoking one of the exclusions defined in 40

CFR 261.

3.4.1.3 Regulated Waste – Waste that, due to regulatory

restrictions, cannot be managed, transported, and/or disposed of as standard municipal waste. Such waste streams will include wastes regulated by the Resource Conservation and Recovery Act

(RCRA), regulations of the U.S. Department of Transportation

(DOT), or other regulations by federal, state, and local government entities. Hazardous Waste (HW) and Non-Hazardous

Regulated Waste (NHRW) are the two primary subsets of Regulated

Waste generated at NNSY.

3.4.1.4 Universal Waste (UW) - is subset of hazardous waste

consisting of all batteries, mercury containing equipment, aerosol cans, and fluorescent light bulbs and ballast.

3.4.1.5 Bulk Material: Generation of more than 10 cubic yards of the same waste stream that is not realistically feasible to be contained in drums or cubic yard boxes (i.e. hazardous soil, hazardous construction debris, etc.).

3.4.2 APPLICABILITY:

3.4.2.1 The requirements of this section (3.4 in its entirety) apply to all Contractors and sub-contractors. It is the responsibility of the Prime Contractor to communicate these requirements to all sub-contractors.

3.4.3 INITIAL MANAGEMENT REQUIREMENTS: Prior to a Contractor

SSP: NNSY-501-27 4 of 48 ITEM NO: 042-11-001 beginning any tasks that may generate waste, the Contractor must appoint personnel to serve as Environmental Coordinators, identify the regulatory status of the waste streams to be generated, and contact Code 106.3 to discuss waste streams, accumulation areas and

Environmental Coordinator training.

3.4.3.1 APPOINTMENT OF ENVIRONMENTAL COORDINATORS (ECs):

(a) The Contractor (AND ANY SUBCONTRACTORS) must provide and maintain at least two representatives who will serve as

Environmental Coordinators (ECs) for the purpose of administering the requirements of this Work Item (Section 3.4), including coordinating the work with the SUPERVISOR and WIT.

(b) The EC must be a direct employee of the Contractor.

Personnel obtained thru a temporary agency are prohibited from serving in the EC role.

(c) The…