TGI_3819P13327A01_c0v1.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.: HATCH 3-101-1 AY A 0 0

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

LCC-19 USS BLUE RIDGE 19P

CU PHASE TITLE:

F/O - OVERHAUL WATERTIGHT HATCH 3-101-1 AND REPLACE LIFELINE/GUARDLINE ASSEMBLY

PREPARING ACTIVITY:

PREPARED BY: CODE PHONE DATE

YUUICHI YOSHIHARA 231B. 315-243-9984 01-AUG-2024

APPROVED BY: CODE PHONE DATE

RYOUTA TAKAGI 231B. 315-243-4502 01-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:

This work affects a fire zone boundary. Fabrication and/or staging of a non-flammable closure is required.

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.: HATCH 3-101-1 AY A 0

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SHIP: LCC-19 CHG/VER: 0/1

LIST OF EFFECTIVE PAGES

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

1-9 Map (1)

J1-2 QA17

(1-4) M1-6 Engrg Inst (1- 2)

1. SCOPE/PURPOSE

1.1 Title: Watertight Hatch 3-101-1 and Lifeline/Guardline Assembly; overhaul and replace

1.2 Location of Work:

1.2.1 Sponson, Third Deck Weather, Frame 101, Starboard

1.2.2 Sponson, Third Deck Weather, Frame 101, Port

1.2.3 SD Storeroom (4-98-9-Q)

1.2.4 Fleet Plants OPT (4-98-7-Q)

1.2.5 Crew Living Space (5-98-01-L)

1.2.6 Crew Washroom Water Closet, Shower and Decontamination Station (5-101-1-L)

1.2.7 Crew Living Space (6-98-0-L)

1.2.8 Fire Room (8-76-0-E)

1.2.9 Engine Room (8-86-0-E)

1.2.10 Shaft Alley (9-98-0-Q)

1.3 Identification:

1.3.1 Quantity (One EA), Hatch, Watertight

Hatch No. : 3-101-1 Size: 36 Inches x 75 Inches Material: Steel Type: Ramped Low Profile, Individually Dogged, 12 Dogs

1.3.2 Quantity (3 EA), Guard Rope for Watertight Hatch 3-101-1(Existing)

Remarks: See Sheet 5-A Detail 5-U of 2.7 for detail

1.3.3 Quantity (4 EA), Portable Hatch Guard Stanchion of Existing Guard Rope listed in 1.3.2 (Existing)

Material: Steel Remarks: See Sheet 5 Detail 5-L and Sheet 5-A Assy 5-R of 2.7 for detail

1.3.4 Quantity (4 EA), Deck Socket with brackets for Portable Hatch Guard Stanchion listed in 1.3.3 (Existing)

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SHIP: LCC-19 CHG/VER: 0/1

Material:

Deck Socket: CRES Bracket: Steel Remarks: See Sheet 5 Detail 5-L and Detail 5-K of 2.7 for detail

1.3.5 Quantity (4 EA), Ramp Plate of Watertight Hatch 3-101-1 (Existing)

Material: OS, MIL-S-22698 GR-A, 10.2 LBs Plate Remarks: See Sheet 5 and Sheet 6 Detail 6-B of 2.6 for detail

1.3.6 Quantity (4 EA), Portable Hatch Guard Stanchion for Lifeline Assembly listed in 1.3.7 and Guardline Assembly listed in 1.3.8

Material: CRES 316L, ASTM A269, 2-1/2 Inches OD x 0.1875 Inch Thickness Tube Remarks: See 2.6 and 2.8 for detail

1.3.6.1 Quantity (18 EA), Staple

Material: CRES 316L, ASTM A276, 5/8 Inch Diameter Round Bar Remarks: See Mapping Plan Enclosure-02, 2.6, and Sheet 8 Detail 62-A and Detail 62-C of 2.8 for detail

1.3.6.2 Quantity (4 EA), Stanchion Base Fitting

Material: CRES 316L, ASTM A276 Remarks: See 2.6, and Sheet 7 Detail 53-E of 2.8 for detail

1.3.6.3 Quantity (4 EA), Stanchion Cap

Material: CRES 316L, ASTM A240, 10.2 LBs Plate Remarks: See 2.6, and 2.8 for detail

1.3.7 Quantity (6 AY), Kevlar Rope Lifeline Assembly for Watertight Hatch 3-101-1

Size: 1/2 Inch Diameter Material: Jacketed Aramid Type Rope Line No(s).: KL-1 through KL-6 Remarks: See Mapping Plan Enclosure-02, Sheet 5 and Sheet 6 Elevation 6-A of 2.6, Sheet 10 Detail 78-E of

2.8, and 2.9 for location and detail

1.3.8 Quantity (3 AY), Synthetic Rope Guardline Assembly for Watertight Hatch 3-101-1, including snap hook and shackle

Specification: MIL-R-30500 Material: Polyester Size: 5/8 Inch Diameter (2 Inches Circumference) Line No(s).: SG-1 through SG-3 Remarks: See Mapping Plan Enclosure-02, Sheet 5 of 2.6, and Sheet 10 Detail 74-C of 2.8 for location and detail

1.3.9 Quantity (4 EA), Ramp Plate of Watertight Hatch 3-101-1

Material: OS, MIL-S-22698 GR-A, 10.2 LBs Plate Remarks: See Sheet 5 and Sheet 6 Detail 6-B of 2.6 for detail

1.3.10 Quantity (4 EA), Flush Deck Socket for Portable Hatch Guard Stanchion listed in 1.3.6

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SHIP: LCC-19 CHG/VER: 0/1

Material: CRES 316L, ASTM A276 Remarks: See 2.6, and Sheet 7 Detail 52-C of 2.8 for detail

1.3.11 Quantity (4 EA), Flush Deck Plug for Flush Deck Socket listed in 1.3.10

Material: Brass Alloy, ASTM B21 Remarks: See 2.6, and Sheet 7 Detail 55-C of 2.8 for detail

1.3.12 Quantity (2 EA), Brace Pad on Third Deck Plating for Brace Rod Assembly listed in 1.3.3

Material: CRES 304, ASTM 240 Remarks: See Sheets 3 and 5 of 2.6, and Sheet 2 Detail 11-B of 2.3 for detail

1.3.13 Quantity (2 AY), Brace Rod Assembly

Remarks: See Sheet One of 2.10 for material, and Sheet One Detail 8-A and Detail 6-A of 2.11 for detail, and

2.12 for length

1.3.13.1 Quantity (4 EA), Toggle Eye Bolt with wire rope

Remarks: See Sheet One of 2.10 for material, and Sheet One Detail 8-A and Detail 6-B of 2.11 for detail

1.3.14 Quantity (4 EA), Label Plate, Watertight Hatch

1.3.14.1 Quantity (One EA), Label Plate, Exterior

Material: CRES, Type-II of 2.16 Inscription: 1st. Line: 3-101-1

2nd. Line: SD STOREROOM 3rd. Line: 4-98-9-Q

1.3.14.2 Quantity (One EA), Label Plate, Damage Control Closure Classification, Exterior

Material: CRES, Type-II of 2.16 Remarks: Figure-D of 2.16

1.3.14.3 Quantity (One EA), Label Plate, Interior

Material: Aluminum Alloy, Type-I of 2.16 Inscription: 1st. Line: 3-101-1

2nd. Line: WEATHER

1.3.14.4 Quantity (One EA), Label Plate, Damage Control Closure Classification, Interior

Material: Aluminum Alloy, Type-I of 2.16 Remarks: Figure-D of 2.16

1.4 Security Classification: None.

1.5 Initial Condition:

1.5.1 Potential Lead Hazard

1.5.2 Potential Asbestos Hazard

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SHIP: LCC-19 CHG/VER: 0/1

1.6 Contractor work start date:

1.7 Contractor work completion date:

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

3 DWG 123-

5593573

FLUSH HATCH MODS - Y 1,2

,3

4 DWG 122-

2491848

ACCOM LDR HATCHWAYS 3RD

DK

A Y 1,2 ,4

5 DWG 122-

2491843

HATCH COVER FOR W.T. TRUNK

NO.4-143-1-T

C Y 1,2 ,3

6 PDD 600-

ELM-230332

REPLACEMENT OF PORTABLE

LIFELINE ASSY FOR HATCH (3-

101-1)

- Y AL

L

7 DWG 600-

2491390

GUARD RAILS AROUND

HATCHES

M Y SE

E N

OT

E

8 DWG 804-

5184155

LIFERAILS, LIFELINES &

AWNING STANCHIONS (AL &

STL) DETAILS & L/M

A N

9 DWG 804-

5959308

LIFELINE SYSTEM, KEVLAR

ASSEMBLY AND TESTING

- N

10 DWG 803-

1624096

HATCH WTRTT FL & L PF

RAMPED, INDV DOGGED, 30X48 -

5PSI - ARR

F N

11 DWG 803-

1624106

HATCH WTRTT FL 8L PF

RAMPED, INDV DOGGED, HINGE,

BRACE & CATCH DETAILS

C N

12 DWG 805-

1624080

HATCH W T RAISED

(INDIVIDUALLY DOGGED) 36" X

72" WITHOUT SCUTTLE.

E N

13 MIL MIL-

STD-1689

Fabrication, Welding and Inspection of Ships Structure

A N

14 MIL MIL-

STD-2035

Nondestructive Testing Acceptable Criteria

A N

15 TM

SYSTEMS &

SPECIFICAT

IONS

SSPC Painting Manual Volume 2 - N

16 PDD 602-

ELM-150531

SRF-JRMC STD ELM LABEL

PLATE FOR CLOSURE

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:

1/12/2026

5/15/2027

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SHIP: LCC-19 CHG/VER: 0/1

5.1 Pump out, clean and dry each space listed in 1.2.3 to free from oil, debris, and other foreign matter.

5.2 Remove existing hatch panel of each hatch listed in 1.3.1, using 2.3 through 2.5 for guidance.

5.2.1 Cut and remove existing hinge blades of the hatch in accordance with Enclosure-01.

5.2.1.1 Clean, prepare, and retain removed hinge blades for reinstallation.

5.2.2 Disassemble dog assembly.

5.2.2.1 Clean each part free of dirt, grease and foreign matter.

5.2.3 Remove existing gasket and label plate(s) of each hatch.

5.3 Remove each existing guard rope, portable hatch guard stanchion, deck socket, and ramp plate listed in 1.3.2 through 1.3.5 in accordance with 2.6, using 2.3 and 2.7 for guidance.

5.3.1 Drill hole(s) on the existing ramp for gas free inspection.

5.4 Fabricate each new portable hatch guard stanchion, lifeline assembly, guardline assembly, ramp plate, flush deck socket, flush deck plug, brace pad, and brace rod assembly listed in 1.3.6 through 1.3.13 in accordance with 2.6, 2.8, General Note 2 of 2.9, and 2.10 through 2.12, using 2.4 for guidance.

5.4.1 Accomplish the requirements of 009-12 of 2.1, including Table 2, Column(s) A and D, Lines One through 7.

5.4.2 Accomplish a load test of each top staple of each new staple listed in 1.3.6.1.

(I)(G) “LOAD TEST”

5.4.2.1 Test load must be 3,000 LBs (plus 150 LBs and minus 0 LBs).

5.4.2.2 Hold test load for 10 minutes.

5.4.2.3 No permanent deformation, cracks, separation or visible damage of top staples and portable stanchions is acceptable.

5.4.2.4 Document the test on QA Form 17 Enclosure-03-1.

5.4.3 Accomplish visual (VT) inspection of each new weld of each new staple listed in 1.3.6.1 in accordance with 2.8 and Paragraphs 6.4 and 7.2 of 2.13. The accept or reject criteria must be in accordance with 2.8 and Paragraph 4 Class 3 of 2.14.

(I)(G) “VT INSPECTION”

5.4.3.1 Document the VT inspection on QA Form 17 Enclosure-03-2.

5.4.4 Accomplish a load test of each new lifeline assembly listed in 1.3.7.

(I)(G) “LOAD TEST”

5.4.4.1 Test load must be 3,000 LBs (plus 150 LBs and minus 0 LBs).

5.4.4.2 Hold test load for 10 minutes.

5.4.4.3 No permanent deformation, cracks, separation, snapping, fraying or visible damage of kevlar rope lifeline assembly is acceptable. The both end ropes of the tested lifeline assembly still extend beyond grip cones.

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SHIP: LCC-19 CHG/VER: 0/1

5.4.4.4 Document the test on QA Form 17 Enclosure-03-3.

5.4.5 Accomplish a load test of each new guardline assembly listed in 1.3.8.

(I)(G) “LOAD TEST”

5.4.5.1 Test load must be 1,100 LBs (plus 55 LBs and minus 0 LBs).

5.4.5.2 Hold test load for 10 minutes.

5.4.5.3 No permanent deformation, cracks, snapping, fraying or visible damage of synthetic rope guardline assembly is acceptable.

5.4.5.4 Document the test on QA Form 17, Enclosure-03-4.

5.5 Install each new portable hatch guard station, lifeline assembly, guardline assembly, ramp plate, flush deck socket, flush deck plug, brace pad, and brace rod assembly listed in 1.3.6 through 1.3.13 in accordance with 2.6, General Note 4 of 2.9, and 2.10 through 2.12, using 2.4 and 2.8 for guidance.

5.5.1 Drill hole(s) on existing ramp for gas free inspection.

5.5.2 Install each new toggle eye bolt listed in 1.3.13.1 in accordance with 2.10 and 2.11.

5.5.3 Accomplish build up weld of remaining hole(s) on the existing ramp.

5.5.4 Accomplish the requirements of 009-12 of 2.1, including Table 2, Column(s) A and D, Lines One through 7.

5.5.5 Accomplish the requirements of 009-25 of 2.1 for a local air hose test of each new weld of the flush deck socket. Allowable leakage: None.

5.5.6 Accomplish a hammer test of the flush deck socket in accordance with 2.6.

5.6 Accomplish the requirements of 009-32 of 2.1, including Table 2, Line(s) 21, for exterior surfaces and Table 3, Line(s) 25, for interior surfaces of hatch panel of each hatch listed in 1.3.1, and Table 2, Line(s) 21, for exterior surface of ramp and knife edge angle of the hatch. Application of nonskid system must conform to MIL-PRF-24667, Type V, Composition G.

5.6.1 Near-white blast clean for each hatch panel, ramp, and knife edge angle. Accomplish each requirement of Surface Preparation Specification SSPC-SP 10 of 2.15.

5.7 Prepare and align hatch panel of each hatch listed in 1.3.1 for reinstallation, using 2.3 through 2.5 for guidance.

5.7.1 Fabricate and install new gasket conforming to MIL-PRF-900.

5.8 Reinstall hatch panel of each hatch listed in 1.3.1, using 2.3 through 2.5 for guidance.

5.8.1 Reinstall hinge blades of the hatch in accordance with Enclosure-01.

5.8.2 Reassemble dog assembly.

5.8.2.1 Lubricate each dogging mechanisms.

5.8.3 Adjust each dogging mechanism for unobstructed operation and to obtain 100 percent centered contact with the imprint of chalk in the center three-fifths of the gasket.

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SHIP: LCC-19 CHG/VER: 0/1

5.8.4 Accomplish the requirements of 009-12 of 2.1, including Table 2, Column(s) A, Lines One through 7.

5.9 Accomplish an operational test of each hatch listed in 1.3.1 to assure unobstructed operation. Allowable sticking or binding: None.

(V)(G) “OPERATION TEST”

5.10 Accomplish the requirements of 009-25 of 2.1 for a chalk test of each hatch listed in 1.3.1.

5.11 Accomplish the requirements of 009-25 of 2.1 for a water hose test of each hatch listed in 1.3.1. Allowable leakage: None.

5.12 Fabricate and install new each label plate listed in 1.3.14 in accordance with 2.16.

5.12.1 Accomplish the requirements of 009-12 of 2.1, including Table 2, Column(s) D, Lines One through 7.

5.13 Accomplish the requirements of 009-32 of 2.1 for each new and disturbed surface.

5.14 Notes:

5.14.1 Planner: Code 231B Y. Yoshihara, 243-9984

Planner: Code 232 R. Toriumi, 080-9899-1237 Planner: Code 234 T. Kikuchi, 243-4506 Engineer: Code 250 M. Orishimo,

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

5.14.3 Work per this instruction involves cutting an access (or removal of a door) through a fire zone bulkhead, through the hull of the ship above the turn of the bilge, through ventilation components (ducting, plenums, etc.), or through any air-tight, fume-tight or watertight bulkheads normally used to control air flow in the event of a shipboard fire. A nonflammable closure is required in accordance with COMNAVSEASYSCOM MSG R 261400Z JUL 12. The closure, if not continuously in use, shall be staged near the access, readily visible and accessible, so that any emergency responder can install the closure to affect proper air flow onboard the ship.

5.14.4 WPC will copy the following pages in reference.

REF. 2.7: Pages 3, 3-A, 4-A, 5, 5-A, and 6C.

5.14.5 Provision of oily/chemical water barge will be coordinated by Project Team.

5.14.6 JCN DA02-9738 is related to this TGI.

5.15 Government Furnished Material (GFM):

5.15.1 SRF-JRMC will provide GFM listed in Appendix ”M”.

5.16 SRF-JRMC will provide the following service work: (TGI No. 3819P13327S02).

5.16.1 [C740] Crane and crane rigging service.

5.16.2 [X99E] Utility service, electrical.

5.16.3 [X99M] Utilities service, including water supply, steam supply, and low pressure air supply except onboard blasting work.

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

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SHIP: LCC-19 CHG/VER: 0/1

5.16.5 [C106.2] Gas free inspection for SRF-JRMC employees.

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

5.16.7 [C135] QA inspection for (G) symbol(s).

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J-1

SHIP: LCC-19 CHG/VER: 0/1

APPENDIX "J"

TGI JOB SUMMARY INFORMATION SHEET

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

VERSION:

CASREP

CAT:

HATCH 3-101-1 AY A 0 1

CU PHASE TITLE:

F/O - OVERHAUL WATERTIGHT HATCH 3-101-1 AND REPLACE LIFELINE/GUARDLINE ASSEMBLY

PRIMARY COMPONENT:

COMPONENT UNIT LIST (FOR ASSEMBLIES):

HATCH 3-101-1 HA LIFE LINE 3RD DECK RZ 3RD DECK WEA STBD MS CMPT 4-98-9-Q

MS

ATTACHMENT LIST:

1. ENCLOSURE-01 (3819P13327A01-Engrg Inst.pdf) saved on 01-AUG-2024 0000.

2. ENCLOSURE-02 (3819P13327A01-Map.pdf) saved on 01-AUG-2024 0000.

3. ENCLOSURE-03 (3819P13327A01-QA17.docx) saved on 01-AUG-2024 0000.

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

YAGINUMA ,TAKEHIDE

JO: KO: TOTAL MAN HRS: PLANNING ACCEPTANCE:

3819P13327 A01

TOTAL MAT’L COST TOTAL DURATION:

CU PHASE DESCRIPTION:

The purpose of this TGI is to overhaul watertight hatch 3-101-1 and replace lifeline/guardline assembly.

Location of Work:

Sponson, Third Deck Weather, Frame 101, Starboard Sponson, Third Deck Weather, Frame 101, Port SD Storeroom (4-98-9-Q) Fleet Plants OPT (4-98-7-Q) Crew Living Space (5-98-01-L) Crew Washroom Water Closet, Shower and Decontamination Station (5-101-1-L) Crew Living Space (6-98-0-L) Fire Room (8-76-0-E) Engine Room (8-86-0-E) Shaft Alley (9-98-0-Q)

TASK NAME

SHOP TSD/WC TS CREW# MHRS

HIGH RAD

HOURS

RC

GRID#

5.1 PNTR HRs, LBR HRs 22 KE PC

5.2 SFTR HRs, WELD HRs, CARP HRs, PNTR HRs, LBR HRs, RGRS HRs

22 KE PC

5.3 SFTR HRs, WELD HRs, OMCH HRs, PFTR HRs, INSL HRs, BLRM HRs, PNTR HRs, RGRS HRs, QA HRs

22 KE PC

5.4 SFTR HRs, WELD HRs, IMCH HRs, RGRS HRs, QA HRs 22 KE PC

5.5 SFTR HRs, WELD HRs, PNTR HRs, RGRS HRs, QA HRs 22 KE PC

5.6 PNTR HRs, CARP HRs,QA HRs 22 KE PC

5.7 SFTR HRs 22 KE PC

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J-2

SHIP: LCC-19 CHG/VER: 0/1

TASK NAME

SHOP TSD/WC TS CREW# MHRS

HIGH RAD

HOURS

RC

GRID#

5.8 SFTR HRs, WELD HRs, CARP HRs, RGRS HRs, QA HRs 22 KE PC

5.9 SFTR HRs 22 KE PC

5.10 SFTR HRs 22 KE PC

5.11 SFTR HRs 22 KE PC

5.12 SFTR HRs, WELD HRs, QA HRs 22 KE PC

5.13 PNTR HRs, QA HRs 22 KE PC

Structure Work CFM: $ for fire watch cost, confined space watch cost, lead sampling/analysis cost, label plate cost, air compressor rental cost and fuel oil cost for air hose test, and misc such as electrode, gases, temporary closure/covering material, tyvek suit, tape, and other consumable.

22 MQ CS

Machinery Work CFM: $ for misc such as covering material, plastic sheet, tape, fastener, gasket, asbestos sampler cost and analysis cost for gasket, and any other consumable.

22 MQ CS

Piping Work CFM: $ for marine chemist, lead sampling cost, welding materials, gases, paint, fire watch cost, and other consumable.

22 MQ CS

Preservation Work CFM: $ for all paints, thinner, grits including disposal cost, confined space watch cost, and misc such as temporary covering/enclosure material, and other consumable.

22 MQ CS

Process Funding Document 10 CT OM

Version-1: change “Copy Req’d” of Reference 2.8 through 2.12.

C231B R. Takagi, 8/1/2024. -/-/N

V-01

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M-1

SHIP: LCC-19 CHG/VER: 0/1

APPENDIX “M”

TGI MATERIAL LIST

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

VERSION:

CASREP

CAT:

HATCH 3-101-1 AY A 0 1

CU PHASE TITLE:

F/O - OVERHAUL WATERTIGHT HATCH 3-101-1 AND REPLACE LIFELINE/GUARDLINE ASSEMBLY

MATERIAL REFERENCES

REF

NO.

DOCUMENT/DRAWING

NUMBER

DOCUMENT/DRAWING TITLE REV

1 122-2491848

JOB ORDER: KEY OP:

3819P13327 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

001 M ROPE,3-STRAND TWISTE,

ROPE, 3-STRAND TWISTED,

SIZE 5/8"DIA X 600FT/REEL,

2.0" CIRC, WHITE COLOR,

POLYESTER, AVE BREAK

STRENGTH 10537.

1RL=600FT, GSA ADVANTAGE

ITEM.

ORIG: C231B, Y.YOSHIHARA,

243-9984

ORDER FOR KTR

9B 4010 LL9004534 NA 4 N 41997442 1/RL

002 M ANCHOR S, ORIG: C231B,

Y.YOSHIHARA, 243-9984

ORDER FOR KTR

9B 4030 LL9004302 NA 4 N 41997439 3/EA

003 M SNAP HOOK, ORIG: C231B,

Y.YOSHIHARA, 243-9984

ORDER FOR KTR

9B 5340 014469461 NA 4 N 41995073 3/EA

004 M ROPE,FIBROUS, ORIG: C231B,

Y.YOSHIHARA, 243-9984

ORDER FOR KTR

9B 4020 013584655 NA 4 N 41995083 40/FT

NOTES:

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M-2

SHIP: LCC-19 CHG/VER: 0/1

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

005 M TURNBUCKLE, ORIG: C231B,

Y.YOSHIHARA, 243-9984

ORDER FOR KTR

9B 5340 012676232 NA 4 N 41995070 6/AY

006 M HOOK,SIS, ORIG: C231B,

Y.YOSHIHARA, 243-9984

ORDER FOR KTR

9B 4030 012676224 NA 4 N 41995093 6/AY

007 M PACKING, ORIG: C231B,

Y.YOSHIHARA, 243-9984

ORDER FOR KTR

9B 5330 002629436 NA 4 Y 41995094 1/CN

008 M PLATE,ME, ORIG: C231B,

Y.YOSHIHARA, 243-9984

ORDER FOR X11

9B 9515 002044622 NA 4 N 31755043 1/SF

009 M BAR, METAL, 3"DIA, BAR,

METAL, ROUND, 3"DIA, CRES

316L, ASTM A276, CONDITION

A.

10 FT CONTINUOUS LENGTH X

1 EA

ORIG: C231B, Y.YOSHIHARA,

243-9984

ORDER FOR X31M

9B 9510 LL9801233 NA 4 N 31897434 10/FT

010 M PLATE,METAL, ORIG: C231B,

Y.YOSHIHARA, 243-9984

ORDER FOR X11

9B 9515 002044573 NA 4 N 31815148 1/PM

011 M BAR, METAL, 5/8"DIA,, BAR,

METAL, ROUND, 5/8"DIA, CRES

316L, ANNEALED, ASTM A276

CONDITION A, HOT FINISHED.

10 FT CONTINUOUS LENGTH X

1 EA

ORIG: C231B, Y.YOSHIHARA,

243-9984

ORDER FOR X11

9B 9510 LL9001746 NA 4 N 31807516 10/FT

012 M PLATE,ME, ORIG: C231B,

Y.YOSHIHARA, 243-9984

ORDER FOR X11

9B 9515 002336261 NA 4 N 31755051 1/PM

013 M BAR, METAL, 5/8"DIA,, BAR,

METAL, ROUND, 5/8"DIA, CRES

316L, ANNEALED, ASTM A276

CONDITION A, HOT FINISHED.

10 FT CONTINUOUS LENGTH X

1 EA

ORIG: C231B, Y.YOSHIHARA,

243-9984

ORDER FOR X11

9B 9510 LL9001746 NA 4 N 31807517 10/FT

014 M BAR,METAL, ORIG: C231B,

Y.YOSHIHARA, 243-9984

ORDER FOR X31M

9B 9530 001671935 NA 4 N 31815111 2/FT

FOUO

M-3

SHIP: LCC-19 CHG/VER: 0/1

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

015 M TUBE,METAL,2-1/2"OD, TUBE,

METAL, SEAMLESS,

SPEC: ASTM A269 GR TP316

SIZE: 2-1/2" OD X 0.187" THK,

MATL: CRES 316L,

10 FT CONTINUOUS LENGTH X

1 EA

ORIG: C231B, Y.YOSHIHARA,

243-9984

ORDER FOR X11

9B 4710 LL9307852 NA 4 N 31817537 10/FT

016 M BAR, METAL, 5/8"DIA,, BAE,

METAL, ROUND, 5/8"DIA, CRES

316L, ANNEALED, ASTM A276

CONDITION A, HOT FINISHED.

10 FT CONTINUOUS LENGTH X

1 EA

ORIG: C231B, Y.YOSHIHARA,

243-9984

ORDER FOR X11

9B 9510 LL9001746 NA 4 N 31807515 10/FT

017 M BAR, METAL, 3"DIA, 3, ORIG:

C231B, Y.YOSHIHARA, 243-

ORDER FOR X11

BAR, METAL, ROUND, 3"DIA,

CRES 316L, ASTM A276,

CONDITION A.

10 FT CONTINUOUS LENGTH X

1 EA

9B 9510 LL9801233 NA 4 N 31807514 10/FT

018 M TUBE,METAL,2-1/2"OD, TUBE,

METAL, SEAMLESS,

SPEC: ASTM A269 GR TP316

SIZE: 2-1/2" OD X 0.187" THK,

MATL: CRES 316L,

10 FT CONTINUOUS LENGTH X

1 EA

ORIG: C231B, Y.YOSHIHARA,

243-9984

ORDER FOR X11

9B 4710 LL9307852 NA 4 N 31817536 10/FT

019 M GASKET, GASKET,

SPEC: MIL-PRF-900,

DUROMETER,: 45,

THK: 1/2",

WIDE: 1-1/2",

MATL: SYNTHETIC RUBBER.

REMARKS: 3/16" X 45

DEGREES CHAMFERED

CORNERS(3/16" X 45 DEG),

40 FEET CONTINUOUS

LENGTH X 1 EA

ORIG: C231B, Y.YOSHIHARA,

243-9984

ORDER FOR X11

9B 5330 LL9301411 NA 4 N 31587464 40/FT

020 M BAR, METAL, 1/4"DIA,, BAR,

METAL, ROUND, 1/4"DIA,

CARBON STEEL ,

ASTM A36.

ORIG: C231B, Y.YOSHIHARA,

243-9984

ORDER FOR X11

9B 9510 LL9301414 NA 4 N 31787457 10/FT

FOUO

M-4

SHIP: LCC-19 CHG/VER: 0/1

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

021 M TOGGLE EYE BOLT, ORIG:

C231B, Y.YOSHIHARA, 243-

ORDER FOR X11

TOGGLE EYE BOLT,

CONSISTS OF CRES, EYE

BOLT & NAVAL BRASS RIVET &

NAVAL BRASS TOGGLE, USE

FOR WATERTIGHT HATCH,

NAVSEA DWG: 803-1624106

DETAIL 6-B, PC-79, 80, 81.

(REF: 803-1624135 PC-24, 25 &

28).

9B 5306 LL9306704 NA 4 N 31817531 4/EA

022 M SHEET,METAL, ORIG: C231B,

Y.YOSHIHARA, 243-9984

ORDER FOR X11

9B 9515 002044595 NA 4 N 32105101 1/SH

023 M PLATE,ME, ORIG: C231B,

Y.YOSHIHARA, 243-9984

ORDER FOR X11

9B 9515 002375333 NA 4 N 31825083 2/SF

024 M PIPE,METALLIC, ORIG: C231B,

Y.YOSHIHARA, 243-9984

ORDER FOR X11

9B 4710 002778705 NA 4 N 31785105 12/FT

025 M THRUST BEARING, SIZE 1-

3/8"ID X 1-15/16"OD X 1/8"THK,

OIL IMPG BRZ, SIM TO

BEEMER ENG CO STOCK LIST

#65

ORIG: C231B, Y.YOSHIHARA,

243-9984

ORDER FOR X11

9B 3120 LL9301354 NA 4 N 31617505 28/EA

026 M PIN, LOCK, PIN, LOCK, SIM TO

DRIV LOK HIGH-ALLOY,

SHEAR-PROOF PIN TYPE A

SS-312-2250

ORIG: C231B, Y.YOSHIHARA,

243-9984

ORDER FOR X11

9B 5315 LL9301347 NA 4 N 31617493 14/EA

027 M SCREW, MACHINE, SCREW,

MACHINE, SIZE 1/2"-13UNC-2A

X 1"LG, SELF-LOCKING,

HEXAGON HEAD, SIMILAR TO

NYLOK #M38 WITH PELLET,

CRES

ORIG: C231B, Y.YOSHIHARA,

243-9984

ORDER FOR X11

9B 5305 LL9301351 NA 4 N 31617499 28/EA

028 M SLEEVE BEARING, OIL IMPG,

SIZE 1-3/8"ID X 1-5/8"OD X 1-

1/8"LG, BRONZE, SIMILAR TO

BEEMER ENG CO STOCK LIST

#85

ORIG: C231B, Y.YOSHIHARA,

243-9984

ORDER FOR X11

9B 3120 LL9301352 NA 4 N 31617501 14/EA

029 26 1 M O-RING, ORDER FOR X11

ORIG: C-226 Y.TSUCHIYA 080-

9350-1436

9B 5331 004440849 NA 4 N 31585099 14/EA

FOUO

M-5

SHIP: LCC-19 CHG/VER: 0/1

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

030 M SCREW, MACHINE, SIZE #10-

32UNF-3A X 5/16"LG, ROUND

HEAD, BRASS, FF-S-92 TY I

STYLE 1S

ORIG: C231B, Y.YOSHIHARA,

243-9984

ORDER FOR X11

9B 5305 LL9301358 NA 4 N 31617513 28/EA

031 M PACKING PLUNGER, PACKING

PLUNGER, SIZE 0.248"DIA X 1-

1/2"OVERALL LG, CRES 304,

QQ-S-763 CL 304 COND A

ORIG: C231B, Y.YOSHIHARA,

243-9984

ORDER FOR X11

9B 5330 LL9301348 NA 4 N 31617495 14/EA

032 M SCREW, CAP, SCREW, CAP,

SIZE 1/2"DIA X 4"LG, FILLISTER

HEAD, CRES, FF-S-85 STYLE

ORIG: C231B, Y.YOSHIHARA,

243-9984

ORDER FOR X11

9B 5305 LL9301349 NA 4 N 31617497 14/EA

033 M SPRING, CATCH, PH BRONZE,

QQ-B-750, CMPOSISION A,

SPR OR ASTM B103, ALLOY

C51000, TEMPER H08

ORIG: C231B, Y.YOSHIHARA,

243-9984

ORDER FOR X11

9B 5340 LL9301357 NA 4 N 31617511 14/EA

034 M SLEEVE BEARING, SIZE 1-

3/8"ID X 1-5/8"OD X 1-1/2"LG,

OIL IMPG BRZ, SIM TO

BEEMER ENG CO STOCK

LIST#85

ORIG: C231B, Y.YOSHIHARA,

243-9984

ORDER FOR X11

9B 4730 LL9301353 NA 4 N 31617503 14/EA

035 M STRING, PACKING, SIZE

1/8"DIA X 5FT CONTINUOUS

LG, PLASTIC, MIL-P-17578

TYPE II

ORIG: C231B, Y.YOSHIHARA,

243-9984

ORDER FOR X11

9B 5330 LL9301355 NA 4 N 31617507 5/FT

036 M PACKING MATERIAL, ORIG:

C231B, Y.YOSHIHARA, 243-

ORDER FOR X11

9B 5330 002629437 NA 4 Y 31885095 3/YD

037 M PACKING, ORIG: C231B,

Y.YOSHIHARA, 243-9984

ORDER FOR X11

9B 5330 002629436 NA 4 Y 33175095 1/CN

038 M O-RING, ORIG: C231B,

Y.YOSHIHARA, 243-9984

ORDER FOR X11

9B 5331 004440849 NA 4 N 40685161 1/EA

039 M PACKING, ORIG: C231B,

Y.YOSHIHARA, 243-9984

ORDER FOR X11

9B 5330 002629436 NA 4 Y 31885138 1/CN

FOUO

M-6

SHIP: LCC-19 CHG/VER: 0/1

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

200 M SHEET,NONMETALLIC,P,

ORDERED FOR X37E

ORI: CODE 232 R. TORIUMI

080-9899-1237

GARLOCK STYLE 9900

1/16 THK 60 X 60

9B 9390 014653232 NA 4 N 31715147 1/SH

201 M COMPLETE KIT, GASKET,

ORDERED FOR X37E

ORI: CODE 232 R. TORIUMI

080-9899-1237

COMPLETE KIT, GASKET &

INSULATION,

1. FLANGE SIZE & PRESSURE

RATING : 8" IPS, 150#

2. FLANGE SPEC : ASME B16.5

3. GASKET : PGE, RAISED

FACE (TYPE-F)

4. SEAL TYPE FOR GASKET :

NITRILE

5. INSULATING WASHER

MATERIAL : G-10/DOUBLE

9B 5330 LL9306599 NA 4 N 31717483 1/EA

202 M GASKET,SPIRAL WOUND,

ORDERED FOR X37E

ORI: CODE 232 R. TORIUMI

080-9899-1237

TY-2, CL-C 15 SERIES 10"

9B 5330 014246787 NA 4 N 31715149 2/EA

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:

LCC-19 HATCH 3-101-1 AY A 0

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

3819P13327 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:

LCC-19 HATCH 3-101-1 AY A 0

Yuuichi.Yoshihara.ja Text Box 3819P13327A01

Yuuichi.Yoshihara.ja_1

ENCLOSURE-01

Yuuichi.Yoshihara.ja_2

ENCLOSURE-01

Yuuichi.Yoshihara.ja_3

3819P13327A01

Yuuichi.Yoshihara.ja_4 Rectangle

Yuuichi.Yoshihara.ja_5 Rectangle

Yuuichi.Yoshihara.ja_6 Rectangle

Yuuichi.Yoshihara.ja_7 Rectangle

Yuuichi.Yoshihara.ja_8 Rectangle

Yuuichi.Yoshihara.ja_9 Rectangle

Yuuichi.Yoshihara.ja_10 Rectangle

Yuuichi.Yoshihara.ja_11 Line

Yuuichi.Yoshihara.ja_12 Rectangle

Yuuichi.Yoshihara.ja_13 Rectangle

Yuuichi.Yoshihara.ja_14 Rectangle

Yuuichi.Yoshihara.ja_15 Rectangle

Yuuichi.Yoshihara.ja_16 Rectangle

Yuuichi.Yoshihara.ja_17 Rectangle

Yuuichi.Yoshihara.ja_18 Rectangle

Yuuichi.Yoshihara.ja_19 Rectangle

Yuuichi.Yoshihara.ja_20 Rectangle

Yuuichi.Yoshihara.ja_21 Rectangle

Yuuichi.Yoshihara.ja_22 Rectangle

Yuuichi.Yoshihara.ja_23 Rectangle

Yuuichi.Yoshihara.ja_24 Rectangle

Yuuichi.Yoshihara.ja_25 Rectangle

Yuuichi.Yoshihara.ja_26 Rectangle

Yuuichi.Yoshihara.ja_27 Rectangle

Yuuichi.Yoshihara.ja_28 Rectangle

Yuuichi.Yoshihara.ja_29 Rectangle

Yuuichi.Yoshihara.ja_30 Rectangle

Yuuichi.Yoshihara.ja_31 Line

Yuuichi.Yoshihara.ja_32 Rectangle

Yuuichi.Yoshihara.ja_33 Rectangle

Yuuichi.Yoshihara.ja_34 Rectangle

Yuuichi.Yoshihara.ja_35 Rectangle

Yuuichi.Yoshihara.ja_36 Rectangle

Yuuichi.Yoshihara.ja_37 Rectangle

Yuuichi.Yoshihara.ja_38 Rectangle

Yuuichi.Yoshihara.ja_39 Rectangle

Yuuichi.Yoshihara.ja_40 Rectangle

Yuuichi.Yoshihara.ja_41 Rectangle

Yuuichi.Yoshihara.ja_42 Rectangle

Yuuichi.Yoshihara.ja_43 Rectangle

Yuuichi.Yoshihara.ja_44 Rectangle

Yuuichi.Yoshihara.ja_45 Rectangle

Yuuichi.Yoshihara.ja_46 Rectangle

Yuuichi.Yoshihara.ja_47 Rectangle

Yuuichi.Yoshihara.ja_48 Rectangle

Yuuichi.Yoshihara.ja_49 Rectangle

Yuuichi.Yoshihara.ja_50 Rectangle

Yuuichi.Yoshihara.ja_51 Rectangle

Yuuichi.Yoshihara.ja_52 Rectangle

Yuuichi.Yoshihara.ja_53 Rectangle

Yuuichi.Yoshihara.ja_54 Rectangle

Yuuichi.Yoshihara.ja_55 Rectangle

Yuuichi.Yoshihara.ja_56 Rectangle

Yuuichi.Yoshihara.ja_57 Rectangle

Yuuichi.Yoshihara.ja_58 Rectangle

Yuuichi.Yoshihara.ja_59 Rectangle

Yuuichi.Yoshihara.ja_60 Rectangle

Yuuichi.Yoshihara.ja_61 Rectangle

Yuuichi.Yoshihara.ja_62 Rectangle

Yuuichi.Yoshihara.ja_63 Rectangle

Yuuichi.Yoshihara.ja_64 Rectangle

Yuuichi.Yoshihara.ja_65 Rectangle

Yuuichi.Yoshihara.ja_66 Rectangle

Yuuichi.Yoshihara.ja_67 Rectangle

Yuuichi.Yoshihara.ja_68 Rectangle

Yuuichi.Yoshihara.ja_69 Text Box Top: KL-1

Yuuichi.Yoshihara.ja_70 Text Box Intermediate: KL-2

Yuuichi.Yoshihara.ja_71 Text Box Lower: KL-3

Yuuichi.Yoshihara.ja_72 Text Box Kevlar Rope Lifeline Assembly (3 AY)

Yuuichi.Yoshihara.ja_73 Line

Yuuichi.Yoshihara.ja_74 Line

Yuuichi.Yoshihara.ja_75 Line

Yuuichi.Yoshihara.ja_76 Line

Yuuichi.Yoshihara.ja_77 Line

Yuuichi.Yoshihara.ja_78 Text Box Synthetic Rope Guardline Assembly (3 AY)

Yuuichi.Yoshihara.ja_79 Line

Yuuichi.Yoshihara.ja_80 Line

Yuuichi.Yoshihara.ja_81 Line

Yuuichi.Yoshihara.ja_82 Text Box Lower: SG-3

Yuuichi.Yoshihara.ja_83 Line

Yuuichi.Yoshihara.ja_84 Line

Yuuichi.Yoshihara.ja_85 Text Box Intermediate: SG-2

Yuuichi.Yoshihara.ja_86 Text Box Top: SG-1

Yuuichi.Yoshihara.ja_87 Rectangle

Yuuichi.Yoshihara.ja_88 Line

Yuuichi.Yoshihara.ja_89 Text Box Top: KL-4

Yuuichi.Yoshihara.ja_90 Line

Yuuichi.Yoshihara.ja_91 Line

Yuuichi.Yoshihara.ja_92 Line

Yuuichi.Yoshihara.ja_93 Text Box Lower: KL-6

Yuuichi.Yoshihara.ja_94 Text Box Intermediate: KL-5

Yuuichi.Yoshihara.ja_95 Text Box Kevlar Rope Lifeline Assembly (3 AY)

Yuuichi.Yoshihara.ja_96 Line

Yuuichi.Yoshihara.ja_97 Text Box

PLAN VIEW

Yuuichi.Yoshihara.ja_98 Text Box

MAPPING PLAN

Yuuichi.Yoshihara.ja_99 Text Box

ENCLOSURE-02

Yuuichi.Yoshihara.ja_100 Text Box

SHEET 1 OF 1

Yuuichi.Yoshihara.ja_101 Text Box 3819P13327A01

Yuuichi.Yoshihara.ja_102 Line

Yuuichi.Yoshihara.ja_103 Line

Yuuichi.Yoshihara.ja_104 Line

Yuuichi.Yoshihara.ja_105 Text Box Staple (3 EA)

Yuuichi.Yoshihara.ja_106 Line

Yuuichi.Yoshihara.ja_107 Line

Yuuichi.Yoshihara.ja_108 Text Box Top: ST-16

Yuuichi.Yoshihara.ja_109 Line

Yuuichi.Yoshihara.ja_110 Text Box Intermediate: ST-17

Yuuichi.Yoshihara.ja_111 Line

Yuuichi.Yoshihara.ja_112 Text Box Lower: ST-18

Yuuichi.Yoshihara.ja_113 Line

Yuuichi.Yoshihara.ja_114 Text Box Staple (3 EA)

Yuuichi.Yoshihara.ja_115 Line

Yuuichi.Yoshihara.ja_116 Text Box Top: ST-13

Yuuichi.Yoshihara.ja_117 Line

Yuuichi.Yoshihara.ja_118 Line

Yuuichi.Yoshihara.ja_119 Text Box Intermediate: ST-14

Yuuichi.Yoshihara.ja_120 Line

Yuuichi.Yoshihara.ja_121 Text Box Lower: ST-15

Yuuichi.Yoshihara.ja_122 Line

Yuuichi.Yoshihara.ja_123 Line

Yuuichi.Yoshihara.ja_124 Text Box Staple (3 EA)

Yuuichi.Yoshihara.ja_125 Line

Yuuichi.Yoshihara.ja_126 Text Box Top: ST-10

Yuuichi.Yoshihara.ja_127 Line

Yuuichi.Yoshihara.ja_128 Line

Yuuichi.Yoshihara.ja_129 Text Box Intermediate: ST-11

Yuuichi.Yoshihara.ja_130 Line

Yuuichi.Yoshihara.ja_131 Text Box Lower: ST-12

Yuuichi.Yoshihara.ja_132 Line

Yuuichi.Yoshihara.ja_133 Line

Yuuichi.Yoshihara.ja_134 Text Box Staple (3 EA)

Yuuichi.Yoshihara.ja_135 Line

Yuuichi.Yoshihara.ja_136 Text Box Top: ST-7

Yuuichi.Yoshihara.ja_137 Line

Yuuichi.Yoshihara.ja_138 Line

Yuuichi.Yoshihara.ja_139 Text Box Intermediate: ST-8

Yuuichi.Yoshihara.ja_140 Line

Yuuichi.Yoshihara.ja_141 Text Box Lower: ST-9

Yuuichi.Yoshihara.ja_142 Line

Yuuichi.Yoshihara.ja_143 Line

Yuuichi.Yoshihara.ja_144 Text Box Staple (3 EA)

Yuuichi.Yoshihara.ja_145 Line

Yuuichi.Yoshihara.ja_146 Text Box Top: ST-4

Yuuichi.Yoshihara.ja_147 Line

Yuuichi.Yoshihara.ja_148 Line

Yuuichi.Yoshihara.ja_149 Text Box Intermediate: ST-5

Yuuichi.Yoshihara.ja_150 Line

Yuuichi.Yoshihara.ja_151 Text Box Lower: ST-6

Yuuichi.Yoshihara.ja_152 Line

Yuuichi.Yoshihara.ja_153 Line

Yuuichi.Yoshihara.ja_154 Text Box Staple (3 EA)

Yuuichi.Yoshihara.ja_155 Line

Yuuichi.Yoshihara.ja_156 Text Box Top: ST-1

Yuuichi.Yoshihara.ja_157 Line

Yuuichi.Yoshihara.ja_158 Line

Yuuichi.Yoshihara.ja_159 Text Box Intermediate: ST-2

Yuuichi.Yoshihara.ja_160 Line

Yuuichi.Yoshihara.ja_161 Text Box Lower: ST-3

Yuuichi.Yoshihara.ja_162 Line

COMUSFLTFORCOMINST 4790.3 REV D CHG 3

07 Nov 2023

3819P13327A01 ENCLOSURE-03-1 TOTAL 4

TEST AND INSPECTION RECORD

QA FORM 17 Planning must fill in blocks identified by a prior to issuing

1. SHIP HULL NO. 2. JCN 3. LWC/SHOP 4. CWP/REC SER NO. 5. SYSTEM/COMPONENT

USS BLUE RIDGE LCC-19 DA02-9738 KTR N/A Lifeline/Guardline Stanchion

6. REFERENCES (COMPONENT DETAIL/ASSEMBLY DRAWING AND REV)

A. JFMM Rev. D Chg-3 Vol IV Ch 13 B. Dwg 804-5184155 Rev. A C. ELM 600-230332 Rev. “-“

D. E. F.

7. PART DESCRIPTION/PIECE NO.: Staple on Lifeline/Guardline Stanchion, See Mapping Plan Enclosure-02

8. DESCRIPTION OF TEST AND/OR INSPECTION:

STATIC LOAD TEST FOR TOP STAPLE ON LIFELINE/GUARDLINE STANCHION

Total of 6 EA top staple(s) on lifeline/guardline assembly in accordance with Reference C.

1. Rig the load indicating device to the top staple using rigging gear equipment (shackles, wire rope and etc).

2. Observe the load indicating device and slowly apply a static test load of 3,000 (+150, -0) LBs perpendicular to stanchion. Hold for 10 minutes.

3. Slowly release the test load and visually inspect the tested staple on the stanchion to meet the following acceptance criteria.

ACCEPTANCE CRITERIA

There must be no permanent deformation, cracks, separation or visible damage of staple and stanchion.

9. RESULTS:

Use Continuation Sheet-1.

10. CRAFTSMAN SIGNATURE DATE 11. QA INSPECTOR SIGNATURE DATE

12. RECORD HAS BEEN REVIEWED FOR COMPLETENESS

QA WCS SIGNATURE (QAO/QAS SIGNATURE FOR SUBSAFE/SOC/SFCC ONLY) DATE

3819P13327A01 ENCLOSURE-03-1 (Continuation Sheet-1) TOTAL 4

9. RESULTS (Continued):

TEST ITEM TEST LOAD TEST DURATION TEST RESULT

STAPLE No. ST-1 LBs Min SAT / UNSAT STAPLE No. ST-4 LBs Min SAT / UNSAT STAPLE No. ST-7 LBs Min SAT / UNSAT

STAPLE No. ST-10 LBs Min SAT / UNSAT STAPLE No. ST-13 LBs Min SAT / UNSAT STAPLE No. ST-16 LBs Min SAT / UNSAT

TEST LOAD: 3,000 (+150, -0) LBs / TEST DURATION: 10 MINUTES (References A, B and C)

ACCEPTANCE CRITERIA

There must be no permanent deformation, cracks, separation or visible damage of staple and stanchion.

*TEST FIXTURE INFO:

3819P13327A01 ENCLOSURE-03-2 TOTAL 4

TEST AND INSPECTION RECORD

QA FORM 17 Planning must fill in blocks identified by a prior to issuing

1. SHIP HULL NO. 2. JCN 3. LWC/SHOP 4. CWP/REC SER NO. 5. SYSTEM/COMPONENT

USS BLUE RIDGE LCC-19 DA02-9738 KTR N/A Lifeline/Guardline Stanchion

6. REFERENCES (COMPONENT DETAIL/ASSEMBLY DRAWING AND REV)

A. Dwg 804-5184155 Rev. A B. ELM 600-230332 Rev. “-“ C. MIL-STD-1689 Rev. A

D. MIL-STD-2035 Rev. A E. F.

7. PART DESCRIPTION/PIECE NO.: Staple on Lifeline/Guardline Stanchion, See Mapping Plan Enclosure-02

8. DESCRIPTION OF TEST AND/OR INSPECTION:

Visual (VT) inspection of each new weld of staples (ST-1, ST-2, ST-3, ST-4, ST-5, ST-6, ST-7, ST-8, ST-9, ST- 10, ST-11, ST-12, ST-13, ST-14, ST-15, ST-16, ST-17, and ST-18) in accordance with Reference A, Reference B, and Paragraphs 6.4 and 7.2 of Reference C. The accept or reject criteria must be in accordance with Reference A and Paragraph 4 Class 3 of Reference D.

9. RESULTS:

10. CRAFTSMAN SIGNATURE DATE 11. QA INSPECTOR SIGNATURE DATE

3819P13327A01 ENCLOSURE-03-3 TOTAL 4

TEST AND INSPECTION RECORD

QA FORM 17 Planning must fill in blocks identified by a prior to issuing

1. SHIP HULL NO. 2. JCN 3. LWC/SHOP 4. CWP/REC SER NO. 5. SYSTEM/COMPONENT

USS BLUE RIDGE LCC-19 DA02-9738 KTR N/A Stanchion Lifeline

6. REFERENCES (COMPONENT DETAIL/ASSEMBLY DRAWING AND REV)

A. JFMM Rev. D Chg-3 Vol IV Ch 13 B. Dwg 804-5959308 Rev. “-“ C. ELM 600-230332 Rev. “-“

D. E. F.

7. PART DESCRIPTION/PIECE NO.:

Kevlar Rope Lifeline Assembly

8. DESCRIPTION OF TEST AND/OR INSPECTION:

STATIC LOAD TEST FOR KEVLAR ROPE LIFELINE ASSEMBLY

Total of kevlar lifeline assembly – 6 AY

1. Rig the one end of lifeline assembly to appropriate fixture (bitt or ground structure) using rigging gear equipment (shackles, wire rope and etc.).

2. Rig the load indicating device to the other end of lifeline assembly using rigging gear equipment.

3. Observe the load indicating device and slowly apply a static test load of 3,000 (+150, -0) LBs to the lifeline assembly. Hold for 10 minutes. Record test data below.

4. Slowly release the test load from tested lifeline assembly. Remove sleeve from socket and visually inspect the tested lifeline assembly to meet the following acceptance criteria. Record test result below.

ACCEPTANCE CRITERIA

There must be no permanent deformation, cracks, separation, snapping, fraying or visible damage of tested lifeline assembly. The both end ropes of the tested lifeline assembly still extend beyond grip cones.

5. Restore the removed sockets to sleeves of both ends on the tested lifeline assembly.

9. RESULTS:

Use Continuation Sheet-1.

10. CRAFTSMAN SIGNATURE DATE 11. QA INSPECTOR SIGNATURE DATE

3819P13327A01 ENCLOSURE-03-3 (Continuation Sheet-1) TOTAL 4

9. RESULTS (Continued):

TEST ITEM TEST LOAD TEST DURATION TEST RESULT

LIFELINE No. KL-1 LBs Min SAT / UNSAT

LIFELINE No. KL-2 LBs Min SAT / UNSAT

LIFELINE No. KL-3 LBs Min SAT / UNSAT

LIFELINE No. KL-4 LBs Min SAT / UNSAT

LIFELINE No. KL-5 LBs Min SAT / UNSAT

LIFELINE No. KL-6 LBs Min SAT / UNSAT

TEST LOAD = 3,000 (+150, -0) LBs / TEST DURATION = 10 MINUTES (Reference A and B)

ACCEPTANCE CRITERIA

There must be no permanent deformation, cracks, separation, snapping, fraying or visible damage of lifeline assembly.

The both end ropes of the tested lifeline assembly still extend beyond grip cones.

3819P13327A01 ENCLOSURE-03-4 TOTAL 4

TEST AND INSPECTION RECORD

QA FORM 17 Planning must fill in blocks identified by a prior to issuing

1. SHIP HULL NO. 2. JCN 3. LWC/SHOP 4. CWP/REC SER NO. 5. SYSTEM/COMPONENT

USS BLUE RIDGE LCC-19 DA02-9738 KTR N/A LIFELINE STANCHON

6. REFERENCES (COMPONENT DETAIL/ASSEMBLY DRAWING AND REV)

A. JFMM Rev. D Chg-3 Vol IV Ch 13 B. Dwg 804-5184155 Rev. A C. ELM 600-230332 Rev. “-“

D. E. F.

7. PART DESCRIPTION/PIECE NO.:

Synthetic Rope Guardline Assembly

8. DESCRIPTION OF TEST AND/OR INSPECTION:

STATIC LOAD TEST FOR SYNTHETIC ROPE GUARDLINE ASSEMBLY

Total of 3 AY synthetic rope guardine assembly in accordance with Reference C.

1. Rig one end of synthetic rope guardline assembly to appropriate fixture (bitt or ground structure) using rigging gear equipment (shackles, wire rope and etc.).

2. Rig the load indicating device to another end of synthetic rope guardline assembly using rigging gear equipment.

3. Observe the load indicating device and slowly apply a static test load of 1,100 (+55, -0) LBs to the synthetic rope guardline assembly. Hold for 10 minutes. Record test data below.

4. Slowly remove the test load and visually inspect the tested synthetic rope guardline assembly to meet the following acceptance criteria. Record test result below.

ACCEPTANCE CRITERIA

There must be no permanent deformation, cracks, snapping, fraying or visible damage of synthetic rope guardline assembly.

5. Remove all test equipment and rigging gear equipment after completion of this test.

9. RESULTS:

Use Continuation Sheet-1.

10. CRAFTSMAN SIGNATURE DATE 11. QA INSPECTOR SIGNATURE DATE

3819P13327A01 ENCLOSURE-03-4 (Continuation Sheet-1) TOTAL 4

9. RESULTS (Continued):

TEST ITEM TEST LOAD TEST DURATION TEST RESULT

GUARDLINE NO. SG-1 LBs Min SAT / UNSAT

GUARDLINE NO. SG-2 LBs Min SAT / UNSAT

GUARDLINE NO. SG-3 LBs Min SAT / UNSAT

REQUIRED TEST LOAD 1,100 (+55, -0) LBs / REQUIRED TEST DURATION 10 MINUTES (Reference A and B)

ACCEPTANCE CRITERIA

There must be no permanent deformation, cracks, separation, snapping, fraying or visible damage of synthetic rope lifeline assembly.