UPDATED:07JAN2010

CBR-D IPE KIT BAG, CP MASK AND STOWAGE CHECKLIST

FOR USS ______

DATE: ______

REF: / (a) / MRC 6641/018A-3
(b) / NAVSEA S9 AA0-AB-GOS-010/GSO Section 602, Hull Designating and Marking
(c) / NAVSEA 804 6983510 SYSTEM, INDIVIDUALPROTECTIVE STOWAGE ARRANGEMENT AND DETAILS
(d) / DDS 671-1STOWAGE CRITERIA FOR CHEMICAL, BIOLOGICAL, AND RADIOLOGICAL DEFENSE (CBR-D) EQUIPMENT AND MATERIAL
(e) / Surface Warfare Enterprise and Naval Aviation Enterprise CBR-D Readiness Support Policy
(f) / MRC 6641/018 A-8R
(g) / MRC 6641/018 U-13
CBR-D INVENTORY / IAW / QTY / IAW / QTY
Issued CP Masks / Ref (e) / IPE Kit Bags / Ref (e)
Unissued CP Masks / Ref (e) / IPE Training Kit Bags / Ref (e)
Total Onboard / Total Onboard
IAW / SAT/
UNSAT / SAT/
UNSAT / SAT/
UNSAT / SAT/
UNSAT / SAT/
UNSAT / SAT/
UNSAT / SAT/
UNSAT / SAT/
UNSAT / SAT/
UNSAT / SAT/
UNSAT
A. CBR-D Inventory
1. Is CBR-D (RIP) Inventory Document On Hand (Hard Copy and E copy)? Yes: _____ No:_____
B. Stowage System
1. Is Stowage Alt Installed Onboard?Yes: _____ No:_____
a. If stowage alt is onboard, are individual mask hooks being used for spread stowage?Yes: _____ No:_____
b. If stowage alt is NOT onboard, is an organized CBR storeroom being used?Yes: _____ No:_____
C. CBR-D IPE Contingency Kit Bag Stowage and Condition
1. Compartment Number
2. Inspect Compartment
a)Compartment is not wet / Ref (d)
b)Compartment is not oily / Ref (d)
c)Compartment is between 32F - 125F (Note temperature if unsat) / Ref (d)
d)Compartment has overhead lighting
3. Inspect Stowage
a) If stowage alt installed, bags are not stowed more than 4 high / Ref (c)
b) Bags are not crushed / Ref (d)
c) If stowage alt installed, stowage racks are not damaged and securely installed
4. Inspect exterior of CBR-D IPE Kit Bags: Inspect a representative sample. Sample size_____ (Provide qty of UNSAT units for criterion below)
a) Kit bag is sealed (antipilferage seal intact) / Ref (g)
b) Seams are intact / Ref (g)
c) Strap stitching is intact / Ref (g)
d) Fabric is not torn / Ref (g)
e) Other damage (list in remarks) / Ref (g)
D. CBR-D IPE Training Kit Bag Stowage and Condition
1. Stowed separately from/is not comingled with Contingency Kit Bags / Ref (d)
2. Compartment Number
3. Access to compartment is painted yellow with black lettering indicating stowage of training materials / Ref (b)
4. Inspect Compartment
a) Compartment is not wet / Ref (d)
b) Compartment is not oily / Ref (d)
c) Compartment is between 32F - 125F (Note temperature if unsat) / Ref (d)
d) Compartment has overhead lighting
5. Inspect Stowage
a) If stowage alt installed, bags are not stowed more than 4 high / Ref (c)
b) Bags are not crushed / Ref (d)
c) If stowage alt installed, stowage racks are not damaged and securely installed
6. Inspect exterior of CBR-D IPE Kit Bags: Inspect a representative sample. Sample size_____ (Provide qty of UNSAT units for criterion below)
a) Kit bag is sealed (antipilferage seal intact) / Ref (g)
b) Seams are intact / Ref (g)
c) Strap stitching is intact / Ref (g)
d) Fabric is not torn / Ref (g)
e) Other damage (list in remarks) / Ref (g)
E. Issued CP Mask Stowage and Condition
1. Compartment Number
2. Inspect Compartment
a) Compartment is not wet / Ref (d)
b) Compartment is not oily / Ref (d)
c) Compartment is between -32F - 125F (Note temperature if unsat) / Ref (d)
d) Compartment has overhead lighting
3. Inspect CP Masks: Inspect a representative sample. Sample size_____ (Provide quantity of UNSAT units for criterion below)
a) No rips, tears or cracks in the facepiece, faceseal, tabs, buckles and harness / Ref (a)
b) No dents, punctures or cracks in voiceemitter / Ref (a)
c) Black outlet valve disc is installed / Ref (a)
d) No curls, nicks, rips, dirt or moisture in outlet valve disc / Ref (a)
e) No cracks or cuts in nosecup / Ref (a)
f) No cracks or cuts in external and internal drinking tubes / Ref (a)
g) No curls or tears in inlet valve disc. / Ref (a)
h) No scratches, stains, punctures in lens / Ref (a)
i) No holes tears or splits in second skin / Ref (a)
j) No visual damage to mask carrier / Ref (a)
k) No missing waterproof bag / Ref (a)
l) No cracked broken or missing outsert / Ref (a)
F. Unissued CP Mask Stowage and Condition
1. Compartment Number
2. Inspect Compartment
a) Compartment is not wet / Ref (d)
b) Compartment is not oily / Ref (d)
c) Compartment is between -32F - 125F (Note temperature if unsat) / Ref (d)
d) Compartment has overhead lighting
3. Inspect CP Masks: Inspect a representative sample. Sample size_____ (Provide quantity of UNSAT units for criterion below)
a) No rips, tears or cracks in the facepiece, faceseal, tabs, buckles and harness / Ref (a)
b) No dents, punctures or cracks in voiceemitter / Ref (a)
c) Black outlet valve disc is installed / Ref (a)
d) No curls, nicks, rips, dirt or moisture in outlet valve disc / Ref (a)
e) No cracks or cuts in nosecup / Ref (a)
f) No cracks or cuts in external and internal drinking tubes / Ref (a)
g) No curls or tears in inlet valve disc. / Ref (a)
h) No scratches, stains, punctures in lens / Ref (a)
i) No holes tears or splits in second skin / Ref (a)
j) No visual damage to mask carrier / Ref (a)
k) No missing waterproof bag / Ref (a)
l) No cracked broken or missing outsert / Ref (a)
G. Other CBR-D Equipment
1. Test and inspect MCU Series Audio Projection Set, AN/PNT- 2A
a. Compartment Number
1) No cracks, gouges or other damage on exposed surfaces / Ref (f)
2) No charring, flaking, shredded or missing material on battery cover gasket / Ref (f)
3) Test audible output of APS / Ref (f)
2. CVN Specific Inventory
a. Laptop computer with data base program
b. Bar code scanner
c. Bar code label printer
d. JSMLT (1)
REMARKS:

ASSESSOR(S):______

DATE: ______

Page 1 of 3