UPDATED:07JAN2010

CBR DETECTION/PORTABLE EQUIPMENT CHECK SHEET

FOR USS ______

DATE:______

REF: (a) PMS as listed

(b) NSTM 470

(c) TECH MANUAL NAVSEA SS220-AC-MMA-010, Navy Dry Filter Unit

(d) NSTM 070

(e) AEL 2-770004354 for Biological Response Kit (Dated 12/27/05)

(f) AEL 2-770004241 and 2-770004251 for CBR-D Detection Equipment

(g) Letter Ser 04 LR7/160 (Dated 10/29/05) AN/PDR-65 Radiac Set Allowance Change

(h) TECH MANUAL NAVSEA SW073-AA-MMO-010, CWDD, AN/KAS-1

(i) CP-95 Radiac Computer Indicator COMNAVSAFECEN Message 281791Z JAN 03

(j) Letter Ser 04 LR32/001 (Dated 04/24/08) Fielding of IM-270/PD Self-Indicating Casualty Dosimeter

(k) TECH MANUAL NAVSEA SE700-AL-OMA-010, Radiac, Self Indicating Casualty Dosimeter, IM-270/PD

I. RADIACS

IAW
4361/568 / SAT/ UNSAT / SAT/ UNSAT / SAT/ UNSAT / SAT/ UNSAT / SAT/ UNSAT / SAT/ UNSAT / SAT/ UNSAT
A. AN/PDQ-1 AND BETA PROBE:
1. Is the radiac calibrated?
2. Is the case in good condition?
3. Is the radiac in good working condition? / Q-2
4. Is the Beta probe in good working condition? / Q-1
5. Does the radiac operate IAW PMS?
- Back light was inop.
- Batteries were dead.
- Radiac meter was inop.
- Radiac was at the cal lab for repairs/calibration. / Q-1
Q-2
6. Does the Beta probe operate IAW PMS? / Q-1
7. Is the required number onboard? / Ref (f)
B. AN/PDR-65 & 65A/ BRIDGE MOUNTED MULTIFUNCTION RADIAC( BMMFR) / IAW / SAT/ UNSAT / SAT/ UNSAT
4361/508 / BRIDGE / DCC
1. Is the radiac calibrated and the tamper seal intact?
2. Is the radiac connected to a controlled power supply? / Q-7
3. Are the radiac batteries charged? (Batteries should be of a rechargeable type.) / Q-7
4. Is the radiac meter glass broken or cracked?
5. Is the radiac meter free of foreign material?
6. Does the radiac have loose connectors?
7. Is the required number onboard? / Ref (f), (g)
C. Dosimeter IM-143/IM-9 / SAT/ UNSAT / SAT/ UNSAT / SAT/ UNSAT / SAT/ UNSAT / SAT/ UNSAT / SAT/ UNSAT / SAT/ UNSAT
1. Is the IM-143 calibrated?
2. Is the IM-143 in good working condition?
3. Can the IM-143 be charged by the PP-4276/PD meter and zeroed?
4. Is the required number onboard? / Ref (f)
D. Dosimeter IM-270/PD SELF INDICATING CASUALTY DOSIMETER / SAT/ UNSAT / SAT/ UNSAT / SAT/ UNSAT / SAT/ UNSAT / SAT/ UNSAT / SAT/ UNSAT / SAT/ UNSAT
1. Is the IM-270 indicating zero? / Ref (k)
2. Is the IM-270 in good working condition?
3. Is the required number onboard? / Ref (j)
4. Is the IM-270 part of CBR OSIMS / Ref (j)
E. RADIAC DETECTOR CHARGER PP-4276
4276A, B, C, D / SAT/ UNSAT / SAT/ UNSAT / SAT/ UNSAT / SAT/ UNSAT / SAT/ UNSAT / SAT/ UNSAT / SAT/ UNSAT
1. Is the radiac detector charger in good working order?
2. Does the charger light work?
3. Will the charger adjust the dosimeter to zero?
4. Is the required number onboard? / Ref (f)
F. RADIAC COMPUTER INDICATOR CP-95, 95A, 95B and DT-60, 60B, 60C, 60D / SAT/ UNSAT / SAT/ UNSAT / SAT/ UNSAT / SAT/ UNSAT / SAT/ UNSAT / SAT/ UNSAT / SAT/ UNSAT
1. Is the CP-95 ( ) in good working order?
2. Is the CP-95 ( ) calibrated and tamper seals intact?
3. Does each CP-95 (Plain) have a special calibration sticker installed with the following reason statement: “Not a calibration – XFMR inspected and cleared for use.” / Ref (i)
4. Is the DT-60 ( ) undamaged?
5. Will each CP-95 ( ) read a DT-60 ( )?
6. Is the required number of CP-95’s onboard? / Ref (f)

II. DETECTORS

A. IMPROVED POINT DETECTION SYSTEM (IPDS) / IAW
6641/052 / SAT/ UNSAT / SAT/ UNSAT
1. Control Display Unit (CDU): / S/N:
a. Are all wire connections tight?
b. Upon start up verify program? (Program should be 4.0)
c. Are all switches working?
d. Label plate should be Revision G. If not document and inform ISEA.
2. Remote Display Unit (RDU): / S/N:
a. Are all wire connections tight?
b. Upon start up verify program? (Program should be 4.0)
c. Are all switches working?
d. Label plate should be Revision F. If not document and inform ISEA.

3. External Air Sampling Unit (EASU):

/ PORT
S/N: / STBD
S/N:
a. Is the intake filter in good condition?
b. Has the acoustic cover modification been completed? / Y / N / Y / N
c. Is the bell completely vertical?
d. Are the inlet and outlet tubes tight?
e. Is the power cord tight?
f. Is the purge filter replacement date recorded on the filter?
4. Detector Unit (DU): / PORT
S/N: / STBD
S/N:
a. Is the grill filter clean?
b. Are all wire connection/cables tight?
c. Are inlet and outlet tubes tight and moisture free?
d. Verify date of last dessicant filter replacement (recorded on filter)?
e. Verify that there are only two DU’s (with radioactive sources) are onboard.
f. RMC: Connect CPU and take readings. If sat conduct M-1R.
5. Operational Check of IPDS system: / PORT / STBD
a. Was the BIT test sat? / M-1R
b. Was the confidence test sat? / G / H / G / H
6. Is the required number onboard? / Ref (f)
C. M9 PAPER: / IAW
6641/018 / SAT/ UNSAT / SAT/ UNSAT
1. Does each DCRS have the required number of M9 paper rolls (5 Total. 2 Rolls in DCRS, 1 Roll in DCRS for training and 2 Rolls in Chemical Warfare Storeroom.)? / Ref (f)
A-9
2. Check shelf life for each M9 paper roll (96 months). / A-9NOTE 2
3. Inspect M9 paper dispenser shipping bag. Discard and replace M9 paper if shipping bag is open or damaged. / A-9
4. Replace and properly dispose expired/damaged M9 paper. / A-9
5. For M9 paper removed from shipping bag:
  • Check for expired shelf life
  • Check if dispenser is crushed, wet, or missing the cutting edge
  • Paper has red scuff marks, spots, tears, streaks, creases or change in color.
/ A-9
D. M8 PAPER: / IAW
6641/018 / SAT/ UNSAT / SAT/ UNSAT
1. Does each DCRS have the required number of M8 paper books (10 each)? / Ref (f) A-9
2. Replace and properly dispose of M8 paper if there are signs of the following:
  • Damage
  • Wetness
  • Contamination
  • SHELF LIFE EXCEEDS 10 YEARS.
/ A-9NOTE 7
E. M256A1 Kits: / IAW
6641/018 / SAT/ UNSAT / SAT/ UNSAT
1. Does each DCRS have the required number of M256A1 Kits (10 each)? / Ref (f) A-9
2. Are the top case fastener, shoulder and waist belt attachment straps all intact? / A-9
3. Are the contents of each kit complete?
  • One book of M-8 paper
  • Twelve serviceable sampler-detectors
  • One set of operational instruction cards
/ A-9
4. Replace and properly dispose of expired sampler-detectors (Group 5 Hazardous Material). / A-9
5. Check shelf life (72 months)
  • Add 1 year to sampler-detector package discard date.
/ A-9
Note 12
6. Does each DCRS have the required number of M256A1 Training Kits onboard per ship class?
(1 – 7 DCRS = 1 per DCRS, 8 or more DCRS = 2 per DCRS) / Ref (f)
F. M-291 DECONTAMINATION Kits / IAW
6641/018 / SAT/ UNSAT / SAT/ UNSAT
1. Are the required amount of kits onboard?
Divide 138% of ship manning by 20 round up for number of boxes. / A-4
2. Are boxes intact? / A-4
3. Are kits within shelf life (60 months, extendable)? / A-4
G. Dry Filter Unit (DFU): / IAW
6641/055 / SAT/ UNSAT / SAT/ UNSAT / SAT/ UNSAT
Ref (c)
1. Are the required number of DFUs with accessories on board per class?
MCDRS – 2 DCRS = 1, 3 DCRS – 6 DCRS = 3, 7 or more DCRS = 4
Accessories: Power cord (1 ea), inlet stack (1 ea), and filter assemblies (4 ea) / Ref (f)
Q-1
2. Are the required number of HHA panels on board stored in the refrigerator(s)?
Large Platform: 200 ea / 2 refrigerators; Small Platform: 100 ea / 1 refrigerator
Expiration Date: (1 year if not refrigerated, 3 years if refrigerated) / Ref (f)
Q-1
3. Does the ship have training HHA’s (10 ea)? / Ref (f)
4. Are the required number of DFU Kits on board?
Large Platform: 200 ea; Small Platform: 100 ea / Ref (f)
Q-1
5. Are Power Cords safety checked?
6. Does the DFU vacuum work if plugged in and tested? / Q-1
7. Are the required number of Biological Response Kits (BRK) on board?
Large Platform: 2 ea; Small Platform: 1 ea / Ref (f) / SAT/ UNSAT / SAT/ UNSAT / SAT/ UNSAT
a. Does each BRK contain the following:
Bag, Kit Flyers / 1 ea / Ref(e)
Q-1
Pen, Ballpoint / 2 ea / Ref (e)
Q-1
Marker, Permanent Sharpie Fine Point / 2 ea / Ref (e)
Q-1
Shipper, SAF-T-PAK 100
(includes a pressure vessel, cardboard coil, and box) / 2 ea / Ref (e)
Q-1
Sample container with spoon / 5 ea / Ref (e)
Q-1
Logbook / 1 ea / Ref (e)
Q-1
Scissors, Bandage / 1 ea / Ref (e)
Q-1
Stopwatch / 1 ea / Ref (e)
Q-1
Bag, Sealable, 10” x 10” / 20 ea / Ref (e)
Q-1
Bag, ZIPLOC 2 Gallon / 20 ea / Ref (e)
Q-1
Swab, Dacron Tip, Wood shaft, Sterile / 100 ea (2 PG) / Ref (e)
Q-1
Pipette, Transfer Large / 5 ea (1 PG) / Ref (e)
Q-1
Tape, Transparent Roll / 1 ea / Ref (e)
Q-1
HYPE Wipes, Bleach Extra Strength / 10 ea / Ref (e)
Q-1
Under pad, Absorbent / 5 ea / Ref (e)
Q-1
Labels, Blank, Specimen / 20 ea (1 PG) / Ref (e)
Labels, Danger Aircraft / 2 ea / Ref (e)
Q-1
Labels, Class 6.2 Infectious Substance / 2 ea / Ref (e)
Q-1
Label, Over pack / 2 ea / Ref (e)
Q-1
Dangerous Goods Declaration / 1 PD / Ref (e)
Q-1
IAW / SAT/ UNSAT
H. JOINT BIOLOGICAL POINT DETECTION SYSTEM (JBPDS) / 6641/054
1. External Intake Stacks:
a. Verify impact cup is clean and in place.
Note: This may require an aloft chit. / Q-1
b. Verify intake stacks are clean and dry. / Q-1
2. JPBDS Reference Material:
a. Verify BBSU reference card is clean and in place. / A-1
b. Verify dates that the following components were replaced:
BAWS Dryer Filter element
Carbon Filter
Particle Filter

3. Support Equipment Inventory

a. Inventory Liquid Consumables Mission Packs:
(Note quantity onboard and expiration date.)

b. Inventory Carrier Box Assemblies:

(Note quantity onboard and expiration date)

c. Verify refrigerator is installed and used only for JPBDS support equipment.

4. BBSU Setup:

a. Visually inspect BBSU exterior for damage. / 2M-1
b. Visually inspect LCS for damage / smudges. / 2M-1
c. Open BBSU doors and visually inspect all components and connections. / 2M-1
d. Visually inspect internal components for:
Fluid leaks
Air leaks
Tight Connections / 2M-1
e. Inspect FTS shrouds for broken needles. / 2M-1
5. Test Operate JPBDS:
a. Test operate JPBDS in accordance with PMS.
1. Verify all components are operational.
2. Verify Time/Location/Weather feed.
3. Verify BAWS Elastic PHD ____(should be less than 1100) / 2M-1
b. Verify battery power level. / 2M-1
c. Test operate local BBSU alarm. / 2M-1
d. Test operate ship’s chemical alarm. / 2M-1
e. Verify communication with External Control Substations (CIC and DCC). / 2M-1
f. Verify dry collection filter adapter is operational / 2M-1
5. Visually Inspect External Control Substation (ECS). (2 ea)
a. Inspect for damage and operability. / 2M-1

III. MEDICAL SYSTEM LIGHTCYCLER (PCR) SYSTEM

IAW / SAT/ UNSAT
Confirmatory Laboratory
1. Is there at least one 8506 with PCR-certification from BDRD onboard?
2. Does the PCR-trained technician have a SOP binder containing Sections 1-8 and Section 11?
3. Analyzer and Laptop:
a. Does the laptop (or alternate computer) boot up without problem and contain applicable LightCycler 3.3 or RAPID 1.2.14 software?
b. The laptop’s hard drive should be no more than 70% full. (If the hard drive is partitioned, check the drive that the analyzer’s software is running off of.) The laptop should contain no personal information or files that do not directly pertain to the Confirmatory lab.
c. With the laptop attached, does the analyzer turn on and perform a self-test (if LightCycler) or warmup run (if RAPID)?
4. Freezer:
a. Are the reagents stored in a -20°C manual defrost freezer?
b. Is a daily temperature log maintained on the freezer, with the average temperature over the last 3 weeks being no higher than -10°C?
5. Bio-Safety Hood:
a. Is there a bio-safety hood installed on the ship, with certification performed within past 12 months?
6. Consumable Supplies:
a. Between the “Clean” and “Dirty” areas, does the Confirmatory lab have a minimum of the following critical supplies:
Mini centrifuge with adapters (4)
Vortex Genie 2* Mixer
P-10 ul Pipetman Pipettor
P-20 ul Pipetman Pipettor
P-200 ul Pipetman Pipettor
P-1000 ul Pipetman Pipettor
Barrier tips - P10; packs of 10 trays
Barrier tips - P20; packs of 10 trays
Barrier tips - P200; packs of 10 trays
Barrier tips - P1000; packs of 8 trays
DNA away
Sarstedt tube rack
LightCycler Capillaries; cases of 8 boxes
Chux pads
Tubes, screw cap Sarstedt (2.0 ml) or Tubes, micro with cap (0.6 ml, 250 tubes)
Water, Reagent-Grade, DNAase/RNAase-free
Instrument Carousel for Capillaries
Capillary tube releaser (LightCycler Only)
Floppy, ZIP, or flash drive for data transfer
CD/DVD Drive for installing software
LightCycler 3.3 or RAPID 1.2.14 software, as applicable
7. Core Reagents
a. Does the lab have a total of five colored boxes** (3 boxes of Master Mix, 2 boxes of Standards) and one box of QC samples, stored in the appropriate freezer and containing a minimum of the following:
**Does not include the additional OU and NU reagents being distributed to Fleet
Master Mixes and Clean Reagents: 3 boxes
9 tubes of each target Master Mix (14 target assays in kit)
12 tubes of Inhibition Master Mix
5 tubes of Taq Platinum
3 tubes of PCR-Grade Water
Standards and Positive Controls: 2 boxes
1 tube of 100,000 C Positive Control stock for each assay (14 target assays in kit)
3 tubes of Spike Positive Control
QC Samples: 1 box
3 months worth of samples
REMARKS:

ASSESSOR(S):______DATE: ______