3833288_FA_REPORT.pdf

FIRST ARTICLE REQUIREMENTS 1. DATE

22 DEC 2023(AFMCI 23-110, AFMCDAFI 20-102, and FAR, Subpart 9.3) (additional instructions on page 3)

2. PR / MIPR NUMBER 3. CAGE / REFERENCE NUMBER

77445 / 4070030

4. NSN

4710013166545NZ

5. FIRST ARTICLE QUANTITY

THE FIRST ARTICLE IS 3 UNIT(S) OF LOT / ITEM 1

AND WILL BE: PART OF PRODUCTION QUANTITY X IN ADDITION TO PRODUCTION QUANTITY

6. ARTICLES

WILL X WILL NOT SERVE AS A MANUFACTURING STANDARD

7. LONG LEAD TIME ITEMS

X REQUIRED NOT REQUIRED

(See FAR 52.209-3 OR -4, alternate II)

8. SPECIAL REQUIREMENT/PRODUCTION FACILITIES (See FAR 52.209-3 OR -4 Alternate I)

X REQUIRED NOT REQUIRED

"The First Article offered must be manufactured at the facilities in which that item is to be produced under the contract, or if the First Article is a component not manufactured by the contractor, such component must be manufactured at the facilities in which the component is to be produced for the contract. A certification to this effect must accompany each First Article which is offered."

9. TEST / INSPECTION REQUIREMENTS

A. X CONTRACTOR TESTING

GOVERNMENT TESTING

Performance or other characteristics which the First Articles must meet are

IDENTIFIED IN DRAWING, SUB-TIER DRAWINGS (IF AN ASSEMBLY), AND SPECIFICATIONS IDENTIFIED THEREIN.

B. The detailed technical requirements for First Article approval tests are contained in

BLOCK 12 OF THIS FORM AND LPF-QAR-003

(Cite Spec and Para number)

C. X TEST PLAN REQUIRED

(3) Number of days for government approval / disapproval days.

(1) DD Form 1423 ELIN

(2) Delivery due calendar days from date of contract.

D. Contractor's notification to ACO and

PCO

(Requesting Activity) of test time and location due 30 days prior to start of testing.

E. X TEST REPORT REQUIRED

(3) Forwarded to

AFLCMC/LZPED

FA Monitor DODAAC FA8111

3001 Staff Drive, STE 1AB85A

TINKER AFB, OK 73145-3041

(4) Government written notice of approval / disapproval due

(2) Due

(1) DD Form 1423 ELIN days after receipt of contractor's report.60 calendar days from date contract.

AFMC IMT 260, 20230316, V-5,

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PREVIOUS EDITION IS OBSOLETE

Prescribed by: AFMCI23-110

F. FIRST ARTICLE DELIVERY

(1) Due within 0 calendar days from date contract.

(2) Notify 0 calendar days prior to shipment.

(3) Delivered to government at

N/A

(Set Forth Consignee and Address)

(4) Government written notice of approval / disapproval within 0 days after receipt of first article package.

G. Estimated cost of government testing / inspection evaluation.

$2,500.0000

10. DISPOSITION OF FIRST ARTICLES

Approved First Articles will be forwarded to

(insert quantity) First Articles will be expended in testing. Residual components of disapproved First Articles will be returned to the contractor will be retained by pending disposition instructions from the contractor.

First Articles will be installed on aircraft/equipment to determine proper fit/function. Approved article will remain on the aircraft/equipment and will not be forwarded to USAF Supply, but will be considered part of the contract quantity.

Disapproved First Articles will be returned to the contractor will be retained by pending disposition instructions from the contractor.

On purchase requests designated as direct shipments the following disposition will apply. (NOTE: Always applicable on Foreign Military Sales (FMS)).

a. Approved First Articles will be returned to the contractor for shipment with production item.

b. Disposition of disapproved First Articles will remain the same as marked above.

X Other Disposition:

See block 12 of this form

11. CONDITION(S) FOR WAIVER OF FIRST ARTICLE APPROVAL

a. X Offerors who have previously furnished production quantities of the same or similar article to the prime contractor for delivery to the Government, X DoD, Air Force.

b. X Offerors currently in production of the same or similar article for a Government, X DoD, Air Force contract and who have received First Article approval under the existing contract.

c. X Offerors who have previously furnished production quantities of the same or similar articles to the Government, X DoD, Air Force, provided articles thus furnished, have exhibited satisfactory performance in service in the opinion of the Air Force.

d. X Provided not more than 36 months have elapsed since completion of the contract.

e. First Article testing will not be waived.

f. X See Remarks in block 12 below.

NOTE TO BUYER: UNDER CONDITIONS A AND C ABOVE, THE COGNIZANT ENGINEERING ACTIVITY WILL DECIDE WHETHER OR NOT THE ITEM HAS EXHIBITED SATISFACTORY PERFORMANCE IN SERVICE AND PREPARE AND RETAIN SUPPORTING DOCUMENTATION TO FULLY JUSTIFY THIS DECISION. THE BUYER MUST SOLICIT DUAL PRICES (That is, both with and without requirement for first article approval) AND MUST FURNISH THE COGNIZANT ENGINEERING ACTIVITY WITH THE FOLLOWING INFORMATION ON THE PREVIOUSLY SUPPLIED ARTICLE:

A. PROCURING OFFICE B. CONTRACT NUMBER C. DATE OF CONTRACT D. SPECIFICATION NUMBER AND REVISION

AFLCMC/LPSBE

AFMC IMT 260, 20230316, V-5,

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12. REMARKS

Jay, Peyton ANAME: 09 JAN 2024DATE:

Block 3: Part Number: 4070030 Block 9: additional information for part C&E:

C. 1) DD Form 1423 ELIN:

2) Deliver due _____ calendar days from date of contract

E. 1) DD Form 1423 ELIN:

2) Due ______ calendar days from date of contract

Block 5. First Article Quantity is 3 parts:

-2 parts will be part of production quantity -1 part will be in addition to production quantity

Block 9.B First article test requirements shall be per LPF-QAR-003 and the following:

-a. All three first articles shall be inspected in accordance with the requirements of paragraphs 3.1, 3.2, 3.3, 3.4, and 3.5 of LPF-QAR-003.

-b. The assembly detail part numbers (if an assembly), shall be inspected per paragraphs 3.1, 3.2, 3.3, 3.4, and 3.5 of LPF-QAR-003 prior to assembly.

-c. After completion of inspections per 9.B.a above, one article shall be destructively tested/evaluated in accordance with the requirements of paragraph 3.6 of LPF-QAR-003.

-NOTE: Deliveries (FAT test plan and Reports) are preferably submitted on ISO-10149 compliant CD-ROM in Adobe Acrobat Portable Document Format.

Block 10. Disposition of First Articles:

-1 First Article part will be destructively tested. This item will be condemned and disposed of at vendor's facility.

Block 11. The cognizant Government engineering authority shall be the final authority for determining if a contractor meets the conditions of waiver identified in 11.a and/or 11.c.

First article testing is waived if the offeror is the prime contractor, Pratt & Whitney.

This is a critical part used in the F100 series turbine engine. Poor quality parts will have an adverse effect on mission capability and system safety. For this reason, First Article Testing is required to insure first time manufacturers or manufacturers that have not produced the item within three years manufacture parts in accordance with the drawing and specification requirements.

13. COGNIZANT ENG ORGANIZATION RESPONSIBLE FOR APPROVING

(Name, Organization, Phone)

Peterman, Nicholas A

AFLCMC / LP S B E

405-734-8773

884-8773

14. COGNIZANT ENG ORGANIZATION RESPONSIBLE FOR CONDUCTING

TEST (Name, Organization, Phone)

Peterman, Nicholas A

AFLCMC / LP S B E

405-734-8773

884-8773

AFMC IMT 260, 20230316, V-5,

Version 7Generated by PRPS using Jasper Reports on 04 Apr 2025