807 NIIN015193361.pdf

RECOMMENDED QUALITY ASSURANCE PROVISIONS

AND SPECIAL INSPECTION REQUIREMENTS

1. PR / MIPR NUMBER

2. NATIONAL STOCK NUMBER

1377015193361ES

3. POINT OF INSPECTION

SOURCE DESTINATION

X

SEE DFARS 246.402

4. POINT OF ACCEPTANCE

SOURCE DESTINATION

X

5. ITEM MANAGER / PHONE

Umbaugh, Brian S / 801-586-2328

6. EQUIPMENT SPEC / PHONE

Shimer, Richard B / 801-777-3421

7. CONTRACT QUALITY REQUIREMENTS/SPECIAL INSPECTION REQUIREMENTS

CERTIFICATE OF CONFORMANCE

FAR 52.246-15

CONTRACT RESPONSIBILITY

FOR INSPECTION

FAR 52.246-1

STANDARD INSPECTION

FAR 52.246-2,-3,-4,-5 OR -6

AS APPLICABLE TO CONTRACT

X HIGHER LEVEL CONTRACT QUALITY REQUIREMENTS

ISO 9001:2000

COMMERCIAL ITEM INSPECTION

FAR 52.212-4

OTHER (Describe in Block 8)

8. REMARKS

Monk, David BNAME: 18 OCT 2018DATE:

Noun: Initiator, Dual Gas Fired (no delay)

P/N: SO4-10008-13

NHA: TU/U-2

T.O.: 11P3-1-7 In accordance with AFMCI 23-102, paragraph 14.2.1, the chief engineer has determined source inspection is required for airmunitions procurements. The following statements, submitted by the chief engineer in accordance with FAR 46.402(f), provide further support for source inspection of munitions items: Quality assurance inspection of explosives and munitions items must be completed at the source to reduce the risk of defective or improperly marked explosives reaching the end-user. The safety consequences of a single defective explosive or improperly marked explosive reaching the end-user are very severe. Customers of typical industrial commodities may be able to tolerate a percent defective of 1% - 3%. In the case of explosives procurement, this percent defective may result in the maiming or death of personnel involved in the handling and use of the items. Airmunitions contracts (under $250K) are primarily for delivery of explosive components used in ammunition, precision guided weapons and the ejection seats of combat aircraft. The lives of transportation and combat personnel are directly related to the successful performance these items. Thus, to ensure explosives safety and quality, source inspection is required for this airmunition procurement.

The chief engineer has determined that AS9100C certification is an acceptable substitute for ISO 9001:2008 certification.

Quality system ISO 9001:2015 is current revision and is acceptable as well as ISO 9001:2008. Other quality systems are acceptable with concurrence of project engineer McCormick, Kenneth GNAME: 23 SEP 2016DATE:

Noun: Initiator, Dual Gas Fired (no delay)

P/N: SO4-10007-13

NHA: TU/U-2

T.O.: 11P3-1-7

In accordance with AFMCI 23-102, paragraph 14.2.1, the chief engineer has determined source inspection is required for airmunitions procurements. The following statements, submitted by the chief engineer in accordance with FAR 46.402(f), provide further support for source inspection of munitions items: Quality assurance inspection of explosives and munitions items must be completed at the source to reduce the risk of defective or improperly marked explosives reaching the end-user. The safety consequences of a single defective explosive or improperly marked explosive reaching the end-user are very severe. Customers of typical industrial commodities may be able to tolerate a percent defective of 1% - 3%. In the case of explosives procurement, this percent defective may result in the maiming or death of personnel involved in the handling and use of the items. Airmunitions contracts (under $250K) are primarily for delivery of explosive components used in ammunition, precision guided weapons and the ejection seats of combat aircraft. The lives of transportation and combat personnel are directly related to the successful performance these items. Thus, to ensure explosives safety and quality, source inspection is required for this airmunition procurement.

Initiator, Dual Gas Fired (no delay)

8a. OZONE DEPLETING SUBSTANCES (ODS)

X STATEMENT

"I HAVE REVIEWED THE REQUIREMENT, INCLUDING AVAILABLE TECHNICAL DOCUMENTATION, AND BELIEVE THAT IT DOES NOT REQUIRE THE CONTRACTOR USE CLASS I OZONE DEPLETING SUBSTANCES (ODS) IDENTIFIED IN AIR FORCE POLICY, NOR IS IT WRITTEN SO THAT IT CAN

ONLY BE MET BY THE USE OF A CLASS I ODS."

WAIVER (SEE AF FARS 5323)

NOTE: Quality provisions as annotated hereon will not be downgraded without Technical Authority coordination. The Technical Authority must be notified if award selection is made to a new source using Acquisition Method Code (AMC) 3, 4, or 5.

Page 1 of 2AFMC FORM 807, 20060111, V1 Version 5Generated by PRPS using Jasper Reports on 11 Apr 2022

RECOMMENDED QUALITY ASSURANCE PROVISIONS

AND SPECIAL INSPECTION REQUIREMENTS

1. PR / MIPR NUMBER

2. NATIONAL STOCK NUMBER

1377015193361ES

9. QUALITY PRE-AWARD SURVEY

YES NEW SOURCE

X PREVIOUS SOURCEX NO

AFMC PARTICIPATION

RECOMMENDED

10. CODES

A. I&A

B. CQR

G

11. SIGNATURE OF TECHNICAL AUTHORITY

Tanner, Matthew W

ORGANIZATION / SYMBOL

AFLCMC / EBHJ

PHONE

801-777-2926 / 777-2926

DATE

07 APR 2021

Page 2 of 2AFMC FORM 807, 20060111, V1 Version 5Generated by PRPS using Jasper Reports on 11 Apr 2022