Attachment 4 Receipt Inspection Report.docx

J:\LIBRARY\FORMS

FORM REV. 06/08/2009

TAHE FACILITY

NETC, BLDG. 6

NEWPORT, RI 02841

TAHE FACILITY QUALITY PROVISIONS

RECEIPT INSPECTION REPORT

PART NUMBER / DRAWING NUMBER

6878807-1, 6878807-2, 700-2800-001, 700-3000-001

REV

PART NOMENCLATURE

OA-9070 Stub Shafts & MOK Kits

SOURCE:

S/N:

CONTRACT:

N66604-

W03565

QTY RECEIVED

SAMPLE SIZE**

AQL

CHARACTERISTIC MEASURED / VERIFIED

FINDINGS

ACCEPT REJECT

DISPOSITION-REMARKS

THE FOLLOWING QUALITY DOCUMENTATION / INFORMATION / INSTRUCTIONS MUST BE PROVIDED / ADHERED TO:

QTY: 2, P/N: 6878807-1

QTY: 2, P/N: 6878807-2

QTY: 6, P/N: 700-2800-001

QTY: 6, P/N: 700-3000-001

Certificate of Compliance that items were manufactured in accordance with all applicable instructions and specifications

Required

(A001)

Mercury Free Statement: Document on company letter head, signed by responsible company official, certifying that mercury and mercury containing compounds were not intentionally added to nor allowed to come in contact with parts, hardware, or supplies furnished under this Work Order.

Required

(A002)

Domestically Sourced Material: All raw material must be sourced domestically in compliance with DFARS Part 225: Foreign Acquisition.

Required

Product Identification must be in accordance with attached drawings/documentation. If not specified, then identification must appear on external surfaces of items or packages. (Military Specifications will be provided upon request)

Required – Mark Stub Shaft part number IAW Note 10 of drawing 6878807.

Certificate of Analysis of Raw Material stating that it meets the specifications identified

Required – Raw material must be IAW Notes 3 and 4 of drawing 6878807.

Required – Provide Certificate of Analysis for welding rods utilized for production.

(A003)

Inspection is required by the vendor

Required - Document all measured part dimensions and compare to required dimensions per drawing.

Process Certification that items were manufactured in accordance with special processes identified i.e., Welding, Post Weld Anneal, Painting

Required – Welding Weld IAW S9074-AR-GIB-010/278. Reference Note 5 of drawing 6878807.

Note: Provided vendor documentation shall reference applicable Weld Procedure Specification (WPS) for each unique tactical weld joint.

(A004)

Special packaging requirements

Required - Package to protect part features during shipping and handling.

Test data to be provided

Required – Provide NDE Visual Test (VT) & Liquid Penetrant Test (PT) document confirmation for all welds. Reference Note 6 of drawing 6878807.

Note: Verify “PT” stamp adjacent to each tactical weld.

(A005)

First Article Inspection required

Not Required

TAHEF Incoming Inspection

Required

SPECIAL INSTRUCTIONS/REMARKS/ENCLOSURES

6878807_53711_FN_-_D08-052

VIR_W03565, RIR_QAP_W03565

**SAMPLING PERFORMED IN ACCORDANCE WITH ANSI/ASQZ1.4 GENERAL INSPECTION LEVEL II

TOTAL ACCEPTED

TOTAL REJECTED

INSPECTOR

DATE

REV. 06/08/2009