Attachment 5 - Open Inspect Report (OIR) Form.docx
DOCX document 30 KB Posted
- Solicitation number
- 2126406B4200RR003
About this file
This is an Open Inspect Report (OIR) Form template designed for the evaluation and documentation of QUANTAR Receiver Radio units during repair and inspection operations. The form serves as a standardized document for contractors to record detailed findings when opening and inspecting the equipment specified in the solicitation (NSN: 5820-01-621-7354, MFG Part Number: T5367A).
The OIR form functions as a critical quality assurance and documentation tool for the United States Coast Guard's repair requirement. Contractors responding to solicitation 2126406B4200RR003 must utilize this form to document their inspection results for all four units subject to repair. The form captures essential information including equipment condition upon receipt, identification of defects, damage assessment, component functionality verification, and recommendations for repair or potential beyond economical repair (BER) determinations. Completion of this form is mandatory for all quotation responses, with submissions required by August 11, 2026, at 13:00 ET, directed to Contracting Officer Brianna Riffle and Contract Specialist Megan Maday at their respective USCG email addresses.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Attachment 5
Inspection Report (OIR) Date
From: (POC: name and phone number)
Contract Number:
Repair:
Line Item: NIIN/NSN: 5840-01-628-3408 P/N: T5365A-25WATT Revision:
S/N: RA number:
Problem(s) found:
Recommended solution: List Material/Parts
Anticipated Material Cost:
Anticipated Labor Hrs: Total Anticipated Repair Cost:
Cost includes Open/Inspect fee? YES NO
Or
BER:
Line Item: NIIN/NSN: 5840-01-628-3408 P/N: T5365A-25WATT Revision:
S/N: RA number:
Problem(s) found:
Recommended solution: List Material/Parts
Anticipated Material Cost:
Anticipated Labor Hrs: Total Anticipated Repair Cost:
Cost includes Open/Inspect fee? YES NO Obsolete Material/Parts:
Or
No Fault Found:
Line Item: NIIN/NSN: 5840-01-628-3408 P/N: T5365A-25WATT Revision:
S/N: RA number:
Effort made to determine the item was operational. Include any programming, alignment, set-up or material changes:
Inspection Report (OIR) Date: _________ From: (POC: name and phone number)
REPAIR:
Contract Number: ___________________________ Line Item: ________________ S/N: _____________________
NIIN/NSN: ___________________________
P/N: _______________________________ Revision: _________ Problem(s) found: ________________________________________________________ Recommended solution (List Material/Parts): __________________________________ Anticipated Material Cost: ___________Anticipated Labor Hrs: ___________ Total Anticipated Repair Cost: _____________ Cost includes Open/Inspect fee? YES NO
OR
BEYOND ECONOMICAL REPAIR (BER):
Contract Number:
Line Item: ________________ S/N: _____________________
NIIN/NSN: ___________________________
P/N: _______________________________ Revision: _________ Problem(s) found: ________________________________________________________ Recommended solution (List Material/Parts/Replacement): _______________________ Obsolete Material/Parts: __________________________________________________________________ Labor Hrs: ______ Cost (if any): __________ Cost includes Open/Inspect fee? YES NO
OR
NO FAULT FOUND:
Contract Number:
Line Item: ________________ S/N: _____________________ RA number: ___________
NIIN/NSN: ___________________________
P/N: _______________________________ Revision: _________ Effort made to determine the item was operational (Include any programming, alignment, set-up or material changes): ________________________________________________ Labor Hours: ______ Cost (if any):_________ Cost includes Open/Inspect fee? YES NO
File details come from the government source that posted it. Updated .