Attachment_5_QA_Inspection_2194.pdf

RECOMMENDED QUALITY ASSURANCE PROVISIONS

AND SPECIAL INSPECTION REQUIREMENTS

1. PR / MIPR NUMBER

2. NATIONAL STOCK NUMBER

1560015272194XE

3. POINT OF INSPECTION

SOURCE DESTINATION

X

SEE DFARS 246.402

4. POINT OF ACCEPTANCE

SOURCE DESTINATION

X

5. ITEM MANAGER / PHONE

Heath, Brian C / 801-777-1372

6. EQUIPMENT SPEC / PHONE

Woodall, Shawn / 801-586-1999

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

AS 9100

COMMERCIAL ITEM INSPECTION

FAR 52.212-4

OTHER (Describe in Block 8)

8. REMARKS

Martinez, Juan ANAME: 03 JUN 2020DATE:

Component requires inspection and acceptance at source because the following criteria as required in AFMCI 23-102:

- Significant Technical Requirements to ensure configuration baseline

- Critical production features to ensure Safety of Flight aspects of this component

- Contract is awarded to manufacturer of this item Defense Contract Management Agency (DCMA) will provide the necessary technical and administrative oversight to ensure the requirements in section 7 and the Technical Data Package (TDP) provided by the contract are complied with. Specific aircraft components perform critical functions and are essential for mission success. Therefore, the following characteristics should be considered in the evaluation by DCMA:

- Perform Quality Requirements per AS 9100 Rev D

- Verify attach hole locations per TDP/Master tooling

- Verify OML and interface surface with WS 125 rib

- Material Certifications for Heat Treat

- Non-destructive Inspections to support processing in the manufacture/bonding of critical aircraft components and assemblies

- Corrosion inhibiting applications specifications

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.

9. QUALITY PRE-AWARD SURVEY

YES NEW SOURCE

PREVIOUS SOURCEX NO

AFMC PARTICIPATION

RECOMMENDED

10. CODES

A. I&A

B. CQR

G

11. SIGNATURE OF TECHNICAL AUTHORITY

Martinez, Juan A

ORGANIZATION / SYMBOL

416 SCMS / GUMBA

PHONE

801-586-3211 / 586-3211

DATE

03 JUN 2020

Page 1 of 1AFMC FORM 807, 20060111, V1 Version 4Generated by PRPS using Jasper Reports on 18 Apr 2023

FA8212-23-R-0596

Attachment #5