CDRL 0002 Fork Inspection Form.pdf

G. PREPARED BY

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

Designed using Perform Pro, WHS/DIOR, Aug 96

Fork Maintenance Inspection Form

MHE Hyster Forklifts

Para 3.4SOW N32205

N/A

N/A

As Required

As Required

As Required

As Required

MHE Help Desk

MSC_MHEOHE@US.NAVY.MILService provider shall submit a condition report on each forklift asset to Military Sealift Command, Norfolk, VA. These condition reports shall identify the overall condition of each asset and list all necessary repairs required to meet the operational and safety specifications of NAVSUP PUBLICATION 538 SIXTH REVISION, MHE Inspection Form.

(CDRL 0002)

NAVSUP PUBLICATION 538 SIXTH REVISION

FORK MAINTENANCE INSPECTION FORM (Dated 11/15/02)

USN: _____ - ___________

Manufacturer’: ____________ Model: _________ Year: _____ Serial Number: ________

Contract Number: _______________________

REQUIREMENT

Each fork shall be inspected and documented in the MHE history file at intervals of not more than 12 months or whenever any defect or permanent deformation is detected. Any defect shall be a cause for rejection. MHE shall be removed from service until the fork is repaired or replaced.

DESCRIPTION

LEFT FORK RIGHT FORK Not

Applica-bleSAT UNSAT SAT UNSAT

1. Manufacturer’s SWL Markings

2. Surface Cracks

3. Straightness of Blade and Shank:

(a) Upper Face of Blade

(b) Front Face of Shank

4. Fork Angle: (original specification = _______)

5. Difference in Height of Fork Tips:

(Length of blade = __ inches x 0.03 = ___ inches)

6. Fork Blades:

Left Fork:

original thickness = ___ inches x 0.10 = ___ inches current thickness = ___ inches

Right Fork:

original thickness = ___ inches x 0.10 = ___ inches current thickness = ___ inches

7. Positioning Locks/Latches and Stops (where applicable)

8. Fork Hooks (where applicable)

9. Plated Fork (Type EX Only)

Inspection results: Based on the above inspections, the overall condition of each fork is:

Left Fork: SAT/UNSAT Right Fork: SAT/UNSAT

Inspector: ___________________________ Date: _______ Next Due Date: _______

Print Name/Rate:_______________________ Inspection Activity:___________________

SEE NEXT PAGE FOR INSPECTION CRITERIA PROCEDURES

Fork Maintenance Inspection Form

CLICK HERE TO REPRODUCE AND ANNOTATE THIS FORM

Fork Maintenance Inspection Form – Criteria

1. Manufacturer’s SWL Markings. Verify the manufacturer’s SWL marking is present, legible and clearly visible on each fork. The SWL of each fork shall be at least half of the manufacturer’s SWL at the rated load as shown on the MHE data plate. Older forks may not have the manufacturer’s SWL markings and there is no requirement to mark them.

2. Surface Cracks. The forks shall be thoroughly inspected for cracks and, if necessary, be subjected to a non-destructive crack detection process with special emphasis on the heel and welds attaching all mounting components to the fork.

NOTE

A T-square, flashlight and a feeler gauge, is required to perform inspection steps 3, 4, and 5.

3. Straightness of Blade and Shank. The straightness of the upper face of the blade and the front face of the shank shall be checked. The deviation from the straightness shall not exceed 0.5 percent of the length of the blade and/or height of the shank, respectively. [Example: The length of the blade is 36 inches and the length of the shank is 18 inches. The maximum allowable deviation for the blade is 0.18 inches (36" x 0.005 = 0.18 inches), and for the shank is 0.09 inches (18" x 0.005 = 0.09 inches)]. Reset as required by the fork manufacturer or their designated representative.

4. Fork Angle (upper face of the blade to load face of shank). Any fork that has a deviation of greater than 3 degrees from the original specification (normally 90 degrees).

5. Difference in Height of Fork Tips. The difference in height of one set of forks when mounted on the fork carrier shall be checked. The difference in tip height shall not exceed 3% of the length of the blade. [Example: A 42-inch fork would be allowed a maximum variation of 1.26 inches in height (42 inches x 0.03 = 1.26 inches)]. Reset as required.

6. Fork Blades. The fork blades shall be thoroughly inspected for wear with emphasis on the high wear area of the heel.

Additionally, the thickness of the fork blades shall be inspected to ensure that they have not been reduced below 10% of the original thickness. For non-folding forks, the shank is not subject to wear so it may serve as a reference for the fork’s original cross-section (thickness). For folding forks, the shank is always thicker than the blade. Therefore, do not use the shank thickness for calculating the required fork blade thickness measurement. Refer to the actual fork manufacturer’s markings, which normally is stamped on the side of the shank. Use an appropriate measuring device such as a micrometer, vernier caliper, or fork wear caliper when determining fork wear limits. Examples are provided below:

(1) If using a micrometer or vernier caliper, take a minimum of three measurements along each fork at the beginning, the middle, and the end up to where the taper begins. If the fork is worn below 10% at any of these locations, then the fork must be replaced. [Example: The blade shank thickness measures 2.000 inches. The maximum allowable wear of the fork blades is 10% or 0.10, which is 2.00 x 0.10 (10%) = 0.20 inches. Therefore, if the lowest of the three location readings is less than 1.80 inches (2.00 - 0.20), then the fork has been worn beyond 10% of its original thickness and it must be replaced.]

(2) If using a fork wear caliper, figure 8-15, the outer caliper’s points are set by gauging the shank’s thickness, figure 8-15, view A. The caliper is then transferred to each blade at any point between the heel to a point where the taper begins (not the taper itself). If the inner measuring points clear any blade, figure 8-15, view B, the thickness has been worn by 10% or more from its original thickness, and the fork must be replaced. Refer to table 8-1 for suggested sources of supply.

7. Positioning Locks/Latches and Stops (when originally provided). Verify that the positioning locks/latches and stops are in good condition and operate properly. Stops shall prevent the forks from becoming disengaged from the carriage during fork adjustment. Replace parts as required.

8. Fork Hooks (when originally provided). The support face of the top hook and the retaining face of both hooks shall be inspected for wear, crushing and other deformations. The clearance between the forks and the fork carrier shall not exceed the manufacturer's tolerances.

9. Plated Hooks (Type EX Only). The plated forks on EX type MHE shall be inspected and maintained in accordance with manufacturer's instructions. These forks contain plating (cladding) material (usually bronze) which is applied to an average depth of 3/32 inches (0.090 inches). Reject forks if the plating (cladding) is completely worn exposing the metal fork. Forks can usually be re-plated.

FIGURE 8-14. Fork Components

FIGURE 8-15. Fork Wear Caliper

DD FORM 1423-1, AUG 96

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor’s performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data. These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government’s right to use the data shall be governed by the pertinent provisions of the contract.

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package; TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15. Examples are: Tailoring of documents cited in Item 4;

Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.