CDRL A0001 FINAL CONDITION REPORT.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved

(1 Data Item) 0MB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the lime 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 ii does not display a currently valid 0MB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the ContracVPR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP TM

OTHER

D. SYSTEM/ITEM

I

E. CONTRACT/PR NO. F. CONTRACTOR

MHE Hyster Forklifts

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

0001 Final Job Sign Off/Final Inspection Form

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

sow Para 3.10 and 3.11.1

7. DD250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION

REQUIRED N/A As Required As Required

8.APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

N/A SUBMISSION

As Required As Required

16. REMARKS

A finalized MHE Inspection Form filled out IAW, NAVSUP PUBLICATION 538 SIXTH REVISION for each unit identifying the current operational condition, status of safety devices and all required repairs. The hard copy form and electronic copy sent via email, will be provided to the MSC N44 MHE Help Deck (CDRL A0001)

G. PREPARED BY H.DATE I. APPROVED BY

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

6. REQUIRING OFFICE

N32205

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final Draft

Reg Repro

MHE Help Desk

MSC MHEOHE@US.NA VY.MIL

15. TOTAL

J. DATE

Paae 1 of 4 Pages Designed using Perform Pro, WHS/DIOR, Aug 96

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

N3220522P2071

CDRL A0001