CDRL A001-Calibration Certification.pdf

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved

0MB No. 0704-0188

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 the Oepartment of Defense. Executive Services and Communications Directorate (0704--0188). 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 0MB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. C. CATEGORY:

TDP TM OTHER

QCIC

TBD

B. EXHIBIT

A --------------

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

Oxygen Clean Low Pressure Calibrator

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

A00l CALIBRATION CERTIFICATION

4. AUTHORITY /Dara Acquishion Oocumenr No.J 5. CONTRACT REFERENCE

F. CONTRACTOR

TBD

3. SUBTITLE

Calibration Report with Data

6. REQUIRING OFFICE

DI-QCIC-80798C See Block 16 NA WCAD BL31400

7. DO 250 REQ

LT

8. APP CODE

NIA

16. REMARKS

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

As Generated

11. AS OF DATE

NIA

12. DATE OF FIRST SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

NIA

lock 415: DI-QCIC-80798C and SOW paragraph 5.3.2 shall be used as guidance d is provided for reference. Information items in DI-QCIC-80798C that are not elevant to the procured unit do not need to be included in format. Actual alibration data should be contained in the calibration report related to the ertificate.

lock 9: DISTRIBUTION Statement "A" will be added in accordance with DoD irective 5230.24. Distribution Statement A. Distribution authorized to U.S.

ernment Agencies and their contractors to protect pub • • • or for administration or operational p lock 10: The frequency of submission of Calibration Report (A00 1) requires overnment approval. The contractor shall provide a preliminary draft of the alibration Report of data to the Government for review, comment, and approval fthe format no later than (NLT) 60 calendar days prior to Initial Operation apability (IOC) for each system. The IOC shall be defined as the delivery date of he initial order of system(s). Government will provide the contractor with pprovalldisapproval of format including comments within 15 days of receipt of reliminary draft. Contractor shall provide a government approved final version ith incorporated comments NLT 30 days prior to IOC for first system.

Block 14: Submission in contractor format is acceptable. Electronic format is referred if in a widely available commercial document format such as MS-Excel r MS Word. Electronic submission of data is also accepted on CD-ROM.

antity and copies shall be provided in accordance with (IA W) CDRL istribution (Block 14). Addressee's POC information provided on CDRL supplemental page 2.

lock 16: This CDRL refers only to the format of the Calibration Report printed y the calibration standards, it is not intended that the contractor run actual US

Navy workload for calibration.

DD FORM 1423-1, FEB 2001

H. DATE

12/19/23

PREVIOUS EDITION MAY BE USED.

14. DISTRIBUTION

a. ADDRESSEE

Copies wl each unit

15.TOTAL

Page

b. COPIES

Final

Draft Reg Repro

0 0

3 4 0

J. DATE

12/19/23 of 2 Pages

17. PRICE GROUP

NSP

1B. ESTIMATED

TOTAL PRICE

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AF

T

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DRAFT

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DATA ITEM DESCRIPTION

Title: CALIBRATION CERTIFICATE

Number: DI-QCIC-80798B Approval Date: 20050328 AMSC Number: F7554 Limitation:

DTIC Applicable: GIDEP Applicable:

Preparing Activity: AFMETCAL DET 1/MLE Applicable Forms: None Use, Relationships:

This Data Item Description (DID) contains the format and content requirements for calibration reports or certificates accompanying calibrations performed on DoD test, measurement, and diagnostic equipment.

This DID is applicable to contracts requiring calibration of test equipment prior to delivery. This DID is consistent with ISO 17025 requirements for calibration reports or certificate.

This DID supersedes DI-QCIC-80798A.

Requirements:

1. Format. Contractor format is acceptable.

2. Content. The calibration certificate or report shall include:

a. title (e.g., calibration report or calibration certificate);

b. the name and address of the laboratory, and the location where the calibrations were carried out, if different from the address of the laboratory;

c. unique identification of the test report or calibration certificate (such as the serial number), and on each page an identification in order to ensure that the page is recognized as a part of the test report or calibration certificate, and a clear identification of the end of the test report or calibration certificate;

d. the name and address of the client or customer;

e. identification of the method used;

f. a description of, the condition of, and unambiguous identification of the item(s) tested or calibrated;

g. the date of receipt of the test or calibration item(s) where this is critical to the validity and application of the results, and the date(s) of performance of the test or calibration;

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DI-QCIC-80798B

h. reference to the sampling plan and procedures used by the laboratory or other bodies where these are relevant to the validity or application of the results;

i. the test or calibration results with, where appropriate, the units of measurement;

j. the name(s), function(s) and signature(s) or equivalent identification of person(s) authorizing the test report or calibration certificate;

k. where relevant, a statement to the effect that the results relate only to the items tested or calibrated;

l. the conditions (e.g. environmental) under which the calibrations were made that have an influence on the measurement results;

m. the uncertainty of measurement or a statement of compliance with an identified metrological specification or clauses thereof;

n. evidence that the measurements are traceable.

End of DI-QCIC-80798B

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