CRSAW FD20302400009-7314.pdf

CONTRACT REPAIR SCREENING ANALYSIS WORKSHEET

PART I (To be completed by PMS Seller)

1. FORM INITIATION DATE

10 AUG 2023

2. FORM PRIORITY

3. NSN

1650010087314

4. PART NUMBER

010-63089-9

5. PART NUMBER CAGE CODE

94697

6. NOUN

SERVOCYLINDER

7. ANNUAL REPAIR

QUANTITY

8. LATEST REPAIR COST

$52,000.0000

9. ANNUAL REPAIR

BUDGET VALUE

$2,080,000.00

10. FORECAST UNIT

PRICE

$82,045.0000

11. ERRC

T

12. WEAPON SYSTEM

F-15

13. END ITEM APPLICATION

Servocylinder

14. HISTORY

DOES ORGANIC REPAIR OR DMISA REPAIR CAPABILITY CURRENTLY EXIST? NO X YES (if yes, specify SOR)

HAS THE ITEM PREVIOUSLY BEEN CONTRACT REPAIRED?

IF YES, COMPLETE TABLE BELOW FOR LAST 5 YEARS (not to exceed last 3 contracts)

NO X YES

SOURCE NAME CAGE CONTRACT NUMBER AWARD DATE

MOOG INC. 07 MAY 202194697 FA811821F0157

MOOG INC. 16 APR 202094697 FA811820F0169

MOOG INC. 12 FEB 201994697 FA811819F0087

MOOG INC. 11 JUL 201894697 FA811818F0220

MOOG INC. 22 JUN 201794697 FA811817F0185

15. PMS SELLER NAME CODE OFFICE SYMBOL PHONE COMPLETION DATE

PART II (To be completed by Equipment Specialist)

16. TECHNICAL ORDERS REQUIRED NO X YES (annotate required data and availability on RDL) UNKNOWN

17. OTHER SPECIFICATIONS / SPECIAL REPAIR CRITERIA REQUIRED X NO YES (annotate required data and availability on RDL) UNKNOWN

18. X THE DATA LISTED IN RDL COMPLETED SPECIFIES THE REPAIR REQUIREMENTS OR

ADDITIONAL DATA IS REQUIRED (Coordinate with the engineer and screening office to determine information required. Document in Block 33)

19. SPECIAL TOOL / SPECIAL TEST EQUIPMENT IS NOT REQUIRED REQUIRED X REQUIRED BUT NOT AVAILABLE

SPECIAL FACILITIES ARE X NOT REQUIRED REQUIRED

GOVERNMENT FURNISHED MATERIAL IS X NOT REQUIRED REQUIRED REQUIRED BUT NOT AVAILABLE

20. EQUIPMENT SPECIALIST NAME

Sapack, Paul P

CODE

PP

OFFICE SYMBOL

423 SCMS / GUMB

PHONE

405-582-6874

COMPLETION DATE

11 AUG 2023

PART III (To be completed by Screening Technician if applicable)

21. REQUESTED ENGINEERING DATA

LISTED AND ANNOTATED ON RDL NO DATA

22. SCREENING TECHNICIAN REMARKS

23. SCREENING TECHNICIAN NAME CODE OFFICE SYMBOL PHONE COMPLETION DATE

PART IV (To be completed by the Engineer)

24. CRITICAL SAFETY ITEM

X NO YES

25. CAN THIS ITEM BE COMMERCIALLY

OVERHAULED / REPAIRED (FAR Part 12)

X NO YES

26. PRECONTRACT QUALIFICATION

REQUIRED

NO X YES (JQR/QR, SQS, Waiver)

27. RDL REQUIRED FOR

SOLICITATION

NO X YES

28. RMC / RMSC CODE

R3 / C

29. RMC / RMSC EXPIRATION DATE

15 AUG 2028

30. REASON FOR OTHER THAN G CODE AND ACTION TO REMEDY

Because of the complexity of this item, pre-contract source approval is required.

31. APPROVED / POTENTIAL SOURCES

CAGE

CODE DATE APPROVED

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CONTRACT REPAIR SCREENING ANALYSIS WORKSHEET

31. APPROVED / POTENTIAL SOURCES

CAGE

CODE DATE APPROVED

Moog 94697 15 APR 2019

32. ENGINEER NAME

Ewy, Jenny

CODE

N/A

OFFICE SYMBOL

423 SCMS / GUEAA

PHONE

405-582-9974

COMPLETION DATE

15 AUG 2023

PART V (Miscellaneous, if needed)

33. REMARKS (Remarks require Functional Responsibility / Name / Office Symbol / Phone)

USER TYPE: Engineer NAME: Ewy, Jenny DATE: 15 AUG 2023

ORG / OFFICE SYMBOL: 423 SCMS / GUEAA COMMERCIAL PHONE: 405-582-9974 DSN PHONE: 852-9974

Level of effort for this item to be re-manufacture.

USER TYPE: Supply Planner NAME: Givens, Leslie M DATE: 10 AUG 2023

ORG / OFFICE SYMBOL: 423 SCMS / GUMB COMMERCIAL PHONE: 405-582-5244 DSN PHONE: 582-5244

SOR: OO-ALC

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