DI-MISC-80678.pdf

DI-MISC-80678 MI W '7777787 00023'73 2 W

DATA ITEM DESCRIPTION I Form Approved

OM8 NO. 0704-0188

I

1. TITLE 2. IDENTIFICATION NUMBER

Certification/Data Report DI-MISC-80678 I

L DESCRIPTIONIPURPOSE

3.1 Certification data is required to verify that specific qualifications have been obtained, tests have been performed, parts/assemblies/equipments/systems have been installed, tested, inspected and are ready for operation; that personnel have specific qualifications to perfom assignments/operations/inspections; or to certify identìcality, interchangeability, (Continued on page 2 .)

I. APPROVAL DATE 5. OFFICE OF PRIMARY RESPONSIBILITY (OPR) 6a. DTlC APPLICABLE 6b. GIDEP APPLICABLE

(YYMMDD) N/SEA 5523

880912 I I I

r. APPLlCATlONIlNTERRELATlONSHlP

7.1 Certification may be required for a single eventfoperation, or may be required for a specified time period, o r certification may be required on a continuing basis with periodic re-certification or updating of the original certification.

7.2 The technical content requirements for this item shall be specified in the contract.

When this DID is applied to contracts acquiring items via a military specification prepared in accordance with MIL-STD-961, the necessary detailed technical requirements shall be

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I. APPROVAL LIMITATION

N4533 9b. AMSC NUMBER 9a. APPLICABLE FORMS

O. PREPARATION INSTRUCTIONS

10.1 Format. The report shall be typewritten in narrative format on the contractor's form.

The report shall cover the type of certification specified in Block 3, "Subtitle,11 of the CDRL, DD Form 1423.

10.2 Content. The report shall contain the contract number and data item sequence number, and shall contain a statement that specifically identifies the purpose and applicability of this certification.

10.2.1 Certification of comletion.~ Certification that tests have been performed, inspections made, parts/assemblies/equipments/systems have been installed, tested, inspected, and area ready for operation, or that specific qualifications have been obtained shall provide objective evidence in support of the certification. Objective evidence may include such items as spectographs, radiographs, material sampling, analysis, inspection and testing reports, or any other necessary documentation.

10.2.2 Certification of DergoLnel, Xertifications that-~personnei have specific Falifica- +%hs shall- be supported by licenses, -permi& tëscsi statements of competency, ~ or^ other- -documentation. The specific capabilities to perform an assignment, inspection, o r other operations shall be stated in the certification.

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10.2.3 Certification of data reviews. Certifications that documentation/data has been reviewed shall contain a statement of the ltdepth" of the examination and the results thereof.

If the documentation being reviewed cannot be certified, the report shall so state and shall list the reasons, i.e., deficiencies, conflictinq data, etc. -

(Continued on Daae 2.)

1. DISTRIBUTION STATEMENT

DISTRIBUTION STATEMENT A: Approved for public release; distribution is unlimited.

D Form 1664, MAR 87 Jun 86 edition may be used until exhausted. Page 1 of 2 Pages 491072

Copyright DLA Land and Maritime Provided by IHS Licensee=Norfolk Naval Shipyard/5960068002, User=Surring, Roger

Not for Resale, 01/27/2020 13:35:13 MSTNo reproduction or networking permitted without license from IHS

Block 3, Description/Purpose (Continued) compatibility, reliability, or completeness of documentation being prepared or reviewed by a contractor. The technical effort involved will be the result of equipment/procurement specification requirements. O Block 7, Application/Interrelationship (Continued) prepared as an appendix to the military specification entitled "Certification Data/Report Technical Content Requirements." The appropriate paragraph in block 10 herein, i.e., 10.3.1 or 10.3.2 shall be specified on the DD Form 1423, Contract Data Requirements List (CDRL).

7.3 This DID supersedes UDI-A-23264B.

Block 10, Preparation Instructions (Continued)

10.2.4 Certification of compliance. Certification of compliance to specific specification requirements shall be a statement to the effect that the contractoz has complied.

i0.3 Technical content.

10.3.1 The technical content shall be in accordance with the appendix entitled "Certifica-tion Data/Report Technical Content Requirements," contained in the applicable military specification as stated in the DD Form 1423, Contract Data Requirements List.

10.3.2 The technical content shall be as specified on the DD Form 1423, Contract Data Requirements List.

10.4 Supplemental information. Additional specific material, drawings, sketches, photo-graphs, etc., in support of these certifications shall be as defined in the DD Form 1423.

10.5 Sicmature. The certification report shall be signed by the contractorfs authorized representative responsible for insuring that the 'equipment being deliveredjservice being performed is in accordance with contract requirements.

*u.s. GOVERNMENT PRINTING OFFICE: m g - 604-rn21n0~~~

Page - 2 of - 2 pages

Copyright DLA Land and Maritime Provided by IHS Licensee=Norfolk Naval Shipyard/5960068002, User=Surring, Roger

Not for Resale, 01/27/2020 13:35:13 MSTNo reproduction or networking permitted without license from IHS