Attachment 6 -CAI Report Cvr Sht.xls

XLS spreadsheet 96 KB Posted Mar 16, 2015

Attached to: Power Systems Installation
Solicitation number: DTFAAC-15-R-02838
Issued by: Department of Transportation Federal Aviation Administration Aeronautical Center

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Attachment 6 -CAI Report Cvr Sht (xls)

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File	Type	Posted
SIR-RFO DTFAAC-15-R-02838.pdf	PDF	Apr 24, 2015
Attachment 6 -CAI Report Cvr Sht.xls	XLS spreadsheet	Apr 24, 2015
Attachment 2 - CDRLs-DIDs 3-4-15.pdf	PDF	Apr 24, 2015
Attachment 18 - Client Auth. Letter (Section J Attach.).Section J Attach.	—	Apr 24, 2015
Attachment 4 - Perf. Bond SF 25.pdf	PDF	Apr 24, 2015
Vendor Q A.pdf	PDF	Apr 24, 2015
Attachment 8 - Excavation Contaminated Mat.doc	DOC document	Apr 24, 2015
Attachment 14_FAA-D-2494b.pdf	PDF	Apr 24, 2015
Attachment 1 - SOW (w_appendices).w_appendices	—	Apr 24, 2015
DTFAAC-15-R-02838 A004 Conference Attendee List.pdf	PDF	Apr 24, 2015
Attachment 19 - Business Declaration Form.pdf	PDF	Apr 24, 2015
Attachment 9 -_FAA_ORDER_1050_10C.pdf	PDF	Apr 24, 2015
DTFAAC-15-R-02838 A001-Apr 01.pdf	PDF	Apr 24, 2015
Attachment 17(C) - Past Perf Quest. (Sec J Attach).C	C file	Apr 24, 2015
Attachment 13_FAA-C-1217F.pdf	PDF	Apr 24, 2015
Attachment 7 - Safety Health Checklist.doc	DOC document	Apr 24, 2015
Attachment 3 - SF 25(a) Payment Bond.a	A file	Apr 24, 2015
Attachment 10 -FAA_ORDER_6950_27.pdf	PDF	Apr 24, 2015
DTFAAC-15-R-02838 A002-Apr 06.pdf	PDF	Apr 24, 2015
Attachment 15_FAA_ORDER_1050_15.pdf	PDF	Apr 24, 2015
DTFAAC-15-R-02838 A005 April 17 2015pdf.pdf	PDF	Apr 24, 2015
DTFAAC-15-R-02838 A003 April 13 2015.pdf	PDF	Apr 24, 2015
Attachment 11_FAA_STD_019E.pdf	PDF	Apr 24, 2015
Attachment 12_FAA_STD_032.pdf	PDF	Apr 24, 2015
Attachment 5 - Const Spec Template.doc	DOC document	Apr 24, 2015
Attachment 20 - GFE.pdf	PDF	Apr 24, 2015
DTFAAC-15-R-02838 A006 April 24 2015.pdf	PDF	Apr 24, 2015
Attachment 16 - Past Perf History (Sec J Attach).Sec J Attach	—	Apr 24, 2015
Attachment 7 - Safety Health Checklist.doc	DOC document	Apr 17, 2015
Attachment 18 - Client Auth. Letter (Section J Attach.).Section J Attach.	—	Apr 17, 2015
Attachment 13_FAA-C-1217F.pdf	PDF	Apr 17, 2015
Attachment 10 -FAA_ORDER_6950_27.pdf	PDF	Apr 17, 2015
DTFAAC-15-R-02838 A001-Apr 01.pdf	PDF	Apr 17, 2015
Attachment 19 - Business Declaration Form.pdf	PDF	Apr 17, 2015
Attachment 11_FAA_STD_019E.pdf	PDF	Apr 17, 2015
Attachment 9 -_FAA_ORDER_1050_10C.pdf	PDF	Apr 17, 2015
Attachment 12_FAA_STD_032.pdf	PDF	Apr 17, 2015
SIR-RFO DTFAAC-15-R-02838.pdf	PDF	Apr 17, 2015
Attachment 17(C) - Past Perf Quest. (Sec J Attach).C	C file	Apr 17, 2015
Attachment 15_FAA_ORDER_1050_15.pdf	PDF	Apr 17, 2015
Attachment 20 - GFE.pdf	PDF	Apr 17, 2015
Attachment 14_FAA-D-2494b.pdf	PDF	Apr 17, 2015
DTFAAC-15-R-02838 A005 April 17 2015pdf.pdf	PDF	Apr 17, 2015
Attachment 6 -CAI Report Cvr Sht.xls	XLS spreadsheet	Apr 17, 2015
Attachment 8 - Excavation Contaminated Mat.doc	DOC document	Apr 17, 2015
Attachment 5 - Const Spec Template.doc	DOC document	Apr 17, 2015
Attachment 4 - Perf. Bond SF 25.pdf	PDF	Apr 17, 2015
Attachment 3 - SF 25(a) Payment Bond.a	A file	Apr 17, 2015
DTFAAC-15-R-02838 A004 Conference Attendee List.pdf	PDF	Apr 17, 2015
DTFAAC-15-R-02838 A003 April 13 2015.pdf	PDF	Apr 17, 2015

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Sheet1

CONTRACTOR ACCEPTANCE INSPECTION

Location (City/State)

REPORT COVER SHEET

Cost Center Code

Location Ident.

Facility Alpha Code

Facility Ident. Code

Runway No.

Delivery Order No.

Contract No.

Designated Lead Project

Dates of Final CAI

Yes

Engineering Plan/Project:

Dates of Commissioning/Restoration

Brief Description of Project:

Type of CAI

Previous Partial CAI's (Nos./Date)

PLANTS

FINAL

ELECTRONICS

PARTIAL NO.

Number of Exceptions:

No. of CAI Reports Exception List and Clearances

Number of Design Deficiencies or

Major:

Record Sheets Attached:

Improvements Identified or

Minor:

Recommended:

Documents/Records Applicable to CAI:

FAA 6030-16 TRDR Cover/Transmittal Sheet

FAA Form 3900-1, Occupational Safety and Health

FAA 6030-17 TRDR's; FAA 6030-15

Inspection Report

Fac. Gen. Ref. Data Record

Radiation Health Hazard Survey

Flight Inspection Reports/Results

FAA Form 6980-4, Standby Power Survey

Obstn. Survey and/or Hrzn Profile(new Fac.)

Plant Equipment Performance Test Data

Contractor Acceptance Inspection Participants (Name/Office)

We have reviewed the finding of this CAI Report and have determined that the facility/equipment or work

described in this report is (__acceptable __not acceptable) for (__transfer of custodialship __maintenance

__maintenance and operation on a commissioned bases) with (__no exceptions __exceptions) Listed on the

CAI Exception List and Clearance Record.

AFS Representative (Chairperson)

AFD F&E Representative

Representative

AT Facility Representative

AFD Maint Br Representative

Representative

Acceptance by Airway Facilities Sector/Sector Field Office:

The facility/system/equipment or work described in this JAI Report was accepted for:

custodialship

maintenance

maintenance and operation on:_________

AFS/SFO Manager

I have reviewed this CAI Report, and (__concur __nonconcur) with the Contractor Acceptance Inspection findings.

(If Applicable: __A letter is attached explaining nonconcurrence.)

AF Manager

Date

&C&"Arial,Bold"&12PART - III SECTION J ATTACHMENT J.6 &R&9Attachment 6

DTFAAC-15-R-02838

&CPage 1 of 7 Version 1.0 5/5/08

Sheet2

CONTRACTOR ACCEPTANCE INSPECTION REPORT CHECKLIST							Sheet 1 of 5
Ident. & Fac. Alpha Code		Delivery Order No.	Date of CAI	Type of CAI:
					Plants		Final
					Electronics		Partial no.
				REQUIREMENTS			Exception
					MEETS		Category
Item No.	REQUIREMENT			N/A	YES	NO	Major	Minor
	Section A. Facility Construction and Installation Requirements
1	Construction Standards and Specifications.
2	Construction Appearance.
3	Roads and Grounds:
	a. Surface Condition.
	b. Erosion Control.
	c. Drainage.
	d. Fences/Gates/Cattleguards.
	e. Signs.
4	Structures (Towers/Poles):
	a. Tower/Pole Construction.
	b. Ladders, Steps.
	c. Guys/Anchors.
	d. Lightning Protection
5	Buildings:
	a. Roof.
	b. Exterior Walls.
	c. Foundation.
	d. Floors.
	e. Interior Walls.
	f. Ceiling/Lights.
	g. Openings.
	h. Plumbing, Water and Sewage Systems.
6	Site/Facility Cleanup.

&CPage 2 of 7 Version1.0 5/5/08

Sheet3

CONTRACTOR ACCEPTANCE INSPECTION REPORT CHECKLIST							Sheet 2 of 5
Ident. & Fac. Alpha Code		Job Order No.	Date of CAI	Type of CAI:
					Plants		____Final
					Electronics		____Partial no.
				REQUIREMENTS			Exception
					MEETS		Category
Item No.	REQUIREMENT			N/A	YES	NO	Major	Minor
	Section A. Facility Construction and Installation Requirements
7	Lessor's Inspection and Letter of Release.
8	Commercial Power Service.
9	Power Transformers.
10	Facility Electrical Wiring and Lighting.
11	Facility/Structure Grounding.
12	Lightning and Surge Protection.
13	Distribution, Demarcation, and Terminal Panels, Boxes, and Cabinets.
14	Construction Inspection of Power, Control, Signal, and Coaxial Cables.
15	Underground Cables.
16	Cable Load and Voltage Drop.
17	Standby Engine Generator.
18	UPS/PCS/Battery Backup Systems.
19	Environmental Systems (HVAC).
20	Equipment Installation (Standards and Specifications).
21	Equipment Appearance.
22	Equipment Grounding, Bonding, and Shielding.
23	Equipment Ventilation.
24	Antennas and Antenna Systems.
25	Coaxial Cable Tests and Documentation.
26	Ground Check/Reference Markers.
27	Equip. Mods., CCD's, Manufacturer's Field and Factory Changes.
28	FAA/Telco Ground Rules.
29	Telco Equipment Operation.
30	Leased Telecommunications Service.
31	Occupational Safety. Battery and electrical safety equipment.

&CPage 3 of 7 Version 1.0 5/5/08

Sheet4

CONTRACTOR ACCEPTANCE INSPECTION REPORT CHECKLIST							Sheet 3 of 5
Ident. & Fac. Alpha Code		Job Order No.	Date of CAI	Type of CAI:
					Plants		_____Final
					Electronics		_____Partial no.
				REQUIREMENTS			Exception
					MEETS		Category
Item No.	REQUIREMENTS			N/A	YES	NO	Major	Minor
	Section A. Facility Construction and Installation Requirements
32	Radiation Health Hazard Survey.
33	Fire Protection.
34	Security.
35	Frequency Authorizations.
36	ERMS P1 and P5 panel installation. Interface connection to equipment and comminications medium.
37	UPS remote status panel installed and connected to UPS.
	Section B. Facility/System/Equipment Performance Requirements.
1	Systems/Equipment Adjustments and Tuneup.
2	Systems/Equipment Operation.
3	Standards and Tolerances.
4	Deviation From National Standards.
5	Special Component Selection.
6	Capability.
7	Compatibility.
8	Reliability.
9	Maintainability.
10	Electromagnetic Interference.
11	RMM software loaded on ERMS P1 and P5 CPUs. Communication to the OCC via the MPS. Test alarms and status reports.
12	UPS remote status panel operational.

&CPage 4 of 7 Version 1.0 5/5/08

Sheet5

CONTRACTOR ACCEPTANCE INSPECTION REPORT CHECKLIST							Sheet 4 of 5
Ident. & Fac. Alpha Code		Job Order No.	Date of CAI	Type of CAI:
					Plants		_____Final
					Electronics		_____Partial no.
				REQUIREMENTS			Exception
					MEETS		Category
Item No.	REQUIREMENTS			N/A	YES	NO	Major	Minor
	Section C. Commissioning Flight Inspection Requirements.
1	Facility/System Certification.
2	Issuance of Restrictive NOTAMS.
	Section D. Facility Technical Performance Documentation and
	Maintenance Reference data Requirements.
1	Facility Reference Data File (FRDF)
2	Facility Technical Reference Data:
	a. FAA Form 6030-15, Facility General Reference Data Record.
	b. FAA Form 6030-16, Tech. Ref. Data Record Cover/Transmittal Sheets.
	c. FAA Form 6030-17, Technical Reference Data Records.
	d. Initial FAA Form (6000 Series), Performance Records.
3	Plant Equipment Performance Test Data.
4	Engine Generator Installation:
	a. Performance Test Data.
	b. FAA Form 6980-4, Standby Power System.
5	Facility Drawings.
6	Facility Instruction Books.
7	Facility Maintenance Technical Data.
8	Facility Modification Records.
9	Facility/System/Equipment, NCP's and CCD's

&CPage 5 of 7 Version 1.0 5/5/08

Sheet6

CONTRACTOR ACCEPTANCE INSPECTION REPORT CHECKLIST							Sheet 5 of 5
Ident. & Fac. Alpha Code		Job Order No.	Date of CAI	Type of CAI:
					Plants		______Final
					Electronics		______Partial no.
				REQUIREMENTS			Exception
					MEETS		Category
Item No.	REQUIREMENTS			N/A	YES	NO	Major	Minor
	Section F. Final Acceptance and Commissioning Requirements.
	Initial Operating Capability (IOC).
1	(Includes operations, diagnostics, and support software).
2	Final Preparation For Facility / System / Equipment Operations.
3	Operational Readiness Date (ORD).
4	Airway Facilities Staffing.
5	Preventative Maintenance (PM).
6	Facility / System / Equipment Certification and Commissioning Statements.
7	Establishment and Scheduling of Instrument Approach Procedures (IAP's).
8	Issuance of Commissioning NOTAM.
9	Facilities Master File (FMF) Change.

&CPage 6 of 7 Version 1.0 5/5/08

Sheet7

CONTRACTOR ACCEPTANCE INSPECTION REPORT EXCEPTIONS LIST AND CLEARANCE RECORD

Sheet

AFS/SFO CC and Location

Fac. ID & Alpha Code

Job Order No.

Dates of CAI

Type of CAI:

Plants

Final

Electronics

Partial no.

Exception Category:

Number of Sheets:

Total Number of Exceptions:

Major

Minor

Major

Minor

Major

Minor

Sec/ Item No.

Exceptions and Actions Required

Action Office

Estimated Completion Date

Clearance Action Taken

Date Cleared

REMARKS:

&CPage 7 of 7 Version 1.0 5/5/08

File details come from the government source that posted it. Updated Nov 14, 2017.