TF33_CDRL_Portfolio1.pdf

For the best experience, open this PDF portfolio in

Acrobat X or Adobe Reader X, or later.

Get Adobe Reader Now!

http://www.adobe.com/go/reader

DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB 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 Department 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 OMB 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. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package;

TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15.

Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423-1 (BACK), FEB 2001

1_DATA_ITEM_NO: A001

2_TITLE_OF_DATA_ITEM:

Tear Down Deficiency Report

3_SUBTITLE:

Deficiency Investigation Report

4_AUTHORITY_Data_Acquisit: DI-ALSS-81534

5_CONTRACT_REFERENCE: PWS 1.5.1.1

6_REQUIRING_OFFICE: OC-ALC/76 PMXG/MXDEO

7_DID_250_REQ: NO

8_APP_CODE: NA

DIST_STATEMENT: B

10_FREQUENCY: See Block 16

11_AS_OF_DATE: See Block 16

12_DATE_OF_FIRST_SUBMISSI: See Block 16

13_DATE_OF_SUBSEQUENT_SUB: See Block 16 addressee1: 76 PMXG/MXDEO draft1:

reg1: 1 repro1:

addressee2: AFSC/PZIMC draft2:

reg2:

repro2: 1 addressee3: DCMA/ACO draft3:

reg3:

repro3: 1 addressee4:

draft4:

reg4:

repro4:

addressee5:

draft5:

reg5:

repro5:

addressee6:

draft6:

reg6:

repro6:

addressee7:

draft7:

reg7:

repro7:

addressee8:

draft8:

reg8:

repro8:

addressee9:

draft9:

reg9:

repro9:

addressee10:

draft10:

reg10:

repro10:

addressee11:

draft11:

reg11:

repro11:

addressee12:

draft12:

reg12:

repro12:

addressee13:

draft13:

reg13:

repro13:

addressee14:

draft14:

reg14:

repro14:

addressee15:

draft15:

reg15:

repro15:

addressee16:

draft16:

reg16:

repro16:

addressee17:

draft17:

reg17:

repro17:

addressee18:

draft18:

reg18:

repro18:

addressee19:

draft19:

reg19:

repro19:

addressee20:

draft20:

reg20:

repro20:

addressee21:

draft21:

reg21:

repro21:

addressee22:

draft22:

reg22:

repro22:

addressee23:

draft23:

reg23:

repro23:

addressee24:

draft24:

reg24:

repro24:

addressee25:

draft25:

reg25:

repro25:

addressee26:

draft26:

reg26:

repro26:

addressee27:

draft27:

reg27:

repro27:

addressee28:

draft28:

reg28:

repro28:

addressee29:

draft29:

reg29:

repro29:

addressee30:

draft30:

reg30:

repro30:

addressee31:

draft31:

reg31:

repro31:

addressee32:

draft32:

reg32:

repro32:

addressee33:

draft33:

reg33:

repro33:

addressee34:

draft34:

reg34:

repro34:

addressee35:

draft35:

reg35:

repro35:

addressee36:

draft36:

reg36:

repro36:

addressee37:

draft37:

reg37:

repro37:

addressee38:

draft38:

reg38x:

repro38:

total_draft: 0 total_repro: 2

16_REMARKS: Ref Blocks 10, 11, 12, 13, 14

1.5.1.1 Deficiency Investigation Report:

The contractor shall investigate suspect defective items IAW TO 00-35D-54 and Submit findings to include root causes and corrective actions as appropriate. The report shall be submitted within 60 days after receipt of the PQDR Exhibit.

76 PMXG/MXDEO

Production Manager Specialist (PMS) Jimmy Horton E-Mail: jimmy.horton@tinker.af.mil Phone: 405-736-5556 Fax: 405-582-1597

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Jimmy Horton

H_DATE: 13 June 18

1_APPROVED_BY: David Robinson

J_DATE: 13 June 18

Page:

reg38t: 1

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

TDP:

TM:

OTHER:

DSYSTEMITEM: TF33 Turbine Blades

E_CONTRACTPR_NO: FD2030-19-30136

FCONTRACTOR:

16_REMARKS_Continued:

Page2: 2 of_pages: 2

Reset:

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 Department 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 OMB control number. Please do not return your form to the above organization. Send completed form to the conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any

1_DATA_ITEM_NO: A002

2_TITLE_OF_DATA_ITEM:

Material Review Board

3_SUBTITLE:

MRB Report

4_AUTHORITY_Data_Acquisit: DI-ILSS-80386

5_CONTRACT_REFERENCE: PWS 1.5.1.3

6_REQUIRING_OFFICE: OC-ALC/76 PMXG/MXDEO

7_DID_250_REQ: NO

8_APP_CODE: NA

DIST_STATEMENT: B

10_FREQUENCY: See Block 16

11_AS_OF_DATE: See Block 16

12_DATE_OF_FIRST_SUBMISSI: See Block 16

13_DATE_OF_SUBSEQUENT_SUB: See Block 16 addressee1: 76 PMXG/MXDEO draft1:

reg1: 1 repro1:

addressee2: AFSC/PZIM draft2:

reg2:

repro2: 1 addressee3: DCMA/ACO draft3:

reg3:

repro3: 1 addressee4:

draft4:

reg4:

repro4:

addressee5:

draft5:

reg5:

repro5:

addressee6:

draft6:

reg6:

repro6:

addressee7:

draft7:

reg7:

repro7:

addressee8:

draft8:

reg8:

repro8:

addressee9:

draft9:

reg9:

repro9:

addressee10:

draft10:

reg10:

repro10:

addressee11:

draft11:

reg11:

repro11:

addressee12:

draft12:

reg12:

repro12:

addressee13:

draft13:

reg13:

repro13:

addressee14:

draft14:

reg14:

repro14:

addressee15:

draft15:

reg15:

repro15:

addressee16:

draft16:

reg16:

repro16:

addressee17:

draft17:

reg17:

repro17:

addressee18:

draft18:

reg18:

repro18:

addressee19:

draft19:

reg19:

repro19:

addressee20:

draft20:

reg20:

repro20:

addressee21:

draft21:

reg21:

repro21:

addressee22:

draft22:

reg22:

repro22:

addressee23:

draft23:

reg23:

repro23:

addressee24:

draft24:

reg24:

repro24:

addressee25:

draft25:

reg25:

repro25:

addressee26:

draft26:

reg26:

repro26:

addressee27:

draft27:

reg27:

repro27:

addressee28:

draft28:

reg28:

repro28:

addressee29:

draft29:

reg29:

repro29:

addressee30:

draft30:

reg30:

repro30:

addressee31:

draft31:

reg31:

repro31:

addressee32:

draft32:

reg32:

repro32:

addressee33:

draft33:

reg33:

repro33:

addressee34:

draft34:

reg34:

repro34:

addressee35:

draft35:

reg35:

repro35:

addressee36:

draft36:

reg36:

repro36:

addressee37:

draft37:

reg37:

repro37:

addressee38:

draft38:

reg38x:

repro38:

total_draft: 0 total_repro: 2

16_REMARKS: Ref Blocks 10, 11, 12, 13, 14

1.5.1.3. Material Review Board (MRB):

The contractor is authorized to establish and convene an MRB to evaluate any non-conforming material and/or parts. Board members shall consist of representatives from the contractor's quality, production control, and engineering (industrial product support or design) and Government QAR. The contractor shall prepare a report within 30 calendar days after entering MRB pool detailing the non-conformance to include PN, NSN, and SN. The PCO shall provide disposition instructions to the contractor.

76 PMXG/OBD

Production Manager Specialist (PMS) Jimmy Horton E-Mail: jimmy.horton@tinker.af.mil Phone: 405-736-5556 Fax: 405-582-1597

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Jimmy Horton

H_DATE: 13 June 18

1_APPROVED_BY: David Robinson

J_DATE: 13 June 18

Page:

reg38t: 1

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

TDP:

TM:

OTHER:

DSYSTEMITEM: TF33Turbine Blades

E_CONTRACTPR_NO: FD2030-19-30136

FCONTRACTOR:

16_REMARKS_Continued:

Page2: 2 of_pages: 2

Reset:

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 Department 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 OMB control number. Please do not return your form to the above organization. Send completed form to the conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any

1_DATA_ITEM_NO: A003

2_TITLE_OF_DATA_ITEM:

Certificate of Conformance

3_SUBTITLE:

COC Repair Documents

4_AUTHORITY_Data_Acquisit: DI-MISC-81356A

5_CONTRACT_REFERENCE: PWS 1.5.1.10

6_REQUIRING_OFFICE: OC-ALC/76 PMXG/MXDEO

7_DID_250_REQ: NO

8_APP_CODE: NA

DIST_STATEMENT: B

10_FREQUENCY: See Block 16

11_AS_OF_DATE: See Block 16

12_DATE_OF_FIRST_SUBMISSI: See Block 16

13_DATE_OF_SUBSEQUENT_SUB: See Block 16 addressee1: Ship With Each Part draft1:

reg1: 1 repro1:

addressee2: FY2104 draft2:

reg2:

repro2:

addressee3:

draft3:

reg3:

repro3:

addressee4:

draft4:

reg4:

repro4:

addressee5:

draft5:

reg5:

repro5:

addressee6:

draft6:

reg6:

repro6:

addressee7:

draft7:

reg7:

repro7:

addressee8:

draft8:

reg8:

repro8:

addressee9:

draft9:

reg9:

repro9:

addressee10:

draft10:

reg10:

repro10:

addressee11:

draft11:

reg11:

repro11:

addressee12:

draft12:

reg12:

repro12:

addressee13:

draft13:

reg13:

repro13:

addressee14:

draft14:

reg14:

repro14:

addressee15:

draft15:

reg15:

repro15:

addressee16:

draft16:

reg16:

repro16:

addressee17:

draft17:

reg17:

repro17:

addressee18:

draft18:

reg18:

repro18:

addressee19:

draft19:

reg19:

repro19:

addressee20:

draft20:

reg20:

repro20:

addressee21:

draft21:

reg21:

repro21:

addressee22:

draft22:

reg22:

repro22:

addressee23:

draft23:

reg23:

repro23:

addressee24:

draft24:

reg24:

repro24:

addressee25:

draft25:

reg25:

repro25:

addressee26:

draft26:

reg26:

repro26:

addressee27:

draft27:

reg27:

repro27:

addressee28:

draft28:

reg28:

repro28:

addressee29:

draft29:

reg29:

repro29:

addressee30:

draft30:

reg30:

repro30:

addressee31:

draft31:

reg31:

repro31:

addressee32:

draft32:

reg32:

repro32:

addressee33:

draft33:

reg33:

repro33:

addressee34:

draft34:

reg34:

repro34:

addressee35:

draft35:

reg35:

repro35:

addressee36:

draft36:

reg36:

repro36:

addressee37:

draft37:

reg37:

repro37:

addressee38:

draft38:

reg38x:

repro38:

total_draft: 0 total_repro: 0

16_REMARKS: Ref Blocks 10, 11, 12, 13, 14

1.5.1.10 Repair Document:

A "Certificate of Conformance" shall be provided by the contractor for each part repaired. The "Certificate of Conformance" shall provide details on how the contractor controls the quality of the part. It should also certify that the part was handled and repaired according to all applicable technical data. A sample copy of the certificate of conformance shall be submitted and approved by the government's technical representative (OC-ALC/76 PMXG/MXDEO) prior to production.

76 PMXG/MXDEO

Production Manager Specialist (PMS) Jimmy Horton E-Mail: jimmy.horton@tinker.af.mil Phone: 405-736-5556 Fax: 405-582-1597

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Jimmy Horton

H_DATE: 13 June 18

1_APPROVED_BY: David Robinson

J_DATE: 13 June 18

Page:

reg38t: 1

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

TDP:

TM:

OTHER:

DSYSTEMITEM: TF33Turbine Blades

E_CONTRACTPR_NO: FD2030-19-30136

FCONTRACTOR:

16_REMARKS_Continued:

Page2: 2 of_pages: 2

Reset:

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 Department 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 OMB control number. Please do not return your form to the above organization. Send completed form to the conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any

1_DATA_ITEM_NO: A004

2_TITLE_OF_DATA_ITEM: Depot Maintenance Production Report Report (AFMC Form 413)

3_SUBTITLE:

Manual Production Report

4_AUTHORITY_Data_Acquisit: DI-PSSS-81995

5_CONTRACT_REFERENCE: PWS 1.5.1.13

6_REQUIRING_OFFICE: OC-ALC/76 PMXG/MXDEO

7_DID_250_REQ: NO

8_APP_CODE: NA

DIST_STATEMENT: B

10_FREQUENCY: As Reqd

11_AS_OF_DATE: As Reqd

12_DATE_OF_FIRST_SUBMISSI: See Block 16

13_DATE_OF_SUBSEQUENT_SUB: As Reqd addressee1: 76 PMXG/MXDEO draft1:

reg1: 1 repro1:

addressee2: DCMA/ACO draft2:

reg2:

repro2: 1 addressee3:

draft3:

reg3:

repro3:

addressee4:

draft4:

reg4:

repro4:

addressee5:

draft5:

reg5:

repro5:

addressee6:

draft6:

reg6:

repro6:

addressee7:

draft7:

reg7:

repro7:

addressee8:

draft8:

reg8:

repro8:

addressee9:

draft9:

reg9:

repro9:

addressee10:

draft10:

reg10:

repro10:

addressee11:

draft11:

reg11:

repro11:

addressee12:

draft12:

reg12:

repro12:

addressee13:

draft13:

reg13:

repro13:

addressee14:

draft14:

reg14:

repro14:

addressee15:

draft15:

reg15:

repro15:

addressee16:

draft16:

reg16:

repro16:

addressee17:

draft17:

reg17:

repro17:

addressee18:

draft18:

reg18:

repro18:

addressee19:

draft19:

reg19:

repro19:

addressee20:

draft20:

reg20:

repro20:

addressee21:

draft21:

reg21:

repro21:

addressee22:

draft22:

reg22:

repro22:

addressee23:

draft23:

reg23:

repro23:

addressee24:

draft24:

reg24:

repro24:

addressee25:

draft25:

reg25:

repro25:

addressee26:

draft26:

reg26:

repro26:

addressee27:

draft27:

reg27:

repro27:

addressee28:

draft28:

reg28:

repro28:

addressee29:

draft29:

reg29:

repro29:

addressee30:

draft30:

reg30:

repro30:

addressee31:

draft31:

reg31:

repro31:

addressee32:

draft32:

reg32:

repro32:

addressee33:

draft33:

reg33:

repro33:

addressee34:

draft34:

reg34:

repro34:

addressee35:

draft35:

reg35:

repro35:

addressee36:

draft36:

reg36:

repro36:

addressee37:

draft37:

reg37:

repro37:

addressee38:

draft38:

reg38x:

repro38:

total_draft: 0 total_repro: 1

16_REMARKS: Ref Blocks 10, 11, 12, 13, 14

1.5.1.13 Production Report:

The report shall be prepared using AFMC Form 413, June 95 Edition, as of the last working day of each month and forwarded by E-Mail or Phone Fax to the 76 PMXG/MXDEO Production Management Specialist (PMS) the fifth working day of each month. The initial report shall be prepared for the month which the contract assets are repaired and returned. Reports shall continue to be sent unless terminated by the PMS. The last report shall be annotated "Final Manual Report".

76 PMXG/MXDEO

Production Manager Specialist (PMS) Jimmy Horton E-Mail: jimmy.horton@tinker.af.mil Phone: 405-736-5556 Fax: 405-582-1597

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Jimmy Horton

H_DATE: 13 June 18

1_APPROVED_BY: David Robinson

J_DATE: 13 June 18

Page:

reg38t: 1

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

TDP:

TM:

OTHER:

DSYSTEMITEM: TF33Tubine Blades

E_CONTRACTPR_NO: FD2030-19-30136

FCONTRACTOR:

16_REMARKS_Continued:

Page2: 2 of_pages: 2

Reset:

DATA ITEM DESCRIPTION

Title: TEARDOWN DEFICIENCY REPORT

Number: DI-PSSS-81534A Approved Date: 20160608

AMSC Number: F9670 Limitation: N/A

DTIC Applicable: No GIDEP Applicable: No

Preparing Activity: 11 (AFLCMC/EZSC) Project Number: PSSS-2015-024

Applicable Forms: N/A

Use/Relationship: The Teardown Deficiency Report provides a factual narrative analysis of a deficiency which has been noted on equipment.

a. This Data Item Description (DID) is applicable when contractors are responsible for maintaining custodial records for government property being repaired.

b. This DID contains the format, content and intended use information for the data deliverable resulting from the work task described in the solicitation.

c. This DID supersedes DI-ALSS-81534.

Requirements:

1. Reference documents. None.

2. Format. The Teardown Deficiency Report shall be in the contactor’s format.

3. Content. This report shall include an analysis of the deficiency which includes cause of failure, recommended corrective action and recommendations for actions to prevent recurrence of the failure/deficiency, and the applicable category of the failure defined as follows:

a. Workmanship and non-conformance. Any deficiency (e.g., physical, chemical, electrical, functional) noted in materiel which is attributed to non-conformance to applicable specifications, drawing, standards, or Technical Order (TO); or workmanship during manufacture, repair modification or maintenance.

b. Material failure. The failure of an end item which was attributable to neither the repair nor the manufacturing process, but was due to an unpredictable failure of an internal component or sub-assembly.

c. No defect found/could not duplicate: Investigation of the exhibit revealed no deficiency.

Equipment conforms to specifications and TO standards and procedures.

d. Technical data, deficiency: Technical data (including TOs, drawings, and work specifications) was deficient or inadequate so as to cause the deficiency/failure on the item.

e. Field induced deficiency. Deficiency confirmed by the investigation to have been caused by operator error, i.e., wrong voltage applied, misaligned, maladjusted, mishandling, or not used for intended purpose.

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

Source: https://assist.dla.mil -- Downloaded: 2017-02-16T16:20Z Check the source to verify that this is the current version before use.

DI-PSSS-81534A

f. Maintenance deficiency. An unfavorable characteristic of an item that impedes the accomplishment of maintenance operations which results in excessive maintenance operations and/or in excessive maintenance man-hour consumption.

g. Design deficiency. A condition that limits or prevents the use of material for purpose intended or required where the material meets all other specifications.

h. Handling or shipping deficiency. A deficiency induced by improper handling or shipping, i.e., improper packaging, which prohibits the use for intended purpose.

i. Packaging specifications inadequate - not complied with. Unsatisfactory conditions including item damage resulting from improper packaging.

End of DI-PSSS-81534A.

Source: https://assist.dla.mil -- Downloaded: 2017-02-16T16:20Z

Source: https://assist.dla.mil -- Downloaded: 2017-02-16T16:26Z

Source: https://assist.dla.mil -- Downloaded: 2017-02-16T16:26Z

Title: Certificate of Compliance Number DI-MISC-81356A Approval Date: 20071218 AMSC Number: N9036 Limitation: N/A DTIC Applicable: No GIDEP Applicable: No Office of Primary Responsibility: NAVICP Code 8741 Applicable Forms: N/A

Use/Relationship: The Certificate of Compliance provides certification from the contractor that the materiel supplied is in full compliance with all contract requirements. This DID contains the format, content, and intended use information for the data deliverable required by the contract.

This DID supersedes DI-MISC-81356.

Requirements:

1. Format. The Certificate of Compliance shall be presented in a format similar to that of Figure 1.

2. Content. The Certificate of Compliance shall contain:

a. Contractor’s name.

b. Contractor’s address.

c. Contractor’s phone number.

d. Date.

e. Contracting Agency’s name.

f. Contract Number.

g. National Stock Number (NSN).

h. Item nomenclature.

i. A statement certifying that all items furnished on the contract are in full compliance with all specification and contract requirements.

j. Authorized personnel’s signature.

k. Authorized personnel’s printed name and title.

Source: http://assist.dla.mil -- Downloaded: 2019-02-04T20:32Z

DI-MISC-81356A

From: ______________________ (Contractor’s name)

Address: ______________________ (Contractor’s address)

Phone Number: ________________ (Contractor’s phone number)

Date: ________________

To: _______________ (Contracting Agency)

Contract Number: _______________

National Stock Number: _______________

Item Nomenclature: ___________________

“All items furnished on this contract are in full compliance with all specification and contract requirements.”

(Signature of Authorized Personnel

(Printed Name and Title of Authorized Personnel)

Note: The recording of false, fictitious, or fraudulent statements or entries on this document may be punished as a felony under Federal Statutes.

3. End of DI-MISC-81356A

Figure 1 – Sample format for a Certificate of Compliance

Source: http://assist.dla.mil -- Downloaded: 2019-02-04T20:32Z

Title: CONTRACT DEPOT MAINTENANCE (CDM) PRODUCTION REPORT

Number: DI-PSSS-81995 Approved Date: 20150904 AMSC Number: 9576 Limitation: N/A DTIC Applicable: No GIDEP Applicable: No Preparing Activity: 11 (AFMC/A4) Project Number: PSSS-2015-009 Applicable Forms: N/A Use/Relationship: The Contract Depot Maintenance (CDM) Production Report is a two-part report which provides the Government with monthly maintenance production figures, status and accountability of assets at the contractor facility, performance to schedule, anticipated production for the next month, and a summary of unresolved problems at the end of the report period.

a. This Data Item Description (DID) contains the format, content and preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract.

b. This DID may be used on any depot level maintenance contract.

Requirements:

1. Format. This report shall be provided in the format of Table I.

2. Content. The report shall consist of two parts and contain the following information:

a. Part I:

(1) As of date: The year, month and day applicable to the report. Data must be through the end of the month.

(2) Block 1, Issuing/Procuring Agency. Include address and Point of Contact.

(3) Block 2, Contractor and activity address code (AAC). The name of the business and the DoDAAC assigned to your business for shipment of material.

(4) Block 3, Contract number and Program or Weapon System supported.

(5) Block 4, Government item manager or technical Point of Contact.

(6) Block A, Item identification. The National Stock Number (NSN), A-1 is the Federal Supply Class (FSC) and A-2 is the National Item Identification Number (NIIN) of the item being reported.

(7) Block B, Delivery/Call Order number. When the awarded contract is a call/delivery order type, this is the applicable order number. When an item is awarded on more than one order, it is repeated for each order until completed. If the current report completes the call, the word “completed” will be added.

(8) Block C, The contract line item number (CLIN). The CLIN assigned to the NSN in the contract.

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

Source: https://assist.dla.mil -- Downloaded: 2017-09-23T18:27Z

DI-PSSS-81995

(9) Block D, The document/voucher number the item was received under. The document number listed on the shipping documentation the item was received against.

(10) Block E, Quantity on contract or call. E-1 is the quantity of the end items to be repaired on each call/delivery order or contract quantity when orders do not apply. E-2 is the total quantity scheduled for repair cumulative to date.

(11) Block F, Reparables received. Number of reparable items received for repair. F-1 is the quantity of reparables received during the report month. F-2 is the quantity of reparables received cumulative from the start of the contract through report month.

(12) Block G, Reparables inducted into repair during report month.

(13) Block H, Reparables on hand. Number of reparables on hand waiting induction into repair.

(14) Block I, Quantity produced. The quantity produced during the month.

(15) Block J, Serviceables shipped. Serviceables shipped from repair facility. J-1 is the serviceables shipped through report month. J-2 is serviceables shipped cumulative from start of contract.

(16) Block K, Serviceables on hand. The quantity of serviceables on hand awaiting shipping action.

(17) Block L, Quantity condemned. The quantity condemned. L-1 is the quantity condemned during report month. L-2 is the quantity condemned cumulative from start of contract.

(18) Block M, Forecast to complete. The quantity of items scheduled to be produced next month.

(19) Block N, Report date. Enter date of report.

b. Part II, Production problems. Report shall be in narrative format and only required if:

(1) Previous reports production forecast was not shipped.

(2) Current forecast does not equal contract scheduled quantity.

(3) Contract anticipates a problem in the near future.

TABLE I. Contract Depot Maintenance (CDM) Production Report format.

CONTRACT DEPOT MAINTENANCE (CDM) PRODUCTION REPORT Month and As-Of Date

(YYYYMMDD)

Part I

1. ISSUED BY: 2. CONTRACTOR AND ACTIVITY ADDRESS CODE 3. CONTRACT NUMBER/PRGM/WS 4. GOVERNMENT ITEM MANAGER OR TECHNICAL POC

DURING REPORT PERIOD/TOTAL TO DATE

A.

ITEM

IDENTIFICATION

B.

DELIVERY/

CALL NUMBER

C.

CONTRACT

LINE ITEM

(CLIN)

D.

DOCUMENT/

VOUCHER

NUMBER

E.

QTY ON

CONTRACT

OR

DO/CALL

F.

REPARABLES

RECEIVED

G.

QTY

IND TO

WORK

H.

REPS ON

HAND

I.

PROD

J.

SERVICEABLES

SHIPPED

K.

SERV ON

HAND

L.

CONDEMNED

M.

FORECAST PROD

N.

REPORT DATE

FSC NIIN

1 2 1 2 3 1 2 1 2 1 2

Part II, Production Summary

End of DI-PSSS-81995.