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FA4819-16-R-6001
APPENDIX N--REQUIRED REPORTS
REQUIRED SUBMITTALS: Use TRIRIGA, once implemented, for affected submittals as opposed to forms.
| Report Title |
| Description/Form |
| Submit To |
| Date Due |
| Directive |
| Hazard Report |
| AF Form 457 |
| Base Safety Office |
| Whenever an Accident Occurs |
| AFI 91-202, Chap 4 |
| Tank Entry Supervisor (TES) Certification |
| AF Form 483 (Issued by MAJCOM fuels engineer) |
| CEO |
| 5 Years |
| UFC 3-460-03 Para 11.3 |
| Generator Operating Log (Inspection Checklist) |
| AF Form 487 (each generator) or local spreadsheet |
| CEO and CEIE |
| Upon Request |
| AFI 32-1062 Para 5.1.2 |
| Cathodic Protection Operating Log for Impressed Current System (Not LRA) |
| AF Form 491 or equivalent |
| CEO |
| Every 60 Days |
| AFI 32-1054 Para 4.3.2 |
| Historical Records Diesel Electric Generators and System |
| AF Form 719 or equivalent |
| CEO |
| Annually or Part Change |
| AFI 32-1062 Para 5.1.1 |
| Confined Spaces Entry Permit |
| AF Form 1024 or equivalent |
| CEO |
| As Needed |
| 29 CFR 1910.146 |
| Boiler or Pressure Vessel Inspection Report |
| AF Form 1222 or AF equivalent |
| MAJCOM |
| AFCEC Data Call |
| AFI 32-1068 Para 3.5.5.5. |
| Water Treatment Operating Log for Cooling Tower Systems |
| AF Form 1457 |
| CEO |
| Annually |
| AFI 32-1054 Para 4.5.10.2 |
| Water Treatment Operating Log for Steam & Hot Water Systems |
| AF Form 1459 |
| CEO |
| Annually |
| AFI 32-1054 Para 4.5.10.3 |
| Cathodic Protection Operating Log for Sacrificial Anode System |
| AF Form 1686 or equivalent |
| CEO |
| Annually |
| AFI 32-1054, Para 4.3.1 |
| Leak/Failure Data Record Resource Advocacy/Corrosion Control Metric |
| AF Form 1687 |
| CEO |
| Annually |
| AFI 32-1054 Para 4.6.4 |
| Impressed Current Anode Bed Survey |
| AF Form 1688 |
| CEO |
| Annually |
| AFI 32-1054, para 4.3.5 |
| Water Tank Calibration |
| AF Form 1689 |
| CEO |
| Annually |
| AFI 32-1054, Para 4.3.4 |
| Emergency WT |
| Phone notification |
| CEO |
| As soon as practical |
| PWS 1.7.6.1 |
| Emergency WT Descriptive Follow-up |
| E-mail, initial with follow up until resolved |
| CEO |
| Within 4 hours of WT notification |
| PWS 1.7.6.1 |
| Wastewater Report |
| Local Spreadsheet |
| CEO |
| Monthly |
| PWS 1.6.2.3.3 |
| Water Well Meter Readings |
| Local Spreadsheet |
| CEO and CEIE |
| Quarterly |
| PWS 1.6.2.4.1 |
| Grounding and Lighting Protection Data |
| Facility report and BUILDER input |
| CEO |
| Each Facility Inspection |
| AFI 32-1065, Para 4.1 |
| Generator Inventory/ Classification |
| BUILDER, CA/CRL and/or MAJCOM Spreadsheet |
| MAJCOM |
| Annually, by 1 Aug |
| AFI 32-1062, Para 1.5.5.1 |
| Inspection, Testing, and Maintenance of Fire Protection Systems |
| TRIRIGA Report |
| CEO |
| Upon Request |
| UFC 3-601-02 |
| Aircraft Arrestment Report |
| Submit Aircraft Engagement Information. Include all Missed Engagement Attempts |
| HQ AAS Website |
| As Soon as Possible After Engagement |
| AFI 32-1043, Para 1.2.1. |
| ICS Control System Security Status Report |
| Summary Format with Supporting Documentation |
| MAJCOM ICS Functional Area Manager |
| Current system and changes |
| ETL-11-1, Para 6.1.1.2 |
| Spill/Release Report |
| Phone/E-Mail Follow-up |
| Fire Dept |
COR
CEAN
| Immediately after spill |
| Tyndall Spill Response Plan |
| Pesticide Inventory Data |
| IPMIS (DD Form 1532-1 if IPMIS is off-line) |
| Base Public Health |
Base BioEnv
MAJCOM
| Monthly |
| AFI 32-1053 Para 3.7.15 |
| Pesticide Applicator Data |
| IPMIS |
| Base Public Health |
Base BioEnv
MAJCOM
| Monthly |
| AFI 32-1053 Para 3.7.15 |
| Pesticide Application Data |
| IPMIS |
| Base Public Health |
Base BioEnv
MAJCOM
| Monthly |
| AFI 32-1053 Para 3.7.15 |
| Disruption of Services |
| Scheduled Utilities Outage |
| CEO |
| 3 duty days prior to outage unless emergency |
| AFI 32-1064 |
Para 2.20.1
| Self-Inspection Check List |
| AF Portal MICT site |
| MAJCOM/IG |
| As directed by Wing |
| AFI 90-201 |
| Recall Roster Update |
| Generic Document |
| CEO |
| As Needed |
| As required by the govt |
| Roof Maintenance Data Base |
| BUILDER (Red Roofs) |
| CEO & CEN |
| Annually |
| AFI 32-1051, Para 5 |
| Ad Hoc Reports |
| Data Requested by External or Internal Customers |
| Requestor |
| One-Time or Recurring Request |
| Required by the govt |
| Preventative Maintenance Plan Report |
| Scheduled Work Performed |
| CEOS |
| Weekly |
| Required by the govt |
| Direct Scheduled Work Report |
| Priority 1, 3A, 3B, 3C and 4. |
| CEOS |
| Monthly |
| Required by the govt |
| Facility Survey Report |
| Condition of Facilities BUILDER Report |
| CEOS |
| Annual |
| Required by the govt |
| Facility Manager Listing |
| Primary and Alternate Facility Manager |
| CEOS |
| Quarterly |
| Required by the govt |
| Standby Roster |
| Personnel Roster |
| CEOS |
| Monthly |
| Required by the govt |
| Quarterly EMCS Savings Report |
| Excel Spreadsheet |
| CEO & CEN |
| Quarterly |
| As required by the govt |
| Employee Roster |
| Excel Spreadsheet |
| CEOS |
| Monthly |
| Required by the govt |
| Status of Contractor Fleet Report |
| Excel Spreadsheet |
| CEOS |
| Quarterly |
| PWS para 4.3.3 |
| Mission Essential Personnel Contact |
| Personnel Roster |
| CEOS |
| Quarterly |
| PWS para 1.3.9.1 |
| Hurricane Preparedness Quote |
| Excel Spreadsheet |
| CEOS |
| Annually NLT 1 June |
| PWS para 1.3.9.3 |