CDRLS.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved

(1 Data Item) 0MB 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 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 0MB 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:

OOOlAA A TOP TM OTHER

NDTI

D.SYSTEM/ITEM

I

E. CONTRACT/PR NO. F.CONTRACTOR

160D612105-14 FD20201800307

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

AOOl Test/Inspection Report First Article Testing

4. AUTHORITY /Data Acquisition Document No.) 6. REQUIRING OFFICE

D1-NDTI-80809B

5. CONTRACT REFERENCE

416 SCMS/GUMBA

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

ONE/R SEEBLK 16 DD

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE

D SUBMISSION

NIA ASREQ ASREQ

16. REMARKS SEEBLK 16

NSN: 1560012272074FJ

PN: 160D612I05-14 RIB,AIRFOIL

MARK FOR: First Article Inspection and Test. DO NOT POST

Block 4: Block 10 of the DID should be tailored as follows:

10. PREPARATION INSTRUCTIONS

IO. I Format.

10.1.2 Format shall be in the same format as Forms 1, 2, and 3 of AS9I02 Appendix A, shall contain all fields, must require the same information as the forms provided and must be numbered with the same box numbers.

AS9102 Form 3 Box 14 is an optional field for the user to add columns and information that are in addition to the requirements of the standard. Since it is optional and at Contractor discretion, Contractor may add columns and titles for those columns as the Contractor sees fit. Contractor may not rearrange or change any other portion of the form.

All forms shall be completed either electronically or in permanent ink.

Contractor may use attachments to any form if more space is needed but the same form layout must be followed. All signature and date blocks must contain names and dates;

reference to electronic signatures and dates are not allowed.

Paragraph 10.2 clarified as follows:

a. All dimensions and tolerances specified on the manufacturing data shall be listed in one column, with actual corresponding reading obtained from the inspection of the part listed in another column.

b. Materials utilized in the manufacture of"First Article" item shall be identified and certified along with a copy of material purchase requests as conforming to applicable data requirements.

c. Material processing, including finish requirements (plating, heat treatment, welding inspection, anodize, painting, etc.) utilized in the manufacture of"First Article" item shall be identified and certified as conforming to applicable requirements. A copy of the purchase order certifying the process accomplished at other than contractor facility shall be included.

d. Other requirements as called out on Engineering Data Requirement (00-ALC Form

462).

e. The inspection report shall contain the results from the F AI and or Partial F AI as required by AS9102.

Delete all other paragraphs in block 10 of the DID

15. TOTAL

G. PREPARED BY H.DATE I. APPROVED BY

Brian Thompson THOMPSON.BRIAN.L.139311192 Digitallysigncdhy l

THOMPSON.BRIAN.L.1393111921

30 Apr2018 GAGE.JENNIFER.L YNN.138 D;gitruly sigood by

Datc;20IS.04.JOOS:S3:40-06'00' 4281512 ��?�.JENNIFER.!:::rn.138;f281512

b. COPIES

Final Draft

Reg Repro

0 2 0

J.DATE

30 Apr2018

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _1_ of 2 Pages

Adobe Professional 8.0

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

$0.00

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