Attachments_FA821318R3077.pdf
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- FA8213-18-R-3077
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ITEM DESCRIPTION
NSN
1377015715244ES
CAGE
62323
REFERENCE NUMBER
1914-031-02
NOUN
KIT,UWARS BATTERY R
END ITEM
Universal Water Activated Release Sys
TCTO NUMBER
11P10-6-502
TO NUMBER
11P10-6-7
CRITICALITY CODE
F
DEMILITARIZATION CODE
G
SECURITY CODE
MDC
WZE
ES CODE
WT
REMARKS
Messina, John DNAME: 21 DEC 2010DATE:
This is a Critical Safety Item
INITIATOR
NAME
JOHN.D.MESSINA
ORGANIZATION / OFFICE SYMBOL
784 CBSG / GJ
DSN PHONE
777-7137
COMMERCIAL PHONE
801-777-7137
ITEM DESCRIPTION DATA
LENGTH ( IN )
9.9600
WIDTH ( IN )
3.5000
HEIGHT ( IN )
0.0000
WEIGHT ( LB )
0.0000
OTHER DIMENSIONS
ITEM MATERIAL
lithium coin battery (screened for proper voltage and internal impedance)
ITEM FUNCTION
Provides power for Universal Water Activated Release System
SAFETY CRITICAL SCREW
THREADED COMPONENT
ESD CEMS SENSITIVE DATA
STATEMENT OF HELIUM CONTENT (%) 0 PRECIOUS METAL INDICATOR CODE
GFM REQUIRED GFE REQUIRED GFP REQUIRED
JEWEL BEARING JEWEL BEARING RELATED
LEGACY ITEM DESCRIPTION
Page 1 of 1ITEM DESCRIPTION Version 1Generated by PRPS using Jasper Reports on 27 Jun 2018
ATTACHMENT 2
USAF & USN CAD/PAD STATEMENT OF WORK - AMMUNITION DATA CARDS
January, 2018
1. Ammunition Data Cards (ADC) shall be prepared in accordance with MIL-STD-1168 (current revision) and shall follow the format required by the application identified as Worldwide
Ammunition-data Repository Program (WARP). All of the requirements of MIL-STD-1168 apply but some are tailored in accordance with MIL-STD-962 to meet CAD/PAD program requirements as listed below.
2. The criteria and procedures for the assignment of lot numbers for energetic materials
(pyrotechnics, propellants, explosives) including their constituents shall be in accordance with
MIL-STD-1168.
3. All energetic materials (pyrotechnics, propellants, explosives) used in assemblies and sub-assemblies/components (i.e., igniter cartridges, delay elements, primer assemblies, explosive cord, etc.) shall be entered in the ADC using the common name, actual/original manufacturer’s part number & revision, lot number, and date of manufacture. Traceability shall be ensured by the original manufacturer’s documentation such as Certificate of Conformance (COC), Certificate of Analysis (COA), Quality Assurance Record (QAR) Quality Inspection Record (QIR), Quality
Assurance Documents (QAD), Batch Record, or other equivalent documentation that would provide positive traceability in the event of a future product recall.
4. The contractor may list their own internal part number for energetic material that they re-designate or re-characterize but must also list the actual manufacturer’s part number, lot number, and date of manufacture in parentheses in a format that is searchable in WARP. Any
GFM/GFP provided under contract to the vendor should retain government provided part/lot numbers and nomenclature to retain traceability. Ingredients which are used to synthesize or that are blended in a process to make the end item energetic material are not required to be listed. Examples of blended or synthesized energetic materials that shall be listed are HNS, Lead
Azide, BKNO3, ZPP, HES 8028, etc. If the ages of energetic materials are older than the ages specified on the Airmunitions Specification or as specified elsewhere in the contract at the time the CAD/PAD devices become hermetically sealed, the date of energetic material recertification or any associated approved Request for Variance (RFV) shall be notated in the waivers and deviation description section.
5. Hardware components shall be fully traceable and identified by the original manufacturer’s lot identification information/documentation or qualified distributor’s documentation such as
Certificate of Conformance (COC), Certificate of Analysis (COA), Quality Assurance Record
(QAR), Batch Record, or other equivalent documentation that would provide positive traceability in the event of a future product recall. The actual date of manufacture is not required for any non-age degradable materials such as metal housings, tubes, sleeves, firing pins, nuts, bolts, washers, etc. The COC, COA, QAR, or Batch Record date(s) may be used for the DOM. Epoxies, sealants, curative, O-rings, and other organic materials shall be fully traceable to OEM with
DOM and traceable via the original manufacturer’s lot identification documentation such as
Certificate of Conformance (COC), Certificate of Analysis (COA), Quality Assurance Record
(QAR) Batch Record, or other equivalent documentation that would provide positive traceability in the event of a future product recall. Materials or components that do not affect the reliability or safety of the end item (i.e., solvents, paints, lacquers, labels, dust caps, etc.) do not need to be listed on the ADC.
6. The ADC data and information entered in WARP for all materials and components ideally shall stand alone for traceability to the actual manufacture’s information (i.e. Mfg P/N, Mfg date (as applicable), Mfg lot number etc.). If contractor uses their own P/N, reference date for acceptance or other “trace”/traceability identification used internally for the non-critical piece parts/materials, it shall be noted in the remarks section, i.e. “trace ID, or PO used for the
ATTACHMENT 2 (continued) following piece parts: (parts shall identified/listed)”, provided the field/entry method is searchable in WARP. If traceability documentation is “questionable” or in conflict and needs clarification, the applicable engineer or equipment specialist shall be contacted to resolve any issues.
7. A “sample” ADC is generated in WARP the first time an ADC is submitted by the contractor for applicable government reviews and approvals. Upon approval of the sample ADC, a final version for each production lot shall be completed in WARP and uploaded for Invoicing, Receipt, Acceptance, and Property Transfer (iRAPT - formerly WAWF) for review and acceptance prior to shipment of product by the applicable government authority. The WARP ADC program will not allow the submission of additional ADCs until such time as the sample ADC has been approved in the system. The sample ADC does not require the use of a “Z” interfix number used to identify it as a sample.
8. If any unique situations exist that may conflict with compliance, a resolution should be proposed by the contractor prior to contract award to determine possible work-around.
9. A hard copy of the applicable ADC(s) shall also be included with each shipment per applicable
ADC CDRL.
WARP will reside within the Munitions History Program (MHP). Additional details on these WARP applications are provided below.
MHP-WARP Access Procedures
Government or Contractor employee with CAC and AKO account:
(a) Click on the MHP hyperlink which is https://mhp.redstone.army.mil/
(b) Enter CAC PIN when prompted
(c) Click on WARP (ADC)
(d) Click on Help
(e) Click on WARP Request Access and follow instructions
Contractor or Government employee without CAC and AKO account: MHP-WARP uses PKI authentication requiring a DoD approved digital certificate as a security measure to protect the integrity of stored data. There are three vendors that have been approved to issue DoD approved certificates per an External Certification Authority (ECA) program. You are required to use one of the approved vendors listed on the following DISA website:
http://iase.disa.mil/pki/eca/index.html
A nominal fee is charged for each certificate. The Contractor, including any subcontractors, shall assume the responsibility for all costs of obtaining each digital certificate needed.
After the required certificate is obtained:
(a) Click on the MHP-WARP hyperlink: https://mhpwarp.redstone.army.mil/
(b) Enter ECA password
(c) Click on Help and follow the instructions for obtaining the necessary access
HELP Numbers are as follows:
MHP Access – (256)313-2143; DSN 897-2143
JMC Quality Administrators for WARP issues – (309)782-2697 or (309)782-7107 https://mhp.redstone.army.mil/ http://iase.disa.mil/pki/eca/index.html https://mhpwarp.redstone.army.mil/
ATTACHMENT 2 (continued)
Worldwide Ammunition-data Repository Program (WARP)
An online user’s manual will provide additional help and criteria in the development of an ammunition data card. It is recommended that you download and read the user’s manual prior to creating and filling out your initial ammo data card. The user's manual also contains screen shots, which depict what the data entry person will see during the ADC input process.
Ammunition Data Card Input
ADC input allows current contractors and government facilities the capability to create, and submit for approval, both sample ADCs and production lot ADCs which meet the format requirements of MIL-STD-1168 and as specified in this SOW for ADCs. ADCs are automatically forwarded to the respective Government Agency Responsible for Acceptance (GARA). The GARA in most cases is the Defense Contract Management Agency (DCMA) Quality Assurance Representative
(QAR), who reviews contractor input for accuracy and completeness, and after updating the disposition code for the specific lot, submits the ADC to the database. The contractor’s data entry person is granted access only to ADCs identified with its specific manufacturing code, as identified in
MIL-HDBK-1461, Manufacturer's Symbols. The use of previously inputted ADCs through the
TEMPLATE option significantly reduces input effort, while increasing accuracy and consistency of data.
Email Notification
WARP provides immediate, automated notification to process participants when actions are required. When the producer has completed an ADC submission, an email message is routed to the
GARA advising that an ADC awaits review and approval. If the GARA approves the ADC as submitted, the ADC is released to the WARP database and an email, with approved data card, is routed back to the originator. If the ADC requires modification or correction to conform with MIL-
STD-1168 and/or the approved format and technical content as approved by the government, an email is provided to the ADC originator advising that corrective action is required prior to approval.
Information Updates
It is important that the System Administrators are apprised when a producer receives a new contract. The producer shall notify usarmy.RIA.jmc.mbx.warp@mail.mil within 30 days after receipt of a new contract. Information to be included shall be the contract number, item, GARA, Manufacturer's identification symbol and the names of the individuals who will be inputting ADCs into the system. If you are a new producer and do not have a Manufacturer's identification symbol, you can obtain one by sending an email to usarmy.RIA.jmc.mbx.warp@mail.mil. The email must contain manufacturer's name, address where performance of the contract will take place, and a point of contact.
(End of statement of work)
AIRMUNITION SPECIFICATION
FD2020-19-50075 (FMS)
NSN: 1377-01-571-5244ES
Alt: 1377-01-652-5022ES
1. The contractor shall provide an advanced Report of Shipment (REPSHIP) to the consignee no later than 24 hours prior to the shipment arrival, and for ammunition shipments no later than two hours after shipment departure.
2. Contractor shall contact their nearest Defense Contract Management Agency (DCMA) Office for transportation guidance and assistance for all Foreign Military Sales (FMS) deliveries prior to shipment; and ensure that the DCMA provides one information copy of completed Notice of
Availability (NOA) including FMS case and requisition numbers by mail to:
AFLCMC/EBHMB Attn: FMS Transportation 6043 Elm Lane, Hill AFB, UT 84056-5819, or
Fax to: (801) 777-1089 or Email to ooalc.gacp.transportation@us.af.mil.
3. Department of Defense Identification Code (DODIC): JN18
4. Ammunition lot numbering shall be accomplished. Reference MIL-STD-1168C for guidance.
Each energetic indgredient and component used in production lot(s) shall be from a single material lot.
5. Ammunition Data Cards (ADC) shall be filled out; input in accordance with Attachment 2, Statement of Work – Ammunition Data Cards; and state quantity/serial number of lot acceptance test units in the remarks block. One hard copy of the ADC shall accompany shipments to each shipping location. CDRL (DI-MISC-80043B)
6. Items shall be marked in accordance with CAD/PAD Item Marking Instruction Version 1.3, 19
Apr 2016, reference attachment.
7. Shelf Life Code marking NOT required per MIL-STD-129R.
8. Items are inert.
9. All Engineering Change Proposals (ECPs), Notice of Revisions (NORs), and Request For
Variances (RFVs, formerly RFD/RFWs) affecting the approved product baseline configuration, acceptance test procedures, or manufacturing process of any item(s) on this contract shall be in accordance with EIA-649-B. Major ECPs with NORs and Critical/Major RFVs shall be submitted to the responsible Government Engineering Authority for review/disposition by CCB.
Minor/Administrative ECPs with NORs and Minor RFVs shall be processed by the:
COGNIZANT GOVERNMENT ENGINEER, ACO, Contractor
ECPs -- CDRL (DI-SESS-80639D)
NORs – CDRL (DI-SESS-80642D) mailto:ooalc.gacp.transportation@us.af.mil
RFVs – CDRL (DI-SESS-80640D)
Distribution Statement: B, Reason: Admin/Operational use only.
10. Item(s) must pass both gross and fine leak checks. MIL-STD-883K, Method 1014.15 may be used as guidance. The existing leak rate limit established for this item will remain the same.
Contractor shall generate a Lot Acceptance Test Plan (LATP/ATP) with an analysis or test results showing compliance for Hill AFB engineering approval at least 90 days prior to commencement of Lot Acceptance Testing allowing for 30 days approval time after submission.
CDRL (DI-QCIC 80553A
11. Lot Acceptance Test Requirements are: IAW latest government approved ATP, Contractor
12. The contractor shall furnish a Lot Acceptance Test/Inspection Report in the following System:
WAWF, CDRL (DI-NDTI-80809B)
13. LOT ACCEPTANCE TEST: In the event of an end item failure, the contractor shall notify the
PCO/ACO and Air Force Engineering Organization within 1 business day.
Air Force Engineering Organization: AFLCMC/EBHJ
E-mail: david.monk.1@us.af.mil
14. In the event of test failure(s), a Failure Analysis and Corrective Action Report with proposed corrective actions/recommendations is required. CDRL: (DI-SESS-80255A)
15. This item is designated as a Critical Safety Item (CSI). Documentation for critical characteristics may be found in the contract, TDP, assembly/inspection procedures or QALI.
MRB approval authority shall be retained by government engineer. Other characteristics requiring inspection or special oversight from DCM: see attached QALI
16. Vendor shall submit a Bill of Materials (BOM) for Diminishing Manufacturing Sources and
Material Shortages (DMSMS) Management.
17. Contracts involving ammunition and explosives (AE) will contain:
-DFARS Title 48 Part 252.223-7002, Safety Precautions for Ammunition and Explosives
-DFARS Title 48 Part 252-223-7003, Change in Place of Performance – Ammunition and
Explosives
Additionally, if the scope of work includes air shipment of explosives, the safety specification should require contractor compliance with: AFMAN 24-204(i), Preparing Hazardous Materials for Military Air Shipments.
CAD/PAD Item Marking Instruction, V 1.3
CAD/PAD Item Marking Instruction
Prepared By CAD/PAD Joint Program Office
AFLCMC/EBHJ
Code E211B, NSWC Indian Head
Version 1.3 Dated 19 Apr 2016
Table of Contents
1. Purpose Page 4
2. Scope Page 5
3. Marking Requirements Page 6
4. Placement of UID Markings Page 8
5. Items delivered in kit format Page 9
6. Waivers Page 9
References
NOTE: Use latest revision of all reference documents.
1. MIL-STD-130 Department of Defense Standard Practice Identification Marking of U.S.
Military Property
2. MIL- STD-1168 (current revision) Ammunition Lot Numbering and Ammunition Data Card (Note section 3.1 for new lot assignment for “remanufactured CAD/PAD Components”)
3. ISO/IEC 16022 Information technology - International symbology specification - Data Matrix
4. ISO/IEC 15434 Information technology - International symbology specification - Syntax for high capacity ADC media
5. ISO/IEC 15418 Information technology - International symbology specification - EAN/UCC Application Identifiers and FACT Data Identifiers and Maintenance (Note: Data Identifier dictionary with technical content is contained in ANS MH10.8.2)
6. UNDER SECRETARY OF DEFENSE FOR ACQUISITION POLICY AND
TECHNOLOGY Department of Defense Guide to Uniquely Identifying Items version 1.6 (this document is available on line at http://www.acq.osd.mil/dpap/pdi/uid/index.html or from Defense Procurement & Acquisition Policy, 3060 Defense Pentagon, Room 3E1044, Washington, DC 20301-3060)
7. DEFENSE FEDERAL ACQUISITION REGULATION SUPPLEMENT 252.211-7003
Item Identification and Valuation (Copies of this document are available on line at http://farsite.hill.af.mil/ or from the Superintendent of Documents, P.O. Box 371954, Pittsburgh, PA 15250-7954)
8. AFSCM 21-556 Vol. 2 Julian Date format
9. ANS MH10.8.2 - 2006 Data Identifier and Application Identifier Standard
10. ANS MH10.8.7 - 2005 Labeling and Direct Product Marking with Linear Bar Code and Two-Dimensional Symbols
Figures
1. Determining IUID requirement
2. Sample UID Data Stream
3. Sample CAD/PAD Data Plate/Label
4. Sample of Etched Data
5. Sample CAD/PAD Small Item Data Plate/Label
1. Purpose.
The Under Secretary of Defense has implemented policy requiring DoD components meeting the requirements identified in Figure 1 to be marked with Item Unique Identifiers (IUID). Cartridge Actuated Devices and Propellant Actuated Devices (CAD/PAD) items, regardless of dollar value, are typically serially managed in aircraft maintenance data systems and therefore are applicable to the IUID requirement.
Additionally, the Air Force Aircrew Escape System Executive Working Group (AESEWG) and the egress system maintenance community has requested that CAD/PAD items be marked with Data Matrix ECC 200 on item data plates or items to enhance accuracy of aircraft maintenance data.
In accordance with MIL-STD-130, this marking instruction identifies marking requirements that meet the above objectives by tailoring Unique Identification (UID) requirements to include aircraft maintenance data requirements for both free text Human Readable Information (HRI) and Machine Readable Information (MRI), which are both mandated requirements for CAD/PAD items.
Figure 1. Determining UID Requirement
2. SCOPE.
This instruction identifies marking requirements applicable to suppliers/manufacturers of CAD/PAD components. It is applicable to both production of new CAD/PAD components and remanufacture of service returned, over-aged components. It identifies marking methods applicable to the various sizes and shapes of CAD/PAD components.
As of this writing, guidance regarding mandated transfer of data to the IUID registry can be found at “http://www.acq.osd.mil/dpap/pdi/uid/index.html”. Go to Training and Communication link, select IUID Toolkit (www.IUIDtoolkit.com), and select “Defense Suppliers”, then under “Submit”, select subsection “Registration of IUID Data11”, under Support Tools select “Data Submission”.
http://www.iuidtoolkit.com/
3. Marking Requirements.
Both Human Readable Information (HRI) and Machine Readable Information (MRI) are required (see section 4). In accordance with the Defense Federal Acquisition Regulation Supplement (DFARS), DoD has mandated the use of Data Matrix ECC 200 as the standard format for UID MRI markings. Guidance for the construct and application of Data Matrix markings is contained in MIL-STD-130 and the DoD UID Guide located at http://www.acq.osd.mil/dpap/pdi/uid/index.html, select Guides link.
3. 1. HRI Marking Requirements. The following HRI data is required (as a minimum):
- Item Nomenclature; Per applicable manufacturer drawing
- Manufacturer’s Commercial and Government Entity (CAGE); Five (5) alpha/numeric characters.
- Item Lot Number; Lot numbers shall be assigned IAW MIL-STD-1168 (current revision), unless otherwise directed. A new lot number and serial number shall also be assigned for “remanufactured” CAD/PAD components as opposed to adding a suffix to the original lot number for a “rework, overhaul or renovation” effort.
NOTE: The requirement for unique lot number has been deleted.
DOM is NOT required if the lot number contains the DOM as identified in MIL-STD-1168
- Item Serial Number; Six (6) digit serial numbers (minimum) are required. Serial numbers shall be sequentially assigned and shall not be repeated until serial number 999,999 has been reached.
- Item manufacturer’s Part Number
NOTE: The weapon system Specification Number does not meet this requirement
- Optional markings: Additional markings (such as manufacturer’s name, logo, contract number) are acceptable, provided that space is available on the item/data label. Date of Manufacture (DOM); DOM shall be MM/YYYY and be the same date that is coded into the lot number.
NOTE: Markings and/or attachments shall make no reference to item installation requirements/procedures or shelf/service lives http://www.acq.osd.mil/dpap/pdi/uid/index.html
3.2. MRI Data Construct.
Data Matrix ECC200 markings shall be developed based on UID Data Construct #2 using Data Identifiers (DIs) in accordance with MIL-STD-130 and the DoD UID Guide (see Figure 2). To facilitate durability throughout the scanning life cycle, the largest symbol size, including quiet zone, shall be fitted within the available marking real estate. The symbol’s internal module (cell) sizes shall be no smaller than 0.0075 inch (0.19 mm) and no larger than 0.025 inch (0.64 mm). Marks shall contain only the data elements identified below:
NOTE: The actual UII will be comprised of CAGE, Part Number, and Serial Number data. The parenthesis surrounding the Data Identifiers are NOT encoded in the 2D symbol
(17V) Manufacturer’s Commercial and Government Entity (CAGE) code, 5 alpha/numeric characters
- (1P) Manufacturer’s Item Part Number, 18 alpha/numeric characters maximum
NOTE: The weapon system specification numbers do not meet this
- (S) Item Serial Number, IAW HRI requirement, six (6) digits minimum, up to eight (8) alpha/numeric characters maximum
- (30T) Item production Lot Number, IAW HRI requirement, 15 alpha/numeric characters maximum
NOTE: The data identifier for Lot Number has been changed from 1T to 30T
- (4D) Date of Manufacture (DOM), in Julian Date format, five (5) numeric characters:
Example: 08151 = 31 May 2008
The first two positions are the last two digits of the year, the last three positions are the Julian Date (001 through 366)
[)> RS 06 GS 17V 12345 GS 1P 123456789-ABCDEFGH GS S 12345678 GS 30T ABC06D123-001 GS 4D 08151 RS EoT
Figure 2. Sample UID Data Stream
4. Placement of UID Marking. CAD/PAD items vary considerably in size and shape. A large percentage of these items are currently marked with HRI printed on data plates or labels permanently affixed to the item. The preferred method for incorporating the UID required MRI is to include it on the current data plate/label and, wherever possible, the supplier is to incorporate this concept. The following identifies known variations in marking and preferred MRI incorporation methods.
Note: Unless specifically identified as a requirement in the procurement contract, subcomponents of the End Item Assembly shall not be UID marked.
4.1. CAD/PAD Items Currently Marked with Data Plates, Labels, or Flag-Tags. The data plates/labels for these items shall be modified/arranged to allow space for the MRI per paragraph 3.2. Marking shall comply with MIL-STD-130 and the DoD UID Guide (see figure 3).
Figure 3. Sample Data Plate/Label
4.2. CAD/PAD Items Currently Marked With Ink or Laser Etching Directly on the Item.
Item marking shall be modified/arranged to allow space for the incorporation of ink or laser etched MRI per paragraph 3.2. Marking shall comply with MIL-STD-130 and the DoD UID Guide (see figure 4).
CAD/PAD Builder Inc.
Acft Explosive Component Noun
CAGE: 12345
P/N: 123456789-1234 Ser No: 0001
Lot No: ABC08D001-001
DOM: 04/2008
Figure 4. Sample of Etched Data
CAD/PAD Builder Inc.
Acft Explosive Component Noun
P/N: 123456789-1234 Ser No: 0001
4.3. CAD/PAD Items Considered to be Too Small for HRI and MRI. These items shall be physically marked using currently approved methods for HRI. A self-adhesive label shall be supplied in the item inner packaging that includes the minimum HRI (per paragraph 3.1) and the MRI Data Matrix marking (per paragraph 3.2). The label shall be as small as possible (meeting MIL-STD-130 requirements for HRI) and will include only the minimum required data (see figure 5).
Figure 5. Sample Small Item Data Plate/Label
Note: This will allow the maintainer to scan the MRI from the label and the ability to affix it to the next higher assembly.
5. Kit Marking Requirements. Individual components procured and delivered in a “kit” or “ship-set” format shall each be marked with HRI and MRI as identified in sections 3 and 4.
The kit containers shall also be marked with HRI and MRI per sections 3 and 4.
Note: Individual components supplied in kits or ship-sets require unique item identifiers. Their markings shall not reflect those identifying the kit or ship-set.
5.1 Only the “kit “or “ship-set” will require data submission into the UID Registry. Data submission for individual components in a kit is not required, as these components were not individually priced as line items when placed on contract.
Note: To meet UID requirements, each kit will be assigned an individual serial number. Kits that are comprised of multiple containers will all be marked with the same serial number.
5.2 “Kits” or “ship sets” will typically be assigned lot numbers coinciding with the oldest individual component in the kit.
6. Waivers. Waivers to the UID requirement are not allowed. Requests for waivers to marking methods outlined in this instruction may be considered. Submit requests through appropriate contracting channels.
Acft Explosive Item Noun
P/N: 123456789-1234 Ser No: 0001
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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 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 MISC
D. SYSTEM/ITEM
1377-01-571-5244ES*
E. CONTRACT/PR NO.
FD2020-19-50075
F. CONTRACTOR
1. DATA ITEM NO.
A001
2. TITLE OF DATA ITEM
Ammunition Data Card (ADC)
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80043B
5. CONTRACT REFERENCE
Airmunitions Specification
6. REQUIRING OFFICE
7. DD 250 REQ
SD
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
Draft
Final
Reg Repro
16. REMARKS
BLK 7: The electronic receiving report shall be annotated with the Lot Number, National Stock Number and Nomenclature. The electronic receiving report shall also be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The electronic receiving report shall be used only for this data item; do not combine other data item submittals with this requirement. Electronic receiving report required via internet Wide Area Work Flow (WAWF) at: https://wawf.eb.mil.
BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.
Government agencies only, (Administrative/Operational Use) (Date of Contract Award).Other requests shall be referred to AFLCMC/EBHJ.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 as amended, Title 50, U.S.C, App. 2401 et seq. Violation of these export-control laws is subject to severe criminal penalties. Dissemination of this document is controlled under DoD Directives 5230.25.
DESTRUCTION NOTICE - Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
BLK 10,12,13: Submit after successful Lot Acceptance Test and prior to delivery of each production lot.
BLK 14: A sample ADC or "draft" will be generated and submitted for each part number/NSN produced under this contract using the Worldwide Ammunition-data Repository Program (WARP) system to ensure general format and content is acceptable prior to final ADC submittals.
Sufficient hard copies of final version ADCs shall be generated for each individual production lot from the Worldwide Ammunition-data Repository Program (WARP) such that at least one hard copy per production lot shall be provided with each individual CLIN shipment/destination. An electronic copy for each production lot shall be submitted/uploaded with the electronic receiving report through WAWF to AFLCMC/EBHJ using DoDAAC FA8213.
*alt 1377-01-652-5022ES.
FOB DESTINATION
EBH 18-151-003
Robert W. Morgan, Jr., AFLCMC/EBHEC, 777-5126
WAWF 0 1 0
DoDAAC, FA8213
Included with item(s) shipped
Sample ADC via
WARP sys only
15. TOTAL 0 1 0
G. PREPARED BY
morgan.robert.wesley.jr.1158190040
H. DATE
2018/05/31
I. APPROVED BY
hargrove.eric.v.1167016843
J. DATE
18. ESTIMATED
TOTAL PRICE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 1 Pages
17. PRICE GROUP
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 OMB control number. Please do not return your form to the above organization. Send completed form to the
TDP TM OTHER SESS
A002
Engineering Change Proposal (ECP)
DI-SESS-80639D
LT
BLK 4: Format shall be in accordance with paragraph 2 of Data Item Description. Data delivery description for content of Engineering Change Proposal (via DD Form 1692) shall be in accordance with EIA- 649-1 and EIA-649.
BLK 7: The Letter of Transmittal shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.
BLK 8: Within 30 days of receipt, the Government engineer thru the Government contracting officer will respond with notification of approval/disapproval. If disapproved, Government engineer response thru the Government contracting officer will include instruction for remediation. Notification of approval of the proposed engineering change shall be by signed contract modification.
BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.
Contract Award). Other requests for this document shall be referred to AFLCMC/EBHJ.
restricted by the Arms Export Control Act (Title 22, U.S.C., Sec.
2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C, App. 2401 et seq.), as amended Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE--Destroy by any method that will prevent
BLK 14: Submit reports electronically via e-mail in Microsoft Office or PDF format to the following e-mail recipients listed below. Refer to contract for e-mail address of the government contracting officer
(AFLCMC/EBHKB).
robert.morgan.27@us.af.mil (AFLCMC/EBHE)
AFLCMC/EBHJ 1 1 0
AFLCMC/EBHEC 1 1 0
AFLCMC/EBHKB 1 1 0
DCMA/QAR 1 1 0
DCMA/ACO 1 1 0
15. TOTAL 5 5 0
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 OMB control number. Please do not return your form to the above organization. Send completed form to the
A003
Notice of Revision (NOR)
DI-SESS-80642D
BLK 4: Format shall be in accordance with paragraph 2 of Data Item Description. Data delivery description for content of Engineering Change Proposal (via DD Form 1692) shall be in accordance with EIA- 649-1 and EIA-649.
submittal of data. The Letter of Transmittal shall be used only for
BLK 8: Within 30 days of receipt, the Government engineer thru the Government contracting officer will respond with notification of approval/disapproval. If disapproved, Government engineer response thru the Government contracting officer will include instruction for remediation. Notification of approval of the proposed engineering change shall be by signed contract modification.
2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C, App. 2401 et seq.), as amended Violations of these export laws
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 OMB control number. Please do not return your form to the above organization. Send completed form to the
A004
Request for Variance (RFV)
DI-SESS-80640D
BLK 4: Format shall be in accordance with paragraph 2 of Data Item Description. Data delivery description for content of Request for Variance (via DD Form 1694) shall be in accordance with EIA-649-1 and
EIA-649.
submittal of data. The Letter of Transmittal shall be used only for
BLK 8: Government engineer will perform review of the RFV. Within 30 days of receipt, the Government engineer thru the Government contracting officer will respond with notification of approval/disapproval. If disapproved, Government engineer response thru the Government contracting officer will include instruction for remediation. Notification of approval shall be signed contract modification (AFLCMC/EBHKB).
2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C, App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
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 OMB control number. Please do not return your form to the above organization. Send completed form to the
TDP TM OTHER QCIC
A005
Lot Acceptance Test Plan
DI-QCIC-80553A
DD
BLK 7: The electronic receiving report shall be annotated with the Lot Number, National Stock Number and Nomenclature. Electronic receiving report required via internet Wide Area Work Flow (WAWF) at:
https://wawf.eb.mil. The electronic receiving report shall be used only for this data item, do not combine other data item submittals with this requirement.
BLK 8: Comments/approval/disapproval will be submitted within 30 working days of receipt by AFLCMC/EBHJ.
Government agencies (Administrative/Operational Use) (Date of restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979(Title 50, U.S.C, App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
BLK 10,11, 12, 13: The contractor shall provide a Acceptance Test Plan after contract award and at least 90 days prior to Lot Acceptance Testing allowing for 30 day approval time. No changes to previously approved government Acceptance Test Plans shall be made without prior notification of AFLCMC/EBHJ. Engineering approval in accordance with Airmunitions Specification.
BLK 14: Report shall be in Microsoft Office software or PDF format.
Submit through WAWF, DoDAAC, FA8213.
DoDAAC,FA8213
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 OMB control number. Please do not return your form to the above organization. Send completed form to the
TDP TM OTHER NDTI
A006
Test/Inspection Report
Lot Acceptance Test
DI-NDTI-80809B
BLK 4: Contractor's format is acceptable.
BLK 7: The electronic receiving report shall be annotated with the Lot Number, National Stock Number and Nomenclature. Electronic receiving report required via internet Wide Area Work Flow (WAWF) at:
https://wawf.eb.mil. The electronic receiving report shall be used only for that data item; do not combine other data item submittals with this requirement.
Government agencies only (Administrative/Operational Use) (Date of
2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C, App. 2401 et seq.), as amended Violations of these export laws
BLK 10,12,13: Submit within 30 calendar days after completion of each Lot Acceptance Test.
BLK 14: Test plan shall be in Microsoft Office software or PDF format. Submit through WAWF, DoDAAC, FA8213.
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 OMB control number. Please do not return your form to the above organization. Send completed form to the
A007
Failure Summary & Analysis Report
DI-SESS-80255A
BLK 4: Contractor's format required for both the Preliminary and Final report.
submittal of data. The Letter of Transmittal shall be used only for
BLK 8: Comments/approval/disapproval will be submitted within 30 calendar days after receipt by AFLCMC/EBHJ.
2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C, App. 2401 et seq.), as amended Violations of these export laws
BLK 14: Report shall be in Microsoft Office software or PDF format.
Submit via e-mail to cognizant Hill AFB Contracting Officer.
Contr. Officer 0 1 0
Hill AFB, UT
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 OMB control number. Please do not return your form to the above organization. Send completed form to the
TDP TM OTHER PSSS
A008
Bill of Materials (BOM) for Diminishing Manufacturing Sources & Material Shortag
DI-PSSS-81656B
DD
BLK 4: Format and content shall be in accordance with paragraphs 1 and 2 of the Data Item Description.
BLK 7: Receiving report shall be submitted electronically via the internet through Wide Area Work Flow (WAWF) at: https://wawf.eb.mil under DoDAAC FA 8213.
Contract Award). Other requests shall be referred to AFLCMC/EBHJ.
2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C, App. 2401 et seq.), as amended Violations of these export laws
BLK 14: Submit reports electronically in Microsoft Office software or PDF format to e-mail recipient(s) listed below. Refer to contract for e-mail address of the Government Contracting Officer
(AFLCMC/EBHKA).
michael.covert@us.af.mil(AFLCMC/EBHJ)
WAWF 1 1 0
AFLCMC/EBHKB 0 1 0
15. TOTAL 2 3 0
CDRL Title of Data Item Subtitle Authority Inspection Acceptance Inspection/Acceptance Report
A001 Ammunition Data Card ADC DI-MISC-80043B Origin Destination Receiving Report Required
A002 Engineering Change Proposal ECP DI-SESS-80639D Destination Destination Letter of Transmittal
A003 Notice of Revision NOR DI-SESS-80642D Destination Destination Letter of Transmittal
A004 Request for Variance RFV DI-SESS-80640D Destination Destination Letter of Transmittal
A005 LOT Acceptance Test Plan DI-QCIC-80553A Destination Destination Receiving Report Required
A006 Test/Inspection Report Lot Acceptance Test DI-NDTI-80809B Destination Destination Receiving Report Required
A007 Failure Analysis and Corrective Action Report DI-SESS-81315B Destination Destination Letter of Transmittal
A008 Bill of Materials (BOM) DI-PSSS-81656B Destination Destination Letter of Transmittal
Exhibit A - Data Items - CLIN 0002
See individual CDRL for complete requirement
PACKAGING REQUIREMENTS
AFMC FORM 158, 20150424
PR, MIPR, OR DOCUMENT 3. INSTRUCTIONS TO CONTRACTING OFFICER: Insert appropriate vendor packaging instructions in Section D for applicable item(s) as indicated below:
SEE REVERSE FOR SPECIFIC INSTRUCTIONS:
1. PACKING REQUIREMENTS: Block 1 shall always be completed and may be further defined in Blocks 2, 3, or 4. The term "Item ID" refers to line item number, item name, NSN/MMAC, or any other way of identifying a particular item. MIL-STD- 2073-1 represents Military Preservation (PRES) and Packing (PACK). Military packing consists of levels A and B. ASTM D3951 may be substituted by another document if specified in Block 2. Quantity Per Unit (QUP) is abbreviated.
ITEM ID
QUP
MIL-STD-2073-1
PRES PACK
(X) (A/B)
COMMERCIAL
ASTM D3951
PACKPRES
(X) (X)
MIL-STD-129
MARKING
(X)
SPECIAL
PACKAGING
INSTRUCTION
NUMBER
2. ADDITIONAL PACKAGING AND CONTAINER MARKING REQUIREMENTS (Specify all revisions and dates or required specifications)
A. ENGINEERED OR SPECIALIZED CONTAINERS (CDRS)
B. PACKAGING OF HAZARDOUS MATERIALS
C. PACKAGING DATA (Coded and/or Special Packaging Instructions)
D. MARKING OF WARRANTED ITEMS, ITEM NAME(S)
E. WOOD PACKAGING MATERIAL ISPM 15
4. CODED DATA: Coded requirements shall be interpreted in accordance with MIL-STD-2073-1
ORGANIZATION PACKAGING SPECIALIST (Typed Name)
QUANTITY
QUP ICQ
PRES
METH
C D
PRES
MTL
WRAP
MTL
CUSH
DUNN
T
UNIT
CONT
INT
CONT
U
L
SPEC
MKG
O P I
UNIT PACK WEIGHT UNIT PACK SIZE UNIT PACK CUBE
10 LENGTH 1000THWHOLE CUBE10 WIDTH 10 DEPTH 10
PACKAGING SPECIALIST SIGNATURE DATE
PREVIOUS EDITIONS ARE OBSOLETE Page 1 of 2 Pages
AFMC FORM 158, 20150424 Page 2 of 2 Pages
ADDITIONAL INFORMATION
PACKAGING REQUIREMENTS
AFMC FORM 158, 20150424
3. INSTRUCTIONS TO CONTRACTING OFFICER: Insert appropriate vendor packaging instructions in Section D for applicable item(s) as indicated below:
SEE REVERSE FOR SPECIFIC INSTRUCTIONS:
1. PACKING REQUIREMENTS: Block 1 shall always be completed and may be further defined in Blocks 2, 3, or 4. The term "Item ID" refers to line item number, item name, NSN/MMAC, or any other way of identifying a particular item. MIL-STD- 2073-1 represents Military Preservation (PRES) and Packing (PACK). Military packing consists of levels A and B. ASTM D3951 may be substituted by another document if specified in Block 2. Quantity Per Unit (QUP) is abbreviated.
ITEM ID
QUP
MIL-STD-2073-1
PRES
PACK
(X)
(A/B)
COMMERCIAL ASTM D3951
PACK
PRES
(X)
(X)
MIL-STD-129
MARKING
(X)
SPECIAL PACKAGING INSTRUCTION NUMBER
4. CODED DATA: Coded requirements shall be interpreted in accordance with MIL-STD-2073-1
QUANTITY
QUP
ICQ
PRES METH
C D
PRES MTL
WRAP MTL
CUSH DUNN
C T
UNIT CONT
INT CONT
U C L
SPEC MKG
O P I
UNIT PACK WEIGHT
UNIT PACK SIZE
UNIT PACK CUBE
LENGTH
1000TH
WHOLE CUBE
WIDTH
DEPTH
PREVIOUS EDITIONS ARE OBSOLETE
Page 1 of 2 Pages
AFMC FORM 158, 20150424
Page 2 of 2 Pages
11.0.1.20130826.2.901444.899636
TextField1: F2DCDE8164B101
TextField1: 406 SCMS/GULAA
TextField1: JENIFER BURLEIGH
CheckBox1: 0
CheckBox1: 1
CheckBox1: 0
CheckBox1: 1
CheckBox1: 1
TextField3: 1377-01-571-5244
TextField3: 1377-01-652-5022
TextField3: 001
TextField3: 001
TextField3: X
TextField3: X
TextField3: B
TextField3: B
TextField3: X
TextField3: X
SignatureField1:
DateField1: 2018-07-10
TextField4:
**DO NOT PACKAGE DIFFRENT NATIONAL STOCK NUMBERS (NSN), IN THE SAME CONTAINER** INTERNATIONAL STANDARDS for PHYTOSANITARY MEASURES (ISPM NO. 15) REQUIREMENTS ARE SHOWN ON THE BACK OF THIS
DOCUMENT.
AFMCI24-201, 3.10 MATERIAL SAFETY DATA SHEET IS REQUIRED & POP Testing, Packaging, and marking
ISPM:
THE FOLLOWING STATEMENT IS IN COMPLIANCE WITH THE UNITED NATIONS-IMPLEMENTED RESTRICTIONS ON SOLID WOOD PACKING MATERIAL (SWPM). THIS REQUIREMENT IS SPECIFICALLY CONCERNED WITH INVASIVE SPECIES SUCH AS THE PINEWOOD NEMATODE. THE STATEMENT BELOW CITES THE REQUIREMENTS IN DETAIL AND COVERS LUMBER FOR BUILDING CONTAINERS AND PALLETS USED FOR DELIVERIES RESULTING IN SHIPMENTS WORLDWIDE (DIRECT, OR THROUGH AIR LOGISTICS CENTERS (ALC), CONTAINER CONSOLIDATION POINTS (CCP), OR OTHER BASES).
WOODEN LUMBER, WOODEN PALLET AND PACKAGING/CONTAINER STATEMENT:
ALL WOODEN LUMBER, WOODEN PALLETS, AND WOODEN CONTAINERS PRODUCED ENTIRELY OR IN PART OF SOLID WOOD PACKING MATERIAL (SWPM) SHALL BE CONSTRUCTED FROM HEAT-TREATED (HT) MATERIAL (HT 56 DEGREES CENTIGRADE OR 133 DEGREES FAHRENHEIT FOR 30 MINUTES). CERTIFICATION/MARKING IS REQUIRED BY AN ACCREDITED AGENCY RECOGNIZED BY THE AMERICAN LUMBER STANDARDS COMMITTEE (ALSC). FOR REFERENCE
DOCUMENTATION, SEE “INTERNATIONAL STANDARDS FOR PHYTOSANITARY MEASURES
(ISPM) NO. 15.” THIS DOCUMENT CAN BE FOUND AT www.ippc.int.
Contractor Name CAGE code
DCMA QAR Reviewer
Date Review Completed
Date Issued to Contractor
PR No. FD2020-
Date Contract Awarded
Final Delivery Date (FDD)
Program Name
DODIC
Part Number
The contractor is required to impose the listed below DCMA Inspection Points into the appropriate Work Orders.
All Work Orders pertaining to CRITICAL FLIGHT ITEMS must be identified on folders.
Mandatory - M: Stamp and/ or Signature on original documentation (i.e., Mfg. Planning, ATP, FAT Report, etc.)
Witness - W: GSI required to attend, may reduce level of effort after 50% of production lots found acceptable
Verification - V: Stamp and/or Signature required unless noted otherwise (may be done by written verification)
Monitor - R: Will monitor testing, may reduce to verification
Notify - N: By phone or email
Additional requirements: (DCMA reserves the right to impose additional inspection points as deemed necessary.)
Prepared by:
Date
Concurrence Signature by QAR/DCMA:
QAR/DCMA
THIS PLANNING SHEET WILL BE UPDATED IF NECESSARY.
QUALITY ASSURANCE LETTER OF INSTRUCTION
Planning Requirements
COMMENTS
NOTICE
Engineer
Date
Sheet1
Contract No: 19-50075 FMS
Date Contract Awarded:
Final Delivery Date FDD:
Program Name: UWARS BRK
DODIC: JN18
undefined: V undefined_2: V undefined_3: V undefined_4: M undefined_5: W undefined_6: V undefined_7: V undefined_8: V…
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