CDRLs_-_Part_II.pdf

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved QMB 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 either of these addresses. 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 XXXX TM OTHER

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

(MHU) - 110 & MHU-204 Trailers FD2060-17-30993

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

PRODUCT DRAWINGS/MODELS AND ASSOCIATED LISTS

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

DI-SESS-81000E/T PWS PARAGRAPH 4.6.3 AFLCMC/LZPEM

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

DD QRTLY SEE BLK 16 b. COPIES

8. APP CODE SEE BLOCK 16 11. AS OF DATE 13. DATE OF

SUBSEQUENT

SUBMISSION

a. ADDRESSEE FINAL

A SEE BLOCK

SEE BLK 16 Draft Reg Repro

16. REMARKS AFLCMC/LZPEM

285 Cochran Street

1. Air Force drawings 9626025 rev G, 9579776 rev M and 9579777 rev B (CAGE 98752) are a part of this CDRL ROBINS AFB, GA.

A copy of the drawings may be requested through the Procurement Contracting officer. 31098-1669

2. METADATA SHALL BE IN ACCORDANCE WITH 9579776 PARAGRAPH 10 OPTION

ONE

3. Please reference EDATS control number 2017-35 on all correspondence related to this effort.

PAPER COPY 2

SEE CONTINUATION SHEETS DIGITAL DATA 1

(CLASSIFIED)

Vendor Item Control Drawings shall be used to specify the requirements for purchased items when such items have been approved for use in the design and are used without alteration, selection or source qualification (testing of an item prior to procurement action to ensure that it satisfies the specified requirements). Reference paragraph 7.1 of DI-SESS-81000E.

DIGITAL 1

15. TOTAL 2 0 2

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

Brian Nelms 3/9/2017

DD Form 1423-1, Feb 2001 STRAWMAN Revision 20 July 2015 PAGE___1_ OF __8___ PAGES EDATS 2017-35

A032

Ken McKinley for Michael Wills 09 MAR 17

CONTINUATION OF DD FORM 1423-1 (DI-SESS-81000E/T) Dtd. 3/9/2017, EDATS 2017-35

BLOCK 4: DI-SESS-81000E is tailored as follows:

Requirements: (the below paragraph numbering corresponds with the numbering in the DID)

1. Reference Documents. Delete paragraph 1. in its entirety and replace with “1. Reference Documents.

The documents apply as cited in the DD Form 1423-1 and continuation sheets. Unless otherwise noted, the latest revision of the ASME Standard at the time of solicitation shall apply.”

3. Format. Delete in its entirety and replace with “3. Format. Product Drawings/Models and Associated Lists shall be in the format as specified on this DD Form 1423-1 and continuation sheets, and shall meet the requirements of ASME Y14.1."

4. Content. Delete in its entirety and replace with “4. Content. Product Drawings/Models and

Associated Lists shall conform to the requirements of ASME Y14.100-2013, Appendix B, sections B6 through B9.1 and Appendices C,D, E, and F (F-3 through F-3.7) in conjunction with ASME Y14.24-2012, ASME Y14.34, ASME Y14.35M and ASME Y14.41. They shall document directly or by reference the following (items a through q), as applicable:”

6. CAGE code. Delete “TDP Option Selection Work Sheet incorporated in the contract or purchase order.” and replace with “DD Form 1423-1 and continuation sheets.”

7. Selection of drawings. Delete “The TDP Option Selection Work Sheet incorporated in the contract or purchase order will specify whether the contractor or the Government is responsible for selecting the types of drawings and associated lists.” and replace with “The contractor shall comply with ASME Y14.24, Types and Applications of Engineering Drawings”.

BLOCK 7:

“D”—Inspection is at destination and is to ensure this product meets this CDRL and its tasking document. Shipping list must accurately reflect the shipped product.

“D”—Acceptance is at destination. Acceptance of final data will be by approval of the Engineering Data Management Specialists.

BLOCK 9:

DISTRIBUTION STATEMENT. Distribution statements shall be in accordance with DoD Instruction

5230.24 and included on the first sheet of each drawing near the title block, and shall be as follows:

“DISTRIBUTION STATEMENT C. Distribution authorized to U.S. Government Agencies and their contractors (critical technology) (09 March 2017). Other requests for this document shall be referred to

(AFLCMC / WN-SEV).”

EXPORT CONTROL WARNING LABEL. All engineering data shall be marked with Export Control Warning Labels in accordance with DoD Instruction 5230.24, dated August 23, 2012 as follows:

“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 (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. Mark documents with one of the following:

a. For unclassified limited documents: “DESTRUCTION NOTICE. Destroy by any method that will prevent disclosure of contents or reconstruction of the document.”

b. For classified documents: “DESTRUCTION NOTICE. Follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual, Chapter 5, Section 7, or DoD 5200.1R, Information Security Program, Chapter 6.”

BLOCK 10: Revisions/changes to the final delivered data shall be furnished quarterly, commencing the first quarter after destination acceptance of the final reproducible data and continue until the contract is closed.

Quarterly updates shall include an updated BOM, reference A.F. Drawing 9579776. Negative reports shall be submitted to AFLCMC/LZPEM.

BLOCK 11: 15 days before end of quarter.

BLOCKS 12 AND 13:

1. All data submittals shall contain a delivery letter and a shipping list. The letter shall contain at a minimum the contract number, delivery order, CLIN, and EDATS number (located on the bottom right corner of the DD Form 1423). The shipping list shall include as a minimum, the document number, revision level, and number of sheets/pages. The data delivered shall be in the same sequence as the shipping list. Shipments of data must be for a complete Technical Data Package (TDP) that accurately depicts the final product as defined in the tasking document (SOW, PWS, etc.). Shipping list shall specify whether the shipment is updates, final or make-up.

2. Within 90 days after successful signed completion of Physical Configuration Audit (PCA), a Bill of

Materials (BOM) in accordance with Air Force drawing 9579776 (CAGE 98752) shall be delivered.

3. Within 90 days after successful signed completion of final PCA, one set of paper copies of all “final reproducible data” (reference Block 14 of the DD 1423-1) shall be delivered. A letter of transmittal shall accompany submittal. Paper copy submittal will be reviewed within 120 days after receipt of data, unless additional time is required, at which time the contractor will be notified. When the submittal does not meet the contractual requirements a discrepancy letter will be submitted through Government Contracting Officer with a suspense date for the contractor to resubmit the TDP with corrections incorporated.

a. Submittal of programming files, in accordance with Air Force drawing 9579776 (CAGE 98752), Software and memory Device Data is not required for this paper submission.

b. Concurrent with the paper copies the contractor shall submit four (4) representative samples of each digital data format of data for this project in accordance with Air Force drawing 9579776 (CAGE 98752), (Native, Neutral, HPGL, Metadata Spreadsheet, Gerber, Software/memory Device Data, etc.).

4. Within 60 days after approval of paper copy, one set of all “final reproducible digital data” to include Native, Neutral, HPGL, Metadata Spreadsheet, Gerber, Software/Memory Device Data, etc.

(reference Block 14 of the DD 1423-1) shall be delivered to AFLCMC/LZPEM, 285 Cochran Street, ROBINS AFB GA. 31098-1669. If changes have been required to the BOM since delivery in paragraph 3 above, resubmittal shall be required. The final digital submittal will be reviewed within 60 days after receipt of data, unless additional time is required, at which time the contractor will be notified. In the event the submittal does not meet the contractual requirements, a discrepancy letter will be submitted through the Government Contracting Officer with a suspense date for the contractor to resubmit the final digital TDP with corrections incorporated.

BLOCK 16:

1. Government Activity and Part Identification: The contractor shall comply with Air Force drawing 9626025 (CAGE 98752), titled “Air Force Drawing Requirement”. This requirement defines format requirements for the generation of Air Force drawings. The contractor shall use the Government activity identifier Commercial and Government Entity (CAGE) code and Air Force drawing numbers. The contractor shall contact the AFLCMC/LZPEM EDMS to obtain the drawing numbers.

1.1. Engineering Change Orders (ECOs): When an existing Air Force CAGE code drawing is revised, all

ECOs shall be incorporated prior to the paper submittal for review.

1.2. Concurrent with the final submittal, all ECO’s against existing Air Force CAGE code drawings shall be incorporated and a copy of the ECO shall be delivered for Air Force revision documentation.

2. Content, format, and media requirements for delivery of Digital Engineering Data: The contractor shall comply with Air Force drawing 9579776 (CAGE 98752).

3. Product Drawings/Models and Associated Lists: Product drawings/models and associated lists shall be prepared to provide the design, engineering, and manufacturing information necessary to enable the procurement or manufacture of an item essentially identical to the original item. The product shall be defined to the extent necessary for a competent manufacturer to produce an item, which duplicates the physical, interface, and functional characteristics of the original product, without additional design engineering effort or recourse to the current design activity. Product data shall reflect the approved, tested and accepted configuration of the defined delivered item. This includes but is not limited to special tooling, interface hardware, special test equipment, and support equipment.

4. Engineering Drawing Practices: The contractor shall use the practices described in ASME Y14.100-

2013. For clarification, the documents listed in section 2 of ASME Y14.100-2013 shall be considered first tier and shall apply. The contractor may find it useful to incorporate the concepts of MIL-HDBK-288 into the preparation of the TDP. MIL-HDBK-288 refers to Engineering Drawing Package (EDP); this term shall be considered synonymous with TDP. In instances where the ASME standards do not fully define requirements concerning preparation of engineering drawings, the contractor may use the guidance provided in the Drawing Requirements Manual (DRM) 11th Edition available from IHS, Inc. copyright 2008.

5. Control Drawings: Control drawings shall be created in accordance with DI-SESS-81000E and ASME

Y14.24-2012 to depict engineering criteria used in selecting purchased or vendor developed items. Control drawings shall disclose engineering form, fit, function and performance requirements for the acquisition of interchangeable purchased items of existing designs, or of items specially developed by vendors to the control drawing requirements. When COTS/purchased items are used by the contractor and are part of this effort as defined in the tasking document (SOW, PWS, etc.), control drawings shall be developed and delivered. Control drawings not developed for this contract that are part of the deliverable TDP shall be updated, to show current information (i.e., performance/qualification requirements, vendors/sources names and part numbers.)

5.1. Control drawings are not required for items which are Government directed purchases or for Government

Furnished Material/Government Furnished Equipment (GFM/GFE). Such items shall be identified using the GFE/GFM notation on the parts list, etc. The use of a flag note is acceptable.

6. Contract Numbers: When a TDP document is prepared under a Government contract, the Government contract number under which it is prepared shall appear on the first sheet of the document original. When a TDP document is delivered under a Government contract other than the one under which it was prepared, the Government contract number under which it is delivered shall also appear on the first sheet of each copy submitted. If the document is prepared and submitted under the same contract, only the entry for the contract under which it is prepared is required.

7. Application Data: All new and revised drawings shall contain Application Data. The Application Data is mandatory for all drawings. The Application Data shall show the “Next Assembly” and “Used On”. The application data shall be located near the title block on sheet 1, placed on a separate referenced document, or provided on a separate parts list. When the application data appears on a separate referenced document, a cross reference note shall be included on each parent drawing to indicate that a separate referenced document is available. When an item is used in more than three applications, the entry “general usage” may be entered in the “Used On” column.

8. Reference Documents: Documents referenced in a TDP shall be furnished as part of the TDP with the exception of those specified in referenced documents available in Acquisition Streamlining and Standardization Information System (ASSIST) and non-Government standardization documents available from the issuing non-Government standards body, such as the American Society of Mechanical Engineers (ASME). The following types of documents shall not be referenced in a TDP: technical manuals, procedural manuals, maintenance manuals, company drafting manuals, management plans, uncontrolled documents or unreleased documents. However, when information essential to meeting the content of a TDP (such as default surface texture values) is contained within such prohibited documents, that information shall be extracted from the reference document and included in the TDP.

8.1 Prohibited Documents, References, and Phrases: Technical Orders (TOs), Time Compliance Technical

Orders (TCTO), pamphlets, recordings, National Stock Numbers (NSNs), To Be Determined (TBD), Statement of Work ((TASKING DOCUMENT)), Performance Work Statement (PWS), Statement of Objectives (SOO), and Contract Data Requirements List (CDRL), shall not be referenced within the TDP.

9. Traceability: The contractor shall prepare the TDP in such a manner to insure that all applicable documents and part or identifying numbers (PINS) i.e., Artwork, Schematics, Software/Programming Data, Test Criteria, etc., are referenced within the TDP for traceability.

9.1 If the contractor is the original equipment manufacturer (OEM), impacted engineering data that are part of the effort as defined in the tasking document (SOW, PWS, etc.) shall be revised to include changes to reflect the delivered item’s configuration.

9.2 If the contractor is not the OEM, the contractor shall ensure impacted engineering data that are part of the effort as defined in the tasking document (SOW, PWS, etc.) are updated and delivered to reflect the delivered items configuration.

10. Preparation Method: American English language shall be used in the preparation of this TDP.

Dimensioning and Tolerancing shall be Decimal Inch in accordance with ASME Y14.5-2009. Size and format of drawings shall be Decimal Inch per ASME Y14.1. All drawings shall be prepared using Third Angle Orthographic Projection method of presentation. The symbol for angle of projection shall be delineated in the Title Block of newly prepared or revised engineering data. (ASME Y14.3-2003 figure 2)

11. TDP Validation: The contractor shall validate that the TDP conforms to the contractual requirements, and that they accurately depict the item(s) developed, modified, or produced under the contract.

12. Clarification of Detailed Test Criteria for Electrical and Avionics Items: Test criteria for items designed or developed with Government funds is an inherent part of the TDP. Test criteria shall be incorporated, either directly on each TDP document or by reference, for each end item, top assembly item, configured item, and lowest assembled item IAW Air Force drawing 9579777 (CAGE 98752), titled “Clarification of Detailed Test Criteria for Electrical and Avionics Items.”

13. Associated Lists: Parts Lists per ASME Y14.34 are required. Parts Lists are required at assembly level. Parts Lists for Contractor Activity identifier CAGE code may be an integral part of a document or it may be a separate document. The identification and quantity of parts shown on the assembly drawing shall agree with the parts list.

14. Marking: Drawings shall specify requirement for marking part number identification on items as required by MIL-STD-130 and other applicable documents referenced therein. Item unique identification (IUID) marking is mandatory for applicable items as determined by the Program Office.

(See DFARS 252.211-7003 Item Identification and Valuation) The drawings shall identify the content, method of application, material and location of marking on the part.

15. Printed Board Artwork Master Drawing. The printed board artwork master drawing shall include images of all artwork required to manufacture the printed board. These images will serve as a reference to those images produced from the Gerber data files IAW Air Force drawing 9579776 (CAGE 98752) titled “Product Data Specification”. Also, this drawing shall reference a unique part or identifying number (PIN) with revision data for the digital file set which includes the Gerber, test, and drill data files. The PIN number format structure and characters shall meet the same requirements as for the part number. These requirements are in addition to those in ASME Y14.24 and other related standards.

16. Printed Board Artwork Master, Test, and Drill NC Data. The printed board artwork master, test, and NC drill data shall be delivered IAW Air Force drawing 9579776 (Cage 98752). These requirements are in addition to those in ASME Y14.24 and other related standards.

17. Legacy Stable Base Media (Mylars, undimensioned drawings, master patterns, etc.). Data originally produced on stable base drawing media that has been redrawn/converted/reproduced in a digital format or developed on a CAD platform shall be delivered.

18. Legibility and Reproducibility: All documents prepared or submitted shall meet the legibility and reproducibility requirements of the specification or standard controlling the media in which the data is to be delivered. As a minimum, all lines, symbols, letters, and numerals shall be readable.

19. Protecting Classified Information: TDPs or parts thereof, containing classified information shall be protected and marked in accordance with the Department of Defense National Industrial Security

CONTRACT DATA REQUIREMENTS LIST Form Approved (1 Data Item) OMB No. 0704-0188

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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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

MHU-110/141

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

A049 Contractor’s Progress, Status, and Management Report Monthly Status Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MGMT-80227 PWS para 4.18 AFLCMC/WNZEA

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD Mthly 5th of First Month ARO b. COPIES

8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

A EOM 5th of the Month Reg Repr o

16. REMARKS AFLCMC/

WNZEA 0 2 0

BLK 4: Contractor format acceptable. Shall be submitted by the 5th of the first month after receipt of order for approval. Approval required for first submittal only.

BLK 9: DISTRIBUTION STATEMENT C: Distribution authorized to US Government agencies and their contractors. Other requests for this document shall be referred to AFLCMC/WNZEA.

BLK 14: Documents shall be provided via electronic media utilizing standard Microsoft Office applications. Documents shall be submitted via e-mail to:

Support Equipment & Vehicles Division ATTN: AFLCMC/WNZEA (Mr. Steve Seguin) 235 Byron Street, Suite 19A Robins AFB GA 31098-1813 e-mail: steven.seguin@us.af.mil

Notification of submission shall be provided to the PCO via e-mail.

15. Total 2

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

Jason McDuffie 7 Mar 2017 Vic Rozeboom

DD FORM 1423-1, Feb 2001 Previous editions are obsolete Page of Pages

ROZEBOOM.VICTOR.E.JR.1026994850

2017.03.15 14:14:15 -04'00'

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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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

MHU-110/141

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

A050 Integrated Master Schedule (IMS)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MGMT-81861A PWS Para 4.20 AFLCMC/WNZEA

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD ONE/R 15 DAC b. COPIES

8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

A N/A N/A Reg Repr o

16. REMARKS AFLCMC/

WNZEA 0 2 0

BLK 4: In accordance with Format 6.

BLK 8: The Government will have 30 days after receipt of schedule to review and provide comments. The contractor shall have 10 days after receipt of the Government comments to resubmit the schedule.

BLK 9: DISTRIBUTION STATEMENT C: Distribution authorized to US Government agencies and their contractors. Other requests for this document shall be referred to AFLCMC/WNZEA.

BLK 14: The IMS shall be provided via electronic media utilizing both Microsoft Project and PDF formats. Documents shall be submitted via e-mail to:

Support Equipment & Vehicles Division ATTN: AFLCMC/WNZEA (Mr. Steve Seguin) 235 Byron Street, Suite 19A Robins AFB GA 31098-1813 e-mail: steven.seguin@us.af.mil

Notification of submission shall be provided to the PCO via e-mail.

15. Total 2

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

Jason McDuffie 7 Mar 2017 Vic Rozeboom

DD FORM 1423-1, Feb 2001 Previous editions are obsolete Page of Pages

ROZEBOOM.VICTOR.E.JR.1026994850

2017.03.15 14:13:25 -04'00'

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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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

MHU-110/141

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

A051 Accident/Incident Report Mishap notification/investigation

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-SAFT-81563 PWS para 5.3.1 AFLCMC/WNZEA

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD ASREQ ASREQ b. COPIES

8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

A ASREQ ASREQ Reg Repr o

16. REMARKS AFLCMC/

WNZEA 0 2 0

BLK 8: The Government will have 5 days after receipt of report for approval or disapproval. The contractor shall have 5 days after receipt of the Government comments to resubmit the plan.

BLK 9: DISTRIBUTION STATEMENT C: Distribution authorized to US Government agencies and their contractors. Other requests for this document shall be referred to AFLCMC/WNZEA

BLK 14: Documents shall be provided via electronic media utilizing standard Microsoft Office applications. Both hard copies and CD-ROM or DVD shall be submitted to:

Support Equipment & Vehicles Division ATTN: AFLCMC/WNZEA (Steve Seguin) 235 Byron Street, Suite 19A Robins AFB GA 31098-1813 e-mail: steven.seguin@us.af.mil

Notification of submission shall be provided to the PCO via e-mail.

15. Total 2

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

Jason G. McDuffie 2 Mar 2017

DD FORM 1423-1, Feb 2001 Previous editions are obsolete Page of Pages

GRIEPENBURG.DEIDRE

.H.1289435464

Digitally signed by GRIEPENBURG.DEIDRE.H.1289435464 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=GRIEPENBURG.DEIDRE.H.1289435464 Date: 2017.03.09 15:10:59 -05'00'

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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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

MHU-110/141

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

A052 Programmatic Environmental Safety and Health Evaluation Plan

Safety and health plan

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-ENVR-81840 PWS para 5.3.2.1 AFLCMC/WNZEA

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD ASREQ ASREQ b. COPIES

8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

A ASREQ ASREQ Reg Repr o

16. REMARKS AFLCMC/

WNZEA 0 2 0

BLK 8: The Government will have 5 days after receipt of report for approval or disapproval. The contractor shall have 5 days after receipt of the Government comments to resubmit the report.

BLK 9: DISTRIBUTION STATEMENT C: Distribution authorized to US Government agencies and their contractors. Other requests for this document shall be referred to AFLCMC/WNZEA

BLK 14: Documents shall be provided via electronic media utilizing standard Microsoft Office applications. Both hard copies and CD-ROM or DVD shall be submitted to:

Support Equipment & Vehicles Division ATTN: AFLCMC/WNZEA (Steve Seguin) 235 Byron Street, Suite 19A Robins AFB GA 31098-1813 e-mail: steven.seguin@us.af.mil

Notification of submission shall be provided to the PCO via e-mail.

15. Total 2

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

Jason G. McDuffie 7 Mar 2017

DD FORM 1423-1, Feb 2001 Previous editions are obsolete Page of Pages

GRIEPENBURG.DEIDRE.

H.1289435464

Digitally signed by GRIEPENBURG.DEIDRE.H.1289435464 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=GRIEPENBURG.DEIDRE.H.1289435464 Date: 2017.03.09 15:11:41 -05'00'