aft0747.pdf

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Page of AFTO Form 747, 20160218

CYBERSPACE INFRASTRUCTURE SYSTEM ACCEPTANCE

CIPS REQUIREMENT NUMBER

1. CIPS PROJECT TITLE

3. BASE

4. BUILDING AND ROOM NUMBER

5. USER

6. DOCUMENT AUTHORIZING SYSTEM

7. LIST OF RELATED PROJECTS/CONTRACTS

8. MAJOR ITEMS OF EQUIPMENT/SOFTWARE INSTALLED, REMOVED OR TRANSFERRED

NSN/PN

A

NOMENCLATURE

B

ASC

C

QTY

D

DETAIL DOCUMENT NUMBER

E I/R/T F

9. NARRATIVE PROJECT SUMMARY

2. CIPS PROJECT DASHBOARD NUMBER

(Use page 3 for additional space)

10. INSPECTION AND TRANSFER SUMMARY

(Enter "X" or "NA" on each line, A through I) A

. INSTALLATION ACTIVITY IS RELIEVED OF RESPONSIBILITY

B. INSTALLATION TESTED PER TEST PLAN CRITERIA. FLIGHT CHECK, IF APPLICABLE. TEST PLAN AND TEST RESULTS ARE ATTACHED TO

THE PROJECT DASHBOARD IN CIPS.

C. REPORT OF MEASURED X-RADIATION IS ATTACHED TO THE PROJECT DASHBOARD IN CIPS

D. RF INTENSITY PLOT IS ATTACHED TO THE PROJECT DASHBOARD IN CIPS

E. EQUIPMENT ACCOUNTABILITY WAS TRANSFERRED TO THE APPROPRIATE SUPPLY ACCOUNT AFEMS-CA/CRL OR AFEMS-AIM

F. COMSEC ACCOUNT NUMBER IS:

G. REAL PROPERTY WAS TRANSFERRED

H. AS INSTALLED DRAWINGS WERE PROVIDED TO THE BASE CSO

I. DESCRIPTION OF MINOR EXCEPTIONS

RESPONSIBLE

ACTIVITY

CORRECTION

DATE

CORRECTED

(Use page 3 for additional space)

FORECAST DATE OF

11. AN INSPECTION AND OPERATIONAL TEST WAS CONDUCTED. THE SYSTEM IS ACCEPTED AS INSTALLED AS PLANNED AND IN ACCORDANCE WITH ESTABLISHED STANDARDS. IT PERFORMS ACCORDING TO ESTABLISHED CRITERIA AND TO THE SATISFACTION OF THE UNDERSIGNED. SIGNATURES A-D ARE MANDATORY BEFORE ITEM 12. CERTIFICATION SIGNATURES.

ACCEPTANCE CERTIFICATE

FUNCTION

A

. INSTALLATION

ACTIVITY

ORGANIZATION

NAME/SIGNATURE

TITLE

GRADE

B. OPERATING

ACTIVITY

C. MAINTAINING

ACTIVITY

D. INSPECTION/

QUALITY

A

SSURANCE

A

CTIVITY

E. BASE

SUPPLY

H.

F. CIVIL

ENGINEERING

G.

I.

12. CERTIFICATION: ALL EXCEPTIONS, HAVE BEEN CORRECTED. ALL OPERATING AND MAINTENANCE PERSONNEL, SPARE PARTS, TEST EQUIPMENT, TOOLS, EXPENDABLE OPERATING SUPPLIES, TECHNICAL DATA AND OTHER LOGISTICAL SUPPORT DEEMED NECESSARY TO MEET THE OPERATIONAL

MISSION OF THE SYSTEM ARE AVAILABLE. A. IS MANDATORY SIGNATURE, B. IS OPTIONAL.

FUNCTION

A

. CSO/

CERTIFIER

ORGANIZATION

NAME/SIGNATURE

GRADE

B. USER/

ADDITIONAL

TITLE

ADDITIONAL REMARKS

8. MAJOR ITEMS OF EQUIPMENT/SOFTWARE INSTALLED, REMOVED OR TRANSFERRED

(Continued from Page 1)

NSN/PN

A

NOMENCLATURE

B

ASC

C

QTY

D

DETAIL DOCUMENT NUMBER

E I/R/T F 1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

DESCRIPTION OF MINOR EXCEPTIONS

RESPONSIBLE

ACTIVITY

FORECAST DATE OF

CORRECTION

DATE

CORRECTED

10. INSPECTION AND TRANSFER SUMMARY

(Enter "X" or "NA" on each line, A through I) (Continued from Page 1) 1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

Narrative explains purpose.

12. CERTIFICATION:

Self-explantory.

11. E-I maintaining activity.

Are mandatory signatures and are required before the system can be transferred from the installing activity to the

11. A-D

CERTIFICATION

11. ACCEPTANCE

CSO/Certifier via 12.A. signature.

commissioned whereas with minor exceptions, the system can be accepted but not commissioned by the NOTE: Major exceptions render the final inspection dead in the water and the system cannot be accepted or

10. I Self-explanatory.

10. A-H:

10. INSPECTION AND TRANSFER SUMMARY:

Enter a synopsis of what the project installed from the project dashboard or the project plan in CIPS.

SUMMARY:

9. NARRATIVE PROJECT

TRANSFERRED:

INSTALLED REMOVED, OR

list that equipment.

List the equipment items that were installed to provide the capability. If the project was for removing or transferring, PROJECTS/CONTRACTS:

7. LIST OF RELATED

number if applicable.

SYSTEM:

Enter the weapon system, certificate to operate, or Enterprise Information Technology Data Repository (EITDR)

6. DOCUMENT AUTHORIZING

Enter the organization and office symbol of the customer that requested the capability (equipment/software).

5. USER:

Enter the CIPS Requirement number associated with the project. Use local or MAJCOM/SPO/lead command number for requirements that do not meet the CIPS definition. All requirement numbers will follow the following identified/documented-5 digital sequential number. Example: BAEY-13-00006 Reference Tech Order 33D-3003 for CIPS information.

Enter the project title from the CIPS Project Dashboard. There should be only one project dashboard per requirement. Use local/SPO/MAJCOM project number for those projects that don't meet the CIPS project Enter the project number from the CIPS Project Dashboard. There should be only one project dashboard per Enter the building number and the room number where the MAJOR Equipment/Software is being installed.

Reference list in item 8.

4. BUILDING AND ROOM

Enter the location where the project is being installed.

3. BASE:

2. CIPS PROJECT NUMBER:

requirement. Use local/SPO/MAJCOM project title for those projects that don't meet the CIPS project definition.

1. CIPS PROJECT TITLE:

naming convention: base geological location code (4 alpha characters)-fiscal year (3 numeric) the requirement was

CIPS REQUIREMENT NUMBER:

REFERENCE TO 33D-3003, CHAPTER 6 FOR ADDITIONAL INFORMATION

INSTRUCTION FOR AFTO 747

EQUIPMENT/SOFTWARE

8. MAJOR ITEMS OR

Enter the CIPS project number or the contract number if there are related projects/contracts.

11.0.1.20130826.2.901444.899636