FAT WAIVER WORKSHEET-Revision D AX1F2044AX.pdf

This information/supporting documentation is part of your request.

It must be submitted on company letterhead and signed by an agent of the company.

Contact the buyer if you have any questions about the acquisition offer/quote requirements.

FIRST ARTICLE

WAIVER WORKSHEET

Request for Information and Supporting Documentation

BUYER'S NAME

Revision D 9 October 2019

1. CURRENT ACQUISITION INFORMATION:

NOUN

PART #

CONTRACTOR NAME

NSN

TOP DRAWING #

SOLICITATION/CONTRACT #

CONTRACTOR CAGE

REVISION LEVEL

2. TYPE OF REQUEST:

Partial Waiver: Includes waiver of only a specific test(s) of the First Article Test requirement as required by the Technical Data Package (TDP), contract and/or solicitation.

Full Waiver: Includes waiver of all First Article Testing as required by the TDP, contract and/or solicitation.

TDP Reference(s) of test(s) to be waived: (Please be specific and reference specification paragraph and/or drawing note as appropriate).

3. JUSTIFICATION TO SUPPORT WAIVER REQUEST: (Check and complete all that apply)

Remarks (if needed)

Length of Production Run

A)

Approval Date of Last Successful FAT

- Has the material been in continuous production?

- During this production run, is the item currently being manufactured at the same initial facilities using the same equipment, processes, procedures, and subcontractors? YES, proceed to Section 4.

NO, Please describe the differences in detail below and include any considerations these changes will require for the First Article Test waiver request.

YES, complete fill-ins, attach supporting documentation, and proceed to Section 4.

NO, Continue to 3B

Provide a full explanation justifying why duplicate testing is unnecessary:

National Stock Number

Contract No.

Date of First Article Approval

Nomenclature

Part Number

Remarks:

If NO, please describe the differences in detail below and include any considerations these changes will require for the First Article Test waiver request

Date of FAT Approval

Contract No.

Issuing Government Agency

- Was the above contract manufactured at the same facilities using the same equipment, processes, procedures, and subcontractors in which the current item will be produced?

B) - Has there been a successful completion of a FAT for the same item on a contract within the past three years and the item tested per the same requirements as those referenced in the solicitation and/or contract? YES, complete fill-ins >

NO, enter remarks below

YES, proceed to Section 4

NO, enter remarks below

C) - Has there been a successful performance of a first article test on the next higher assembly within the past three (3) years?

A waiver may be requested in order to eliminate duplication of testing on the lower assembly.

YES, complete fill-ins below on Next Higher Assembly

NO, continue to 3.D.

- Was the next higher assembly manufactured at the same facilities using similar equipment, processes, and procedures in which the current item will be produced? YES, proceed to Section 4.

NO, explain below

Remarks:

National Stock Number

Contract No.

Date of First Article Approval

Nomenclature

Part Number

D) - Has there been a successful completion of a First Article for a similar item on a contract within the past three (3) years and the item tested per the same requirements as those referenced in the solicitation and/or contract.

YES, complete fill-ins below on similar item

NO, continue to 3.E.

- Was the similar item manufactured at the same facilities using similar equipment, processes, and procedures in which the current item will be produced? YES, proceed to Section 4.

NO, explain below

Other: A waiver or partial waiver of the FAT is being requested based on the following:

Please be specific and attach supporting documentation* as appropriate:E)

4. OTHER PERTINENT INFORMATION

There are or have been quality issues (history) for this or similar items such as Quality Escapes, Product Quality Deficiency Reports (PQDRs), Corrective Action Requests, and/or show-cause letters. Please briefly discuss below:A)

There have been changes to the manufacturing data (e.g. drawing revisions that change materials, dimensions, processes, inspection or testing requirements) or subcontractors used to manufacture the items successfully in the past.

Please describe below.

B)

There have been Requests for Waiver/Deviation submitted or Material Review Board (MRB) actions related to manufacture of this item. Please describe below. C)

5. ATTACH SUPPORTING DOCUMENTATION

6. SUBMISSION

The submitter, by signing the below certifies that the above statements are true and correct.

Please provide printed name, signature, company address, and phone number where you can be reached. Again, the signer must be an agent of the company.

PRINTED NAME

COMPANY NAME

PHONE NUMBER

TITLE

COMPANY ADDRESS

Signature

*See the solicitation/contract for information on submitting supporting documentation, as well as, additional requirements regarding First Article Test Waiver requests.

This information/supporting documentation is part of your request.

It must be submitted on company letterhead and signed by an agent of the company.

Contact the buyer if you have any questions about the acquisition offer/quote requirements.

FIRST ARTICLE

WAIVER WORKSHEET

Request for Information and Supporting Documentation Revision D 9 October 2019

1. CURRENT ACQUISITION INFORMATION:

2. TYPE OF REQUEST:

3. JUSTIFICATION TO SUPPORT WAIVER REQUEST: (Check and complete all that apply) Page of A)

- Has the material been in continuous production?

- During this production run, is the item currently being manufactured at the same initial facilities using the same equipment, processes, procedures, and subcontractors?

Page of

- Was the above contract manufactured at the same facilities using the same equipment, processes, procedures, and subcontractors in which the current item will be produced?

B)

- Has there been a successful completion of a FAT for the same item on a contract within the past three years and the item tested per the same requirements as those referenced in the solicitation and/or contract?

C)

- Has there been a successful performance of a first article test on the next higher assembly within the past three (3) years?

A waiver may be requested in order to eliminate duplication of testing on the lower assembly.

- Was the next higher assembly manufactured at the same facilities using similar equipment, processes, and procedures in which the current item will be produced?

D)

- Has there been a successful completion of a First Article for a similar item on a contract within the past three (3) years and the item tested per the same requirements as those referenced in the solicitation and/or contract.

- Was the similar item manufactured at the same facilities using similar equipment, processes, and procedures in which the current item will be produced?

Page of E)

4. OTHER PERTINENT INFORMATION

A) B) C)

5. ATTACH SUPPORTING DOCUMENTATION

6. SUBMISSION

The submitter, by signing the below certifies that the above statements are true and correct. Please provide printed name, signature, company address, and phone number where you can be reached. Again, the signer must be an agent of the company.

*See the solicitation/contract for information on submitting supporting documentation, as well as, additional requirements regarding First Article Test Waiver requests.

8.2.1.4029.1.523496.503679