FY20 Attachments ADC Master ADC SOW CAD PAD Marking and RFV.pdf

AMMUNITION DATA CARD MASTER Rev 13

30 April 2018

* * * * AMMUNITION DATA CARD * * * *

1) NSN: 1377009991212 M009 [NSN AND DODIC WITH NO DASHES]

2 ) NOMENCLATURE: CARTRIDGE IMPULSE, MK 99 MOD 1 [INCLUDE MODEL, SEE SECT B OF CONTRACT]

3) LOT NUMBER: PQP06A008-001 [IN ACCORDANCE WITH MIL-STD-1168 OR CONTRACT SECTION D (AMMUNITION LOT

NUMBERING)]

4) CONTRACTOR: PROVEN QUALITY PRODUCTS, INC

5) NET QUANTITY: 2722 [QTY AVAILABLE TO SHIP AFTER LOT ACCEPTANCE TEST (LAT) SAMPLES, INVESTIGATIVE

SAMPLES (RETAINS) AND REJECTS REMOVED FROM LOT. OVERAGE UNITS ARE CONSIDERED TO BE PART OF THE

NET QUANTITY. FOR FIRST ARTICLE TEST SAMPLES (FAT) PUT “N/A”]

6) PACKING: 1 PER BAG/2 PER FBB/20 MAX PER WOODEN BOX /SPI 01-0633165h [GIVE DETAILS AND INCLUDE SPI OR

PACKAGING DWG NUMBERS]

7 ) CONTRACT/ORDER NUM: N0010406CK999 [PRIME CONTRACT NUMBER - NO DASHES. SEE REMARKS SECTION FOR

IDIQ CONTRACTS GUIDANCE]

8) PURCHASE ORDER NUM: [SUBCONTRACTOR PURCHASE ORDER NUMBER FROM THE PRIME

CONTRACTOR]

9) DRAWING NUMBER: 951AS111 [USE GOVERNMENT DWG #; IF NONE USE CONTRACTOR ITEM P/N; SEE SECT B OF

CONTRACT]

10) DRAWING TAB*:

11) DRAWING REV: B [IF NONE PUT “NR“ FOR NO REVISION]

12) SPEC NUM: MIL-C-99999 [IF NONE PUT “N/A”]

13 ) SPEC REV: C [IF NONE PUT “NR“ FOR NO REVISION]

14) SPEC AMEND: 1 [IF NONE PUT “N/A“]

15) DATE STARTED: 01/01/2006 [FORMAT MM/DD/YYYY. THE MONTH MUST MATCH MONTH LETTER IN LOT NUMBER.

DATE PRODUCTION LOADING OR ASSEMBLY STARTED, UNLESS OTHERWISE SPECIFIED BY PRODUCT ASSEMBLY

DRAWING, SPECIFICATION OR CONTRACT]

16) DATE COMPLETED: 04/20/2006 [FORMAT MM/DD/YYYY. DATE LOT WAS COMPLETED]

17) DATE INSPECTED: 05/01/2006 [FORMAT MM/DD/YYYY. DATE LOT PRESENTED TO DCM QAR FOR INSPECTION]

18) LINE*:

19) ZONE WEIGHT*:

20) CHARGE WEIGHT: 0.000260 [IF END-ITEM CONTAINS PROPELLANT ENTER THE TOTAL WEIGHT (IN POUNDS) FOR A

SINGLE UNIT]

21) INDEX OF POWDER*:

22) MAX PACK DEPTH (US)*:

23) MAX PACK DEPTH (METRIC)*:

24) PROD PACK DEPTH*:

25) NET EXPLOSIVE WT (US): .00106 [NET EXPLOSIVE WEIGHT (IN POUNDS) OF ALL CLASS I MATERIAL IN A SINGLE

UNIT. NET EXPLOSIVE WEIGHT IS PULLED FROM JHCS]

26) NET EXPLOSIVE WT (METRIC): .000481 [NET EXPLOSIVE WEIGHT (IN KILOGRAMS) OF ALL CLASS I MATERIAL IN A

SINGLE UNIT. NET EXPLOSIVE WEIGHT IS PULLED FROM JHCS]

27) TEST SAMP: 47 [TOTAL # OF LAT/FAT SAMPLES INCLUDING INVESTIGATIVE SAMPLES (RETAINS)]

28) TEST SITE: [TEST ACTIVITY CODE WHERE LATs/FATs ARE SENT TO; DROP-DOWN MENU OPTION]

29) TS DATE SHIPPED**: 06/29/2006 [FORMAT MM/DD/YYYY]

30) TS MODE SHIPPED: FEDEX [METHOD OF SHIPMENT]

31) UN PROPER SHIPPING NAME: CARTRIDGES, POWER DEVICE [UN PROPER SHIPPING NAME, SECT D]

32) HAZARD CLASS: 1.4C [HAZ CLASS AND COMPATIBILITY CODE PER SECTION D OF CONTRACT]

33) GOV'T QA ACTIVITY: 039 [DCM ACTIVITY CODE FOUND IN WARP MANUAL PGs 57-58]

34) DISPOSITION: PA [PA - PENDING ACCEPTANCE FOR LATs/FATs; AC - ACCEPTED LOT (AC ONLY AFTER NAVSUP

APPROVAL LETTER)]

35) GOV'T INSPECTOR: JOE G. DCAS

36) DATE SIGNED: 06/25/2006 [FORMAT MM/DD/YYYY. DATE SIGNED BY GOV’T INSPECTOR]

* * * * COMPONENTS * * * *

[LIST ALL COMPONENTS, NOT JUST EXPLOSIVES. IT SHOULD INCLUDE EXPLOSIVE SUB-ASSEMBLY COMPONENTS WHEN

NOT COVERED BY A SEPARATE AMMUNITION DATA CARD]

COMPONENT DRAWING NO. REV*** MANUFACTURER DATE LOT NUMBER QTY [OF COMPONENT]

O-RING MS3324-8 A A HANCOCK, INC 1205 23026 2775

ADHESIVE MMM-A-134B B 3M SEALANTS 0405 36669 AR

PRIMER MIX 878 2240790C C BPQP, INC 0305 PQP123 2.5 LB

PROPELLANT 855AS222A D GFM 1205 HES 5806 350 GM

CLOSURE DISC 875AS444A M ALVIN, CORP 0805 33217 2775

FIRING PIN 2513655B K SHARP, INC 0605 35889 2775

SPRING 5558990B P SLINKY, INC 0705 77899 2775

SHEAR PIN 838AS444B Q REIMER PINS 0705 99787 2775

SET SCREW 2246777B R SCREWS 0505 06778 2775

RING, LOCK 777AS444A W BOYD RINGS 0605 87877 2775

CTG BODY 777AS888C T KRIKSTAN, INC 1105 55676 2775

PRIMER 877AS999B AA NSWC IHEODTD 0605 15664

* * * * REMARKS * * * *

[LIST USEFUL LOT INFORMATION NOT ACCOUNTED FOR IN OTHER ADC FIELDS]

NOTE: FOR IDIQ CONTRACTS, LIST THE DELIVERY ORDER IN THE REMARKS. SEE EXAMPLE BELOW.

1. DELIVERY ORDER N0010417FE001 [FOR IDIQ CONTRACTS ONLY]

2. (LOT S/N RANGE: 000001 THRU 002775) [EIGHT ALPHA-NUMERIC CHARACTERS IN ACCORDANCE WITH

CAD/PAD ITEM MARKING INSTRUCTION]

2. LAT/FAT SAMPLES S/N’s: 000002, 000022, 000034, 000145, 000179, 000222, 000345, 000478, 000666, 000788, 000998, 001005, 001035, 001165, 001245, 001356, 001599, 001655, 001788, 001889, 002190, 002001, 002069, 002100, 002267, 002345, 002544, 002699, 002701, and 002722.

3. RETAIN S/N’s: 000003,000033 and 000200.

3. REJECT S/N’s: 000175, 000435, 001050, and 002233.

4. OVERAGE S/N’s: 002589 and 002650 [IF APPLICABLE]

NOTE: AN ACCURATE AND UNDERSTANDABLE ACCOUNTING OF ENTIRE LOT BY SERIAL NUMBER IS REQUIRED. OVERAGE UNITS SHALL BE CAPTURED BY SERIAL NUMBERS. TENSILE TEST SPECIMENS

FOR LINEAR PRODUCTS SHALL BE IDENTIFIED BY SERIAL NUMBER.

5. LOT REWORKED FOR SHEAR PINS PER APPROVED REWORK PROCEDURE # PQP RW06-

* * * * WAIVERS AND DEVIATIONS * * * *

[LIST ALL APPROVED REQUEST FOR VARIANCES (RFVs) INDIVIDUALLY ALONG WITH BRIEF DESCRIPTION]

1. RFV FY06-W111; SIX UNITS FAILED PMAX REQUIREMENT OF 3100 PSI WITH WORST CASE BEING 2979

PSI.

2. RFV FY06-D115; ALLOWS THE USE OF ALTERNATE MATERIAL (BRASS) IN PLACE OF CHIPBOARD

FOR THE CARTRIDGE WAD.

** ADDITIONAL AMMUNITION DATA CARD HELPFUL HINTS/REFERENCE NOTES **

THE ABOVE IS MADE UP OF DIFFERENT LOT SCENARIOS TO PROVIDE EXAMPLES. THIS IS MEANT TO

BE USED AS A GUIDE TO HELP REMOVE FRUSTRATION AND PROVIDE SOME CONSISTENCY FOR THE

INPUTTERS AND THE REVIEWERS. THIS GUIDANCE IS NOT MEANT TO COVER/ADDRESS ALL

SITUATIONS.FOR MORE DETAILS GO TO THE WORLDWIDE AMMUNITION-data REPOSITORY PROGRAM

(WARP) USER’S MANUAL ON THE WARP WEBSITE BELOW. IF STILL UNSURE, SEEK ADDITIONAL

GUIDANCE FROM THE ACQUISITION MANAGEMENT SPECIALIST LISTED IN THE CONTRACT. (NOTE: TO

ACCESS WARP, YOU MUST HAVE A CAC OR PURCHASE AN ECA THROUGH A GOVERNMENT APPROVED

VENDOR SUCH AS IdenTrust(http://identrust.com/warp/)).

WARP WEBSITE – https://mhpwarp.redstone.army.mil

THE AMMUNITION DATA CARD SERVES AS A “BIRTH CERTIFICATE” FOR THE LOT. IT GIVES ALL

T H E DETAILS OF THE MANUFACTURED LOT AT FINGERTIPS. USED FOR MALFUNCTION INVESTIGATION AND

AMMUNITION RECLASSIFICATION. INCORRECT OR INCOMPLETE INFORMATION ON ADC’S COMES DOWN TO A

SAFETY ISSUE.

THE AMMUNITION DATA CARD IS NOT INTENDED TO INDENTIFY SPECIFIC SHIPMENTS WITHIN A GIVEN LOT.

* DENOTES FIELDS NOT REQUIRED FOR CADs/CTGs

** AMMUNITION DATA CARDS THAT ARE “PA” DO NOT REQUIRE A SHIPPED DATE (ONLY “AC” AMMUNITION DATA

CARDS AFTER LOT RELEASE LETTER)

*** FOR NOR REVISION ENTER “NR”

PACKING: THERE ARE 2 LINES AVAILABLE SO GIVE SPECIFIC DETAILS OF HOW ITEMS WERE PACKED

INCLUDING INNER, INTERMEDIATE (if required) AND OUTER PACKAGING. INCLUDE NUMBER

OF UNITS IN EACH TYPE OF PACKAGING CONTAINER FOR THE NORMAL MAXIMUM PACKAGING

CONFIGURATION. INCLUDE SPI OR PACKAGING DRAWING NUMBER(s).

ABBREVIATIONS: LB = POUNDS, GR = GRAINS, GM = GRAMS, AR = AS REQUIRED

EXPLOSIVE SUB-COMPONENTS- CARTRIDGES (CTGs), INITIATORS, ETC. NOT MANUFACTURED BY THE END

ITEM MANUFACTURER SHALL HAVE THEIR OWN ADC. USE END ITEM NSN AND DODIC.

THERE ARE TWO OPTIONS FOR SUBCONTRACTED EXPLOSIVE ITEMS:

1. IF THERE IS A FLOW DOWN REQUIREMENT FROM THE PRIME TO PREPARE AMMUNITION DATA CARDS AND THE SUBCONTRACTOR USES THE WARP PROGRAM – THE SUBCONTRACTOR WOULD USE THE PURCHASE ORDER

NUMBER FROM THE PRIME CONTRACTOR IN THE PURCHASE ORDER NUMBER FIELD AND WOULD ENTER THE

PRIME CONTRACT NUMBER IN THE CONTRACT/ORDER NUMBER FIELD. GARA/QAR FOR THE SUBCONTRACT WOULD

NOT HAVE OVERSIGHT OF THE PRIME CONTRACT NUMBER.

2. IF THE SUBCONTRACTOR IS NOT ABLE TO USE THE WARP SYSTEM FOR THE AMMUNITION DATA CARDS THEN THEY WOULD PROVIDE THE PRIME CONTRACTOR WITH THE INFORMATION AND THE PRIME WOULD ENTER

THE INFORMATION ON THEIR AMMUNITION DATA CARD.

http://identrust.com/warp/))

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.

ATTACHMENT 2 (continued)

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 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 https://mhp.redstone.army.mil/ http://iase.disa.mil/pki/eca/index.html https://mhpwarp.redstone.army.mil/

ATTACHMENT 2 (continued)

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

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)

PREVIOUS EDITION IS OBSOLETEDD FORM 1694, APR 2017 Page 1 of 2 AEM LiveCycle Designer

REQUEST FOR VARIANCE

(RFV)

1. DATE PREPARED:

(DD-MMM-YYYY)

DD-Mon-YYYY

2. RFV NUMBER:

XXXX-XXXX

3. PROCURING ACTIVITY NO. (PAN):

N00104

OMB No.

0704-0188 Exp 10/31/2019

The public reporting burden for this collection of information is estimated to average 2 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 the collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Executive Services Directorate, Directives Division, 4800 Mark Center Drive, Alexandria, VA 22350-3100 (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 COMPLETED FORM TO THIS ADDRESS. RETURN COMPLETED FORM TO THE ACQUIRER ISSUING CONTRACTING OFFICER

FOR THE CONTRACT/PROCURING ACTIVITY NUMBER LISTED IN BLOCK 22 OF THIS FORM.

DISTRIBUTION STATEMENT:

(Please insert the appropriate distribution statement/export control warning IAW DODI 5230.24)

4. TITLE OF VARIANCE: Housing, Firing Pin Discrepancies

5. VARIANCE PRE OR POST-PRODUCTION: 6. BASELINE AFFECTED:

Pre-Production Post-Production Functional Allocated Product

7. SYSTEM

INFORMATION

7.a. MODEL/TYPE DESIGNATION:

JAU-13 (M596)

7.b. SYSTEM/CONFIG. ITEM NOMENCLATURE:

Initiator, Cartridge Actuated JAU-13/A

7.c. END ITEM CAGE CODE:

30003

8. AFFECTED ITEM NOMENCLATURE:

Housing, Firing Pin

9. PART NUMBER(S) OF AFFECTED ITEM(S):

851AS115 Rev D

10.a. OTHER EXTERNAL SYSTEM AFFECTED?:

Yes No

11. IDENTIFICATION

OF VARIANCE

11.a. VARIANCE CLASSIFICATION:

Critical Major Minor

11.b. DEFECT NO.

(if applicable):

N/A

11.c. DOCUMENT DEFINING DEFECT NO./CLASS (if applicable):

N/A (e.g. a discrepancy record)

12. DESCRIPTION OF VARIANCE:

Three dimensional discrepancies - see block 22 of attached RFD XXXX-14.

13. NEED FOR VARIANCE:

No other parts are available for immediate use. Previously approved RFD XXXX-14 provided acceptance of the part but limited effectivity to work order M596-N-XXXX, which is not valid for this assembly.

14. CORRECTIVE ACTION TAKEN:

Resolve dimensional discrepancies with an ECP.

15. EFFECT ON PERFORMANCE, FUNCTION, RELIABILITY, DURABILITY, INTEGRATED LOGISTICS SUPPORT, INTERFACE, OR SOFTWARE:

None

16. RECURRENCE 16.a. RECURRING VARIANCE?:

Yes No

16.b. IF YES, PROVIDE RATIONALE:

Prior RFD XXXX-14 effectivity was limited to M596-N-XXXX

17. EFFECTIVITY: (Quantity Affected, Lot Numbers Affected, Serial Numbers, Dates)

Work Order M596-R-XXXX

18. PER UNIT COST IMPACT:

$100.00

19. TOTAL COST IMPACT:

$11,000.00

20. EFFECT ON SCHEDULE IF APPROVED/DISAPPROVED:

8 Months for re-manufacture

21. CONTRACT

INFORMATION

21.a. SUPPLIER:

ABC Manufacturing Inc

21.b. CONTRACT NO. AND LINE ITEM:

Contract NXXXXX-XX-X-XXXX (Line item(s) if applicable)

22. CONTRACTING

OFFICER

22.a. NAME:

John Doe

22.b. TELEPHONE:

+1 (555) 555-5555

22.c. E-MAIL:

john.doe@navy.mil jacob.appelbaum Highlight jacob.appelbaum Highlight jacob.appelbaum Highlight melina.andino-rivera Typewritten Text RFV Form 1694 Additional Guidance Revision A dated 03/16/18

PREVIOUS EDITION IS OBSOLETEDD FORM 1694, APR 2017 Page 2 of 2 AEM LiveCycle Designer

23. ORIGINATING

ACTIVITY

23.a. NAME: Jane Smith

23.c. TELEPHONE: +1 (123) 456-7890

23.d. CAGE CODE:XXXXX 23.e. E-MAIL: jane.smith@navy.mil

23.b. ADDRESS: (Street, City, State, Zip Code) XXX Red Robin Ln.

Somewhere City, STATE 12345

24.a. SUBMITTING AUTHORITY:

ABC Manufacturing Inc

24.b. NAME AND TITLE:

Jane Smith, Manufacturing Branch Manager

24.c. SIGNATURE:

BELOW TO BE COMPLETED BY THE APPROVING ACTIVITY

25.a. RECOMMENDATION: Approval Approval with Modification Disapproval

25.b. MODIFICATION DESCRIPTION:

(If a modification from the original submittal is described, an official contract correcting action must be sent back to the contractor)

25.c. NAME AND TITLE:

Joe Smith Manager, In-Service Engineering

25.d. SIGNATURE: 25.e. DATE: (DD-MMM-YYYY)

26.a. DISPOSITION: (Configuration Approval Authority) Approved Approved with Modification Disapproved

26.b. MODIFICATION DESCRIPTION:

(If a modification from the original submittal is described, an official contract correcting action must be sent back to the contractor)

26.c. NAME AND TITLE:

Jane Doe Chief Engineer

26.d. SIGNATURE: 26.e. DATE: (DD-MMM-YYYY)

27. LIST OF ATTACHMENTS

List Of Attachments (2) dd1694c.pdf dd1694-Inst.pdf jacob.appelbaum Highlight jacob.appelbaum Highlight

CAD/PAD Item Marking Instruction, V 1.5

CAD/PAD Item Marking Instruction

Prepared By CAD/PAD Joint Program Office

NSWC IHEODTD and AFLCMC/EBHJ

Version 1.5 Dated 01 May 2019

1.

Purpose

Table of Contents

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 - Automatic identification and data capture techniques - Data Matrix bar code symbology specification

4. ISO/IEC 15434 Information technology - Automatic identification and data capture techniques - Syntax for high capacity ADC media

5. ISO/IEC 15418 Information technology - Automatic identification and data capture techniques - GS1 Application Identifiers and ASC MH10 Data Identifiers and maintenance

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 Application Identifier Standard

10. –ISO 28219 Labeling and Direct Product Marking with Linear Bar Code and Two- Dimensional Symbols http://www.acq.osd.mil/dpap/pdi/uid/index.html http://farsite.hill.af.mil/ http://farsite.hill.af.mil/

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.acq.osd.mil/dpap/pdi/uid/index.html http://www.acq.osd.mil/dpap/pdi/uid/index.html 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; Serial number shall be up to eight (8) numeric characters.

The serial numbers shall be sequentially assigned and shall not be repeated until serial number 99,999,999 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

S S S S S o

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 requirement

- (S) Item Serial Number, IAW HRI requirement, up to eight (8) numeric characters

- (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)

[)> R 06 G 17V 12345 G 1P 123456789-ABCDEFGH G S 12345678 G 30T ABC06D123-001 G 4D 08151 R E

Figure 2. Sample UID Data Stream

S S T

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

CAGE: 12345

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. JSF F-35 Instructions. The marking instructions for F-35 components, labels, and packaging, shall be as outlined in this document. Additionally, contractors are required to submit an Electronic Equipment Logbook (EEL) for all serial numbers delivered to the Government. When submitting EELs, the lot number is limited to 10 characters and shall only include the year of production, month of production, interfix number, and sequence number with no dashes. Use of these nine characters will allow for an optional lot suffix as

Acft Explosive Item Noun

CAGE: 12345

P/N: 123456789-1234 Ser No: 0001 deemed necessary by procuring agency. The lot number identified on the Ammo Data Card (ADC) shall match the lot number used on the components and shall be generated

IAW MIL-STD-1168.

7. 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.

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