CDRLS FOR 43423 - ROTARY SCREW COMP.docm

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UPGRADE OF ROTARY SCREW COMPRESSOR (RSC)
Solicitation number
M00146-08-T-9035
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Contract Data Requirements Lists (CDRLs)

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08-T-9035 Amend 0002.doc DOC document
08-T-9035 SOW 9-25-08.doc DOC document
08-T-9035 Past Performance Questionnaire.doc DOC document
08-T-9035 Client Auth Ltr.doc DOC document
08-T-9035 Amend 01.doc DOC document
Recommended Spare Parts List for Spares DI-ILSS-80293B.pdf PDF
Equipment Calibration Procedure DI-R-7065.pdf PDF
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Design Review Data Package DI-E-5423.pdf PDF
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Maintenance Test and Support Equipment Requirements List DI-ILSS-80294A.pdf PDF
Test Report DI-NDTI-80604.pdf PDF
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Manuals Technical Modified Commercial DI-M-2071.pdf PDF
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Test Procedure DI-NDTI-80603.pdf PDF
Site Preparation Requirements and Installation Plan DI-MGMT-80033.pdf PDF
Acceptance Test Plan DI-QCIC-80553.pdf PDF
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Lockout tagout procedure -- Attachment12.pdf PDF
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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 the collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302. 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 address. 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_x__ OTHER ________________________

D. SYSTEM/ITEM

RSC = Rotary Screw Compressor System for Building 4173 & 4032.

E. CONTRACT/PR NO.

F. CONTRACTOR

1 DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Site Preparation Requirements/Installation Plan

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80033

5. CONTRACT REFERENCE

Specification Paragraph 3.5.1

6. REQUIRING OFFICE

NADEP 6.3.1

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10-. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

See Block 16

14. DISTRIBUTION

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

a. Addressee
b. COPIES

Final

Draft
Reg
Repro

8. APP CODE

A

16. REMARKS

8. The Government will review and notify the contractor if approved within fifteen (15) calendar days after receipt. If corrections are required, the contractor will have ten (10) calendar days to provide the revised site preparation requirements and installation plan. The Government will review the revised site preparation requirements and installation plan within five (5) calendar days after receipt.

12. Two (2) draft copies of the Site Preparation Requirements and Installation Plan shall be provided to the Government at least 14 calendar days prior to the Preliminary Design Review (PDR).

13. One (1) hard copy and one (1) electronic copy of the final Government accepted Site Preparation Requirements and Installation Plan shall be provided to the Government at least 14 calendar days prior to the Construction Design Review (CDR).

14. Commanding Officer FRC East Will Doheny Code 6.3.617 PCS Box 8021 MCAS Cherry Point, NC 28533-0021

* See Remarks
2
2
15. TOTAL
2
2

G.. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD FORM 1423-1 AUG 96 (EG) PREVIOUS EDITION MAY BE USEDPage 1 of 1
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 the collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302. 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 address. 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

A

C. CATEGORY:

D. SYSTEM/ITEM

RSC = Rotary Screw Compressor System for Building 4173 & 4032

E. CONTRACT/PR NO.

F. CONTRACTOR

1 DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Equipment Calibration Procedures

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-R-7065

5. CONTRACT REFERENCE

Specification Paragraph 3.5.2

6. REQUIRING OFFICE

NADEP 6.3.1

7. DD 250 REQ

9. DIST STATEMENT

10-. FREQUENCY

AS REQASREQ

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

a. Addressee
b. COPIES

Final

Draft
Reg
Repro

8. APP CODE

16. REMARKS

8. The Government will review and notify the contractor if approved within fifteen calendar (15) days after receipt. If corrections are required, the contractor will have ten calendar (10) days to provide the revised equipment calibration procedures. The Government will review the revised equipment calibration procedures within five calendar (5) days after receipt.

12. One (1) draft copy of the equipment calibration procedures shall be provided to the Government at least fourteen (14) days calendar days prior to CDR.

13. One (1) hard copy and one (1) electronic copy of the final Government accepted equipment calibration procedures shall be provided to the Government at least 40 calendar days after CDR.

14. Commanding Officer FRC East Will Doheny Code 6.3.617

* See Remarks
1
2
15. TOTAL
1
2

G.. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD FORM 1423-1 AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 2 of 10

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 the collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302. 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 address. 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

A

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1 DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

List of Recommended Maintenance, Test and Support Equipment

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-ILSS-80294A

5. CONTRACT REFERENCE

Specification Paragraph 3.5.3

6. REQUIRING OFFICE

NADEP 6.3.1

7. DD 250 REQ

9. DIST STATEMENT

10-. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

a. Addressee
b. COPIES

Final

Draft
Reg
Repro

8. APP CODE

16. REMARKS

8. The Government will review and notify the contractor if approved within fifteen (15) calendar days after receipt. If corrections are required, the contractor will have ten (10) calendar days to provide the revised list of recommended maintenance, test and support equipment. The Government will review the revised the list of recommended maintenance, test and support equipment within five (5) calendar days after receipt.

12. One (1) draft copy (for approval) shall be provided to the Government at least 14 calendar days prior to PDR.

13. Three (3) hard copies and one (1) electronic copy of the final Government accepted list of recommended Maintenance, test and support equipment shall be provided to the Government at least 14 calendar days prior to CDR.

14. Commanding Officer FRC East Will Doheny Code 6.3.617

* See Remarks
1
4
15. TOTAL
1
4

G.. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD FORM 1423-1 AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 3 of 10

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 the collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302. 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 address. 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

A

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1 DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Recommended Spare Parts List

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-ILSS-80293B

5. CONTRACT REFERENCE

Specification Paragraph 3.5.4

6. REQUIRING OFFICE

NADEP 6.3.1

7. DD 250 REQ

9. DIST STATEMENT

10-. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

a. Addressee
b. COPIES

Final

Draft
Reg
Repro

8. APP CODE

16. REMARKS

8. The Government will review and notify the contractor if approved within fifteen (15) calendar days after receipt. If corrections are required, the contractor will have ten (10) calendar days to provide the revised recommended spare part list. The Government will review the revised recommended spare parts list within five (5) calendar days after receipt.

12. One (1) draft copy (for approval) shall be provided to the Government at least 14 calendar days prior to PDR.

13. Three (3) hard copies and one (1) electronic copy of the final Government accepted list of recommended spare parts list shall be provided to the Government at least 14 days prior to CDR.

14. Commanding Officer FRC East Will Doheny Code 6.3.617

* See Remarks
1
4
15. TOTAL
1
4

G.. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD FORM 1423-1 AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 4 of 10

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 the collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302. 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 address. 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

A

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1 DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

Manuals, Technical, Modified Commercial

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-M-2071

5. CONTRACT REFERENCE

Specification Paragraph 3.5.5

6. REQUIRING OFFICE

NADEP 6.3.1

7. DD 250 REQ

9. DIST STATEMENT

10-. FREQUENCY

AS REQ

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

a. Addressee
b. COPIES

Final

Draft
Reg
Repro

8. APP CODE

16. REMARKS

12. Three (3) copies and one (1) electronic copy of the Manuals, Technical, and Modified Commercial shall be provided to the Government no later than 150 calendar days from date of contract award.

14. Commanding Officer FRC East Will Doheny Code 6.3.617

* See Remarks
0
4

15. TOTAL

G.. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD FORM 1423-1 AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 5 of 10

CONTRACT DATA REQUIREMENTS LIST

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 the collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302. 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 address. 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

A

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1 DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

Acceptance Test Plan

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-QCIC-80553

5. CONTRACT REFERENCE

Specification Paragraph 3.5.6

6. REQUIRING OFFICE

NADEP 6.3.1

7. DD 250 REQ

9. DIST STATEMENT

10-. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

See Block 16

a. Addressee
b. COPIES

Final

Draft
Reg
Repro

8. APP CODE

16. REMARKS

8. The Government will review and notify the contractor if approved within fifteen (15) calendar days after receipt. If corrections are required, the contractor will have ten (10) calendar days to provide the revised Acceptance Plan. The Government will have ten (10) calendar days to provide the revised Acceptance Test Plan within five (5) calendar days after receipt.

12. Three (3) draft copies of the acceptance test plan shall be provided to the Government at least 14 calendar days prior to PDR.

13. Three (3) hard copies and One (1) electronic copy of the final Government accepted acceptance test plan shall be provided to the Government at least 14 calendar days prior to CDR.

14. Commanding Officer FRC East Will Doheny Code 6.3.617

* See Remarks
3
4
15. TOTAL
3
4

G.. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD FORM 1423-1 AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 6 of 10

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 the collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302. 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 address. 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

A

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1 DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

Acceptance Test Procedure

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80603

5. CONTRACT REFERENCE

Specification Paragraph 3.5.6

6. REQUIRING OFFICE

NADEP 6.3.1

7. DD 250 REQ

9. DIST STATEMENT

10-. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

a. Addressee
b. COPIES

Final

Draft
Reg
Repro

8. APP CODE

16. REMARKS

8. The Government will review and notify the contractor if approved within fifteen (15) calendar days after receipt. If corrections are required, the contractor will have ten (10) calendar days to provide the revised Test Procedure. The Government will have ten (10) calendar days to provide the revised Test Procedure within five (5) calendar days after receipt.

12. Three (3) draft copies of the Acceptance Test Procedure shall be provided to the Government at least 14 calendar days prior to PDR.

13. Three (3) hard copies and one (1) electronic copy of the final Government accepted Test Procedure shall be provided to the Government at least 14 calendar days prior to CDR.

14. Commanding Officer FRC East Will Doheny Code 6.3.617

* See Remarks
3
4
15. TOTAL
3
4

G.. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD FORM 1423-1 AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 7 of 10

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 the collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302. 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 address. 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

A

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1 DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

Acceptance Test Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80604

5. CONTRACT REFERENCE

Specification Paragraph 3.5.6

6. REQUIRING OFFICE

NADEP 6.3.1

7. DD 250 REQ

9. DIST STATEMENT

10-. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

a. Addressee
b. COPIES

Final

Draft
Reg
Repro

8. APP CODE

16. REMARKS

10. Three (3) hard copies and one (1) electronic copy of the Acceptance Test Report shall be submitted within five (5) calendar days after completion of final acceptance test.

14. Commanding Officer FRC East Will Doheny Code 6.3.617

* See Remarks
0
4

15. TOTAL

G.. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD FORM 1423-1 AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 8 of 10

CONTRACT DATA REQUIREMENTS LIST

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 the collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302. 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 address. 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

A

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1 DATA ITEM NO.

A009

2. TITLE OF DATA ITEM

Design Review Data Package

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-E-5423

5. CONTRACT REFERENCE

Specification Paragraph 3.5.7

6. REQUIRING OFFICE

NADEP 6.3.1

7. DD 250 REQ

9. DIST STATEMENT

10-. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

See Block 16

a. Addressee
b. COPIES

Final

Draft
Reg
Repro

8. APP CODE

16. REMARKS

8. The Government will review and notify the contractor if approved within fifteen calendar (15) days after receipt. If corrections are required, the contractor will have ten calendar (10) days to provide the revised design review data package. The Government will review the revised package within five calendar (5) days after receipt.

The Design Review Data Package shall include project milestones and compressor air drawings, electrical/controls and all other assoicated contract drawings. The project milestones shall be a project/construction/testing itinerary that explains and provides dates for all major actions/milestones from date of contract award to completion of contract requirements.

12. Proposed milestones shall be submitted within 30 calendar days from date of contract award.

Three (3) draft copies of the Design Review Data Package drawings shall be provided to the Government at least 14 calendar days prior to PDR.

13. Three (3) hard copies and one (1) electronic copy of the final Government accepted Design Review Data Package drawings shall be provided to the Government no later than 14 calendar days prior to CDR.

14. Commanding Officer FRC East Will Doheny Code 6.3.617 PCS Box 8021 MCAS Cherry Point, NC 28533-0021

* See Remarks
3
4
15. TOTAL
3
4

G.. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD FORM 1423-1 AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 9 of 10

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 the collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302. 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 address. 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:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1 DATA ITEM NO.

A010

2. TITLE OF DATA ITEM

Lockout/Tagout Procedures

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

Specification Paragraph 3.5.8

6. REQUIRING OFFICE

NADEP 6.3.1

7. DD 250 REQ

9. DIST STATEMENT

10-. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

a. Addressee
b. COPIES

Final

Draft
Reg
Repro

8. APP CODE

16. REMARKS

8. The Government will review the draft procedures and notify the contractor if acceptable within fifteen (15) days after receipt. If corrections are required, the contractor will have ten (10) days to provide the revised package. The Government will review and comment on the revised procedures within five (5) days after receipt.

12. The contractor shall provide one (1) draft copy of the Lockout/Tagout Procedures to the Government no later than 14 calendar days prior PDR.

13. The contractor shall provide one (1) electronic copy of the final Lockout/Tagout Procedures to the Government no later than the 14 calendar days prior to the CDR.

14. Commanding Officer FRC East Code 6.3.617 Will Doheny

* See Remarks
1
1
15. TOTAL
1
1

G.. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD FORM 1423-1 AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 10 of 10

A

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