Attachment_(2)_Shaft_Repair_CDRLS_27_JUN_2017_with_sleeves_as_GFM.DOC

DOC document 626 KB Posted Mar 27, 2018

Attached to: Repair of DDG 51 Class Prop Shafts, NSN 2S 2010-01-468-8692
Solicitation number: N0010418RF023
Issued by: Department of the Navy Naval Supply Systems Command

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RFP_SHAFTS_N00104-18-R-F023.pdf	PDF	Apr 23, 2018
Attachment_(1)_DDG_Propeller_Shaft_Standard_SOW_10-31-17_with_GFM_sleeves.docx	DOCX document	Mar 27, 2018
Attachment_(4)_Shaft_Repair_CDRLS_27_JUN_2017_(3).doc	DOC document	Mar 27, 2018
RFP_SHAFTS_N00104-18-R-F022.pdf	PDF	Mar 27, 2018

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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 this collection of information, including suggestions for reducing the 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 X TM OTHER

D. SYSTEM/ITEM

ITEM INSPECTION AND REPAIR

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

CONTRACTOR’S PROGRESS, STATUS AND MANAGEMENT REPORT

3. SUBTITLE

N/A

17. PRICE GROUP

4. Authority (DATA Acquisition document No.)

DI-MGMT-80227

5. CONTRACT REFERENCE

TDP PARA 3.1

6. REQUIRING OFFICE

NAVSUP WSS N743 (N00104)

18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

MTHLY

30DAC

a. ADDRESSEE

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

N/A

Draft

Final

N/A

Reg

Repro

16. REMARKS

ELECTRONIC COPY

BLOCK 4: In lieu of the PREPARATION requirements specified IN DI-MGMT-80227, UTILIZE THE FOLLOWING FORMAT. THE report shall be provided electronically in Microsoft Excel, 2003 version. THE REPORT FORMAT AND INSTRUCTIONS ARE AVAILABLE ELECTRONICALLY FROM NAVICP OR AT http://www.dcma.mil/npp/. THE STATUS REPORT SHALL BE SUBMITTED ELECTRONICALLY VIA ELECTRONIC MAIL ON A MONTHLY BASIS. THE REPORT SHALL CONTAIN STATUS BASED ON THE FIRST WORKING DAY OF THE MONTH REPORTED. ITEMS SHIPPED SHALL REMAIN ON THE REPORT FOR ONE ADDITIONAL MONTH AND THEN DELETED.

BLOCK 10: STATUS REPORT SHALL BE SUBMITTED MONTHLY BY THE FIFTH WORKING DAY OF EACH MONTH BY ELECTRONIC MAIL.

BLOCK 12: THE FIRST SUBMISSION SHALL BE WITHIN 30 DAYS OF CONTRACT AWARD.

BLOCK 13: SUBSEQUENT SUBMISSIONS SHALL BE SUBMITTED MONTHLY BY THE FIFTH WORKING DAY OF EACH MONTH.

BLOCK 14: DISTRIBUTION SHALL BE MADE BY ELECTRONIC MAIL. ADDRESSES FOR REPORT DISTRIBUTION SHALL BE OBTAINED FROM NAVSUP WSS N743.

DCMA ACO

DCMA QAR

NAVSUP WSS N743

NSWCPD 423

NSWCPD 427

NAVSUP WSS END ITEM MANAGERS

15. TOTAL

G. PREPARED BY

NICOLE ELIA, NSWCPD 423

H. DATE

23 AUGUST 2016

I. APPROVED BY

KEVIN FAUVELL, NSWCPD 423

J. DATE

07 FEB 2017

DD FORM 1423-1, AUG 96 (EG) PREVIOUS EDITION MAY BE USED

Page 1_ of 9_ Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

A. CONTRACT LINE ITEM NO.

0001, 0002, 0003, 0004, 0006

B. EXHIBIT

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

REQUEST FOR DEPARTURE FROM SPECIFICATIONS

3. SUBTITLE

17. PRICE GROUP

4. Authority (DATA Acquisition document No.)

DI-CMAN-80640C

5. CONTRACT REFERENCE

TDP PARA 3.4, 3.4.1, 3.4.2

6. REQUIRING OFFICE

NSWCPD 427 (N64498)

18. ESTIMATED

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

ASREQ

a. ADDRESSEE

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

N/A

Draft

Final

N/A

Reg

Repro

16. REMARKS

ELECTRONIC COPY

BLOCK 10: THIS DATA ITEM SHALL BE SUBMITTED FOR ALL OUT OF

TOLERANCE CONDITIONS WHETHER PRE-EXISTING OR FOUND AFTER THE COMMENCEMENT OF WORK. FORMAT AND CONTENT SHALL BE IN ACCORDANCE WITH MIL-STD-973, APPENDIX "E", SHORT FORM IN LIEU OF DI-CMAN-80640C.

THE CONTRACTOR SHALL UTILIZE DD FORM 1694 FOR SUBMISSION OF ALL REQUESTS.

A COPY OF THE SIGNED DEPARTURE SHALL BE INLCUDED IN THE FINAL REPAIR REPORT (A012) FOR THE ITEM, EVEN IF APPROVAL WAS PREVIOUSLY GRANTED.

BLOCK 8: APPROVAL WILL BE BASED UPON IMPACT ON ITEM FORM, FIT OR FUNCTION. GOVERNMENT REQUIRES 30 DAYS (TOTAL) REVIEW TIME. ALL DEPARTURES SHALL BE FORWARDED TO DCMA QAR FOR REVIEW AND COMMENT. THE DCMA QAR WILL FORWARD DEPARTURES WITH COMMENTS ON DD FORM 1998 DIRECTLY TO NSWCPD 427 WITH A COPY OF THE DEPARTURE TRANSMITIAL TO NAVSUP WSS N743 FOR REVIEW AND DISPOSITION.

THE CONTRACTOR SHALL PROVIDE A COPY OF THE DEPARTURE IN ADOBE ACROBAT, VERSION 7.0 OR LATER.

SUPPORTING DATA, SUCH AS DRAWINGS, SKETCHES, PHOTOGRAPHS,

CALCULATION, FINANCIAL ANALYSIS OR OTHER ATTACHMENTS THAT WILL CLARIFY OR JUSTIFY THE REQUESTS FOR DEPARTURE SHALL BE INCLUDED.

DCMA QAR

NAVSUP WSS N743

NSWCPD 427

NSWCPD 423

15. TOTAL

G. PREPARED BY

H. DATE

23 AUGUST 2016

I. APPROVED BY

KEVIN FAUVELL, NSWCPD 423

J. DATE

Page 2 of 9 _ Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

EQUIPMENT DAMAGE AND REFURBISHMENT REPORT

3. SUBTITLE

VISUAL PRESERVATION INSPECTION (VPI)

17. PRICE GROUP

4. Authority (DATA Acquisition document No.)

DI-NDTI-80809B

5. CONTRACT REFERENCE

TDP PARA 3.5

6. REQUIRING OFFICE

NSWCPD 427 (N64498)

18. ESTIMATED

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

ASREQ

SEE BLOCK 16

a. ADDRESSEE

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

SEE BLOCK 16

Draft

Final

Reg

Repro

16. REMARKS

ELECTRONIC COPY

Block 4. Use the following requirement in lieu of the specified Data Item Description. Preservation, packaging, packing, marking AND TRANSPORTATION deficiencies of ALL government furnished material shall be documented on a SF 364 and submitted and in accordance with SECNAVINST 4355.18A. The cognizant government QUALITY ASSURANCE representative (QAR) shall verify the aCCURACY and adequacy of the report. A COPY OF THE APPROPRIATE VISUAL PRESERVATION INSPECTION (VPI) REPORT AND PHOTOGRAPHS, WHERE APPROPRIATE, SHALL BE ATTACHED TO THE SF 364.

For PROPULSION SHAFT PLUG and ring gages, a Visual Preservation Inspection report, Form 9243/2 shall be COMPLETED.

For PROPULSION SHAFTS, a Visual Preservation Inspection report, Form 9243/5 shall be COMPLETED.

For other government furnished material, the report shall be in the contractor’s format.

BLOCK 12: INTIAL VISUAL PRESERVATION INSPECTION REPORT SHALL BE SUBMITTED WITHIN 14 DAYS OF RECEIPT OF THE ASSET.

BLOCK 13: FINAL VISUAL PRESERVATION INSPECTION REPORT SHALL BE SUBMITTED WITHIN 14 DAYS OF COMPLETION OF FINAL PACKAGING PRIOR TO FINAL DELIVERY. A HARD COPY OF THE FINAL VPI Report shall be Shipped with the ASSET for FINAL DELIVERY.

Block 8: Approval will be based upon THE ACCURACY, ADEQUACY AND COMPLIANCE WITH TECHNICAL REQUIREMENTS. ALLOW 10 DAYS FOR GOVERNMENT REVIEW AND ACCEPTANCE.

THE CONTRACTOR SHALL SUBMIT A COPY OF THE REPORT IN ADOBE ACROBAT, VERSION 7.0 OR LATER IN WAWF.

DOCUMENTS SHALL BE SUBMITTED IN WAWF UTILIZING THE FOLLOWING DODAACS:

INSPECT BY : S4306A

SHIP TO: N64498

ACCEPT BY: S4306A

DCMA QAR

NSWCPD 427

NSWCPD 423

HARD COPY

EQUIPMENT

15. TOTAL

G. PREPARED BY

H. DATE

23 AUGUST 2016

I. APPROVED BY

KEVIN FAUVELL, NSWCPD 423

J. DATE

Page 3 of 9_ Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

EQUIPMENT DAMAGE AND REFURBISHMENT REPORT

3. SUBTITLE

PRE-REPAIR INSPECTION REPORT

17. PRICE GROUP

4. Authority (DATA Acquisition document No.)

5. CONTRACT REFERENCE

TDP PARA 3.6

6. REQUIRING OFFICE

NSWCPD 427 (N64498)

18. ESTIMATED

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

ASREQ

SEE BLOCK 16

a. ADDRESSEE

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg

Repro

16. REMARKS

ELECTRONIC COPY

BLOCK 4: THE FOLLOWING REQUIREMENTS SHALL BE FOLLOWED IN LIEU OF THE SPECIFIED DATA ITEM.

FOR PROPULSION SHAFTS, REPORT FORMAT AND CONTENT SHALL COMPLY WITH THE REQUIREMENTS OF THE APPLICABLE TECHNICAL REPAIR STANDARD, NAVSEA S9243-AW-TRS-011/SHAFT AND THE TECHNICAL DATA PACKAGE.

Changes SHALL NOT BE made TO THE INSPECTION FORM FORMAT WITHOUT PRIOR APPROVAL OF NSWCPD 427. ADDITIONAL INFORMATION AND PHOTOGRAPHS SHALL BE PROVIDED IF REQUIRED.

a written description in the contractor’s format of recommeded repairs and or items not anticipated to be repaired with appropriate justification shall be included with the pre-repair inspection report.

Block 8: Approval will be based upon THE ACCURACY, ADEQUACY AND COMPLIANCE WITH TECHNICAL REQUIREMENTS. ALLOW 45 DAYS FOR GOVERNMENT REVIEW AND APPROVAL.

BLOCK 12: The pre-repair inspection report shall be submitted within 90 days of receipt of the asset.

THE CONTRACTOR SHALL PROVIDE A COPY OF THE REPORT IN ADOBE ACROBAT, VERSION 7.0 OR LATER IN WAWF.

DOCUMENTS SHALL BE SUBMITTED IN WAWF UTILIZING THE FOLLOWING DODAACS:

INSPECT BY : S4306A

ACCEPT BY: N64498

DCMA QAR

NSWCPD 427

NSWCPD 423

15. TOTAL

G. PREPARED BY

H. DATE

23 AUGUST 2016

I. APPROVED BY

KEVIN FAUVELL, NSWCPD 423

J. DATE

Page 4 of 9__ Pages

DD FORM 1423-1, AUG 96 (EG) PREVIOUS EDITION MAY BE USED

Page 5 of 10_ Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

A. CONTRACT LINE ITEM NO.

0002, 0004, 0005, 0006

B. EXHIBIT

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A009

2. TITLE OF DATA ITEM

MAGNETIC PARTICLE (MT) INSPECTION REPORT/RESULTS

3. SUBTITLE

17. PRICE GROUP

4. Authority (DATA Acquisition document No.)

DI-MISC-80678

5. CONTRACT REFERENCE

TDP PARA 3.9

6. REQUIRING OFFICE

NSWCPD 427 (N64498)

18. ESTIMATED

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

ASREQ

a. ADDRESSEE

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

N/A

Draft

Final

N/A

Reg

Repro

16. REMARKS

ELECTRONIC COPY

BLOCK 4: PARAGRAPHS 10.2.2, 10.2.3, 10.2.4, AND 10.3 OF DI-MISC-80678 DO NOT APPLY.

THE CONTRACTOR SHALL SUBMIT WITH THE PRE-REAIR INSPECTION REPORT (a006) AND THE FINAL REPAIR REPORT (a012) ALL MAGNETIC PARTICLE (MT) INSPECTION REPORT/RESULTS DOCUMENTATION ACCOMPLISHED ACCORDINGLY.

DOCUMENTS SHALL BE SUBMITTED IN WAWF UTILIZING THE FOLLOWING DODAACS:

INSPECT BY : S4306A

DCMA QAR

NSWCPD 427

NSWCPD 423

15. TOTAL

G. PREPARED BY

H. DATE

23 AUGUST 2016

I. APPROVED BY

KEVIN FAUVELL, NSWCPD 423

J. DATE

Page 5 of _9 _ Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A0010

2. TITLE OF DATA ITEM

LIQUID PENETRANT (PT) INSPECTION REPORT/RESULTS

3. SUBTITLE

17. PRICE GROUP

4. Authority (DATA Acquisition document No.)

5. CONTRACT REFERENCE

TDP PARA 3.10

6. REQUIRING OFFICE

NSWCPD 427 (N64498)

18. ESTIMATED

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

ASREQ

a. ADDRESSEE

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

N/A

Draft

Final

N/A

Reg

Repro

16. REMARKS

ELECTRONIC COPY

BLOCK 4: PARAGRAPHS 10.2.2, 10.2.3, 10.2.4, AND 10.3 OF DI-MISC-80678 DO NOT APPLY.

THE CONTRACTOR SHALL SUBMIT WITH THE PRE-REAIR INSPECTION REPORT (a006) AND THE FINAL REPAIR REPORT (a012) ALL LIQUID PENETRANT (PT) INSPECTION REPORT/RESULTS DOCUMENTATION ACCOMPLISHED ACCORDINGLY.

DOCUMENTS SHALL BE SUBMITTED IN WAWF UTILIZING THE FOLLOWING DODAACS:

INSPECT BY : S4306A

DCMA QAR

NSWCPD 427

NSWCPD 423

15. TOTAL

G. PREPARED BY

H. DATE

23 AUGUST 2016

I. APPROVED BY

KEVIN FAUVELL, NSWCPD 423

J. DATE

Page 6 of 9_ Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A011

2. TITLE OF DATA ITEM

ULTRASONIC TEST (UT) INSPECTION REPORT/RESULTS

3. SUBTITLE

17. PRICE GROUP

4. Authority (DATA Acquisition document No.)

5. CONTRACT REFERENCE

TDP PARA 3.11

6. REQUIRING OFFICE

NSWCPD 427 (N64498)

18. ESTIMATED

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

ASREQ

a. ADDRESSEE

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

N/A

Draft

Final

N/A

Reg

Repro

16. REMARKS

ELECTRONIC COPY

BLOCK 4: PARAGRAPHS 10.2.2, 10.2.3, 10.2.4, AND 10.3 OF DI-MISC-80678 DO NOT APPLY.

block 10: the one-time in-service ut of the entire shaft shall only be accomplished if there is evidence of seawater intrusion and/or corrosion in the shaft bore. all weld repaired areas always require ut inspection.

THE CONTRACTOR SHALL SUBMIT WITH THE PRE-REAIR INSPECTION REPORT (a006) AND THE FINAL REPAIR REPORT (a012) ALL ultrasonic test (uT) INSPECTION REPORT/RESULTS DOCUMENTATION ACCOMPLISHED ACCORDINGLY.

DOCUMENTS SHALL BE SUBMITTED IN WAWF UTILIZING THE FOLLOWING DODAACS:

INSPECT BY : S4306A

DCMA QAR

NSWCPD 427

NSWCPD 423

15. TOTAL

G. PREPARED BY

H. DATE

23 AUGUST 2016

I. APPROVED BY

KEVIN FAUVELL, NSWCPD 423

J. DATE

Page 7 of 9 _ Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

A. CONTRACT LINE ITEM NO.

0004, 0005, 0006

B. EXHIBIT

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A012

2. TITLE OF DATA ITEM

EQUIPMENT DAMAGE AND REFURBISHMENT REPORT

3. SUBTITLE

FINAL REPAIR REPORT

17. PRICE GROUP

4. Authority (DATA Acquisition document No.)

5. CONTRACT REFERENCE

TDP PARA 3.12

6. REQUIRING OFFICE

NSWCPD 427 (N64498)

18. ESTIMATED

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

ASREQ

a. ADDRESSEE

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

N/A

Draft

Final

N/A

Reg

Repro

16. REMARKS

ELECTRONIC COPY

BLOCK 4: THE FOLLOWING REQUIREMENTS SHALL BE FOLLOWED IN LIEU OF THE SPECIFIED DATA ITEM.

FOR PROPULSION SHAFTS, REPORT FORMAT AND CONTENT SHALL COMPLY WITH THE REQUIREMENTS OF THE APPLICABLE TECHNICAL REPAIR STANDARD, NAVSEA S9243-AW-TRS-011/SHAFT AND THE TECHNICAL DATA PACKAGE.

Changes SHALL NOT BE made TO THE INSPECTION FORM FORMAT WITHOUT PRIOR APPROVAL OF NSWCPD 427. ADDITIONAL INFORMATION AND PHOTOGRAPHS SHALL BE PROVIDED IF REQUIRED.

Block 8: Approval will be based upon THE ACCURACY, ADEQUACY AND COMPLIANCE WITH TECHNICAL REQUIREMENTS. ALLOW 45 DAYS FOR GOVERNMENT REVIEW AND APPROVAL.

BLOCK 12: The final repair report shall be submitted within 14 days of completion of all repairs.

THE CONTRACTOR SHALL PROVIDE A COPY OF THE REPORT IN ADOBE ACROBAT, VERSION 7.0 OR LATER IN WAWF.

DOCUMENTS SHALL BE SUBMITTED IN WAWF UTILIZING THE FOLLOWING DODAACS:

INSPECT BY : S4306A

DCMA QAR

NSWCPD 427

NSWCPD 423

15. TOTAL

G. PREPARED BY

H. DATE

23 AUGUST 2016

I. APPROVED BY

KEVIN FAUVELL, NSWCPD 423

J. DATE

Page 8 of 9 _ Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

A. CONTRACT LINE ITEM NO.

0004, 0005, 0006

B. EXHIBIT

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A014

2. TITLE OF DATA ITEM

CERTIFICATION DATA REPORT

3. SUBTITLE

17. PRICE GROUP

4. Authority (DATA Acquisition document No.)

5. CONTRACT REFERENCE

TDP PARA 3.14

6. REQUIRING OFFICE

NSWCPD 427 (N64498)

18. ESTIMATED

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

ASREQ

a. ADDRESSEE

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg

Repro

16. REMARKS

ELECTRONIC COPY

BLOCK 4: DI-MISC-80678 IS TAILORED AS FOLLOWS:

FOR PROPULSION SHAFTS, A CERTIFICATION DOCUMENT IN ACCORDANCE WITH NAVSEA S9243-AW-TRS-011/SHAFT SHALL BE COMPLETED AFTER THE APPROVAL OF THE FINAL INSPECTION REPORT.

REPORT FORMAT SHALL BE AS PROVIDED FOR ON THE INSPECTION FORMS. CHANGES SHALL NOT BE MADE TO THE INSPECTION FORM FORMAT WITHOUT PRIOR APPROVAL FROM NSWCPD 427.

FOR OTHER GOVERNMENT FURNISHED EQUIPMENT, THE REPORT shall be in the contractor’s format.

certification documents shall be signed by the cognizant dcma quality assurance representative (QAR).

block 12: submission shall be made no later than 5 days after signature of the dcma qar.

A HARD COPY OF THE certification data Report shall be packaged with the ASSET for FINAL DELIVERY.

in addition to hard copy format, THE CONTRACTOR SHALL PROVIDE A COPY OF THE REPORT IN ADOBE ACROBAT, VERSION 7.0 OR LATER IN WAWF.

DOCUMENTS SHALL BE SUBMITTED IN WAWF UTILIZING THE FOLLOWING DODAACS:

INSPECT BY : S4306A

ACCEPT BY: S4306A

DCMA QAR

NSWCPD 427

NSWCPD 423

HARD COPY

EQUIPMENT

15. TOTAL

G. PREPARED BY

H. DATE

23 AUGUST 2016

I. APPROVED BY

KEVIN FAUVELL, NSWCPD 423

J. DATE

Page 9 of 9_ Pages

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