N0010419RF004_-_Exhibit_A_CDRLs.pdf

PDF 535 KB Posted Nov 15, 2018

Attached to: Basic Ordering Agreement for Propulsion Shafts Federal contract opportunity
Solicitation number: N0010419RF004
Issued by: Department of the Navy Naval Supply Systems Command

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N0010419RF004.U0002.pdf	PDF	Nov 28, 2018
N0010419RF004_-_Attachment_1.docx	DOCX document	Nov 21, 2018
N0010419RF004.U0001.pdf	PDF	Nov 21, 2018
N0010419RF004.pdf	PDF	Nov 15, 2018
N0010419RF004_-_Exhibit_B_NIIN_List.pdf	PDF	Nov 15, 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

SEE SECTION C

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

LT MTHLY 30DAC

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION

N/A Draft Final

A 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 0 1 0

DCMA QAR 0 1 0

NAVSUP WSS

N743

0 1 0

NSWCPD 423 0 1 0

NSWCPD 427 0 1 0

NAVSUP WSS

END ITEM

MANAGERS

0 1 0

15. TOTAL 00 06 00

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 14_ Pages

B. EXHIBIT

A002

2. TITLE OF DATA ITEM

INSPECTION SYSTEM PROGRAM AND TEST PLAN

3. SUBTITLE

DI-QCIC-81110

5. CONTRACT REFERENCE

SEE SECTION C

6. REQUIRING OFFICE

NSWCPD 427 (N64498)

18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

SS ONE/R 60 DAC

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION

ASREQ Draft Final

A N/A Reg Repro

BLOCK 4: PLAN SHALL INCLUDE THE CONTRACTOR’S QUALITY

SYSTEM PROCEDURES THAT MEET THE REQUIREMENTS OF ASQ-

9002.

ADDITIONALLY THE CONTRACTOR SHALL SUBMIT INSPECTION AND

TEST PROCEDURES FOR THE INSPECTION AND TESTING OF

PROPULSION SHAFT PLUG OR RING GAGES, OTHER INSPECTION

FIXTURES OR TOOLS, JIGS AND OTHER SHAFT RELATED ITEMS IN

ACCORDANCE WITH CONTRACT REQUIREMENTS.

BLOCK 8: APPROVAL WILL BE BASED ON COMPLIANCE WITH

CONTRACT SPECIFICATIONS. GOVERNMENT REQUIRES 45 DAYS

REVIEW TIME.

BLOCK 12: DRAFT COPY SHALL BE SUBMITTED FOR GOVERNMENT

REVIEW NO LATER THAN 60 DAYS AFTER BOA AWARD. FINAL

APPROVAL COPY INCORPORATING ANY GOVERNMENT REVIEW

COMMENTS SHALL BE SUBMITTED 30 DAYS AFTER RECEIPT OF

GOVERNMENT REVIEW COMMENTS.

BLOCK 13: SUBSEQUENT SUBMISSION TO BE SUBMITTED WITHIN 30

DAYS UPON DEVELOPMENT OR REVISION OF THE QUALITY SYSTEM

MANUAL OR INSPECTION AND TEST PROCEDURES OR AFTER

NOTIFICATION BY THE GOVERNMENT THAT A NEED FOR A REVISION

IS REQUIRED. THIS CDRL DOES NOT NEED TO BE SUBMITTED FOR

EACH DELIVERY ORDER.

THE CONTRACTOR SHALL DOCUMENTATION 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 1 1 0

NSWCPD 427 0 1 0

NSWCPD 423 0 1 0

15. TOTAL 01 03 00

NICOLE ELIA, NSWCPD 423

H. DATE

23 AUGUST 2016

I. APPROVED BY

KEVIN FAUVELL, NSWCPD 423

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

B. EXHIBIT

A003

2. TITLE OF DATA ITEM

WELD PROCEDURES AND QUALIFICATION TEST REPORT

3. SUBTITLE

DI-MISC-80876

5. CONTRACT REFERENCE

SEE SECTION C

6. REQUIRING OFFICE

NSWCPD 427 (N64498)

18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

SS ONE/R 60DAC

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION

ASREQ Draft Final

A N/A Reg Repro

BLOCK 4: SUBMIT COPIES OF ALL APPROVED WELDING PROCEDURE

QUALIFICIATION TEST REPORTS OR ASSOCIATED APPROVAL

LETTERS, AND APPLICABLE QUALIFIED WELDING PROCEDURES

NECESSARY TO PERFORM PRODUCTION WELDING.

BLOCK 8: APPROVAL WILL BE BASED ON COMPLIANCE WITH

CONTRACT SPECIFICATIONS. GOVERNMENT REQUIRES 45 DAYS

REVIEW TIME.

BLOCK 12: DRAFT COPY SHALL BE SUBMITTED FOR GOVERNMENT

REVIEW NO LATER THAN 60 DAYS AFTER BOA AWARD. FINAL

APPROVAL COPY INCORPORATING ANY GOVERNMENT REVIEW

COMMENTS SHALL BE SUBMITTED 30 DAYS AFTER RECEIPT OF

GOVERNMENT REVIEW COMMENTS.

BLOCK 13: SUBSEQUENT SUBMISSION TO BE SUBMITTED WITHIN 30

DAYS UPON DEVELOPMENT OR REVISION OF THE QUALITY SYSTEM

MANUAL OR INSPECTION AND TEST PROCEDURES OR AFTER

NOTIFICATION BY THE GOVERNMENT THAT A NEED FOR A REVISION

IS REQUIRED. THIS CDRL DOES NOT NEED TO BE SUBMITTED FOR

EACH DELIVERY ORDER.

THE CONTRACTOR SHALL PROVIDE DOCUMENTATION 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: N00167

DCMA QAR 1 1 0

NSWCPD 427 0 1 0

15. TOTAL 01 04 00

NICOLE ELIA, NSWCPD 423

H. DATE

23 AUGUST 2016

I. APPROVED BY

KEVIN FAUVELL, NSWCPD 423

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

0001, 0002, 0003, 0004, 0006

B. EXHIBIT

A004

2. TITLE OF DATA ITEM

REQUEST FOR DEPARTURE FROM SPECIFICATIONS

3. SUBTITLE

DI-CMAN-80640C

5. CONTRACT REFERENCE

SEE SECTION C

6. REQUIRING OFFICE

NSWCPD 427 (N64498)

18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT ASREQ ASREQ

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION

N/A Draft Final

A N/A Reg Repro

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 01 01 00

NAVSUP WSS

N743

00 01 00

NSWCPD 427 00 01 00

NSWCPD 423 00 01 00

NICOLE ELIA, NSWCPD 423

H. DATE

23 AUGUST 2016

I. APPROVED BY

KEVIN FAUVELL, NSWCPD 423

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

B. EXHIBIT

A005

2. TITLE OF DATA ITEM

EQUIPMENT DAMAGE AND REFURBISHMENT REPORT

3. SUBTITLE

VISUAL PRESERVATION INSPECTION

(VPI)

DI-NDTI-80809B

5. CONTRACT REFERENCE

SEE SECTION C

6. REQUIRING OFFICE

NSWCPD 427 (N64498)

18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

SS 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

A NA Reg Repro

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

DCMA QAR 01 01 00

NSWCPD 427 00 01 00

NSWCPD 423 00 01 00

HARD COPY

EQUIPMENT 00 01 00

H. DATE

23 AUGUST 2016

I. APPROVED BY

KEVIN FAUVELL, NSWCPD 423

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

B. EXHIBIT

A006

2. TITLE OF DATA ITEM

EQUIPMENT DAMAGE AND REFURBISHMENT REPORT

3. SUBTITLE

PRE-REPAIR INSPECTION REPORT

5. CONTRACT REFERENCE

SEE SECTION C

6. REQUIRING OFFICE

NSWCPD 427 (N64498)

18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

SD ASREQ SEE BLOCK 16

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION

NA Draft Final

A NA Reg Repro

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

NSWCPD

NICOLE ELIA, NSWCPD 423

H. DATE

23 AUGUST 2016

I. APPROVED BY

KEVIN FAUVELL, NSWCPD 423

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

0004, 0006

B. EXHIBIT

A007

2. TITLE OF DATA ITEM

PRODUCTION RADIOGRAPHY

3. SUBTITLE

DI-MISC-80678

5. CONTRACT REFERENCE

SEE SECTION C

6. REQUIRING OFFICE

NSWCPD 427 (N64498)

18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

SS SEE BLOCK 16 SEE BLOCK 16

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION

N/A Draft Final

A N/A Reg Repro

BLOCK 4: PARAGRAPHS 10.2.2, 10.2.3, 10.2.4, AND 10.3 OF DI-MISC-

80678 DO NOT APPLY.

AFTER RADIOGRAPHIC INSPECTION OF THE SLEEVE BUT PRIOR TO

ITS INSTALLATION, THE SLEEVE MANUFACTURER SHALL PROVIDE RT

CERTIFICATION OF COMPLIANCE TO NAVSEA TECHNICAL

PUBLICATION T9704-AS-GIB-010/271 AND S9074-AR-GIB-010/278 TO THE

CONTRACTOR. THE SLEEVE MANUFACTURER SHALL RETAIN RT

DOCUMENATION IN ACCORDANCE WITH NAVSEA TECHNICAL

PUBLICATION S9074-AR-GIB-010/278 REQUIREMENTS. THE

CONTRACTOR SHALL SUBMIT A GOVERNMENT APPROVED

RADIOGRAPHIC SHOOTING SKETCH (RSS), PROCEDURE, FILM AND ALL

CORRESPONDING SUPPORT DOCUMENTATION TO THE COGNIZANT

DCMA QAR AT THE SLEEVE MANUFACTURER'S FACILTIY FOR

VERIFICATION OF ACCOMPLISHMENT. RADIOGRAPHY SHALL BE IN

ACCORDANCE WITH THE SAME TECHNIQUE THAT WAS USED IN THE

PREVIOUSLY APPROVED RSS AND FILM.

DEVIATIONS FROM A PREVIOUSLY APPROVED RSS, EXCEPT AS

NOTED BELOW, SHALL BE RESUBMITTED TO THE NAVSEA

AUTHORIZED REPRESTATIVE FOR APPROVAL.

. CHANGES IN SLEEVE WALL THICKNESS, AS LONG AS

PENETRAMETER REMAINS THE SAME AS APPROVED

. INNER OR OUTER DIAMETER CHANGES, AS LONG AS THE

NUMBER OF EXPOSURES USED AROUND THE CIRCUMFERENCE

REMAINS THE SAME AS APPROVED

. SOURCE TYPE; ANY SOURCE MAY BE SUBSTITUTED FOR THAT

SHOWN ON THE RSS PROVIDED THE MATERIAL THICKNESS VERSUS

ENERGY RANGES USED ARE CONSISTENT WITH THOSE

RECOMMENDED BY NAVSEA TECHNICAL PUBLICATION T9074-AS-GIB-

010/271, FIGURES 1, 2, AND 3. HOWEVER, IF THE APPROVED RSS

ALLOWS 2-4T SENSITIVITY, THIS QUALITY LEVEL DOES NOT APPLY TO

THE SOURCE SUBSTITUTED IF 2-2T IS REQUIRED.

. SOURCE SIZE

01 01 00

NSWCCD

. SOURCE STRENGTH (CURIES OR KV)

. SOURCE-TO-FILM DISTANCE

. PENETRAMETER OR BLOCK MATERIAL GROUP (ONLY LOWER

GROUP THAN APPROVED)

. PENETRAMETER SIZE (ONLY SMALLER THAN APPROVED)

. PENETRAMETER PLACEMENT (RELOCATING PENETRAMETERS

FROM THE PART TO A REPRESENTATIVE BLOCK OF EQUAL OR

GREATER THICKNESS, OR FROM A BLOCK TO THE PART)

. FILM SIZE, TYPE, AND QUANTITY

. TOTAL NUMBER OF EXPOSURES DUE TO LENGTH OF SHAFT

SLEEVE

IF NO GOVERNMENT APPROVED RADIOGRAPHIC SHOOTING SKETCH

AND PROCEDURE EXISTS OR IF DEVIATIONS OUTSIDE OF THOSE

LISTED ABOVE ARE PRESENT, THE CONTRACTOR SHALL SUBMIT

NEW SHOOTING SKETCH, PROCEDURES, AND FILM TO THE NAVSEA

AUTHORIZED REPRESENTATIVE BELOW FOR APPROVAL PRIOR TO

FULL SLEEVE RADIOGRAPHY.

NSWCCD WEST BETHESDA

9500 MACARTHUR BLVD

BETHESDA, MD 20817

ATTN: ASHLEE FLOYD, CODE 6110

ALLOW 45 DAYS FOR GOVERNMENT REVIEW.

DOCUMENTS SHALL BE SUBMITTED IN WAWF UTILIZING THE

FOLLOWING DODAACS:

INSPECT BY: S4306A

15. TOTAL 01 02 00

H. DATE

23 AUGUST 2016

I. APPROVED BY

KEVIN FAUVELL, NSWCPD 423

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

0004, 0005, 0006

B. EXHIBIT

A008

2. TITLE OF DATA ITEM

EQUIPMENT DAMAGE AND REFURBISHMENT REPORT

3. SUBTITLE

FINAL REPAIR REPORT

5. CONTRACT REFERENCE

SEE SECTION C

6. REQUIRING OFFICE

NSWCPD 427 (N64498)

18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

SD ASREQ ASREQ

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION

N/A Draft Final

A N/A Reg Repro

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.

THE CONTRACTOR SHALL SUBMIT ALL MAGNETIC PARTICLE (MT)

INSPECTION REPORT/RESULTS DOCUMENTATION, ALL LIQUID PENETRANT

(PT) INSPECTION REPORT/RESULTS DOCUMENTATION, AND ALL ULTRASONIC

TEST (UT) INSPECTION REPORT/RESULTS DOCUMENTATION ACCOMPLISHED

ACCORDINGLY.

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 EXCEEDING

ONE LAYER ALWAYS REQUIRE UT INSPECTION.

RT CERTIFICATION OF COMPLIANCE SHALL BE INCLUDED IN THE FINAL

REPAIR 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 FINAL REPAIR REPORT SHALL BE SUBMITTED WITHIN 14 DAYS

OF COMPLETION OF ALL REPAIRS.

DOCUMENTS SHALL BE SUBMITTED IN WAWF UTILIZING THE FOLLOWING

DODAACS:

INSPECT BY : S4306A

ACCEPT BY: N64498

NICOLE ELIA, NSWCPD 423

H. DATE

23 AUGUST 2016

I. APPROVED BY

KEVIN FAUVELL, NSWCPD 423

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

0004, 0005, 0006

B. EXHIBIT

A009

2. TITLE OF DATA ITEM

CERTIFICATION DATA REPORT

3. SUBTITLE

DI-MISC-80678

5. CONTRACT REFERENCE

SEE SECTION C

6. REQUIRING OFFICE

NSWCPD 427 (N64498)

18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

SS ASREQ ASREQ

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION

NA Draft Final

A NA Reg Repro

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

HARD COPY

EQUIPMENT 00 01 00

NICOLE ELIA, NSWCPD 423

H. DATE

23 AUGUST 2016

I. APPROVED BY

KEVIN FAUVELL, NSWCPD 423

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

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