CDRLs A001-A004_.pdf

CONTRACT DATA REQUIREMENTS LIST (CDRL)

(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 the Department of Defense, Executive Services Directorate (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 form to the above organization. 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:

TBD A TDP TM _____ OTHER NDTI

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

MK96, MOD 2 COLD GAS PRESSURE

SWITCH

TBD TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A001 TEST/INSPECTION REPORT

WRITTEN TEST REPORT FOR QUALITY

PERFORMANCE - COLD GAS MACHINED PARTS

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-NDTI-80809B SOW, SEE BLK 16 N00253

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD REQUIRED ASREQ ASREQ

a. ADDRESSEE

b. COPIES

8. APP CODE

D, SEE BLK 16

11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final

A N/A ASREQ Reg Repro

16. REMARKS TECHNICAL POC 1 1

BLK 5: ALL WRITTEN TEST DATA REQUIREMENTS AS STATED ON SOW, PARAGRAPH 3 AND 4,

TEST DATA SHEETS PER NOTE 11 DRAWING 8240044, REV A, PRESSURE RATING RANGE, SHALL

ACCOMPANY EACH DELIVERY OF MATERIAL, ENSURING CONFORMANCE TESTING

ACCOMLISHED IAW TECHNICAL REQUIREMENTS. A CERTIFICATE OF CONFORMANCE SHALL

ALSO ACCOMPANY EACH DELIVERY OF MATERIAL.

BLK 9: THIS DOCUMENT CONTAINS TECHNICAL DATA WHOSE EXPORT IS RESTRICTED BY THE

ARMS EXPORT CONTROL ACT (TITLE 22, U.S.C. APP. 2751 ET. SEQ.) OR THE EXPORT

ADMINISTRATION ACT OF 1979, AS AMENDED. TITLE 50, U.S.C. APP. 2401 ET. SEQ. VIOLATIONS

OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE PER

THE PROVISIONS OF OPNAVINST 5510.161.

DISTRIBUTION STATEMENT "D" - DISTRIBUTION AUTHROIZED TO DOD AND DOD CONTRACTORS

ONLY; CRITICAL TECHNOLOGY (DATE: 2013/12/03). OTHER REQUESTS WILL BE REFERRED TO

PEO-SUBS (PMS404).

DESTRUCTION NOTICE - FOR UNCLASSIFIED, LIMITED DOCUMENTS, DESTROY BY ANY METHOD

THAT WILL PREVENT DISCLOSURE OF CONTENTS OR RECONSTRUCTION OF THE DOCUMENT.

BLKS 10-13: TEST DATA IS TO BE DELIVERED WITH EACH SHIPMENT OF MATERIAL

(PRODUCTION AND FIRST ARTICLE UNITS AS APPLICABLE). SEE SOW.

BLK 14: DELIVERABLE FORMAT:

TEXT DOCUMENT: ADOBE PDF (.PDF, SEARCHABLE) OR MICROSOFT WORD (.DOC)

PRESENTATION: ADOBE PDF (.PDF, SEARCHABLE) OR MICROSOFT POWERPOINT (.PPT)

SPREADSHEET: MICROSOFT EXCEL (.XLS)

DISTRIBUTION ADRESSEES AND ELECTRONIC MAILING ADDRESSES: SEE G-242-H001,

GOVERNMENT CONTRACT POINTS OF CONTACT & RESPONSIBILITIES

PCO 1 1

CONTRACT SPECIALIST 1 1

ENGINEER 1 1

15. TOTAL ▬▬▬▬► 4 4

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

2 Sept 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 1 Pages

Source: http://assist.dla.mil Downloaded: 2022 08 26T22:33Z Check the source to verify that this is the current version before use.

DATA ITEM DESCRIPTION

Title: Failure Analysis and Corrective Action Report (FACAR) (NAVY)

Number: DI-SESS-81927 Approval Date: 20130701 AMSC Number: N9390 Limitation: N/A DTIC Applicable: N/A GIDEP Applicable: N/A Office of Primary Responsibility: SH/PMS404 Applicable Forms: Test Incident Report (TIR) interactive web Corrective Action submittal form or other Army Test Incident Reporting Systems (ATIRS) approved format/transfer method for Army Test Command (ATC) Vision Digital Library System (VDLS) (optional).

Use/relationship:

Provides immediate reporting of failure, subsequent details failure analysis results, and corrective action recommendations.

This Data Item Description (DID) contains the format and content preparation instructions for the data resulting from the Reliability test requirements and failures described in the contract (see MIL-HDBK-781A for sample test methods).

Requirements:

1. Reference Documents. The applicable issue of the documents cited herein, including their approval dates and dates of any applicable amendments, notices, and revisions, shall be as cited in the current issue of the ASSIST at the time of solicitation; or, for non ASSIST-listed documents, as stated herein.

2. Format. The report shall be in the contractor’s format and shall be the same for both the Preliminary and the Final report.

3. Content.

The Preliminary Report shall contain the following items:

A. Originator of the report B. Date of the failure/Incident (TIR block 40) C. Date of Hardware Receipt from Government D. Start date of Contractor’s Report E. Contractor’s name F. Failure Analysis Report Number G. Contract number H. Equipment, title, part number, and serial number I. Assembly title, part number, and serial number J. Subassembly title, element or module title, part number, and serial number K. Part name, part number, serial number, date code, and manufacturer

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DI-SESS-81927

L. Reference designator M. Name and specification of test failed N. Elapsed time and phase of test failed O. Total operation time of unit at time of failure P. Test Phase Performed (i.e. vendor, CCA First Function, FAT, pre-range, in-water, post-range, etc.)

Q. Failure symptoms R. Failure mode, Developer’s Analysis of Problem (ref: TIR block 106) S. Classification failure (independent or dependent) T. Type of failure from Failure Keyword List (See 4) U. Operational and environmental conditions under which the failure occurred V. Disposition of failed item W. Any supplemental information relating to the failure (i.e., any internal contractor assessments, records, reports, correspondence, etc.)

X. Corrective Action Status (ref: TIR block 100). The content shall include one of:

(1) “Open” (no solution is proposed)

(2) “Proposed” (FACAR Initial or Final submitted by contractor)

(3) “Verified” (demonstrated at Test Site)

(4) “Reviewed” (Corrective Action Review Team (CART) judges Corrective Action as effective)

(5) “Completed” (approved for production implementation)

(6) “Incomplete” (external program influence)

(7) “Not Required”

The Final Report shall contain the items required in the Preliminary Report and the following additional items shall be included:

Y. Failure analysis methods Z. Corrective Action Test Results (ref: TIR block 108) AA. Failure analysis results including parts analysis BB. Failure history including vendor, subcontractor, factory CC. Failure trend analysis DD. Statement as to whether this is a pattern failure. If it is, the reports of the other failure(s) will be referenced.

EE. Corrective Action:

(1) Description for individual equipment failure (ref: TIR block 107)

(2) Implementation – Planned/Achieved to prevent other failures for: (ref: TIR block

109)

(a) Present corrective action

(b) Forward corrective action

(c) Backward corrective action

FF. Identification of root cause GG. Items affected by corrective action HH. TMIS number II. Mission impact JJ. Criticality. The content shall include one of:

DI-SESS-81927

(1) Catastrophic: A failure which would create safety hazards to personnel and or loss of system platform.

(2) Critical: A failure which will result in mission loss.

(3) Major: A failure which would degrade in-water performance or cause reduction in availability.

(4) Minor: A failure which would degrade performance or cause reduction in availability but would not result in degraded in-water performance.

KK. Conference Date: Date item was scored by Government LL. Lot Number (i.e. LRIP 1, LRIP 2, etc.)

MM. Summary of changes

4. Failure Keyword List. The Failure Keyword List shall include:

A. Workmanship B. Handling C. Process D. Design E. Marking F. Test Equipment G. Contamination H. Open Bond Wire I. Electrical Short J. Electrical Open K. Software L. Mechanical M. Testing Error N. Tolerance O. Nonrelevant P. Under Investigation Q. Unknown R. Unverified S. Glitch T. Component U. Non valid

5. END OF DI-SESS-81927.

CONTRACT DATA REQUIREMENTS LIST (CDRL)

(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 the Department of Defense, Executive Services Directorate (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 form to the above organization. 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:

TBD A TDP TM _____ OTHER SESS

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

MK96, MOD 2 COLD GAS FES PRESSURE

SWITCH

TBD TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A003 REQUEST FOR VARIANCE (RFV) N/A

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-SESS-80640E SOW, SEE PARA 2.1.5 N00253

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED ASREQ ASREQ

a. ADDRESSEE

b. COPIES

8. APP CODE

D, SEE BLK 16

11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final

A N/A ASREQ Reg Repro

16. REMARKS TECHNICAL POC 1 1

BLK 9: DISTRIBUTION STATEMENT "D" - DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD

CONTRACTORS ONLY; CRITICAL TECHNOLOGY, EXPORT CONTROLLED (7/23/2019). OTHER

REQUESTS SHALL BE REFERRED TO PEO-SUBS (PMS404).

"WARNING" THIS DOCUMENT CONTAINS TECHNICAL DATA WHOSE EXPORT IS RESTRICTED BY

THE ARMS EXPORT CONTROL ACT (TITLE 22, U.S.C. SEC 2751 ET. SEQ.) OR THE EXPORT

ADMINISTRATION ACT OF 1979, AS AMENDED, TITLE 50, U.S.C. APP. 2401 ET. SEQ. VIOLATORS OF

THESE EXPORT LAWS ARE SUBJECT TO SEVERE CR MINAL PENALTIES. DISSEMINATE PER THE

PROVISIONS OF DOD DIRECTIVE 5230.25.

DESTRUCTION NOTICE - FOR UNCLASSIFIED, LIMITED DOCUMENTS, DESTROY BY ANY METHOD

THAT WILL PREVENT DISCLOSURE OF CONTENTS OR RECONSTRUCTION OF THE DOCUMENT.

BLKS 10-13: REQUEST FOR VARIANCE SHALL BE SUBMITTED AS REQUIRED.

BLK 14: DELIVERABLE FORMAT:

TEXT DOCUMENT: ADOBE PDF (.PDF, SEARCHABLE) OR MICROSOFT WORD (.DOC)

PRESENTATION: ADOBE PDF (.PDF, SEARCHABLE) OR MICROSOFT POWERPOINT (.PPT)

SPREADSHEET: MICROSOFT EXCEL (.XLS)

DISTRIBUTION ADDRESSEES AND ELECTRONIC MAILING ADDRESSES ARE PROVIDED BELOW:

1) NUWC DIVISION KEYPORT, TECH POC, SEE CONTRACT

2) NUWC DIVISION KEYPORT, PCO (CONTRACTING OFFICER), SEE CONTRACT

3) NUWC DIVISION KEYPORT, CONTRACT SPECIALIST, SEE CONTRACT

4) NUWC DIVISION KEYPORT, ENGINEER, SEE CONTRACT

MAILING ADDRESS:

COMMANDER

PCO 1 1

CONTRACT SPECIALIST 1 1

ENGINEER 1 1

15. TOTAL ▬▬▬▬► 4 4

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

9 May 2023

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 1 Pages

DATA ITEM DESCRIPTION

Title: REQUEST FOR VARIANCE (RFV)

Number: DI-SESS-80640E Approval Date: 20200211

AMSC Number: N10141 Limitation: N/A

DTIC Applicable: No GIDEP Applicable: No

Preparing Activity: NM Project Number: SESS-2020-004

Applicable Forms: DD Form 1694, Request for Variance (RFV)

Use/relationship: A Request for Variance (RFV) describes a proposed departure from (a nonconformance with) approved product definition information for a limited amount of time/specified effectivity or a product found to be nonconforming with product definition information after the product has been produced by the production process.

When the RFV describes a proposed departure from approved product definition information

(i.e., pre-production), the variance shall result in a reduction in cost; indicated by enclosing the value in parentheses.

When the RFV describes a product found to be nonconforming after the product has been produced (i.e., post-production), the variance shall result in a reduction in cost; indicated by enclosing the value in parentheses.

When the nonconformance is induced or caused by the Acquirer, a reduction in cost is not required when submitting the RFV.

a. This DID contains the format, content, and intended use information for the data deliverable resulting from the work task described in EIA-649-1 and the principles of EIA-649 (Copies of these standards are available online at www.sae.org or from SAE International, 400 Commonwealth Drive, Warrendale, PA 15096-0001, Tel 877-606-7323 [inside USA and Canada] or 724-776-4970 [outside

USA]).

b. This DID supersedes DI-SESS-80640D.

c. An electronic version of DD Form 1694, Request for Variance (RFV), is available online at https://www.esd.whs.mil/dd/.

Requirements:

1. Reference Documents. The applicable issue of the documents cited herein, including their approval dates and dates of any applicable amendments, notices, and revisions, shall be as specified in the contract.

2. Format. The RFV shall be in one of the following formats:

a. DD Form 1694, Request for Variance (RFV),

b. The schema required by the Acquirer’s Integrated Digital Environment (IDE), or

DISTRIBUTION STATEMENT A. Approved for public release. Distribution is unlimited.

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DI-SESS-80640E

c. The Supplier’s preferred format.

3. Content. The RFV shall contain all the information required by DD Form 1694.

End of DI-SESS-80640E

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