J-16_DIDs_Package.pdf
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- USS SAMPSON 8C1 DSRA Federal contract opportunity
- Solicitation number
- N4523A-18-R-0550
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Source: https://assist.dla.mil -- Downloaded: 2017-07-31T18:12Z Check the source to verify that this is the current version before use.
‘ATA ITEM DESCRIPTION ~ w~
OMBNO.07040188
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TITLE I IDENTIFICATIONNUMBiR eficiency Repon (DR) DI-ALSS-81535 DESCfllPT!ONIPURFQSE
1 Provides complete and accurate deficiency idemificaiton on GFM in repair contracts by contractors to the government. llds formation is used by government to identify necessary corrective action lAW T O 00-35 D-54, USAF Deficiency Repocdng and vestigation System.
kPPROVAlDATE 5,OFFICEOFPRIMARYRESPONSIBIUTVIOPRI /rwlMfLTo/
6,. DTICAPPUCARLE 6h GIDEPAPPLICABLE
970124 F/AFMC-ENBP
bPPLICATIONNNTERRELATIONSHIP
1 This Data Item Description (DID) contains format and content preparation instructions for the data product generated by ecific and discrete task requirements as delineated in tfse contract.
2 This DID is applicable when contractors are responsible for maintaining cuslodhl records for government propecty being paired.
3 Referenced documents can be obtainstf as specified iEEthe contract. For an explanation contact AFMC/ENS, 937-257-3085 mmmnd Locamr 937-257-3231.
4 This DID interrelates with DI-MGMT-80258A and supersedes DI-L.3342.
\PPROVAlLIMITATION 9a.APPLICABLEFORMS 9b.AMSCNUMBER
F7227
PREPARATIONINSTRUCTIONS
.1 Format and content. Refmts &If provide the information descriked in Table 1. Contractor format is acceptable.
Table 1. Deficiency Report Contem
1. From: Address of origimting activity.
2. To: Office of Primsry Respcm.sibiiity for the equipment Refer to DO 43, or T O CO-25-115 for guidance
(Continued on Page 2)
DISTRIBUTIONSTATEMENT
STRIBUTION STATEMENT A: Approved for public release: distribution is uofimited.
.Umw IOU*, nub Yo (ttq .“,”,””, ,“,,,,. . . . m“St”, PW$~ of& Pq( Wi”..4.k h.+- % .Il!mm ,.. .
Source: https://assist.dla.mil -- Downloaded: 2016-02-01T19:05Z
DI-ALSS-81535
Block 10. Preparation Instmctions (Continuad)
Subjacf Fimt pS1l’t.8S af.)fslkable
a. Catago~ I Ctaficiency Report (CAT 10R)
b. Ca:agory II Dsticlency Rapwt (CAT II OR)
c. MISHAP Catsgory I Dsfklency Report (CAT 10R)
Second pan, source selaction sensitive Intormetion.
mkd part. resulfa of Initial acceptance Inepacfion of eircmtt, air craft engine, engine module.
I 3. Rapoti Control Number (RCN)
4. Date deficiency
I
I 5. National Stock Numbar (NSN) or Not Stock Listed (NSL)
I 6. Nomenclalura (NOM)
1 7. Manufacfura/Repair/Overhaul
I 7a. Manufactures’ Code
7b. Shipper/City/state
8. Manufacturers Part Number
(MFRPN)
1 9. Serfal. Lot Batch Number
(SER,LOT,NR)
I 10. Contract Number
I 10a. Purchase Order Number
10b. Requisition Number
10c. GBL Number
11. Item New. Repaird Overhauled (New, RPR.OVHL)
& Unique alpha numeric RCN
b. Contractor submittsd RCNS shall bagin with O followad by timmerclal and Government Entity code (CAGE), two dlglt calendar year, four digit saquence number.
Year, month, day defsct was discovered.
NSN and applicable Material Management Aggregsfion Code (MMAC) of item (saa D043 and Tachnlcal Oder (70) 00-25-115 for guidanca on MMAC codes)
Noun of item for which report Is submlffed. Soffwara DRs shall provide NOM of programmable herdwara.
Manufacturer name, maintenance contractor, Manutacfurer code, maintenance contractor, government activity which last repaired or over hauled Item.
ff ahlpper is differant than manufacfurar, shlppar or supplier name shall be included.
complete manufacfure~s pal number shall be Inclut%xi.
For sottwam DRs, if contractor identification number Is aaaoclatad with a computer program It shall be pnsvldad, along with tha version number and patches usad.
complete item serial numbar. Softwara DRa shall Identi?y batch madia, Computer Soffwara Identification Numbar (CSIN) or TO.
Obtain contract number from racords aarvice tag manufacturer/container label. etc. contract number Is critical to processing affotls.
Use these or any transpotitlon document number in Ileu of Government Bill of Lading (GBL).
If unknown. leave blank.
If unknown, leave blank.
Use one to identify item, as appropriate.
Page 2 of 5 Pages
810ck 10. Preparation Instructions (Continued)
Table 1. Deficiency Regort Content (Continued)
12 Date Manufactured, Repalmd, Overhauled (O MFo, RPR, OVHL)
13. Operating Time at Failure (OTF)
14. Government Furnished Materiel (GFM)
15. Quantify (Q7V)
1E-a. Received (RECP)
15b. Inspected (INSP)
15c. Oeficient (DEF)
15d. In stock
16. Oeticient item works on or with lea. End item
16b. Next Higher Assembly (NHA)
17. Unit Cost (UN CST)
18. Estimated Repair Cost (EST REP COST)
19. ffem Under Wamenty
19a. Expiration Date
20. Work Unit Cods (WUC)
21. Exhibit Disposition (EXH OISP)
Year, month. day
Time, events. cycles of materiel. For sottwam ORe, Ieet revlsiordversion. Engines. H component tracked by automated system. flight hour or cycies.
Yes/no
Sett-explanatory.
Disregard unit of Issue.
Number inspected and type of inspection.
Number deficient.
Quantify with same contract number. Air munitions, include lot number.
Self-exptsnatov.
CrltIcal information, major weapon system’s mission, design, serfes, type, model, &erial number. Vehicles, enter joint electronic type designator and special numb-er, model, nomenclature, contract number required for prime vehicles and equipment manufacture.
Critical information; netional etock number, psrf end serfal numbers. For software DRs, associate with programmable harttws= engines, serial number and flight hourdcycles.
tf known. dollar value per unit of issue.
Tofel estimate based on man-hours and materfal: other DRe leave blsnk.
Yes, no, unknown.
Provide, if known.
Refer to the applicabl~S TO. For software DRs, use NHA WUC if necee.sa~ indicate WU,C of programmable hsrdwaie. For vehicles, use appropriate system code prefixed with zem to complete five digit fietd.
Disposition will be one of following:
1. Hold pending receipt cd instructions (Refer to TO-00-35D-54, Chapter 6 and for guidance).
Required information for block 22j when using automated sysfem.
2. Release tor investigation: date name, organization of authorizing individual, and to whom released, along with circumstances.
Page 3 of 5 Pages
I
DI-ALsS-815~5
❑lock 10. Prapamtion Instructions (Continued)
Table L Deficlencv Report Content (Contlnuad)
3. Returned to stock or disposed ot information fmm 21.1 above.
4. Repaired.
5. Shipped [n Accordance With (lAwl WWIWNY plan or actionskupport point activity directions (use when block 19=yes).
22. Details
22a. Circumstances Prior to difficulty (cIR PRIOR OIFFI
33b. Description and Cause of Oifficutty (OESC and CAUSE of OIFF)
22c. Action Taken and or Recommendation (ACT TAKEN or RECM)
22d. Technical Information (TECH INFO)
Self-cxplanatoty.
1. Concise, chronological description of factc and circumstances.
2. Mishaps OR, provide narrctive (uaa AFI 91-104 for guidance). If local mishap is parl of Air Force mishapa, and no reporf aubmitfed, provide concise report.
NOTE Mishap-related report shall not directly quote conclusions and recommendations of mishap Investigator. All Information shall be scnitized through official safety messages.
1. Concise, chmnologid description of difficulty and cause.
z Satisfy requirements of 22c above.
3. Inltlal acceptance inspection of alrcraff engine, engine modula reporl teat and consecutively number detcctc under headings Critical Detects, Major Defccfs, Minor defccta will not respond to other agancies. (Use TO- 0&20-1 and chapter 1 of TO-00-350-54 for reference).
4. Software/fimnware DRs, need specific references, specifications and documentation. Indicate process type, idantify ayatems in axecution and Computer Software Configuration Item (CSCI) vercidn. All medial required to rameate problem and other information that confirm the failure cause.
Stcte ft condition is repeatable, and other, partinent Information.
5. If oil wetted include last five Jet Oil Analysis Program (JOAP) rssultc.
Decctfbe action Ccken to remedy, praclude cafafy hczard, and to prsvent racun’cnce. Recommend corrective action which will assist in the resolution of the identified problem.
1. For mishap, related reports, refer to AFI 91-104 ?or guidance.
2. Initial acceptance inspection airwaff, aircrcft engines, or engine model raport consecutively number action Ccken or rar.ommendation with defect racofdcd In 22b above. State if exhibits available.
TO figure and index of item.
Page 4 of 5 Pages
Block 10. Preparation Instructions (Continued)
TABLE I. Deficiency RePOrt Content (Continusd)
32e. Technical Data Deficiency (TECH DAT DEF)
22f. Supfmrf Data Mailed
22g.
221.
24.
System Program Director or Item Manager ALC Code (SM OR ALC CODE)
Standard Reporting Designator (SRD)
Command Code (CMD COOE)
Other pertinent Data
3X. Cognizant official (COGN OFF)
221. Certifying Official (CERT OFF)
NOTE For mishap DR. includes technical information as a subparagraph;
use AFI 91-104 for guidance.
lf mchnical data contributed to deficiency, use Air Fome Technical Order (AHO) Form 32, or Air Force Form 847 for guidance on reporffng information; also use publication control numbers, and TO references.
A list of suppon data such is photos, fags, iabels, etc. along with pertinent DR and mishap control numbers are includsd, If mailed under separate cover.
Rstersnce TO 00-35D-54 appendix F for guidance.
SRD using Rehabilitating Maintainability Information System (REMIS) SRD tale description.
Refersnce TO-00-35 D-54, appendix B for guidance.
Number 1 and 2, are used on all ORS, Number 3 for photogmphlc supplies only, if exhibit is AF Critical [tern or Mission Incapable Part (MICAAP), so indicate.
1. DR exhibit holding activity address and Dsfense Switchbowd Network (DSN), commercial, fax numbers, and Information Central (INFOCEN) user name of holding activity.
Z Pertinent Data (PERT DATA): When applicable, the opinion of initiator as to what the condition was attributed, including secondsfy damage, and possible futurs failures. State ft a sampling plan wee ussd, and item is part of a TCTO list. Software DRs, identity fecility end pmcassor.
3. Photographic Suppiies (PHOTO SUP) Included shali bs:
(a.) Processing clefs such as manufacturer, chemical, processor or equipment used, and speed during processing.
(L.) Chemical used: indicate data stamp: lot numbsr, manufacturer, etc.
(c.) Pertinent Information regarding the film end pspar Including environmental conditions.
0. Air crew flying datw Lfss AFI 91-104 for guidance for mishap DR.
Individuals end all communication information necesssry to address ell queries.
Individual within the originating actwity with primary responsibility.
Page 5 of 5 Pages
DATA ITEM DESCRIPTIOtIJ I
FmY14v@8d Oaura 07woIsa
: nlLs- 1. IDENTIFICATION NuMBER
RSPORT , PRODUCTION OR DELIVERY PROBLEM(S) DI-tKM~- al178
-XWW710NJFURFOSE
3.1 The report is used to inform the procuring activity of crises which have developad, or are developing, emd which have the potsmtial to stop, interrupt or severely impact the production or delivery of contract end itsma.
(continued on page 2)
5.OFFICEOP Pai66enYFfEFwJslelu’Tv(em 6b.GIDEP R5WIRE0
910328
‘4Pn.KaTloN/lNleRRElN10N5iaP
7.1 This data item description (DID) contains the format-and content prapsration instructions for the data prodnct generated by the specific sad discrete task requirsmemt sc delineated in the contract.
7.2 This DID is applicable to the acquisition of both hardvare and software systama, aubsystams, components and sqnipmant. It mey be applied to sny contract covering the acquisition of enpplies/sertices, the delivery of which, if stopped
(continwl Oa page 2) “VPROVAL UMITAIION 98. APPLICABLEFORME 9h AMECNUMBER i PREPaaAnori INSTRUCTION
10.1 FormSt. The report shell ha in contractor format.
10.2 Content. The report still confein the following:
10.2.1
10.2.2
Idamtificatioa. Tbe first page of the ieport shall contain the following:
n. Identification of the system/eampanemt/program/project/hull/ectivity involved.
b. Contract f7umber.
c. Preparing activity.
d. 8srial/idantific.stion mnmbar (assignsd by the preparin8 activity), and the date.
e. “’Securityclassification, when required.
Sady of Report. The report shall “contain .Scamplete, but concise, explemation as to the nature and cause of the crisis or problsm snd the current or potential In addition, impact on contract end itsm production, delivery, cost or sckdding.
the report ehall include the following as applicable snd appropriate:
(continued on page 2) i rIIETRISmON 57ATEMEW
Distribution Statement A: Approved for public release; distribution is 1imited.
i Form 1S60.JIJNSS m.iau ddo s am 017s01em PAGE ~ Or ~ PAGEs <m ,,m. .-.301-$ 641 lr— .nna,n-,w/cc,.,..,..“ICI,..,,, -’”- ‘---
I Source: https://assist.dla.mil -- Downloaded: 2016-01-28T14:57Z
DI-MGNT- 81178 “
Block 3, DESCRIPTION/PORPOSE (centirmed)
3.2. !ixamplesof such crises are: accidents, strikes, %bkontracto’r” “or vendor difficulties or slippage, shortage of material, transportation tie-ups, or othez petential kttlenecks which may impact ceatract snd item production or delivery. . .
Bliick7, APPLIcATION/I NTERRSMTIONSRIP (continued) or interrupted, will adversely effect e military program, project or operation, or the constnction, conversion, overhaul, alteration or maintenance of military ships, systems or equipment.
Block 10, PREPARATION INSTRUCTIONS (centinued) a.
b.
c.
d.
e.
10.2.3 the re
Action(.s) Taken. Describe contractor action(s) taken to remedy the crisis or problem. If no contractor action has been taken, provide a brief explanation.
Action(s) Required. Clearly indicate the action(s) required, the date by which the action is required, and tbe respa-ibl~ party. e.g., contractor, procurina activity, other agency or actznty. ● Revised Data. Revised/updated product ion, delivery, cost or scheduling data should be provided, if available.
Contractor Recommendations. Delineate contractor recommendation(s), if any, to solve the turrent crisis or problcm, to prevent a recurrence, or for procuring activity follow-up.
Appandicss. Tables, references, cherts or other descriptive material or informctiun that vill clarify the crisis or probl~m, or that will support tbe rationale for contractor recomrnmdations, if any, should be prnvided as appendices. Each appendix shall be identified and referenced in the expropriate area of tbe repnrt.
RnDort Preparer. Name and telephone number of the person(s) preparing port.
page 2 of 2 pages
Source: https://assist.dla.mil -- Downloaded: 2016-01-28T14:57Z
DATA ITEM DESCRIPTION
Title: GOVERNMENT FURNISHED PROPERTY INVENTORY AND FORECASTING
REPORT
Number: DI-MGMT-81947B Approval Date: 20170608
AMSC Number: N9817 Limitation: N/A
DTIC Applicable: N/A GIDEP Applicable: N/A
Preparing Activity: AS Project Number: MGMT-2017-028
Applicable Forms: N/A
Use/relationship:
The Government Property Inventory and Forecasting Report provides Government Property inventory data along with spares, repair parts, and consumables usage and provides a forecast for such items based on usage and other logistics forecasting tools and methods.
a) This Data Item Description (DID) contains format and content preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract.
b) This DID supersedes DI-MGMT-81947A.
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. Government format will be provided in either a Government Furnished Property
(GFP) excel workbook for large amounts of GFP or a GFP Attachment in a fillable Adobe pdf. form. Both the excel workbook and the .pdf fillable form shows there is an agreement between the Contractor and the Government of what is provided under the contract as GFP
(tangible assets only). The excel GFP Attachment has four sections: Contract Information, Serially Managed Items, Non-Serially Managed Items, and items that the Contractor can requisition which will be paid for by the Government.
3. Content. The Government Furnished Property Inventory and Forecasting Report shall include the following four (4) elements:
Contract Information Tab o Attachment Number o Attachment File o Attachment Date o Contracting Officer Information
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DI-MGMT-81947B
o Contract or Solicitation Information o Custodial Procurement Instrument Identification
Serially Managed Items are provided to the Contractor by DoD and require all events identified in DFARS 252.211-7007 to be reported by the Contractor. The Serially
Managed Items tab shall include the following data items:
o Line Number* o Item Name* o Item Description* o National Stock Number** o Manufacturer’s CAGE Code*** o Part Number*** o Model Number** o Serial Number o Unique Item Identifier (UII) o Quantity* o Unit of Measure* o Unit Acquisition Costs o Use as Is* o Delivery Date o Duration o Time Unit* o Delivery Event* o Notes
Non-serially Managed items are provided to the Contractor by DoD and require only the event of GFP receipt to be reported to iRAPT. The Non-Serial Managed Items tab shall include the following data items:
o Line Number* o Item Name* o Item Description* o National Stock Number** o Manufacturer’s CAGE Code*** o Part Number*** o Model Number** o Quantity* o Unit of Measure* o Unit Acquisition Costs o Use as Is* o Delivery Date o Duration o Time Unit* o Delivery Event* o Notes
DI-MGMT-81947B
Items that are authorized to be requisitioned by the Contractor and paid for by DoD are listed on the Requisitioned Items section. Note that items for which the Contractor has authorization to requisition which are paid for by the Contractor are not identified on the GFP Attachment.
o Line Number* o Item Name* o Item Description* o National Stock Number** o Manufacturer’s CAGE Code*** o Part Number*** o Quantity* o Unit of Measure* o Unit Acquisition Costs o Use as Is*
*Denotes a required field.
** A minimum of one of these fields is required for each item record
***If either the Manufacturer’s CAGE code or Part Number is entered, the other is required.
If any one of the duration, time unit, or delivery event is populated, all three must be populated.
Note: Instructions for filling out the GFP Attachment can be found at:
http://dodprocurementtoolbox.com/site-pages/gfp-attachments
A. Forecast Quantity****:
Item Number
Part Number
Nomenclature
Forecasted Quantity Required (for the next ordering period)
Cost per unit
Total Cost
****The Forecast Quantity is not standard for the GFP requirement for contractual purposes but is for Resource Finance Management and budgeting purposes. It for what parts and equipment needs to be on order to be delivered in time so that there is not a backorder or parts and equipment not available when needed.
End of DI-MGMT-81947B http://dodprocurementtoolbox.com/site-pages/gfp-attachments
Title: Contractor Furnished Material (CFM) Report
Number: DI-MGMT-82049 Approval Date: 20160705
AMSC Number: N9678 Limitation: N/A
DTIC Applicable: N/A GIDEP Applicable: N/A
Preparing Activity: SH Project Number: MGMT-2016-041
Use/Relationship: This DID will be used to identify Contractor Furnished Material (CFM) to accomplish the Work Items that are not already on hand.
This DID contains the format and content preparation instructions for the data product generated by the discrete task requirement as delineated in the contract.
1. Format. The report shall be in the contractor’s format.
2. Content. The report shall contain the following information:
a. Contract number
b. Contractor’s purchase order number
c. Description of material
d. Quantity ordered
e. Date scheduled to be ordered
f. Date ordered
g. Date required to meet production schedule
h. Proposed receipt date
i. A summary listing any problem areas
j. Date submitted to the SUPERVISOR
k. Alteration number
l. Drawing and piece number
m. Date received
n. Work Item number
End of DI-MGMT-82049
Source: https://assist.dla.mil -- Downloaded: 2016-07-12T13:40Z
Title: Contractor Affected Space/Tank Report
Number: DI-MGMT-82057
AMSC Number: N9706
DTIC Applicable: No
Preparing Activity: SH
Applicable Forms: N/A
Approval Date: 20161003
Limitation: N/A
GIDEP Applicable: No
Project Number: MGMT-2016-044
Use/Relationship: This DID will identify each compartment to be opened or certified where work will be performed.
by the specific and discrete task requirement as delineated in the contract.
Format. The report shall be in the contractor’s format.
Content. The report shall contain the following information:
A list of each space/tank to be opened
Where work is to be performed
Each compartment number and name
Work Item number associated with all work to be performed
End of DI-MGMT-82057
Source: https://assist.dla.mil -- Downloaded: 2017-03-28T21:27Z
Title: CONTRACTOR’S FIREWATCH TRAINING PROGRAM
Number: DI-MGMT-82059
AMSC Number: N9708
DTIC Applicable: No
Preparing Activity: SH
Applicable Forms: N/A
Approval Date: 20161003
Limitation: N/A
Project Number: MGMT-2016-046
Use/Relationship: This DID will document that all personnel, including subcontractors, assigned to perform work on a nuclear vessel have been trained prior to start of work.
Content. The plan shall include a Title page specifying the following information:
a. Ship’s name/hull number
b. Title
c. Program name
d. Contractor’s name and address
e. Contract number
f. CDRL exhibit number
g. Revision level
h. Approval/submission
i. Date
j. Data item author
k. Review/Approval record
l. Signature
The program shall contain the following information:
Purpose
References
Procedure for training each employee
Record of training for each employee
End of DI-MGMT-82059
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Title: WORK COMPLETION CERTIFICATION CERTIFICATE
Number: DI-MGMT-82061
AMSC Number: N9710
DTIC Applicable: No
Preparing Activity: SH
Applicable Forms: N/A
Approval Date: 20161003
Limitation: N/A
Project Number: MGMT-2016-048
Use/Relationship: This DID will certify that all contracted work has been performed and completed.
Format. The report shall be similar to that of Attachment A.
Content. The report shall contain all the information specified in Attachment A:
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DI-MGMT-82061
DI-MGMT-82061
End of DI-MGMT-82061
Title: TEST AND INSPECTION PLAN (TIP)
Number: DI-MGMT-82062
AMSC Number: N9711
DTIC Applicable: No
Preparing Activity: SH
Applicable Forms: N/A
Approval Date: 20161003
Limitation: N/A
Project Number: MGMT-2016-049
Use/Relationship: This DID is used to identify all inspections and tests required by zero-tier references and first tier references, as well as symbols (I)(V)(Q) test/inspections and (G) government notification identified in the Work Item, and any additional tests and inspections the contractor deems necessary to substantiate product conformance.
Format. The TIP shall be in the contractor’s format.
Content. The TIP shall include the following information:
Ship’s name/hull number
Work Item number
Work Item Paragraph number
Identification of item/component to be inspected/tested
Standard Item Number
Standard Item Paragraph
Location
Sub-Contractor (if applicable)
Inspection Symbol (I, V, Q, G)
Accept/Reject Criteria
Test Result (Accept or Reject)
Notify Date
Notify Time
Request Date
Request Time
Inspection Date
Name of Person Notified
Name of Government Representative at Inspection
Name of Contractor’s authorized representative who witnessed/performed test.
End of DI-MGMT-82062
Source: https://assist.dla.mil -- Downloaded: 2017-03-28T21:38Z
Title: CRITICALLY COATED SURFACES REPORT
Number: DI-MGMT-82066
AMSC Number: N9715
DTIC Applicable: No
Preparing Activity: SH
Applicable Forms: N/A
Approval Date: 20161003
Limitation: N/A
Project Number: MGMT-2016-053
Use/Relationship: This DID will provide the Government with auditable coating records of in process and final results for any critically coating application.
References. 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.
Content. The report shall contain a Title page containing the following information:
a. Title
b. CDRL exhibit number
c. Approval/submission
d. Date
e. Program name
f. Contract number
g. Contractor’s name and address
h. Data item author
i. Signature
j. Approval record
The Report shall contain all the information required by Standard Item 009-32.
End of DI-MGMT-82066
Source: https://assist.dla.mil -- Downloaded: 2017-03-28T21:43Z
Title: POLYCHLORINATED BIPHENYL (PCB) RISK ASSESSMENT REPORT
Number: DI-MGMT-82068
AMSC Number: N9717
DTIC Applicable: No
Preparing Activity: SH
Applicable Forms: N/A
Approval Date: 20161003
Limitation: N/A
Project Number: MGMT-2016-055
Use/Relationship: This DID will be used for the determination of risks involved with equipment containing polychlorinated biphenyl (PCB). Information from this report will be used to plan the removal of all PCB containing equipment.
a. Methods to be employed for control of PCBs.
b. A plan for method of removal of PCBs.
c. A plan for method of disposal of PCBs.
End of DI-MGMT-82068
Source: https://assist.dla.mil -- Downloaded: 2017-03-28T21:45Z
Title: HEAVY WEATHER PLAN
Number: DI-MGMT-82069
AMSC Number: N9718
DTIC Applicable: No
Preparing Activity: SH
Applicable Forms: N/A
Approval Date: 20161003
Limitation: N/A
Project Number: MGMT-2016-056
Use/Relationship: This DID will be used to ensure contractor designated responsibility and implements procedures for prevention of damage to naval ships, craft, barges, and lighters due to heavy weather.
Format. The plan shall be in the contractor’s format.
Content. The plan shall contain specific responsibilities and detailed actions to be taken during heavy weather conditions, and shall also contain the following information:
Steps to be taken to remove or secure staging items or equipment on desks of ships, craft, barges, and lighters, pier or dry dock, including cranes that could become wind-borne.
Steps to be taken for protection of ships, craft, barges, and lighters from damage from other floating equipment, such as barges, doughnuts, work floats, and other ships, craft, barges, and lighters.
Provisions to be taken for protections of government equipment and material in custody of the contractor from damage by pier side flooding.
Provisions to be taken for removal of temporary hoses, welding lines, air lines, oxygen/acetylene lines, etc., extending through watertight closures.
Provisions to be taken for security, emergency fire and flooding protections, emergency shipboard dewatering and fire main capability, emergency shipboard electrical generation, and emergency shipboard communications.
Provisions to be taken for access to the ship for personnel and emergency equipment during and immediately following the storm consistent with prudent safety precautions.
Steps to ensure that all hull/deck openings are made watertight.
Steps to be taken to secure floating piers during high winds/high tides.
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DI-MGMT-82069
The name and telephone number (business and residential) of the private contractor’s single point of contact with the authority to commit the contractor to take necessary actions as requested by the SUPERVISOR.
End of DI-MGMT-82069
Source: https://assist.dla.mil -- Downloaded: 2017-03-28T21:46Z
Title: LIST OF SUBCONTRACTORS REPORT
Number: DI-MGMT-82070
AMSC Number: N9719
DTIC Applicable: No
Preparing Activity: SH
Applicable Forms: N/A
Approval Date: 20161003
Limitation: N/A
Project Number: MGMT-2016-057
Use/Relationship: This DID will be used to identify a complete list of all subcontractors hired by the contractor.
Format. The plan shall be in the contractor’s format.
Content. The plan shall contain the following information:
List of all subcontractors performing work aboard Naval Facilities and Vessels.
Identity of each company name and any work to be completed by the Work Item number.
End of DI-MGMT-82070
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Title: INCIDENT REPORT
Number: DI-MGMT-82071
AMSC Number: N9720
DTIC Applicable: No
Preparing Activity: SH
Applicable Forms: N/A
Approval Date: 20161003
Limitation: N/A
Project Number: MGMT-2016-058
Use/Relationship: This DID will be used to describe each accident, electrical shock, and fire that requires medical treatment.
This DID contains the format and content preparation instructions for the data product generated by the discrete task requirement as delineated in the contract.
Format. The report shall be similar to that of Figure 1.
Content. The report shall contain all the information contained in Figure 1.
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DI-MGMT-82071
Figure 1
INCIDENT REPORT
Report #
INITIAL REPORT REQUESTED UPDATE FINAL REPORT
TYPE OF INCIDENT:
NAME(S) OF INJURED (if applicable):
INCIDENT DATE: TIME: COMPANY:
SUPERVISOR:
LOCATION OF INCIDENT: TYPE OF INJURY OR FIRE:
CAUSE OF INCIDENT: EQUIPMENT INVOLVED:
WORK ITEM NUMBER: CONTRACT NUMBER:
WITNESS AND/OR INDIVIDUALS INVOLVED
NAME(S) DEPT. COMPANY
DESCRIPTION OF INCIDENT
INVESTIGATED BY (NAME): TITLE:
SIGNATURE OF INVESTIGATOR: DATE:
DISPOSITION OF INJURED (if applicable)
IMMEDIATE CORRECTIVE ACTION
FIGURE 1 (continued)
LONG TERM CORRECTIVE ACTION
INVESTIGATED BY (NAME): TITLE:
SIGNATURE OF INVESTIGATOR: DATE:
INCIDENT REPORT
Report #
ROOT CAUSE ANALYSIS
FIGURE 1 (continued) Incident Report Instructions
REPORT NUMBER- Unique tracking number created by contractor
TYPE OF INCIDENT- Injury, fire or near miss
NAME(S) OF INJURED- Self Explanatory
INCIDENT DATE: - Self Explanatory
TIME: - Self Explanatory
COMPANY: - Prime and subcontractors involved
SUPERVISOR – Supervisor of employee(s) involved
LOCATION OF INCIDENT: - Base/Yard, Ship name and hull number, space number and compartment name TYPE OF
INJURY OR FIRE – i.e. broken arm, laceration to head or Class A, B, C fires, smoldering
CAUSE OF INJURY – i.e. Equipment failure, PPE, process
EQUIPMENT INVOLVED – Equipment working on and equipment being used to cause incident WORK
ITEM NUMBER – Work Item being accomplished when incident occurred
CONTRACT NUMBER: - Contract Number assigned by government agency i.e. RMC, Alteration Installation Team
(AIT) Sponsor.
WITNESS AND/OR INDIVIDUALS INVOLVED – Name, company of witnesses and or individuals involved with the incident.
DESCRIPTON OF INCIDENT OR NEAR MISS – Short description of events leading up to incident and extent of injuries and or damage to equipment.
DISPOSITION OF INJURED – i.e. Transported to hospital via ambulance or POV, transported to clinic, released from hospital, name of hospital or clinic, limited duty or loss time (if known).
IMMEDIATE CORRECTIVE ACTION – i.e. Scene/space secured, ship notified (who and when), RMC notified (who and when) clean-up of blood, equipment secured fire debris cleaned up.
INVESTIGATED BY – Self Explanatory.
TITLE – Self Explanatory.
SIGNATURE OF INVESTIGATOR – Self Explanatory.
DATE – Self Explanatory.
LONG TERM CORRECTIVE ACTION – What action(s) were taken so that incident does not reoccur, i.e. training, safety stand down or process/policy change?
ROOT CAUSE ANALYSIS – Process by which you will identify the cause or contributing factors of the incident.
Note: Attach additional information as necessary.
End of DI-MGMT-82071
Title: COMPARTMENT CLOSEOUT SCHEDULE REPORT
Number: DI-MGMT-82072
AMSC Number: N9721
DTIC Applicable: No
Preparing Activity: SH
Applicable Forms: N/A
Approval Date: 20161003
Limitation: N/A
Project Number: MGMT-2016-060
Use/Relationship: This DID will identify each compartment where work has been completed and work that remains to be accomplished.
A list of each compartment where work has been completed and work that remains to be accomplished. Include each compartment number and name and any work not completed by the
Work Item number.
A brief summary of the work that remains to be accomplished by the contractor.
Any impact that known Ship's Force work will have on the contractor.
The date when the contractor expects to complete his work within each compartment. Highlight major trouble spots.
Index the compartment closeout schedule by compartment number listing the page number of where the information about the compartment can be located.
The Report shall provide for completion of the following compartments, including associated machinery, equipment, electrical, alarm, control, piping, and ventilation systems, prior to the crew move aboard milestone date:
Messing, berthing, and living compartments, including galley, scullery, pantry, mess decks, walk-in freezer, chill and thaw boxes, dry provisions and breakout storerooms, wardroom, CPO mess, berthing compartments, staterooms, lounges, wash rooms, water closets and showers, laundry, and associated access routes and passageways that have had other than cable installation performed.
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DI-MGMT-82072
Refrigeration and air conditioning machinery rooms.
CHT machinery spaces and tanks.
Medical and dental spaces
End of DI-MGMT-82072
Source: https://assist.dla.mil -- Downloaded: 2017-03-28T21:49Z
Title: COMPARTMENT CLOSEOUT SCHEDULE REPORT
Number: DI-MGMT-82076
AMSC Number: N9727
DTIC Applicable: No
Preparing Activity: SH
Applicable Forms: N/A
Approval Date: 20161003
Limitation: N/A
Project Number: MGMT-2016-066
Use/Relationship: This DID will identify each compartment where work has been completed and work that remains to be accomplished.
Content.
The report shall contain the following information:
A list of each compartment where work has been completed and work that remains to be accomplished. Include each compartment number and name and any work not completed by the
Work Item number.
A brief summary of the work that remains to be accomplished by the contractor.
Any impact that known Ship's Force work will have on the contractor.
The date when the contractor expects to complete his work within each compartment. Highlight major trouble spots.
Index the compartment closeout schedule by compartment number listing the page number of where the information about the compartment can be located.
The Report shall provide for completion of the following compartments, including associated machinery, equipment, electrical, alarm, control, piping, and ventilation systems, prior to the crew move aboard milestone date:
Messing, berthing, and living compartments, including galley, scullery, pantry, mess decks, walk-in freezer, chill and thaw boxes, dry provisions and breakout storerooms, wardroom, CPO mess, berthing compartments, staterooms, lounges, wash rooms, water closets and showers, laundry, and associated access routes and passageways that have had other than cable installation performed.
Source: https://assist.dla.mil -- Downloaded: 2017-03-28T21:54Z
DI-MGMT-82076
Refrigeration and air conditioning machinery rooms.
CHT machinery spaces and tanks.
Medical and dental spaces
End of DI-MGMT-82076
Source: https://assist.dla.mil -- Downloaded: 2017-03-28T21:54Z
Title: EQUAL COMPONENT REPORT
Number: DI-MGMT-82077
AMSC Number: N9728
DTIC Applicable: No
Preparing Activity: SH
Applicable Forms: N/A
Approval Date: 20161003
Limitation: N/A
Project Number: MGMT-2016-067
Use/Relationship: This DID will be used for each instance when the contractor chooses, to install “an equal component” in lieu of the component that is specified by the Work Item.
Content. The report shall provide data to compare the equal component to that specified including the following:
Name and hull number of ship
Job Order
Work Item
Paragraph numbers including standard item paragraph number
Physical dimensions of each
Bolting pattern required to install the component
Power requirements
Size, location, and type of miscellaneous service connections
Modifications required for installation
Results from the comparison of the characteristics, i.e., gallons per minute, cubic feet per minute, and temperature range
End of DI-MGMT-82077
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Title: FACT FINDING REPORT
Number: DI-MGMT-82086 Approval Date: 20161208
AMSC Number: N9746 Limitation: N/A
DTIC Applicable: No GIDEP Applicable: No
Preparing Activity: SH Project Number: MGMT-2017-006
Use/Relationship: This DID will capture relevant facts regarding an unplanned event and will document the severity level of problems associated with the unplanned event.
by the specific requirement delineated in the contract.
1. Format. The report shall be in a format similar to that of Figures 1, 2 and 3.
2. Content The report shall contain tall of the information specified in Figures 1, 2 and 3 and shall contain the following information:
a. Chronological statement of relevant facts
b. Working copy of cause and Corrective Action Form(s)
c. Any other document(s) used during the Fact Finding Investigation
d. The identity of the senior manager who performed the review
e. Complete chronological statement of relevant facts from the unplanned event
f. Any other document(s) used during the Fact Finding Investigation (e.g.
Independent Statements from individual(s), appropriate references, technical work documents)
g. A copy of critique meeting attendance from if a critique meeting was held
h. Identity of any similar unplanned event(s)
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DI-MGMT-82086
Figure 1
Preliminary Report
Final Report
FACT FINDING REPORT FORM
SENIOR MANAGER REVIEW: CONFIDENTIAL
ACTIVITY RESPONSIBLE FOR INVESTIGATION OF UNPLANNED EVENT:
CRITIQUE DATE/TIME (indicate "report only" if no critique held):
REPORT SERIAL NUMBER: DATE REPORT ISSUED:
DATE/TIME OF ACTUAL UNPLANNED EVENT:
DATE/TIME WHEN UNPLANNED EVENT WAS DISCOVERED:
LOCATION OF UNPLANNED EVENT (i.e. building /facility, room/space):
TITLE (based on the most obvious problem):
SEVERITY LEVEL ASSIGNED:
DESCRIPTION OF THE UNPLANNED EVENT:
IMMEDIATE CORRECTIVE ACTIONS TAKEN:
PREVIOUS SIMILAR UNPLANNED EVENT ( s) : YES NO , IF YES, LI ST SERIAL NUMBER ( s)
PROCEDURE NUMBER: STEP BEING WORKED:
DISCOVERED BY: PHONE#:
CHAIRPERSON: PHONE #:
ORGAN IZATION (S) RESPONSIBLE FOR IDENTIFIED PROBLEMS OR ASSIGNED ACTIONS/OPEN ITEMS
ORG:______ ORG:_______ ORG:______ ORG:______ ORG:_______ ORG:
CHAIRPERSON/DATE:
CONCURRENCE BY/DATE:
CONCURRENCE BY/DATE:
CONCURRENCE BY/DATE:
CONCURRENCE SIGNATURES
SUPERVISOR/DATE:
CONCURRENCE BY/DATE:
CONCURRENCE BY/DATE:
CONCURRENCE BY/DATE:
CONCURRENCE BY/DATE:
CONCURRENCE BY/DATE
Figure 2
CRITIQUE MEETING ATTENDANCE SHEET FORM
REPORT SERIAL NUMBER: DATE/TIME:
PRINT NAME ORGANIZATION/SHOP PHONE #
Figure 3
CAUSE AND CORRECTIVE ACTION FORM
REPORT SERIAL NUMBER: EVENT SEVERITY LEVEL: MANAGER/TECHNICAL CODE:
DATE ISSUED:
This form contains the problem descriptions that were identified as being partially or wholly the responsibility of . As the manager, you are responsible to follow up and take the appropriate actions to correct the listed problems.
PROBLEM # PROBLEM SEVERITY LEVEL
DESCRIPTION:
CAUSE:
SHORT-TERM CORRECTIVE ACTIONS:
ESTIMATED COMPLETION DATE: ____________ ACTUAL COMPLETION DATE:
LONG-TERM CORRECTIVE ACTIONS:
ESTIMATED COMPLETION DATE: ACTUAL COMPLETION DATE:
ACTION ASSIGNMENT SIGNATURES
CRITIQUE CHAIRPERSON DATE:
(Prime contractor)
SUPERVISOR REPRESENTATIVE: DATE:
RESPONSIBLE ORGANIZATION: DATE:
ACTION COMPLETION/ACCEPTANCE SIGNATURES
RESPONSIBLE ORGANIZATION:
PRIME CONTRACTOR ACCEPTANCE:
SUPERVISOR REPRESENTATIVE: DATE:
End of DI-MGMT-82086
Title: PROCESS CONTROL PROCEDURE (PCP)
Number: DI-MGMT-82131 Approval Date: 20170608
AMSC Number: N9816 Limitation: N/A
DTIC Applicable: No GIDEP Applicable: No
Preparing Activity: SH Project Number: MGMT-2017-029
Use/Relationship: This Data Item Description (DID) shall identify the detailed procedure to ensure safety of personnel and vessel equipment during critical work evolutions.
by the specific and discrete task requirements as delineated in the contract.
1. Format. The report shall be in contractor’s format.
2. Content. The report shall contain all the information contained in Sample Figure -1.
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DI-MGMT-82131
SAMPLE FIGURE -1
PCP Checklist
Section 1 - Identification:
1.1. Include the process title and procedure number, revision, and date developed.
1.2. List the work item title and paragraph that the PCP fulfills.
1.3. Include Contractor/Subcontractor names and addresses.
1.4. Include space for the Approval Signature and title of the Contractor’s representative, date developed, date of submission, and scheduled start date of the PCP.
Section 2 - Personnel Qualifications:
2.1. List the qualification requirements for the personnel performing the work.
2.2. Include a statement that a briefing will be conducted prior to beginning work to ensure personnel have direct knowledge of the requirements of the procedure and the safety requirements of the job.
Section 3 - Process Description:
3.1. List any specialized or critical equipment needed to perform the work.
3.2. List any specialized or critical personal protective safety equipment required to be worn by personnel.
3.3. Identify Government notification points for the start and during the Contractor identified inspection points during the accomplishment of the PCP.
3.4. Describe the PCP as related to the sequence of work including critical factors which have a direct bearing on the process quality and safety.
3.5. List the acceptance and rejection criteria used for determining satisfactory PCP completion.
DI-MGMT-82131
SAMPLE FIGURE -1
PCP Checklist
3.6. Provide inspections required for the process.
3.7. Provide inspection and documentation forms applicable to the process.
3.8. The method to ensure an up-to-date copy of the PCP, work authorization forms (WAF’s), and tag-out record sheets (TORS’s) are at the worksite during the performance of the work.
3.9. The method utilized to control the PCP.
Section 4 - Hazardous Material:
4.1. State if no hazardous material/waste will be used or generated.
4.2. Identification of hazardous materials which will be used in the PCP and hazardous waste that will be generated by the accomplishment of the PCP. Include a Safety Data Sheet (SDS) for each hazardous material that will be used aboard the vessel.
4.3. Include the methodology which will be utilized to minimize the quantity of hazardous materials which will require control and disposal.
4.4. Description of the methods and safeguards to be utilized for the capture, containment, control, and disposal of hazardous material or hazardous waste.
End of DI-MGMT-82131
Title: PURCHASE ORDER (PO)
Number: DI-MISC-81616 Approval Date: 20010801 AMSC Number: N7446 Limitation:
DTIC Applicable: GIDEP Applicable:
Office of Primary Responsibility: N/PMS377 Applicable Forms: N/A
Use/Relationship: To allow the Government to effectively monitor procurement of Contractor-furnished equipment requiring repair parts support and allowance list development.
a. This Data Item Description (DID) contains the format and content preparation instructions for the data product generated by the specific and discrete task required as delineated in the contract.
1. Format. The Purchase Order (PO) and Purchase Order Index shall be in the contractor’s format.
2. Content. The POs shall include the following:
a. Vendor Name
b. Address of Vendor
c. Location of Material
d. Time of Completion
e. Applicable specifications and drawings
f. All tests and inspections required
g. PO Number
h. PO Date
i. Design code designator
j. Drawing and Piece Number
k. Federal Supply Code of Manufacturer’s (FSCM) five digit number
l. Quantity Ordered
m. Original PO Number on reissued POs
2.1. The Purchase Orders shall contain an Index. The Index shall be in alpha-numeric sequence and shall include the following information:
DISTRIBUTION STATEMENT A: APPROVED FOR PUBLIC RELEASE;
DISTRIBUTION IS UNLIMITED.
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a. Purchase Order (PO) Number
b. Identification of all PO line items, by noun description and equipment functional description (EFD)
c. Contractor’s design code designation, drawing number, and piece number
d. PO issue date
e. Vendor’s Name and Federal Supply Code of Manufacturer’s (FSCM) five digit number
f. Quantity ordered per line item
g. Provisioning and technical documentation control number for all line items requiring repair and replacement parts
h. Logistics Support Analysis Control Number (LSACN)
i. Applicable Mil-Spec
j. APL Number
2.1.2 The PO Index shall include all cancelled purchase orders and POs superseded by a vendor change.
2.1.3 The PO Index shall list all PO changes below the PO to which they apply and shall include all updated information.
End of DI-MISC-81616.
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Title: CONTRACTOR’S SAFETY PLAN
Number: DI-SAFT-82080
AMSC Number: N9731
DTIC Applicable: No
Preparing Activity: SH
Applicable Forms: N/A
Approval Date: 20161004
Limitation: N/A
Project Number: SAFT-2016-015
Use/Relationship: This DID will be used to establish, document, implement and maintain requirements that are appropriated for the work to be accomplished to the requirements of 29 CFR
1915, Occupational Safety and Health Standards for Shipyard Employment.
(https://www.osha.gov).
by the discrete task requirement as delineated in the contract.
Content. The report shall include the following information:
Method(s) of communicating potential hazards, prior to the start of any task, to contractor’s employees.
Hazards shall include emergency evacuation and muster policy, confined space, and energy control.
Method(s) of communicating potential hazards, prior to the start of any task, to subcontractors and other potentially affected personnel.
Hazards shall include emergency evacuation and muster policy, confined space, and energy control.
Process for performing a Job Safety Analysis/Job Hazard Analysis (JSA/JHA) for:
Processes and equipment new to the worksite.
Existing processes and equipment that have been involved in mishaps or near misses.
Process for identification, communication, abatement, and prevention of unsafe conditions and work practices.
Method(s) to account for employees and subcontractors working in isolated areas, e.g.
confined spaces.
Method(s) to ensure work areas and walkways are adequately illuminated.
Method(s) to establish and maintain good housekeeping practices.
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DI-SAFT-82080
Method(s) to ensure that medical services and first aid are readily accessible.
Method(s) to provide adequate and readily accessible sanitation facilities.
Process for notifying the Quarterdeck and initiating emergency response.
End of DI-SAFT-82080
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Title: Shipboard Asbestos-Containing Material (ACM) Report
Number: DI-SAFT-82081
AMSC Number: N9733
DTIC Applicable: No
Preparing Activity: SH
Applicable Forms: N/A
Approval Date: 20161004
Limitation: N/A
Project: SAFT-2016-012
Use/Relationship: This DID will provide documentation that the contractor is in compliance with the requirements for controlling the shipboard handling and removal of ACM.
Content. The report shall include the following:
Notifications made to regulatory authorities, regarding ACM removal.
Written notice for each job/separate area of ACM removed/damaged aboard ship where there may be ACM shall contain:
Ship’s name and hull number
Work Item number
Compartment
Class of activity and type of insulation, lagging, deck tile, underlayment, and mastic, i.e., ACM or possible ACM (provide basis for determination)
Date and time to start work
List of regulated areas, decontamination areas, and engineering controls to be established.
Results of lab analysis of air monitoring certifying the area to be less than 0.1 asbestos fibers longer than 5 micrometers per cubic centimeter of air.
End of DI-SAFT-82081
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Title: LOGISTICS PRODUCT DATA
Number: DI-SESS-81758A Approval Date: 20130522
AMSC Number: 9333 Limitation:
DTIC Applicable: No GIDEP Applicable: No
Office of Primary Responsibility: TM
Applicable Forms:
Use/relationship: Logistics Product Data (LPD) comprises the support and support-related engineering and logistics data acquired from contractors generated as a result of the product support analysis conducted during the design, development, and initial fielding of a system or end item that the requiring authority needs to develop their internal materiel management processes. This includes data for maintenance planning, logistics design requirements, reliability and maintainability, system safety, maintenance engineering, support and test equipment, training and training devices, manpower and skills, facilities, transportation, supply support, parts packaging, initial provisioning, cataloging, item management and in-service feedback.
a. This Data Item Description (DID) contains the format and content preparation instructions for Logistics Product Data required by Section 2 and Appendix A of
GEIA-STD-0007, Logistics Product Data.
b. This DID is applicable to the acquisition of military systems, equipment and components. It is not intended that all the requirements contained herein should be applied to every program. This DID should be tailored to the minimum requirements of the applicable contract or purchase order.
c. The delivery method (e.g., on-line access, compact disk, DVD, etc.) are left to the discretion of the requiring authority and the contractor.
d. When contracting for Provisioning Data using Appendix D of GEIA-STD-
0007, DID DI-SESS-81874, Engineering Data for Provisioning (EDFP), is required to properly support cataloging items in the Federal Cataloging System.
e. This DID supersedes DI-SESS-81758, Logistics Product Data.
1. Reference Documents. The applicable issue of the documents cited herein, including their approval dates and the dates of any applicable amendments, notices, and revisions, shall be specified in the contract.
GEIA-STD-0007, Logistics Product Data
GEIA-HB-0007, Logistics Product Data Handbook
TA-HB-0007-1, Handbook and…
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