Attachment_24_-_ERO_Form_NAVFAC_11200-41.doc

DOC document 91 KB Posted

Attached to
NEMSCOM General Warehousing Services Indefinite Delivery/Indefinite Quantity Contract Federal contract opportunity
Solicitation number
N62645-13-R-0035
Issued by
Department of the Navy Bureau of Medicine and Surgery

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Attachment 24 - ERO Form NAVFAC 11200-41

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Text version

EQUIPMENT REPAIR ORDER (ERO) NAVFAC 11200/41 (10-75)

1 USN/ID NUMBER

2 EQPT COST CODE

3 ACTIVITY UIC

4 JOB ORDER NUMBER

5 LOCATION/ALLOWANCE

6 TYPE REPAIR

7 HR METER READING

8 MILE METER READING

ERO NUMBER

A. DIRECT LABOR

B. INSPECTION

C. INDIRECT LABOR

D. MATERIAL

E. TOTALS

TIME

JULIAN DATE

WORK PERFORMANCE

31 TWAIT TIME

ESTIMATED

HOURS ACTUAL HOURS

ESTIMATED COST

ACTUAL COST (WHOLE $)

A. EQPT AVAILABLE

B. INSPECTION START

C. SHOP START

D. STOP FOR PARTS

F

FIELD/SHOP CONTRACTOR

C X

/INTERSERVICE

O

OTHER NAVY

42 T DFS TIME

43 T DFM TIME

53 ENGINE SERIAL NUMBER

54 CONTRACT NUMBER

55 YR

56 LAST PM DATE

57 PRIORITY

E. PARTS AVAILABLE

F. STOP FOR PARTS

48 MAKE

49 MODEL

58 CUSTOMER DMR

59 PROJ COMP 60 SHOP DMR 61 DESCRIPTION

50 ENGINE MFG

51 ENGINE MODEL

G. PARTS AVAILABLE

H. COMPLETED

52 CHASSIS SERIAL NUMBER

WORK DESCRIPTION

MANHOURS

W/C

FUNCTION CODE

MECHANIC: NOTIFY SUPERVISOR OF ALL ADDITIONAL WORK

PRI/SEC

ACTUAL

ESTIMATE

ESTIMATED MAT'L COST

MECH. INITIALS

SUB TOTALS 83

RECEIPT OF ABOVE ORDER AND EQUIPMENT IS HERBY ACKOWLEDGED

68 CONTRACTOR SIGNATURE/SHOP SUPERVISOR

69 CONTRACTING FIRM

70 DATE ARRIVED

PWC

PERMISSION TO EXCEED WORK ON ERO MUST BE AUTHORIZED BY REQUESTING ACTIVITY

71 INSP CODE

72 INITIAL INSPECTOR (SIGNATURE)

77 CUSTOMER APPROVAL (SIGNATURE)

78 ACT NAME

73 DATE

79 DATE

74 INSP CODE

75 FINAL INSPECTOR (SIGNATURE)

80 MAINTENANCE SUPERVISOR (SIGNATURE)

76 DATE

81 DATE

82 PAGE

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