Attachment_21_-_ERO_Form_NAVFAC_11200-41.pdf

PDF 94 KB Posted

Attached to
NEMSCOM General Warehousing
Solicitation number
N62645-18-R-0076
Issued by

About this file

This document contains an Equipment Repair Order (ERO) form and information about a related federal contract opportunity. The ERO form is used to document equipment repairs and includes fields to capture information such as equipment details, work description, estimated and actual hours and costs.

The related federal contract opportunity is a Request for Proposal issued by the Naval Medical Logistics Command on behalf of the Navy Expeditionary Medical Support Command. The solicitation seeks proposals for general warehousing services at the Cheatham Annex in Williamsburg, Virginia, including maintaining and repairing containers, shelters, biomedical and civil engineering equipment as well as producing Deployable Medical Systems. Offerors are required to have experience in warehousing, equipment maintenance and repair, and medical systems production to fulfill the needs of the Navy Expeditionary Medical Support Command.

Attachment 21

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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

44 WORK PERFORMANCE 31 TWAIT TIME

ESTIMATED

HOURS

ACTUAL

HOURS

ESTIMATED

COST

ACTUAL COST

(WHOLE $)

9 10 11 12 27 28

A. EQPT AVAILABLE

13 14 15 16 29 30

B. INSPECTION START

17 18 19 20 21 46 47

C. SHOP START

22 23 24 25 26 32 33

D. STOP FOR PARTS

34 35

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

36 37

48 MAKE

49 MODEL

58 CUSTOMER DMR 59 PROJ COMP 60 SHOP DMR 61 DESCRIPTION 38 39 50 ENGINE MFG 51 ENGINE MODEL

G. PARTS AVAILABLE

40 41

H. COMPLETED 52 CHASSIS SERIAL NUMBER

62 45 63 WORK DESCRIPTION 64 65 MANHOURS 66 67

W/C FUNCTION CODE MECHANIC: NOTIFY SUPERVISOR OF ALL ADDITIONAL WORK PRI/SEC ACTUAL ESTIMATE ESTIMATED

MAT'L COST

MECH.

INITIALS

SUB TOTALS 83 0

RECEIPT OF ABOVE ORDER AND EQUIPMENT IS HERBY ACKOWLEDGED

84 85

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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