CDRL B011 SUPPORT EQUIPMENT (SE) MAINTENANCE AND CALIBRATION REPORT H-53 v1.pdf
PDF 213 KB Posted
- Attached to
- H-53E Aircraft Maintenance and Repair Services
- Solicitation number
- N6264920R0003
About this file
This document contains a Contract Data Requirements List (CDRL) and details of a related federal contract opportunity. The CDRL outlines monthly reporting requirements for a contractor providing H-53E aircraft support equipment maintenance and calibration services under Navy contract number N6264920R0003. Key details include a Microsoft Excel reporting format template, submission of the report by the 1st Monday of each month to a specified government email, and five business days allowed for review and acceptance. The related federal contract opportunity is a solicitation from the Department of the Navy seeking depot-level maintenance, repair and overhaul services to support H-53E aircraft operated by the US Marine Corps and Navy in the Western Pacific region. Services include planned maintenance intervals and in-service repairs performed under the Naval Air Systems Command Integrated Maintenance Program.
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Text version
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 2 Pages Reset
18. ESTIMATED
TOTAL PRICE
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 the Department of Defense, Executive Services and Communications 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
B
C. CATEGORY: X
TDP TM OTHER
D. SYSTEM/ITEM
H-53E PMID AIRCRAFT
E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO.
B011
2. TITLE OF DATA ITEM
SUPPORT EQUIPMENT MAINTENANCE
AND CALIBRATION REPORT H-53E
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS
6. REQUIRING OFFICE
FRCWP Production
7. DD 250 REQ
NO
9. DIST STATEMENT
REQUIRED
NONE
10. FREQUENCY
BLK 16
12. DATE OF FIRST SUBMISSION
BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
BLK 16
13. DATE OF SUBSEQUENT
SUBMISSION
BLK 16 Draft
Final
Reg Repro
16. REMARKS
(1) Description: Contractor shall submit a Support Equipment (SE) Maintenance and Calibration Report.
(2) Purpose: Provides a report on a monthly schedule providing a breakdown of maintenance and calibration status of support equipment utilized on the depot production line.
(3) Format: Support equipment maintenance and calibration report shall be submitted electronically in Microsoft Excel format. See attached sample.
(4) Frequency: Contractor shall submit report by the 1st Monday of every month no later than 0800 JST.
Shall be emailed to FRCWP at: usn.atsugi.frcwp.mbx.h53-contract@mail.mil Subject line of email shall include CDRL Number and Title
(5) Acceptance: The Government shall have five working days for review and acceptance/rejection of each submission. No response will indicate acceptance.
FRCWP Prod 1 FRCWP Supp 1 FRCWP Bus Ops 1
DCMA 1
15. TOTAL 0 4 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
17. PRICE GROUP
mailto:usn.atsugi.frcwp.mbx.h53-contract@mail.mil
SUPPORT EQUIPMENT MAINTENANCE CALIBRATION REPORT
Contol No NOMENCLATURE PART NUMBER SERIAL
NUMBER
RECEIVED
DATE
PM CYCLE
(shortest)
LAST PM
DATE
NEXT PM
DATE
OVERDUE? NEXT CAL
DATE
DATE LAST
SERVICED
OVERDUE? NOTES
H5MSE01015 CONDUCTIVITY METER AUTOSIGMA3000 4359 2011-06-30 2013-04-12 2012-04-12 OK
H5MSE01019 HARDNESS TESTER MODEL1 15439 2011-04-08 2012-12-29 2011-12-27 Overdue
H5MSE11002-01 DIGITAL MICROMETER 293-765-30 8225551 2011-04-08 2014-06-21 2013-06-26 OK
ENCL. 1
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