CDRL.pdf

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contractor Officer for the Contract/PR No. Listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP _________ TM- _________ OTHER QCIC

D. SYSTEM / ITEM

Laboratory Accreditation

E. CONTRACT / PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Calibration Certificate

3. SUBTITLE

CONTRACTOR’S Certificate of Accreditation

4. AUTHORITY (Data Acquisition Document No.)

DI-QCIC-80798B

5. CONTRACT REFERENCE

SOW PARA 6.0

6. REQUIRING OFFICER

NSWC, CORONA – MS02

7. DD 250 REQ.

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

LT 1TIME SEE BLK 16 b. COPIES

8. APP CODE

C 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft

Final

N/A 0 N/A Reg Repr o

16. REMARKS

Blk 9: "DISTRIBUTION STATEMENT C: Distribution authorized to U. S.

Government agencies and their contractors only (Administrative Use). (08 May

2013). Other requests for this document shall be referred to the Naval Surface

Warfare Center, Corona Division, California, Code MS02."

Blk 10, 12 - The reporting period for the Certificate of Accreditation shall be from the first to last day of each week, beginning within 30 calendar days after effective date of order. Certificate of Accreditation shall be submitted after the laboratory assessment.

Blk 14 - Electronic copy shall be by e-mail in Microsoft Excel format.

NSWC Corona

MS22, TPOC

15. TOTAL 1

G. PREPARED BY

//s// M. R. Huyck

H. DATE

14 Nov 2016

I. APPROVED BY

J. DATE

17 Nov 16

DD Form 1423–1, FEB 2001 Previous editions are obsolete Page __1__ of __1__ Pages

DATA ITEM DESCRIPTION

Title: CALIBRATION CERTIFICATE

Number: DI-QCIC-80798B Approval Date: 20050328 AMSC Number: F7554 Limitation:

DTIC Applicable: GIDEP Applicable:

Preparing Activity: AFMETCAL DET 1/MLE Applicable Forms: None Use, Relationships:

This Data Item Description (DID) contains the format and content requirements for calibration reports or certificates accompanying calibrations performed on DoD test, measurement, and diagnostic equipment.

This DID is applicable to contracts requiring calibration of test equipment prior to delivery. This DID is consistent with ISO 17025 requirements for calibration reports or certificate.

This DID supersedes DI-QCIC-80798A.

Requirements:

1. Format. Contractor format is acceptable.

2. Content. The calibration certificate or report shall include:

a. title (e.g., calibration report or calibration certificate);

b. the name and address of the laboratory, and the location where the calibrations were carried out, if different from the address of the laboratory;

c. unique identification of the test report or calibration certificate (such as the serial number), and on each page an identification in order to ensure that the page is recognized as a part of the test report or calibration certificate, and a clear identification of the end of the test report or calibration certificate;

d. the name and address of the client or customer;

e. identification of the method used;

f. a description of, the condition of, and unambiguous identification of the item(s) tested or calibrated;

g. the date of receipt of the test or calibration item(s) where this is critical to the validity and application of the results, and the date(s) of performance of the test or calibration;

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DI-QCIC-80798B

h. reference to the sampling plan and procedures used by the laboratory or other bodies where these are relevant to the validity or application of the results;

i. the test or calibration results with, where appropriate, the units of measurement;

j. the name(s), function(s) and signature(s) or equivalent identification of person(s) authorizing the test report or calibration certificate;

k. where relevant, a statement to the effect that the results relate only to the items tested or calibrated;

l. the conditions (e.g. environmental) under which the calibrations were made that have an influence on the measurement results;

m. the uncertainty of measurement or a statement of compliance with an identified metrological specification or clauses thereof;

n. evidence that the measurements are traceable.

End of DI-QCIC-80798B

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