RIR_QAP_W02699.pdf

J:\LIBRARY\FORMS

FORM REV. 06/08/2009

REV. 06/08/2009

TAHE FACILITY

NETC, BLDG. 6

NEWPORT, RI 02841

TAHE FACILITY QUALITY PROVISIONS

RECEIPT INSPECTION REPORT

PART NUMBER / DRAWING NUMBER

53X-01-101

REV PART NOMENCLATURE

Drive Drum Mount

SOURCE: S/N:

A003, A004, A005

CONTRACT:

N66604-

PURCHASE ORDER: PURCHASE REQUEST: WORK ORDER:

W02699

OUTSIDE SERVICES SOW: TRAVELER: QTY RECEIVED SAMPLE SIZE**

AQL CHARACTERISTIC MEASURED / VERIFIED

FINDINGS

ACCEPT REJECT DISPOSITION-REMARKS

THE FOLLOWING QUALITY DOCUMENTATION /

INFORMATION / INSTRUCTIONS MUST BE

PROVIDED / ADHERED TO:

QTY 3 – P/N: 53X-01-101

Certificate of Conformance that items were manufactured in accordance with all applicable instructions and specifications

Required – Complies with SOW and drawing 53X-01-101 requirements. (CDRL

A001) Clause 52.246-15 is required.

Mercury Free Statement: Mercury or mercury compounds shall not be intentionally added or come in direct contact with hardware or supplies furnished under this contract.

Required

(CDRL A002)

Material Identification must be in accordance with attached drawings/documentation. If not specified then identification must appear on external surfaces of items or packages.

(Military Specifications will be provided upon request)

Required – Stamped part number and

TAHEF ID number.

Certificate of Analysis - Raw Material & Weld Rods stating that it meets the specifications identified Required

Raw Material Carbon Steel per ASTM A36

(A003)

Welding Rods per Approved WPS and S9074-AR-GIB-010-278

(A003)

Weld Cladding Rods per Approved WPS (A-43A MIL-8N12 or A-42B MIL-RN60)

(A003)

Process Certification Required –

WPS and PQR per S9074-AR-GIB-010/278 and S9074-A-GIB-010/248.

(CDRL A005)

APPROVED WPS AND PQR MUST BE ON

FILE WITH TAHEF PRIOR TO

PERFORMING WELDING ON THIS SOW.

Special packaging requirements (attachment required) Required – Protect all part features from damage during shipping and handling.

Test data to be provided Required – Provide Weld and Weld

Cladding NDT Report

Provide QA/Metrology Inspection Report

(CDRL A004)

First Article Inspection required Not Required

SPECIAL INSTRUCTIONS/REMARKS/ENCLOSURES

53X-01-101_32386_FN_N, MIL-DTL-24441D_2009.08.27, MIL-PRF-23236D_2009.09.15(MIL-

P-23236), MIL-STD-22D_CHG_3_1991.03.21, MIL-STD-2035A_5_15_95(0900-LP-003-8000),

S9074-AQ-GIB-010-248_1995-08-01, S9074-AR-GIB-010-278_1995.08.01, S9074-AR-GIB-

010-278_CHG_A_2013-02-14(MIL-STD-278), SSPC SP1_2015.04.23, T9074-AS-GIB-010-

271_CHG_1_1999-02-16(MIL-STD-271)

J:\LIBRARY\FORMS

FORM REV. 06/08/2009

REV. 06/08/2009

SOW_W02699, RIR_QAP_W02699, VIR_W02699

**SAMPLING PERFORMED IN ACCORDANCE WITH ANSI/ASQZ1.4 GENERAL INSPECTION LEVEL II

TOTAL ACCEPTED

TOTAL REJECTED

INSPECTOR

DATE