RIR_QAP_W05241.pdf
PDF 3 MB Posted
- Attached to
- Tension Belt Drogue Deployer Parts
- Solicitation number
- N6660426Q0089
About this file
This is a TAHE Facility Quality Provisions Receipt Inspection Report template (Form No. 008 Rev C) used by the TAHE Facility at NUWC Building 6 in Newport, Rhode Island to document and verify the quality of purchased items and outside services upon receipt.
The form captures essential procurement and inspection data including part numbers, nomenclature, drawing numbers, work orders, sales orders, and serial numbers. Vendors must provide specific quality documentation and certifications with all deliveries, including: Certificate of Compliance confirming items were manufactured per applicable instructions and specifications; Mercury Free Statement (with ROHS requirement for electronic components); Certificate of Analysis for raw materials meeting identified specifications; Domestically Sourced Material certification per DFARS Part 225; Product Identification on external surfaces with associated tags; Process Certification documenting special manufacturing processes; Test Data with NDT reports identifying specific weld pass/fail results and certified inspector information; and Special Packaging Requirements to prevent damage during handling and transportation. The form also references multiple enclosures including material certificates (QQ-N-281, Class A, Form 6, Hot Finished), welding rod certifications, WPS and PQR approvals on Welding Cert Form 105, NDT reports, and various technical standards and drawings. The inspection section is restricted to TAHEF QA personnel only, with fields for source, purchase order, purchase request, quantity received, total accepted/rejected, inspector name, and date.
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Other files
| File | Type | Posted |
|---|---|---|
| VIR_W05241.pdf | ||
| II.D.ii. Attachment SAM Synopsis N6660426Q0089.pdf | ||
| II.D.iii. CLIN Breakdown N660426Q0089.xlsx | XLSX spreadsheet |
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Text version
TAHEF-Form-No. 008 Rev C
8/29/2025
TAHE FACILITY NUWC, BLDG. 6
NEWPORT, RI 02841
TAHE FACILITY QUALITY PROVISIONS
RECEIPT INSPECTION REPORT
1. PART NUMBER 2. PART NOMENCLATURE
3. DRAWING NUMBER REV
4. WORK ORDER: 5. S/N:
6. STATEMENT OF WORK: 7. SALES ORDER: 8. UNIT THE ORDER IS FOR: 9. ORDER IS FOR INVENTORY:
10. PURCHASE/OUTSIDE SERVICE 11. PURCHASER/OSS COORDINATOR SIGNATURE
12. CHARACTERISTIC MEASURED / VERIFIED DISPOSITION-REMARKS
THE FOLLOWING QUALITY DOCUMENTATION / INFORMATION /
INSTRUCTIONS MUST BE PROVIDED / ADHERED TO:
13. GFI: DOCUMENTATION PROVIDED
VENDOR DO NOT WRITE BELOW. FOR TAHEF QA ONLY.
14. SOURCE: 15. PURCHASE ORDER: 16. PURCHASE REQUEST: 17. QTY RECEIVED:
18. TOTAL ACCEPTED 19. TOTAL REJECTED 20. INSPECTOR 21. DATE
8/29/2025
22. Enclosure
8/29/2025
TAHE FACILITY NUWC, BLDG. 6
NEWPORT, RI 02841
TAHE FACILITY QUALITY PROVISIONS
RECEIPT INSPECTION REPORT
1. PART NUMBER 2. PART NOMENCLATURE
3. DRAWING NUMBER REV
4. WORK ORDER: 5. S/N:
6. STATEMENT OF WORK: 7. SALES ORDER: 8. UNIT THE ORDER IS FOR: 9. ORDER IS FOR INVENTORY:
10. PURCHASE/OUTSIDE SERVICE 11. PURCHASER/OSS COORDINATOR SIGNATURE
12. CHARACTERISTIC MEASURED / VERIFIED DISPOSITION-REMARKS
THE FOLLOWING QUALITY DOCUMENTATION / INFORMATION /
INSTRUCTIONS MUST BE PROVIDED / ADHERED TO:
13. GFI: DOCUMENTATION PROVIDED
VENDOR DO NOT WRITE BELOW. FOR TAHEF QA ONLY.
8/29/2025
TAHE FACILITY NUWC, BLDG. 6
NEWPORT, RI 02841
TAHE FACILITY QUALITY PROVISIONS
RECEIPT INSPECTION REPORT
1. PART NUMBER 2. PART NOMENCLATURE
3. DRAWING NUMBER REV
4. WORK ORDER: 5. S/N:
6. STATEMENT OF WORK: 7. SALES ORDER: 8. UNIT THE ORDER IS FOR: 9. ORDER IS FOR INVENTORY:
10. PURCHASE/OUTSIDE SERVICE 11. PURCHASER/OSS COORDINATOR SIGNATURE
12. CHARACTERISTIC MEASURED / VERIFIED DISPOSITION-REMARKS
THE FOLLOWING QUALITY DOCUMENTATION / INFORMATION /
INSTRUCTIONS MUST BE PROVIDED / ADHERED TO:
13. GFI: DOCUMENTATION PROVIDED
VENDOR DO NOT WRITE BELOW. FOR TAHEF QA ONLY.
8/29/2025
TAHE FACILITY NUWC, BLDG. 6
NEWPORT, RI 02841
TAHE FACILITY QUALITY PROVISIONS
RECEIPT INSPECTION REPORT
1. PART NUMBER 2. PART NOMENCLATURE
3. DRAWING NUMBER REV
4. WORK ORDER: 5. S/N:
6. STATEMENT OF WORK: 7. SALES ORDER: 8. UNIT THE ORDER IS FOR: 9. ORDER IS FOR INVENTORY:
10. PURCHASE/OUTSIDE SERVICE 11. PURCHASER/OSS COORDINATOR SIGNATURE
12. CHARACTERISTIC MEASURED / VERIFIED DISPOSITION-REMARKS
THE FOLLOWING QUALITY DOCUMENTATION / INFORMATION /
INSTRUCTIONS MUST BE PROVIDED / ADHERED TO:
13. GFI: DOCUMENTATION PROVIDED
VENDOR DO NOT WRITE BELOW. FOR TAHEF QA ONLY.
8/29/2025
TAHE FACILITY NUWC, BLDG. 6
NEWPORT, RI 02841
TAHE FACILITY QUALITY PROVISIONS
RECEIPT INSPECTION REPORT
1. PART NUMBER 2. PART NOMENCLATURE
3. DRAWING NUMBER REV
4. WORK ORDER: 5. S/N:
6. STATEMENT OF WORK: 7. SALES ORDER: 8. UNIT THE ORDER IS FOR: 9. ORDER IS FOR INVENTORY:
10. PURCHASE/OUTSIDE SERVICE 11. PURCHASER/OSS COORDINATOR SIGNATURE
12. CHARACTERISTIC MEASURED / VERIFIED DISPOSITION-REMARKS
THE FOLLOWING QUALITY DOCUMENTATION / INFORMATION /
INSTRUCTIONS MUST BE PROVIDED / ADHERED TO:
13. GFI: DOCUMENTATION PROVIDED
VENDOR DO NOT WRITE BELOW. FOR TAHEF QA ONLY.
8/29/2025
TAHE FACILITY NUWC, BLDG. 6
NEWPORT, RI 02841
TAHE FACILITY QUALITY PROVISIONS
RECEIPT INSPECTION REPORT
1. PART NUMBER 2. PART NOMENCLATURE
3. DRAWING NUMBER REV
4. WORK ORDER: 5. S/N:
6. STATEMENT OF WORK: 7. SALES ORDER: 8. UNIT THE ORDER IS FOR: 9. ORDER IS FOR INVENTORY:
10. PURCHASE/OUTSIDE SERVICE 11. PURCHASER/OSS COORDINATOR SIGNATURE
12. CHARACTERISTIC MEASURED / VERIFIED DISPOSITION-REMARKS
THE FOLLOWING QUALITY DOCUMENTATION / INFORMATION /
INSTRUCTIONS MUST BE PROVIDED / ADHERED TO:
13. GFI: DOCUMENTATION PROVIDED
VENDOR DO NOT WRITE BELOW. FOR TAHEF QA ONLY.
| RIR_QAP_W05241_ Welding.pdf |
| RIR_test_iii.pdf |
| Enclosure Page.pdf |
| Untitled |
| Untitled |
| RIR_QAP_W05241_ Polymer.pdf |
| RIR_test_iii.pdf |
| Enclosure Page.pdf |
| Untitled |
| Untitled |
| RIR_QAP_W05241_ Iconel.pdf |
| RIR_test_iii.pdf |
| Enclosure Page.pdf |
| Untitled |
| Untitled |
| RIR_QAP_W05241_ Machine With Coating.pdf |
| RIR_test_iii.pdf |
| Enclosure Page.pdf |
| Untitled |
| Untitled |
| RIR_QAP_W05241_ QQN286.pdf |
| RIR_test_iii.pdf |
| Enclosure Page.pdf |
| Untitled |
| Untitled |
| RIR_QAP_W05241_ QQN281.pdf |
| RIR_test_iii.pdf |
| Enclosure Page.pdf |
| Untitled |
| Untitled |
| PART NUMBER: 8827931 and 8827932 |
| DRAWING NUMBER: 8827931_53711_FN_- and 8827932_53711_FN_- |
| REV: - |
| PART NOMENCLATURE: Lower Mounting Bracket and Upper Mounting Bracket, Tensioned Belt Drogue Deployer |
| WORK ORDER: W05241 |
| SN: N/A |
| STATEMENT OF WORK: N/A |
| SALES ORDER: FUTURE BUILDS |
| UNIT THE ORDER IS FOR: TBDD |
| DISPOSITIONREMARKSTHE FOLLOWING QUALITY DOCUMENTATION INFORMATION INSTRUCTIONS MUST BE PROVIDED ADHERED TO: QTY: 2 |
| Text1: Certificate of Compliance: that items were manufactured in accordance with all applicable instructions and specifications. |
| Req1: Required |
| Text2: Mercury Free Statement: A signed document from the supplying vendor certifying that mercury and mercury containing compounds were not intentionally added to nor came in contact with hardware or supplies furnished under this work order. |
| Text3: Certificate of Analysis of raw material stating that it meets the specifications identified. |
| Req3: Required - See Enclosure Note 1 |
| Text4: Domestically Sourced Material: all raw material must be sourced domestically or from a qualified country per DFARS Part 225: Foreign Acquisition. |
| Req4: Required |
| Text5: Product Identification: identification must appear on external surfaces of items or packages. Parts must be returned with associated tags. (Military specifications will be provided upon request) Parts must be returned with associated tags. |
| Req5: Required |
| Text6: Process Certification: that items were manufactured in accordance with special processes identified. |
| Req6: Required - See Enclosure Note 2 |
| Text7: Test Data: to be provided |
| Req7: Required - See Enclosure Note 3 |
| Text8: Special Packaging Requirements: protect parts to prevent damage during handling and transportation. |
| Req8: |
| Text9: |
| Req9: |
| Req2: Required - ROHS is only acceptable for the procument of electronic components. |
| Text14: |
| Text16: |
| Text17: |
| Text18: |
| Text19: |
| Text20: |
| Text21: |
| Text22: |
| Text23: |
| Text24: |
| Text25: |
| Text13: See Enclosure. |
| Dropdown1: [Purchasing - New Man w/ Welding] |
| Check Box1: Off |
| Text26: Note 1 - Certificate of Analysis: Required - Provide material certificates for base material (QQ-N-281, Class A, Form 6, Hot Finished) and welding rods used. |
Note 2 - Process Certification: Required – WPS and PQR must be on file with the TAHEF prior to performing welding.
Document the WPS and PQR on Welding Cert Form 105.
Note 3 - Test Data: Required - Provide NDT report. Report shall identify specific weld pass/fail and associated remarks (if required). Ensure report includes certified inspector's name and NDT date.
Documentation Provided:
8827931_53711_FN_-
8827932_53711_FN_-
0551A0006_54497_FN_D_D07-066
8827956_53711_FN_-
AWS A2.4-2020_2020-01-09
MIL-STD-130N_with_Change-1_2012-11-16
MIL-STD-2035A(SH)_1995-05-15
QQ-N-281D_with_Amendment-2_1985-10-23
QQ-N-286G_2000-12-07
RIR_QAP_W05241
S9074-AR-GIB-010-278_CHG-A_2013-02-14 (MIL-STD-278)
TT-C-490H_2021-09-16
8827957_53711_FN_-
8827952_53711_FN_A
8827949_53711_FN_-
8827950_53711_FN_-
8827940_53711_FN_-
8827944_53711_FN_-
8827946_53711_FN_-
8827937_53711_FN_-
8827938_53711_FN_-
8827939_53711_FN_-
8827941_53711_FN_-
8827942_53711_FN_-
8827943_53711_FN_-
8827947_53711_FN_A
8827948_53711_FN_A
8827953_53711_FN_-
8827954_53711_FN_-
VIR_W05241
W05241 WPS & PQR Approval Form
CDRLs - COC (A001), Mercury Free Certification (A002), Certificate of Analysis (A003), Domestically Sourced (A004), Process Certification (A005), and Test Data (A006).
File details come from the government source that posted it. Updated .