RIR_QAP_W05238_8-52B-50M.pdf

PDF 4 MB Posted

Attached to
Cable Drive Unit (CDU) Parts Federal contract opportunity
Solicitation number
N6660426Q0202
Issued by
Department of the Navy Naval Sea Systems Command

About this file

TAHEF-Form-No. 008 Receipt Inspection Report Summary

This is a Receipt Inspection Report template used by the TAHE Facility at NUWC, Building 6 in Newport, Rhode Island for quality assurance purposes. The form documents the receipt and inspection of purchased items or outside services, capturing part identification information, work order details, purchase order references, and inspection results including quantities received, accepted, and rejected. The form serves as a quality control document to verify that deliverables meet specified requirements before acceptance.

The report template requires vendors to provide specific quality documentation and certifications including: Certificate of Compliance confirming manufacturing adherence to specifications; Mercury Free Statement; Certificate of Analysis for raw materials; Domestically Sourced Material certification per DFARS Part 225; Product Identification markings; Process Certification; and Special Packaging Requirements documentation. The exemplar provided indicates an order for OK-276 CDU Pulley Support Post #3 (Part Number 8-52B-50M) with a quantity of 5 units designated for inventory. Required Government Furnished Information includes compliance with ASME B46.1-2019, SAE AMS-C-26074D standards, and MIL-STD-130 marking requirements, along with specific drawing notes addressing heat treatment, plating specifications, and datum masking procedures prior to final processing.

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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

TAHEF-Form-No. 008 Rev C

8/29/2025

22. Enclosure

RIR_test_iii.pdf
Enclosure Page.pdf
PART NUMBER: 8-52B-50M
DRAWING NUMBER: 8-52B-50M_32386_FN_H
REV: H
PART NOMENCLATURE: OK-276 CDU Pulley Support Post #3
WORK ORDER: W05238
SN: N/A
STATEMENT OF WORK: N/A
SALES ORDER: FUTURE BUILDS
UNIT THE ORDER IS FOR: OK-276 CDU
DISPOSITIONREMARKSTHE FOLLOWING QUALITY DOCUMENTATION INFORMATION INSTRUCTIONS MUST BE PROVIDED ADHERED TO: QTY: 5
Text1: Certificate of Compliance: that items were manufactured in accordance with all applicable instructions and specifications.
Req1: Required. See Enclosure Note 3. (A001)
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. ROHS is not an acceptable substitute.
Text3: Certificate of Analysis of raw material stating that it meets the specifications identified.
Req3: Required: Beryllium Copper Alloy 25 IAW Drawing Note 2. (A003)
Text4: Domestically Sourced Material: all raw material must be sourced domestically or from a qualified country per DFARS Part 225: Foreign Acquisition.
Req4: Required.

(A004)

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: See Enclosure Note 1.
Text6: Process Certification: that items were manufactured in accordance with special processes identified.
Req6: Required: See Enclosure Note 2.

(A005)

Text7: Special Packaging Requirements: protect parts to prevent damage during handling and transportation.
Req7: Required.
Text8:
Req8:
Text9:
Req9:
Req2: Required - ROHS is only acceptable for the procument of electronic components.
Text14: ASME B46.1-2019_2020-06-30
Text16: MIL-STD-130N_with_Change-1_2012-11-16
Text17: VIR_W05238
Text18: SAE AMS-C-26074D_2013-06-01
Text20: RIR_QAP_W05238_8-52B-50M
Text21:
Text22:
Text23:
Text24:
Text25:
Text13: 8-52B-50M_32386_FN_H
Dropdown1: [Purchasing - New Manufacture]
Text19: W05238
Text26: Enclosure Note 1: Mark Part No. 32386/8-52B-50M IAW MIL-STD-130 per Drawing Note 5.

Enclosure Note 2: Heat treat and plate IAW Drawing Notes 2 and 6. Plating must be done IAW SAE-C-AMS-26074. Provide documentation of all processes mentioned in this note. Ensure threaded holes, Ø.3125/.3120 (Datum C) and adjacent face (Datum E) are masked prior to plating. (See Drawing Zone C2 & View A) Enclosure Note 3: Omit items 1 & 2 from assembly. Reference Note 8.

CDRLs - COC (A001), Mercury Free Certification (A002), Certificate of Analysis (A003), Domestically Sourced (A004), and Process Certification (A005).

Check Box1: Yes

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