RTE KME.DQ-040-22 (Complete).pdf

REQUEST FOR TECHNICAL EVALUATION (RTE)

NAVSHIPYD PTSMH 4840/9 (NEW 1-18)

1. RTE serial No. 2. Date 3. Contract/Solicitation No. 4. CLIN 5. Hull 6. Job Order No.

7. QA Level 8. Value $ 9. Document No. 10. Delivery Date

11. Material Description

12. Deviation 12A Non-Conformance

Not a Deviation

Major Minor Not Required

Required

Deviation Not Acceptable Deviation Acceptable

NC Number Required

13. Prime Vendor/Subcontractor 13A Sub-Vendor/Contractor

14. Heat No. 15. RT Serial No. 16. Brief Description of Deviation

17. Technical Evaluation – Approve/Disapprove/Evaluator Comments; (As Applicable, include: noun name, ID Number, & Rev of Procedure or Document Being Evaluated, RSS #, NDT Method Spec, Fabrication Spec, etc.)

18. Price Justification Will Deviation Result in Increased Cost to the Government? Yes No N/A

Will Deviation Result in Decreased Cost to the Contractor? Yes No N/A

18A. This is _______________________________________________________ Vendor Deviation on this contract

19. Approved Yes No (See Comments/Reasons in Block 17)

NOTE: Any approvals are applicable to this contract and for the application and/or item(s) specified.

19A. Approver – Print/Sign/Code/Date

19B. Overview – (As Applicable) – Print/Sign/Code/Date

20. Authorized Representative (Code 138 Division Head/Contracting Officer) (As applicable- Print/Sign/Date)

Mod will be issued Mod will not be issued

Distribution: 133.2, 135T, 135.3, 136.2, 245.3

REQUEST FOR TECHNICAL EVALUATION (RTE) (Back)

NAVSHIPYD-PTSMH-4840/9 (NEW 1/18)

Code 503/410:

A. Non-iRAPT Only: Form will be initiated by contracting who will complete the following blocks:

1 through 11, 13, and 13A.

NOTE: Block 20 is to be utilized by the contracting officer for review and determination of need for contract modification

Technical Codes (135T, 135.3, 138.2, 245.3)

Blocks 12, 12A, 17, 18 and 19 will be completed by cognizant technical codes.

1 This is a code generated sequential unique serial number; serial number will be formatted as follows: Code-First Last Name Initials-Sequential # from Serial Number Log-Calendar Year, e.g. 503.DQ-108-17.

12 A deviation is a change from the contract, requested by the contractor. Interpretations or corrections of the contract are not deviations. Definitions of major and minor are in Process Instruction 7650-801-367.

12A If required technical code to issue non-conformance in accordance with Process Instruction 7650-801-367 17 Provide technical evaluation and rationale for approval/disapproval. Block 17 must contain all applicable and pertinent information as deemed necessary or required.

18 Complete only if deviation 20 Block 20 is to be utilized by the NAVSEA Authorized Representative for weld procedure approval only

B. iRAPT Only: Initiate form per applicable appendix when an item has been entered in the iRAPT system. Complete the following blocks (use guidelines above for Blocks 1, 12, 12A, 17, 18 & 20):

Code 135T complete To:/From:, & blocks 1 ,2, 3, 4, 7, 11, 13, 13A, 17, 19 & 19A

Code 135.3 complete To:/From:, & blocks 1, 2, 3, 4, 7, 11, 13, 13A, 14, 15, 17, 19, & 19A

Code 138.2 complete To:/From, & blocks 1, 2, 3, 4, 7, 11, 13, 13A, 14, 15, 17, 19, 19A, 19B, & 20 (NOTE: Block 20 is to be utilized by the NAVSEA Authorized Representative for weld procedure approval only)

Code 245.3 complete To:/From, & blocks 1, 2, 3, 4, 5, 6, 7, 8, 9, 11, 12, 12A, 16, 17 18, 18A 19A, 19B.

REQUEST FOR TECHNICAL EVALUATION (RTE) (Continuation Sheet)

NAVSHIPYD-PTSMH-4840/9 (NEW 1/18)

RTE Serial Number _______________________

Continuation Sheet. Where space provided is not sufficient, use additional sheets identified by serial number (see

Block 1) and applicable block numbers.