Technical Requirements Document.pdf

Attachment 0001 Page 1 of 30

Issue: June 2021

Solicitation: SPRBL1-21-R-0014

TECHNICAL SPECIFICATIONS AND INSTRUCTIONS

Helmet Mount Assemblies for AN/PVS-7 ( ) and AN/PVS-14

Attachment 0001 Page 2 of 30

SECTION CHANGED CHANGE DATE

Attachment 0001 Page 3 of 30

TABLE OF CONTENTS

SCOPE

APPLICABLE DOCUMENTS

REQUIREMENTS

INTERCHANGEABILITY, INTERFACE, AND PERFORMANCE CHARACTERISTICS

HELMET MOUNT ASSEMBLIES

INTERFACE CONTROL DRAWINGS

PACKAGING

ENGINEERING

PROGRAM MANAGEMENT REQUIREMENTS

QUALITY MANAGEMENT

GOVERNMENT TESTING

BALLISTIC TESTING

FIRST ARTICLE TESTING

CONFIGURATION MANAGEMENT

HUMAN FACTOR ENGINEERING (HFE)

CONTRACT DATA REQUIREMENT LIST (CDRL) DD 1423-1

ENGINEERING CHANGE PROPOSAL

REQUEST FOR VARIANCE

NOTICE OF REVISION

BALLISTICS TEST REPORT

FIRST ARTICLE QUALIFICATION TEST PLAN

FIRST ARTICLE TEST REPORT INSTRUCTIONS

Attachment 0001 Page 4 of 30

SCOPE

This document specifies the tasks and efforts the contractor shall perform during this production contract of the

Helmet Mount Assembly (herein HMA) for the AN/PVS-7( ) and AN/PVS-14 Night Vision Device (NVD) systems. The HMA is a critical safety item that serves as a mechanical device that attaches the AN/PVS-7B, AN/PVS-7D and AN/PVS-14 NVD systems to the Personnel Armor System for Ground Troops (PASGT)

Helmet, and the Advanced Combat Helmet (ACH).

This document provides the technical, safety, and interchangeability requirements for the items being sought under this procurement. The contractor shall ensure that the delivered HMA systems/devices comply with the requirements listed in the Requirements section. The offeror is encouraged to use commercial/industrial processes and practices that will reduce design, production, and operational support costs while meeting the requirements of this contract.

APPLICABLE DOCUMENTS

The documents in the table below can be obtained directly from the publisher. The equipment on contract will be produced in accordance with these documents.

The offeror is responsible for reviewing the entire solicitation/contract to identify all directly cited and subsequently referenced documents. Immediately upon completion of this review, the offeror will notify the

Procuring Contract Officer (PCO) of any conflicts and/or misunderstandings between this provision and other contractual requirements.

Notes for Government-furnished drawings:

The drawings specified in this solicitation are for reference only and shall be used for interchangeability purposes. They do not contain complete details of all intervening processes, from raw material to finished products, which are necessary to fabricate, control, test, adjust, assemble and inspect the items on order.

Attachment 0001 Page 5 of 30

Military and Federal Standards

MIL-STD-129R Military Marking for Shipment and Storage

MIL-STD-2073-1E Standard Practice for Military Packaging

Military and Federal Specifications

PD-HMA Product Description, Helmet Mount Assembly, AN/PVS-7( ) and

AN/PVS-14

Interface Control Drawings

A3256347 Head/Helmet Mount Adapter

A3256371 Front Bracket Assembly

A3260931 Helmet Mount (Reference only)

A3264352 Wired Housing Assembly

A3297308 Front Bracket Assembly, ACH/CVC

Commercial Documents

ISPM Number 15 Regulation of Wood Packaging in International Trade

ISO/9001-2015 Quality Management Systems Requirements

EIA-649-1 Configuration Management Requirements For Defense Contracts

ASME Y14.24-1999 Types and Applications of Engineering Drawings

REQUIREMENTS

The purpose of the HMA is to provide a lightweight and durable interconnection between the Night Vision

Device and the User’s helmet and is intended for worldwide combat and non-combat field use by the U.S.

Military. The Government expects the products to be delivered within the required timeframe, fit for the purpose for which it is intended, and without defects or early life failures (beyond normal wear and tear). In the event of a conflict between the requirements of this document and any other documents specified within, the requirements of this document shall govern.

INTERCHANGEABILITY, INTERFACE, AND PERFORMANCE CHARACTERISTICS

All HMAs delivered under this contract shall be form, fit, and function interchangeable and without degradation of performance with previously fielded helmet mounts of the same kind down to the spare part level, as established by the current maintenance concept of the U.S. Army. The U.S. Army maintenance concepts for the

HMAs are detailed in the following Interface Control Drawings (ICDs): A3256371, A3297308, A3256347 and

A3264352. The Government may independently verify hardware compliance to the ICDs and Product

Description at any time during the life of the contract. The contractor shall be required to justify and/or rectify, Attachment 0001 Page 6 of 30 at no cost to the Government, any identified discrepancies between the hardware performance/configuration and these documents when such discrepancies are identified.

HELMET MOUNT ASSEMBLIES

The Helmet Mount Assembly and components shall meet the requirements of the Product Description (PD), Helmet Mount Assembly, AN/PVS-7( ) and AN/PVS-14, including form, fit and function.

Components. The Helmet Mount Assembly shall consist of the following components:

a. Helmet Mount

b. Front Bracket

INTERFACE CONTROL DRAWINGS

With the exception of requirements specified in this document, the contractor shall meet the form, fit and functional requirements of all spare part components as detailed in the ICDs for each HMA and Front Bracket

Assembly, where appropriate. The Government may independently verify hardware compliance to the Interface

Control Drawings (ICDs) and performance specifications. The contractor shall be required to justify and/or rectify any identified discrepancies between the hardware performance/configuration and these documents when such discrepancies are identified.

PACKAGING

Preservation, packing and marking for shipment shall be in accordance with Section "D" of the contract.

Packaging shall be in accordance with MIL-STD-2073-1E

Marking

All unit packs, intermediate packs, and exterior shipping containers shall be legibly and durably marked in accordance with MIL-STD-129R.

Wood Packing Material

Wood packaging material (WPM) includes but is not limited to pallets, skids, load boards, pallet collars, wooden boxes, reels, dunnage, crates, frame and cleats. This requirement excludes materials that have undergone a manufacturing process, such as corrugated fiberboard, plywood, particleboard, veneer, and oriented strand board (OSB). See DLAD 52.247-9012 Requirements for Treatment of Wood Packaging

Material (WPM).

Attachment 0001 Page 7 of 30

Military Packaging

DS7029 Preservation, Packing and Marking Instructions

The contractor shall establish, maintain, control and be responsible for the handling, storage, preservation, packaging and shipping to protect the quality of the materials and to prevent damage from loss, deterioration, degradation, or substitution of products

LEGEND

Qty Quantity

Prot Req Protection Required

PGE-REF Packaging Reference (Military Standard)

LPK Level of Packing

QUP Quantity per Unit Pack

ICQ Intermediate Container Quantity

Pkg Reqmt Codes Packaging Requirement Codes when PKG-REF cites MIL-STD-2073

The below codes are for special markings:

PC Project Code

WG Warranty/Guarantee

SL Shelf Life

BC Bar Code

FMS Foreign Military Sales

NSN

Prot

Req

PKG-

REF LPK QUP ICQ

Special

Markings

Pkg J. J J J J J J J J J

Reqmt I. II. III. IV. V. VI. VII. VII.a IX X

Codes (MP) (CD) (PM) (WM) (CD) (CT) (UC) (IC) (PK) (SM)

5855-01-

612-

5116 Military

MIL-

STD-

2073-1E B 001 - 10 1 00 DA NA B D4 BC

5855-01-

610-

8704 Military

MIL-

STD-

2073-1E B 001 - 10 1 00 DA NA B D4

ENGINEERING

The contractor shall assign, empower and emplace the engineering and production personnel necessary for successful contract performance. The contractor shall design and implement production processes that ensure successful production of all items required under this solicitation/contract. The contractor shall use commercial products, processes and practices whenever practical, to reduce production and operational costs.

PROGRAM MANAGEMENT REQUIREMENTS

Attachment 0001 Page 8 of 30

The objective of program management is to provide both the contractor and Government with management information and tools required to effectively manage work performed under this contract, minimize system performance risk, and ensure adherence to established program schedule.

Integrated Product and Process Team (IPPT). The Government and contractor shall incorporate an IPPT discipline into the HMA program. The objective of the IPPT is to implement an open shared data/information environment with results oriented objectives of on-schedule delivery of specification- compliant units, continuously improving the various Government/contractor processes, and reducing the system life cycle cost. The IPPT shall also complete the following additional actions throughout the life of the contract:

• Hold IPPT reviews

• Use risk management techniques to document, track, and manage program areas of risk

• Review/concur in program documentation

• Review/concur on all Failed Item Analysis Reports (FIARs), ECPs, Variances, and Trade studies.

The IPPT process as described is solely to facilitate communications between the Government and contractor during contract administration. Responsibility for dealing with issues raised and for meeting all contract requirements remains with the contractor. No communication made during the IPPT process may be construed as a change unless specifically designated by the contracting officer.

Reports, Reviews, Meetings. Reports, reviews and meetings shall be required on an as-needed basis for this contract. Where such reviews occur, the contractor is responsible for generating meeting minutes for the

Government to review and comment if necessary.

Post Award Conference. The Procuring or Administrative Contracting Officer (PCO or ACO) shall schedule a post award orientation to be held NLT 30 days after contract award. The purpose of the orientation is to ensure mutual understanding of the contract and all obligations and responsibilities of the contractor and the Government. Location of this meeting will be at the contractor’s facility or shall be conducted by telephone.

Informal Reviews. The contractor shall be available for informal reviews and Government visits in addition to the IPPT reviews. The contractor shall participate in an informal meeting, to identify, discuss, and resolve issues on an as-needed basis.

Correspondence Transmission. The contractor shall submit, as a minimum, written program correspondence or documentation via electronic submittal. The preferred method of file submission is via e-mail. Deviations from this requirement are allowed on a case by case basis, with Government verbal concurrence (either Government

IPPT chairpersons or Government Contracting Officer).

QUALITY MANAGEMENT

The contractor shall establish, maintain, operate, and continually improve a Quality Management System in accordance with ANSI/ISO/ASQ (E) Q9001-2015.

Attachment 0001 Page 9 of 30

The government shall have access to the contractor's quality manual at the contractor's facility at any time.

The Government has the right to examine the contractor’s quality management system, inspection system and quality management system documentation including documented statements of a quality policy, documented quality objectives, quality manual, documented procedures and records required by the quality management system standard, documents including records determined by the contractor to be necessary to ensure the effective planning, operation and control of its processes. The documentation can be in any form or type of medium and software. Government has the right to examine and test hardware used for quality management, test or inspection. The Government's examination shall be on the premises of the contractor or supplier, to the extent practicable, at all places and times. The Government’s examination of the contractor’s quality management system, inspection system and quality management system documentation will be conducted in a manner that will not unduly delay the contract work. The Government's examination, whether exercised or not, does not relieve the Contractor of the obligations under the contract.

If the Government performs examinations of the contractor’s quality management system, inspection system, quality management system documentation and test hardware used for quality management, test or inspection on the premises of the Contractor or a subcontractor, the Contractor shall furnish, and shall require subcontractors to furnish, at no increase in contract price, all reasonable facilities and assistance for the safe and convenient performance of these duties.

The Government’s right to examine the contractor’s quality management system, inspection system and quality management system documentation including documented statements of a quality policy, documented quality objectives, quality manual, documented procedures and records required by the quality management system standard, documents including records determined by the contractor to be necessary to ensure the effective planning, operation and control of its processes will be limited to the contractor’s facility and also to suppliers facilities that provide products and/or services valued over 20% of the contract total cost.

GOVERNMENT TESTING

The Government reserves the right to conduct independent testing at any time during the life of the contract to demonstrate the HMA meets the interchangeability and performance requirements outlined in the associated product description. Additional testing may be performed in an operational environment when operated by

Soldiers under potential battlefield conditions. Testing shall verify the HMA will be form, fit, functional, and

100% interchangeable with the previously fielded Helmet Mount configuration. Failures during Government testing will be brought to the contractor’s attention for root cause analysis and corrective action.

Initial Production Testing (IPT). An IPT is required for any hardware which incorporates design changes, or has not been produced by the contractor within the past 12 months. A waiver can be requested by the contractor.

The Grovernment reserves the right to approve or deny an IPT waiver request. If an IPT is required, the IPT shall be performed to the extent necessary as agreed upon by the contractor and Government to verify compliance to specification requirements for all characteristics of the product.

Attachment 0001 Page 10 of 30

BALLISTIC TESTING

Ballistic Testing (9-mm Resistance to Penetration) will be planned and coordinated with the U.S. Army Test and Evaluation Command (ATEC). The Physical Characteristics subtest is not required as part of the ballistic testing. Requests for coordination and guidleines can be made via https://www.atec.army.mil/rfts.html. Ballistic

Testing will be performed for every lot of bolts. Reports will be delivered in accordance with DI-MISC-80246.

A certificate of conformance for ballistics testing must be provided with each delivery.

SUBTEST OBJECTIVE

9-mm Hardware Resistance To

Penetration (RTP)

To verify the ballistic RTP performance of the NVD hardware meets the requirements, as measured by complete/partial penetrations, when the bolts are subjected to 9-mm full metal jacket (FMJ) round nose

(RN) projectile impacts.

FIRST ARTICLE TESTING

Contractor Performed First Article Testing

Contractor performed first article testing will be required of contractors that have not produced and delivered

HMAs via a Government contract within 12 months of the request. The contractor shall plan, coordinate, and fund first rtile testing. Contractors shall submit request for waivers, when applicable, with documentation showing deliveries within 12 months of the request. 22 helmet mounts will be subjected to the FAT, with an additional 16 in the case of any failures.

FAR 52.209-3 First Article Approval – Contractor Testing

Number of Units: 22 (additional 16 needed if any failures occur)

Lot/Item: 1

The Contractor shall submit the first article test report within 180 calendar days from the date of this contract to the contracting officer and engineer.

Within 30 calendar days after the Government receives the test report, the Contracting Officer shall notify the Contractor, in writing, of the conditional approval, approval, or disapproval of the first article.

CONFIGURATION MANAGEMENT

This section delineates the configuration management monitoring and reporting requirements for the contract.

Configuration control shall be used to document the proposed changes, evaluate the impact of proposed changes and to update configuration documentation.

CONFIGURATION BASELINE

The Contractor shall establish a Configuration Management Program in accordance with EIA-649-1.

No changes or departures from the CB are acceptable except for changes or departures which are submitted in accordance with EIA-649-1, DI-SESS-80639, DI-SESS-80640, and DI-SESS-80642, and are approved by the https://www.atec.army.mil/rfts.html

Attachment 0001 Page 11 of 30

Government Configuration Manager (C Mgr.) or Configuration Management Officer (CMO) and which are made applicable to the contract by the PCO.

ENGINEERING DRAWINGS

The contractor shall provide Interface Control Drawings (ICDs) in accordance with ASME Y.14.24-1999, Types and Applications of Engineering Drawings, or equivalent. The ICDs shall outline the critical interfacing dimensions to show form/fit/function interchangeability to parts of similar nature, and those previously fielded by the U.S. Army.

PHYSICAL CONFIGURATION AUDIT (PCA)

A PCA shall be required for the interfacing dimension of each component in accordance with Engineering

Drawings section above, or any time the HMA has been changed per Engineering and configuration Control

Documents section below. The purpose of the PCA is to ensure the drawings match the qualified components of the HMA. Any discrepancies noted between the drawings and components shall be rectified by the contractor prior to continued acceptance of product. Upon successful completion of the PCA, the Government reserves the right to conduct a configuration verification item review of the components provided by the contractor at any time during the life of the contract.

ENGINEERING AND CONFIGURATION CONTROL DOCUMENTS

When an engineering change is proposed, the contactor shall be required to submit an Engineering Change

Proposal (ECP) or a Value Engineering Change Proposal (VECP). ECPs shall be used to document any changes made to the original HMA configuration by the contractor including, but not limited to, design, material or manufacturing process changes. This is to ensure configuration management is maintained throughout the life of the contract.

HUMAN FACTOR ENGINEERING (HFE)

If the contractor makes a design change to any component of the HMA that affects the User interface, the contractor shall implement a human factors engineering program to assure that the HMA conforms to the requirements of the PD. The HFE program shall focus on Soldier portability, helmet interface and manipulation of the adjustments on the HMA.

DMSMS/OBSOLESENCE MANAGEMENT

The Contractor shall execute a proactive DMSMS/Obsolescence Management program for the equipment on this contract. The government’s objective in this program is to cost-effectively identify and resolve

DMSMS/Obsolescence issues and maintain—to the maximum practical extent—a minimum five-year interval before any DMSMS/Obsolescence issue is forecasted to occur on any LRU in the system.

Attachment 0001 Page 12 of 30

The program shall address how the Contractor will identify part DMSMS/Obsolescence Issues, assess potential risk, develop a DMSMS/Obsolescence strategy and determine the most cost effective solution to part

DMSMS/Obsolescence Issues.

In accordance with the CDRL A007 for DI-MISC-80508B, Technical Report-Study/Services, DMSMS/Obsolescence Analysis BOM Report and this Technical Requirement Document, the Contractor shall submit a quarterly DMSMS/Obsolescence Analysis BOM Report. The DMSMS/Obsolescence Analysis BOM

Report shall contain the following data elements for each BOM item being monitored for availability:

Manufacturer p/n, Manufacturer, End of Life (EOL) Notice date, Part Status, Criticality, Estimated Part

Availability, Risk and Quantity per LRU. Upon review of the report, the government may request a meeting to discuss issues related to the report.

In the event that the Contractor discovers a DMSMS/Obsolescence issue that requires immediate action by the government, they shall notify the government PCO immediately.

Attachment 0001 Page 13 of 30

CONTRACT DATA REQUIREMENT LIST (CDRL) DD 1423-1

Each CDRL is assigned an Exhibit Number in Section J.

CDRL List

CDRL

Data Line

No. DID Identification Title

A001 DI-SESS- 80639 Engineering Change Proposal

A002 DI-SESS- 80640 Request for Variance

A003 DI-SESS- 80642 Notice of Revision

A004 DI-NDTI- 80809 Ballistic Acceptance Test Report

A005 DI-NDTI- 81307A First Article Qualification Test Plan – Quality Validation Plan

A006 DI-NDTI- 80809 Test/Inspection Report – First Article Test Report

A007 DI-MISC- 80508B DMSMS/Obsolescence Analysis BOM Report

ENGINEERING CHANGE PROPOSAL

An Engineering Change Proposal (ECP) describes the changes to be made to the CI/CSCI and all associated

Government documents and data that are affected by the proposed engineering change.

ECP should be prepared in accordance with EIA-649-1, Section 3.3.1, and DI-SESS-80639.

Attachment 0001 Page 14 of 30

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Original 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 this 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 Contracting Officer for Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

A001 TDP X TM OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

PAGST HELMET MOUNT

ACH HELMET MOUNT

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

Engineering Change Proposal

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-SESS-80639 AMSEL-LCE-INV

INSERT

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

IN

LT

ASREQ SEE ITEM 16

b. COPIES

SECT. B

8. APP CODE

N/A

11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft Final

SEE ITEM 16

Reg

Repro

16. REMARKS:

The contractor shall prepare and submit Engineering Change

Proposal in accordance with EIA-649-1 and this DID when a change to a contractual baseline document is deemed necessary.

The Government will have 30 days to review, accept, and/or comment on the draft submission. The contractor shall incorporate changes into the electronic deliverable within 30 days after receipt of Government comments. The Government will have

30 days to review, accept, and/or comment on the final submission.

Data shall be submitted and exchanged electronically in Microsoft

Office suite of applications (MS Word, Excel, Power Point, Access, and Project). Alternate formats may be allowed subject to

Government review and approval.

E-mail notification is required with any electronic submission.

AMSEL-LCE-INV

RDER-PRA-CA

QAR

PCO

ACO

15. TOTAL 0 5 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Adedolapo Junaid

RDER-PRA-CA

General Engineer

X

6/29/2021 Daniel Webster

RDER-PRA-CA

Branch Chief

6/29/2021

Attachment 0001 Page 15 of 30

REQUEST FOR VARIANCE

A Request For Variance (RFV) is a specific written authorization to depart from a particular requirement(s) of an item’s approved configuration documentation for a specific number of units or a specified period of time, either as an advance request or after the fact. The contractor shall identify the impact of the RFV on performance, operational readiness and logistics support of the affected CIs. The Government may require consideration for any RFV.

RFV should be prepared in accordance with EIA-649-1, Section 3.3.2, and DI-SESS-80640.

Attachment 0001 Page 16 of 30

Attachment 0001 Page 17 of 30

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 this 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 Contracting Officer for Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

A002 TDP X TM OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

Request For Variance

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-SESS-80640 AMSEL-LCE-INV

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

N/A

11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

16. REMARKS: The contractor shall prepare and submit Request

For Variance in accordance with EIA-649-1 and this DID when a departure from a contractual baseline document is deemed necessary.

incorporate changes into the electronic deliverable within 30 days

RDER-PRA-CA

QAR

Adedolapo Junaid

Attachment 0001 Page 18 of 30

NOTICE OF REVISION

A Notice of Revision (NOR) shows the detailed changes that must be made to technical documentation, except specifications, following approval of an ECP. A NOR shall be submitted for each document affected by an

ECP.

NOR should be prepared in accordance with EIA-649-1, Section 3.3.4, and DI-SESS-80642.

Attachment 0001 Page 19 of 30

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 this 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 Contracting Officer for Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

A003 TDP X TM OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

Notice of Revision

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-SESS-80642 AMSEL-LCE-INV

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

N/A

11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

16. REMARKS: The contractor shall prepare and submit Notice of

Revision in accordance with EIA-649-1 and this DID when a change to a contractual baseline document is deemed necessary.

incorporate changes into the electronic deliverable within 30 days

RDER-PRA-CA

QAR

Adedolapo Junaid

Attachment 0001 Page 20 of 30

BALLISTICS TEST REPORT

A Ballistics Test Report shall be prepared and submitted in accordance with FAR 52.209-3 and DI-NDTI-

80809B. The Ballistics Test Report shall be complete, accurate, and readable and shall provide sufficient data to determine that the hardware item meets all the requirements delineated in the contract. The report will include the following:

1) General Data.

a. Contractor's name and address.

b. Contract number.

c. Nomenclature, type number and (if assigned) stock number of item represented by the Ballisics Test.

d. Lot No. and quantity

e. Place and date of performance of tests.

f. Total rounds expended on test (listed by test phases when applicable)

g. One-page summary of test performed, and overall results

h. Detailed results of each applicable phase

Attachment 0001 Page 21 of 30

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 this 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 Contracting Officer for Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

A004 TDP TM OTHER NDTI

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

Test Report Ballistics Acceptance Test

Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-NDTI-80809B AMSEL-LCE-INV

INSER

T

Attachment 0001 Page 22 of 30

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

DD

PER

DELIVERY

SECT.

B

8. APP CODE

N/A

11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

16. REMARKS: Submit report of Ballistics testing. Government requires 14 days to provide comments/approval.

Submit revised report within 7 days after receipt of government comments. Government requires 7 days to provide comments/approval.

All deliveries shall be delivered in a format, compatible with

Microsoft Office software delivered by e-mail and by CD-R, CD+R

Compact Disc, DVD-R or DVD+R 4.7GB Digital Versatile Disc.

Alternative delivery media may be discussed with the Contracting

Officer prior to delivery. E-mail notification is required with any electronic submission.

15. TOTAL 4 4 0

Adedolapo Junaid

RDER-PRA-CA

FIRST ARTICLE QUALIFICATION TEST PLAN

The contractor shall prepare and submit a First Article Qualification Test Plan in accordance with DI-NDTI-

81307A. In addition to the information required by DI-NDTI-81307A, this submission shall contain:

a. The delineation and allocation of tests to be performed on each of the First Article units and the order of such tests.

b. The delineation and allocation of tests to be performed as Conformance Inspection on subsequent production lots, to include the order of tests and the sampling plan.

c. Step-by-step test procedures for each test and the data sheets to be employed to document the results of testing.

Attachment 0001 Page 23 of 30

d. Identification of required test facilities, equipment and personnel.

e. Test milestones schedules and the contractor's test readiness posture.

f. A table which cross references the paragraph number of the specification requirement (including a brief description of the requirement) and the associated paragraph number of the Quality Validation

Plan.

Attachment 0001 Page 24 of 30

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 this 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 Contracting Officer for Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP TM OTHER NDTI

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

Helmet Mount Assembly

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

A005 First Article Qualification Test Plan Quality Validation Plan

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-NDTI-81307A AMSEL-LCE-INV

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

ONE/P

8. APP CODE

N/A

11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft

A

16. REMARKS: Submit draft via LT. Government requires 30 days for review/comments. Submit final within 30 days of receipt of

Government comments, via DD 250.

Each draft and the final submissions shall be delivered in a format, compatible with Microsoft Office software delivered by e-mail and by CD-R, CD+R Compact Disc, DVD-R or DVD+R 4.7GB Digital

Versatile Disc. Alternative delivery media may be discussed with the Contracting Officer prior to delivery. E-mail notification is required with any electronic submission.

Adedolapo Junaid

Engineer

Daniel Webster

RDER-PRA-CA

Attachment 0001 Page 25 of 30

FIRST ARTICLE TEST REPORT INSTRUCTIONS

A FAT Report shall be prepared and submitted in accordance with FAR 52.209-3 and DI-NDTI-80809B. The

FAT Report shall be complete, accurate, and readable and shall provide sufficient data to determine that the hardware item meets all the requirements delineated in the contract. The report will include the following:

1) General Data.

a. Contractor's name and address.

b. Contract number.

c. Nomenclature, type number and (if assigned) stock number of item represented by the First Article.

d. Name and address of plant where First Article was fabricated and assembled.

e. Place and date of performance of tests.

f. Identification (including date) of applicable equipment specifications and associated amendments.

g. Sample size or quantity submitted for test or inspection.

2) Cross Reference. A table which cross-references the paragraph numbers of the specification, the test procedures, and data sheet entry.

3) Test Results. Complete test results showing actual or quantitative observations and all required calculations.

‘GO/NOGO’ data is allowable (under certain circumstances) only with prior Government approval. Allowable tolerances for each parameter shall be presented. Test data should also include the date that the test was performed, name and signature of tester, name and signature of the Government verifier/witness and serial number of the equipment. Test results shall cite detailed qualitative and quantitative data results such as test categories, test conditions, test methods employed, and types of inspection and test equipment used during the test or inspection.

4) FAT Failures. FAT failures shall list all requirements not complied with during FAT. If none, this should be explicitly stated. For each requirement not met, a corrective action to remove the noncompliance will be proposed. This corrective action must include retest or other verification that the corrective action does remedy the problem/failure. The corrective action will address changes in design or manufacturing process which will preclude this deficiency in subsequent production units. Verified corrective action must be implemented prior to contractor entering into production.

5) FAT/Production Discrepancies. Any Government approved difference between the parts, materials and processes used to manufacture FAT samples and production units shall be documented in the FAT report.

Attachment 0001 Page 26 of 30

Attachment 0001 Page 27 of 30

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 this 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 Contracting Officer for Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP TM OTHER NDTI

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

Helmet Mount Assembly

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

A006 Test/Inspection Report

First Article Test Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-NDTI-80809B

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

OTIME 180 DAC

8. APP CODE

N/A

11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

16. REMARKS: Submit report of First Article Test results via DD 250.

Government requires 30 days to provide comments/approval.

Submit revised report within 20 days after receipt of government comments. Government requires 20 days to provide comments/approval.

All deliveries shall be delivered in a format, compatible with

Microsoft Office software delivered by e-mail and by CD-R, CD+R

Compact Disc, DVD-R or DVD+R 4.7GB Digital Versatile Disc.

Alternative delivery media may be discussed with the Contracting

RDER-PRA-CA

Attachment 0001 Page 28 of 30

Attachment 0001 Page 29 of 30

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 this 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 Contracting Officer for Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP TM OTHER NDTI

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

Helmet Mount Assembly

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

A007 Technical Report-Study/Services

DMSMS/Obsolescence Analysis

BOM Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MISC-80508B

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

QUARTER

LY

180 DAC

8. APP CODE

N/A

11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

16. REMARKS: Submit DMSMS/Obsoleence Analysis BOM report via

DD 250. Government requires 30 days to provide comments/approval.

Submit revised report within 20 days after receipt of government comments. Government requires 20 days to provide comments/approval.

All deliveries shall be delivered in a format, compatible with

Microsoft Office software delivered by e-mail and by CD-R, CD+R

Compact Disc, DVD-R or DVD+R 4.7GB Digital Versatile Disc.

Alternative delivery media may be discussed with the Contracting

RDER-PRA-CA

Attachment 0001 Page 30 of 30