A013_-_CSI_and_CCDR.pdf
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- M1061 60mm He Mortar Cartridge
- Solicitation number
- W15QKN-17-R-0041
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CDRL CSI and CCDR
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DD FORM 1423-1, FEB 2001 PREVIOUS EDITIONS MAY BE USED Page____of____
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved OMB No. 0704-0188
The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP _______ TM _______ OTHER ____________________________
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ 9. DIST STATEMENT REQ’D 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE 13.13. DATE OF SUBSEQUENT SUBMISSION
Draft Final
Reg Repro
16. REMARKS
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
| 1 DATA ITEM NO: |
| 2 TITLE OF DATA ITEM: Critical Safety Item, Characteristic & Critical Defect Report |
| 3 SUBTITLE: |
| 5 CONTRACT REFERENCE: |
| 6 REQUIRING OFFICE: RDAR-EIQ-MC |
| 7 DD 250 REQ: LT |
| 9 DIST STATEMENT REQD: A |
| 10 FREQUENCY: As Required |
| 12 DATE OF FIRST SUBMISSION: See Block 16 |
| 11 AS OF DATE: As Required |
| 13 DATE OF SUBSEQUENT SUBMISSION: See Block 16 |
| a ADDRESSEERow1: ACC-NJ-CA |
| DraftRow1: 1 |
| RegRow1: 1 |
| ReproRow1: |
| a ADDRESSEERow2: RDAR-MEM-M |
| DraftRow2: 1 |
| RegRow2: 1 |
| ReproRow2: |
| a ADDRESSEERow3: RDAR-EIQ-PE |
| DraftRow3: 1 |
| RegRow3: 1 |
| ReproRow3: |
| a ADDRESSEERow4: Government QAR |
| DraftRow4: 1 |
| RegRow4: 1 |
| ReproRow4: |
| a ADDRESSEERow5: SFAE-AMO-CAS |
| DraftRow5: 1 |
| RegRow5: 1 |
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| a ADDRESSEERow6: RDAR-EIQ-MC |
| DraftRow6: 1 |
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| Draft15 TOTAL: 6 |
| Reg15 TOTAL: 6 |
| Repro15 TOTAL: |
| H DATE: 8 Nov 2016 |
| J DATE: 8 Nov 2016 |
| A CONTRACT LINE ITEM NO: |
| B EXHIBIT: |
| TDP: |
| TM: |
| OTHER: |
| D SYSTEMITEM: 60mm M1061 HE Mortar Cartridge W/Fuze M734A1 |
| E CONTRACTPR NO: |
| F CONTRACTOR: |
| Pg: |
| Remarks: Critical Item Characteristic List (CICL) (DID paragraph 3.3): |
Contractor shall submit 60 days prior to First Article or production if FA is not applicable. Government will respond within 45 days of receipt of report and 45 days for any required revisions. Unless otherwise stated, contractor shall submit revisions within 10 days of receipt of Government response.
Notification of critical defect (DID paragraph 4.1):
Block 12 and 13: unless otherwise approved by the PCO, notification of the occurrence of any critical defects shall be made to Government, distribution list – address will be provided at Post award, immediately after the event. Root Cause
Investigation and Corrective Action (DID paragraph 4.2):
Contractor shall submit to Government for approval. Government will respond within 5 working days of receipt of original and any required revisions. Unless otherwise stated, contractor shall submit revisions within 3 working days of receipt of Government response.
Segregated Suspect material Use (DID paragraph 4.3):
Contractor shall submit to Government for approval. Government will respond within 5 working days of receipt of original and any required revisions. Unless otherwise stated, contractor shall submit revisions within 3 working days of receipt of Government response.
Request to Restart Operations (DID paragraph 4.3):
Block 12 and 13: Contractor shall submit to Government for approval. Government will respond within 3 working days of receipt.
BLOCK 14: Submit electronically. E-mail addresses for the listed offices will be provided at Contract/Post award.
| 2017-02-23T14:16:35-0500 | |
| CHAMBERS.DARRIN.S.1367772740 |
| 2016-11-08T11:59:35-0500 | |
| CHAMBERS.DARRIN.S.1367772740 |
| 8 APP CODE: |
| 4 AUTHORITY Data Acquisition Document No: DI-SAFT-80970A |
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