Exhibit_U_-_DD1423_-_CDRL_A019_-_Critical_Safety_Item_Characteristic_&_Critical_Defect_Report.pdf
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- M793A1 Point Detonating/Delay (PD/DLY) Fuze
- Solicitation number
- W15QKN17R0051
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Exhibit U - CDRL A019 - Critical Safety Item Characteristic & Critical Defect Report
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CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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 the Contract/PR No. Listed in Block E.
A. CONTRACT LINE ITEM NO.
B. EXH/ATCH NO.
A
C. CATEGORY:
TDP TM OTHER
D.SYSTEM/ITEM
M739A1 PD/DLY Fuze
E. CONTRACT/PR
F. CONTRACTOR
17.PRICE
GROUP
1. DATA ITEM NO.
A019
2. TITLE OF DATA ITEM
Critical Safety Item Characteristic & Critical Defect Report
3. SUBTITLE
CICL, Notification, Investigation, Segregated, Material Use and Restart Request
18.ESTIMATED
TOTAL PRICE
4. AUTHORITY (Data Acquisition Document No.)
DI-SAFT-80970A
5. CONTRACT REFERENCE
M739A1 Fuze SOW: C.6
6. REQUIRING OFFICE
RDAR-EIQ-MA
7. DD 250 REQ
LT
9.DIST STATEMENT
REQUIRED
10. FREQUENCY
AS REQ
12. DATE OF FIRST
SUBMISSION
SEE BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. ADP CODE
A
11. AS OF DATE
AS REQ
13. DATE OF SUBSEQUENT
SUBMISSION
Draft
Final Reg Repro
16. REMARKS
Critical Item Characteristics List (CICL) (DID paragraph 3.3)
BLK 12 and 13: If applicable, 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 original and any required revisions. Unless otherwise stated, contractor shall submit revisions within 10 days of receipt of Government response.
Notification of a critical defect (DID paragraph 4.1)
BLK 12 and 13: Unless otherwise approved by the PCO, notification of the occurrence of any critical defects shall be made to the government, see distribution list, within 24 hours of event, by the most expeditious means available.
Root Cause Investigation and Corrective Action (DID paragraph 4.2)
BLK 12 and 13: Contractor shall submit to the Government, see list, for approval. Government will respond within 45 days of receipt of original and any required revisions. Unless otherwise stated, contractor shall submit revisions within 10 days of receipt of Government response.
Segregated Suspect Material Use (DID paragraph 4.3)
BLK 12 and 13: Contractor shall submit to the Government, see list, for approval. Government will respond within 45 days of receipt of original and any required revisions. Unless other stated, contractor shall submit revisions within 10 days of receipt of government response
RDAR-EIQ-MA 1
RDAR-MEF-F 1
Local DCMA 1
RDAR-EIQ-PE 1
ACC-NJ-CA 1
MCSC-PM-AMMO 1
G. PREPARED BY
Jason Menegus
H. DATE
11/15/16
I. APPROVED BY
*See Page 2
J. DATE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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 the Contract/PR No. Listed in Block E.
A. CONTRACT LINE ITEM NO.
B. EXH/ATCH NO.
A
C. CATEGORY:
TDP TM OTHER
D.SYSTEM/ITEM
M739A1 PD/DLY Fuze
E. CONTRACT/PR
F. CONTRACTOR
17.PRICE
GROUP
1. DATA ITEM NO.
A019
2. TITLE OF DATA ITEM
Critical Safety Item Characteristic & Critical Defect Report
3. SUBTITLE
CICL, Notification, Investigation, Segregated, Material Use and Restart Request
18.ESTIMATED
TOTAL PRICE
4. AUTHORITY (Data Acquisition Document No.)
DI-SAFT-80970A
5. CONTRACT REFERENCE
SOW C.3.6
6. REQUIRING OFFICE
RDAR-EIQ-MA
7. DD 250 REQ
LT
9.DIST STATEMENT
REQUIRED
10. FREQUENCY
AS REQ
12. DATE OF FIRST
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. ADP CODE
A
11. AS OF DATE
AS REQ
13. DATE OF SUBSEQUENT
SUBMISSION
Draft
Final Reg Repro
16. REMARKS
Request to Restart Operations (DID paragraph 4.3)
BLK 12 and 13: Contractor shall submit to Government, see list, for approval. Government will respond within 10 days of receipt
BLK 14: It is preferred that the data be submitted using electronic media with email as the preferred format. Contact information will be provided as an attachment in Section J after contract award.
G. PREPARED BY
Jason Menegus
H. DATE
11/15/16
I. APPROVED BY
4/17/2017
X Jeremy S. Heiskanen Jeremy S. Heiskanen Product Quality Manager Signed by: HEISKANEN.JEREMY.S.1367473408
J. DATE
12/22/2016
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