Attachment_0002_CDRLs_Basket_Blaster.pdf

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 1 of 3 Pages

C O N T R A C T D A T A R E Q U I R E M E N T S L I S T (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. EXHIBIT C. CATEGORY

D. SYSTEM/ITEM

Basket Blaster

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

Installation and Preparation Documentation

3. SUBTITLE

Installation Drawing

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

See Block 16

14. DISTRIBUTION

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS

The contractor shall provide (1) copy of equipment installation instructions or considerations (Installation and Preparation Documentation) in paper format, with exception the footprint/and schematics file which shall be electronic (.pdf format or autocad). The contractor shall provide a second copy of this information in paper format at the time of delivery of the equipment.

The Installation and Preparation information should include Installation and Documentation Inventory List, a footprint drawing of the machine, an electrical schematic and an air schematic. Utility information should denote minimum feed requirements to be provided by Rock Island Arsenal. Acceptable electronic formats include acrobat files (.pdf), drawing exchange files (.dxf), and initial graphic exchange specification (.igs). Locations of the first point of connection for all required utility/power sources shall be shown and dimensioned. Finally, shipping information shall be provided listing the machine components, and approximate gross weight of each separate component.

PROVIDE COPIES, AS REQUESTED TO THE FOLLOWING:

Rock Island Arsenal

ATTN: TARA-PTP

Kent Stone Building 210, 3rd Floor, Rm 301 Rock Island, IL 61299-6400

15. TOTAL

G. PREPARED BY

Kenneth V. Nabb

H. DATE

February 4, 2016

I. APPROVED BY

J. DATE

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 2 of 3 Pages

(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. EXHIBIT C. CATEGORY

D. SYSTEM/ITEM: Basket Blaster

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

Maintenance Manual

3. SUBTITLE

N/A

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

12. DATE OF FIRST SUBMISSION

See Block 16

14. DISTRIBUTION

13. DATE OF SUBSEQUENT SUBMISSION

See Block 16 a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS

The contractor shall provide (3) copies of the Operator/Service manual with delivery of the equipment, or system. Of these, (2) will be paper, and (1) shall be electronic. Acceptable electronic formats include acrobat files (.pdf), drawing exchange files (.dxf), and initial graphic exchange specification (.igs). The manual shall include the following minimum information, procedures and drawings.

1. Safety Lockout Procedure: Written procedure shall be provided detailing procedures to deactivate the equipment brfore beginning repair activities on the equipment.

2. Preventative Maintenance Procedures: This section of the documentation shall include:

Daily Operator Checklist, Visual Inspections, and a Lubrication Schedule of the equipment provided. Procedures and schedules for inspections, adjustments, cleaning, and component replacements.

3. Lubrication: This will include a drawing and detailed instructions and procedures. The drawing will depict the location of each lubrication point and indicate the type, viscosity, frequency, approximate quantity of the lubricant to be used. All lubrication documentation shall be referenced to this drawing.

4. Replacement Component List: This list shall contain every replaceable component in the equipment. It shall include appropriate identification and ordering data including, but not limited to, the contractor, vendor and original equipment manufacturer (OEM) part names and numbers. Enough information shall be included to allow ordering of the component from the contractor, vendor, or OEM.

A combination Maintenance and Operator’s manual is acceptable, as long as the combined manual contains information required for each.

PROVIDE COPIES, AS REQUESTED TO THE FOLLOWING:

Rock Island Arsenal, ATTN: TARA-PTP, Kent Stone, Building 210, Room 301

See Block

Kenneth V. Nabb

H. DATE

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 3 of 3 Pages

(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. EXHIBIT

C. CATEGORY

D. SYSTEM/ITEM Basket Blaster

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

Operator’s Manual

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

12. DATE OF FIRST SUBMISSION

See Block 16

14. DISTRIBUTION

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS

The contractor shall provide (3) copies of this all schematics with machine delivery. Of these, (2) will be paper, and (1) shall be electronic.

Acceptable electronic formats include acrobat files (.pdf), drawing exchange files (.dxf), and initial graphic exchange specification (.igs).

The operator’s manual shall include instructions on safe, everyday machine operation. It shall include safety considerations (such as emergency stops, or disconnect locations, operational pinch points, heavy wear areas, warning signs or indicators, etc). The document shall address manual versus automatic modes, timers, and all machine process variables. It shall detail part material considerations, machine speed, feed rate variables, and detail safe operating ranges for those various machine control inputs. The operator’s manual may be included with the maintenance manual, as long as the information required by both manuals are addressed in the combined document.

PROVIDE COPIES, AS REQUESTED TO:

Rock Island Arsenal

ATTN: TARA-PTP

Kent Stone Building 210, 3rd Floor, Room 301

Kenneth V. Nabb

H. DATE