Contract Technical Review And Planning Document

ContractorsNameandAddress(includezipcode)
1a..SubcontractorsName,Addressandzipcodeifapplicable

PrimeContractNumber
2a.SubcontractNumber(ifapplicable)
3.DateProcDocReceivedbyQA

Specialist

4.ItemDescription

5.QA
Specialist Name
5a.TelNo.
5b.NameandLocationofActivity
6.QASpecialist'sFirstLevelSupervisor

6a..Tel.No.

SECTIONISHIPMENTDATA

SECTIONII QAd,E/>REQUIREMENTS

X"

ITEMS

CONTRACT

PAGENO.
Optional

X"

8.InspectionPoint
SourceDestination

9.AcceptancePoint
SourceDestination

10.FMS/MAP
YesNo

11.Shipment
CONUSOconus

12.CertificateofConformance
SSoleBasisAnElement

13.VariationsinQuantity
SYesNo

14. Place of Performance other than

Prime:

15. InitialDeliveryDate

16. ScheduledContractCompletion
Date

CaseNo.

7.FacilityType/Classif/Program

ITEMS

CONTRACT
PAGENO.
Optional

ITEMS

27.IsthisaNASA
delegation?

19.Higher Level Q Rqmt:

28.IsNASAredelegation
authorized?

20.QAPlan

28a.IsNASAredelegation
approvalrequired?

21.Aviation or Ship CSI

29.Istechnicaltraining
required? See Page 3

22.Non-aviation CSI

30.Visualacuity
requirementsexist

31. Is IUID/RFID Required?

IUID
RFID

23. Critical
Characteristics in TDP

24.Critical Application
Item

25. AQLSpecified

32. ITAR/EAR restrictions

i.e. DFARS 252.204-7008,
252.204-7009, or similar
contract language

CONTRACT
PAGENO.
Optional

31,XApplicableBox
ReliabilityMaintainability

37.Qualifiedproductslistrequired

32.ConfigurationManagement

33.
FirstArticleTest
KTR TestGov't Test
34. ClassIorIIEngineeringChanges

38.Technicaldataandinformationrequired
(DDForm1423)
39.NADCAP Certified Processes?
ID Applicable Processes on Next Page
40. Safetyprecautionsneededforhazardousor
dangerousmaterial

35.AuthorityTypeIINonconformance
withheld
36. AuthoritydelegatedTypeINonconformance

41.AircraftFlight Risk Clause or Ground Flight

Risk Cause?
42.Contractsafetyclauserequired

ITEMS

SECTIONIV CONTRACTAWARDDATA
43.PreAwardinformationreceived
YesNo
45.Assistancerequired.(Ifyesenterdaterequestsubmitted)
YesNo

44Contractorcommitmentscompleted
YesNo
46.Assistancereceived.(Ifyesenterdatereceived)
YesNo

47.PostAwardconferencerequired
YesNo

48.WasContract Deficiencyissued?
YesNo

49.DoesthecurrentQAsurveillanceplanrequirerevisionduetonewrequirements?
YesNo
50.Arechangesrequiredtothesuppliersqualitysystem? If so, what are they?

51.Remarks

52.SignatureofPreparer

53.DateContractReviewed

Contract Technical Review Form December 1, 2009

54.DateFormPrepared

CONTRACT
PAGENO.
Optional

26.QALIReceived
(Ifyes,datereceived)

No

17.Standard
Inspection
Requirement
18.Commercial Contract
Clause 52-212-4

SECTIONIIITECHNICALREQUIREMENTS(Continued)
ITEMS

Yes

SPECIALREQUIREMENTS

In Existing
Delegation

10

Liquid Penetrant
Radiography
MagneticParticle
Ultrasonic
EddyCurrent
Plating
HeatTreat
Other

Other
Other
Other
Other
REMARKS

Brazing

Welding

Soldering

In Existing
Plan

XAPPLICABLE COLUMN(S)

SPECIFIC PROCESSDESCRIPTOR
QALI
For example: type of welding i.e. TIG, REQUIREMENT
MIG, Electron Beam, etc.

Subcontracted
Process

APPLICABLE
SPECIFICATION
NUMBER

In House
Process

OPERATIONORSPECIAL
PROCESS(Identifywithan
Xthosewhichare
required)

Contract Technical Review Form December 1, 2009

ADDITIONAL INFORMATION
Reference Applicable Block Number from Page 1 or 2

Contract Technical Review Form December 1, 2009