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![]() QUALITY ASSURANCE FORMS AND 
Any departure that reduces the 
integrity or 
RECORDS 
operability of equipment essential 
to the ship's 
mission (for example, installation of 
parts that do 
The following are the titles and descriptions of the 
not meet all applicable material 
certification 
forms and records you will use the most. A rule to 
requirements) 
remember when using these forms is that all QA forms 
must be completed and signed in the proper sequence. 
Failure to complete any required retest of a 
component or subsystem that, if defective, could 
cause flooding 
QA FORM 1, MATERIAL RECEIPT 
CONTROL RECORD 
Any nonconformance to plan specifications 
resulting in a change of configuration considered 
This record (fig. 2-2) is used by the CMPO to 
to be a permanent repair 
document the proper receipt and inspection of items that 
Failure to meet all applicable standards for major 
have been designated as controlled materials. 
repairs unless other alternatives are authorized by 
the QA manual (in other words, failed strength 
QA FORM 2, MATERIAL IN-PROCESS 
test) 
CONTROL TAG 
Minor Departure from Specifications 
This tag (fig. 2-3) is attached by supply, QA, or shop 
personnel to provide traceability of accepted controlled 
This includes all departures that are not determined 
material from receipt inspection through final 
to be major. Minor departures may be permanent or 
acceptance. 
temporary and are approved by the RO. 
QA FORM 3, CONTROLLED MATERIAL 
REJECT TAG 
Who reports a departure from specification? Do 
you as the supervisor? Only if you are the one finding 
Shop personnel, supply, or QA personnel will attach 
or causing the departure. As stated in the QA manual, 
this tag (fig. 2-4) to rejected items. The individual 
the person discovering or causing the departure must 
finding or causing the unacceptable condition attaches 
initiate the departure from specification. However, does 
the tag to the rejected item. The tag indicates that 
this mean that each time we cause a departure we 
material is unacceptable for production work and must 
immediately start the paper work? No! The originator 
be replaced or reinspected before use. 
must ensure that the departure is identified during 
fabrication, testing, or inspection of the completed 
QA FORM 4, CONTROLLED MATERIAL 
work. He or she must make every effort to correct each 
SHIP-TO-SHOP TAG 
deficiency before initiating the departure request. Work 
must not continue until the deficiency is corrected or the 
This tag (fig. 2-5) is used to identify and control 
departure request is approved. 
material to be repaired. You attach the tag to the item to 
Now that we have identified a departure, what do 
be repaired. It is a good idea to stamp the three sections 
we do with it? We go back to the originator. He or she 
of the tag with a control number and log it in your shop 
must ensure that QA Form 12 (fig. 2-1) is properly filled 
log. 
out and forwarded via the chain of command to the 
QAO. 
A FORM 4A, SHIP-TO-SHOP TAG 
The originator must also retain a copy of the 
(GENERAL USE) 
prepared departure request until he or she receives the 
returned copy from the QAO indicating that all actions 
This tag is used to identify and control material and 
concerning the departure have been completed 
equipment in a positive manner from ship to repair shop. 
(approved or disapproved). 
This tag does not require a material control number. 
Instead it uses an equipment serial number, a job 
Make sure that the originator has an approved copy 
of the departure request accompanying the completed 
sequence number, and, if possible, a Navy standard 
work and that the original copy is retained in the CWP. 
stock number for maintaining positive control. 
2-13 
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