b Total the column and enter the sum in the total block
(d) Block 8. In the heading of each column
at the foot of the column.
describe the test characteristic to be tabulated adjacent
to the particular sample number below.
Attribute
(l) Column f. Record the number of samples
deficiencies shall be indicated by an "x" at the
selected for visual examination from each lot listed in
intersection of defective sample number and defect
column b. Total the column and enter the sum in the
description.
total block at the foot of the column.
(e) Blocks 9 and 10. In the space above
(m) Columns g, h, and i. Not applicable.
blocks 9 and 10 indicate whether the evaluation is based
(n) Remarks. Enter any pertinent information
on "defects" or "defectives" by crossing out the one
regarding formation of the lot or sampling procedure.
which does not apply. Enter an "x" at the intersection of
(o) Supplementing
serviceability
report
the applicable defective column sample number when
number. The report number entered here shall
deficiencies have been noted in block 8 and evaluation
correspond with that entered on DA Form 984.
is based on defectives. Enter total number of defects
(p) Other blocks. Self-explanatory.
observed for each sample in appropriate columns when
(3) Quality Deficiency Report (QDR) (SF 368).
evaluation is based on defects.
Submit this form when initial receipt inspection reveals
(f) Block 11. State whether the lot passed or
unsatisfactory new materiel from a manufacturer or
failed the test requirements established in the applicable
unsatisfactory renovated, repaired, or modified materiel
appendix. Enter any additional information which might
from a contractor. Prepare and distribute SF 368 as
have had an affect on the test results. Enter any
specified in AR 702-7.
recommendations on lot disposal, e.g., screen or
(4) Critical defects report. When a critical defect is
renovate.
found, report it immediately to the Commander, US
(g) Block 12. Self-explanatory.
Army Armament Materiel Readiness Command, ATTN:
(h) Block 13. Not applicable.
DRSAR-QAF, Rock Island, IL 61299. The incident shall
(2) Data Sheet for Grand Lots, Miscellaneous Lots,
be reported via teletype or telephone. The initial report
or Depot Lots (DA Form 985). This form shall be used
shall be followed by DA Form 984 with complete
by the depot or storage activity to record the formation
information concerning the extent of, and the
of these lots in accordance with this bulletin.
circumstances pertaining to, the critical defect.
Form Instructions
b. Errors in Reports
(a) Block 1. Enter the complete standard
(1) Only errors which affect the serviceability
nomenclature and model number of the item. Enter the
status of the materiel evaluated shall be corrected by
National Stock Number (NSN).
replacing those specific pages affected by the error with
(b) Block 2. Enter the depot or storage
"Corrected Copies".
activity where the items comprising the lot are stored.
(2) The inspection activity which initiated the
(c) Block 3. Enter the type of storage.
erroneous report shall prepare and distribute the correct
(d) Block 4. State previous serviceability of
pages required by (1) above. Each such page shall be
each lot composing the grand lot, miscellaneous lot, or
marked "Corrected Copy." Denote the corrected entries
depot lot.
by encircling them.
(e) Block 5. Enter method of packing and
c. Classified Data. Unless specifically authorized
preservation.
by the US Army Armament Research and Development
Command Security Office, place no classified
(f) Block 6. Not applicable.
information on the materiel serviceability reports. Use
(g) Column a. Enter the manufacturer(s) of
special codes as much as possible in preparing the
the individual lots forming the grand lot, miscellaneous
documents when the materiel or information is
lot, or depot lot.
classified. If classified information is required, place it
(h) Column b. Enter the manufacturer's lot
on a separate sheet, not on the materiel serviceability
number for each of the individual lots.
report form. This sheet shall be properly marked and
(i) Column c. Enter the date of manufacture
transmitted by authorized means according to its degree
of each lot.
of classification. Attention is directed to AR 380-5 which
(j) Column d. Enter the lot size for the
states that unnecessary classification or higher than
individual lots listed in column b. Total the column and
necessary classification is to be avoided.
enter the sum in the total block at the foot of the
d. Submission of Reports. With the exception of
column.
reports used for "Special Inspection," an original
(k) Column e.
Record the number of
samples selected for test from each lot listed in column
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