(l) Block 12. Self-explanatory.
exceeded, and severity of defects listed in block 19. Include
(m) Block 13. Enter the type and date of
a brief lot history when possible.
(u) Block 21a. Self-explanatory.
the last inspection, e.g., Prestorage, 10 July 1981.
(v) Block 21b. Based on the results of
(n) Block 14.
Enter the type of
visual examinations (Part I, Block 19) enter the condition
inspection and the date that this current inspection is
code (see para 2-7e).
performed, e.g., Cyclical, 1 July 1982.
(o) Block 15. Record the manufacturer
(w) Block 21c. Based on the test results
or reconditioning agency and the date of manufacture.
(Part II, Block 13) enter the condition code (see para 2-7e).
(x) Block 22. Self-explanatory. Part II:
When more than one manufacturer is represented be-
Results of Surveillance Test.
cause of the nature of the lot enter N.A.
(p) Block 16. Self-explanatory.
(a) Block 1. Self-explanatory.
(q) Block 17. Self-explanatory.
(b) Block 2, 2a, and 2b. Enter this
(r) Block 18. Record the condition of the
supply bulletin number, revision, or change, and the date of
packaging, packing, marking, and preservation.
this supply bulletin, revision, or change. When applicable,
(s) Block 19. State whether the lot
enter the letter of authority or directive for any per- formed
passed or failed the visual examination requirements of this
special surveillance not in accordance with this SB.
(c) Block 3, 4, 5, and 6. Enter the
supply bulletin. Record by Quality Defect Code, Category,
Defect Number, and number of Defects or Defectives, all
meteorological conditions at the test area if they are relevant
applicable visual defects or defectives. (Quality Defect
to the test. Otherwise enter N.A.
(d) Block 7 and 8.
Codes shall be as given in appendix A. Categories and
Defect Numbers shall be as given for a defect listed in the
number the outer packs from which the samples were
various classification paragraphs of the applicable
selected, and the individual samples, starting with "1."
appendix.) Reference an example bulletin, appendix A, the
Record these numbers in blocks 7 and 8.
applicable appendix, and the table number for the item:
(e) Blocks 9a and 9b. Leave blank.
Example: SB 7400-95-XXX
(f) Block 10. In the heading of each
EXCERPTS FROM APPPENDIX A
column, de- scribe the test characteristic to be tabulated.
Number of Defects
Indicate attribute deficiencies with "x" at the intersection of
the individual sample number and the test characteristic, or
enter the actual test result.
(g) Blocks 11 and 12. In the space
above blocks 11 and 12 indicate whether the evaluation is
EXCERPTS FROM APPENDIX Y, TABLE Y-2
based on "defects" and "defectives" by crossing out the one
Number of Defects
that does not apply. Enter an "x" at the intersection of the
applicable defective column sample number when
deficiencies have been noted in block 10 and evaluation is
based on defectives. Enter the total number of defects
observed for each sample in the appropriate columns when
the evaluation is based on defects.
(h) Block 13. State whether the lot
Do not list the same defect twice. When
passed or failed the test requirements established in the
a defect is in the appendix for an item
applicable appendix. Enter any additional information that
and it is in appendix A, record the
might have had an effect on test results. Enter any
recommendations on lot disposal, e.g., screen or renovate.
classification and Defect Number of the
(i) Block 14. Self-explanatory.
appendix for the item rather than record
(j) Block 15. Not applicable.
them under appendix A, e.g., "Snap on
(2) Data sheet for Grand Lots, Miscellaneous
strap corroded", is listed as a 107 defect
Lots, or Depot Lots (DA Form 985, 1 Jul 52). This form
in an appendix, record such defects
shall be used by the depot or storage activity to record the
under the appendix but do not list them
formation of these lots. Forms Instructions
again as code 111 defect under appendix
(a) Block 1.
Enter the complete
standard nomenclature and model number of the item.
(t) Block 20.
Note any observation
Enter the National Stock Number (NSN).
relevant to the condition of an item or to the actual
(b) Block 2. Enter the depot or storage
inspection in this block. Examples of such observations are:
different storage conditions of lot segments, unlisted
where the items comprising the lot are stored.
defects, inspection equipment not available or calibration
(c) Block 3. Enter the type of storage.