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Category |
A value of '1' or '2' designating the category of the PQDR. A category
1 PQDR is described as an item that could cause loss of life or catastrophic
failure of a major weapon system. Category 2 PQDRs are all those which
are not category 1. Category 3 is reserved for DLA use only. |
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Sub Category |
Describes the nature of a PQDR or other related Record Type. |
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Repairable Item |
Indicates the item being reported as deficient is repairable
(e.g. HP air compressor) versus a consumable (Bolt) item. |
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Status |
Status (M): Select 'A' for normal PQDR routing. Select 'AI' if PQDR is
submitted for informational and recordkeeping only and does not require
investigation or further action. |
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| 1a. |
SYSCOM |
SYSCOM CODE(M): Select the branch submitting this PQDR. |
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| 1b. |
Name |
Name of Point of Contact for the activity originating the PQDR. |
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Telephone Number |
Phone number either Commercial or DSN. |
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Email Address |
Email address for the Originator of the PQDR. |
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Report Control Number |
The Report Control Number identifying the PQDR. It is comprised of the
six position originating activity DODAAC, a two digit calendar year, a
unique four position serial number. The DODAAC Activity is most often your
UIC code (Navy)or RUC code (Marine Corps)preceded by a Alpha character.
(M for Marine ground, H for Marine Air, N for Naval Activity. V or R for
a Naval Vessel (Atlantic or Pacific fleet)). |
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Date |
The date the SF368 was filled out. Same as preparation date and reflects
the date the form was submitted. |
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| 3. |
Description of Deficiency |
A comprehensive description of the deficiency to include circumstances
prior to the failure. If this information is already stored on a word program
you can copy it into this block using your MS windows or Macintosh copy
and paste software. Explain, to the best of your ability, what is wrong
with the item. Explain how the item does not function with relating parts
or assemblies. Include specific drawings, specifications, regulations,
instructions, or contracts. If an item is dimensionally incorrect, list
the actual dimensions as well as the source of the correct dimensions (tech
manual/drawing or comparative measurement of the old item). Please use
the NAVSO P-3683 as a guide. |
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Originator Defect Code |
Select a code that most closely describes the problem
you experienced with the defective material. |
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Supporting Documentation |
List or copy/paste supporting documents such as drawings, specifications, etc. |
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Steps Taken To Make Part Serviceable |
List of steps taken by the PQDR's Originator to make the part serviceable before submitting the PQDR. |
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Category I Justification Code |
CAT 1 Army records require one of the justification codes be selected. |
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Category I Justification Code |
CAT 1 Army records require one of the justification codes be selected. |
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Category I Justification |
If the PQDR was classified as Category 1 then give a detailed justification. |
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Where Deficiency Discovered |
Select the appropriate code. |
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Funding Code |
Available from your G6 and important to ensure your unit receives credit for this PQDR. |
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Signal Code |
Available from your G6 and important to ensure your unit receives credit for this PQDR. |
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Supplemental Activity |
Available from your G6 and important to ensure your unit receives credit for this PQDR. |
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| 4. |
Deficiency Discovered Date |
Date indicating when the deficiency was discovered. Either input a date
in the form mm/dd/yyyy (12/31/2000) or select from the calendar provided. |
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| 5. |
Deficient Item National Stock Number
(NSN) |
National Stock Number. This number consists of the COG/FSC/NIIN/SMIC.
COG is a two digit code which identifies the item manager (ex 9c). The
FSC is a Four digit code which identifies the general stock classification
(9999 is MISCELLANEOUS ITEM). The FSC can be found in the Indexes Cataloging
Handbook H2. It can also be found on this web site. http://www.dlis.dla.mil/h2.
The deficient item's 9 digit National Item Identification Number (NIIN).
The NIIN can be found in the Service-tailored Material List (ML-N Navy),
(ML-MC Marine Corps). The SMIC identifies the level of material. The contract
number can often be found on the attached paperwork (DD250 or 1348 form),
the product packaging and in some cases on the item itself (example on
manufacturer label or nameplate). Examples (9C-4730-00-013-0987-L1), (4730-000130987). |
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Local Stock Number (LSN) |
Use as alternate when National Stock Number (NIIN) is unknown. |
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Navy Item Control Number (NICN) |
Use as alternate when National Stock Number (NIIN) is unknown. |
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| 6. |
Deficient Item Nomenclature |
The name of the defective/deficient item/commodity at its lowest identifiable
level. Example (fitting/bronze/1 inch). |
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Unit Cost |
The dollar value of the defective material (includes dollar and cents).
Or the estimated value if the true value is unknown. |
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Unit Of Issue |
Select the unit (e.g. EA-Each, LO-Lot, etc.) in which the item is issued. |
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Estimated Repair Cost |
When it can be readily determined, (estimated repair costs + overhead
costs) x quantity deficient. |
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ER Report Control Number |
Link to an ERS record by providing the RCN_ACTIVITY, RCN_NUMBER of the ERS record you want to link to. |
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MIR Report Control Number |
Link to a MIR record by providing REPORTING_ACTIVITY, SERIAL_NUMBER of the MIR record you want to link to. |
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SAM Report Control Number |
Link to a SAM record by providing the SAM_RCN_ACTIVITY, SAM_RCN_NUMBER of the SAM record you want to link to. |
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GBL Number |
Enter the Government Bill of Lading (GBL) number from shipping paperwork
if provided. Naval Shipyards only should enter the Job Order number and the
designator for the operation (KEOP) if the material is designated for use
in a specific job order. Check the Credit Card Buy Indicator if the material
was acquired through a local credit card purchase. |
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Manufacturing Material Specification |
Capture the manufacturing/material specification.
This will allow search of deficiencies by specification in support of product quality data analysis. |
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| 7. |
Operating Time at Failure |
Number of hrs or days or months the equipment has operated since installation
or repair. The time may be approximate. |
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| 8. |
Deficient Item Part Number |
The manufacturer's part number of the deficient item. |
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| 9. |
Vendor CAGE Code |
A five digit Contract and Government Entity (CAGE) Code from the DLA Cataloging
Handbook H4/H8m, which identifies the contracted supplier of the deficient item. If
you know a partial or full Company Name use the lookup button to search for the Vendor cage code. |
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| 9a. |
Manufacturer CAGE Code |
A five digit Contract and Government Entity (CAGE) Code, from the DLA
A five digit Contract and Government Entity (CAGE) Code, from the DLA Cataloging Handbook H4/H8,
block 9a of standard SF368 form which identifies the manufacturer of the deficient item.
If you know a partial or full Company Name use the lookup button to search for the Manufacturer cage code. |
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Material Shipping Activity |
The 6 position Department of Defense Activity Address Code (DODAAC) of
the activity/contractor who shipped the material. If
the material shipping activity DODAAC is not known then enter the name
and address in the field provided. |
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| 10a. |
Quantity Received |
The total number of items received in the same batch or lot as the deficient
item. Must be at least 1 and greater than or equal to the number deficient. |
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| 10b. |
Quantity Inspected |
The number of items that were inspected. |
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| 10c. |
Quantity Deficient |
The number of deficient items found during the inspection. Must be at
least 1. |
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| 10d. |
Quantity In Stock |
The number of items in stock with the same manufacturer or contract number
as the deficient item. |
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| 11. |
Serial Batch Number |
If known enter the serial number, lot, heat or batch number of the deficient
item. |
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Serial/batch/lot Type |
Select the type of serial number that you provide. |
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DoD Unique Item Identifier |
A set of data for assets that is globally unique and unambiguous, ensures data integrity and data quality throughout life, and supports multi-faceted business applications and users. For the most current guidance, please reference the UID website at http://www.acq.osd.mil/dpap/pdi/uid/index.html |
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| 12a. |
Item |
Indicates whether or not the defective/deficient item/commodity is Original
Equipment, New, Overhauled, Repaired or Unknown. |
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| 12b. |
Date Manufactured, Repaired,
or Overhauled |
If known, enter the date the item was manufactured/ repaired or overhauled.
Either input a date in the form mm/dd/yyyy (12/31/2000) or select from the calendar provided. |
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| 13a. |
Contract Number |
Filling in this field will allow investigators to efficiently investigate
the PQDR and recoup funds. This is the identification number of the contract
under which the defective/deficient item/commodity was purchased or reworked.
The number is comprised of Contract activity's Department of Defense Activity
Address Code 6 position (DODAAC) example (N00024), seven position Contract
Serial example (99C0001) Number, and 4 digit Contract Order Number example
(0001). The contract number can often be found on the attached paperwork
(DD250 or 1348 form), the product packaging and in some cases on the item
itself (example on manufacturer label or name plate). Examples (SP070098C0009),
(N0010498C0008). |
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| 13b. |
Requisition Number |
14 digit code that most often can be found with the deficient material
paperwork or product packaging. ( example 1348 form). It is most often
made up of a 6 digit DODAAC, a single digit year, 3 digit Julian calendar
date and a 4 digit serial number. (ex N4511202334567) This information
is key to getting the activity refunded on DFAS items |
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| 13c. |
Purchase Order Number |
The Purchase Order Number associated with the defective part. This can
usually be found on the attached shipping document. |
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| 14. |
Government Furnished Material |
Choose either YES, NO, or UNKNOWN. Only select "YES" if the deficient material was
furnished by the Government to a Contractor for production purposes. |
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| 15a. |
Item Under Warranty |
Indicates whether the item is under warranty. Please choose Yes , No,
or Unknown. |
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| 15b. |
Warranty Expiration Date |
Date the warranty expires. |
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| 16. |
End Item EIC/WUC/TAMCN |
Work Unit Code (WUC) or Equipment Item Code (EIC) of the defective material. |
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| 17a. |
Next Higher Assembly (NSN) |
Next higher assembly NSN. National Stock number associated with the next
higher assy. |
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| 17b. |
Next Higher Assembly Nomenclature |
Item name of the next higher assembly. Example (breech locks M16riffle) |
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| 17c. |
Next Higher Assembly Part Number |
The part number assigned to the next higher assembly by the vendor. |
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| 17d. |
Next Higher Assembly Serial Number |
The serial number of the next higher assembly. |
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| 18a. |
End Item NSN |
National Stock Number of the End Item |
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| 18b. |
End Item Nomenclature |
End Item nomenclature |
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| 18c. |
End Item Type/Model |
The major weapon system, item, or commodity the deficient item is
used with or on. (E.g. M16A2 rifle, M1A1 Tank, Hawk Guided Missile System). |
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| 18d. |
End Item Serial number |
The serial number from the equipment or system in which the deficient
item was installed. |
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| 19. |
Current disposition of Deficient Item
(Exhibit Disposition) |
The disposition of the defective material. Please select one from
list provided. |
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| 20. |
Location of Deficient Material |
Please provide in some detail where the deficient material is currently
stored. Please hold the material until disposition instructions are provided.
Deficient material should be held for up to 90 days after report of deficiency.
Note: Maximum of 200 characters will be accepted. |
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Store as Hazardous Material |
Check if material is stored as hazardous. |
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| 21. |
Action Requested |
Select the recommendation that best describes your expectations and recommendation
for the handling of this PQDR. This can greatly expedite processing by the Screening Point.
Note: If material return or replacement is requested then please supply a detailed
Material Return Address after selecting your recommendation. |