RCM QA Checklist for: ______(Task Order/Serial No./Asset)
Source Material required for review:
1. Equipment Asset List
2. SSI GFI Log
3. MIL-P-24534A (NAVY)
4. NFELC PMS Standardization & Policy Guidelines
Quality Assurance SubmissionDeveloper / Date
Quality Assurance / Date
Rework/Revision Required / YES NO
Quality Assurance Re-submission
Comments Incorporated by developer / YES NO
Developer / Date
Quality Assurance / Date
Rework/Revision Required / YES NO
Quality Assurance Re-submission
Comments Incorporated by developer / YES NO
Developer / Date
Quality Assurance / Date
Rework/Revision Required / YES NO
Verified (QA): ______Date: ______
(Signature)
______
(Print Name)
NFELC Program Manager: ______Date: ______
(Signature)
______
(Print Name)
Step / RCM QA Procedure / Verified /Yes / No /
1. / Verify all forms 114, 116, 118, 119, 120, 121, 123, 129, and 124 (if applicable) are included in the package. If not, request missing forms from developer.
2. / Verify dates are current on all forms in both prepared by and revision fields. Format for dates is MM/DD/YYYY, and M/D/YYYY for dates with one numeral in the month or day (should look like 3/17/2010 or 11/2/2010).
3. / Verify preparers name is listed on all forms. Format for name should be first initial and last name.
4. / Verify all forms say “ORIGINAL” in revision field.
5. / Verify all forms say “NONE” in ship class field.
6. / Verify Sheet numbers (Sh ___ of ___) are filled in properly and formatting is consistent across all forms. Formatting should display as:
SH OF
1 1
7. / Verify serial numbers on bottom of pages follow the following format: SSI/<Equipment SWAB Number>/<Form Number>/5737-<Page Number>
8. / Verify font for entries on all forms is Times New Roman size 10, with the exception of page 2 of Form 114 (Functional Block Diagram) which should be Arial size 10.
9. / All entries in header blocks should be all CAPS.
10. / Verify all rows on forms line up properly and margins are consistent on each page.
11. / Verify there is one blank line between new line items on forms.
12. / Verify Blocks 1, 4, and 7 (SWAB Group Number, Prepared By, and Revision) are left justified and Blocks 2 and 3 (Group Nomenclature and Ship Class) are centered.
13. / Verify Block 8 on Forms 114 and 118 is centered.
14. / Verify Block 1 (SWAB Number) on Form 114 is 500, all other forms should have the equipment SWAB number.
15. / Verify Block 2 on Form 114 is AUXILIARY SYSTEMS, GENERAL.
16. / Verify Group Nomenclature matches equipment name from GFI Technical Manual Transmittal Sheet and is consistent across all forms.
17. / Verify continuation pages are listed as continuation of the page that precedes it.
18. / Verify Functional Block Diagram has directional arrows going in and out of equipment block, and square separating in- and out-interfaces is a dotted line.
19. / Verify center square in Functional Block Diagram is equipment nomenclature.
20. / Verify sources of information on Form 116 is in the following format: <TM Number>: <TM Name>; APL: <APL Number>.
21. / Verify functional failures listed in Block 12 of Form 116 is worded as: “Fails to <function from block 10>.
22. / Verify description on Form 116 includes the following subsections (in order):
· Redundancy
· Protective Devices
· Safety Features
· Failsafe or Unsafe Features
· Condition Indicators
· Environment
· Duty Cycle
· Use Restrictions
· Special Maintenance Features
23. / Verify Form 118 matches Form 116, except for Blocks 1 and 2.
24. / Verify Blocks 8 and 9 on Form 119 matches functions and functional failures listed on Form 116.
25. / Failure modes listed in Block 10 of Form 119 should be written as adjective + noun.
26. / Any items marked with an “N” in the Transfer field on Form 116 should be justified on the last page of that form.
27. / Check answers at the beginning of Form 120 against rationale/justifications on later pages of Form 120 to ensure both show the same answers for the same questions.
28. / Any rationale/justifications on Form 120 to questions 4, 5, 6, or 7 must address preventive maintenance tasks.
29. / Any rationale/justifications on Form 120 to question 8 must address failure finding tasks.
30. / All task descriptions listed on Form 120 must carry over to form 123. Verify all are listed, task names are consistent, and periodicities are consistent.
31. / Verify all material specifications on Form 121 include SPINs, if available.
32. / Verify any tasks names and periodicities listed on Form 123 are consistent with Forms 120, 121, and 124, if applicable.
33. / Forms with as required, spell out “As Required.”
34. / Wording for periodicities should read “Every 500 miles” or “Every 500 hours of use.”
35. / Verify Form 129 includes the following maintenance tasks:
· LU – Install protective covering
· PM – Inspect idle equipment
· PM – Cycle systems
· SU – Prepare for use
36. / Verify proper spelling and punctuation usage on all forms.
Note:
As applicable, this QA Form will be used when performing quality assurance review for RCM product improvements, as assigned by selected NFELC tasking, where the original RCM package is utilized as a template, or where the product improvement is designed to incorporate pre-generated/approved NFELC templates or updates to the NFELC Standardization & Policy Guidelines.
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SSI-F-OPS-NFELC-01V2 09/09/2010