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Submission N/A 15. Distribution
14. REMARKS: a. b. Draft c. Final Copies
Addressee Copies Reg. Repro
Item 12. Submit within 14 calendar days of occurrence.
Contractor approved format acceptable.
Content shall be IAW DID FAA-ILS-014 except as tailored below:
a. Section 10.3.2 item f. not required.
Government approval/comments will be within 15 days after receipt
of Discrepancy Report(s). Contractor shall submit a revised
Discrepancy Report(s), if required, within 15 days after receipt of
Government comments.
AMQ-310 LOT
AFS-408
1
1
16. Total 2
G. Prepared By: H. Date I. Approved By J. Date
AFS-408
17. Price Group Not used 18. Estimated Total Price Not used
DATA ITEM DESCRIPTION
1. TITLE 2. IDENTIFICATION NUMBER
Discrepancy Report FAA-ILS-014
3. DESCRIPTION/PURPOSE
3.1 This report describes the failures or anomalous conditions observed, when they occurred, other failures
or troubles not related to original noted, verification, rework, retest, cause of failure, results of
engineering investigations, and parts analysis summary.
4. APPROVAL DATE (YYMMDD) 5. OFFICE OF PRIMARY RESPONSIBILITY (OPR) 6a. DTC APPLICABLE 6b. GIDEP APPLICABLE
7. APPLICATION/INTERRELATIONSHIP
7.1 This Data Item Description (DID) is applicable when the contract contains requirements for a failure
report.
8. APPROVAL LIMITATION 9a. REFERENCES 9b. AMSC NUMBER
10. PREPARATION INSTRUCTIONS
10.1 The applicable issue of the documents cited herein, including their approval dates and applicable
amendments and revisions, shall be as reflected in the contract.
10.2 Format. This report shall be prepared in the contractor’s format.
10.3 Content. The failure report shall contain information in sufficient detail to identify the failed item,
symptoms of failure, test conditions, and item operating time/cycles at time of failure.
10.3.1 Origination. The origination information shall include the following as applicable.
a. Failure report number.
b. Name of equipment under contract.
c. Failed item identification (i.e., item being operated or tested at time of failure or trouble).
d. Date and time of day of failure.
e. Identification of inspection, test, or other operation in which failure was detected and
applicable documents or procedures.
f. Description of failure or symptoms of failure and BIT indications. Include measured values and
specification or other “should be” values, environmental conditions, and other pertinent
observations.
g. Operating time or cycles from elapsed time indicators or operating logs.
h. Originator’s name and organization, facility where failure was discovered, and name of
cognizant engineer.
(Continued on page 2)
11. DISTRIBUTION STATEMENT
DISTRIBUTION STATEMENT A: Approved for public release; distribution is unlimited.
Page 1 of 2
FAA-ILS-014
Page 2 of 2
10. PREPARATION INSTRUCTIONS (continued)
10.3.2 Verification and analysis. Verification and analysis information shall include the
following as applicable:
a. Indicate if reported failure or fault was verified and describe action taken to verify
failure.
b. Repair action taken to restore operation of failed equipment and the name, part
number, and serial/lot number or date code of item removed, replaced, or repaired.
c. Identify other failures noted including failure report number(s) and item
identification(s).
d. Cause of failure. Describe the failure mode, the basic cause of the failure, and the
analytical method used to identify the failure cause. When laboratory analysis is
required, describe specific laboratory method used.
e. Identify any prior failure history of subject item.
f. Failure severity in accordance with MIL-STD-1629 criteria.
g. Name and organization of analyst and date of analysis.
10.3.3 Corrective action and follow-up. The corrective action and follow-up information shall
include the following as applicable:
a. Corrective action taken. Explain in concise form and describe what action was
taken or is planned to prevent failure recurrence, e.g., drawing change, test
procedure change, added inspections, process change, etc. Provide justification if
no corrective action will be taken.
b. Actions taken to verify adequacy of corrective action and rationale for acceptance
(tests, analyses, etc.).
c. Responsible engineer’s name, organization, and date
10.3.4 Close Out. Close out information shall include the close date and the following signature
approvals as applicable:
a. Engineering.
b. Reliability.
c. Quality.
d. Manufacturing.
e. Acquiring activity or designated representative (when required).
　
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