DISTRIBUTION STATEMENT A. Approved for public release. Distribution is unlimited.
Title: Shock Qualification Acceptance Form
Number: DI-ENVR-80710A Approval Date: 20190723
N10056
N/A
Preparing Activity: SH Project Number: ENVR-2019-006
MIL-DTL-901, Figure 19, Shock Qualification Acceptance Form
Use/relationship: The Shock Qualification Acceptance Form (figure 19 of MIL-DTL-901) provides
identification of the results of equipment shock qualification, status of qualification, method of
qualification, and a record of the qualification. The form is used to record items shock qualified in
accordance with the requirements of MIL-DTL-901.
a. This data item description (DID) contains the format, content, and intended use information for the
data deliverable resulting from the work task described by 3.1.12, 3.1.13, and 3.2.2 of MIL-DTL-901.
This form applies whenever equipment is shock qualified in accordance with MIL-DTL-901 or when
equipment similar or identical to previously shock qualified equipment is used.
b. This DID supersedes DI-ENVR-80710.
Requirements:
1. Reference Documents. The applicable issue of the documents cited herein, including their approval
dates and dates of any applicable amendments, notices, and revisions, shall be as specified in the
contract.
2. Format. The Shock Qualification Acceptance Form shall be in the format specified by figure 19 of
MIL-DTL-901.
3. Content. The following information shall be included in the Shock Qualification Acceptance Form
(line items below refer to figure 19 of MIL-DTL-901):
a. Item (line item 2). This section specifically describes the item tested or otherwise shock qualified.
b. Part number (line item 3). This section specifies the part number of the item tested or otherwise
shock qualified.
c. Manufacturer (line item 4). This section identifies the equipment manufacturer and address.
d. Ship (line item 5). This section identifies the ship, ships, or ship classes for which this equipment
was shock qualified.
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