Supplement-B Report
Investigation and Reporting, OPNAVINST
5102.1, is also required.
Supplement B, Mine System Class-B Data Report,
For further instructions on the preparation of
as shown in figure 1-2, is used to report results of
s u p p l e m e n t - B d a t a r e p o r t s , r e f e r t o NAV S E A
i n t e r m e d i a t e - l eve l t e s t s a n d i n s p e c t i o n s o f
SW550-FO-PMS-010.
assembly-level mine items and subassemblies.
Specifically, this form is used to report the
Supplement-E Report
following items:
Results of class-B criteria applied to
Supplement E, Mine System Support-Material
Data Report, as shown in figure 1-3, is used to report
assembly-level items at long-cycle maintenance,
intermediate-level maintenance actions that are not
but only on those items designated as requiring
covered by supplement B. Supplement E provides a
the use of the supplement-B form in NAVSEA
means for reporting only deficiencies (problems,
SW550-AA-MMI-010.
errors, failures, etc.) and, as such, requires that the
Results of class-B criteria applied to
deficiencies be expressed verbally, not numerically.
assembly-level items before installation/issue,
Specifically, this form is used to report the
but only on those items designated as requiring
following items:
the use of the supplement-B form in NAVSEA
Results of class-B criteria applied to
SW550-AA-MMI-010.
assembly-level items that were rejected at
Damage to explosive items as a result of
long-cycle maintenance and that are not
h a n d l i n g w h i l e i n s t owa g e . A n a c c i d e n t
investigation report, as prescribed in Mishap
reportable on supplement B.
SW550-FO-040 SUPPLEMENT B 15 MAY 1983
MINE SYSTEM CLASS B DATA REPORT
FOR NAVMINEWARENGACT USE ONLY
SHEET
OF
TO: OFFICER-IN-CHARGE
FROM: ACTIVITY
NAVAL MINE WARFARE ENGINEERING ACTIVITY
YORKTOWN, VIRGINIA 23691
PERFORMING TECHNICIAN (PRINT)
RATE
QA INSPECTOR (SIGNATURE)
COMMAND APPROVAL (SIGNATURE)
3. REPORT
1. REPORTING
2. REPORT
DATE
ACTIVITY
DATE NO.
4. PUBLICATION
6. PART
7. REVISION
8. CHANGE
5. VOLUME
NUMBER
10. FUNCTION
CODE
11. MMC NO.
12. BATTERY CODE
9. JOB SHEET NO.
FC 04
MO YR
MO/10
REMARKS
15. MOD
13. ITEM NAME
14. MK
16. QUANTITY
17. QUANTITY PASSED
18. QUANTITY PASSED
19. QUANTITY
PASSED
AFTER ADJUSTMENT
AFTER REPAIR 1
FAILED/
21. SUBASSEMBLY TEST REPORT
20. TOTAL QUANTITY TESTED
SERIAL NUMBER 2
FOR THIS REPORT
1 To report quantity "failed" or "passed after repair" use Supplement B continuation sheet. DO NOT INCLUDE ITEMS IN
"QUANTITY PASSED OR "QUANTITY PASSED AFTER ADJUSTMENT" ON CONTINUATION SHEET.
2 Enter subassembly test report serial number in item 21 when reporting test results of components suspected of causing subassembly
to fail.
MN2f01002
Figure 1-2.--Supplement B, Mine System Class-B Data Report.
1-7