Conversion Kit Mk 130
REPORTING FORMS
The Conversion Kit Mk 130 is used with Mines Mk
All phases of mine maintenance are covered by six
report forms, five of which are supplements A, B, and
62 and Mk 63. These kits must be subjected to class-B
E, to NAVSEA SW550-FO-PMS-010. The sixth form
criteria every 60 months. This includes class-B
is the Metrology Equipment Recall and Report
electrical test and visual inspection of TDD Mk 57 and
(METER) cards.
class-B visual inspection of Booster Mk 59 and
Arming Device Mk 32.
Instructions for using these supplements are
detailed on the reverse side of each form. It should be
MAINTENANCE RECORDING AND
noted that whenever the instructions on the forms are at
REPORTING
variance with the instructions contained in NAVSEA
SW550-FO-PMS-010, the instructions in the
All programmed mine maintenance actions, with
NAVSEA publication take precedence.
the exceptions of the calibration and repair of test
equipment and torque wrenches and the maintenance
Supplement-A Report
of containers and handling equipment, are required to
Supplement A, Mine System OSR Data Report, as
be reported to and evaluated by the computerized Mine
shown in figure 1-1, is used by depot-level activities to
Warfare Data Base at the Naval Mine Warfare
report technical repair standards (TRSs), overhaul,
Engineering Activity (NAVMINEWARENGACT).
screening, and repair (OSR) actions,
This information is also beneficial in making
ordnance-alteration (ORDALT) actions, and mine
engineering changes in component design which, in
engineering field change (MEFC) actions that are
turn, will give improved operational capability.
performed by work directives.
NAVSEA SW550-FO-PMS-020 SUPPLEMENT A 15 MAY 1983
OFFICER IN CHARGE
TO:
NAVAL MINE WARFARE ENGINEERING ACTIVITY
MINE - SYSTEM OSR DATA REPORT
YORKTOWN, VIRGINIA 23691
SHEET
OF
SHORE ACTIVITY MAINTENANCE DATA COLLECTION SYSTEM
PERFORMING TECHNICIAN/SUPERVISOR RATE
FROM (activity)
USW UNDERWATER MINES NAVSEA 4790/5 (5A)
COMMAND APPROVAL (signature)
REPORT SYMBOL: 4790/5 (5A)
COMPONENT INFORMATION SECTION
REPORTING
REPORT SERIAL
COMPONENT NAME
MK
MOD
MMC/EIC
M TEST REFERENCE
REPORT DATE
ACTIVITY
MM DD YY
D
PASSED ONLY - LOTS
LOT NO.
QUANTITY
LOT NO.
QUANTITY
LOT NO.
QUANTITY
QUANTITY
LOT NO.
PASSED ONLY - SERIAL NUMBERS. (ONE SERIAL NO. PER BLOCK)
MN2f01001
Figure 1-1.--Supplement A, Mine System OSR Data Report.
1-6
