Dscp Form 5117 – Fill Out and Use This PDF

The DSCP 5117 form serves as an official report for inspecting operational rations, detailing information from inspection activities and unit information to inspection results and defect summaries. It encompasses various sections, including the type of rations inspected, the inspecting authority, storage conditions, and the final outcome of the inspection. To ensure operational readiness and compliance, individuals responsible for managing or overseeing operational rations are encouraged to complete this critical documentation thoroughly.

For those tasked with completing this form, careful attention to detail ensures accurate reporting and compliance with standards. Click the button below to start filling out the DSCP 5117 form conveniently.

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Dscp Form 5117 PDF Details

The DSCP Form 5117 plays an essential role in maintaining the quality and safety of operational rations provided to units, detailing a comprehensive report of an inspection process. This form is meticulously structured into nine parts, covering all aspects from inspection activity information to a summary of nonconformances and narrative comments. Inspectors record crucial data such as the type of rations being inspected, the inspection date, unit details, and storage conditions, ensuring that each ration meets the strict standards required. Additionally, it includes specific sections for detailing the condition of the rations, specifying whether special inspections are required, and the current status of Time Temperature Indicators (TTIs), alongside storage conditions. The form is divided into two pages, with the first focusing on basic report details and the second offering space for more extensive comments and the official sign-off from the inspector and their supervisor. By providing a systematic approach to ration inspection, the DSCP Form 5117 is instrumental in ensuring the health and well-being of personnel through the provision of safe and high-quality food supplies.

Question	Answer
Form Name	Dscp Form 5117
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	VII, NONCONFORMANCE, ASSEMBLER, DSCP

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REPORT OF INSPECTION ON _____________ OPERATIONAL RATIONS

(ENTER TYPE OF RATION)

PAGE 1 OF ___

PART I - INSPECTION ACTIVITY INFORMATION

INSPECTOR:

DATE OF INSPECTION:

SECTION:

BRANCH:

DISTRICT:

REGION:

PART II – INSPECTED UNIT INFORMATION

INSTALLATION:

UNIT NAME:

STORAGE LOCATION OF RATIONS:

RATIONS RECEIVED FROM:

PART III – RATION ASSEMBLER INFORMATION

CONTRACT NUMBER:

___ NA

ASSEMBLER:

PART IV – INSPECTION INFORMATION

CLASS OF INSPECTION:

TYPE OF INSPECTION: ___ ROUTINE ___ SPECIAL

TYPE OF INSPECTION LOT:

LOT SIZE:

LOT INFORMATION:

___ GRAND ___ CONTRACTORS/ASSEMBLERS

PART V – INSPECTION RESULTS

CONDITION CODE:

___ A ___ B ___ C ___ H ___ J ___ L

NEXT INSPECTION DUE:

SPECIAL INSPECTION REQUIRED:

___ NO ___ YES

TTI STATUS:

___ 0 ___ 1 ___ 2 ___ 3 ___ 4 ___ 5

___ NA ___ MISSING

STORAGE CONDITION:

___ REFRIGERATED ___ NON-REFRIGERATED

STORAGE TEMPERATURE:

___ <80*F ___ >80*F

___ UNKNOWN

PART VI - SAMPLING PLANS

RATION COMPONENT

DEFECT

SAMPLING

SAMPLE

DEFECT

ACTION

TOTAL

DEFECTS BY COMPONENT

(SPECIAL ONLY)

TABLE

SIZE

CLASS

NUMBER

DEFECTS

CLASSIFICATION

PRIMARY -

SECONDARY -

ANCILLARY -

PRIMARY -

SECONDARY -

ANCILLARY -

PRIMARY -

SECONDARY -

ANCILLARY -

PRIMARY -

SECONDARY -

ANCILLARY -

PRIMARY -

SECONDARY -

ANCILLARY -

PRIMARY -

SECONDARY -

ANCILLARY -

PRIMARY -

SECONDARY -

ANCILLARY -

PRIMARY -

SECONDARY -

ANCILLARY -

PRIMARY -

SECONDARY -

ANCILLARY -

DSCP FORM 5117 (FRONT), JULY 2001

(FOR USE OF THIS FORM, SEE DSCPH 4155.2, APPROPRIATE APPENDIX)

REPORT OF INSPECTION ON _____________ OPERATIONAL RATIONS (CONT)

(USE ADDITIONAL SHEETS IF NECCESSARY)

PAGE ___ OF ___

PART VII – NONCONFORMANCE SUMMARY D

ASSEMBLER

COMPONENT

DEFECT

DESCRIPTION

DEFECT TALLY*

LOT NO.

NO.

PROCESSOR

TABLE

NO.

CODE

OF DEFECTS/REMARKS

Primary

Secondary

Ancillary

CODE

A B M

A B

* A = MAJ A, B = MAJ B, M = MINOR, N/A = Items with no Component Classification (Primary, Secondary, Ancillary)

DEFECT TOTALS

PART VIII - NARRATIVE COMMENTS

PART IX – SIGNATURE BLOCK

NAME / SIGNATURE OF INSPECTOR	DATE	NAME / SIGNATURE OF SUPERVISOR	TELEPHONE NO.	DATE

DSCP FORM 5117 (BACK), JULY 2001

(FOR USE OF THIS FORM, SEE DSCPH 4155.2, APPROPRIATE APPENDIX)

How to Edit Dscp Form 5117 Online for Free

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MAJ writing process described (portion 1)

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3. Through this stage, take a look at USE ADDITIONAL SHEETS IF, REPORT OF INSPECTION ON, ASSEMBLER, MENU, COMPONENT, LOT NO, CODE, PART VII NONCONFORMANCE SUMMARY d, COMPONENT PROCESSOR, DEFECT TABLE, DEFECT, DEFECT, CODE, DESCRIPTION, and OF DEFECTSREMARKS. Each of these will need to be completed with highest accuracy.

MAJ conclusion process detailed (part 3)

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Dscp Form 5117 – Fill Out and Use This PDF

Dscp Form 5117 PDF Details

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