YES NO N/A I15 For Class II, I/II, and III items only Description of resilient mounts Size Type Location Specification Manufacturer I16 Major components and attached items in test I17 Test laboratory and address MEDIUM WEIGHT SHOCK MACHINE TEST YES NO N/A Did you include the type of test fixtures used and are they standard test M1 fixtures listed in MIL-S-901? If test fixtures are not standard fixtures from R NAVSEA approval of test fixture is required before testing M2 If test is a simulating of deck mounted conditions, is a frequency analysis included? See 3.1.6.3(c) of MIL-S-901D for frequency requirements for deck mounted equipment. This is a required field and YES should be checked if simulating deck mounted conditions. M3 If instrumentation was used, did you include the: Instrument Type Location Orientation Results Calibration & expiration dates M4 Did you include the monitored performance including (for each blow): Blow number R Group number R Height of Hammer Drop R Axis (Vertical, Inclined, Rotated R 90 or 30 degrees & Inclined) Visual inspection after each R blow Operating mode R Reference measurements R Post-test measurements or R corrections M5 The minimum number of Blows required for a Restricted shock approval is 6 The minimum number of Blows required for a unrestricted shock approval is M6 9 M7 Additional Blows are required when more than 2 operating conditions are
YES NO N/A I15 For Class II, I/II, and III items only Description of resilient mounts Size Type Location Specification Manufacturer I16 Major components and attached items in test I17 Test laboratory and address MEDIUM WEIGHT SHOCK MACHINE TEST YES NO N/A M1 Did you include the type of test fixtures used and are they standard test fixtures listed in MIL-S-901? If test fixtures are not standard fixtures from NAVSEA approval of test fixture is required before testing R M2 If test is a simulating of deck mounted conditions, is a frequency analysis included? See 3.1.6.3(c) of MIL-S-901D for frequency requirements for deck mounted equipment. This is a required field and YES should be checked if simulating deck mounted conditions. M3 If instrumentation was used, did you include the: Instrument Type Location Orientation Results Calibration & expiration dates M4 Did you include the monitored performance including (for each blow): Blow number R Group number R Height of Hammer Drop R Axis (Vertical, Inclined, Rotated 90 or 30 degrees & Inclined) R Visual inspection after each blow R Operating mode R Reference measurements R Post-test measurements or corrections R M5 The minimum number of Blows required for a Restricted shock approval is 6 M6 The minimum number of Blows required for a unrestricted shock approval is 9 M7 Additional Blows are required when more than 2 operating conditions are
Supplier_Medium_Weight_Grade_B_Shock_Test_Report_Rev_A.docx