1240BE26Q0090 Attachment 5 Discrepancy Report.docx

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Attached to
USFS, Corvallis Forestry Sciences Lab (CFSL) Annual Inspection of Fire Alarm System and Fire Sprinkler System
Solicitation number
1240BE26Q0090
Issued by

About this file

This is a Discrepancy Report template document used for quality control and contract compliance purposes within federal contracting. The form provides a structured process for documenting, tracking, and resolving performance issues or deficiencies identified during contract execution. The template is organized in two main sections: the initial discrepancy notification from the Contracting Officer's Representative (COR) to the contractor, and the contractor's formal response detailing the cause, effects, corrective actions, and preventive measures to avoid recurrence.

The Discrepancy Report includes designated fields for the contractor/project manager name, COR identification, contract number, date, and a detailed description of the discrepancy with references to the Performance Work Statement (PWS). The form requires the COR's signature on the initial notification and the contractor representative's signature on the response section. A final government evaluation section allows for acceptance, partial acceptance, or rejection of the contractor's response, with options for issuing cure notices or show cause orders. The form concludes with closure documentation requiring COR sign-off and contractor notification. This template is applicable to solicitation 1240BE26Q0090 for annual fire alarm and sprinkler system inspection services at the USFS Corvallis Forestry Sciences Lab, which is structured as a small business set-aside firm fixed price purchase order.

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Text version

ATTACHMENT 5

DISCREPANCY REPORT

DISCREPENCY REPORT NO.

2. TO: (Contractor / Project Manager Name)
3. FROM: (Name of COR)

CONTRACT NUMBER: DATE:

ORAL NOTIFICATION
RETURNED BY CONTRACTOR
ACTION COMPLETE

4. DISCREPENCY OR PROBLEM (Describe in Detail. Include PWS references. Attach Continuation Sheet if Necessary)

5. SIGNATURE OF COR

6. TO: (Name of COR)
7. FROM: (Contractor / Project Manager)

8. CONTRACTOR RESPONSE AS TO CAUSE, EFFECT, CORRECTIVE ACTION AND ACTIONS TO PREVENT RECURRENCE (Attach Continuation Sheet if necessary. Cite applicable Contractor QC program procedures or new QC procedures)

9. SIGNATURE OF CONTRACTOR REPRESENTIVE
10. DATE

11. GOVERNMENT EVALUATION (Acceptance, partial acceptance, or rejection. Attach Coordination Sheet if necessary)

12. GOVERNMENT ACTIONS (Cure notice, show cause, other)

CLOSE OUT

KTR NOTIFIED

NAME AND TITLE
SIGNATURE
DATE

COR

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