36C25919Q0243-004.doc

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Life Safety Devices Inspection, Testing, and Maintenance
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36C25919Q0243
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36C25919Q0243 QASP_Life Safety Devices.doc

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Project QASP Template

Quality Assurance Surveillance Plan

For: Life Safety Devices Inspection, Testing, and Maintenance Contract Number:

Contract Description:

Contractor’s name: (hereafter referred to as the contractor).

1. PURPOSE

This Quality Assurance Surveillance Plan (QASP) provides a systematic method to evaluate performance for the stated contract. This QASP explains the following:

· What will be inspected, tested, and maintained.

· How inspection, testing, and maintenance will take place.

· Who will conduct the inspection, testing, and maintenance.

· How inspection, testing, and maintenance efforts and results will be documented.

This QASP does not detail how the contractor accomplishes the work. Rather, the QASP is created with the premise that the contractor is responsible for management and quality control actions to meet the terms of the contract. It is the Government’s responsibility to be objective, fair, and consistent in evaluating performance.

This QASP is a “living document” and the Government may review and revise it on a regular basis. However, the Government shall coordinate changes with the contractor. Copies of the original QASP and revisions shall be provided to the contractor and Government officials implementing surveillance activities.

2. Government Roles and Responsibilities

The following personnel shall oversee and coordinate surveillance activities.

a. Contracting Officer (CO) - The CO shall ensure performance of all necessary actions for effective contracting, ensure compliance with the contract terms, and shall safeguard the interests of the United States in the contractual relationship. The CO shall also assure that the contractor receives impartial, fair, and equitable treatment under this contract. The CO is ultimately responsible for the final determination of the adequacy of the contractor’s performance.

Assigned CO:

Organization or Agency: Department of Veterans Affairs, Office of Acquisition and Materiel Management

b. Contracting Officer’s Technical Representative (COTR) - The COTR is responsible for technical administration of the contract and shall assure proper Government surveillance of the contractor’s performance. The COTR shall keep a quality assurance file. The COTR is not empowered to make any contractual commitments or to authorize any contractual changes on the Government’s behalf.

Assigned COTR: Brian Treasure

c. Other Key Government Personnel -

3. Contractor Representatives The following employees of the contractor serve as the contractor’s program manager for this contract.

a. Program Manager – Brian Treasure

b. Other Contractor Personnel -

Title:

4. Performance Standards Performance standards define desired services. The Government performs surveillance to determine if the contractor exceeds, meets or does not meet these standards.

The Performance Requirements Summary Matrix, paragraph 4 in the Performance Work Statement (PWS), includes performance standards. The Government shall use these standards to determine contractor performance and shall compare contractor performance to the Acceptable Quality Level (AQL).

Task
ID
Indicator
Standard
Acceptable Quality Level
Method of Surveillance
Incentive
Fire extinguisher Inspection, Testing and Maintenance (ITM)
1
Fire extinguishers are inspected monthly.
12 times per year, once per calendar month.
100%
Verification of report against the inventory and previous report.
Exercise of Option Period and performance ratings
2
Annual certification of fire extinguishers.
Within 12 months from the actual month in which the scheduled work was completed, plus or minus (+/-) 30 days.
100%
Verification of report against the inventory and previous report.
Exercise of Option Period and performance ratings
3
Fire extinguishers shall have 6 or 12-year maintenance performed when the extinguisher is due.
Fire extinguishers are hydrostatically tested.
100%
Observation of work and report verification
Exercise of Option Period and performance ratings
4
All inspections and maintenance performed shall be documented utilizing a database maintained by the VA and by detailed invoice.
Data input and invoice is accurate.
100%
Observation of work, report and invoice verification.
Exercise of Option Period and performance ratings
5
Contractor shall provide all necessary test equipment and labor to perform required inspection, testing, and maintenance.
Inspection, testing and maintenance performed without interruption.
85%
Daily observation of work.
Exercise of Option Period and performance ratings
6
Daily log of all activities shall be provided to the COR detailing work performed, condition found, corrective actions, and the as left condition by the Contractor on Contractor letterhead
Daily activity log received by COR when Contractor leaves site.
100%
Review daily log.
Exercise of Option Period and performance ratings
7
All inventories and inspection reports shall be organized by the VA provided Unique Identifier (UID) number.
Results of work is written referencing the UID
100%
Review reports relative to inventories
Exercise of Option Period and performance ratings
AED/Naloxone
8
Contractor shall provide 100% inspection service for the public access AED devices IAW the medical center policy
Visual check of device – check for any obvious damage or missing parts

Battery check – different models have different methods of warning about low battery.

Check defibrillator pads are sealed and in-date

Check spare defibrillator pads are sealed and in-date

Check accessory equipment is present: towel, razor, CPR face shield, scissors, gloves, paperwork

Check integrity and security of defibrillator cabinet

Check naloxone (Narcan) is sealed and in-date

100%
Observation of work and random inspections
Exercise of Option Period and performance ratings
9
Contractor shall place tamper evident seal on each AED cabinet and record the new seal number on daily job sheet
Cabinets have tamper seals
100%
Observation of work and random inspections
Exercise of Option Period and performance ratings
10
Inspections and maintenance performed documented utilizing a database maintained by the VA and by detailed invoice
Database accurate and matches invoice
100%
Review of daily logs, database and invoice
Exercise of Option Period and performance ratings
11
Contractor shall provide all necessary test equipment and labor to perform required inspection, testing, and maintenance
Work progresses without delay
100%
Daily observation of work
Exercise of Option Period and performance ratings
12
Provide a daily in-brief prior to any work completed and out-brief prior to departure to the COR (or representative). A daily log of all activities shall be provided to the COR detailing work performed, condition found, corrective actions, and the as left condition by the Contractor on Contractor letterhead
Timely receipt of logs
100%
Review of work progress relative to observations
Exercise of Option Period and performance ratings
13
All inventories and inspection reports shall be organized by the Unique Identifier Number (UID).

UID numbers shall never change over the lifetime of the device (cradle to grave data maintenance).

UID numbers must never be re-used or re-issued to new devices from a previously retired device

Reports are organized by UID
100%
Audit and review of report relative to inventory
Exercise of Option Period and performance ratings
Emergency Eyewash and Showers Inspection Testing and Maintenance
14
Provide 100% inspection and testing service for all emergency eyewashes and emergency showers
All emergency eyewash and showers inspected and tested.
100%
Review of report relative to inventory
Exercise of Option Period and performance ratings
15
Emergency eyewashes and emergency showers shall be inspected and tested monthly according to ANSI Z358.1 standard. Documented to The Joint Commission (TJC) standards.
Documentation meets Joint Commission and ANSI standard
100%
Review of report and random observation
Exercise of Option Period and performance ratings
16
Portable emergency eyewashes shall be flushed and refilled semi-annually according to ANSI Z358.1. Documented to TJC standards
All portable eyewashes inspected according to ANSI and documented to TJC.
100%
Report review and random observation.
17
Inspections and maintenance performed documented utilizing a database maintained by the VA and by detailed invoice
Database accurate and matches invoice
100%
Review of daily logs, database and invoice
Exercise of Option Period and performance ratings
18
Contractor shall provide all necessary test equipment and labor to perform required inspection, testing, and maintenance
Work progresses without delay
100%
Daily observation of work
Exercise of Option Period and performance ratings
19
Provide a daily in-brief prior to any work completed and out-brief prior to departure to the COR (or representative). A daily log of all activities shall be provided to the COR detailing work performed, condition found, corrective actions, and the as left condition by the Contractor on Contractor letterhead
Timely receipt of logs
100%
Review of work progress relative to observations
Exercise of Option Period and performance ratings
20
All inventories and inspection reports shall be organized by the Unique Identifier Number (UID).

UID numbers shall never change over the lifetime of the device (cradle to grave data maintenance).

UID numbers must never be re-used or re-issued to new devices from a previously retired device

Reports are organized by UID
100%
Audit and review of report relative to inventory
Exercise of Option Period and performance ratings

5. Incentives The Government shall use Exercise of Option Period and performance ratings as incentives. Incentives shall be based on exceeding, meeting, or not meeting performance standards.

6. Methods of QA Surveillance Various methods exist to monitor performance. The COTR shall use the surveillance methods listed below in the administration of this QASP.

a. DIRECT OBSERVATION. (Can be performed periodically or through 100% surveillance.)

Standards: 3, 4, 5, 8, 9, 11, 12, 16, 18 and 19

b. 100% INSPECTION. (Evaluates all outcomes.)

Standards: 1, 2, 6, 7, 10, 12, 13, 14, 15, 17 and 20

8. Ratings Metrics and methods are designed to determine if performance exceeds, meets, or does not meet a given standard and acceptable quality level. A rating scale shall be used to determine a positive, neutral, or negative outcome. The following ratings shall be used:

Metrics shall be established according to the number of times the standard is met. Meeting the standard 90% to 100% is positive, 80% to 89% neutral and less than 80% as negative.

9. DOCUMENTING PERFORMANCE

a. Acceptable Performance The Government shall document positive performance. Any report may become a part of the supporting documentation for any contractual action.

b. Unacceptable performance When unacceptable performance occurs, the COTR shall inform the contractor. This will normally be in writing unless circumstances necessitate verbal communication. In any case the COTR shall document the discussion and place it in the COTR file.

When the COTR determines formal written communication is required, the COTR shall prepare a Contract Discrepancy Report (CDR) and present it to the contractor's program manager.

The contractor shall acknowledge receipt of the CDR in writing. The CDR will specify if the contractor is required to prepare a corrective action plan to document how the contractor shall correct the unacceptable performance and avoid a recurrence. The CDR will also state how long after receipt the contractor has to present this corrective action plan to the COTR. The Government shall review the contractor's corrective action plan to determine acceptability.

Any CDRs may become a part of the supporting documentation for any contractual action deemed necessary by the CO.

10. Frequency of Measurement

a. Frequency of Measurement.

During contract performance, the COTR will periodically analyze whether the negotiated frequency of surveillance is appropriate for the work being performed.

b. Frequency of Performance Assessment Meetings.

The COTR shall meet with the contractor quarterly to assess performance and shall provide a written assessment.

After award, both the contractor’s Program Manager and the COTR shall sign this document.

Signature – Contractor Program Manager

Signature – Contracting Officer’s Technical Representative

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