Attachment D.12 - Sample Pack Evaluation Checklist Amended.pdf

Custom Pack Sample - Review Checklist (Amended) Solicitation 36C77625R0017

Custom Pack Sample Description:

Rating Evaluation for the submitted Sample Custom Packs Each submitted Sample Pack (3 required) will be rated using a Pass or Fail in accordance with the criteria shown below. ALL three (3) submitted Sample Packs must PASS these requirements in order to receive an “Acceptable” Rating for Factor 2 – Technical (d) to be eligible for award.

Custom Pack Requirements

Sample Pack contains individual Lot Number. (SOW 6.1) Pass □ Fail □

Sample pack contains a packing slip. (SOW 6.1) Pass □ Fail □

Packing slip includes: manufacturer, manufacturer item number, description of the component, quantity of component, Country of Origin (COO), and lot number. (SOW 6.1) Pass □ Fail □

Sample pack is free of debris and excessive particulates. (SOW 6.1.14) Pass □ Fail □

Sample Pack has correct components, type, and quantities as shown in the pack's Bill of Material (Attachment D.11 – Three Sample Packs – Bills of Material). Pass □ Fail □

Sample pack components are TAA compliant. (SOW 6.2.1.1) Pass □ Fail □

Sample pack components are removed from outer packaging unless otherwise required by the customer or the component manufacturer. (SOW 6.2.1.3) Pass □ Fail □

Sample pack uses rigid plastic or biodegradable trays. (SOW 6.2.1.4) Pass □ Fail □

Sample pack has Ethylene Oxide (ETO) tape/indicator or other indicator demonstrating that packs were sterilized, and the method used shall be affixed to outer wrap and tray where applicable. (SOW 6.2.1.4)

Pass □ Fail □

Sample pack provided in an approved packaging material with a plastic dust cover. (SOW 6.2.1.4) Pass □ Fail □

Sample pack has a sealed plastic dust cover with tamper evident seal and allows for ease of aseptic presentation. (SOW 6.2.1.4) Pass □ Fail □

Sample pack is latex free and is labeled "latex free" or clearly labeled on the outside covering if they contain latex products. All products containing latex must also be clearly labeled individually as containing latex. (SOW 6.2.1.5)

Pass □ Fail □

Sample pack gown(s) are non-abrasive, free of toxic ingredients, non-fast dyes, and noxious odors. Gown materials are non-glare and of a color that minimizes distortion from reflected light. (SOW 6.2.2.2 & 6.2.2.3)

Pass □ Fail □

Sample pack gown(s) allows for freedom of movement. (SOW 6.2.2.4) Pass □ Fail □

Sample pack gown(s) have stockinet/stockinette cuffs, raglan sleeves and welded or stitched seams. (SOW 6.2.2.5) Pass □ Fail □

Sample pack cloth towels are lint-free and meet or exceed the current requirements of the National Fire Protection Regulations for flammability in Part 1610 of the Code of Federal Regulations - Standard for the Flammability of Clothing Textiles. (SOW 6.2.3) Pass □ Fail □

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