8.0 Attachment 10 KTR Surveillance Checklist for ICS Work_OKC.pdf
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- Solicitation number
- SP450022R0011
- Issued by
-
Defense Logistics Agency
About this file
This document contains a checklist for surveillance of industrial cleaning services under a federal contract. The checklist is to be used by a designated government representative for oversight of a contractor's work. It includes questions about the contractor's arrival time, equipment, proper functioning of equipment without delays, and satisfactory completion of work. The contractor's equipment must include a 3,500 gallon vacuum truck with 300 feet of hoses, a self-contained heated power washing unit, a liquid transfer pump with 300 feet of hoses, and appropriate personal protective equipment and tools. The vacuum truck is subject to inspection and must arrive with documentation of its empty weight as well as being clean and constructed of chemically compatible materials.
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Text version
Contractor Work Surveillance Checklist
Industrial Cleaning Services (ICS) – CLINs 1002SV-1004SV & 1007SV-1009SV
Date(s) of Work Surveillance: _________________ Start Time: ___________ Stop Time: ___________
Name of Designated Government Representative: ___________________________________________
Title of Designated Government Representative: ____________________________________________
Phone Number of Designated Government Representative: (______) ________-___________
Yes No N/A Description of Contractor Work Surveillance
Did the work crew arrive on site at the scheduled time and date?
Did the crew arrive on site with all of the requisite equipment, including
- One standard vacuum truck (3,500-gal capacity) w/ 300 feet of hoses,
- One self-contained heated power washing unit,
- One liquid transfer pump w/ 300 feet of hoses, and
- All appropriate PPE and tools?
Did the vacuum truck driver provide a weight ticket showing the empty (tare) weight of the vacuum truck?
Was the vacuum truck inspected by a designated Government representative prior to use?
Did the vacuum truck arrive with a clean tank and hose fittings that were constructed of material that that was chemically compatible with the waste to be removed?
Did the vacuum truck arrive free of visible waste residue unless the truck was being used for multiple removals from the same project involving the same waste stream
(in which case it arrived as meeting definition of RCRA empty per 40 CFR 261.7)?
Did all of the equipment operate properly without causing delay in work?
Was the work performed to the satisfaction of the designated Government representative?
Comments:
Signature of Designated Government Representative Date
File details come from the government source that posted it. Updated .