Appendix C Example Guide - Inspection List.docx

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Air Quality Monitoring Support for Mark Twain National Forest
Solicitation number
12444524Q0015
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This document provides an example guide and inspection list for quality assurance surveillance plans on federal contracts. It outlines a method and frequency of surveillance through inspections and lot sampling to determine performance ratings of excellent, satisfactory, or unsatisfactory. Requirements, timeliness, quality of work and overall ratings would be assessed during inspections conducted by the Contracting Officer's Representative with the contractor providing acknowledgement. Additionally, the related federal opportunity seeks offers to provide operational service support to an air quality testing station in partnership with the University of California Davis and Mark Twain National Forest. The small business set-aside procurement conducted according to FAR Parts 12, 13, and 19 by the Department of Agriculture Forest Service requires site maintenance, instrument troubleshooting and replacement for the testing instruments.

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Appendix C: Example Guide / Inspection List The following document is only an example, which is not all inclusive, that can be revised and used, if applicable, in the QASP as attachments or exhibits.

CONTRACT NUMBER: ___________________________________

SERVICE FUNCTION:

PWS SECTION:

1
Method of Surveillance:
2
Lot Size:
3
Sample Size:
4
Performance Requirement: Performance is Excellent (E) when ___________or fewer defects are discovered per month. Performance is Satisfactory (S) when ________or fewer defects are discovered per month. Performance is Unsatisfactory (U) when _______or more defects are discovered per month.
5
Sampling Procedure: Instructions on how to select the sample must be clear and complete
6
Inspection Procedure: The procedure must be detailed enough to allow a yes/no objective decision as to the acceptability of performance by anyone making the inspection. Explain when evaluation is to occur and what is acceptable/unacceptable

Performance: Excellent (E), Satisfactory (S), Unsatisfactory (U), Not Applicable (N/A)

PRS Requirements
Timeliness
Quality of Work
Notes

Overall Rating Of Inspection (E, S, U or N/A)

COR/Inspector Comments:

Contractor Signature: ___ Date: __

COR Signature: ____________________Date: _________________

File details come from the government source that posted it. Updated .