Atch 2- QASP- Surveillance Checklist.docx

QASP Attachment 2 Surveillance Checklist COR Smart Form - Construction

COR Name:

FIRST LAST

Contract Number:

FA4855

Delivery Order:

FA4855

Report for Month Ending:

MM/YYYY

Contract Period Of Performance:

DD/MM/YYYY - DD/MM/YYYY

1. QUALITY

|_| Exceptional

|X| Very Good

|_| Satisfactory

|_| Marginal

|_| Unsatisfactory

Example:

Contractor poured concrete for the foundation for bldg. 123 this month. Only 1 discrepancy was observed.

Week 1: Contractor turned in Submittals and began hiring and prepping site.

Week 2: Contractor received sign submittals from CO and ordered supplies. Site prep ready for pouring 50% complete.

Week 3: Site prep ready for pouring 100% complete and supplies were received and inspected against submittal paperwork.

Week 4: Concrete foundation completed.

1a. Is the Contractor conforming to contract requirements?

|X| Yes

|_| No

|_| N/A

1b. Is the contractor conforming to specifications?

1c. Is the Contractor practicing standards of good workmanship (e.g., commonly accepted technical, professional, environmental, or safety and health standards)

|X| Yes

2. SCHEDULE

2a. Is the contract progressing on schedule?

|_| N/A

Schedule & Delivery Example: Progress Schedule is set at 15% as of 31 Mar 2018. Actual Progress is at 20%.

Note: Recommend uploading the actual Progress Schedule under Misc Document > Surveillance Schedule > Titled “Progress Schedule, month/year”

2b. Is the Contractor timely on Administrative Requirements (e.g. efforts that contribute to or affect the schedule variance).

2c. Are there any significant issues to report?

|_| N/A

· Were any rain delays observed? If yes how many days?

· Were any differing site conditions reported that may delay progress? If yes, by how many days?

· Were there any issues that results in a Suspension of Work? If yes, what was the issue, how many days of suspension and was due to Government or contractor delay?

· If fault was determined by the contractor, were liquidated damages assessed?

Examples: Construction was delayed 5 days in the month of March due to rain.

3. MANAGEMENT

3a. Is the Contractor successfully coordinating timeliness, completeness and quality of problem identification, corrective action plans and proposal submittals?

3b. Does the contractor have a reasonable and cooperative behavior?

3c. Has the contractor conducted management of subcontractors in a timely and effective manner per the critical path?

3d. Has the customer expressed satisfaction with the work completed?

4. REGULATRY COMPLIANCE

4a. Are there any discrepancies to report with regards to all terms and conditions in the contract/order relating to applicable regulations and codes?

|_| Yes

· Do work sites have the required postings?

· Any issues discovered between payroll and onsite interviews?

· Were any materials or workmanship deficiencies observed?

· Any safety issues observed/reported?

· Any security issues observed/reported?

· Any Environmental (HAZMAT) issues observed/reported?

Example: This is where you would list out the number of Corrective Action Report submitted, the date submitted, the issue, and when it was resolved. Copies of the CAR should be uploaded in CORT under Misc Doc > Discrepancy Reports > Title “Corrective Action. Month/date”

5. OTHER

5a. Are there any customer complaints this month regarding housekeeping or disorder, and if so how many? Response:

|X| N/A

5b. Are there any issues for the Contracting officer to be aware of?

|X| N/A

5c. Date the final contract goods or services were accepted? (YYYY/MM/DD)

Check N/A unless Final Inspection and Acceptance was complete.