Atch 6- QASP- Combating Trafficking in Persons Checklist (CTIP).pdf

QASP Attachment 6 27th Special Operations Contracting Squadron Universal Examination Record Combating

27 SOCONS Examination Record Revision Date: 11 Dec 2015 Page 1 of 2

EXAMINATION INFORMATION

(All blocks must be filled unless noted otherwise) Audit Coversheet_ v1

1. Contract No.: 2. Task Order

No.:

3. Service Description: 4. Place of

Performance:

5. Sub Services: (list all that apply)

6. Contractor: 7. Contracting Officer Representative (COR):

Name: (Last, First Rank) Email Address:

8. Date of Audit:

(DD-MMM-YY)

9. Last Audit Date:

(DD-MMM-YY)

10. Number of Concerns:

11. Number of Repeat Concerns:

12. Number of Non-Conformances:

13. Number of Repeat Non- Conformances:

14. Service Type:

Mission Essential

15. Deficient: (If Yes, explain in Audit Summary block) Yes No

16. CAR Issued:

Yes No

16a. CAR Number: (If Yes)

□Non-Mission Essential

17. Audit Performed By:

18. Surveillance Type: (Initial, Scheduled, Follow-up))

20. Out-brief with Contractor Supervisor: Yes No Name: (Last, First) Email:

20. Responsible Contractor QA/QC:

Name: (Last, First) Email:

21. Follow-Up Audit Required: Yes No 22. If Yes, Proposed Follow-up Date: (DD-MMM-YY)

23. Audit Summary: (A brief summary of how this audit was conducted)

24. Concerns: (Potential problem areas that could lead to performance degradation or non-conformances. Contractor is expected to address these issues without Government intervention before the next audit. Repeated concerns without contractor follow-up may result in an ACO Letter of Concern or a Corrective Action Request.)

25. Non-Conformances Against Contract Requirements:

Non-Conformances: (Describe the non-conformance and how it was corrected.

Contractor’s Internal CAR No. or Equivalent: (if applicable)

QASP Attachment 6 27th Special Operations Contracting Squadron Universal Examination Record Combating

27 SOCONS Examination Record Revision Date: 11 Dec 2015 Page 2 of 2

EXAMINATION GUIDELINES

Select Appropriate Response for each Requirement Examined YES = Requirement performed satisfactory. May comment when key observations are noted.

NO = Requirement performed unsatisfactory. Comment should identify corrective action in-place or plan of action i.e.

CAR.

N/O = Performance of requirement not observed. Comment when adverse circumstances prevent verification of requirement.

N/A = Requirement not applicable. Comment when contractor disputes validity of requirement.

Shorthand: RVI = Records Visually Inspected; CAO = Corrective Action Observed; CAIP = Corrective Action In Place

CTIPS POLICY

CARRY THE REQUIRED CTIPS CONTRACT CLAUSE(S) WITH YOU WHEN EVALUATING THE

CONTRACTOR/SUBCONTRACTOR

The United States Government and the United States Department of Defense (DoD) has adopted a zero tolerance policy regarding trafficking in persons. Contractors, subcontractors and their employees shall not:

(1) Engage in severe forms of trafficking in persons during the period of performance of the contract

(2) Procure commercial sex acts during the period of performance of the contract

(3) Use forced labor in the performance of the contract

FAR 52.222-50 COMBATING TRAFFICKING IN PERSONS (MAR 2015)

REQUIREMENT YES NO N/O N/A COMMENT

1. Has the contractor informed its employees of the United States Government’s zero tolerance CTIPs policy, to include informing employees of the actions that will be taken against them for violations of this policy? FAR Para (c)(1)

2. Has the contractor informed the contracting officer of any actions taken against contractor employees, subcontractor’s or subcontractor employees pursuant to this clause?

FAR Para (c)(2)

3. Has the contractor informed the contracting officer of any information it receives that alleges a contractor employee or subcontractor employee has engaged in conduct violating the CTIPs policy?

FAR Para (d)(1)