Att 10 - ICS-KTR Work Surveillance Checklist.pdf

PDF 96 KB Posted

Attached to
North Florida Regional HW Removal Federal contract opportunity
Solicitation number
SP450024R0021
Issued by
Defense Logistics Agency

About this file

This document is a Contractor Work Surveillance Checklist for Industrial Cleaning Services (ICS), specifically for CLINs 1002SV-1004SV and 1007SV-1009SV, under the North Florida Regional HW Removal federal contract opportunity.

The checklist outlines the requirements for the contractor's work crew, equipment, and work performance, which are to be verified by a designated government representative during the work surveillance. Key details include the requirement for a vacuum truck with specific capacity and hose length, a heated power washing unit, a liquid transfer pump, and appropriate personal protective equipment. The government representative is to inspect the vacuum truck, ensure proper operation of the equipment, and assess the overall satisfaction with the work performed. The checklist also includes space for the government representative to provide comments and sign off on the surveillance.

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Other files for this federal contract opportunity

Other files attached to North Florida Regional HW Removal, newest first.
File Type Posted
Att 2 NFL PWS REVISED 112124.docx DOCX document
SF 30 Amendment 0005.doc DOC document
Att 1 - NFL PS REVISED 112124.xlsx XLSX spreadsheet
SF 30 Amendment 0004.doc DOC document
SF 30 Amendment 0003.doc DOC document
SF 30 Amendment 0002.doc DOC document
Att 2 - REVISED Performance Work Statement 100324.docx DOCX document
Att 1 - REVISED Price Schedule 100324.xlsx XLSX spreadsheet
20D09 Order History 0823to0824.xlsx XLSX spreadsheet
SF 30 Amendment 0001.doc DOC document
Att 7 - CAC Application Process.pdf PDF
Att 2 - Performance Work Statement.docx DOCX document
Att 1 - Price Schedule.xlsx XLSX spreadsheet
Att 5 - Dept of Labor Wage Determination.pdf PDF
Att 11 - ROB or Vac Box Checklist.pdf PDF
Att 3 - Pick up Points).xlsx XLSX spreadsheet
Att 12 - DLA Form 2505 Invoice.xlsx XLSX spreadsheet
Att 8 - Addenda to 52.212‐1 Instructions.docx DOCX document
Att 9 - Addenda to 52.212‐2 Evaluation.docx DOCX document
Att 4 - PPI Questionnaire.pdf PDF
Att 6 - Additional Contract Terms and Conditions.docx DOCX document
Show all 21

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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 .