Attach 10_San Joaquin_KTR Work Surveillance ROB.pdf
PDF 45 KB Posted
- Solicitation number
- SP450025R0005
- Issued by
-
Defense Logistics Agency
About this file
This is a Contractor Work Surveillance Checklist specifically designed for monitoring the placement or removal of empty rented Rolloff Box (ROB) or Vacuum Box containers. The checklist is part of solicitation SP450025R0005 for hazardous waste removal services in the San Joaquin region.
The checklist contains verification items that a Designated Government Representative must complete, including: confirmation of contractor's arrival time, verification of required equipment (appropriately sized ROB/Vacuum Box, plastic liner, watertight tarp cover), inspection of container condition and integrity, verification of weight tickets, and assessment of equipment operation and safety compliance. The form requires documentation of any defects or damage, with a note that failure of the driver to acknowledge existing defects will result in rejection of the ROB and liner. The checklist includes fields for contract information, representative details, and requires a final signature and date from the government representative upon completion of the inspection.
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| Attach 2_San Joaqui_PWS_REV12042024.docx | DOCX document | |
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Text version
Contractor Work Surveillance Checklist
Placement or Removal of Empty Rented Rolloff Box (ROB) or Vacuum Box
Date(s) of Work Surveillance: _________________ Start Time: ___________ Stop Time: ___________
Contract Number: SP4500-______-D-___________ TO #: ________________ CLIN: ______________
Name of Designated Government Representative: ___________________________________________
Title of Designated Government Representative: ____________________________________________
Phone Number of Designated Government Representative: (______) _______-___________ Ext.______
Yes No N/A Description of Contractor Work Surveillance: [ROB] or [Vac Box] (Circle one)
Did the Contractor arrive on site at the scheduled time and date?
Did the Contractor arrive on site with all of the requisite equipment, including
- One ROB or Vacuum Box container of the appropriately ordered size, with
- One plastic liner of sufficient size and thickness to adequately contain the waste for which it was intended (ROB only), and
- One watertight tarp cover that was generally free of rips and tears (ROB only)?
Does the Contractor have an approved weight ticket showing the empty (tare) weight of the container?
Was the container inspected by a Designated Government Representative upon arrival at the designated location?
Was the container of acceptable appearance and integrity, with minimal evidence of corrosion, visibly void of waste residue and legible/offensive graffiti upon delivery?
Was the ROB, bows and cover free of any defects or damage, other than those attributable to normal wear and tear, and determined acceptable for Government use? Please document below any noteworthy defects or damage and have driver initial for acknowledgment.
Note: Failure of the driver to acknowledge any existing noteworthy defects or damage will be cause for rejection of the ROB and liner.
Did the equipment operate properly without causing a delay in work?
Was the work performed safely and did the equipment meet 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 .