Attachment 10 -KTR Work Surveillance Checklist - ICS Work - Pendleton.pdf
PDF 96 KB Posted
- Attached to
- PENDLETON HAZARDOUS WASTE Federal contract opportunity
- Solicitation number
- SP450025R1002
- Issued by
- Defense Logistics Agency
About this file
The document is a Contractor Work Surveillance Checklist for Industrial Cleaning Services (ICS) related to Contract Line Items (CLINs) 1002SV-1004SV and 1007SV-1009SV. The checklist is designed to comprehensively document and verify contractor performance during industrial cleaning operations, with specific focus on equipment, preparedness, and work quality. Key verification points include:
The checklist requires verification of multiple critical elements such as crew arrival time, equipment readiness, and operational effectiveness. Specific equipment requirements include a 3,500-gallon vacuum truck with 300 feet of hoses, a self-contained heated power washing unit, a liquid transfer pump, and appropriate personal protective equipment (PPE). Additional requirements include providing a weight ticket for the vacuum truck, government inspection prior to use, ensuring chemical compatibility of truck components with waste materials, and meeting Resource Conservation and Recovery Act (RCRA) empty standards. The form allows a designated government representative to systematically assess and document the contractor's compliance with technical and operational specifications during the industrial cleaning service engagement.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Pendleton Q and As.docx | DOCX document | |
| 20D0025 12 month Usage Pendleton.xlsx | XLSX spreadsheet | |
| Attachment 1 - PWS.docx | DOCX document | |
| Attachment 2 - Price Schedule.xlsx | XLSX spreadsheet | |
| Attachment 6 Addenda to 52.212‐2 Evaluation Pendleton.docx | DOCX document | |
| Attachment 9 CAC Application Process- Pendleton.pdf | ||
| Attachment 8 PPI Questionnaire.pdf | ||
| Attachment 11 -KTR Work Surveillance Checklist - Placement or Removal Empty ROB or Vac Box - Pendleton.pdf | ||
| Attachment 3 -Pickup Locations -Camp Pendleton.xlsx | XLSX spreadsheet | |
| Attachment 5 Addenda to 52.212‐1 Instructions Pendleton.docx | DOCX document | |
| Attachment 7 Provisions Fill-in.docx | DOCX document | |
| Attachment 4 - Provisions and Clauses.docx | DOCX document |
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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 .