Attachment 11 - KTR Work Surveillance Checklist - ICS.pdf
PDF 95 KB Posted
- Attached to
- Azores Hazardous Waste Removal Federal contract opportunity
- Solicitation number
- SP450025R0001
- Issued by
- Defense Logistics Agency
About this file
This document is a Contractor Work Surveillance Checklist specifically for Industrial Cleaning Services (ICS) under CLINs 1002SV-1004SV & 1007SV-1009SV, used to monitor and verify contractor performance for industrial cleaning work.
The checklist evaluates key operational requirements including: timely arrival of work crews; presence of required equipment (3,500-gallon vacuum truck with 300 feet of hoses, self-contained heated power washing unit, liquid transfer pump with 300 feet of hoses, and appropriate PPE/tools); verification of vacuum truck tare weight and inspection; confirmation that tanks and fittings are clean and chemically compatible with waste materials; compliance with RCRA empty standards per 40 CFR 261.7 for multiple waste stream removals; proper equipment operation; and overall work satisfaction. The form requires signature from a designated Government Representative and includes fields for date, time, contact information, and comments.
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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 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 .