Attachment 12 QASP AQL Matrix - CFS.xlsx

XLSX spreadsheet 548 KB Posted May 29, 2025

Attached to: FACILITIES OPERATIONS AND MAINTENANCE (O&M) SERVICES Federal contract opportunity
Solicitation number: 19AQMM25R0151
Issued by: Department of State Office of Acquisition Management

About this file

Written by GovTribe AI · May 29, 2025

This document is an Acceptable Quality Level (AQL) Matrix Template for Facilities Operations and Maintenance (O&M) Services, specifically for the Harry S. Truman (HST) Building. The comprehensive matrix details 41 distinct quality assurance metrics across multiple operational domains, including daily log reporting, water analysis, equipment inspections, maintenance tracking, safety protocols, staffing, and critical system monitoring. Key areas of focus include building management oversight, provider performance monitoring, equipment maintenance tracking, electrical and mechanical system inspections, safety and training documentation, thermal imaging, and critical infrastructure assessments.

The AQL matrix provides granular tracking mechanisms for various facility management functions, with specific acceptable quality levels for each metric. Notable requirements include 100% performance reviews for providers, 95% compliance with inspection checklists, 98% communication documentation, and comprehensive tracking of maintenance issues, equipment alarms, and system performance. The document includes detailed templates for logging information across domains such as water analysis, fuel usage, equipment maintenance, staffing levels, thermal imaging, and safety inspections, demonstrating a rigorous approach to facilities management quality control and performance monitoring.

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Other files attached to FACILITIES OPERATIONS AND MAINTENANCE (O&M) SERVICES, newest first.
File	Type	Posted
Attachment 23 Pricing Sheet-Updated 7-8.xlsx	XLSX spreadsheet	Jul 11, 2025
19AQMM25R0151-QA-7-11.pdf	PDF	Jul 11, 2025
19AQMM25R0151 0003.pdf	PDF	Jul 11, 2025
19AQMM25R0151 P0002.pdf	PDF	Jul 1, 2025
19AQMM25R0151-Q_A-7-1.pdf	PDF	Jul 1, 2025
Attachment 23 Pricing Sheet-Updated 7-1.xlsx	XLSX spreadsheet	Jul 1, 2025
19AQMM25R0151_QA_6-25.docx	DOCX document	Jun 26, 2025
Attachment 23 Pricing Sheet-Updated 6-25.xlsx	XLSX spreadsheet	Jun 26, 2025
Attachment 30A SA-42 NFATC Facilities and Structures Data.xlsx	XLSX spreadsheet	Jun 26, 2025
19AQMM25R0151 P00001.pdf	PDF	Jun 26, 2025
Attachment 30B SA-42 NFATC site data sheet.pdf	PDF	Jun 26, 2025
Attachment 24 DDForm254.pdf	PDF	May 29, 2025
Attachment 29 IDIQ Performance Work Statement.pdf	PDF	May 29, 2025
Attachment 11 QASP Assurance Surveillance Matrix (1).xlsx	XLSX spreadsheet	May 29, 2025
Attachment 13 Qualification of Contractor Employees.pdf	PDF	May 29, 2025
Attachment 14 Deliverables Matrix.pdf	PDF	May 29, 2025
Attachment 15 CFS Services Matrix.pdf	PDF	May 29, 2025
Attachment 19 Building Automation.pdf	PDF	May 29, 2025
Attachment 20 Boiler Pressure Vessel Operation and Inspection.pdf	PDF	May 29, 2025
Attachment 02 Acronyms_Abbreviations.pdf	PDF	May 29, 2025
Attachment 03 MRPT Processing Procedures.pdf	PDF	May 29, 2025
Attachment 04 List of Properties.pdf	PDF	May 29, 2025
Attachment 16 Environmental Health and Safety.pdf	PDF	May 29, 2025
Attachment 18 Vertical Transportation Equipment.pdf	PDF	May 29, 2025
Attachment 24 DD254 Security Guidance Questionnaire.docx	DOCX document	May 29, 2025
Attachment 25 Past Performance Questionnaire.pdf	PDF	May 29, 2025
Attachment 05 Reliability_Centered_Maintenance_Manual.pdf	PDF	May 29, 2025
Attachment 08 Escalation_and_Remediation_Process.pdf	PDF	May 29, 2025
Attachment 10 CFS Plan Template.pdf	PDF	May 29, 2025
Attachment 22 Reporting Form for Adhesives Sealants and Primers.xlsx	XLSX spreadsheet	May 29, 2025
Attachment 23 Pricing Sheet.xlsx	XLSX spreadsheet	May 29, 2025
Attachment 26 Transition Plan.pdf	PDF	May 29, 2025
Attachment 27 Proposed TO site groupings.pdf	PDF	May 29, 2025
19AQMM25R0151.pdf	PDF	May 29, 2025
Attachment 0 Table_of_Contents.pdf	PDF	May 29, 2025
Attachment 01 Definitions Glossary.pdf	PDF	May 29, 2025
Attachment 06 List of Codes and Regulations.pdf	PDF	May 29, 2025
Attachment 07 List_of_Key_Personnel_and_Qualifications.pdf	PDF	May 29, 2025
Attachment 09 Program Management Plan Template.pdf	PDF	May 29, 2025
Attachment 12A QASP AQL Matrix - PgMO.xlsx	XLSX spreadsheet	May 29, 2025
Attachment 17 Fire Protection and Life Safety Equipment and Systems.pdf	PDF	May 29, 2025
Attachment 21 RCM Testing.pdf	PDF	May 29, 2025
Attachment 28 On-Off Ramp process.pdf	PDF	May 29, 2025

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AQL

Section J - Attachment 12 Acceptable Quality Level (AQL) Matrix Template - CFS

21 Sept. 2022		Section "C"	Section "J"	Daily Readings	Weekly	Monthly Report	Quarterly Report	Annual Report	New Hire	Update upon change
AQL-1	BAS Daily Log Report	C.3.21.3		X		X
AQL-2	RCM Airstack Closed Loop	C.3.8		X		X
AQL-3	Clean Spaces	C.1.21				X
AQL-4	Enterprise Resource Planning System	C.1.14		X
AQL-5	Critical Equipment Alarm record					X
AQL-6	Critical Equipment List					X				X
AQL-7	Electrical System GFPE					X				X
AQL-8	Electrical System WO repairs					X
AQL-9	Fire Alarm record					X
AQL-10	Fuel Usage daily report				X
AQL-11a-j	Water Analysis C.3.32.6	C.3.8	J-13			X
AQL-12-12a	Corrosion Coupon	C.3.32.4
AQL-13	Logs and Records	C.3.5.3			X
AQL-14	Meter calibration							X
AQL-15	NSF-ANSI Chemicals used	C.3			X
AQL-16	One line Diagrams							X		X
AQL-17	Physical Security - Guard Shacks				X
AQL-18	RCM - AHU - Filter & VFD daily inspection C.3.21.2	C.1.76		X		X
AQL-19	RCM Electrical inspection	C.1.76		X
AQL-20	RCM Plumbing daily inspections	C.1.76		X
AQL-21	RCM Building Inspection Exterior				X
AQL-22	RCM Building Inspection Interior				X
AQL-23	RCM Make up water usage	C.1.76		X
AQL-24	RCM Monthly ActivityReview	C.1.76				X
AQL-25	Safety and Training	C.3						X	X
AQL-26	Staffing C.3.20.1c C.3.1.I	C.1.63			X
AQL-27	Thermal Imaging Electrical Panels Low Voltage need to add
AQL-28	Thermal Imaging Electrical Switch Gear
AQL-29	Vibration Analysis need to add to contract							X
AQL-30	Fire and Life Safety Inspection 15 FAM 813.3	C.1.34						X
AQL-31	Building Assessement of all support systems (AIS)	C.3.2.1						X
AQL-32	Blank
AQL-33	Preventive Maintenance Service Contracts (PMSC) budget							X
AQL-34	Workplace Hazard Identification and Assessment (OSHA)		J-15					X
AQL-35	Monthly Fuel System Inspection (using Gov. Check Lit)		J-18			X
AQL-36	Veeder-Root System Testing		J-18			X
AQL-37	Annual Leak Monitoring and Overfill Protection Test Form		J-18					X
AQL-38	Annual Walkthrough Inspection Checklist		J-18					X
AQL-39	On Shelf Replacement and Expendable Parts List C.3.20.1a	C.3.7	J-06			X
AQL-40	Customer Quality Assurance C.3.11	C.3.20.10				X

AQL-00	PSV valve testing
Reference	Last tab is reference only: Critical equipment list by Tatitlek
The Quality Assurance Surveillance Plan (QASP) is the document government personnel use to assess contractor performance. Using the Requirements Roadmap ensures that each performance objective is linked to a method of inspection incorporated in the QASP
AQL-1	Multi-Provider, Multi-Building Mgmt
AQL-01.1	Provider-Level Management Oversight
	AQL: Provider Performance Monitoring:
	o	AQL: 100% of CFS providers receive regular performance reviews based on agreed-upon KPIs.
	o	AQL: 95% of identified performance issues with individual CFS providers are addressed with corrective action plans within [specified timeframe].
	o	AQL: 100% of scheduled meetings with each CFS provider are held.

•	AQL: Provider Communication:
o	AQL: 98% of communication from the PGMO to CFS providers is documented and tracked.
o	AQL: 100% of CFS provider escalations are responded to within the required time frame.

•	AQL: Provider Compliance Tracking:
o	AQL: 100% of CFS providers' compliance with contract requirements, safety regulations, and environmental standards is monitored and documented.

AQL 2	2. Building-Level Management Oversight:
AQL 2.1	•	AQL: Building Inspection Coverage:
AQL 2.1.1	o	AQL: 100% of buildings assigned to CFS providers receive scheduled inspections according to the established frequency.
AQL 2.1.2	o	AQL: 95% of building inspections are performed according to the inspection checklist.

•	AQL: Building Issue Tracking:
o	AQL: 100% of identified building maintenance issues are tracked and resolved within the defined service level agreements (SLAs).
o	AQL: 90% of preventative maintenance schedules are followed for each building.
o	AQL: 90% of preventative maintenance schedules are followed for each building.

•	AQL: Building Performance Reporting:
o	AQL: 100% of building-level performance reports are generated and provided to the COR as required.
o	AQL: 100% of building specific data is entered into the ERP system.

•	AQL: Building SLA Compliance:
o	AQL: 98% of building SLA compliance is maintained.

AQL 3	Provider and Building Cross-Referencing:
AQL 3.1	•	AQL: Data Correlation:
AQL 3.1.1	o	AQL: 95% of data across providers and buildings is accurately correlated and analyzed to identify trends and potential issues.
AQL 3.1.2	o	AQL: 100% of building to provider assignments are accurately tracked.

AQL 3.2	•	AQL: Issue Escalation:
AQL 3.2.1	o	AQL: 100% of issues that effect multiple buildings or providers are escalated to the COR.

DRAFT

AQL 1 BAS Daily Log

AQL - 1	RCM		BAS Daily Log Report
Honeywell / Tridium Niagara N4 Month:	Time inspected	Time alarm is reported	Service Company contacted / what time	Time Service Company arrived on site	Discription of Problem Software / Hardware	Discription of repair	Time system is restored
Inspection 1
Inspection 2
Inspection 3
Inspection 4
Inspection 5
Inspection 6
Inspection 7
Inspection 8

C.3.21.5 b.	Checking all operating equipment in the watch area every two (2) hours.
c. Recording operating data in appropriate logs or records every two (2) hours.

Siemens Apogee 3.15 / not supported as of January 2022	Time inspected	Time alarm is reported	Service Company contacted / what time	Time Service Company arrived on site	Discription of Problem Software / Hardware	Discription of repair	Time system is restored
Inspection 1
Inspection 2
Inspection 3
Inspection 4
Inspection 5
Inspection 6
Inspection 7
Inspection 8

COMMENTS

AQL 2 Airstack Water Anaylsis

AQL-2	RCM Airstack System Daily Inspections
Month________________
Make up tank pump control panel/ power on or off
Glycol Make up tank tank level
DAY	1	2	3	4	5	6	7	8	9	10	11	12	13	14	15
Make up tank pump control panel/ power on or off
Glycol Make up tank tank level
DAY	16	17	18	19	20	21	22	23	24	25	26	27	28	29	30	31

Pump P-04-230
Pressure reading on system	1	2	3	4	5	6	7	8	9	10	11	12	13	14	15
this is the back-up pump for
heat exchanger H-4A-005	16	17	18	19	20	21	22	23	24	25	26	27	28	29	30	31
on the house side
this pump works on differential pressure / most of the time it will be off

Pump P-04-231 / pressure
pump On or Off
	1	2	3	4	5	6	7	8	9	10	11	12	13	14	15
Pressure reading
pump On or Off
	16	17	18	19	20	21	22	23	24	25	26	27	28	29	30	31

Pump P-04-232 / pressure
pump On or Off
	1	2	3	4	5	6	7	8	9	10	11	12	13	14	15
Pressure reading
pump On or Off
	16	17	18	19	20	21	22	23	24	25	26	27	28	29	30	31

Pump P-04-09 / pressure
pump On or Off
	1	2	3	4	5	6	7	8	9	10	11	12	13	14	15
Pressure reading
pump On or Off
	16	17	18	19	20	21	22	23	24	25	26	27	28	29	30	31

Pump P-04-010 / pressure
pump On or Off
	1	2	3	4	5	6	7	8	9	10	11	12	13	14	15
Pressure reading
pump On or Off
	16	17	18	19	20	21	22	23	24	25	26	27	28	29	30	31

AQL 3 Clean Spaces AQL-3 Date:XX/XX/XX RCM CLEAN SPACES

Total square footage of common area, cleaned daily 1,500,000	Scheduled WO	Unscheduled WO	% of Unscheduled WO to Scheduled
Total number of Work orders requesting cleaning due to area missed	0	0	ERROR:#DIV/0!

Total number of Work Orders for cleaning because of a spill	Scheduled WO	Unscheduled WO	% of Unscheduled WO to Scheduled
	0	0	ERROR:#DIV/0!

Total number of bathrooms, cleaned daily	Scheduled WO	Unscheduled WO	% of Unscheduled WO to Scheduled
Total number of Work orders requesting cleaning due to area missed.	0	0	ERROR:#DIV/0!

Glass doors to be cleaned	Scheduled WO	Unscheduled WO	% of Unscheduled WO to Scheduled
Total number of Work orders requesting cleaning per month	0	0	ERROR:#DIV/0!

Special Projects this Month	Scheduled WO	Unscheduled WO	% of Unscheduled WO to Scheduled
Total number of Work orders requesting cleaning per month	0	0	ERROR:#DIV/0!

AQL 4 ERPS

AQL-04 General requirements

Maintenance Program Procedures

Date

Routine Preventative and Emergency Work Orders shall be completed and closed weekly (7days)

MAXIMO systems utilized to schedule, track and close routine and emergency work orders.

Tatitlek Work Order Report

Plumbing

Appliance

HVAC

Janitor

Electrical

Fire

Generator

Elevator

G-Maintenance

Insulator

Water

Fuel

QAQC

Carpentry

Total

Scheduled

Unscheduled (Routine)

Standing

TOTAL

High Priority	0
Emergency	0
Urgent	0
On Hold	0
Canceled	0
Approved	0
Completed	0
Closed	0

AQL 5 Critical Equipment Alarms

AQL-05 General requirements, Critical Equipment Alarm Report
Maintenance Program Procedures	Date
Routine Preventative and Emergency Work Orders shall be completed and closed weekly (7days)	Critical Equipment Alarm Report MAXIMO systems utilized to schedule, track and close routine and emergency work orders.
O&M Contractor Work Order
	Chillers	Boilers	Lift Stations	Standby Generators	Fuel Tanks	Fuel Transfer pumps	Airstack chiller	Electrical Switch Gear	Fire Pumps	Fire Alarm Systems	Total
Total number of Alarms for the month											0
Number of unscheduled work orders issued											0
Down time is recorded in hours	0	0	0	0	0	0	0	0	0	0
Percent of down time	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%
Up time	100.00%	100.00%	100.00%	100.00%	100.00%	100.00%	100.00%	100.00%	100.00%	100.00%
coarticulations

Number of days x 24 hours divided by hours equipment is down = percentage	Days in Month	Hours	Total hours for the month	Up Time
Down time is recorded in 1/10th of an hour	30	24	720	100.00%

Comments

AQL 6 Critical Equipment List

AQL-06 General requirements, Critical Equipment
Maintenance Program Procedures	Month:
Routine Preventative and Emergency Work Orders shall be completed and closed weekly (7days)	Critical Equipment List Not protected by GFPE The total number of pieces of equipment in HST #_______ MAXIMO systems utilized to schedule, track and close routine and emergency work orders.
O&M Contractor Work Order Report
	Chillers	Boilers	Lift Stations	Standby Generators	Fuel Tanks	Fuel Transfer pumps	Airstack chiller	Electrical Switch Gear	Fire Pumps	Fire Alarm Systems	Total
Scheduled											0
Unscheduled (Routine)											0
Standing (PM's)											0
TOTAL											0

High Priority	0
Emergency	0
Urgent	0
On Hold	0
Canceled	0
Approved	0
Completed	0
Closed	0

AQL 7 Electrical GFPE system

AQL-07 General requirements, (GFPE)
Maintenance Program Procedures	Month:
Routine Preventative and Emergency Work Orders shall be completed and closed weekly (7days)	Ground Fault Protection of Equipment (GFPE) The total number of pieces of equipment in HST #_______ MAXIMO systems utilized to schedule, track and close routine and emergency work orders.
O&M Contractor Work Order Report
GFPE protected equipment electrical issues	Chillers	Boilers	Lift Stations	Standby Generators	Fuel Tanks	Fuel Transfer pumps	Airstack chiller	Electrical Switch Gear	Fire Pumps	Fire Alarm Systems	Total
Scheduled											0
Unscheduled (Routine)											0
Standing (PM's)											0
TOTAL											0

High Priority	0
Emergency	0
Urgent	0
On Hold	0
Canceled	0
Approved	0
Completed	0
Closed	0
GFPE protects equipment from damaging line-to-ground faults and is not intended for the protection of people.

AQL 8 Electrical WO repairs

AQL-08 General requirements, Electrical Distribution Critical Equipment
Maintenance Program Procedures	Date
Routine Preventative and Emergency Work Orders shall be completed and closed weekly (7days)	Electrical Distribution Critical Equipment The total number of pieces of equipment in HST #_______ MAXIMO systems utilized to schedule, track and close routine and emergency work orders.
O&M Contractor Work Order Report
	Distribution Panels	Switch Gear	Inverters	Transformers	ATS for generators	UPS gear	Total
Total number:							0
Scheduled							0
Unscheduled (Routine)							0
Standing (PM's)							0
TOTAL							0

High Priority	0
Emergency	0
Urgent	0
On Hold	0
Canceled	0
Approved	0
Completed	0
Closed	0

AQL 9 Fire Alarm record

AQL-09 Fire Alarm Report
Maintenance Program Procedures	Month:
Routine Preventative and Emergency Work Orders shall be completed and closed weekly (7days)	Fire Alarm Report MAXIMO systems utilized to schedule, track and close routine and emergency work orders.
O&M Contractor Work Order Report
	Panel - 1	Panel - 2	Panel - 3	Panel - 4	Panel - 5	Panel - 6	Panel - 7	Panel - 8	Panel - 9	Panel - 10	Total
Total number of Alarms for the month											0
Number of unscheduled work orders issued											0
PM'S											0
Fire Alarm Test conducted for the month											0
											0
TOTAL											0

Locations in HST	Parking Gurage	1st Floor	2nd Floor	3rd Floor	4th Floor	5th Floor	6th Floor	7th Floor	8th Floor
Device Types
Ansul / Kidde Hood System
Audible Circuits - CSM-4
Beam Detector
Duct Detector
Heat Detector
Monitor Points
NET 7 Cards
NIM 1 Cards
PSR-1 Boards
Pull Stations
Relays
Smoke Det with Sounder Bases
Smoke Detectors
Spare Point on Module
Tamper Switches
Water Flow Switches
MXL-IQ Panel
MXL - MMB-3 Panel
Fire Pump Rooms
AA Smoke Detectors
9V Smoke Detectors
Battery Main
Batteries for PSR
Total Devices - Siemens

AQL 10 Daily Fuel Report O&M Sample Fuel Report AQL-10 Daily Fuel Report: HST Building - Sample (Date) Harry S Truman Building

TANK	Actual Cap. (USG)****	forward from last month	1-Aug	2-Aug	3-Aug	4-Aug	5-Aug	6-Aug	7-Aug	8-Aug	9-Aug	10-Aug	11-Aug	12-Aug	13-Aug	14-Aug	15-Aug	16-Aug
21 Street North Tank (gal)	10,800	7,975	7,975	7,975	7,975	7,975	7,982	7,982	7,982	7,982	7,982	7,982	7,987	7,987	7,987	7,987	7,987	7,987
21 Street South Tank (gal)	10,800	5,668	5,668	5,668	5,668	5,668	5,671	5,671	5,671	5,671	5,671	5,671	5,673	5,673	5,673	5,673	5,673	5,673
C Street Tank (gal)	5,449	4,439	4,439	4,439	4,439	4,439	4,438	4,438	4,438	4,438	4,438	4,438	4,435	4,435	4,435	4,435	4,435	4,435
Total on Hand (gal)	27,049	18,082	18,082	18,082	18,082	18,082	18,091	18,091	18,091	18,091	18,091	18,091	18,095	18,095	18,095	18,095	18,095	18,095
Ullage* (gal)			8,967	8,967	8,967	8,967	8,958	8,958	8,958	8,958	8,958	8,958	8,954	8,954	8,954	8,954	8,954	8,954
Fuel Consumed (gal)			0	0	0	0	-9	0	0	0	0	0	-4	0	0	0	0	0
21st tanks est run time (Hours)**			21	21	21	21	21	21	21	21	21	21	21	21	21	21	21	21
C Street est run time (hours)			34	34	34	34	34	34	34	34	34	34	34	34	34	34	34	34
Qty. Received (gal)
TANK	Actual Cap. (USG)****		17-Aug	18-Aug	19-Aug	20-Aug	21-Aug	22-Aug	23-Aug	24-Aug	25-Aug	26-Aug	27-Aug	28-Aug	29-Aug	30-Aug	31-Aug
21 Street North Tank (gal)			7,987	7,991	7,991	7,991	7,991	7,991	7,991	7,991	7,991	7,991	7,991	7,991	7,991	7,991	7,991
21 Street South Tank (gal)			5,673	5,501	5,501	5,501	5,501	5,501	5,501	5,501	5,501	5,501	5,501	5,501	5,501	5,501	5,501
C Street Tank (gal)			4,435	4,432	4,432	4,432	4,432	4,432	4,432	4,432	4,432	4,432	4,432	4,432	4,432	4,432	4,432
Total on Hand (gal)			18,095	17,924	17,924	17,924	17,924	17,924	17,924	17,924	17,924	17,924	17,924	17,924	17,924	17,924	17,924
Ullage* (gal)			8,954	9,125	9,125	9,125	9,125	9,125	9,125	9,125	9,125	9,125	9,125	9,125	9,125	9,125	9,125
Fuel Consumed (gal)			0	171	0	0	0	0	0	0	0	0	0	0	0	0	0
21st tanks est run time (Hours)**			21	21	21	21	21	21	21	21	21	21	21	21	21	21	21
C Street est run time (hours)			34	34	34	34	34	34	34	34	34	34	34	34	34	34	34
Qty. Received (gal)

*Total Ullage greater than or equal to 7499 will output red cell fill with red number, this indicates promt for refill order of 7500 gallons fuel. Ullage represents the gallons required to fill the empty space in the tank to 90% capacity.

21st Street North and South are combined use tanks, Run time (in hours) is the total of Gallons on hand divided by the full load estimated consuption for all generators served by 21st Street North and South tanks. Based on FL consuption 658.8 per hour

***C Steet tank run time (in hours) is a full load fuel consuption estimate for all the generators served by the C street fuel tank. Based on FL consumption 132.20 GPH.

****Actual Capacity is 90% of tank volume.

*****Small increase/decrease in fuel consumed are expansion/contraction due to temperature variation.

****** Planned generator test are the third Wednesday of every month.

******* Veeder root readings are taken one a week and entered into this spreadsheet.

AQL 11 Main Tower

Co logo	AQL - 11	RCM	Main Cooling Tower Water Analysis C.3.32.7
Month		CONDUCTIVITY 500-7000 uohm	pH 8.5 - 11.5 PPM	Traxstar what is the chem. 100-500 PPB	Chlorine 0-2 PPM	Bromine 0-2 PPM	Molybdate 60 - 200 PPM	Nitrite 400 - 2000 PPM
Date		1226	8.7	120	0.07	N/A	N/A	N/A
Date		1239	8.7	134	0.08	N/A	N/A	N/A
Date		1289	8.8	132	0.08	N/A	N/A	N/A
Date		1340	8.8	147	0.08	N/A	N/A	N/A
						N/A	N/A	N/A
						N/A	N/A	N/A
						N/A	N/A	N/A
						N/A	N/A	N/A
						N/A	N/A	N/A
						N/A	N/A	N/A
						N/A	N/A	N/A
						N/A	N/A	N/A
						N/A	N/A	N/A
						N/A	N/A	N/A
						N/A	N/A	N/A
						N/A	N/A	N/A
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						N/A	N/A	N/A
						N/A	N/A	N/A
						N/A	N/A	N/A
						N/A	N/A	N/A
						N/A	N/A	N/A

Note: Traxstar, is a reagent dye used to perform the test

AQL 11a Main Chilled Loop

Co logo	AQL - 11a	RCM	Main Chill Water Loop
Month		CONDUCTIVITY 500-7000 uohm	pH 8.5 - 11.5 PPM	Traxstar what is the chem. 100-500 PPB	Chlorine	Bromine 0-2 PPM	Molybdate 60 - 200 PPM	Nitrite 400 - 2000 PPM
Date		1284	10.3	N/A	N/A	N/A	N/A	400
Date		1279	10.3	N/A	N/A	N/A	N/A	400
Date		1250	10.5	N/A	N/A	N/A	N/A	400
Date		1249	10.5	N/A	N/A	N/A	N/A	400
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
The unit of measurement for conductivity is expressed in either microSiemens (uS/cm) or micromhos (umho/cm) which is the reciprocal of the unit of resistance, the ohm. The prefix "micro" means that it is measured in millionths of a mho. MicroSiemens and micromhos are equivalent units.May 28, 2020

Note: Traxstar, is a reagent dye used to perform the test

AQL 11b 5440 Chilled Loop

Co logo	AQL - 11b	RCM	5440 Chilled Water Loop Analysis
Month		CONDUCTIVITY 500-7000 uohm	pH 8.5 - 11.5 PPM	Traxstar what is the chem. 100-500 PPB	Chlorine	Bromine 0-2 PPM	Molybdate 60 - 200 PPM	Nitrite 400 - 2000 PPM
Date		1256	10.4	N/A	N/A	N/A	N/A	400
Date		1270	10.3	N/A	N/A	N/A	N/A	400
Date		1246	10.5	N/A	N/A	N/A	N/A	400
Date		1256	10.5	N/A	N/A	N/A	N/A	400
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
	The unit of measurement for conductivity is expressed in either microSiemens (uS/cm) or micromhos (umho/cm) which is the reciprocal of the unit of resistance, the ohm. The prefix "micro" means that it is measured in millionths of a mho. MicroSiemens and micromhos are equivalent units.May 28, 2020
Note: Traxstar, is a reagent dye used to perform the test

AQL 11c 7516 Hot Loop

Co logo	AQL - 11c	RCM	7516 Hot Water Loop Analysis
Month		CONDUCTIVITY 500-7000 uohm	pH 8.5 - 11.5 PPM	Traxstar what is the chem. 100-500 PPB	Chlorine	Bromine 0-2 PPM	Molybdate 60 - 200 PPM	Nitrite 520 - 2000 PPM
Date		930	10.1	N/A	N/A	N/A	N/A	400
Date		930	10.3	N/A	N/A	N/A	N/A	400
Date		937	10.3	N/A	N/A	N/A	N/A	400
Date		929	10.3	N/A	N/A	N/A	N/A	400
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
Note: Traxstar, is a reagent dye used to perform the test

AQL 11d LL Steam Vault

Co logo	AQL - 11d	RCM	LL Steam Vault Hot Water Loop Analysis
Month		CONDUCTIVITY 500-7000 uohm	pH 8.5 - 11.5 PPM	Traxstar what is the chem. 100-500 PPB	Chlorine	Bromine 0-2 PPM	Molybdate 60 - 200 PPM	Nitrite 520 - 2000 PPM
Date		1500	10.1	N/A	N/A	N/A	N/A	640
Date		1501	10.1	N/A	N/A	N/A	N/A	640
Date		1531	10.2	N/A	N/A	N/A	N/A	640
Date		1533	10.2	N/A	N/A	N/A	N/A	640
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
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				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
Note: Traxstar, is a reagent dye used to perform the test

AQL 11e 1239 UPS Hot loop

Co logo	AQL - 11e	RCM	1239 UPS Hot Water Loop Analysis
Month		CONDUCTIVITY 500-7000 uohm	pH 8.5 - 11.5 PPM	Traxstar what is the chem. 100-500 PPB	Chlorine	Bromine 0-2 PPM	Molybdate 60 - 200 PPM	Nitrite 520 - 2000 PPM
Date		436	8	N/A	N/A	N/A	0	N/A
Date		452	8.1	N/A	N/A	N/A	0	N/A
Date		440	8.1	N/A	N/A	N/A	0	N/A
Date		444	8.2	N/A	N/A	N/A	0	N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
			Comments

Note: Traxstar, is a reagent dye used to perform the test

AQL 11f War Bldg Hot loop

Co logo	AQL-11f	RCM	War Bldg Hot Water Loop Analysis
DATE: September		CONDUCTIVITY 500-7000 uohm	pH 8.5 - 11.5 PPM	Traxstar what is the chem. 100-500 PPB	Chlorine	Bromine 0-2 PPM	Molybdate 60 - 200 PPM	Nitrite 520 - 2000 PPM
Date		1815	9.2	N/A	N/A	N/A	N/A	720
Date		1795	9.2	N/A	N/A	N/A	N/A	720
Date		1794	9.3	N/A	N/A	N/A	N/A	720
Date		1801	9.3	N/A	N/A	N/A	N/A	720
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
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				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
				N/A	N/A	N/A	N/A
Note: Traxstar, is a reagent dye used to perform the test

AQL 11g B2A61 Hot loop

Co logo	AQL - 11g	RCM	B2A61 Hot Water Loop Analysis
Month		CONDUCTIVITY 500-7000 uohm	pH 8.5 - 11.5 PPM	Traxstar what is the chem. 100-500 PPB	Chlorine	Bromine 0-2 PPM	Molybdate 60 - 200 PPM	Nitrite 520 - 2000 PPM
Date		2011	9.3	N/A	N/A	N/A	N/A	960
Date		1625	9.3					800
Date		1611	9.4					800
Date		1612	9.4					800

Note: Traxstar, is a reagent dye used to perform the test

AQL 11h B266 Hot Loop

Co logo	AQL - 11h	RCM	B266 Hot Water Loop
Month		CONDUCTIVITY 500-7000 uohm	pH 8.5 - 11.5 PPM	Traxstar what is the chem. 100-500 PPB	Chlorine	Bromine 0-2 PPM	Molybdate 60 - 200 PPM	Nitrite 520 - 2000 PPM
Date		1340	10.1	N/A	N/A	N/A	N/A	400
Date		1344	10.2					400
Date		1308	10.3					400
Date		1309	10.3					400

Note: Traxstar, is a reagent dye used to perform the test

AQL 11i Blair House

Co logo	AQL - 11j	RCM	Blair House Chill Water Loop
Month		CONDUCTIVITY 500-7000 uohm	pH 8.5 - 11.5 PPM	Traxstar what is the chem. 100-500 PPB	Chlorine	Bromine 0-2 PPM	Molybdate 60 - 200 PPM	Nitrite 400 - 2000 PPM
Date		1300	10	N/A	N/A	N/A	200	N/A
Date		1298	10.1	N/A	N/A	N/A	200	N/A
Date		1311	10.3	N/A	N/A	N/A	200	N/A
Date		1307	10.3	N/A	N/A	N/A	200	N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
The unit of measurement for conductivity is expressed in either microSiemens (uS/cm) or micromhos (umho/cm) which is the reciprocal of the unit of resistance, the ohm. The prefix "micro" means that it is measured in millionths of a mho. MicroSiemens and micromhos are equivalent units.May 28, 2020

AQL 11j Blair Hot Loop

Co logo	AQL - 11i	RCM	Blair House Hot Loop
Month		CONDUCTIVITY 500-7000 uohm	pH 8.5 - 11.5 PPM	Traxstar what is the chem. 100-500 PPB	Chlorine	Bromine 0-2 PPM	Molybdate 60 - 200 PPM	Nitrite 520 - 2000 PPM
Date		506	9	N/A	N/A	N/A	80	N/A
Date		500	8.9	N/A	N/A	N/A	80	N/A
Date		501	8.9	N/A	N/A	N/A	80	N/A
Date		479	9	N/A	N/A	N/A	50	N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A
				N/A	N/A	N/A		N/A

AQL 12 Corrosion Coupon

Co. logo	AQL - 12		RCM	Corrosion Coupon Report for Chill and Hot Water Loops
DATE		Main Tower Condenser water / open		Main CW Loop / closed		5440 CW Loop / closed		B2A61HWL
		Steel	Copper	Steel	Copper	Steel	Copper	Steel	Copper
March	Coupon Number	433	550	432	549	431	548	430	547
Date	Weight Loss (g)	0.0408	0.0267	0.0043	0.0051	0.0046	0.0063	0.0047	0.0088
Status	Corrosion Rate (mpy)	0.406	0.235	0.043	0.045	0.046	0.056	0.043	0.072
June (annual) 358	Coupon Number	F38234	B46048	F38233	B46049	F38231	B46043	F38232	B46045
Date	Weight Loss (g)	0.0223	0.0246	0.0041	0.0108	0.0056	0.0089	0.0036	0.0124
Status	Corrosion Rate (mpy)	0.052	0.051	0.010	0.022	0.013	0.018	0.008	0.026
June 91 days	Coupon Number	300	375	295	369	298	373	297	371
Date	Weight Loss (g)	0.0338	0.0227	0.0045	0.0113	0.0062	0.0138	0.0056	0.0150
Status	Corrosion Rate (mpy)	0.3110	0.1850	0.0410	0.0920	0.0570	0.1120	0.0510	0.1220
September	Coupon Number	F389249	B46050	F38248	B46047	F38247	B46044	F38246	B46046
Date	Weight Loss (g)	0.0124	0.0174	0.0034	0.0119	0.0051	0.0102	0.0036	0.0109
Status	Corrosion Rate (mpy)	0.125	0.155	0.034	0.108	0.051	0.091	0.036	0.097
Date	Coupon Number	F38399	387	F38398	386	F38397	385	F38396	384
Date	Weight Loss (g)	0.0100	0.0142	0.0030	0.0113	0.0027	0.0108	0.0025	0.0103
Status	Corrosion Rate (mpy)	0.084	0.105	0.025	0.084	0.023	0.080	0.022	0.082
			STATUS	Open System		Closed System
				Copper	Mild Steel	Copper	Mild Steel
			Excellent	<0.1	<.1	<0.1	<.02
			Very Good	0.11 - 0.25	1.01 - 3	0.11 - 0.15	0.21 - 0.3
			Good	0.26 - 0.35	3.01 - 5	0.16 - 0.2	0.31 - 0.5
			Fair	0.36 - 0.5	5.01 - 8	0.21 - 0.3	0.5 1- 0.8
			Poor	0.6 - 1	8.01 - 10	0.31 - 0.5	0.81 - 1
			Severe	>1.01	>10.01	>0.51	>1.01

AQL 12a Corrosion Coupon

Co. logo	AQL - 12a	RCM	Corrosion Coupon Report for Chill and Hot Water Loops
DATE		Old War Bldg		UPS 1239		LL Steam Vault		B266 HW loop
		Steel	Copper	Steel	Copper	Steel	Copper	Steel	Copper
March	Coupon Number	427	544		545	429	546	F38015	B46485
Date	Weight Loss (g)	0.0033	0.0080		0.0192	0.0031	0.0105	0.0023	0.0059
Status	Corrosion Rate (mpy)	0.0330	0.0710		0.1560	0.0310	0.0930	0.0210	0.0480
June (annual) 358	Coupon Number	F38228	B46037	F38229	B46039	F38230	B46041
Date	Weight Loss (g)	0.0062	0.0151	1.5047	0.0941	0.0055	0.0160
Status	Corrosion Rate (mpy)	0.014	0.031	3.516	0.195	0.013	0.033
June 91 days	Coupon Number	293	367		368	299	374	296	370
Date	Weight Loss (g)	0.0053	0.0117		0.0915	0.0058	0.0138	0.0046	0.0108
Status	Corrosion Rate (mpy)	0.049	0.095		0.745	0.053	0.112	0.042	0.088
September	Coupon Number	F38243	B46038		B46040	F38245	B46042
Date	Weight Loss (g)	0.0032	0.0117		0.0151	0.0032	0.0167
Status	Corrosion Rate (mpy)	0.032	0.104		0.135	0.032	0.149
December Year	Coupon Number	F38395	381		382	F38394	383
Date	Weight Loss (g)	0.0019	0.0094		0.0129	0.0024	0.0119
Status	Corrosion Rate (mpy)	0.0160	0.070		0.103	0.020	0.088
			STATUS	Open System		Closed System
				Copper	Mild Steel	Copper	Mild Steel
			Excellent	<0.1	<.1	<0.1	<.02
			Very Good	0.11 - 0.25	1.01 - 3	0.11 - 0.15	0.21 - 0.3
			Good	0.26 - 0.35	3.01 - 5	0.16 - 0.2	0.31 - 0.5
			Fair	0.36 - 0.5	5.01 - 8	0.21 - 0.3	0.5 1- 0.8
			Poor	0.6 - 1	8.01 - 10	0.31 - 0.5	0.81 - 1
			Severe	>1.01	>10.01	>0.51	>1.01

AQL 13 Logs and Records

Co logo	AQL - 13		RCM	Logs and Records QC/QA Verification
Daily Log Books / QCQA Weekly Review		Date checked	BAS	Main Chiller	Boilers 8th floor	Standby Generators

AQL 14 Meter Calibration

Co logo	AQL - 14		RCM	Meter Calibration
Meter Type		Manufactory	Serial Number	New purchase Yes/No	Current calibration date	Next calibration date	Purpose	Expected Life cycle in years	Cost of meter

AQL 15 NSF-ANSI Chemicals

Co logo	AQL - 15		RCM	Chemicals used at HST in Water Treatment meet NSF and / or ANSI Standards
Name of Chemical		Purpose	System it is used in	Chemical storage location	SDS on File at storage location	SDA folder inspection date	Is there a Safety Shower at storage locating	Safety Shower Inspection date	Name of Personal authorized to use chemicals	Date of training on proper use of chemicals	Spill kit on site Yes/No

NSF certification ensures that your treatment chemicals meet globally accepted public health standards. If you manufacture, sell or distribute water treatment chemicals in North America, your products are required to comply with NSF/ANSI/CAN 60: Drinking Water Treatment Chemicals - Health Effects. ANSI Standards are Voluntary For example, OSHA 1910.145, “Specifications for Accident Prevention Signs and Tags” references ANSI Z53. 1-1967. That, in effect, makes the ANSI standard a part of the OSHA standard, and OSHA can issue a citation if your workplace safety signs are not in compliance with the Z53. ( American National Standards Institute)

AQL 16 One Line Digrams

Co logo	AQL - 16	RCM	One Line Diagrams of Systems
Diagrams for the following areas		Location	Process	Date updated	POC
Main Chiller Plant
Airstack Chiller loop with pumps
Main Steam in HST delivered from offsite
Boilers
Cooling Towers
Hot Water Loop
Chill water Loop
Electrical Switch Gear
Transformers in HST
Lift Stations
Fuel storage
Fuel distribution Piping
Hazards Chemical Lockers		Note
Storm Water Collection
All drawing will be done in CAD, framed behind glass, install in appropriate locations
Note: there maybe more than one location this information needs to be posted
C.1.69 Sequence of Operations A “sequence of operations” is the control logic used to operate a system normally put into effect through a control program.

AQL 17 Security - Guard Post

Co logo	AQL - 17	RCM	Physical Security - Guard Post
Location on HST Property		Size of Guard Post Feet /Inches	Electrical service Yes / No	AC & Heat Yes / No	Water Yes / No	O&M is there a schedule PM in Maximo	Painting schedule Yes / No	Custodial schedule Yes / No

AQL 18 RCM AHU

AQL-18 RCM Daily Inspection AHU_____________________

Month____________________	1	2	3	4	5	6	7	8	9	10	11	12	13	14	15
VFD Display Auto
Manual
motor load by %
Hz
Amps

Magnehelic Reading

HEGA

HEPA

Pre-Filters

Humidifier

Off

	16	17	18	19	20	21	22	23	24	25	26	27	28	29	30	31
VFD Display Auto
Manual
motor load by %
Hz
Amps

Magnehelic Reading

HEGA

HEPA

Pre-Filters

Humidifier

Off

Notes:

AQL 19RCM Electrical Inspection

Co logo	AQL - 19	RCM	Electrical Inspection - Low Voltage Distribution Panels
Panel Location		Inside of panel clean	All terminals tight	Therminal Imaging on file Yes / No	Panel Identification	Date of Inspection	Name of Qualified Technician	QC/QA Inspector

AQL 20 RCM Plumbing inspection

Co logo	AQL - 20	RCM	Plumbing Inspection
Daily Inspections		Location	Operational Yes / No	Issues
Hot water circulation pumps
Lift Stations
Grase Traps
Back Flow Preventers
Domestic water pumps
Water Purefication Filters

AQL 21 RCM Building inspection

Co logo	AQL - 21	RCM		Building Exterior Inspection
Daily Inspections		Issue Yes / No	WO issued	Discription
Doors
Windows
Façade
Planter Boxes
Land scape
Hand rails

AQL 22 RCM Building Inspection

Co logo	AQL - 22	RCM		Building Interior Inspection
Daily Inspections		Issue Yes / No	WO issued	Discription
Doors
Windows
Façade
Planter Boxes
Land scape
Hand rails
Court Yards

AQL 23 RCM Make up water

AQL-23	RCM	Domestic Make up Water - HST
Month____________________

	1	2	3	4	5	6	7	8	9	10	11	12	13	14	15
Current Reading	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
Previous reading	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
Used	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0

Previous reading is done for the first day of the month only

	16	17	18	19	20	21	22	23	24	25	26	27	28	29	30	31
Current Reading	0	0
Previous reading	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
Used	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0

AQL 23a Make Up Water

AQL-23a	RCM	Chill Water Loop - Make up Water - HST
Month____________________

	1	2	3	4	5	6	7	8	9	10	11	12	13	14	15
Current Reading	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
Previous reading	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
Used	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0

Previous reading is done for the first day of the month only

	16	17	18	19	20	21	22	23	24	25	26	27	28	29	30	31
Current Reading	0	0
Previous reading	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0

AQL 23b Hot Water Heating

AQL-23b	RCM	Hot Water Heating - Make up Water - HST
Month____________________

	1	2	3	4	5	6	7	8	9	10	11	12	13	14	15
Current Reading	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
Previous reading	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
Used	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0

Previous reading is done for the first day of the month only

	16	17	18	19	20	21	22	23	24	25	26	27	28	29	30	31
Current Reading	0	0
Previous reading	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
Used	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0

AQL 24 RCM Monthly Activity

	AQL-24 RCM Monthly Activity Review
Month: September 2022	Total number of equipment or material failures discovered in the course of doing daily rounds	Was a Work Order generate for the repair? Yes / No Work Order Number
Electrical

HVAC

Plumbing

Power

Building Interior & Exterior

This information dose not include scheduled PM's or service calls to the WO desk.

Comments

AQL 25 Safety & Training

Co logo	AQL - 25	RCM	Safety Training
Name		Discription of Training		Class Hours	Training Class Location	Name of Trainer	Date of Training	Certificate of training issued Yes / No

AQL 26 Staffing

Co Logo	AQL-26 Staffing September 2022
HST - Building
Labor Category

Department

	Planned	Filled	Subcontracted	Vacancies	% Staffed
Total - Headcount	39.6
Manpower Breakdown of Administration and Trades by Sites
Administration- All Sites
Labor Category

Department

	Planned	Filled	Subcontracted	Vacancies	% Staffed
Administration	3				0%
Tatitlek
Labor Category

Department

		Planned	Filled	Subcontracted	Vacancies	% Staffed	FTE	Annual hours	OT hours	(FTE) Full Time Employee
1	QC/QA / Safety	0.6					0.60	1856	0
2	Chief Engineer	1					1.00	1800	90
3	Lead HVAC Mechanic	1		0	1	0%	1.00	1800	90
4	Mechanical Supervisor	1		0	1	0%	1.00	1800	90
5	Electrical Lead	1		0	1	0%	1.00	1800	90
6	Third Class Lead Engineer	2		0	2	0%	2.00	1800	90
7	First Class Engineer	2.5		0	2.5	0%	2.50	1800	90
8	Third Class Engineer	4		0	4	0%	4.00	1800	90
9	Journeymen Pipefitter	1		0	1	0%	1.00	1800	90
10	Journeymen Plumber	3		0	3	0%	3.00	1800	90
11	Master Electrician	1		0	1	0%	1.00	1800	90
12	Journey Electrician	3		0	3	0%	3.00	1800	90
13	Pneu/Elec. Controls Tech	3		0	3	0%	3.00	1800	90
14	Maintenance Mechanic	6.5		0	6.5	0%	6.50	1800	90
15	Utility Maintenance Mechanic	4		0	4	0%	4.00	1800	90
16	Maintenance Trades Helper	2		0	2	0%	2.00	1800	90
				0	0	0%		1800	90
				0	0	0%
				0	0	0%
				0	0	0%
				0	0	0%
				0	0	0%
	Total	36.6	0	0	32	0%	36.60

AQL 27 Thermal Imaging

Co logo	AQL - 27	RCM	Thermal Imaging Electrical Panels - Low Voltage
Location of Panels		Date of Inspecting	Panel Identification	Issues Yes / No	Temperature range set on Camera is 0 - 200 Fahrenheit	Manufactory of camera	Serial Number	Name of Technician	Certification Date

Prefered Thermal Camera is: FLUKE FLK-TOX580 60HZ

AQL 28 Thermal Imaging

Co logo	AQL - 28	RCM	Thermal Imaging Electrical Panels - Switch Gear
Location of Panels		Date of Inspecting	Panel Identification	Issues Yes / No	Temperature range set on Camera is 0 - 200 Fahrenheit	Manufactory of camera	Serial Number	Name of Technician	Certification Date

Prefered Thermal Camera is: FLUKE FLK-TOX580 60HZ

AQL 29 Vibration Analysis

Co logo	AQL - 29	RCM	Vibration Analysis
Location of Equipment		Date of Inspecting	Identification of Equipment	Issues Yes / No (note)	Manufactory of Vibration Tester	Serial Number	Name of Technician	Certification Date

Note: if issues are detected, a separate retesting schedule will be initiated for this piece of equipment. The O&M Operations Manager will be notified ASAP.

Preference for test is a FLUKE 810

AQL 30 Fire & Life Safety

Co logo		AQL - 30	RCM	Annual Fire & Life Safety Inspection Shops and Work areas 15 FAM 813.3
Floor	HST Inspectors		Date of Inspecting	Plumbing	Carpenter	HVAC	Electrical	Fire Extinguisher charged and inspected	Flammable cabinet storage	Fire-Doors & Windows	Condition of Paint by Floors
1
2
3
4
5
6
7
8
1
2
3
4
5
6
7
8

COMMENTS

AQL 31 Building Assessment

Co logo		AQL - 31	RCM	Annual Inspection Summary (AIS) Bld. Assessement
Floor	HST Inspectors		Date of Inspecting	Interior Facade	Exterior Façade	Plumbing	Electrical	HVAC	BAS	Elevators	Doors & Windows	Condition of Paint by Floors
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

The AIS is a list of findings resulting from the facility condition survey that must be validated annually. Posts must survey and inspect each building and its support systems and document the findings (15FAM 613). Referr to previous AIS reports, and instructions on how to validate.

AQL 32 Blank Co logo Year:_________ AQL - 32 RCM Blank

AQL 33 PMSC-post funding

Co logo	AQL - 33	RCM	Budget Planning (PMSC) for Capital Improvements and Services (PMSC)
PROJECTS / Services				Budget planning for year ________	Monthly cost	Cost from previous year	Annual Cost	Mark up %	Total
									$0.00

TOTAL Cost $0.00

Preventive Maintenance Service Contracts (PMSC) For PMSC post funding requests: Identify and request PMSC funding needs for post requirements. For funded requests, review PMSC records status' are set to "Obligated" once funds are used to acquire services. This would include major equipment replacements due to end of life cycle.

AQL 34 Hazard Identification

Co logo		AQL - 34	RCM	Workplace Hazard Identification and Assessment 15 FAM 962
Floor	HST Inspectors Name		Date of Inspecting	Interior Facade	Exterior Façade	Plumbing	Electrical	HVAC	BAS	Elevators	Doors & Windows
1
2
3
4
5
6
7
8
9
Roof
			COMMENTS

AQL 35 Fuel System Inspection

Co logo	AQL - 35	RCM	Monthly Fuel System Inspection
DATE	HST Building		Location	Inspector	Gov. furnished check-list
	Underground storage tank-1 piping
	Underground storage tank-2 piping
	Fuel Transfer Piping
	Pumps
	Pumps

Day Tank-1 piping

Day Tank-2 piping

Day Tank-3 piping

Note: tank inspections are annually

AQL 36 Veeder-Root testing

Co logo	AQL - 36	RCM	Automatic Tank Gauging System (Veeder-Root)
2024	Test		Veeder-Root Test Results	Inspector
January	Test UST's at 0.2 GPH leak rate
February	Test UST's at 0.2 GPH leak rate
March	Test UST's at 0.2 GPH leak rate
April	Test UST's at 0.2 GPH leak rate
May	Test UST's at 0.2 GPH leak rate
June	Test UST's at 0.2 GPH leak rate
July	Test UST's at 0.2 GPH leak rate
August	Test UST's at 0.2 GPH leak rate
September	Test UST's at 0.2 GPH leak rate
October	Test UST's at 0.2 GPH leak rate
November	Test UST's at 0.2 GPH leak rate
December	Test UST's at 0.2 GPH leak rate
December 31	Test UST's at 0.1 leak rate annually
Veeder-Root test Results will be printed out and retained for thirty six (36) continuous months. This is in addition to filling out this report.
December 2025	Inspect and Test all leak sensors		Report test results here /retain printed test results

AQL 37 Annual Leak & Overfill Co logo AQL - 37 RCM Annual Leak Monitoring and OverfillProtection Test Form for Underground or Aboveground Storage Tank System

AQL 38 Annual Inspection Co logo AQL - 38 RCM Annual Leak Monitoring and OverfillProtection Test Form for Underground or Aboveground Storage Tank System

AQL 39 Parts Inventory

Co logo		AQL - 39	RCM	On Shelf Replacement Parts and Expendable Lists Cover 80% of repairs J-06
	Discription	Mfg. Part Number	Vendor Part Number	Vendor	Shelf Stock on hand	Minimum stock level	Stock level re-order point	Quanity ordered	Storage location	Shelf / bin number
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41

AQL 40 Customer QA

Co logo	AQL - 40	RCM	Customer Quality Assurance Sample 2% of Monthly Work Orders
Work Order Number	Client	Issue Date	Response Date	Date Completed	Satisfactory	Unsatisfactory	Call Back

C.3.20.10 Customer Quality Assurance

The tenant contact shall be entered into the work order in the CMMS [[[edit as necessary if CMMS exists]]] so as to generate an email notification to the customer or tenant point of contact upon the work order being placed in “complete” status. The Contractor shall create a customer satisfaction survey sheet, in electronic format if available, which must be approved by the COR in writing. Upon completion of work requests, the contractor shall provide a customer satisfaction survey to the requestor and routed from the customer directly to the COR. The Contractor shall perform re-work as necessary if the occupant is reasonably dissatisfied with the pre-vious effort. If the Contractor believes an occupant is unreasonable or requesting work outside the scope of the contract, the Contractor shall immediately notify the COR. Re-work shall be treated as a new Ser-vice Call.

AQL 41 PSV Test

Co logo

Year:_________

AQL - 41

RCM

Pressure Safety Relief Valve Monthly Trip Test / Annual Pressure Test

MAXIMO Asset Number

January

February

March

April

May

June

July

August

September

October

November

December Annual Pressure Test

Test Guage Tag # and certification Date

V-02-0007

V-02-0008

V-02-0009

V-02-0010

V-02-0013

V-02-0014

V-02-0015

V-02-0038

V-02-0040

V-02-0042

V-02-0043

V-02-0044

V-02-0045

V-02-0048

V-02-0049

V-02-0050

V-02-0054

V-02-0056

V-02-0057

V-02-0058

V-02-0059

V-02-0060

V-02-0061

V-02-0062

V-02-0063

V-02-0064

V-02-0065

Reference: 5850/page 415 / line 24 image1.png image2.png image3.png

File details come from the government source that posted it. Updated May 29, 2025.