Attachment 3 - Contractor Discrepancy Report.pdf

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70Z02327QCGRC0001
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About this file

This is a Contractor Discrepancy Report template used in federal contracting to document and resolve quality or performance issues identified during contract execution.

The form serves as a formal communication mechanism between the Quality Assurance Evaluator (QAE), Contracting Officer, and Contractor. It begins with the QAE initiating the report by documenting the contract number, report serial number, and a detailed description of the discrepancy or problem with references to relevant Performance Management Standards (PMS) or directives. The form tracks four key dates: report preparation, oral notification to the contractor, contractor response return, and action completion. Following government notification, the contractor must provide a formal written response explaining the cause of the discrepancy, corrective actions taken, and preventive measures, citing applicable quality control program procedures. The Contracting Officer then evaluates the contractor's response for acceptance or rejection and specifies any government actions such as payment deductions, cure notices, or show cause requirements. The form concludes with a close-out section requiring signatures and dates from the Contractor, QAE, and Contracting Officer, confirming that all parties have been notified and the discrepancy has been resolved. This document is a standard federal quality assurance tool for maintaining contract compliance and accountability.

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Text version

Attachment 3 – Contractor Discrepancy Report

1. Contract Number

2. Report Serial No.

3. Report # this Discrepancy

4. To: (Contractor and Managers Name)

5. From: (Name of QAE)

DATES

6. Prepared

Oral Notification

Returned by Contractor Action Complete

7. Discrepancy or Problem (Describe in detail: include reference to PMS/Directive: attach continuation sheet if needed.

8. Signature of Contracting Officer

9. To: (Contracting Officer)

From: (Contractor)

10. Contractor response as to cause, corrective action and actions to prevent recurrence. Attach continuation sheet if needed (Cite applicable QC program procedures(s) or new QC procedures(s).)

11. Signature of Contractor Representative

Date

12. Government Evaluation (Acceptance, rejection: Attach continuation sheet if needed)

13. Government Action (Payment deductions, cure notice, show cause, other)

14. Final Disposition

CLOSE OUT

Name – Title Signature Date Contractor Notified

QAE

Contracting Officer

1 Contract Number:
2 Report Serial No:
3 Report this Discrepancy:
4 To Contractor and Managers Name:
5 From Name of QAE:
6 Prepared:
Oral Notification:
Returned by Contractor:
Action Complete:
7 Discrepancy or Problem Describe in detail include reference to PMSDirective attach continuation sheet if needed:
9 To Contracting Officer:
From Contractor:
10 Contractor response as to cause corrective action and actions to prevent recurrence Attach continuation sheet if needed Cite applicable QC program proceduress or new QC proceduress:
Date:
12 Government Evaluation Acceptance rejection Attach continuation sheet if needed:
13 Government Action Payment deductions cure notice show cause other:
14 Final Disposition:
Name TitleContractor Notified:
DateContractor Notified:
Name TitleQAE:
DateQAE:
Name TitleContracting Officer:
DateContracting Officer:

File details come from the government source that posted it. Updated .