Attachment 5 Discrepancy Report.pdf
PDF 85 KB Posted
- Attached to
- Electrical Gear and Transformer Maintenance, National Bio and Agro-Defense Facility, Manhattan, Kansas
- Solicitation number
- 1232SA26Q0742
About this file
This is a Discrepancy Report template used in federal contracting to document and resolve performance or compliance issues between the government and a contractor.
The form functions as a formal communication tool initiated by the Contracting Officer's Representative (COR) to notify a contractor of identified discrepancies or problems related to contract performance. Section 4 requires detailed description of the discrepancy with specific references to the Performance Work Statement (PWS) and allows for continuation sheets if needed. The COR documents the date, contract number, and whether oral notification was provided. The contractor then provides a detailed response in Section 8, explaining the cause of the discrepancy, its effect on performance, the corrective action being implemented, and preventive measures to avoid recurrence, with citations to applicable quality control program procedures. The government evaluates the contractor's response in Section 11, determining acceptance, partial acceptance, or rejection, and outlines government actions in Section 12, which may include cure notices or show cause requirements. The form concludes with a close-out section requiring sign-off from both the Key Technical Representative (KTR) and COR, with corresponding dates and signatures, creating a complete audit trail of the discrepancy resolution process.
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Text version
DISCREPANCY REPORT 1. DISCREPENCY REPORT NO.
2. TO: (Contractor / Project Manager Name) 3. FROM: (Name of COR)
CONTRACT NUMBER: DATE:
PREPARED ORAL NOTIFICATION RETURNED BY CONTRACTOR ACTION COMPLETE
4. DISCREPENCY OR PROBLEM (Describe in Detail. Include PWS references. Attach Continuation Sheet if Necessary)
5. SIGNATURE OF COR
6. TO: (Name of COR) 7. FROM: (Contractor / Project Manager)
8. CONTRACTOR RESPONSE AS TO CAUSE, EFFECT, CORRECTIVE ACTION AND ACTIONS TO PREVENT RECURRENCE (Attach Continuation Sheet if necessary. Cite applicable Contractor QC program procedures or new QC procedures)
9. SIGNATURE OF CONTRACTOR REPRESENTIVE 10. DATE
11. GOVERNMENT EVALUATION (Acceptance, partial acceptance, or rejection. Attach Coordination Sheet if necessary)
12. GOVERNMENT ACTIONS (Cure notice, show cause, other)
CLOSE OUT
KTR NOTIFIED
NAME AND TITLE SIGNATURE DATE
COR
| 1 DISCREPENCY REPORT NO: |
| 2 TO Contractor Project Manager Name: |
| 3 FROM Name of COR: |
| CONTRACT NUMBER DATE: |
| PREPARED: |
| ORAL NOTIFICATION: |
| RETURNED BY CONTRACTOR: |
| ACTION COMPLETE: |
| 4 DISCREPENCY OR PROBLEM Describe in Detail Include PWS references Attach Continuation Sheet if Necessary: |
| 6 TO Name of COR: |
| 7 FROM Contractor Project Manager: |
| 8 CONTRACTOR RESPONSE AS TO CAUSE EFFECT CORRECTIVE ACTION AND ACTIONS TO PREVENT RECURRENCE Attach Continuation Sheet if necessary Citeapplicable Contractor QC program procedures or newQC procedures: |
| 11 GOVERNMENT EVALUATION Acceptance partial acceptance or rejection Attach Coordination Sheet if necessary: |
| 12 GOVERNMENT ACTIONS Cure notice show cause other: |
| NAME AND TITLEKTR NOTIFIED: |
| DATEKTR NOTIFIED: |
| NAME AND TITLECOR: |
| DATECOR: |
| Text1: |
| Date4_af_date: |
File details come from the government source that posted it. Updated .