Attachment 6_KTR Work Surveillance Checklist_ICS.pdf
PDF 104 KB Posted
- Attached to
- Corpus Christi Regional HW Removal
- Solicitation number
- SP450025R0012
- Issued by
-
Defense Logistics Agency
About this file
The document is a Contractor Work Surveillance Checklist for Industrial Cleaning Services (ICS) related to CLINs 1002SV-1004SV and 1007SV-1009SV. The checklist is designed to systematically evaluate contractor performance during industrial cleaning work, with specific focus on equipment readiness, compliance, and work quality. Key items assessed include: crew arrival time, equipment verification (vacuum truck, power washing unit, liquid transfer pump), weight ticket documentation, equipment inspection, chemical compatibility, waste residue management, equipment functionality, and overall work satisfaction. The checklist provides a structured method for government representatives to document and assess the contractor's performance, with spaces for detailed comments and an official signature and date.
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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 .