Attachment_8 - KTR Work Surveillance Checklist - ICS Work..pdf
PDF 96 KB Posted
- Attached to
- South Carolina Regional Hazardous Waste Disposal
- Solicitation number
- SP450026R0014
- Issued by
-
Defense Logistics Agency
About this file
This document is a Contractor Work Surveillance Checklist for Industrial Cleaning Services (ICS) covering CLINs 1002SV-1004SV and 1007SV-1009SV. The checklist is a template designed for government representatives to monitor and document contractor performance during on-site work activities.
The checklist establishes nine specific surveillance criteria that the Designated Government Representative must verify, including: timely arrival of work crews at scheduled dates and times; arrival with all required equipment (one standard vacuum truck with 3,500-gallon capacity and 300 feet of hoses, one self-contained heated power washing unit, one liquid transfer pump with 300 feet of hoses, and appropriate PPE and tools); provision of a weight ticket showing the vacuum truck's empty tare weight; pre-use inspection of the vacuum truck by a government representative; verification that the vacuum truck arrives with a clean tank and chemically compatible hose fittings; confirmation that the truck is free of visible waste residue unless being used for multiple removals from the same project with the same waste stream (meeting RCRA empty definition per 40 CFR 261.7); proper equipment operation without work delays; and overall work satisfaction. The form includes spaces for the surveillance date(s), start and stop times, government representative contact information, Yes/No/N/A response boxes for each criterion, a comments section, and signature and date lines for the Designated Government Representative.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment_3 - Pick-up Locations Solicitation.xlsx | XLSX spreadsheet | |
| Attachment _13 Order History.xlsx | XLSX spreadsheet | |
| Attachment_1 - PWS.docx | DOCX document | |
| Attachment_6 - Addenda to 52.212‐1 Instructions.docx | DOCX document | |
| Attachment_10 - Terms and Conditions.docx | DOCX document | |
| Attachment_2 - Price Schedule.xlsx | XLSX spreadsheet | |
| Attachment_4 - PPI Questionnaire.pdf | ||
| Attachment_7 - Addenda to 52.212-2 Evaluation.docx | DOCX document | |
| Attachment_11 - FAR Provision Fill-Ins .docx | DOCX document | |
| Attachment_12 - Wage Determination.pdf | ||
| Attachment_3 - Pick-up Locations.xlsx | XLSX spreadsheet | |
| Attachment_5 - CAC Application Process.pdf | ||
| Attachment_9 - KTR Work Surveillance Checklist - Placement or Removal Empty of ROB or Vac Box.pdf |
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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 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 .