BOM Exhibit D Fillable PDF NCR Report.pdf

409th CSB Quality Assurance Nonconformance Report

Vs. 2 – 30 Sep 2020

Section 1

Section 2 NCR Level Definition (FAR 46.101)

Section 3

Section 4

COR Name ________________________________ Email _____________________________________ Phone ________________

Regional Contracting Office DODAAC _____________

NCR - DODAAC - YYYY - #### - L#

NCR Number: NCR- _______ - ____ - _____ - ______

9.NCR Title _________________________________________________________________ NCR Level ____

Contractor ________________________________ Email _____________________________________ Phone ________________

Issued to (Name): _______________________________ Issued By: __________________________________

Contractor Signature: ____________________________ KO Signature: __________________________

Contractor Required Actions: Level II and Level III Only

____ 1. Root Cause of discrepancy

____ 2. Action taken to correct the specific discrepancy

____ 3. Action taken to correct and prevent reoccurrence of root cause of discrepancy

____ 4. Action taken to determine if other deliverables are affected by the same or similar discrepancy and action taken regarding susceptible product

____ 5. Action taken to correct the weakness which allowed deficient product to be presented to the

Government

____ 6. Target dates for implementation of identified corrective actions and applicable recovery plan

LEVEL I * “Minor nonconformance means a nonconformance that is not likely to materially reduce the usability of the supplies or services for their intended purpose, or is a departure from established standards having little bearing on the effective use or operation of the supplies or services.” The 409th CSB requires documentation and issuance of all Level

I NCRs to the Contractor management level responsible for taking corrective actions.

LEVEL II * “Major nonconformance means a nonconformance, other than critical, that is likely to result in failure of the supplies or services, or to materially reduce the usability of the supplies or services for their intended purpose.” The 409th CSB requires documentation and issuance of all Level II NCRS to the Contractor management level responsible for taking corrective actions.

Level III * “Critical nonconformance means a nonconformance that is likely to result in hazardous or unsafe conditions for individuals using, maintaining, or depending upon the supplies or services; or is likely to prevent performance of a vital agency mission.” The 409th CSB requires documentation and issuance of all Level III NCRS to the Contractor’s top management level to call attention to serious contractual nonconformity. Repeat nonconformities at any other level may be elevated to a Level III, at the determination of the KO. Level III NCRs may be coupled with contractual remedies stated in FAR Quality clause 52.246 or Commerciality clause 52.214-4, as applicable and determined by the KO.

RCO Bavaria – RCO Benelux – RCO Stuttgart – Theater Contracting Center Rhineland Pfalz – RCO Wiesbaden -- LOGCAP

Date issued __________________________ Days allocated (10) _________ Suspense date ___________________________

Contract Number _____________________ Task/Purchase Order Number ____________________

Section 5 Description of Noncompliance:

PWS Section(s): __________________________

RCO Bavaria – RCO Benelux – RCO Stuttgart – Theater Contracting Center Rhineland Pfalz – RCO Wiesbaden -- LOGCAP

RCO Bavaria – RCO Benelux – RCO Stuttgart – Theater Contracting Center Rhineland Pfalz – RCO Wiesbaden -- LOGCAP

Vs. 2 – 30 Sep 2020

----------------------------------------Contractor Required Action----------------------------------------------------- Section 7

Section 8 Contractor Response - Please print in English or provide response on typed letterhead

Contractor Signature: ____________________________ Date: ______________________

COR Name: _____________________________ Email: ____________________________ Phone: __________

Date issued: ___________________ Suspense date: _______________________ NCR level: ____

NCR Title ____________________________________________ NCR Number:

-------------------------------------------------------------- (409th CSB ACTION ONLY) ------------------------------------------------------

Section 6 Remarks:

Follow-up Date: _____________________

KO/COR Signature: _____________________

NCR Closed Date: _____________________

KO Signature: _____________________

RCO Bavaria – RCO Benelux – RCO Stuttgart – Theater Contracting Center Rhineland Pfalz – RCO Wiesbaden -- LOGCAP

Remarks:

Room # 6:

Aug 31 - carpets has not been vacuumed Sept 2 - trash has not been emptied - carpet not cleaned Room # 4:

Sept 8 - cereal under table Sept 9 - food on floor at eating area Sept 10 - paper and small trash in carpets

During the inspection of the bldg # 9010 on 13 September in the morning, the COR found cobwebs and dirt at exit doors, also paper, small trash and crumbs found on the carpet.

The unsatisfactory condition of the buildings stated above that the contractor didn’t provide the cleaning IAW the PWS:

1.5.4.2(a) Regular Services at the CDC buildings # 9010; Monday thru Friday 1800 hrs to 2200 hrs.

5.2.2 Carpeted Floors. Carpets shall be maintained free of soil, dirt, debris, litter and other foreign matter by effective routine vacuuming.

The contractor has been informed and will take care of the issues.