D1 QASP MT MLT.pdf

Quality Assurance Surveillance Plan (QASP)

The contractor will be evaluated in accordance with the following:

1. PURPOSE

This Quality Assurance Surveillance Plan (QASP) provides a systematic method to evaluate performance for the stated contract. This QASP explains the following:

• What will be monitored?

• How will monitoring take place?

• Who will conduct the monitoring?

• How will monitoring efforts and results be documented?

This QASP does not detail how the contractor accomplishes the work. Rather, the QASP is created with the premise that the contractor is responsible for management and quality control actions to meet the terms of the contract. It is the Government’s responsibility to be objective, fair, and consistent in evaluating performance.

This QASP is a “living document” and the Government may review and revise it on a regular basis. However, the Government shall coordinate changes with the contractor through contract modification. Copies of the original QASP and revisions shall be provided to the contractor and

Government officials implementing surveillance activities.

2. Government Roles and Responsibilities

The following personnel shall oversee and coordinate surveillance activities.

a. Contracting Officer (CO) – The CO shall ensure performance of all necessary actions for effective contracting, ensure compliance with the contract terms, and shall safeguard the interests of the United

States in the contractual relationship. The CO shall also assure that the contractor receives impartial, fair, and equitable treatment under this contract. The CO is ultimately responsible for the final determination of the adequacy of the contractor’s performance.

Assigned CO: Melvin Cole

Organization or Agency: Networking Contracting Office 9 (NCO 9)

b. Contracting Officer’s Representative (COR) – The COR is responsible for technical administration of the contract and shall assure proper Government surveillance of the contractor’s performance. The COR shall keep a quality assurance file. The COR is not empowered to make any contractual commitments or to authorize any contractual changes on the Government’s behalf.

Assigned COR: Shannon Skillern

Organization or Agency: Tennessee Valley Healthcare System, Pathology and Laboratory

Medicine Service

3. Contractor Representatives

The following employee(s) of the contractor serve as the contractor’s program manager(s) for this contract.

Primary Program Manager:

Melanie F. Hayes

Alternate Program Manager:

Christina M. Hickey

Alternate Program Manager:

Rhonda M. Craig

4. Performance Standards

The contractor is responsible for performance of ALL terms and conditions of the contract.

CORs will provide contract progress reports quarterly to the CO reflecting performance on this plan and all other aspects of the resultant contract. The performance standards outlined in this

QASP shall be used to determine the level of contractor performance in the elements defined.

Performance standards define desired services. The Government performs surveillance to determine the level of Contractor performance to these standards.

The Performance Requirements are listed below in Section 6. The Government shall use these standards to determine contractor performance and shall compare contractor performance to the standard and assign a rating. At the end of the performance period, these ratings will be used, in part, to establish the past performance of the contractor on the contract.

5. Methods of QA Surveillance

Various methods exist to monitor performance. The COR shall use the surveillance methods listed below in the administration of this QASP. These methods are performed by the lead or section supervisor for the department that the contract employee is assigned and reported to the

COR.

a. DIRECT OBSERVATION. 100% surveillance: This is provided by the department supervisor in the department the contract employee is assigned.

b. PERIODIC INSPECTION. Current QA surveillance is reviewed monthly. These items are reported on the QA sharepoint site. Items for Technicians and technologists are tracked. Any errors in reporting or test procedure reported in the QA site are discussed at that time. This is collected through the QA program based on reported errors and complaints or situations where section leads reviewed work and determined procedure was not followed. Critical Value notification is also tracked as well. Any issues with procedure not being followed are also tracked monthly. Manual result entry is also reviewed daily.

Daily work such as QC and maintenance are also reviewed daily by section leads.

6. SAMPLE QASP PERFORMANCE REPORT DATE:__________________

PWS Section

Chemistry - MT Performance Requirement

Acceptable Quality Level

(AQL)

Method of Surveillance /

Frequency

PWS- Section 6.4.1.

Technical Knowledge: Chemistry

• Performs testing accurately, identifies methodology problems, and enters data as required.

• Performs, resolves, and documents quality control to produce quality results. To include: Review of

QC data in real time and troubleshoot outliers;

Performs and documents quality control as required by lab and department policies;

Recognizes out of control, discrepant and unexpected quality control results and notifies the supervisor when appropriate; Uses proper judgment in handling these situations in the absence of a supervisor.

• Perform Calibration of all methods as needed according to instrument specifications. To include: Review of calibration results and determine acceptability: Run QC and review results after instrument calibrations

• Generates incomplete worksheets for current bench assignment to document the status of missed or missing specimens.

• Reviews critical values and notifies appropriate personnel with documented read-back according to established protocols.

• Takes the time to determine workload priorities and to organize work at the beginning of the shift.

• Performs equipment maintenance, seeking assistance from colleagues if necessary, in order to compete work in a timely manner and within established time frames.

• Perform steps for Instrument troubleshooting promptly to address instrument error codes or sample flags; includes contacting the

Manufacturer Hotline as needed

• Perform new reagent lot-to lot studies as needed.

To include proper documentation and determining acceptability of results

• Understand method specific interferences and be able to determine best corrective action

• Understand method specific Analytical Measuring

Range for each test

• Understand method specific dilution protocol for each test

• Run Proficiency testing as assigned. Follow guidelines in Lab Proficiency Testing Policy;

Performs and handles proficiency survey samples in an acceptable manner.

• The employee's performance is reliable, competent, and is maintained with minimum supervision.

• Employee performs other duties assigned, as required, in a timely and efficient manner.

Two valid incidents or less within six months of failing to meet the above standards will be considered fully successful performance

1. For Patient Testing:

A. Daily review of patient results

1) Accuracy

2) method measuring range

3) dilution protocol

B. Daily review of Turnaround Time reports

C. Daily review of critical Results for proper notification and documentation

D. Daily review of incomplete worklist

2. For Instrument Maintenance:

Monthly review of Logs

3. For Quality Control: Weekly review of Levey-Jennings charts

4. For Method Calibration:

Weekly review

5. For Instrument

Troubleshooting: review of instrument troubleshooting sheets and review of Communication Log/Daily

6. Inspections of work through direct observation of competency/

Periodic and Unscheduled

7. For Lot-to Lot: Review of New

Reagents put in use and Lot to Lot records/ Monthly

8. For Proficiency Testing (PT):

Review of all results utilizing PT provider reports/Monthly

PWS- Section 6.4.2.

Technical Knowledge: Chemistry

• Abides by all procedures and policies set forth by the Laboratory and Chemistry Department.

• Determines proper collection and timely submission of specimens.

• Processes specimens in a timely manner, following written guidance in Lab policy for specific turnaround time rates

• Performs and reports all tests in accordance with established procedures, in an effort to meet specific turn-around-time criteria.

• Performs quality control procedures on assigned instruments and methods as per Quality Control procedure

• Analyzes and interprets test and control data.

• Reports results expediently for stat testing

• Investigates inconsistent results and initiates corrective actions when warranted.

• Prepares and loads onto the instrument: reagents, calibrators and quality control materials as needed.

• Demonstrates knowledge of principles and skills in chemistry.

Two valid incidents or less within six months of failing to meet the above standards will be considered fully successful performance

1. For Procedures: Periodic Review in Soft Tech document control system

2. For others: Unscheduled inspections/Periodically

3. For instrument (written) competencies/ Monthly

4. For Proper loading of reagent, calibrators and QC onto instrument/Periodic review of on-board inventories

PWS- Section 6.4.3.

Communication/ Customer Service

• Demonstrates civility by consistently communicating and interacting verbally, by telephone, or in writing with patients, visitors, students, clinicians, co-workers, supervisors, and other health care workers in a courteous, tactful, and helpful manner.

• Consistently maintains a respectful relationship with co-workers, supervisors, and other health care workers, even during stressful times.

• Willingly assists, provides instruction, and contributes to the effective operation of the section to visitors, students, clinicians, co-workers, supervisors, and other health care works in a courteous, polite, and competent manner.

• Performance must demonstrate the ability to adjust to change or work pressure in a pleasant manner, resolve conflict in a professional fashion, follow instructions conscientiously, and to help the group effort when possible.

Two valid incidents or less within six months of failing to meet above standard will be considered fully successful performance.

inspections and competencies/

Quarterly

PWS- Section 6.4.4.

Laboratory Safety/ Security

• Responsible for following all Medical Center safety rules, regulations, and procedures.

• Promotes a culture of safety within the Pathology and Laboratory Medicine Service and works in a safe manner, following established procedures.

• Reports all incidences of unauthorized release of information.

• Confidentiality of all patient sensitive data is maintained, and breeches of confidentiality are documented and disclosed appropriately.

Two valid incidents or less within six months of failing to meet above standard will be

PWS- Section 6.4.5.

Organizational Stewardship/ Systems Thinking

• Employee manages time well, maintains a full workload, and uses time constructively to ensure completion within established time frames.

• Attends all scheduled meetings/in-service classes, unless excused in advance by supervisor.

• Acts ethically and with integrity in accordance with the mission and vision of the medical center.

• Employee completes assignments (TMS requirements, special training assignments, annual customer service training, etc..) by specified deadline.

• Actively participates in and completes competencies and cross training within the section.

• Integrates new subject matter into existing operations willingly and accepts accountability for results.

Two valid incidents or less within six months of failing to meet above standard will be

PWS- Section 6.4.6.

Training and Competencies

• Technologist will thoroughly read procedures prior to performing a bench.

• First refers to policies or procedures before asking a question.

• Successfully and diligently completes all required training.

• Learns and retains knowledge obtained during training.

• Receives satisfactory marks for all competency assessments.

• Performs duties as assigned and with minimal guidance or supervision.

Two valid incidents or less within six months of failing to meet above standard will be

PWS- Section 6.4.7.

Teamwork

• Clearly demonstrates effective time management to ensure that the sections are always covered.

• Organizes workload efficiently to enhance patient care. Ensures that the productivity of the section is maintained by routinely assisting fellow employees as individual workload permits.

• Routinely supports the team concept by making every effort to be cooperative, supportive, and helpful.

• Does not participate in gossip, bullying, disrespectful language, or other activities with the intent to degrade or harm co-workers.

Two valid incidents or less within six months of failing to meet above standard will be

Specimen

Processing

(Medical Technologist)

Performance Requirement Acceptable Quality Level (AQL)

PWS- Section 6.4.8.

Patient and Sample Identification

• Must maintain consistently performing proper patient identification.

• Specimen labeling must be done per laboratory policies and procedures.

• Samples must always be label with the labeled correct information.

• Sample must always be labeled with at least two identifiers.

• Two identifiers are full name or full, Social Security Number or date of birth.

Two valid incidents or less within six months of failing to meet the above standards will be considered fully successful performance

• Avoiding wrong name, social security number or date of birth when labeling sample.

PWS- Section 6.4.9.

Specimen Collection

• Must follow laboratory

Venipuncture procedure

• Abides by all procedures and policies set forth by the Phlebotomy section of the laboratory. Department.

• Determines proper collection and timely submission of specimens.

• Accurately and properly obtains specimens for laboratory testing through venipuncture.

• Maintaining laboratory policy of order of draw.

• Properly utilizes equipment for advanced venipuncture when needed.

• Venipuncture performed with minimal patient discomfort. (No written Report of Hematoma).

• Properly pulls the appropriate orders in the time frame stated by laboratory policies and procedures.

• All documentations are properly filled out correctly.

Blood Draw Room is kept in a clean and acceptable appearance always.

• All equipment is kept clean and in working conditions.

• Any anomalies that arise are reported to Supervisor, such as equipment failure (including chairs) or any condition that could lead to patient or employee injury.

• Perform venipuncture in an acceptable time of 5-6 minutes per patient.

• All specimens are properly labeled to laboratory policies and procedures and kept in an optimal condition for testing.

Must maintain> 95% and complete documentation of with no peer- assisted blood draw. Failing to meet the above standard will be considered fully successful performance.

Inspections and quarterly practical competencies.

No written reports of Hematoma or patient trauma

PWS- Section 6.4.10.

Safety and Quality Assurance

• Adhere to all laboratory safety and infection control policies.

• Following polices on personnel protective clothing

• Prohibited storage and/or consumption of food/beverages in any specimen area.

• Follows mandated patient precautionary warnings, i.e., Two valid incidents or less within six months of failing to meet the above inspections and through laboratory submitted JPSR hand hygiene, maintaining patient privacy (Pulling curtains)

• Strictly implementing personal communication device policy.

• Lab coats and gloves, while performing in phlebotomy, processing and other sections of the lab.

• Alerts supervisor to any undesirable trends so early intervention is possible.

• Report any anomaly or conditions that may affect patient care.

PWS- Section 6.4.11.

Result Reporting

• Result Point of Care test results accurately and efficiently.

• Result must be entered according to the laboratory result entering policy.

• Quality control must be checked before resulting test.

Valid lot #and expiration date must be checked promptly.

• After entering result document must be a Medical Technologist for a review.

One valid incident or less within six months of failing to meet the above successful

Daily result will be checked with 2nd verifier in real time.

PWS- Section 6.4.12.

Customer Service

• Demonstrates civility by consistently communicating and interacting verbally, by telephone, or in writing with patients, visitors, students, clinicians, co-workers, supervisors, and other health care workers in a courteous, tactful, and helpful manner.

• Consistently maintains a respectful relationship with co-workers, supervisors, and other health care workers, even during stressful times.

• Willingly assists, provides instruction, and contributes to the effective operation of the section to visitors, students, clinicians, co-workers, supervisors, and other health care works in a courteous, polite, and competent manner.

• Performance must demonstrate the ability to adjust to change or work pressure in a pleasant manner, resolve conflict in a professional fashion, follow

Two valid incidents or less within six months of failing to meet above instructions conscientiously, and to help the group effort when possible.

Microbiology

(Medical Technologist)

Performance Requirement Acceptable Quality Level (AQL)

PWS- Section 6.4.13.

Technical Knowledge

• Performs testing accurately, identifies methodology problems, and enters data as required.

• Performs, resolves, and documents quality control to produce quality results.

• Generates incomplete worksheets for current rotation to document the status of missed or missing specimens.

• Reviews critical values and notifies appropriate personnel with documented read-back according to established protocols.

• Takes the time to determine workload priorities and to organize work at the beginning of the shift.

• Performs equipment maintenance, seeking assistance from colleagues if necessary, in order to compete work in a timely manner and within established time frames.

• The employee's performance is reliable, competent, and is maintained with minimum supervision.

• - Employee performs other duties assigned, as required, in a timely and efficient manner.

Two valid incidents or less within six months of failing to meet the above

PWS- Section 6.4.14.

Technical Knowledge: Microbiology

• Abides by all procedures and policies set forth by the

Microbiology Department.

• Determines proper collection and timely submission of specimens.

• Processes specimens in a timely manner.

• Inoculates specimens onto appropriate culture media and incubates cultures according to established protocol.

• Prepares and examines slides and stains for morphological identification of microorganisms.

• Performs and reports molecular tests in accordance with

Two valid incidents or less within six months of failing to meet the above established procedures, to meet turn-around-time criteria.

• Performs quality control procedures on culture media.

• Analyzes and interprets test and control data.

• Reports results expediently (e.g.

stat gram stains, positive blood/body fluid smears, and cultures).

• Follows blood culture protocols set forth by the Microbiology Department, including processing, removal, notifications, and gram stain reading.

• Investigates inconsistent results and initiates corrective actions when warranted.

• Prepares reagents and quality control organism cultures, as needed.

• Demonstrates knowledge of principles and skills in microbiology.

PWS- Section 6.4.15.

Communication/ Customer Service

• Demonstrates civility by consistently communicating and interacting verbally, by telephone, or in writing with patients, visitors, students, clinicians, co-workers, supervisors, and other health care workers in a courteous, tactful, and helpful manner.

• Consistently maintains a respectful relationship with co-workers, supervisors, and other health care workers, even during stressful times.

• Willingly assists, provides instruction, and contributes to the effective operation of the section to visitors, students, clinicians, co-workers, supervisors, and other health care works in a courteous, polite, and competent manner.

• Performance must demonstrate the ability to adjust to change or work pressure in a pleasant manner, resolve conflict in a professional fashion, follow instructions conscientiously, and to help the group effort when possible.

Two valid incidents or less within six months of failing to meet above

PWS- Section 6.4.16.

Laboratory Safety/ Security

• Responsible for following all

Medical Center safety rules, regulations, and procedures.

• Promotes a culture of safety within the Pathology and

Laboratory Medicine Service

Two valid incidents or less within six months of failing to meet above and works in a safe manner, following established procedures.

• Reports all incidences of unauthorized release of information.

• Confidentiality of all patient sensitive data is maintained, and breeches of confidentiality are documented and disclosed appropriately.

PWS- Section 6.4.17.

Organizational Stewardship/

Systems Thinking

• Employee manages time well, maintains a full workload, and uses time constructively to ensure completion within established time frames.

• Attends all scheduled meetings/in-service classes, unless excused in advance by supervisor.

• Acts ethically and with integrity in accordance with the mission and vision of the medical center.

• Employee completes assignments (TMS requirements, special training assignments, annual customer service training, etc..) by specified deadline.

• Actively participates in and completes competencies and cross training within the section.

Integrates new subject matter into existing operations willingly and accepts accountability for results.

Two valid incidents or less within six months of failing to meet above

PWS- Section 6.4.18.

Training and Competencies

• Technologist will thoroughly read procedures prior to performing a bench.

• First refers to policies or procedures before asking a question.

• Successfully and diligently completes all required training.

• Learns and retains knowledge obtained during training.

• Receives satisfactory marks for all competency assessments.

• Performs duties as assigned and with minimal guidance or supervision.

Two valid incidents or less within six months of failing to meet above

PWS- Section 6.4.19.

Teamwork

• Clearly demonstrates effective time management to ensure that the sections are covered at all times.

• Organizes workload efficiently to enhance patient care. Ensures that the productivity of the section is maintained by

Two valid incidents or less within six months of failing to meet above routinely assisting fellow employees as individual workload permits.

• Routinely supports the team concept by making every effort to be cooperative, supportive, and helpful.

• Does not participate in gossip, bullying, disrespectful language, or other activities with the intent to degrade or harm co-workers.

Hematology & Blood Bank

(Medical Technologist)

Performance Requirement Acceptable Quality Level (AQL) Method of Surveillance /

PWS- Section 6.4.20.

Contractor shall monitor lab results and correlate for reasonableness, e.g., delta checks, H&H, reflex of auto differential to manual differential

No more than two instances in any six-month period of failure to comply with standard

Patient abnormal result report, Monthly

PWS- Section 6.4.21.

Contractor shall adhere to Routine and

STAT turnaround time standards per policy

Must report 95% compliance of turnaround times.

Turnaround time report and TAT outlier log, Monthly

PWS- Section 6.4.22.

Contractor shall use good judgment in handling situations not covered by written or verbal instructions.

Recognizes, troubleshoots, and resolves instrument and/or procedure problems and malfunctions using alternation methods when available.

No more than one instance in a six-standard

Review of maintenance and downtime logs, Monthly

PWS- Section 6.4.23.

Contractor shall comply with all established infection control and safety procedure, e.g., standard precautions, fire and electrical safety, use of personal protection equipment.

No more than one instance in a one-year period of failure to comply with standard

Periodic Inspections

PWS- Section 6.4.24.

Contractor shall identify and properly respond to panic values or unusually abnormal laboratory results.

Documents reporting of critical values according to established hospital policies.

standard

Monthly Submission

PWS- Section 6.4.25.

Contractor shall produce and report accurate results with minimal clerical errors.

Less than one corrected report in a six-month period.

Review of Corrected Reports, PWS- Section 6.4.26.

Contractor shall adhere to specimen labeling policy.

specimen labeling standards.

Review of Patient Safety Reports, PWS- Section 6.4.27.

Contractor performs and documents quality control as required by lab policy.

Recognizes out of control, discrepant and unexpected quality control results and notifies the lead technologist/supervisor when appropriate.

No more than two instances in a six-standard.

Review of quality control records, PWS- Section 6.4.28.

Contractor performs and documents equipment and/or instrument maintenance as required and/or scheduled standard.

Review of maintenance records, PWS- Section 6.4.29.

Contractor utilizes the VISTA LIS, VBECS, CPRS, and any other essential computer software according to established protocol. Follows the computer contingency plan when the system is down.

standard.

Periodic Inspections, Monthly

PWS- Section 6.4.30.

Contractor performs and handles proficiency survey samples in an acceptable manner.

standard.

Review of proficiency testing results, Quarterly

PWS- Section 6.4.31.

Contractor shall complete and maintain competency records for the section/service. Contractor shall complete CEUs per laboratory policy.

standard.

Quarterly audit of competency file.

PWS- Section 6.4.32.

Contractor shall demonstrate all interactions with customers, including veterans, employees, peers and the general public are conducted consistent with the following customer service values:

RESPECT: Recognizes the worth of our customers by treating them with dignity.

LISTENING: Continually learns, does not assume, is important to customers.

COMPASSION: Responds to customers' feelings and needs in a caring manner.

INTEGRITY: Serves customers with honesty, professionalism, and accountability.

QUALITY: Promotes customers' health and well- being in a manner that is competent, beneficial, cost effective, timely and caring.

The severity and impact on non-compliance will determine if this standard is met.

Periodic Inspection

Customer service feedback

PWS- Section 6.4.33.

Contractor shall demonstrate the following attributes of teamwork:

a. Clearly demonstrated effective time management to ensure that the sections are always covered.

b. Organizes workload efficiently to enhance patient care. Ensures that the productivity of the section is maintained by routinely assisting fellow employees as individual workload permits.

c. Routinely supports the team concept by making every effort to be cooperative, supportive, and helpful.

d. Spare time is utilized efficiently in work related activities, i.e., helping others, participating in special projects, correlation studies.

standard.

Periodic Inspection

Team member feedback

7. CPARS RATINGS ASSIGNED TO QASP ITEMS:

Metrics and methods are designed to determine rating for a given standard and acceptable quality level. The following ratings shall be used (Reference: CPARS User Manual https://www.cpars.gov/documents/CPARS-Guidance.pdf:

EXCEPTIONAL: Performance meets contractual requirements and exceeds many to the Government’s benefit.

The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Note: To justify an Exceptional rating, you should identify multiple significant events in each category and state how it was a benefit to the GOVERNMENT. However, a singular event could be of such magnitude that it alone constitutes an Exceptional rating. Also, there should have been NO significant weaknesses identified.

VERY GOOD:

Performance meets contractual requirements and exceeds some to the Government’s benefit.

The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Note: To justify a Very Good rating, you should identify a significant event in each category and state how it was a benefit to the GOVERNMENT. Also, there should have been NO significant weaknesses identified.

SATISFACTORY:

Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Note: To justify a Satisfactory rating, there should have been only minor problems, or major problems the contractor recovered from without impact to the contract. Also, there should have been NO significant weaknesses identified.

MARGINAL:

Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.

Note: To justify Marginal performance, you should identify a significant event in each category that the contractor had trouble overcoming and state how it impacted the GOVERNMENT. A Marginal rating should be supported by referencing the management tool that notified the contractor of the contractual deficiency (e.g. Management, Quality, Safety or Environmental Deficiency Report or letter).

UNSATISFACTORY:

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element being assessed contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

Note: To justify an Unsatisfactory rating, you should identify multiple significant events in each category that the contractor had trouble overcoming and state how it impacted the GOVERNMENT. However, a singular problem could be of such serious magnitude that it alone constitutes an unsatisfactory rating. An Unsatisfactory rating should be supported by referencing the management tools used to notify the contractor of the contractual deficiencies (e.g. Management, Quality, Safety or Environmental Deficiency Reports, or letters).

https://www.cpars.gov/documents/CPARS-Guidance.pdf

8. DOCUMENTING PERFORMANCE

a. The Government shall document positive and/or negative performance. Any report may become a part of the supporting documentation for any contractual action and preparing annual past performance using

CONTRACTOR PERFORMANCE ASSESSMENT REPORT (CPAR).

b. If contractor performance does not meet the Acceptable Quality level, the CO shall inform the contractor. This will normally be in writing unless circumstances necessitate verbal communication. In any case the CO shall document the discussion and place it in the contract file. When the COR and the CO determines formal written communication is required, the COR shall prepare a Contract Report (CR), and present it to CO. The CO will in turn review and will present to the contractor's program manager for corrective action.

The contractor shall acknowledge receipt of the CR in writing. The CR will specify if the contractor is required to prepare a corrective action plan to document how the contractor shall correct the unacceptable performance and avoid a recurrence.

The CR will also state how long after receipt the contractor has to present this corrective action plan to the CO. The

Government shall review the contractor's corrective action plan to determine acceptability. The CO shall also assure that the contractor receives impartial, fair, and equitable treatment. The CO is ultimately responsible for the final determination of the adequacy of the contractor’s performance and the acceptability of the Contractor’s corrective action plan.

Any CRs may become a part of the supporting documentation for any contractual action deemed necessary by the CO.

See Sample on following page.

9. COR AND CONTRACTOR ACKNOWLEDGEMENT OF QASP

SIGNED:

COR NAME/TITLE DATE

SIGNED:

CONTRACTOR NAME/TITLE DATE

CONTRACT REPORT

1. CONTRACT NUMBER 2. REPORT NUMBER

3. TO: (Contracting Officer) 4. FROM: (Name of COR)

5. DATES

a. CR PREPARED

b. RETURNED BY

CONTRACTOR:

c. ACTION COMPLETE

6. Issue Identified (Describe in detail. Include reference to PWS Directive; attach continuation sheet if necessary.)

7. SIGNATURE OF COR Date:

8. SIGNATURE OF CONTRACTING OFFICER Date:

9a. TO (Contracting Officer) 9a. FROM (Contractor)

10. CONTRACTOR RESPONSE AS TO CAUSE AND ACTIONS TO PREVENT

RECURRENCE. (Cite applicable quality control program procedures or new procedures. Attach continuation sheet(s) if necessary.)

11. SIGNATURE OF CONTRACTOR REPRESENTATIVE Date:

12. GOVERNMENT EVALUATION.

13. GOVERNMENT ACTIONS (Acceptance, partial acceptance, reflection. Attach continuation sheet(s) if necessary.)

14. CLOSE OUT

NAME TITLE SIGNATURE DATE

CONTRACTOR

NOTIFIED

COR

CONTRACTING

OFFICER