Exhibit C3 - Surveilence Form 1181-A (1).xls
XLS spreadsheet 659 KB Posted
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- FM Tulsa and O&M Muskogee Procurement Federal contract opportunity
- Solicitation number
- 47PH0220R0016
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| CONTRACT CLEANING INSPECTION REPORT | Page 1 of 1 | ||||||
| Building Name: | Building Number | Building Address | |||||
| Name of Contractor and Contract number | Name of Contractors Representative | Signature of Contractors Representative | |||||
| Name of Inspector | Is Inspector a Contractor or GSA associate? | Signature of Inspector | |||||
| Name of Contracting Officer | Name of COR | Date and time of Inspection | |||||
| INSTRUCTIONS: This form will be used for the inspection of contract cleaning by inspectors to record results. The condition of area(s) inspected will be rated | |||||||
| SATISFACTORY or UNSATISFACTORY. Explain unsatisfactory rating in findings and recommendations section and complete quantity column. After rated | |||||||
| deficiencies have been corrected the inspector shall initial and date in the date corrected column. | |||||||
| WORK DESCRIPTION - LOCATION | QUANTITY | REMARKS | INITIAL AND | ||||
| (Room No. Corridor, Lobby | (By measure | ( X ) | DATE | ||||
| or either) | or count) | SAT. | UNSAT. | CORRECTED | |||
| GENERAL SERVICES ADMINISTRATION | GSA FOR 1181-A |
WORK DESCRIPTION - LOCATION
(Floor, Room No., Corridor, Lobby , or either)
QUANTITY
(By measure or count)
TYPE
OF
EQUIPMENT
CONDITION (X)
SAT.
UN-SAT.
OUT
OF
SERV.
INSERT PHOTOS HERE
INITIAL AND
DATE
CORRECTED
WORK DESCRIPTION - LOCATION
(Floor, Room No., Corridor, Lobby , or either)
QUANTITY
(By measure or count)
TYPE
OF
EQUIPMENT
CONDITION (X)
SAT.
UN-SAT.
OUT
OF
SERV.
INSERT PHOTOS HERE
INITIAL AND
DATE
CORRECTED
WORK DESCRIPTION - LOCATION
(Floor, Room No., Corridor, Lobby , or either)
QUANTITY
(By measure or count)
TYPE
OF
EQUIPMENT
CONDITION (X)
SAT.
UN-SAT.
OUT
OF
SERV.
INSERT PHOTOS HERE
INITIAL AND
DATE
CORRECTED
WORK DESCRIPTION - LOCATION
(Floor, Room No., Corridor, Lobby , or either)
QUANTITY
(By measure or count)
TYPE
OF
EQUIPMENT
CONDITION (X)
SAT.
UN-SAT.
OUT
OF
SERV.
INSERT PHOTOS HERE
INITIAL AND
DATE
CORRECTED
WORK DESCRIPTION - LOCATION
(Floor, Room No., Corridor, Lobby , or either)
QUANTITY
(By measure or count)
TYPE
OF
EQUIPMENT
CONDITION (X)
SAT.
UN-SAT.
OUT
OF
SERV.
INSERT PHOTOS HERE
INITIAL AND
DATE
CORRECTED
WORK DESCRIPTION - LOCATION
(Floor, Room No., Corridor, Lobby , or either)
QUANTITY
(By measure or count)
TYPE
OF
EQUIPMENT
CONDITION (X)
SAT.
UN-SAT.
OUT
OF
SERV.
INSERT PHOTOS HERE
INITIAL AND
DATE
CORRECTED
WORK DESCRIPTION - LOCATION
(Floor, Room No., Corridor, Lobby , or either)
QUANTITY
(By measure or count)
TYPE
OF
EQUIPMENT
CONDITION (X)
SAT.
UN-SAT.
OUT
OF
SERV.
INSERT PHOTOS HERE
INITIAL AND
DATE
CORRECTED
WORK DESCRIPTION - LOCATION
(Floor, Room No., Corridor, Lobby , or either)
QUANTITY
(By measure or count)
TYPE
OF
EQUIPMENT
CONDITION (X)
SAT.
UN-SAT.
OUT
OF
SERV.
INSERT PHOTOS HERE
INITIAL AND
DATE
CORRECTED
WORK DESCRIPTION - LOCATION
(Floor, Room No., Corridor, Lobby , or either)
QUANTITY
(By measure or count)
TYPE
OF
EQUIPMENT
CONDITION (X)
SAT.
UN-SAT.
OUT
OF
SERV.
INSERT PHOTOS HERE
INITIAL AND
DATE
CORRECTED
WORK DESCRIPTION - LOCATION
(Floor, Room No., Corridor, Lobby , or either)
QUANTITY
(By measure or count)
TYPE
OF
EQUIPMENT
CONDITION (X)
SAT.
UN-SAT.
OUT
OF
SERV.
INSERT PHOTOS HERE
INITIAL AND
DATE
CORRECTED
WORK DESCRIPTION - LOCATION
(Floor, Room No., Corridor, Lobby , or either)
QUANTITY
(By measure or count)
TYPE
OF
EQUIPMENT
CONDITION (X)
SAT.
UN-SAT.
OUT
OF
SERV.
INSERT PHOTOS HERE
INITIAL AND
DATE
CORRECTED
WORK DESCRIPTION - LOCATION
(Floor, Room No., Corridor, Lobby , or either)
QUANTITY
(By measure or count)
TYPE
OF
EQUIPMENT
CONDITION (X)
SAT.
UN-SAT.
OUT
OF
SERV.
INSERT PHOTOS HERE
INITIAL AND
DATE
CORRECTED
WORK DESCRIPTION - LOCATION
(Floor, Room No., Corridor, Lobby , or either)
QUANTITY
(By measure or count)
TYPE
OF
EQUIPMENT
CONDITION (X)
SAT.
UN-SAT.
OUT
OF
SERV.
INSERT PHOTOS HERE
INITIAL AND
DATE
CORRECTED
WORK DESCRIPTION - LOCATION
(Floor, Room No., Corridor, Lobby , or either)
QUANTITY
(By measure or count)
TYPE
OF
EQUIPMENT
CONDITION (X)
SAT.
UN-SAT.
OUT
OF
SERV.
INSERT PHOTOS HERE
INITIAL AND
DATE
CORRECTED
WORK DESCRIPTION - LOCATION
(Floor, Room No., Corridor, Lobby , or either)
QUANTITY
(By measure or count)
TYPE
OF
EQUIPMENT
CONDITION (X)
SAT.
UN-SAT.
OUT
OF
SERV.
INSERT PHOTOS HERE
INITIAL AND
DATE
CORRECTED
WORK DESCRIPTION - LOCATION
(Floor, Room No., Corridor, Lobby , or either)
QUANTITY
(By measure or count)
TYPE
OF
EQUIPMENT
CONDITION (X)
SAT.
UN-SAT.
OUT
OF
SERV.
INSERT PHOTOS HERE
INITIAL AND
DATE
CORRECTED
WORK DESCRIPTION - LOCATION
(Floor, Room No., Corridor, Lobby , or either)
QUANTITY
(By measure or count)
TYPE
OF
EQUIPMENT
CONDITION (X)
SAT.
UN-SAT.
OUT
OF
SERV.
INSERT PHOTOS HERE
INITIAL AND
DATE
CORRECTED
WORK DESCRIPTION - LOCATION
(Floor, Room No., Corridor, Lobby , or either)
QUANTITY
(By measure or count)
TYPE
OF
EQUIPMENT
CONDITION (X)
SAT.
UN-SAT.
OUT
OF
SERV.
INSERT PHOTOS HERE
INITIAL AND
DATE
CORRECTED
WORK DESCRIPTION - LOCATION
(Floor, Room No., Corridor, Lobby , or either)
QUANTITY
(By measure or count)
TYPE
OF
EQUIPMENT
CONDITION (X)
SAT.
UN-SAT.
OUT
OF
SERV.
INSERT PHOTOS HERE
INITIAL AND
DATE
CORRECTED
WORK DESCRIPTION - LOCATION
(Floor, Room No., Corridor, Lobby , or either)
QUANTITY
(By measure or count)
TYPE
OF
EQUIPMENT
CONDITION (X)
SAT.
UN-SAT.
OUT
OF
SERV.
INSERT PHOTOS HERE
INITIAL AND
DATE
CORRECTED
WORK DESCRIPTION - LOCATION
(Floor, Room No., Corridor, Lobby , or either)
QUANTITY
(By measure or count)
TYPE
OF
EQUIPMENT
CONDITION (X)
SAT.
UN-SAT.
OUT
OF
SERV.
INSERT PHOTOS HERE
INITIAL AND
DATE
CORRECTED
WORK DESCRIPTION - LOCATION
(Floor, Room No., Corridor, Lobby , or either)
QUANTITY
(By measure or count)
TYPE
OF
EQUIPMENT
CONDITION (X)
SAT.
UN-SAT.
OUT
OF
SERV.
INSERT PHOTOS HERE
INITIAL AND
DATE
CORRECTED
WORK DESCRIPTION - LOCATION
(Floor, Room No., Corridor, Lobby , or either)
QUANTITY
(By measure or count)
TYPE
OF
EQUIPMENT
CONDITION (X)
SAT.
UN-SAT.
OUT
OF
SERV.
INSERT PHOTOS HERE
INITIAL AND
DATE
CORRECTED
WORK DESCRIPTION - LOCATION
(Floor, Room No., Corridor, Lobby , or either)
QUANTITY
(By measure or count)
TYPE
OF
EQUIPMENT
CONDITION (X)
SAT.
UN-SAT.
OUT
OF
SERV.
INSERT PHOTOS HERE
INITIAL AND
DATE
CORRECTED
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