App_2_QASP_Evaluation_Checklist.pdf

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Joint Base San Antonio ICIDS III/IV Maintenance Service
Solicitation number
FA3016-17-T-0011
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Appendix 2 QASP Evaluation Checklist

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QUALITY ASSURANCE SURVEILLANCE PROGRAM (QASP) CHECKLIST

For

JBSA Integrated Commercial Intrusion Detection System (ICIDS) Maintenance Service Contract

Contracting Officer’s Representative:

Date:

Contract Number:

Purpose: This checklist is designed to track surveillance of the below listed Performance Objectives (PO) contained in the Performance Requirements Summary( PRS) of the Performance Work Statement (PWS) for the listed contract in accordance with the QASP.

1. Performance Objectives

PERFORMANCE OBJECTIVES

PO

Evaluated Performance Objective PWS

Paragraph Method of

Surveillance Performance Threshold

1. Inspection of Zone within one week of warranty expiration.

1.2 100% Inspection 100% Compliance

2. Equipment Maintenance/Repair

5.2 100% Inspection 100% Compliance

3. Preventative maintenance 5.3 100% Inspection 100% Compliance

4. Service Calls Phone Response

5.4 100% Inspection 100% Compliance

5. Service Calls Physical Response

5.4 100% Inspection 100% Compliance

6. Maintenance Service Request

(MSR)

5.5 100% Inspection 100% Compliance

7. Working Conditions 5.7 100% Inspection 100% Compliance

8. Rubbish and Debris Clean-up 5.8 100% Inspection 100% Compliance

2. Surveillance Checklist

SURVEILLANCE CHECKLIST

Performance Objective #

Alarm Zone Work Start Date

Completion Date

Maintenance Technician

Threshold

3. Surveillance Comments:

COR Name and Rank Signature

COR NAME:
DATE:
CONTRACT NUMBER:
Check Box4: Off
Check Box5: Off
Check Box6: Off
Check Box7: Off
Check Box8: Off
Check Box9: Off
Check Box10: Off
Check Box11: Off
PO#:
ALARM ZONE:
WORK START DATE:
COMPLETION DATE:
MAINTENANCE TECHNICIAN:
THRESHOLD:
COMMENTS:
COR NAME AND RANK:

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