LSS_QASP.pdf

Quality Assurance Surveillance Plan (QASP) For

Logistics and Consulting Services

Prepared: by John A. DiPesa

309 CMXG/OBF

(Date: 16 Oct14, v2)

1. Vision The Contractor shall provide logistics support for the Ogden Air Logistics Complex (OO-ALC) at Hill Air Force Base, Utah. The Contractor shall research and analyze depot maintenance and depot material, finance and production systems and the associated transaction processes within OO-ALC.

2. Mission The Contractor shall provide support with researching and writing local operating procedures;

specifically in the Planning, Scheduling, Material and Production Support Technician (PST) functions of depot maintenance operations. Contractor support shall also include issue, receipt, stock, inventory and transporting of maintenance, and hazardous items, to include serialized, controlled, and non-serialized items.

3. Purpose This Quality assurance surveillance plan is a government-developed document used to determine if the contractor’s performance meets the performance standards contained in the contract. The QASP establishes procedures on how this assessment/inspection process will be conducted. It provides the detailed process for a continuous oversight process:

• What will be monitored

• How monitoring will take place

• Who will be conduct the monitoring

• How monitoring efforts and results will be documented

The contractor is responsible for implementing and delivering performance that meets contract standards using its Quality Control Plan. The QASP provides the structure for the government’s surveillance of the contractor’s performance to assure that it meets contract standards. It is the government’s responsibility to be objective, fair, and consistent in evaluating contractor performance.

The QASP is not part of the contract nor is it intended to duplicate the contractor’s quality control plan.

This QASP is a living document. Flexibility in the QASP is required to allow for an increase or decrease in the level of surveillance necessary based on contractor performance.

The government may provide a copy of the QASP to the contractor to facilitate open communication. In addition, the QASP should recognize that unforeseen or uncontrollable circumstances might occur that are outside the control of the contractor.

Bottom line, the QASP should ensure early identification and resolution of performance issues to minimize impact on mission performance.

4. Authority Authority for issuance of this QASP is provided under Part 46 of the Federal Acquisition Regulation, Inspection of Services clauses, which provide for inspection, acceptance and documentation of the service called for in the contract or order. This acceptance is to be executed by the contracting officer or a duly authorized representative.

5. Roles and Responsibilities The following personnel shall oversee and coordinate surveillance activities.

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 ensure that the contractor receives impartial, fair, and equitable treatment under this contract. Determine the final assessment of the contractor’s performance.

Assigned CO: Randall W. Tobler Organization or Agency: OL:H/PZIMA Telephone: 801-586-3335 Email: randall.tobler@us.af.mil

Contracting Officer’s Representative (COR) The COR is responsible for providing continuous technical oversight of the contractor’s performance. The COR will use the QASP to conduct the oversight/surveillance process. The COR shall keep a Quality Assurance file that accurately documents the contractor’s actual performance. The purpose is to ensure that the contractor meets the performance standards contained in the contract. The COR is responsible for reporting early identification of performance problems to the CO. The COR is required to provide an annual performance assessment to the CO which will be used in documenting past performance. The QASP is the primary tool for documenting contractor performance. The COR is not empowered to make any contractual commitments or to authorize any contractual change on the Government’s behalf.

Assigned COR: John A. DiPesa Organization or Agency: 309 CMXG/OBF Telephone: 801-777-2539 Email: john.dipesa@us.af.mil

Contracting Officer’s Representatives Supervisor - Nominates Contracting Officer’s Representatives (CORs) in writing and sends nomination and COR nominee qualification documentation to the CO, ensures the COR is trained before performing any COR duties and supports the COR’s performance assessment activities, reviews COR documentation on a regular basis, evaluates performance of COR duties as part of performance assessment throughout the period of the contract.

COR Supervisor: Karl D. Schneider Organization or Agency: 309 CMXG/OBF Telephone: 801-775-6360 Email: karl.schneider@us.af.mil

Acquisition Management Support Specialist (AMSS): Serves as the primary 309th Maintenance Wing customer representative familiar with the service requirements. Reviews contractor performance prior to execution of options. Periodically reviews contract specifications to determine if contract as written meets mission objectives. Documents past performance for input to the Contractor Performance Assessment Reporting System (CPARS). Leads multi-functional team contract management reviews.

Assigned AMSS: Michael A. Robles Organization or Agency: OO-ALC/OBC Telephone: 801-586-2408 Email: michael.robles@us.af.mil mailto:john.dipesa@us.af.mil mailto:karl.schneider@us.af.mil

Quality Assurance Program Coordinator (QAPC): The QAPC is appointed to integrate the quality contract requirements into the quality assurance program, act as the liaison between the contracting and functional organizations, and provide training and record keeping IAW MP 5346.103, ensure consistent guidance is given to customers by QAPC and other functional areas, train CORs and COR management (e.g. COR Supervisor, Functional Commanders/Directors (FC/FD) on the contracting requirements associated with the quality assurance program, assist, as required, with the evaluation of contractor Quality Control Plans and maintain a record of all COR and COR management training, including refresher training regardless of provider (e.g., QAPC, contracting officer, contract specialist, contract administrator, Defense Acquisition University, or commercial training provider).

Assigned QAPC: Steve K. Brinkerhoff Organization or Agency: OO-ALC/OBC Telephone: 801-586-4325 Email: steve.brinkerhoff@us.af.mil

Contractor Representatives The following employees of the contractor serve as the contractor’s Program Manager and Task Manager for this contract.

Program Manager:

Telephone:

Email:

Task Manager:

Telephone:

Email:

6. Performance Requirements and Method of Surveillance

6.1. Contract Surveillance

The goal of the QASP is to ensure that contractor performance is effectively monitored and documented.

The COR’s contribution is their professional, non-adversarial relationships with the KO, PM and the contractor, which enables positive, open and timely communications. The foundation of this relationship is built upon objective, fair, and consistent COR evaluations of contractor performance against contract requirements. The COR uses the methods contained in this QASP to ensure the contractor is in compliance with contract requirements. The COR function is responsible for a wide range of surveillance requirements that effectively measure and evaluate the contractor’s performance.

Additionally, this QASP is based on the premise that the contractor, not the government, is responsible for management and QC/QA actions to successfully meet the terms of the contract. Multi-functional Team Meetings – The Multi-functional team will manage the contract throughout the life of the contract.

This team will form a partnership between the government and the contractor to ensure the best possible service is provided for the life of the contract. All performance assessment data will be reviewed at these meetings. If performance improvement is necessary, a plan of action will be created.

mailto:steve.brinkerhoff@us.af.mil

6.2. Surveillance Matrix

The Surveillance Matrix (Appendix1) is the list of performance objectives and standards that must be performed by the contractor. This matrix details the method of surveillance the COR will use to validate and inspect these performance elements. Inspection of each element will be documented in the COR file.

Performance objectives define the desired outcomes. Performance Standards define the level of service required under the contract to successfully meet the performance objective. The inspection methodology defines how, when, and what will be assessed in measuring performance. The Government performs surveillance, using this QASP, to determine the quality of the contractor’s performance as it relates to the performance element standards. The Services Summary should be used to form the foundation of the COR’s inspection checklist.

6.3. Performance Rating Definitions

In evaluating the quality of contractor’s performance, the following performance ratings may be used.

Performance Rating

Criteria

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 was highly effective.

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 was effective.

Satisfactory Performance meets contractual requirements. The contractual performance contains some minor problems for which corrective actions taken by the contractor were 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.

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.

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 contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

6.4 Contract Performance Assessment Reporting System (CPARS) – If applicable, CPARs will be initiated annually, documenting contractor performance for this specific contract. More frequent updates may be made as required to document a significant improvement or degradation of the level of contract performance. The AMSS will serve as the Assessing Official Representative and the 309 (Specific Organization) Deputy Directors will serve as the Assessing Official for contracts over $1,000,000.00 aggregate.

7. Performance Reporting

7.1 Performance Assessment Report (PAR)

PARs will be used to report ALL minor discrepancies and will be generated by the COR and sent to the contractor for corrective action. Contractors will be given 10 days to correct PARs unless they have requested an extension. If 3 minor discrepancies are found, combine them and process a CAR. COR will document on their inspection checklist the discrepancies and have the contractor sign and date the checklist. If the contractor refuses to sign, the COR will make a note of non-conformance and date on the PAR. (See attached example)

7.2 Corrective Action Report (CAR)

The COR will forward the CAR to Chief COR (CCOR) for review. After review, the CCOR will IAW AFI 21-101 Chapter 18, will forward the CAR to the CO for action. CARs will be corrected within 30 days depending on the complexity of the finding, however the contractor may be allowed up to six months (maximum) correcting a CAR at the discretion of the CO. The CCOR will ask COR the status of the CAR on a monthly basis until the CAR has been closed. The COR will keep an electronic log of all CARs and will keep a hard copy of CARs in the contract oversight file the CAR on a monthly basis. The COR will keep an electronic log of all CARs. The COR will keep a hard copy of CARs in the contract oversight file. (See attached example)

7.3 Customer Complaint Form

The COR must furnish instructions to the customer receiving the contractor’s service. The customer must retain supporting evidence of complaint or feedback. After the COR validates feedback or complaint demonstrating contractor noncompliance, the COR processes a Performance Assessment Report (PAR) or Corrective Action Report (CAR) to the CO. ALL Customer Complaint forms WILL be validated by the COR prior to notifying the contractor. (See attached example)

7.4 Appendix 1 - Surveillance Matrix (SERVICE SUMMARY)

Inspection &

PWS

Paragraph

Performance Objective / Elements

Standards / AQL Inspection Calculation / Ratings What How/ Method When/ Freq

SS# 1

Para:1.3.10

Monthly Status Report

(Basic & Task Order)

The Contractor shall provide the COR a monthly status report of the projects being supported.

The Contractor shall provide the COR a monthly status report of the projects being supported. This report shall be provided by the fifth day of each month and no more than two (2) deviations for POP.

CDRL A001

The COR will ensure the contractor is providing a monthly status report.

The COR will check with the contractor to ensure they provide a monthly status report by the fifth days of every month and no more than two (2) deviations for

POP.

M1/M2

Monthly

Periodic

Performance is acceptable when the contractor provides a monthly status report.

SS# 2

Para: 11

Annual Manpower Report

The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services

The contractor is required to completely fill in all required data fields at http://www.ecmra.mil.

The contractor shall

The COR will ensure the contractor is entering their labor hours.

The COR will check the ecmra system by 15 November to ensure the contractor has

Annual

Periodic

Performance is acceptable when the contractor enters their labor hours by

7.4 .1 Non-Service Summary Items (Applicable to all other requirements in the PWS not included in the Services Summary)

(Basic &Task Order) provided under this contract for the OO-ALC via a secure data collection site.

enter FFB4G0 as the Requiring Activity Unit Identification Code (UIC) in the Order Data Tab. Reporting inputs will be for the labor executed during the period of performance for each Government fiscal year (FY), which runs 1 October through 30 September. While inputs may be reported any time during the FY, all data shall be reported no later than 31 October of each calendar year.

entered their labor hours by 31 Oct (Fiscal Year).

M1

31 Oct.

Inspection &

PWS

Paragraph

Performance Objective / Elements

Standards / AQL Inspection Calculation / Ratings What How/

Method When/ Freq

Non-SS # 1.

Para: 1.3 – 1.3.9

Production Support/Materi al Support

(Basic & Task Order)

The contractor shall accomplish depot supply material functions.

The contractor shall accomplish deport material supply functions IAW the PWS and IAW AFH

23-123V1, AFMAN

23-122, AFI 21-101

AFMC SUP 1, AFI

23-101, AFMCI 21-

130, AFMCI 21-156,

AFI 32-7086, AFMCI

21-130, and their applicable HAFB and

OO-ALC

supplements.

The COR will ensure that the contractor is accomplishing depot supply material functions.

The COR will check with the government supervisor and the contract employee to ensure they are accomplishing depot material supply functions IAW the PWS and applicable regulations.

M3/M4

Event Driven when contractor accomplishing deport material supply functions.

Non-SS# 2 Para: 1.3.11

Resolve Issues

The Contractor shall identify and resolve material, financial, and production issues in the OO-ALC’s depot maintenance and depot material areas, including those of a classified nature.

The Contractor shall identify and resolve material, financial, and production issues in the OO-ALC’s depot maintenance and depot material areas, including those of a classified nature.

The COR will ensure the contractor is identifying and resolving material, financial, and production issues.

The COR will check with the government supervisor and the contract employee to ensure the contactor is identifying and resolving material, financial, and production issues.

Event Driven when contractor is identifying and resolving material, financial, and production issues.

M4

Non-SS# 3 Para: 3.2

Quality Systems plan

(Basic & Task Order)

The contractor shall have a quality systems plan.

(Basic)

The contractor shall have a quality systems plan.

This plan shall be provided as part of the proposal and shall be evaluated at the basic contract level. The plan shall be updated, provided, and evaluated as defined in each task order, as requested. Updates shall be provided whenever there is a change in any of the following Quality System Elements:

Management Responsibility Organization; Quality System Initial Quality Planning; Document Control; Process Control; Inspection & Testing; Corrective Action; Handling, Storage, Packaging, and Delivery; Quality Records; Internal Quality Audits;

Training; and Quality System Effectiveness.

(CDRL A003)

The COR will ensure that contractors has provided a quality systems plan.

The COR will check with the CO to ensure the contractor has provided a quality systems plan at contract proposal.

M2/M4

Event Driven Performance is acceptable when contractor provides a quality systems plan.

Non-SS# 4 Para: 8.1

Training Roster

(Basic & Task Order)

The Contractor shall provide a training roster.

The Contractor shall provide a training roster of all contractor employees trained, date trained and what they were trained on.

(CDRL A007)

The COR will ensure the contract has provided a training roster.

The COR will check with the contractor to ensure they provide a training roster of all contractor employees trained.

M2/M4

Event Driven Performance is acceptable when contractor provides a training roster.

Non-SS# 5 Para: 8.2

Government Training

(Basic & Task Order)

The contractor shall ensure all contractor employees attend government training.

The contractor shall ensure all contractor employees attend government training.

These training requirements will be accomplished by Government Points of Contact (POC) and a roster provided to the COR/Training Manager no later than

The COR will ensure contractor employees are attending government provided training.

The COR will check with the contractor lead/supervisor to ensure contractor employees are attending government training and a training roster was provided.

Event Driven Performance is acceptable when contractor employees attend government training and they provide a training roster.

30 days after the task order award for each task order. As new employees are hired they shall be trained and a new roster provided to the COR within 30 days. The roster shall include employee name and the title of each course taken.

CDRL A004

Non-SS# 6 Para: 13.1.1

Safety Requirements

(Basic & Task Order)

The contractor shall conform to the safety requirements contained in the contract for all activities related to the accomplishment of the work. This includes the wearing of appropriate Personal Protective Equipment (PPE). All required PPE will be furnished by the contractor.

The contractor shall ensure PPE must meet or exceed standards in

OSHA 29 CFR 1910,

as well as AFI 91-203, Chapter 14. The Contractor shall have no more than three customer complaints for timeliness, quality and safety (spot inspections, not OSHA citations) within the task order period of performance.

The COR will ensure the contractor is conforming to safety requirements and wearing the appropriate PPE.

The COR will spot check the contractor employees to ensure they are conforming to safety requirements and wearing the appropriate

PPE.

M4

Event Driven Performance is acceptable when contractor employees are conforming to safety requirements and wearing the appropriate

PPE.

Non-SS# 7 Para: 13.1.4

Safety Program

(Basic & Task Order)

The contractor shall develop and provide a safety program plan and site specific checklists IAW Appendix C.

The contractor shall develop and provide a safety program plan and site specific checklists IAW Appendix C. The safety program plan must be approved by the OO-ALC Safety Office (OO-ALC/SE) prior to any performance under this contract.

(CDRL A005)

The COR will ensure the contractor has developed and provided a safety program plan.

The COR will check with the CO to ensure the contractor has provided a safety program plan and this plan was approved by the Safety Office prior to contract performance.

M2/M4

Event Driven Performance is acceptable when contractor has provided a safety plan and it has been approved by the Safety Office.

Non-SS# 8 Para: 13.1.5

Environmental Hazards

(Basic & Task Order)

The contractor shall ensure their employees are made aware that the performance of these services will occur in industrial areas and the hazards of the area and ways to mitigate the risks caused by the hazards.

The contractor shall ensure their employees are made aware that the performance of these services will occur in industrial areas and the hazards of the area and ways to mitigate the risks caused by the hazards.

The industrial complex (OO-ALC) has the potential to expose workers to hazardous materials which may include, but is not limited to:

The COR will ensure the contractor employee are aware that performance of this services will occur in the industrial area.

The COR will check will individual contractor employee to ensure they are aware that performance of this services will occur in the industrial area.

M1/M4

Event Driven Performance is acceptable when contractor employees are aware that service will occur in the industrial area.

hexavalent chrome, cadmium, beryllium, lead, and others.

There may be contact hazards with these materials during cleanup of dust, metal shavings, and other operations.

Non-SS# 9 Para: 13.2.2

TICR/DART

Reporting

(Basic & Task Order)

The contractor shall comply with annual TCIR/DART reporting.

The contractor shall provide from their

OSHA 300

information in the TCIR/DART report by 15 January of each year to the CO/COR for submission as part of the installation’s annual OSHA VPP self-evaluation report.

(CDRL A002)

The COR will ensure the contractor is complying with

TCIR/DART

reporting.

The COR will check with the CO to ensure the contractor has reported their

TCIR/DART

information by 15 Jan of each year.

M2/M4

Event Driven Performance is when the contractor has reported their annual

TCIR/DART

information.

Non-SS# 10 Para: 16.0

Government Motor Vehicle License

(Basic & Task Order)

The contractor employees shall be required to operate GMVs in the execution of this contract. If the GMVs exceed 10,000 pounds gross weight, then the employees must be licensed by the state on the vehicles they operate.

The contractor employees shall be required to operate GMVs in the execution of this contract. If the GMVs exceed 10,000 pounds gross weight, then the employees must be licensed by the state on the vehicles they operate. A state or commercial license and contractor’s certification shall be provided to the respective 309th Maintenance Group Vehicle Control Officer (VCO) for verification. The contractor shall attach to the licensing forms a letter that lists each individual and the types of vehicles they will be operating.

The COR will ensure the contractor employees have the required licenses to drive GMVs.

The COR will check with the individual contractor employees to ensure they have the required licenses to drive the

GMV.

M3/M4

Event Driven Performance is when the contractor employees have the correct driver’s licenses for the GMVs they are driving.

Non-SS# 11 Para: 17.1 – 17.1.1

Status Report

(Basic & Task Order)

The contractor shall provide a status report.

The contractor shall include an updated Team Complement (employee listing) with the monthly status report which identifies employees name, skill level (labor category), job series, government POC name, employees supervisors

The contractor shall provide a status report.

The contractor shall include an updated Team Complement (employee listing) with the monthly status report which identifies employees name, skill level (labor category), job series, government POC

The COR will ensure the contractor has provided a monthly status report and a team compliment listing.

The COR will check with the contractor to ensure they provide a monthly status report to include a team compliment listing.

M2/M4

Event Driven Performance is acceptable when the contractor is providing a monthly status report to include a team compliment listing.

Inspection Methodologies:

M1: Periodic. Periodic surveillance/inspection is the type of surveillance that is based upon selecting samples for evaluation on other than 100% inspection or on a statistically random basis.

Periodic surveillance can be accomplished, weekly, monthly or quarterly using a checklist method.

M2: Inspection of Reports. All reports shall be reviewed upon receipt. The reviewer will report any flaws in the document and categorize the flaws (Editorial, Format, and/or Substance).

M3: Technical Inspection: Surveillance/inspection is the type of surveillance that will be performed as specified on the project schedule by actually looking at the work being done.

M4: Non-Service Summary. All Non-SS items will be done on a random basis, at a 1/12 sampling IAW 309 PMAP instructions, to ensure that all items are inspected during the year.

7.4.1.2: COR shall use the “COR Monthly Surveillance Report” (see attached) template for their monthly “pre inspection” and for the end of month report using information from 7.4 and 7.4.1. This information will be submitted into the COR Training Tool (CORTT) IAW the required frequency and as directed by the Contracting Officer.

8. Trafficking in Persons IAW PGI 22.1703(4) (states the QASP should describe how the COR will monitor the contractors performance regarding compliance with FAR 52.222-50, Combat trafficking in persons.)

8.1. The Contractor shall comply with FAR 52.222-50, Combating Trafficking in Persons. Additional information about Trafficking in Persons can be found at the site for the Department of State’s Office to Monitor and Combat Trafficking in Persons below.

http://www.state.gov/j/tip name or lead, assigned shift schedule, date of hire, security clearance, and Common Access Card (CAC).

name, employees supervisors name or lead, assigned shift schedule, date of hire, security clearance, and Common Access Card (CAC) to the Contracting Officer Representative (COR) no later than 10 days prior to contract start (during ramp up) and no later than the 5th business day of every month. Changes made to the list or status of employees shall be provided two weeks prior to the schedule work.

CDRL A002

http://www.state.gov/j/tip

8.1.2. In accordance with the Defense Contingency COR Handbook section on Combating Trafficking in Persons, the COR must inform the PCO if the Contractor/subcontractor and/or Contractor/subcontractor personnel fail to comply with the requirements of FAR 52.222.50.

The PCO must convey the information to DoD Combat Trafficking in Persons (CTIP) Law Enforcement and Support / Office of Under Secretary of Defense (OUSD) Personnel and Readiness (P&R) Defense Human Resources Activity (DHRA).

http://www.acq.osd.mil/dpap/ccap/cc/corhb/Files/DCCOR_Handbook_2012.pdf

CORRECTIVE ACTION REPORT (CAR)

(If more space is needed, use reverse and identify by number)

1. CONTRACTOR

2. CONTRACT NUMBER

3. TYPE OF SERVICES

4. FUNCTIONAL AREA

5. SUSPENSE DATE

6. CONTROL NUMBER

7. DEFICIENCY MAJOR MINOR

FINDING:

FINDING IMPACT:

Please respond with a written corrective action plan that details the corrective action of the cited deficiency, the cause of the deficiency, and actions taken to prevent recurrence by Suspense Date in Block 5. If date was not entered in Block 5, the contractor is not required to provide a response.

8. Contracting Officer Representative (COR)

TYPED NAME AND GRADE

SIGNATURE AND DATE

9. ISSUING AUTHORITY

TYPED NAME AND GRADE

SIGNATURE AND DATE

10. COR RESPONSE TO CONTRACTOR CORRECTIVE ACTION AND ACTION TAKEN TO PREVENT RECURRENCE

11. COR DETERMINATION

ACCEPTED REJECTED

12. CLOSE DATE

CUSTOMER COMPLAINT RECORD

DATE/TIME OF COMPLAINT

SOURCE OF COMPLAINT

ORGANIZATION

BUILDING NUMBER

INDIVIDUAL

PHONE NUMBER

NATURE OF COMPLAINT

CONTRACT REFERENCE

VALIDATION

DATE/TIME CONTRACTOR INFORMED OF COMPLAINT

ACTION TAKEN BY CONTRACTOR

RECEIVED/VALIDATED BY

PERFORMANCE ASSESSMENT REPORT (PAR)

(If more space is needed, use reverse and identify by number)

1. CONTRACT/TASK ORDER NUMBER 2. CONTRACTOR 3. TYPE OF SERVICES

4. QUALITY ASSURANCE PERSONNEL (COR) SIGNATURE AND DATE

5. COR PHONE 6. SUSPENSE DATE

I. PERFORMANCE

7. DEFICIENCY (CHECK ALL BOXES THAT APPLY)

NEW

REPEAT

NO DEFICIENCY NOTED

8. SERVICES SUMMARY or PWS PARAGRAPH ITEM REVIEWED

9. BRIEF DESCRIPTION OF DEFICIENCY (IF DEFICIENCY BOX WAS

CHECKED)

10. DETAILED PERFORMANCE ASSESSMENT

II. CONTRACTOR VALIDATION

11. CONTRACTOR REPRESENTATIVE CONCUR NON-CONCUR

12. CORRECTIVE ACTION ESTIMATED COMPLETION DATE

13. CONTRACTOR REPRESENTATIVE CORRECTIVE ACTION AND PREVENTION OF RECURRENCE OR REASON FOR NON-CONCURRENCE OF

COR CITED DEFICIENCY

III. ACTION CORRECTED

14. CONCUR NON-CONCUR COR SIGNATURE AND DATE

15. COR REMARKS (REQUIRED)

16. CONTRACTOR REPRESENTATIVE REMARKS