Attachment_5A_Quality_Assurance_Monitoring_v1.0.pdf
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- Generator Maintenance - Puerto Rico
- Solicitation number
- HSFE70-14-R-0041
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Attachment 5A
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QUALITY ASSURANCE MONITORING FORM
MAINTENANCE LOCATION:
SERVICE or STANDARD:
SURVEY PERIOD:
SURVEILLANCE METHOD (Check One):
Random Sampling Periodic Inspection 100% Inspection Customer Complaint
LEVEL OF SURVEILLANCE (Check One):
Monthly Quarterly Annually As needed
BARCODES SAMPLED:
PERCENTAGE OF ITEMS SAMPLED DURING SURVEY PERIOD: %
ANALYSIS OF RESULTS:
Service Provider’s Name:
Observed Service Provider Performance Measurement Rate: %
Service Provider’s Performance (Check One): Meets Standards Does Not Meet Standards
Narrative of Performance During Survey Period:
PREPARED BY (Print): DATE:
PREPARED BY (Sign):
RFP: HSFE70-14-R-0041
ATTACHMENT 5A: QUALITY ASSURANCE MONITORING FORM OCONUS V1.0_JULY 2014
RFP: HSFE70-14-R-0041
ATTACHMENT 5A: QUALITY ASSURANCE MONITORING FORM OCONUS V1.0_JULY 2014
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