Attachment_3A_Quality_Assurance_Monitoring_OCONUS.pdf

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Attached to
DC Guam Generator Maintenance Federal contract opportunity
Solicitation number
HSFE70-15-R-0017
Issued by
Federal Emergency Management Agency Logistics Section

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Attachment 3a Quality Assurance Monitor Form

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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: HSFE70-15-R-0017

ATTACHMENT 3A: QUALITY ASSURANCE MONITORING FORM OCONUS_1.0_July 2014

RFP: HSFE70-15-R-0017

ATTACHMENT 3A: QUALITY ASSURANCE MONITORING FORM OCONUS_1.0_July 2014

Maintenance Location: []
Service_Standard: []
Survey Period:
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% Items Sampled:
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Service Provider: []
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Narrative:
Prepared BY NAME:
Prepared BY DATE:
Additional Comments: Additional Comments:
Text11:
Clear:

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