N3904020MP00118 QASP UPS 11 Aug 2020 Redacted Final.pdf
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- HC108420R0010
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As of August 11, 2020
QASP
Appendix 3 – Customer Complaint Record
CUSTOMER COMPLAINT RECORD
DATE/TIME OF COMPLAINT
SOURCE OF COMPLAINT
ORGANIZATION
BUILDING NUM-
BER
INDIVIDUAL
PHONE NUMBER
NATURE OF COMPLAINT
CONTRACT REFERENCE
VALIDATION
DATE/TIME CONTRACTOR INFORMED OF COMPLAINT
ACTION TAKEN BY CONTRACTOR
RECEIVED/VALIDATED BY
As of August 11, 2020
QASP
Appendix 4 – Corrective Action Report
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 defi-ciency, 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. QUALITY ASSURANCE PERSONNEL (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
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