QASP.pdf

Quality Assurance Surveillance Plan (QASP) Belzona ceramic metal treatment on two each 19 XR 300-ton chillers 10/25/2023 Version 1.0

1 Vision

1.1 Mission

3 Purpose 4 Authority 5 Roles and Responsibilities

5.1 Program / Project Manager ................................ Error! Bookmark not defined.

5.2 Contracting Office (KO) ...................................... Error! Bookmark not defined.

5.3 Contracting Officer's Representative (COR) ...... Error! Bookmark not defined.

5.4 Other Key Government Personnel ..................... Error! Bookmark not defined.

5.5 Contractor Representatives................................ Error! Bookmark not defined.

6 Performance Requirements and Method of Surveillance ..... Error! Bookmark not defined.

6.1 Contract Surveillance ......................................... Error! Bookmark not defined.

6.2 Surveillance Matrix ............................................. Error! Bookmark not defined.

Appendix 1 - Surveillance Matrix Appendix 2 - Corrective Action Report (CAR) Appendix 3 - Customer Complaint Record Appendix 4 - Performance Assessment Report (PAR)

Quality Assurance Surveillance Plan (QASP)

Belzona ceramic metal treatment on two each 19 XR 300-ton chillers

1 Vision

Belzona ceramic metal treatment two coats will be applied to enhance the service ability and extend the life of the two Aqua chillers belzona will be applied for rebuilding any erosion damage and produce a flush service for sealing between the cooling tubes and both sides of the condenser and evaporator ends.

1.1 Mission

Applying Belzona 1321 Ceramic S-Metal treatment to chiller 1 and chiller 2 completing on chiller at a time to prevent down time and stopping erosion and extending service life of both chillers.

2 Purpose

This Quality Assurance Surveillance Plan (QASP) 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:

• The tasks of the Belzona Ceramic S-metal treatment processes will be monitored

• Monitoring will take place random visual inspections, pictures, and written reports

• Monitoring will be performed by the onsite monitor and the field technician

• Monitoring efforts and results will be documented in the written report.

3 Authority

Authority for issuance of this QASP is provided under Part 46 of the Federal Acquisition Regulation, Inspection of Services clauses, which provides 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.

4 Roles and Responsibilities

Authority for issuance of this QASP is provided under Part 46 of the Federal Acquisition Regulation, Inspection of Services clauses, which provides 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.

Government Points of contact

1. Contracting Officer (CO):

2. Occupational Health and Safety Representative:

Jason Krantz

785-776-2733 jason.krantz@usda.gov

Engineer Project Manager (EPM)/Contracting Officer's Representative (COR):

Mark McWilliams

970-631-7513 mark.mcwilliams@ars.usda.gov

Location Monitor (LM):

David Hinkson

785-340-2100 david.hinkson@usda.gov

5.1 Program / Project Manager

Assigned PM: <enter name>

Organization or Agency: <enter organization or Agency name> mailto:jason.krantz@usda.gov mailto:david.hinkson@usda.gov

Telephone: <enter number>

Email: <enter address>

5.2 Contracting Office (KO)

Assigned KO: <enter name>

Organization or Agency: <enter organization or Agency name>

Telephone: <enter number>

Email: <enter address>

5.3 Contracting Officer's Representative (COR)

Assigned COR: <enter name>

Organization or Agency: <enter organization or Agency name>

Telephone: <enter number>

Email: <enter address>

5.4 Other Key Government Personnel

Location Monitor

David Hinkson

785-340-2100 david.hinkson@usda.gov

5.5 Contractor Representatives

The following employees of the contractor serve as the contractor's Program Manager and Task Manager for this contract. (Complete this section after the contract award)

Program Manager - <upon award, enter name>

Telephone: <enter number>

Task Manager - <upon award, enter name>

Telephone: <enter number>

Other Key Contract Personnel - <upon award, enter name or delete these lines if not applicable>

Title: <enter title>

Telephone: <enter number>

Email: <enter address>

6 Performance Requirements and Method of Surveillance

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

Performance Rating

Criteria

Excellent / Outstanding

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 were effective.

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.

Appendix 1 - Surveillance Matrix

Statement Standards/AQLs Inspections Ratings Coordinate scheduled timeline for completing one chiller at A time.

Perform all required steps for treatment.

Follow proper procedures visual observation of operations scheduled timeline visually monitor all tasks 100% Review of reports On-site periodic inspections Continuous oversight

Disassemble chiller for preparation for the Belzona treatment.

Completes actions within specified deadlines.

follow proper procedures visual observation of operations deadlines.

Compliant with applicable standards chiller preparation observing processes and visually monitoring

Randomly

The Contractor shall drain water from chiller tubes and remove heads from both sides of the condenser for preparation for Belzona treatment.

Complete visual / Repar timelines drain water and remove heads from both sides.

visually monitor water stops running.

100% Review of reports visually monitor water stops running from drain valve.

visually inspect heads for corrosion

100% Review of reports

The Contractor shall drain water from the chiller tubes and remove heads from both sides of the evaporator for the Belzona treatment.

Complete

Visual / repair drain water and remove heads from both sides.

visually monitor water stops running from drain valve.

visually inspect heads for corrosion

100% Review of reports

The Contractor shall setup sandblasting equipment with local containment for debris.

Completely setup perform all required steps for treatment.

visual inspections, randomly.

Compliant with federal, state, and local laws and regulations.

The Contractor shall prepare all tube ends from frosting during the surface preparation of all surface areas needing to be ceramic coated by inserting natural corks into all evaporator and condenser tubes.

Seal off all tubes preventing any grit material damaging or frosting inside of tube.

Follow proper procedures visual observation of operations.

Thoroughly degrease all surface areas visually inspect.

needing to be coated.

The Contractor shall grit blast all surface areas grit blast to a minimum depth of 3 mils for Angular abrasive grit to a NACE 2 standard (near white finish).

grit blasts all surface areas.

grit blast to a minimum depth of 3 millimeters.

observing processes and visually visually monitor all tasks

100% Review of reports

The Contractor shall clean and chamfer all bolt holes for easy installation and removal of condenser and evaporator.

to clean and taper all bolt holes.

or easy install and accurate torque tightness evenly torqued bolts to accurate specifications easy installation and removal of head assemblies

The Contractor shall seal all tube ends off when Belzona coating surface by inserting new natural corks into all evaporator and condenser tubes.

seal off all tubes preventing any material from damaging the inside of the tube.

Seal off all tubes preventing any material from damaging the inside of the tube.

Visual / repair

All old corks have been replaced with new corks and fit tightly within the tube.

Observing processes and visually

Statements Standards/AQLs Inspections Ratings Statements Statements Statements Statements Statements Statements Statements Statements Statements

Statements Statements Statements Statements Statements Statements Statements Statements Statements Statements Statements Statements

Statements Statements Statements Statements Statements Statements Statements Statements Statements

Appendix 2 - Corrective Action Report (CAR)

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. 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

Appendix 3 - Customer Complaint Record

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

Appendix 4 - Performance Assessment Report (PAR)

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)

6. CONTRACTOR REPRESENTATIVE REMARKS