TE-N-QUALITY CONTROL CHECK SHEET - 2021.pdf
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- Attached to
- FY 2026 ICIDS MAINTENANCE MONITORING AND REPAIR
- Solicitation number
- W911S826RA017
About this file
JBLM ICIDS/CCTV Quality Control Check Sheet
This document is a quality control inspection template for the Joint Base Lewis-McChord (JBLM) Integrated Command and Information Distribution System (ICIDS) and Closed-Circuit Television (CCTV) systems. The check sheet is used to document and verify the completion and quality of work orders, maintenance requests, and repairs performed on these systems.
The form captures essential administrative and operational information including the work order/project management number, system monitor identification, technician and repair personnel details, customer information (name, unit/agency, contact number), and completion dates and times. It includes verification checkboxes for proper documentation procedures such as daily log entry, correct file location maintenance, and monthly submission of performance metrics. The form requires documentation of the work performed through a description field for the service request and a detailed description of repairs completed. A designated quality control inspection section requires a pass/fail determination and signatures from both the repair technician and the COR (Contracting Officer's Representative) or government representative. The template also provides a notes and comments section for recording additional observations or issues related to the work performed. This check sheet serves as a quality assurance mechanism to ensure ICIDS/CCTV maintenance and repair work meets contractual and operational standards.
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Text version
JBLM ICIDS / CCTV QUALITY CONTROL CHECK SHEET
CSO/PM # TO BE CHECKED: _____________________________________________________________
SYSTEM MONITOR: ____________________________________________________________________
DATE CSO/PM GENERATED: _____________________________________________________________
REPAIR TECHICIAN: ____________________________________________________________________
TIME CSO/PM GENERATED: _____________________________________________________________
COR NOTIFIED: _______________________________________________________________________
CUSTOMER NAME: ____________________________________________________________________
CUSTOMER UNIT/AGENCY: ______________________________________________________________
CUSTOMER CONTACT #: ________________________________________________________________
CSO/MWOP/PM ENTERED IN DAILY LOG: Y / N
CSO/MWO/PM IN PROPER FILE LOCATION: Y / N
CSO/PM LOG PROPERLYL MAINTAINED: Y / N
PM SHEET SUBMITTED (MONTHLY) DATE:__________
CSO/MWO/PM FILLED OUT COMPLETELY AND CORRECTLY: Y N
CSO/MWO/PM COMPLETED DATE:________________TIME:______________
CSO/MWO/PM PROCESSED FOR PAYMENT:_____________DATE:___________
CSO/MWO/PM DESCRIPTION:_______________________________________________________________
DESCRIPTION OF REPAIR:___________________________________________________________________
QC INSPECTION: PASS / FAIL
Technician :____________________(Print)_____________________
COR/Government Representative :__________________(Print)__________________
NOTES OR COMMENTS:______________________________________________________________________
File details come from the government source that posted it. Updated .