EXHIBIT_08_Report_of_Infractions.pdf
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EXHIBIT 8 - REPORT OF INFRACTIONS
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Exhibit 8
- 1 -
REPORT OF INFRACTION
DATE OF REPORT: ________________________________________________________
CONTRACT NUMBER: _____________________________________________________
CONTRACTOR NAME: _____________________________________________________
DATE OF INFRACTION: ____________________________________________________
REPORTED BY: ___________________________________________________________
TYPE OF INFRACTION: ____________________________________________________
LOCATION: (ADDRESS AND BUILDING #)____________________________________________
SITE: _______________________________ POST: ____________________________
DEDUCTION REQUESTED YES______ NO _______
CONTRACT REFERENCE__________________________________________________
DETAILS OF OCCURANCE: (with corrective action recommendation)
SECURITY POLICY OFFICE
PLANNING AND ASSESSMENT
DEPARTMENT OF THE TREASURY
INTERNAL REVENUE SERVICE
WASHINGTON, DC 20224
6FRBB
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6FRBB
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6FRBB
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Exhibit 8
- 2 -
DETAILS OF OCCURANCE:
Continued
FINAL REMEDY / ACTION TAKEN: (TO BE COMPLETED BY NATIONAL COR)
On-Site SQI Signature___________________________________________________
National COR Signature__________________________________________________
| DATE OF REPORT: |
| CONTRACT NUMBER: |
| CONTRACTOR NAME: |
| DATE OF INFRACTION: |
| REPORTED BY: |
| TYPE OF INFRACTION: |
| LOCATION ADDRESS AND BUILDING: |
| SITE: |
| POST: |
| YES: |
| NO: |
| CONTRACT REFERENCE 1: |
| CONTRACT REFERENCE 2: |
| CONTRACT REFERENCE 3: |
| CONTRACT REFERENCE 4: |
| DETAILS OF OCCURANCE with corrective action recommendation 1: |
| DETAILS OF OCCURANCE with corrective action recommendation 2: |
| DETAILS OF OCCURANCE with corrective action recommendation 3: |
| DETAILS OF OCCURANCE with corrective action recommendation 4: |
| DETAILS OF OCCURANCE with corrective action recommendation 5: |
| DETAILS OF OCCURANCE with corrective action recommendation 6: |
| DETAILS OF OCCURANCE with corrective action recommendation 7: |
| DETAILS OF OCCURANCE with corrective action recommendation 8: |
| DETAILS OF OCCURANCE with corrective action recommendation 9: |
| DETAILS OF OCCURANCE with corrective action recommendation 10: |
| DETAILS OF OCCURANCE with corrective action recommendation 11: |
| DETAILS OF OCCURANCE with corrective action recommendation 12: |
| DETAILS OF OCCURANCE with corrective action recommendation 13: |
| DETAILS OF OCCURANCE with corrective action recommendation 14: |
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| FINAL REMEDY ACTION TAKEN TO BE COMPLETED BY NATIONAL COR 1: |
| FINAL REMEDY ACTION TAKEN TO BE COMPLETED BY NATIONAL COR 2: |
| FINAL REMEDY ACTION TAKEN TO BE COMPLETED BY NATIONAL COR 3: |
| FINAL REMEDY ACTION TAKEN TO BE COMPLETED BY NATIONAL COR 4: |
| FINAL REMEDY ACTION TAKEN TO BE COMPLETED BY NATIONAL COR 5: |
| FINAL REMEDY ACTION TAKEN TO BE COMPLETED BY NATIONAL COR 6: |
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