TE_G_DD_FORM_1780_Shipment_Evaluation_and_Inspection_Record.pdf

SHIPMENT EVALUATION AND INSPECTION RECORD

1. DATE (YYYYMMDD) REPORT CONTROL SYMBOL

2. MEMBER'S NAME (Last, First, Middle Initial) 3. GRADE/

RANK

4. COMPONENT 5. CARRIER NAME SCAC

6. PPGBL/ORDER NUMBER

9. CODE OF SERVICE

7. ORIGIN PPSO GBLOC 8. DESTINATION PPSO GBLOC

10. PICKUP ADDRESS

(Street, City, State and ZIP Code)

NON-TEMPORARY STORAGE (X) 11. DELIVERY ADDRESS (Street, City, State and ZIP Code)

12. PICKUP DATE

(YYYYMMDD)

13. MISSED PICKUP

(X one)

14. REQUIRED DELIVERY

DATE (RDD) (YYYYMMDD)

15. MISSED RDD (X one) 16. ESTIMATED LOSS/

DAMAGEYES

NO

YES

NO

(No. of days)

17. DATE IN STORAGE-IN-

TRANSIT (SIT) (YYYYMMDD)

18. DATE OUT OF SIT

(YYYYMMDD)

19. DELIVERY DATE (YYYYMMDD) 20. WEIGHT

21. LOSS/DAMAGE (If applicable)

a. TYPE b. SOURCE

22. CUSTOMER SATISFACTION (X one)

YES

NO UNKNOWN

23. TENDER OF SERVICE

VIOLATIONS CODE(S)

24. SHIPMENT INSPECTION (Explain all marked Tender of Service (T/S) Violations in Remarks.)

T/S

CODE VIOLATION(X)

T/S

CODE VIOLATION(X)

A

B

C

D

E

F

G

H

I

J

K

L

M

FAILED TO PERFORM PREMOVE SURVEY (If applicable)

IMPROPERLY PACKED/LOADED SHIPMENT

IMPROPER/INADEQUATE PACKING MATERIAL

PREPARED INVENTORY IMPROPERLY

PREPARED DD619/DD1840 IMPROPERLY

USED UNQUALIFIED PERSONNEL

IMPROPERLY SERVICED/DESERVICED APPLIANCES

FOLDED/FAILED TO PROPERLY ROLL RUG(S)

FAILED TO RECORD LOSS/DAMAGE

FAILED TO WEIGH SHIPMENT AS PRESCRIBED BY ICC

FAILED TO REMOVE PACKING MATERIALS/DEBRIS

FAILED TO REWEIGH WHEN REQUESTED

FAILED TO PROVIDE REQUIRED DOCUMENTS TO PPSO

N

O

P

Q

R

S

T

U

V

W

X

Y

Z

FAILED TO PROVIDE REQUIRED DOCUMENTS TO MEMBER

FAILED TO UNPACK/REASSEMBLE

FAILED TO COMPLY WITH SIT REQUIREMENTS

CONTAINERS NOT PROPERLY MARKED

FAILED TO PROTECT CONTAINERS FROM WEATHER

FAILED TO PACK, WEIGH AND ENTER PBP&E ON INVENTORY/PPGBL

FAILED TO REPORT SHIPMENT IN WEEKLY REPORT

UB/HHG CONTAINERS FAILED TO MEET SPECIFICATIONS

FAILED TO NOTIFY PPSO OF INABILITY TO MEET RDD

FAILED TO TRACE WITHIN 24/48 HOURS (As applicable)

FAILED TO NOTIFY PPSO OF ARRIVAL/DELIVERY

FAILED TO CONTAINERIZE AT RESIDENCE

OTHER (See Remarks)

25. REMARKS

26. PRINTED NAME/SIGNATURE OF ORIGIN INSPECTOR DATE SIGNED

27. PRINTED NAME/SIGNATURE OF DESTINATION INSPECTOR DATE SIGNED

28. PRINTED NAME/SIGNATURE OF SHIPPING OFFICE REPRESENTATIVE DATE SIGNED

29. SHIPMENT

EVALUATION (X one)

30. SHIPMENT SCORE

SATISFACTORY

UNSATISFACTORY

DD FORM 1780, SEP 1998 PREVIOUS EDITION IS OBSOLETE.

DD FORM 1780 (BACK), SEP 1998

MATRIX FOR SCORING INDIVIDUAL SHIPMENTS

The following table assumes that the carrier has earned 20 points for meeting the pickup date specified on the PPGBL. If the carrier missed the pickup date, 20 points should be deducted from the shipment score shown on the matrix.

DAYS

LATE $0 $1 -

$100 $101 - $200

$201 - $300

$301 - $400

$401 - $500

$501 - $600

$601 - $700

$701 - $800

$801 - $900

Over $900

ESTIMATED $ LOSS/DAMAGE

10+