j8qcreport.xls

XLS spreadsheet 39 KB Posted

Attached to
Job Order Contract (JOC) - Construction Federal contract opportunity
Solicitation number
W9124P-16-R-0006
Issued by
Department of the Army Materiel Command Aviation and Missile Life Cycle Management Command

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J8 - Contractor Quality Control Report

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Text version

QCR (1)

CONTRACTOR'S QUALITY CONTROL REPORT (QCR)DATE:REPORT NO:
CONTRACT NUMBER AND NAME OF CONTRACTOR:DESCRIPTION AND LOCATION OF THE WORK:
WEATHER CLASSIFICATION:CLASSIFICATION:
CLASS ANo interruptions of any kind from weather conditions occurring on this or previous
shifts.
CLASS BWeather occurred during this shift that caused a complete stoppage of all work.CLASS _______________
CLASS CWeather occurred during this shift that caused a partial stoppage of work.TEMPERATURE:
CLASS DWeather overhead excellent or suitable during shift. Work completely stopped
due to results of previous adverse weather.
CLASS EWeather overhead excellent or suitable during shift but work partially stoppedMAX ______ MIN ______
due to previous adverse manner.PRECIPITATION:
OTHERExplain
INCHES _____________
CONTRACTOR/SUBCONTRACTORS AND AREA OF RESPONSIBILITY FOR WORK PERFORMED TODAY: (Attach list of
items of equipment either idle or working as appropriate.)
a.
b.
c.
d.
e.
f.
g.
1. WORK PERFORMED TODAY: (Indicate location and description of work performed. Refer to work performed by prime
and/or subcontractors by letter in Table above. Indicate any delays in work.)
2. TYPE AND RESULTS OF INSPECTION: (Indicate whether: P - Preparatory, I - Initial, or F - Follow-up and include
satisfactory work completed or deficiencies with action to be taken.)
3. TESTS REQUIRED BY PLANS AND/OR SPECIFICATIONS PERFORMED AND RESULTS OF TESTS:

&CATTACHMENT J8

Page &P

QCR (2)

4. VERBAL INSTRUCTIONS RECEIVED: (List any instructions given by Government personnel on construction deficiencies
retesting required, etc., with action to be taken. List the names of the Government personnel who gave verbal
instruction)
5. REMARKS: (Cover any conflicts in plans, specifications or instructions: acceptability of incoming materials; offsite
surveillance activities; progress of work, delays, causes and extent thereof; days of no work with reasons for same.)
Include any telephone conversations/instructions with the Contracting Officer, COR or other representative.
Indication of delays to be in accordance with para 2 of Part B of FAR 52.249-10.
6. SAFETY: (Include any infractions of approved safety plan, safety manual or instructions from Government personnel.
Specify corrective action taken.)
INSPECTOR
CONTRACTOR'S CERTIFICATION: I certify that the above report is complete and correct and that all material
and equipment used, work performed and tests conducted during this reporting period were in strict compliance
with the contract plans and specifications except as noted above.
CONTRACTOR'S APPROVED AUTHORIZED REPRESENTATIVE
SAM FORM 696, 1 SEP 79

&CATTACHMENT J8

&CPage 2

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