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pdfPREAWARD SURVEY PROSPECTIVE
CONTRACTOR
QUALITY ASSURANCE
SERIAL NO. (For surveying activity use)
OMB Control Number: 9000-0011
Expiration Date: 1/31/2017
PROSPECTIVE CONTRACTOR
Public reporting burden for this collection of information is estimated to average 24 hours per response, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden, to the Regulatory Secretariat (MVCB), Office of Acquisition Policy, GSA, 1800 F Street, NW, Washington, DC 20405.
SECTION I - RECOMMENDATION
1. RECOMMEND:
AWARD
NO AWARD (Provide full substantiation for recommendation in 4. NARRATIVE)
2. IF PROSPECTIVE CONTRACTOR RECEIVES AWARD, A POST AWARD CONFERENCE IS RECOMMENDED.
YES
NO
3. AN ON-SITE SURVEY WAS PERFORMED.
YES
NO
4. NARRATIVE
IF CONTINUATION SHEETS
ATTACHED - MARK HERE
5. SURVEY MADE BY
A. SIGNATURE
6. SURVEY REVIEWING OFFICIAL
B. DATE SIGNED
A. SIGNATURE
C. NAME
C. NAME
D. OFFICE
D. OFFICE
E. AREA CODE
F. TELEPHONE NUMBER
AUTHORIZED FOR LOCAL REPRODUCTION
Previous edition is not usable.
G. EXT.
E. AREA CODE
B. DATE SIGNED
F. TELEPHONE NUMBER
G. EXT.
STANDARD FORM 1406 (REV. 1/2014)
Prescribed by GSA FAR (48 CFR) 53.209-1(d)
SECTION II - COMPANY AND SOLICITATION DATA
1. BRIEFLY DESCRIBE HOW QUALITY ASSURANCE RESPONSIBILITIES ARE ACCOMPLISHED.
2. QUALITY ASSURANCE OFFICIALS CONTACTED
A. NAME
C. YEARS OF QUALITY
ASSURANCE EXPERIENCE
B. TITLE
3. APPLICABLE CONTRACT QUALITY REQUIREMENTS
A. NUMBER
4.
IDENTICAL OR
B. TITLE
SIMILAR ITEMS HAVE BEEN
C. TAILORING (If any)
PRODUCED,
SUPPLIED, OR
SERVICED BY PROSPECTIVE CONTRACTOR
(If similar items, identify:
)
SECTION III - EVALUATION CHECKLIST
STATEMENTS
1. These items (where applicable to the
contract) are understood by the
prospective contractor.
A.
B.
C.
YES
NO
Exhibits, technical data, drawings, specifications, and approval requirements.
Preservation, packaging, packing, and marking requirements.
Other (Specify)
2. Records available indicate that the prospective contractor has a satisfactory quality performance record during the
past twelve (12) months for similar items.
3. Used, reconditioned, or remanufactured material and former Government surplus material will be furnished by the
prospective contractor. (If Yes, explain in Section I NARRATIVE)
4. Prospective contractor will require unusual assistance from the Government. (If Yes, explain in Section I NARRATIVE)
5. Did prospective contractor fulfill commitments to correct deficiencies, as proposed on previous surveys, when
awarded that contract? (If No, explain in Section I NARRATIVE)
6. Quality verification personnel
7. Quality verification to production personnel ratio.
NUMBER SKILLED
NUMBER SEMI-SKILLED
RATIO
:
THE FOLLOWING ARE AVAILABLE AND ADEQUATE. (If not applicable, show "N/A" in "Yes" column.)
8. Inspection and test equipment, gauges, and instruments for first article and production (including solicitation
specified equipment).
9. Calibration/metrology program.
10. Quality system procedures and controls.
11. Control of specifications, drawings, changes and modifications, work/process instructions.
12. System for determining inspection, test and measurement requirements.
13. Purchasing: Processes for selecting qualified suppliers and assuring the quality of purchased materials.
14. Product identification, segregation, traceability, and maintenance.
15. Government furnished property controls.
16. Process controls.
17. Nonconforming product: System for timely identification, disposition, correction of deficiencies, and corrective
and preventative action.
18. Preservation, storage, packaging, packing, marking, and delivery controls.
19. Records (such as: inspection, test, status, corrective actions, calibration, etc.)
20. Controls for investigation of customer complaints and correction of deficiencies.
21. Design controls system.
22. Computer software (deliverable and/or non-deliverable) quality assurance program.
23. Management review and internal quality audits.
24. Quality assurance training program.
25. Installation and servicing quality assurance program.
26. Statistical techniques.
STANDARD FORM 1406 (REV. 1/2014) BACK
File Type | application/pdf |
File Modified | 2014-01-16 |
File Created | 2014-01-16 |