Form SF1406 Pre-Award Survey of Prospective Contractor - Quality Ass

PREAWARD SURVEY PROSPECTIVE
CONTRACTOR
(QUALITY ASSURANCE)

SERIAL NUMBER (For surveying activity use)

OMB Control Number: 9000-0011
Expiration Date: 12/31/2020

PROSPECTIVE CONTRACTOR

Paperwork Reduction Act Statement - This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork
Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The
OMB control number for this collection is 9000-0011. We estimate that it will take 24 hours to read the instructions, gather the facts, and answer the questions.
Send only comments relating to our time estimate, including suggestions for reducing this burden, or any other aspects of this collection of information to: U.S.
General Services Administration, Regulatory Secretariat Division (M1V1CB), 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. EXTENSION

E. AREA CODE

B. DATE SIGNED

F. TELEPHONE NUMBER

G. EXTENSION

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