LEEF EU Inspection Sheet 2019

• Site Name

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

GENERAL INFORMATION

• CONTRACTOR NAME

  Select

• CONTRACT #

• INSPECTION TYPE

  Select

CONTRACT REQUIREMENTS - Technical

• Contract Manager 14 Day Requirement

  Met

  Not Met

  N/A

• Alternate Contract Manager 14 Day Requirement

  Met

  Not Met

  N/A

• Training Certificates Initial & As Required

  Met

  Not Met

  N/A

• Quality Control Plan 30 Day Requirement

  Met

  Not Met

  N/A

• Inventory List Initial

  Met

  Not Met

  N/A

• Inventory List Update As Required

  Met

  Not Met

  N/A

• PM Schedule 30 Day Requirement

  Met

  Not Met

  N/A

• Invoicing

  Met

  Not Met

  N/A

• Completed Monthly

  Met

  Not Met

  N/A

• Other Reporting As Required

  Met

  Not Met

  N/A

CONTRACT PERFORMANCE - FE/COR Input

• Inventory Updates provided

  Yes

  No

  N/A

• PM Upload to SOMS or FE/COR

  Yes

  No

  N/A

• PM Performed Completed in 35 Days

  Met

  Not Met

  N/A

• PM Inspection Stickers present

  Met

  Not Met

  N/A

• PM Inspection Stickers properly marked/current

  Met

  Not Met

  N/A

• PM Sheets stored on site and complete

  Met

  Not Met

  N/A

• EM/UM Estimates entered on time in SOMS

  Met

  Not Met

  N/A

• EM/UM Estimates accurate, incuding description

  Met

  Not Met

  N/A

• Contractor staff have and are using safety gear (PPE)

  Met

  Not Met

  N/A

• Cabinet for documents provided and marked

  Yes

  No

  N/A

CONTRACT PERFORMANCE - Customer Input

• Contractor signing in and out as required

  Met

  Not Met

  N/A

• Contractor staff in uniform & presentable

  Yes

  No

  N/A

• EM Call Response time as required, 2 hours

  Yes

  No

  N/A

• UM Call Response time as required, 24 hours

  Yes

  No

  N/A

• EM/UM Performed Completed in 35 Days

  Met

  Not Met

  N/A

• UM Orders completed in order of priority for each store

  Yes

  No

  N/A

• Coordination with store staff for PM & UM work

  Yes

  No

  N/A

• Work Certificates provided and complete

  Met

  Not Met

  N/A

UK Additional Checks

• * UK Only Technicians are AP certified

  Met

  Not Met

  N/A

• * UK Only AP Certification provided to DeCA

  Met

  Not Met

  N/A

• * UK Only Insurance inspections met

  Met

  Not Met

  N/A

COMPLETION

• Date

  Date

• DeCA Inspector Name and Signature

  Sign

• Contractor Inspector Name and Signature

  Sign

• Site Representitive - Optional

  Sign