GSA1904
Quality Evaluation
GSA Form 1904, Quality Evaluation, is a one-page checklist about a supplier. The footer reads GENERAL SERVICES ADMINISTRATION and GSA FORM 1904 (REV 3-86), and GSA hosts it in its forms library. GSA's page lists a current revision date of 03/1986 and no authority or regulation.
The form records the supplier, the company officials contacted, any prime contractor, the commodities, NSN(s) and specification numbers, and how many years the plant has been doing business with GSA and with other government agencies. Items 6 to 44 are yes or no questions grouped under purchasing, manufacturing, general condition of plant, warehouse and shipping, quality control, engineering and control of government documents. It ends with a summary quality evaluation and signature blocks for a QSA and an SQAS.
The form prints no instructions, no OMB number and no privacy statement, and it does not spell out QSA or SQAS. You can fill it out free in your browser on this page and download the result without an account.
The supplier, company officials contacted, prime contractor, commodities with NSN(s) and specification numbers, and the number of years the plant has been doing business with GSA and with other government agencies.
Whether material is purchased to specification, orders specify delivery dates, vendors are rated on price, quality and delivery, there are multiple sources for material, and vendors get adequate lead time.
Production scheduling and its follow up, priorities, production records, inventories of raw and processed materials, packing and packaging supplies, the production cycle, production equipment and skilled and semiskilled employees.
Housekeeping, maintenance of production facilities, a complete maintenance department, warehouse space, controls over government orders, and special handling of contract items when multiple quality products are produced.
QC personnel and separation from production, a written procedure, statistical procedures, receiving, in-process and final inspection records, rejection notices, corrective action, quality reports, calibrated equipment, rejected material and the QC head's final say.
Drawings and specifications, updating specifications, forwarding of government documents, any commercial laboratory used, whether a copy of the QC manual will be furnished, the summary quality evaluation and the two signature blocks.
Enter the supplier's name and address, the company officials contacted, any prime contractor, and the commodities, NSN(s) and specification numbers in items 1 to 4.
In item 5, enter the number of years the plant has been doing business with GSA and with other government agencies.
Check YES or NO for each of items 6 to 44 under purchasing, manufacturing, plant condition, warehouse and shipping, quality control, engineering and government documents.
Item 45 asks for the name and address of any commercial laboratory used. Item 46 asks whether a copy of the QC manual will be furnished.
Enter the summary quality evaluation in item 47. The heading says items needing more space may be continued on the reverse, with the item numbers referenced.
The QSA enters a number, signature and date in item 48, and the SQAS signs and dates item 49.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
The form prints no address or routing.
The heading says items requiring additional space may be continued on the reverse, referencing the item numbers continued.
The footer reads GSA FORM 1904 (REV 3-86). GSA's page lists a current revision date of 03/1986 and no authority or regulation.
No instructions, OMB number or privacy statement, and no explanation of the abbreviations QSA, SQAS, QC or NSN.
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The form does not name an office. Its blocks show these roles.
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The footer reads GENERAL SERVICES ADMINISTRATION and GSA FORM 1904 (REV 3-86). GSA hosts it in its forms library.
Item 48 is for the QSA's number, signature and date, and item 49 is for the SQAS's signature and date. The form does not spell out either title.
A supplier's purchasing, manufacturing, general condition of plant, warehouse and shipping, quality control, engineering and control of government documents, as yes or no items, followed by a summary quality evaluation.
The heading says items requiring additional space may be continued on the reverse, referencing the item numbers continued.
Item 3 is for the prime contractor's name and address, and item 44 asks whether, if the supplier is a subcontractor, the prime contractor forwards all pertinent documents without delay.
The PDF prints none. GSA's page lists the current revision date as 03/1986 and no authority or regulation.