Items 1 to 4: supplier and contracts
The supplier, company officials contacted, any prime contractor, and the contract numbers and specifications reviewed.
GSA2522
Quality Review
- Agency
- GSA
- Revision
- Rev. 7/1994
- Fillable fields
- 75
- Pages
- 2
- Official source
- GSA form page
- Checked
- October 20, 2026
GSA Form 2522: Quality Review
GSA Form 2522, Quality Review, is a General Services Administration form with instructions on its second page. The footer reads GSA FORM 2522 (REV. 7-94) and Prescribed by FSS P 2901.5, and GSA hosts it in its forms library.
The form records a review of a supplier taking part in Source Inspection by Quality Approved Manufacturer (SIQAM). The instructions say to audit and evaluate the adequacy and compliance of the system by observing and reviewing the contract requirements, technical documents, and the supplier's documented quality system and related process control records. It then records a check of inspection and test results for a product, any unsatisfactory conditions and the corrective action to be taken.
The QAS or LQAS signs item 13, and the SQAS or a delegated LQAS signs item 14 after review. The form does not spell out these titles. You can fill it out free in your browser on this page and download the result without an account.
What's on GSA Form 2522
Item 5: the supplier's practices
Yes or no questions on completing and distributing SIQAM certificates, notifying the ACO, following written inspection and test procedures, keeping inspection records, segregating rejected materials and calibrating equipment.
Items 6 to 9: procedures, changes and the system
Whether test procedures reflect the specification revisions, changes since the last review, verification of earlier corrective actions, whether the system meets Federal Standard 368, and the date of the last complete review.
Item 10: comments
Explanations of NO answers to questions 5, 6, 7B, 7C, 8, 9A and 9B, and of a YES answer to question 7A.
Item 11: inspection and test results
Nomenclature, national stock number, order numbers and quantity, then compliance (C) or noncompliance (NC) for product inspection, tests and preparation for delivery, the verification method and whether findings are attached.
Items 12 to 14: findings and signatures
Unsatisfactory conditions, corrective action to be taken (with the QDN number and date if one is issued), and the QAS and supervisor signatures.
How to complete GSA Form 2522
- 1
Identify the supplier and contracts
Enter the name, address and ZIP code of the SIQAM supplier in item 1. The instructions call items 2 to 4 self explanatory.
- 2
Answer items 5 to 9B
Check yes, no or annotate nonapplicable (N/A) as appropriate, and enter the date of the last complete review in subitem 9C.
- 3
Explain in item 10
Explain any NO answer to questions 5, 6, 7B, 7C, 8, 9A and 9B and a YES answer to question 7A.
- 4
Record the product checked
The instructions say item 11 entries refer to the product being audited at the time of review: the item name, national stock numbers, purchase order numbers and total quantity, then compliance or noncompliance and an X for the verification method.
- 5
Attach findings and note conditions
Check yes or no for attached manufacturer's findings and supporting documentation, attach them, explain unsatisfactory conditions in 12A, and give the supplier's corrective actions in 12B.
- 6
Sign and review
The QAS/LQAS signs or identifies and dates item 13. After review, the SQAS or delegated LQAS signs and dates item 14.
The instructions on page 2 cover each item.
Why fill Form GSA2522 on indox
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Routing and what the form says
Where it goes
The form prints no address. It ends with the QAS signature and the supervisor's review in items 13 and 14.
Extra space
The form says to continue on a separate sheet, referencing the item numbers continued.
Electronic transmission
The item 13 instruction allows the QAS/LQAS to individually identify, for example by identification number, for electronic form transmissions instead of signing.
Edition and prescription
The footer reads GSA FORM 2522 (REV. 7-94) and Prescribed by FSS P 2901.5. GSA's page lists a current revision date of 07/1994 and FSS P 2901.5.
What the form does not print
No OMB number or privacy statement, and no explanation of QAS, LQAS, SQAS, ACO, QDN or PP&M.
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Who fills out GSA Form 2522?
The instructions on page 2 assign items 13 and 14. The supplier is the subject of the review and has no block to sign.
Official sources and the blank
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Questions about Form GSA2522
Who issues GSA Form 2522?
The footer reads GENERAL SERVICES ADMINISTRATION, GSA FORM 2522 (REV. 7-94) and Prescribed by FSS P 2901.5. GSA hosts it in its forms library.
Who signs GSA Form 2522?
The QAS or LQAS signs and dates item 13, and after review the SQAS or a delegated LQAS signs and dates item 14, which is headed SUPERVISOR. The supplier has no signature block.
What does SIQAM stand for?
Item 5A spells it out as Source Inspection by Quality Approved Manufacturer.
Which answers need an explanation?
Item 10 asks for an explanation of NO answers to questions 5, 6, 7B, 7C, 8, 9A and 9B, and of a YES answer to question 7A.
What standard does the form name?
Item 9A asks whether the system meets requirements of Federal Standard 368.
How is a test result verified on the form?
Item 11G records the verification method used by the QAS with an X: witnessed, conducted, GSA laboratory or destination inspection requested.
What if an answer needs more space?
The form says to continue on a separate sheet, referencing the item numbers continued.