DD Form 1811 Pre-award Survey of Contractor's/Carrier's Facilities and Equipment

DD Form 1811 - also known as the "Pre-award Survey Of Contractor's/carrier's Facilities And Equipment" - is a Military form issued and used by the United States Department of Defense.

The form - often incorrectly referred to as the DA form 1811 - was last revised on June 1, 1979. Download an up-to-date fillable DD Form 1811 down below in PDF-format or find it on the Department of Defense documentation website.

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DATE (Yr/Mo/Day)
PRE-AWARD SURVEY OF CONTRACTOR'S/CARRIER'S FACILITIES AND EQUIPMENT
INSTRUCTIONS: THIS SELF EXPLANATORY FORM IS TO BE COMPLETED IN DUPLICATE FOR EACH WAREHOUSE OR SPECIFIC AREA THEREOF
IN WHICH HOUSEHOLD GOODS ARE TO BE STORED. THE ORIGINAL TO BE RETAINED BY THE RESPONSIBLE ACTIVITY, DUPLICATE TO THE
CONTRACTOR/CARRIER.
NAME AND ADDRESS OF FIRM (Include
CONSTRUCTION OF BUILDING
SCAC
ZIP code)
WALLS
ROOF
NAME OF OPERATING EXECUTIVE
FLOOR(S)
NUMBER OF FLOORS
PHONE (Include AREA CODE.)
BASEMENT
BUSINESS:
HOME:
ADDRESS OF STORAGE LOCATION (Include ZIP CODE.)
GIVE NARRATIVE DESCRIPTION OF BUILDING (Use reverse for diagram
of storage area, if desired.)
AREA (Floor, Fire Division, etc.)
WAREHOUSE NUMBER
WAREHOUSE LICENSE NO.
OPERATING AUTHORITY
OPEN FOR BUSINESS (Hours and days of week.)
PICK-UP AND DELIVERY EQUIPMENT
TOTAL STORAGE SPACE (Square feet.)
NUMBER OF TRUCKS
TYPE OF TRUCKS
OWNERSHIP OF BUILDING
LEASED (If leased complete the following
OWNED
and attach a copy of lease.)
LEASE EXPIRES
PHONE
NAME AND ADDRESS OF OWNER (Include ZIP CODE.)
FIRE PROTECTION
FIRE CONTENTS RATE (Based upon 80 percent co-insurance per $100
per year.)
DOD FIRE CLASSIFICATION CODE
WEIGHT LIMITATIONS (LBS.)
(CHECK "YES" OR "NO" AS APPROPRIATE)
YES NO
CATEGORY OF BUSINESS
NUMBER OF MILES TO NEAREST FIRE DEPARTMENT:
MINORITY BUSINESS ENTERPRISE
NUMBER OF FEET FROM BUILDING:
SMALL BUSINESS CONCERN
NEAREST
FIRE
POUNDS OF PRESSURE:
FIRE EXTINGUISHERS
HYDRANT
ADEQUATE
INADEQUATE
IS THERE A SUFFICIENT NUMBER?
DESCRIBE FIRE PROTECTION SYSTEM
ARE THEY THE PROPER TYPE?
ARE THEY REGULARLY INSPECTED AND MAINTAINED?
FREQUENCY OF TEST/INSPECTION:
FIRE FIGHTING PLAN
MAINTENANCE CONTRACT WITH
IS A FIRE FIGHTING PLAN POSTED?
ARE ALL EMPLOYEES FAMILIAR WITH THE PLAN?
CLIMATE PROTECTION
IS BUILDING PROTECTED FROM EXTREME COLD?
IS BUILDING PROTECTED FROM EXTREME HEAT?
IS BUILDING PROTECTED FROM EXTREME HUMIDITY?
SCALES
IS VENTILATION ADEQUATE?
TYPE AVAILABLE
DISTANCE FROM BUILDING
ARE UTILITIES AND OTHER SYSTEMS SERVICED
(MILES)
AT LEAST ANNUALLY?
CERTIFIED
YES
NO CAPACITY
MATERIAL HANDLING EQUIPMENT
IS THE EQUIPMENT PROPERLY MAINTAINED?
STORAGE METHODS (Give brief description)
SMOKING
RUGS
ARE "NO SMOKING" SIGNS POSTED?
IS "NO SMOKING" POLICY ENFORCED?
UPHOLSTERED FURNITURE
HOUSEKEEPING
IS BUILDING AND OUTSIDE AREA NEATLY KEPT AND
PIANOS
FREE FROM HAZARDOUS MATERIALS?
ARE COMBUSTIBLE WASTE MATERIALS STORED AT
FIREARMS SECURITY
LEAST 50 FEET AWAY FROM FACILITY?
SECURITY
OTHER PROPERTY
IS BUILDING EQUIPPED WITH BURGLAR ALARM?
IS A WATCHMAN ON DUTY?
HAZARDOUS OPERATIONS (Describe operations in or near building
DO POLICE PATROL THE AREA?
which may be hazardous to stored property.)
ARE DOORS AND WINDOWS ADEQUATELY PROTECTED?
IS SEPARATION FROM JOINT OPERATION OCCUPANT,
IF ANY, ADEQUATE? (See "Hazardous Operation" below.)
TYPE OF PROGRAM FIRM HAS FOR RODENT AND/OR INSECT
FLOODING
CONTROL
IS BUILDING SUBJECT TO FLOODING?
SIGNATURE (Inspecting Officer)
DATE (Yr/Mo/Day)
I certify that I have inspected the above described facility and find that,
to the best of my knowledge, the information herein is true and correct.
SIGNATURE (Warehouseman)
DATE (Yr/Mo/Day)
I certify that the conditions and policies of this warehouse are, to the
best of my knowledge, as indicated above.
SIGNATURE (Contracting Officer/Trans. Officer)
DATE (Yr/Mo/Day)
I certify that I have reviewed this survey and
APPROVE,
REJECT the facility for storage of household goods.
DD Form 1811, JUN 79
EDITION 1 AUG 73 IS OBSOLETE.
Adobe Professional 7.0
Reset
DATE (Yr/Mo/Day)
PRE-AWARD SURVEY OF CONTRACTOR'S/CARRIER'S FACILITIES AND EQUIPMENT
INSTRUCTIONS: THIS SELF EXPLANATORY FORM IS TO BE COMPLETED IN DUPLICATE FOR EACH WAREHOUSE OR SPECIFIC AREA THEREOF
IN WHICH HOUSEHOLD GOODS ARE TO BE STORED. THE ORIGINAL TO BE RETAINED BY THE RESPONSIBLE ACTIVITY, DUPLICATE TO THE
CONTRACTOR/CARRIER.
NAME AND ADDRESS OF FIRM (Include
CONSTRUCTION OF BUILDING
SCAC
ZIP code)
WALLS
ROOF
NAME OF OPERATING EXECUTIVE
FLOOR(S)
NUMBER OF FLOORS
PHONE (Include AREA CODE.)
BASEMENT
BUSINESS:
HOME:
ADDRESS OF STORAGE LOCATION (Include ZIP CODE.)
GIVE NARRATIVE DESCRIPTION OF BUILDING (Use reverse for diagram
of storage area, if desired.)
AREA (Floor, Fire Division, etc.)
WAREHOUSE NUMBER
WAREHOUSE LICENSE NO.
OPERATING AUTHORITY
OPEN FOR BUSINESS (Hours and days of week.)
PICK-UP AND DELIVERY EQUIPMENT
TOTAL STORAGE SPACE (Square feet.)
NUMBER OF TRUCKS
TYPE OF TRUCKS
OWNERSHIP OF BUILDING
LEASED (If leased complete the following
OWNED
and attach a copy of lease.)
LEASE EXPIRES
PHONE
NAME AND ADDRESS OF OWNER (Include ZIP CODE.)
FIRE PROTECTION
FIRE CONTENTS RATE (Based upon 80 percent co-insurance per $100
per year.)
DOD FIRE CLASSIFICATION CODE
WEIGHT LIMITATIONS (LBS.)
(CHECK "YES" OR "NO" AS APPROPRIATE)
YES NO
CATEGORY OF BUSINESS
NUMBER OF MILES TO NEAREST FIRE DEPARTMENT:
MINORITY BUSINESS ENTERPRISE
NUMBER OF FEET FROM BUILDING:
SMALL BUSINESS CONCERN
NEAREST
FIRE
POUNDS OF PRESSURE:
FIRE EXTINGUISHERS
HYDRANT
ADEQUATE
INADEQUATE
IS THERE A SUFFICIENT NUMBER?
DESCRIBE FIRE PROTECTION SYSTEM
ARE THEY THE PROPER TYPE?
ARE THEY REGULARLY INSPECTED AND MAINTAINED?
FREQUENCY OF TEST/INSPECTION:
FIRE FIGHTING PLAN
MAINTENANCE CONTRACT WITH
IS A FIRE FIGHTING PLAN POSTED?
ARE ALL EMPLOYEES FAMILIAR WITH THE PLAN?
CLIMATE PROTECTION
IS BUILDING PROTECTED FROM EXTREME COLD?
IS BUILDING PROTECTED FROM EXTREME HEAT?
IS BUILDING PROTECTED FROM EXTREME HUMIDITY?
SCALES
IS VENTILATION ADEQUATE?
TYPE AVAILABLE
DISTANCE FROM BUILDING
ARE UTILITIES AND OTHER SYSTEMS SERVICED
(MILES)
AT LEAST ANNUALLY?
CERTIFIED
YES
NO CAPACITY
MATERIAL HANDLING EQUIPMENT
IS THE EQUIPMENT PROPERLY MAINTAINED?
STORAGE METHODS (Give brief description)
SMOKING
RUGS
ARE "NO SMOKING" SIGNS POSTED?
IS "NO SMOKING" POLICY ENFORCED?
UPHOLSTERED FURNITURE
HOUSEKEEPING
IS BUILDING AND OUTSIDE AREA NEATLY KEPT AND
PIANOS
FREE FROM HAZARDOUS MATERIALS?
ARE COMBUSTIBLE WASTE MATERIALS STORED AT
FIREARMS SECURITY
LEAST 50 FEET AWAY FROM FACILITY?
SECURITY
OTHER PROPERTY
IS BUILDING EQUIPPED WITH BURGLAR ALARM?
IS A WATCHMAN ON DUTY?
HAZARDOUS OPERATIONS (Describe operations in or near building
DO POLICE PATROL THE AREA?
which may be hazardous to stored property.)
ARE DOORS AND WINDOWS ADEQUATELY PROTECTED?
IS SEPARATION FROM JOINT OPERATION OCCUPANT,
IF ANY, ADEQUATE? (See "Hazardous Operation" below.)
TYPE OF PROGRAM FIRM HAS FOR RODENT AND/OR INSECT
FLOODING
CONTROL
IS BUILDING SUBJECT TO FLOODING?
SIGNATURE (Inspecting Officer)
DATE (Yr/Mo/Day)
I certify that I have inspected the above described facility and find that,
to the best of my knowledge, the information herein is true and correct.
SIGNATURE (Warehouseman)
DATE (Yr/Mo/Day)
I certify that the conditions and policies of this warehouse are, to the
best of my knowledge, as indicated above.
SIGNATURE (Contracting Officer/Trans. Officer)
DATE (Yr/Mo/Day)
I certify that I have reviewed this survey and
APPROVE,
REJECT the facility for storage of household goods.
DD Form 1811, JUN 79
EDITION 1 AUG 73 IS OBSOLETE.
Adobe Professional 7.0
Reset

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