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Inspector General Open Recommendations
05/01/2024
-
National Aeronautics and Space Administration
NASA's Readiness for the Artemis II Crewed Mission to Lunar Orbit
[Report Details]
Audit
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Open Recommendations
4
Reexamine procedures to better ensure recovery of Orion jettisoned hardware for the Artemis II mission.
3
Require EGS conduct additional verification and validation for launch imagery equipment prior to launch attempts should launch conditions change.
2
Conduct analysis of Orion separation bolts using updated models that account for char loss, design modifications, and operational changes to Orion prior to launch of the Artemis II mission.
1
Ensure the root cause of Orion heat shield char liberation is well understood prior to launch of the Artemis II mission.
05/03/2024
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General Services Administration
Building Maintenance Contractors Are Not Complying with Their GSA Contracts Due to Poor Performance and Ineffective Oversight
[Report Details]
Audit
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Open Recommendations
5
We recommend that the PBS Commissioner ensure that PBS contracting officials improve oversight of O&M contractors’ compliance with the terms and conditions of their GSA contracts.
4
We recommend that the PBS Commissioner ensure that PBS contracting officials thoroughly review and understand the O&M contracts’ QCP inspection requirements.
3
We recommend that the PBS Commissioner ensure that PBS contracting officials ensure that the O&M contract language clearly specifies the time requirements for routine service request completion and that the requirements are communicated to O&M contractors.
2
We recommend that the PBS Commissioner ensure that PBS contracting officials confirm and enforce O&M contractor compliance with contractual requirements governing: “Personnel” and “Contractor Key Personnel”; and contingency plans for “Loss of the Contractor’s onsite personnel.”
1
We recommend that the PBS Commissioner ensure that PBS contracting officials emphasize the evaluation of O&M contractors’ proposed staffing and communicate with onsite PBS staff prior to contract award to ensure contract terms and conditions can be fully met.
05/02/2024
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Department of Veterans Affairs
Delays in Community Care Consult Processing and Scheduling at the Martinsburg VA Medical Center in West Virginia
[Report Details]
Review
-
Open Recommendations
04
Ensure that the performance plan of the chief of community care has standards related to the metrics for community care.
03
Continue to increase specialty provider availability in VA and the community for veterans assigned to the Martinsburg VA medical facility.
02
Conduct a strategic business evaluation of the community care department’s workflow processes to determine if there are alternatives that could improve consult processing and scheduling efficiency and timeliness.
05/02/2024
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Amtrak (National Railroad Passenger Corporation)
Major Programs: Portal North Bridge Project is Progressing, but Opportunities Exist to Improve Company Oversight and Reduce Risk
[Report Details]
Audit
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Open Recommendations
3
Establish a process to identify the company’s unique information requirements related to its role on future capital projects and communicate these requirements to its partners.
2
Assess where information-sharing expectations between the company and NJ Transit may continue to differ on the Portal North Bridge project and determine a course of action to remedy them, including amending the agreement if necessary.
1
Establish a process to take future projects’ constructability into account when assessing track outage and force account needs.
05/02/2024
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Department of Veterans Affairs
Comprehensive Healthcare Inspection of the VA Maryland Health Care System in Baltimore
[Report Details]
Inspection / Evaluation
-
Open Recommendations
05
The Chief of Staff ensures providers complete the Comprehensive Suicide Risk Evaluation on the same day as a patient’s positive suicide risk screen in all ambulatory care settings.
04
The Assistant Director ensures staff document VA police response times for panic alarm testing in the inpatient mental health unit.
01
The Chief of Staff ensures service chiefs recommend continued privileges for licensed independent practitioners based on Ongoing Professional Practice Evaluation activities, and the Medical Executive Committee recommends them based on evaluation results.
05/01/2024
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General Services Administration
Audit of PBS National Capital Region’s Asbestos Management in Building 40 of the St. Elizabeths West Campus
[Report Details]
Audit
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Open Recommendations
3
We recommend that the PBS NCR Regional Commissioner take the actions listed below to improve asbestos management in Building 40: develop and maintain an accurate, current, and comprehensive ACM inventory; upon completion of the ACM inventory, assess hazards arising from the ACM in the building and implement appropriate actions to mitigate or eliminate those hazards; ensure all required asbestos records are maintained in the Inventory Reporting Information System; enforce the asbestos management requirements established in the Building 40 operations and maintenance contract; update, enforce, and administer the Building 40 asbestos management plan; and notify tenants of ACM inventory annually.
2
We recommend that the PBS NCR Regional Commissioner comprehensively train PBS NCR management and staff so that they have a clear understanding of PBS’s asbestos management policy and their roles and responsibilities for effectively and safely managing ACM in GSA-owned facilities.
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