36E77620R0008-093.docx
DOCX document Posted
- Solicitation number
- 36E77620R0008
About this file
This document contains a contractor safety evaluation form and information on a federal contract opportunity for renovations at a Veterans Affairs medical center. The contractor evaluation form requests safety data from 2014 to 2017, including total man-hours, OSHA-recordable incidents, days away from work rates, and serious violations. The federal contract opportunity is a Design-Build solicitation from the Department of Veterans Affairs to renovate basement space at the Dallas VAMC into lab, ambulatory care, and administrative areas. The solicitation number is 36E77620R0008 and will be issued in late January to early February 2020. The project magnitude is between $1 million and $2 million and the period of performance is approximately 200 calendar days. The solicitation will be a total Service-Disabled Veteran-Owned Small Business set-aside.
36E77620R0008 ATTACHMENT 16 - Contractor Safety and Environmental Record Eval Form.docx
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Other files
| File | Type | Posted |
|---|---|---|
| 36E77620R0008 0001.pdf | ||
| Solicitation - 36E77620R0008 - 5-26-2020.pdf | ||
| 36E77620R0008-089.pdf | ||
| 36E77620R0008-080.pdf | ||
| 36E77620R0008-092.docx | DOCX document | |
| 36E77620R0008-094.pdf | ||
| 36E77620R0008-088.pdf | ||
| 36E77620R0008-082.pdf | ||
| 36E77620R0008-077.docx | DOCX document | |
| 36E77620R0008-079.pdf | ||
| 36E77620R0008-081.pdf | ||
| 36E77620R0008-078.pdf | ||
| 36E77620R0008-084.pdf | ||
| 36E77620R0008-085.pdf | ||
| 36E77620R0008-086.pdf | ||
| 36E77620R0008-090.pdf | ||
| 36E77620R0008-083.pdf | ||
| 36E77620R0008-087.pdf | ||
| 36E77620R0008-091.doc | DOC document | |
| 36E77620R0008-095.pdf |
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Text version
Contractor Safety and Environmental Record Evaluation Form
Information provide below is current and applicable to Solicitation 36E77620R0008 Company Name: ______________________________________________ Address: _____________________________________________________ Telephone: ______________________ Fax: ________________________ Email: _______________________________________________________ Contact: ______________________________________________________ Utilizing your OSHA 300 Forms, please complete the following information:
| Category |
| 2014 |
| 2015 |
| 2016 |
| 2017 |
Number of man hours (jobsite and office).
Number of cases involving days away from work, restricted activity, or both (Column H and I of OSHA 300).
Days away, restricted, or transferred rate (# of days away, restricted, or transferred cases x 200,000/# of man hours) (DART Rate).
Number of serious, willful, or repeat violations from OSHA within the last 3 years. Please attach explanation for any violations.
File details come from the government source that posted it. Updated .