47PG1024Q0001 Appendix B Child Care Center Fire Protection Assessments SOW.pdf
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- Solicitation number
- 47PG1024Q0001
- Issued by
- Not on record
About this file
This scope of work document outlines requirements for conducting fire protection evaluations of General Services Administration Child Care Centers. Key requirements include:
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Qualified fire protection engineers will evaluate GSA Child Care Centers for compliance with design guides and standards including the GSA Child Care Center Design Guide, Facilities Standards for the Public Buildings Service, and NFPA 101 Life Safety Code.
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Evaluations will document risks and assign a Risk Assessment Code to prioritize identified risk conditions. Engineers will focus on spaces occupied by the Child Care Center as well as any indoor or outdoor areas used by occupants.
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The contractor must provide qualified personnel including a project manager with relevant experience. On-site personnel will include licensed engineers or those meeting alternative qualification requirements.
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Evaluations involve pre-site preparation including records review and meetings, on-site procedures and inspections, and closing conferences to discuss risks.
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Deliverables include a title page, executive summary, building and Child Care Center descriptions, and findings/recommendations identifying each risk condition with a Risk Assessment Code and cost to correct.
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The related solicitation is for a Region 6 GSA Fire Life Safety Surveys Blank Purchase Agreement to conduct the required evaluations.
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APPENDIX B
Child Care Centers Fire Evaluations
SCOPE OF WORK
General Services Administration
Heartland Region
TABLE OF CONTENTS
1.0 INTRODUCTION
1.1 Personnel
1.1.1 Qualifications of Contractor Employees
1.1.2 Quality Control
1.1.3 Quality Assurance (Inspection of Services)
1.1.4 Special Building Access Requirements
1.2 Procedures
1.2.1 Scheduling
1.2.2 Information Gathering
1.2.3 Document Controls
1.2.4 Inspections
2.0 CHILD CARE CENTER FIRE EVALUATION
2.1 Child Care Center Fire Evaluation
2.1.1 Pre-Site Preparation
2.1.2 On-site Procedures
2.1.3 Closing Conference
2.2 Deliverables
2.2.1 Title Page and Contents
2.2.2 Executive Summary
2.2.3 General Information
2.2.4 Other Occupancy Classifications
2.2.5 Findings and Recommendations – Identified Risk Conditions
EXHIBIT A ABBREVIATION, ACRONYMS, AND
DEFINITIONS EXHIBIT B RISK ASSESSMENT CODES
EXHIBIT C FORMS AND REFERENCES MATERIALS
CHILD CARE CENTER FIRE EVALUATION
SCOPE OF WORK
1.0 INTRODUCTION
Fire safety evaluations of GSA Child Care Centers are required to be conducted by qualified fire protection engineers to document the level of risk within the Child Care Center, identify potential risks from the effects of fire, any conditions that present a fire risk exposure, and develop appropriate recommendations to mitigate each identified risk condition to an acceptable level. The evaluation must focus on the space occupied by the Child Care Center as well as any indoor and outdoor locations which are used by the occupants of the Child Care Center (e.g., main building corridors, means of egress, exit stairs, exit discharge, associated indoor and outdoor assigned spaces, including play areas, etc.).
The GSA Child Care Center(s) must be evaluated for compliance with the requirements in the latest edition of the following documents: GSA Child Care Center Design Guide; PBS-140, GSA Facilities Standards for the Public Buildings Service; PBS-P100; and NFPA 101, The Life Safety Code (for means of egress and the applicable day-care occupancy chapter only (Utilize criteria for new facilities). The result of the assessment is a comprehensive report of each Child Care Center to document the results of the evaluation.
Risks will be evaluated as to severity, probability of occurrence and breadth of involvement to establish a Risk Assessment Code (RAC) number for each risk. RAC numbers will be used to prioritize the risks found. The scores of all risks will also be used to establish the overall risk associated with each facility. These facility scores can be used to establish priorities for allocation of funds for corrective actions, to establish fiscal year funding requirements and to evaluate upcoming leasing decisions.
The contractor’s basis of determining a risk will be to evaluate a facility against current established national codes and recommended practices such as ICC family of codes (IBC, IFC etc.), NFPA, and Facilities Standards for the Public Buildings Service PBS-P100. The level of the risk will be determined by the level of severity and the probability of occurrence against the criteria of injury/death of personnel, damage/loss of property, impairment/loss of mission and adverse environmental impact.
1.1 PERSONNEL
The contractor shall provide a project manager with regional program experience for the duration of this program. The candidate shall have at least five years of knowledge, skills, and abilities (KSA’s) to conduct spot quality assurance inspections in the field and provide technical reviews of the reports. The project manager will also have the KSA’s to conduct initial training with the field staff both in the office and in the field. The contractor shall provide a highly qualified and experienced project manager to coordinate survey activity and report submission.
The contract project manager shall refer questions regarding interpretation of GSA criteria, or methods of abatement to subject matter experts (i.e., fire protection). Issues regarding preparation of reports shall be referred to the GSA Regional Fire Protection Engineer (GSA FPE).
Personnel used to perform the inspections and risk assessments will include personnel meeting the requirements outlined in Section 1.1.1.
1.1.1 QUALIFICATIONS of CONTRACTOR EMPLOYEES
At a minimum, contractor personnel conducting fire protection facility assessments must meet one of the following requirements:
a. A licensed engineer who has passed the principles and practice of engineering examination in fire protection administered by the National Council of Examiners for Engineering and Surveying (NCEES). In addition, the engineer must have at least 2 years’ experience in conducting fire protection assessments of similar size, type, and complexity.
b. A licensed engineer who has passed a principles and practice of engineering examination administered by the NCEES and holds Professional Member grade in the Society of Fire Protection Engineers. In addition, the engineer must have at least 2 years’ experience conducting fire protection assessments of similar size, type, and complexity.
c. An engineer having an undergraduate degree or a graduate degree from a college or university in the course of study in fire protection engineering, fire protection engineering technology, or fire safety engineering that is accredited by the Accreditation Board for Engineering and Technology or a similar accreditation and has at least 4 years of experience in fire protection engineering. In addition, all worked performed by these professionals must be reviewed and approved by a licensed engineer that meets the above qualifications in (a) or (b)
Personnel conducting fire protection facility assessments must submit documentation to verify their qualifications.
GSA does not require licensed engineers conducting fire protection facility assessments to be licensed in the state where the facility is located.
1.1.2 QUALITY CONTROL
To accomplish this program in the most cost effective manner, while maintaining its technical integrity will require that the contractor establish an effective and thorough Quality Control (QC) Program. Before the start of the project and subject to review, the contractor shall provide a copy (checklist) of the proposed QC program to the Regional Fire Protection Engineer.
This program will start at the beginning of the project, shall be supervised, and be carried throughout the entire project by a Senior Fire Protection Engineer designated by the contractor. Initial reports produced by field inspectors will be reviewed by the Senior Fire Protection Engineer. The contractor’s QC program will focus on effective training at the beginning of the program, establish procedures for quality reviews and professional support throughout the entire program, and provide for quality checks of the finished product.
The Project Manager shall provide monthly project progress updates to GSA by 5 pm Central Time on the Second Friday of every month.
1.1.3 QUALITY ASSURANCE (INSPECTION OF SERVICES)
(a) Definition. “Services,” as used in this clause, includes services performed, and material furnished or utilized in the performance of services.
(b) All deliverables shall be reviewed by the Contractors Project Manager or Senior Fire Protection Engineer prior to being submitted to the Regional Fire Protection Engineer for review. The Contractors performance will be rated in CPARS and determined based on the quality and timeliness of the deliverables and lack of errors.
(c) The Regional Fire Protection Engineer shall inspect all services called for by the SOW, to the extent practicable at all times and places during the term of performance. The Regional Fire Protection Engineer shall perform inspections in a manner that will not unduly delay the work.
(d) If any of the services do not conform with SOW requirements, the Regional Fire Protection Engineer may require the Contractor to perform the services again in conformity SOW requirements, at no increase in fixed price amount. When the defects in services cannot be corrected by reperformance, the Regional Fire Protection Engineer may—
(1) Reduce the contract price to reflect the reduced value of the services performed.
1.1.4 SPECIAL BUILDING ACCESS REQUIREMENTS
The contractor shall see that every new employee has a HPSD-12 badge to access secure Federal properties. The Contractor shall see that all HPSD-12 badges are returned to the Regional Fire Protection Engineer / COR as the employees are dismissed or terminated, and when the contract expires.
Unless otherwise specified, the contractor will request and submit to the Regional Fire Protection Engineer / COR the required documents to start the credentialing process at least two months before the starting date of the surveys. The necessary form(s) will be furnished by GSA or information regarding where to acquire the forms will be provided. If the Regional Fire Protection Engineer/COR receives an unsuitable report on any employee after processing of these forms, or if the Regional Fire Protection Engineer/COR finds a prospective employee to be unsuitable or unfit for assigned duties, the contractor shall be advised immediately that such employee cannot continue to work or be assigned to work under the contract.
The Contractor shall comply with all security requirements and directions provided by the GSA Office of Mission Assurance (OMA) Kansas City Office. All contractor employees must receive a favorable suitability determination, security clearance, and meet all security requirements, as required by Homeland Security Presidential Directive-12 (HSPD-12) and tenant agency clearances prior to reporting to work under this contract. Contractor employees that cannot obtain a favorable security determination, security clearance, and meet all security requirements, will not be permitted to work on GSA contracts or in GSA controlled facilities. If the GSA Contracting Officer (CO), Contracting Officer's Technical Representative (COTR), Project Manager (PM), or Project Manager Contractor Suitability Clearance Point of Contact receives an unfavorable or unsuitable report on any employee (or if a prospective employee is found to be unsuitable or unfit), such employee will not be allowed to work nor be assigned to work under the contract.
1.2 PROCEDURES
Subject to information gathered at the regional office, consisting of relevant file, inspection, report, and drawing reviews of candidate buildings, the contractor shall provide personnel and procedures that will recognize the level of risk currently associated with each facility prior to field work. Subsequent results shall identify hazards during field inspections;
document effectiveness of past mitigation efforts; formulate recommendations to reduce risk based on SFO requirements, national codes and local codes where applicable, and GSA guidance documents or professional judgment for each inspected facility. The following section addresses the procedures that the contractor shall use to perform the work under this scope of work. This section will address the methods to be used for ordering, scheduling inspections, gathering information, tracking progress, document controls, and procedures for conducting the inspections.
1.2.1 SCHEDULING
The contractor, by memorandum, shall advise the Regional Fire Protection Engineer, COR, and CO of the proposed schedule. A complete schedule shall be provided to the Regional Fire Protection Engineer/COR prior to the start of on-site review(s). The schedule shall include the pre-site visit teleconference call date, the on-site review date, the delivery date of the DRAFT Child Care Center Fire Evaluation Report, and the delivery date of the FINAL Child Care Center Fire Evaluation Report. The following time frame shall be implemented into the schedule:
1. The contractor shall contact the GSA Building Manager and GSA Fire Protection Engineer / COR to notify them of the upcoming Child Care Center Fire Evaluation thirty (30) calendar days prior to the proposed on-site review date.
2. The contractor shall have a teleconference call with the GSA Building Manager and GSA Fire Protection Engineer seven (7) calendar days prior to the proposed on-site review date.
3. The contractor shall transmit the DRAFT Child Care Center Fire Evaluation Report twenty-one (21) calendar days after completing the on-site review. At this time 50% of the fee for the building(s) report(s) submitted may be invoiced.
4. The Regional Fire Protection Engineer shall have up to twenty-one (21) calendar days to review the DRAFT Child Care Center Fire Evaluation Report and provide comments back to the contractor.
5. The contractor shall have up to ten (10) calendar days to provide written responses back to all Regional Fire Protection Engineer comments and include required revisions in the FINAL Child Care Center Fire Evaluation Report. At this time 75% of the fee for the building(s) report(s) submitted may be invoiced.
6. The Regional Fire Protection Engineer shall have up to fifteen (15) calendar days to review the FINAL Child Care Center Fire Evaluation Report.
7. The contractor shall have ten (10) working days to revise the FINAL Child Care Center Fire Evaluation Report.
At this time, assuming no corrections are required, 100% of the fee for the building(s) report(s) submitted may be invoiced.
The contractor will coordinate all inspections to meet proposed schedules. From this list of facilities, a strategy will be developed to group facilities in close proximity to each other to be inspected in a common trip to reduce travel costs. The contractor shall begin data collection at least three weeks in advance of planned inspections for a group of buildings. At least thirty (30) calendar days in advance of planned on-site reviews for a group of buildings the contractor’s Project Manager will coordinate with the Area Field Office Director (AFOD) and/or Property Manager’s (PM’s) to coordinate actual on-site review dates and times. The request will be followed in writing either through E-mail with return receipt requested at the preference of the managers. The contractor will request that each building manager provide notification to the tenant agencies in his facilities that an inspection will be occurring in their space, and to inform the contractor if there are special requirements for entry.
The schedule shall incorporate the time requirements from items 1 through 7 above to ensure all final reports are submitted by August 18, 2022. All final reports must be submitted on or prior to August 18, 2022.
1.2.2 INFORMATION GATHERING
Information gathering will begin at the start of the contract and will consist of reviewing files on each building including inspections, previous reports, and drawings for those buildings. This may be accomplished in phases at the contractor’s discretion. Relevant data from these files will be reviewed and inserted into the new inspection reports and data inspection sheets. Copies of GSA design guides will be provided to the contractor. The contractor will review and copy as needed GSA safety technical guidelines for criteria purposes. The contractor will be knowledgeable regarding applicable State regulations, and where they may differ.
All other data will be gathered based on visual inspections, measurements and interviews conducted in the field. Data will be placed in field notes and in data collection field forms with checklists. All relevant information shall be transferred to the deliverable and submitted to the Regional Fire Protection Engineer and COR for review and acceptance.
1.2.3 DOCUMENT CONTROLS
All data provided in these files shall be considered sensitive information, treated as confidential, and be returned to the government once surveys are completed. Dated information relating to the description of the facility or past measurement data or past abatement activities should be summarized for field activities and then coded for file purging once verified by inspection.
1.2.4 INSPECTIONS
Inspections / on site review of individual facilities will begin with a meeting the Property Manager (PM). At this time previously requested data and reports will be reviewed and copies made of pertinent parts. Discussions will cover access requirements and restrictions, scheduling and known problem areas and occupant complaints.
The Contractor shall be responsible for any materials / tools need to perform the inspection.
2.0 CHILD CARE CENTER FIRE EVALUATION
The Child Care Center Fire Evaluation is to determine the existence of risks and to evaluate the severity of the risks associated with daily operational issues, if they exist. These risks will be assessed and prioritized for corrective action based on the degree of severity and the potential of occurrence. The evaluation must focus on the space occupied by the Child Care Center as well as any indoor and outdoor locations which are used by the occupants of the Child Care Center (e.g., main building corridors, means of egress, exit stairs, exit discharge, associated indoor and outdoor assigned spaces, including play areas, etc.). The GSA Child Care Center must be evaluated for compliance with the requirements in the latest edition of the following documents:
a. GSA Child Care Center Design Guide, PBS-140
b. GSA Facilities Standards for the Public Buildings Service, PBS-P100
c. NFPA 101, The Life Safety Code (for means of egress and the applicable day-care occupancy chapter only).
2.1 CHILD CARE CENTER FIRE EVALUATION
2.1.1 PRE-SITE PREPARATION
A teleconference is recommended, at least 15 calendar days before conducting a facility assessment in each building, with the surveyor, pre-assessment contact person, GSA Facility Manager (or representative), and the Child Care Center Representative, to discuss plans for conducting the Child Care Center Fire Evaluation, and invite their participation in the assessment. The following discussion topics are to be included in the teleconference:
a. Location of the Child Care Center.
b. Any special security arrangements needed for access into the building.
c. Secured areas in the building.
d. Access to or copies of inspection, testing, maintenance records and frequency schedules for all of the fire protection and life safety equipment and systems associated with the Child Care Center.
Access to the Child Care Center’s Emergency Planning and Preparedness Plan, and Fire Safety and Evacuation Plan.
e.The procedures for performing work after normal working hours for assessment purposes.
2.1.2 ON-SITE PROCEDURES
1. Upon arrival at the facility to be surveyed, the contractor shall meet with the GSA Property Manager (or representative) and Child Care Center Representative to discuss plans for conducting the evaluation, and invite his/her participation in the on-site review. If the GSA Property Manager (or representative) isn’t available on the survey date, the inspection report shall indicate the designee(s) absence as “invited”.
2. The contractor shall conduct a complete and thorough survey of the Child Care Center space and identify potential exposures to risk of loss of life, health, injury, the environment, property loss, or interruption from the effects of fire.
3. The contractor shall review available records including preventive maintenance, as-built drawings, records of testing, maintenance/operation manuals for fire protection.
2.1.3 CLOSING CONFERENCE
At the conclusion of each on-site review, the contractor shall hold a closing conference with the GSA Property Manager (or representative) and Child Care Center Representative. All RAC 1, 2, and 3 conditions shall be discussed at this time.
2.2 DELIVERABLES
A Child Care Center Fire Evaluation report shall be provided which contains, at a minimum, the following:
2.2.1 Title Page and Contents
The title page shall include the survey date(s), building name, GSA building number, building address, Child Care Center name, Child Care Center director name and associated contact information, GSA Region number, contract and delivery order numbers, organization who performed the survey, and person(s) who conducted the survey.
2.2.2 Executive Summary
The executive summary must describe the overall safety condition of the based on the analysis of noted risk condition(s).
2.2.3 General Information
The General information section must include:
a. Date of Fire Safety Evaluation
b. Date of Previous Fire Safety Evaluation
c. Building Name & Number
d. Building Address, City and State
e. Federally-Owned or Leased Building
f. Child Care Center Name
g. Child Care Center Director Name and Associated Contact Information
h. Name of Professional Evaluating Child Care Center and Associated Contact
i. Information
j. Location of Child Care Center and Associated Child Care Center Spaces (floor(s))
k. Approximate Gross Square Footage of Each Space
l. Number of Children (i.e., infants, young toddler, older toddler, 3-year-old, 4-yearold, 5-year-old plus)
m. Number of Child Care Center Staff
2.2.4 Other Occupancy Classifications.
Identify all the different types of occupancies and particular uses on each floor of the subject building. For example, include business, assembly, storage, mechanical equipment areas, mercantile areas, inside parking areas, etc.
2.2.4 Child Care Center Description
The Child Care Center Description information section must include:
a. Construction Type
b. Occupancy Separation
c. Hazardous Areas and Separation
d. Interior Finish
e. Automatic Sprinkler System, including sprinklers, guards, riser location
f. Fire Alarm System, including location and type of manual fire alarm stations, smoke detector devices/system, carbon monoxide devices/system and control panel
g. Portable Fire Extinguishers, including location and type
h. Means of Egress, including location and type
i. Exit Signs, Emergency Lighting, & Emergency Power
j. Inspection, Testing, & Maintenance of Fire Protection and Life Safety Systems
k. Emergency Planning and Preparedness
l. Fire Safety and Evacuation Plan
m. Description of Monthly Fire Drills Conducted
2.2.5 Findings and Recommendations – Identified Risk Conditions
Each identified risk condition must include the intent of the applicable code reference, a recommendation, and the applicable code reference, as well as a rough magnitude cost to correct the item. In addition, each risk condition identified in the evaluation must be analyzed and include the level of risk for each analyzed hazard expressed in terms of a Risk Assessment Code (RAC)
EXHIBIT A
ABBREVIATION, ACRONYMS, AND DEFINITIONS
Abbreviation or Acronyms Meaning ACM Asbestos Containing Material AHERA Asbestos Hazard Emergency Response Act ASCD Area Service Center Director CIH Certified Industrial Hygienist CSP Certified Safety Professional CAA Clean Air Act FOH Federal Occupational Health FPE Fire Protection Engineer FSES Fire Safety Evaluation System GSA Form 3614 GSA Notice of Unsafe/Unhealthful Workplace Conditions GSA Form 3559 Report for Facility Safety, Health or Fire Protection Survey GSA Form 3559B Follow-up Status Report for Facility Safety, Health or Fire Protection Survey KSA Knowledge Skill Ability QA Quality Assurance QC Quality Control IBC International Building Code ICC International Code Council IFC International Fire Code IRIS Inventory Reporting Information System MOU Memorandum of Understanding O&M Operations and Maintenance PBS Public Buildings Service PBS-100 Facilities Standards for the Public Building Service PMC Property Management Center PM Property Manager R&A Repair and Alteration RAC Risk Assessment Code
DEFINITIONS
Competent person. A person who is capable of identifying existing asbestos hazards in the workplace and selecting the appropriate control strategy for asbestos exposure, and who has the authority to take prompt corrective measures to eliminate them.
Dead-End Corridor. A dead end is where there is no path of travel from an occupied space, but where an occupant may enter the space thinking there is n exit, and finding none, must retrace his or her path to again reach a choice of two exits.
Exit. The portion of a means of egress that is separated from all other spaces of the building or structure to provide a protected way of travel to exit discharge.
Exit Access. The portion of a means of egress that leads to an exit.
Exit Discharge. That portion of a means of egress between the termination of an exit and a public way.
Fire Wall A wall assembly for which a fire resistance rating has been established by a standard test method and identified in units of hours.
Fuel Load. Identification of commodities and commodity quantities within a space given in pounds per square foot (i.e., storage room houses books and paper files, load is 25 lb/sf).
Hazard. A condition or practice that has the potential to contribute to or directly cause injury, illness, property damage, or mission impairment.
Hazard Severity. Hazard severity is the ranking of a hazard based upon the potential consequences of the unwanted event occurring.
Ignition Sources. Sources for ignition include electrical systems, portable heating equipment, smoking materials, cutting or welding operations, etc.
Incident. An unwanted event or a series of unwanted events that result in an unwanted outcome (i.e., injury, illness, property damage or mission impairment).
Incident Probability. An evaluation to determine the probability that an incident will occur.
Occupant Emergency Plan (OEP). Surveyor shall determine if the elements of the OEP are provided as specified in 29 CFR 1910.38(a)(2) and GSA's Occupant Emergency Program Guide.
Occupied space. Workplace normally occupied by tenants, PBS, or other entities (in other words, the occupants) on a routine and recurring basis. Occupied space includes ventilation systems serving the space and includes the entire zone.
Visibility (Exit Signs). Exit signs shall be located and of such size, color, and design as to be readily visible and distinct from decorations, interior finish, or other signs. Ensure that exit signs are not impaired by furnishings, alterations to work spaces, or other office equipment.
EXHIBIT B
EACH HAZARD WILL BE EVALUATED USING THE FOLLOWING TABLES:
SEVERITY ASSESSMENT GUIDANCE
SCOPE and APPLICABILITY Environmental Risk Fire Protection Risk Safety & Health Risk
Contamination of air, water soil, and biota or non-compliance with environmental regulations
Effects to occupants or facility as a result of a condition or potential event.
Adverse health effects or injury to facility occupants, contractors or visitors in response to a condition or event
SEVERITY LEVEL DEFINITIONS
CATASTROPHIC
Irreversible long-term impacts.
(1) Death, permanent disability or irreversible health effect to occupants or (2) a loss of an entire facility.
Permanent disability, irreversible health effect or death.
SEVERE
Reversible long-term damage (5+ years to remediate).
(1) Severe injury, potential long-term health effect or (2) major loss or impact to a facility.
Potential long-term health effect or severe injury.
SIGNIFICANT
Reversible medium-term damage (1-5 years to remediate).
(1) Minor injury or reversible health effect or (2) damage to a portion of a facility requiring an extended period of time to repair.
Reversible health effect or minor injury.
MODERATE
Reversible short-term impact (<1 year to remediate).
(1) First aid, no lost time or (2) damage to a facility requiring a minimal amount of time to repair.
First aid or no lost time.
MINOR De minimis regulatory violation. De minimis code violation. De minimis code violation.
NO IMPACT No risk of impact. No risk of impact to the occupants or facility. No risk of impact.
PROBABILITY ASSESSMENT GUIDANCE
PROBABILITY LEVEL DEFINITIONS
Likely
Imminent or
1 in 10
Probable Probable
1 in 100
Possible
Possible
1 in 1000
Remote Remote
1 in 10,000
Unlikely
Unlikely or
1 in 100,000
Not Possible Non-existent
EXHIBIT C
FORMS AND REFERENCE MATERIALS
GSA Form 10 Keep Out (High Voltage Use Only) GSA Form 53 Fire Incident Report GSA Form 55 Certificate of Elevator Inspection GSA Form 349 Inspection Report of Boiler GSA Form 350 Inspection Report of Unfired Pressure Vessels GSA Form 376 Elevator Inspection Report GSA Form 1034 Certificate of Inspection of Pressure Vessels GSA Form 1593 Motor Vehicle Accident Resume GSA Form 1755 Permit for Welding, Cutting, or Brazing GSA Form 3076B Documentation and Certification of No Cost Internal Training GSA Form 3559 4PMS Modified Form 3559 provided under EXHIBIT D of SEM/SOW GSA Form 3592 GSA Employee Report of Unsafe or Unhealthy Working Conditions GSA Form 3620 Report of GSA Property Damage or Non-GSA Employee Personal Injury GSA Form 3623 Supervisor's Supplemental Report of GSA Employee Injury/Illness GSA Form 3625 Confined Space Entry Permit GSA Form 3638 Pest Control Work and Inspection Report SF 91 Motor Vehicle Accident Report OWCP Form CA-1 Federal Employee’s Notice of Traumatic Injury & Claim for Continuation of Pay/Compensation OWCP Form CA-2 Notice of Occupational Disease & Claim for Compensation OWCP Form CA-6 Official Supervisor’s Report of Employee’s Death OSHA Form 162 Federal Agency Safety & Health Committee Listing OSHA Form 300 Log of Work Related Injuries & Illnesses OSHA Form 300A Summary of Work Related Injuries & Illnesses OSHA Form 301 Injuries and Illnesses Incident Report
1. Available CFR Titles http://www.access.gpo.gov/nara/cfr/cfr-table-search.html#page1
2. Fire Protection, Life Safety, and Environmental Procedures in Lease Acquisition (PQ-2005-04)
3. 41 CFR, FMPR http://www.access.gpo.gov/nara/cfr/waisidx_07/41cfr102-80_07.html
4. ADM P 5940.1A OSH Program Handbook
5. Facility Standards for Public Building Service (P-100) http://www.gsa.gov/p100/ http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=8195&channelId=-14201
6. Federal Management Regulation (FMR) – Subpart C – Real Property – Part 102-80 –
Safety & Environmental Management, Effective April 16, 2007 http://www.gsa.gov/Portal/gsa/ep/channelView.do?pf=y&specialContentType=FMR&chan nelId=- 16531&pageTypeId=8199&file=FMR/Part102-_80.html http://www.access.gpo.gov/nara/cfr/cfr-table-search.html#page1 http://www.access.gpo.gov/nara/cfr/waisidx_07/41cfr102-80_07.html http://www.gsa.gov/p100/ http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=8195&channelId=-14201 http://www.gsa.gov/Portal/gsa/ep/channelView.do?pf=y&specialContentType=FMR&chan
| Summary Description of Work |
| Fee and Payments |
| Total Work Order Fee $ _ |
| Government Furnished Information |
| Release and Conditions |
| 1.0 INTRODUCTION |
| 2.0 CHILD CARE CENTER FIRE EVALUATION |
| CHILD CARE CENTER FIRE EVALUATION SCOPE OF WORK |
| 1.0 INTRODUCTION |
| 1.1 PERSONNEL |
| 1.1.1 QUALIFICATIONS of CONTRACTOR EMPLOYEES |
| 1.1.2 QUALITY CONTROL |
| 1.1.3 QUALITY ASSURANCE (INSPECTION OF SERVICES) |
| 1.1.4 SPECIAL BUILDING ACCESS REQUIREMENTS |
| 1.2 PROCEDURES |
| 1.2.1 SCHEDULING |
| 1.2.2 INFORMATION GATHERING |
| 1.2.3 DOCUMENT CONTROLS |
| 1.2.4 INSPECTIONS |
| 2.0 CHILD CARE CENTER FIRE EVALUATION |
| 2.1 CHILD CARE CENTER FIRE EVALUATION |
| 2.1.2 ON-SITE PROCEDURES |
| 2.1.3 CLOSING CONFERENCE |
| 2.2 DELIVERABLES |
| 2.2.1 Title Page and Contents |
| 2.2.2 Executive Summary |
| 2.2.3 General Information |
| 2.2.4 Other Occupancy Classifications. |
| 2.2.4 Child Care Center Description |
| 2.2.5 Findings and Recommendations – Identified Risk Conditions |
| EXHIBIT A |
| DEFINITIONS |
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