A004 Accident_Incident Report_Signed.pdf
PDF 128 KB Posted
- Attached to
- Robins AFB LCMC/EBUG Lab Wall and Flooring Renovation Federal contract opportunity
- Solicitation number
- FA850125Q0009
About this file
This is a Contract Data Requirements List (CDRL) Form DD 1423 specifically for Accident/Incident Report requirements related to the EBU Lab Renovation project (Contract FD2060-25-30974). The form establishes the requirement for contractors to submit accident/incident reports within 24 hours of any incidents during contract performance.
The CDRL specifies Distribution Statement D (limited to Department of Defense and U.S. DoD contractors only) and requires reports to be submitted on an as-required basis to carl.eddy@us.af.mil. The technical office responsible is AFLCMC/EBU Air to Ground Branch. The form was prepared by Ellis Atkins and approved by Capt. Calvin O. Garcia on January 22, 2025, in support of the broader Robins AFB LCMC/EBUG Lab Wall and Flooring Renovation project which involves installation of DIRTT walls and luxury vinyl tile flooring.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| FA850125Q0009 Questions and Answers v2.docx | DOCX document | |
| FA850125Q0009 Questions and Answers v2.docx | DOCX document | |
| Lab Floorplan.pdf | ||
| FA850125Q0009 Questions and Answers v2.docx | DOCX document | |
| FA850125Q0009 Questions and Answers v2.docx | DOCX document | |
| FA850125Q0009 Questions and Answers.docx | DOCX document | |
| A003 ESOH Plan_Signed.pdf | ||
| EBUG Lab Wall SOW.pdf | ||
| LCMC EBUG single source justification-redacted_Redacted.pdf | ||
| A001 Product Engineering Design and Assocaiated Lists_Signed.pdf | ||
| A002 Preparation of Final Inspection_Signed.pdf | ||
| Solicitation - FA850125Q0009.pdf |
Show all 12
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PREVIOUS EDITION MAY BE USED.
DD FORM 1423, FEB 2024
Page of
INSTRUCTIONS FOR COMPLETING DD FORM 1423
(See DoDM 5010.12 for detailed instructions.)
DD FORM 1423, FEB 2024
Page of
CONTRACT DATA REQUIREMENTS LIST
C. CATEGORY:
14. DISTRIBUTION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES Draft Final Reg Repro
16. REMARKS
14. DISTRIBUTION
15.TOTAL
Image of arrow pointing towards totals
FOR GOVERNMENT PERSONNEL
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package; TM - Technical Manual; Other - other category of data, such as "Provisioning," "Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support (e.g., Mission Design Series (MDS) designator).
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Name of preparer of CDRL.
Item H. Date CDRL was prepared and signature of preparer of CDRL.
Item I. Name of CDRL approval authority.
Item J. Date CDRL was approved and signature of CDRL approval authority.
Item 1. See DFARS Subpart 204.71 for proper numbering. To add or delete additional data items, point and click the plus or minus sign to the right of Block J.
Item 2. Enter title as it appears on data acquisition document cited in Item 4.
Item 3. Enter subtitle of data item for further definition of data item (optional entry).
Item 4. Identify only one Data Acquisition Document No. If a single work task generates more than one deliverable data product, prepare a separate data item for each deliverable data product.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work/Performance Work Statement paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data and computer software, specify the contractor's requirement to mark the appropriate distribution statement on the technical data or computer software (ref. DoDI 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.
Item 15. Enter total number of draft/final copies to be delivered.
Item 16. Use for additional/clarifying information for Items 1 through 15. Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14; Desired medium for delivery of the data item.
Identify for which data item additional remarks are provided. When tailoring the Data Acquisition Document invoked in Item 4, identify which portions of that Document are being tailored.
Identify any referenced attachments to the form. Attachments can be added using the button at the bottom of page 1.
FOR THE CONTRACTOR
Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.
Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.
These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government’s rights to use the data shall be governed by the pertinent provisions of the contract.
9.0.0.2.20120627.2.874785 DD Form 1423, "Contract Data Requirements List"
| CurrentPage: |
| PageCount: |
| Select Classification from drop-down list.: 1 |
| CUI Indicator Information: |
| Click on this button to attach a file(s).: |
| A. CONTRACT LINE ITEM NUMBER: 0001 |
| exhibit: A |
| C. CATEGORY: Select for "TDP.": 0 |
| C. CATEGORY: Select for "TM.": 0 |
| C. CATEGORY: Select for "OTHER.": 1 |
| C. CATEGORY: Enter specification for "Other.": |
| System: EBU LAB RENOVATION |
| ContractNum: FD2060-25-30974 |
| Contractor: TBD |
| 1. DATA ITEM NUMBER: A004 |
| titleDataItem: Accident/lncident Report |
| subtitle: Mishap Reporting |
| 4. AUTHORITY (Data Acquisition Document Number): DI-SAFT-81563 |
| contractRef: SOW Para 5.5 |
| reqOffice: AFLCMC/EBU |
| 7. DD 250 REQUIREMENT: N/A |
| 8. APPROVAL CODE : N/A |
| 9. DISTRIBUTION STATEMENT REQUIRED: D |
| freq: ASREQ |
| asOfDate: N/A |
| dateFirstSub: ASREQ |
| dateSubseqSub: N/A |
| 16. REMARKS: Blk 4, 10 & 12: The contractor shall cooperate and assist Government personnel in investigating accidents/incidents during the contract and submit an Accident/Incident Report within 24 hours of the incident/accident. |
Blk 9: Distribution Statement D: Distribution authorized to Department of Defense and U.S. DoD contractors only General Procurement and Acquisition 15 January 2025. Other requests for this document shall be referred to AFLCMC/EBU Air to Ground Branch.
| Click to add continuation field for Remarks: |
| 14. DISTRIBUTION - a. ADDRESSEE, new line: AFLCMC/EBU |
| 14. DISTRIBUTION - a. ADDRESSEE, new line: 320 Richard Ray Blvd. |
| 14. DISTRIBUTION - a. ADDRESSEE, new line: Robins AFB, GA 31098- |
| 14. DISTRIBUTION - a. ADDRESSEE, new line: (P) GPM: Calvin Garcia |
| 14. DISTRIBUTION - a. ADDRESSEE, new line: calvin.garcia.1@us.af.mi |
| 14. DISTRIBUTION - a. ADDRESSEE, new line: (A) Carl Eddy |
| 14. DISTRIBUTION - a. ADDRESSEE, new line: carl.eddy@us.af.mil |
| 15.TOTAL - Total draft copies is automatically calculated.: |
| 15.TOTAL - Total final regular copies is automatically calculated.: 1 |
| 15.TOTAL - Total final regular copies is automatically calculated.: 1 |
| 15.TOTAL - Total final reproducible copies is automatically calculated.: |
| priceGrp: |
| estTotalPrice: |
| remarks: |
| preparedBy: Ellis Atkins |
| J. SIGNATURE: H. SIGNED ON 20250122 |
| J. SIGNATURE: J. SIGNED ON 20250122 |
| J. SIGNATURE: |
| approvedBy: Capt. Calvin O. Garcia |
| Click to add additional data items.: |
| Click to delete additional data items.: |
File details come from the government source that posted it. Updated .