Attach (d) Safety Plan Sheet.docx

CUI//FEDCON [when filled in] Source Selection Information - See FAR 2.101 & 3.104 [when filled in]

N4008423R6301 BOS Utilities O&M at CFAS Japan

ATTACHMENT F - Safety Plan Sheet

SAFETY PLAN SHEET

The purpose of this form is to provide supporting safety plan for Factor 2 Safety. This form is to be completed by the Offeror.

(a) The offeror’s method for selecting a subcontractor with a safe performance record:

(b) The offeror’s plan to monitor and oversee the safety compliance and performance of self‐performed and subcontractor performed work:

(c) The offeror’s methodology to execute an effective program that facilitates accident prevention techniques and processes, and employee reporting of unsafe conditions and unsafe activities.

Note: Form may be expanded.

CUI//FEDCON [when filled in] Source Selection Information - See FAR 2.101 & 3.104 [when filled in]