Attachment 07 - CDRL A004 OSHA Reports.pdf
PDF 104 KB Posted
- Attached to
- Environmental Consulting services for Environmental Compliance and Program Support for DDJC Federal contract opportunity
- Solicitation number
- SP3300-23-Q-5010
- Issued by
- Defense Logistics Agency Distribution
About this file
This document contains a Contract Data Requirements List (CDRL) and details of a related federal contract opportunity. The CDRL outlines reporting requirements for any Occupational Safety and Health Administration (OSHA) related activities. It specifies that task orders will identify applicable paragraphs requiring this CDRL and will provide submission dates, addresses, and quantities of required copies. The related federal contract opportunity is a solicitation from the Defense Logistics Agency Distribution in San Joaquin, California seeking environmental consulting services including environmental compliance program support, maintenance and updates to the Environmental Management System, and environmental audits to ensure workforce health and safety at the distribution center. Responses are due as outlined in the solicitation and performance work statement.
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Text version
DD FORM 1423-1, FEB 2001
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
| 1_DATA_ITEM_NO: A004 |
| 2_TITLE_OF_DATA_ITEM: SCIENTIFIC AND TECHNICAL REPORTS |
| 3_SUBTITLE: OSHA REPORTS |
| 4_AUTHORITY_Data_Acquisit: N/A |
| 5_CONTRACT_REFERENCE: PWS PARA - See Block 16 |
| 6_REQUIRING_OFFICE: SEE BLOCK 16 |
| 7_DID_250_REQ: LT |
| 8_APP_CODE: A |
| DIST_STATEMENT: A |
| 10_FREQUENCY: See Block 16 |
| 11_AS_OF_DATE: N/A |
| 12_DATE_OF_FIRST_SUBMISSI: See Block 16 |
| 13_DATE_OF_SUBSEQUENT_SUB: See Block 16 |
| addressee1: J-7 Contract Spec |
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| 16_REMARKS: |
Block 5: Requirement for OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION (OSHA) reporting is identified by major section 3.0. Each task order will identify and cite specific paragraphs where this CDRL is required.
Block 6: Will be specified in each task order.
Blocks 10, 11, 12, & 13: Submissions and dates will be as specified in each task order.
Blocks 14 & 15: "*" will be specified at task order level. Additional addresses and/or quantities of required copies will also be specified at task order level.
Block I: Signature authority is evidenced by Contracting Officer signature on the basic contract award document. Individual task orders shall have signatures.
Block J: On the basic contract, this shall be the award date; however, approval dates shall be inserted for individual task orders.
| 17_PRICE_GROUP: |
| ESTIMATED_TOTAL_PRICE: |
| G_PREPARED_BY: Donald Fischer |
| H_DATE: 08/12/2022 |
| 1_APPROVED_BY: See Block 16 |
| J_DATE: 08/12/2022 |
| Page: 1 |
| reg38t: 1 |
| A_CONTRACT_LINE_ITEM_NO: _____ |
| B_EXHIBIT: A |
| TDP: |
| TM: |
| OTHER: |
| DSYSTEMITEM: A-E 13 ENVIRONMENTAL SERVICES |
| E_CONTRACTPR_NO: SP3300-XX-X-XXXX |
| FCONTRACTOR: |
| of_pages: 1 |
| Reset: |
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