Attachment 14) - Exhibit C - Safety Data Sheet.docx
DOCX document 18 KB Posted
- Solicitation number
- N6247324R3206
About this file
This document is a Safety Data Sheet (SDS) form that must be completed by the offeror for the Base Support Vehicles and Equipment Autobody Painting, Refinishing, and Mechanical Repair Services Indefinite Delivery Indefinite Quantity (IDIQ) Contract solicitation number N6247324R3206.
The SDS form requires the offeror to provide their Days Away, Restricted Duty, or Job Transfer (DART) rates and Total Case Rates (TCR) for the past 5 calendar years. If the DART rate is 3.0 or greater or the TCR is 4.5 or greater, the offeror must explain any extenuating circumstances and corrective actions taken. The offeror must also explain any negative trends in these safety metrics and any corrective actions. If the offeror does not have the rates for a given year, they must state so and explain why.
The related federal contract opportunity is for facility support services associated with base support vehicles and equipment for the Southwest Region Fleet Transportation (SWRFT) at Marine Corps Base Camp Pendleton in California. The services include autobody repair, painting, and refinishing of government-owned vehicles and equipment.
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Text version
EXHIBIT C
SAFETY DATA SHEET
N6247324R3206
This form is to be completed by the Offeror. Use this form to provide safety information for the Safety factor. DART rates and TCR shall not be submitted for subcontractors, except as noted for Small Business Offerors utilizing first-tier Small Business subcontractors.
Joint Venture (JV) or Partnership: Complete Blocks 1 through 3 for each business entity who is part of the JV or partnership. Small Business Offerors utilizing first-tier Small Business subcontractors: Complete Blocks 1 – 3 for the Small Business Offeror and each first-tier Small Business subcontractor.
1. Offeror Name:
Name of JV member, partner, or first-tier Small Business subcontractor providing the information below (if applicable):
Offeror’s Five Previous Complete Calendar Years of Reported Safety Data:
Only complete year safety data will be considered. Indicate data rates as decimal figures, not whole numbers.
| 2. U.S. Dept. of Labor, OSHA Days Away from Work, Restricted Duty, or Job Transfer (DART) Rate |
| 2019 |
| 2020 |
| 2021 |
| 2022 |
| 2023 |
Instructions for calculating the DART rate can be found in the solicitation.
2a. For DART Rates of 3.0 or greater, explain any extenuating circumstances and corrective actions taken:
2b. Explain any negative DART Rate trends and any corrective actions taken for improvement:
2c. If you do not have a DART Rate for a given year, state so here and explain why:
| 3. U.S. Dept. of Labor, OSHA Total Case Rate (TCR) | |
| 2019 | |
| 2020 | |
| 2021 | |
| 2022 | |
| 2023 |
Instructions for calculating the TCR can be found in the solicitation.
3a. For TCR of 4.5 or greater, explain any extenuating circumstances and corrective actions taken:
3b. Explain any negative TCR trends and any corrective actions taken for improvement:
3c. If you do not have a TCR for a given year, state so here and explain why:
File details come from the government source that posted it. Updated .