Attachment 7_SAFETY AND HEALTH PLAN ATTACH.pdf
PDF 86 KB Posted
- Attached to
- Small Task Order Construction Contract (STOCC) Federal contract opportunity
- Solicitation number
- 80KSC020R0028
About this file
This document contains a draft request for proposal for a small task order construction contract at the John F. Kennedy Space Center in Florida. The National Aeronautics and Space Administration plans to issue the final RFP in mid-July 2020, with proposals due in mid-to-late August 2020 and anticipated award dates to follow. The contract will be set aside for 8(a) firms located in or with a bona fide place of business in Florida, with a NAICS code of 236220 and size standard of $39.5 million. Task orders will range from less than $25,000 to between $1 million and $5 million. The draft RFP is seeking industry comments on all aspects by June 26, 2020 to inform revisions to the final RFP. Prospective offerors are instructed to register on SAM.gov to receive solicitation updates.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment 6_PROPOSAL SUBMISSION CHECKLIST.pdf | ||
| Attachment 1_Tech Exhibit 001.pdf | ||
| Attachment 1_Tech Exhibit 002.pdf | ||
| Attachment 3_Pay Request Form.pdf | ||
| Attachment 5_QA Template_ 80KSC020R0028.pdf | ||
| Attachment 8_Past Performance Assessment Tool.pdf | ||
| 1_80KSC020R0028 DRAFT RFP.pdf | ||
| Attachment 1_Master Statement of Work.pdf | ||
| Attachment 2_Technical Specifications.pdf | ||
| Attachment 4 STOCC Questionnaire.pdf |
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Text version
80KSC020R0028 - ATTACHMENT 7
SAFETY AND HEALTH PROGRAM
CONTRACTOR NAME:
1. Independently documented evidence (OSHA 300 & 300A log is evidence) of your firm’s designated OSHA Total Recordable Incidence Rate (TRIR) with NAICS code. You must provide your current Recordable Incidence Rate (RIR) and the previous three year’s (TRIRs). The following web site is available to help you compute this rate: http://www.bls.gov/iif/osheval.htm.
These rates will be compared to the most recent industry averages of like NAICS codes found on the same web page.
Last Full Calendar Year:____________ Previous Year:__________________ 2 Years Previous:__________________ 3 Year Average:_________________ NAICS CODE:___________________ Number of Employees___
2. Independently documented evidence (OSHA 300 & 300A log is evidence) of your firm’s OSHA DART rate (Days away from work, days of restricted work activity or job transfer) with NAICS code.
You must provide your current DART rate and the previous three year’s DART rates. The following web site is available to help you compute this rate: http://www.bls.gov/iif/osheval.htm.
These rates will be compared to the most recent industry averages of like NAICS codes found on the same web page.
Last Full Calendar Year:____________ Previous Year:__________________ 2 Years Previous:__________________ 3 Year Average:_________________ NAICS CODE:___________________ Number of Employees___
3. Independently documented evidence (letter from your insurance carrier) of your firm’s designated Safety Experience Modifier Rate (EMR) used to calculate Workmen’s Compensation Insurance. You must provide your current EMR rating and the previous three year’s EMR ratings. This rate will be compared to the industry average rate of 1.0.
Last Full Calendar Year:____________ Previous Year:__________________ 2 Years Previous:__________________ 3 Year Average:_________________
4. Information on all OSHA citations or Safety Violation issued to the firm over the past three years.
5. Information on all previous OSHA reportable mishaps (OSHA Forms 300 & 300A) or Mishaps from Government Entities that have occurred in the past three years. Address any fatalities that have occurred; identify whether the investigation has been completed and the results; The cause of the safety and health mishap; Describe the corrective action taken and when it was implemented. If the corrective action has not yet been implemented, provide the planned implementation date.
6. Include a letter from your insurance carrier regarding your EMR rate.
| CONTRACTOR NAME: |
| Last Full Calendar Year: |
| Previous Year: |
| 3 Year Average: |
| 2 Years Previous 1: |
| 2 Years Previous 2: |
| NAICS CODE: |
| Number of Employees: |
| Last Full Calendar Year_2: |
| Previous Year_2: |
| 3 Year Average_2: |
| 2 Years Previous 1_2: |
| 2 Years Previous 2_2: |
| NAICS CODE_2: |
| Number of Employees_2: |
| Last Full Calendar Year_3: |
| Previous Year_3: |
| Years Previous: |
| 3 Year Average_3: |
| 4 Information on all OSHA citations or Safety Violation issued to the firm over the past three years: |
| 1: |
| 2: |
| action has not yet been implemented provide the planned implementation date 1: |
| action has not yet been implemented provide the planned implementation date 2: |
| 6 Include a letter from your insurance carrier regarding your EMR rate: |
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