Attch 1 - Parking Resurfacing DFRU - SOW.pdf

PDF 2 MB Posted

Attached to
Parking Lot resurface, Madison Wi
Solicitation number
12905B24Q0195
Issued by

About this file

This document is a Statement of Work (SOW) for a federal contract opportunity to resurface and restripe approximately 10,500 square feet of paved surface at the U.S. Dairy Forage Research Center in Madison, Wisconsin. The scope includes cleaning, prepping, resurfacing, and sealing the parking lot, loading dock, and a small paved area at the greenhouse alley entrance. The contractor will be responsible for demolition, milling the existing asphalt, applying tack coat and new 2-inch asphalt surface, and restriping the parking stalls to match the existing layout.

The contract will be awarded by the U.S. Department of Agriculture's Agricultural Research Service. An organized site visit is scheduled for August 19, 2024, and proposals are due 45 days from the Notice to Proceed. The contractor will be required to perform the work outside of normal business hours, and all submittals must be reviewed and approved within 15 days of award. The contractor must comply with all applicable federal, state, and local safety and environmental regulations.

View the file

Other files

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

DFRU Parking Resurfacing

U.S. Dairy Forage Research Center (DFRC)

United States Department of Agriculture Agricultural Research Service

STATEMENT OF WORK

U.S. Dairy Forage Research Center (DFRC) USDA-ARS

Madison, WI

DATE: May 29, 2024

Table of Contents

Scope of Work Description

General Project Information

Contract Scope

General Notes and Requirements

Pre-Construction Meeting

Contract Performance

Documentation

Safety

Attachments

Photographs:

Forms

Scope of Work Description

General Project Information

Project Location

USDA-ARS-DFRC

1925 Linden Dr.

Madison, WI, 53705.

USDA Project Team

Location Point of Contact: Andy Vanderwarker

(608) 287-6843

Andrew.vandewacher@usda.gov

Engineering Project Manager EPM: Loubna Harms

(608)-982-1687 loubna.harms@usda.gov

Contracting Officer CO To be Determined

Contracting Officer Representative COR To be Determined

Bid Information

Clean, prep, resurface and seal approximately 10,500 sq feet of paved surface around the US Dairy Forage Research Center. Area in scope includes the parking lot (6900 sq feet), the loading dock (3000 sq feet), and a small, paved area at the greenhouse alley entrance (600 sq feet). Restripe parking stalls to match existing.

mailto:Andrew.vandewacher@usda.gov mailto:loubna.harms@usda.gov

Site Visit

Interested parties are strongly encouraged to visit the site of the proposed work and review the existing conditions relating to construction and labor, to be fully informed as to the facilities involved, and the difficulties and restrictions that may affect the performance of the Contract. Failure to visit the site will not disqualify those submitting a proposal.

However, change order requests for items that could have been reasonably ascertainable from a site visit (and included in a proposal) will be reviewed by the CO and evaluated accordingly.

Contract Scope

The project shall be in accordance with this Statement of Work and the FAR Solicitation and Contract clauses that are identified in the complete Solicitation package. This Statement of Work (SOW) shall consist of this “Scope of Work Description”, Attachments, General Notes and Standard Requirements, and Photographs of Existing Conditions.

The repairs shall be performed in a neat, workmanlike manner to provide code-compliant, complete, properly functioning installation, to include measures such as dust abatement and preservation of neighboring research fields.

A. Contractor shall be responsible for all project waste including hauling away, directing waste to recycle, and legally disposing of remaining waste. See Project Specifications for additional information on requirements for directing waste to recycle.

B. Contractor shall provide all materials and components needed for the indicated repairs. Contractor shall provide a material approval submittal of product data as indicated in the Project Specifications and Schedule of Material Submittals (see Attachments).

C. After project award, the Contractor shall inspect / confirm all existing conditions and dimensions prior to proceeding with any project activities and identify all existing conditions that may impact the work and alert the CO and EPM immediately if conditions are discovered that differ from the SOW.

Contractor shall point out discrepancies between work identified in this SOW and actual field-verified conditions--if they exist, prior to performing work. Items not identified in SOW may be treated as unforeseen conditions and priced in accordance with standard FAR contract clauses.

Coordinate with location for laydown and staging areas.

Schedule

The work shall commence within 30 days from the receipt of the Notice to Proceed, proceed diligently, and be completed no later than 45 days from the Notice to Proceed. The Contractor will coordinate with the Government for the estimated start date to ensure minimal disturbance to the residents. Work shall be performed OUTSIDE OF BUISNESS HOURS, CONTRACTORS SHALL ASSUME WEEKEND AND AFTER- HOURS WORK AND BID ACCORDINGLY. All submittals to include safety and product submittals shall be submitted, reviewed, and accepted within 15 days of Notice to Proceed.

Technical Requirements

General

A. The furnishing and installation of all improvements indicated shall be complete in every respect, properly operating and ready for use. All work shall be coordinated and scheduled to avoid disrupting and jeopardizing ongoing research. Coordinate access to space with COR.

B. The performance of renovations and improvements shall be coordinated and scheduled to avoid disrupting and jeopardizing ongoing research.

1. Contractor shall coordinate with COR or Location Monitor designated by CO any orderly shutdown of scientific equipment, machines and computer equipment as needed for the performance of the contracted work.

2. Contractor shall coordinate with COR or Location Monitor designated by CO any moving of scientific equipment, machines and computer equipment as needed for the performance of the contracted work.

3. Contractor shall coordinate with COR any orderly closing or rerouting of roads or access paths as needed for the performance of the contracted work.

C. When renovations and improvements are performed within an Owner-occupied space; adequate protection of sensitive equipment, machines and computers shall be implemented.

D. Contractor shall utilize appropriate personal protection equipment (PPE) during the performance of the Work.

E. New and renovated installations shall be labeled in accordance with ANSI standards.

F. Contractor shall provide final cleaning of project area, see specifications for additional information. Final cleaning shall be to a “broom swept” quality.

Materials

A. Basis-of-design products are indicated in this SOW to convey a specified standard of quality and salient characteristics desired but are not to be considered a single- source specification. Contractor-proposed equals will be considered.

• The Contractor must compare and validate that quality and salient characteristics are equal and approve the proposed equal products prior to submission for Government review and approval.

Additional work required to incorporate Contractor-proposed equals shall be at the Contractor’s expense.

• Owner will review all Contractor-proposed equal equipment, materials, manufacturers, or installation. It shall be the Contractor’s burden to furnish all documentation and / or samples to show equality with specified items. Owner’s decision on equality is final. Manufacturers / products that are submitted as “Approved Equal” are reviewed during the shop drawing process, not during bidding.

B. Submittals / product data / shop drawings shall be submitted as indicated in the Project Specifications. Submittals shall be reviewed by USDA for general conformance with the Contract Documents. Markings for comments and approval of the submittals by USDA shall not be construed as releasing the Contractor from compliance with the specified requirements.

• Use ARS submittal/transmittal form included with this SOW for each submittal.

• All submittals shall be distributed to and reviewed by the Government prior to commencing work at the site. Purchase of materials prior to submittal approvals are at the Contractor’s risk.

All products shall be new, unused and to the satisfaction of the COR. In addition, construction material shall be produced domestically or manufactured domestically in accordance with the Buy American Act.

THE CONTRACTOR SHALL SUPPLY ALL OTHER NECESSARY MATERIALS TO PROPERLY

EXECUTE THE CONTRACT REQUIREMENTS.

ALL MATERIAL SHALL BE INSTALLED ACCORDING TO MANUFACTURER

RECOMMENDATIONS

Execution

A. The Contractor shall furnish all labor, materials, equipment, supplies, transportation, utilities, supervision, *safety equipment, and incidentals for all elements of the work to provide a complete and properly functioning installation in accordance with this Statement of Work. The installation shall be ready for use by Final Completion date.

* Note: Contractor is solely responsible for safety measures and conformance to applicable requirements in accordance with FAR clauses referenced in Solicitation package.

Contractor shall provide all means and methods to protect the facility and its installations from all project activities, including protecting the facility from environmental elements as the improvements are completed.

The Contractor shall submit a detailed plan for dust mitigation and containment to the Government for review prior to starting any on-site project activities. See Project Specifications for additional information on requirements for submittals.

B. The Contractor shall coordinate all work activities with the COR prior to beginning any work. All work shall be scheduled in a manner such that minimal disturbance is experienced by the residents. and facility’s ongoing day-to day operations are not affected negatively, including air quality.

• Project site shall be left clean at the end of each workday.

• Contractor shall coordinate access to all areas with the designated USDA staff.

• During pre-construction meeting, Contractor shall verify all parking, security, and health requirements with the USDA staff.

• Coordinate with location for laydown and staging areas.

Demolition

The contractor shall remove and legally dispose of the existing material and equipment in accordance with all federal, state, and local laws and regulations.

Note:

1. When demolished material is accumulated during the performance of renovations and improvements; demolished material shall be removed and legally disposed. See specifications for additional information regarding diverting project waste to recycle.

2. Where existing installation becomes abandoned during the performance of a renovation and/or improvement and this existing installation is readily accessible (i.e. exposed installation or above accessible suspended ceiling); the existing installation shall be removed.

3. Removal of existing installation(s) shall include the removal of associated mounting hardware and patching holes from hardware removal.

Construction

Resurface approximately 10,500 square feet of paved surface that includes a parking lot, a loading dock and a greenhouse alley entrance. Contractor shall:

• Profile mill asphalt pavement to allow for 2" of new asphalt resurfacing. Haul milled asphalt off-site and dispose of it legally.

• Sweep and clean asphalt pavement free of dust, dirt and debris and haul off-site.

• Patch and repair cracked or sunken areas with strengthening surface materials prior to paving, preserve original pavement slope.

• Apply tack coat prior to asphalt paving to ensure proper bond and adhesion.

• Machine lay hot mix asphalt to a depth of 2" (after compaction) consisting of 12.5mm surface course mixture.

• Place a base layer for asphalt surface and spread appropriately.

• Cure and seal the paved surface.

Layout and restripe parking lot to match existing using WisDOT approved latex traffic white and/or blue paint:

• 7 Parking stalls in the north edge of the lot.

• 4 Oversized stalls in the south edge of the lot.

• 8 Oversized stall in the center of the lot.

• 3 oversized stalls by the loading dock

• 1 ADA Stalls with hash marks and ADA stencil.

• 5 Moped stalls with moped stencils.

The contractor shall perform all construction activities in accordance with the applicable codes, the manufacturer’s specifications and in a manner that is consistent with the industry standards for each applicable trade.

General Notes and Requirements

Pre-Construction Meeting

Prior to the start of any work, the COR will schedule and conduct a “Pre-Construction Conference” or “Pre-Con” meeting. The Contractor’s Project Manager and Quality Control Personnel will attend this meeting. This conference will be held at the time and location agreeable to the government and contractor. No work may be performed under this contract prior to this conference. The purpose of the conference is to enable the COR to outline the procedures that will be followed by the Government in its administration of the contract, and to discuss the performance that will be expected from the Contractor. This conference will allow the Contractor an opportunity to ask questions about the Government’s administration and inspection of contract work or obtain other pertinent information that might be required. At the Pre-Construction conference the contractor shall provide the name of the project superintendent with a telephone number for project coordination.

The following is a general list of items for discussion during this Pre-Construction

Conference:

• Authority of the Contracting Officer Representative COR and Quality Assurance Inspectors.

• Contractor’s Safety Program (including sub-contractors).

• Accident Prevention Plan and Activity Hazard Analysis (Submitted & accepted prior to start of work on site).

• Fall Protection and Prevention Plan.

• Safety Meetings.

• Accident Reporting.

• Safety Data Sheet (SDS) requirements.

• Contractor’s Equipment.

• Correspondence, Communication, Security and Administrative Procedures.

• Invoice and payment.

Contract Performance

Receiving, Storing and Staging of Materials

The contractor is responsible for protecting any stored material until it is placed in service.

The contractor is responsible for receiving and unloading of delivered goods. Government employees will not receive materials or supplies for the contractor and will not be responsible for damage to the contractor’s equipment or materials.

Permits

The Contractor shall, without additional expense to the Government, be responsible for obtaining any necessary licenses, permits, and letters of certification. The Contractor shall comply with any applicable Federal, State, County, and Municipal laws, codes, and regulations in connection with the performance of the work specified under this contract.

Security

The contractor will comply with all established security policies at the U.S. Dairy Forage Research Center (DFRC) in Madison, WI. the Government reserves the right to close any property or portion of property and reschedule and/or cancel any subsequent service. The Contractor shall be given at least 24-hours’ notice of any such closure.

Buildings and Asset Protection

Any involved building or structure, and all of its contents shall be protected from the elements during the duration of this contract. The contractor shall keep on site the means to quickly cover and protect all unforeseen weather-related event that could cause damage to the facility during all phases of this contract.

The contractor shall be responsible for restoring all Government facilities or structures damaged as a result of the contractor’s operation. The contractor shall also be responsible for any damage to private property or injury to any person as a result of the contractor’s operation. The contractor shall notify the COR immediately of damage to Government and private property and injury to any person resulting from the contractor’s operation, or any damage to Government facilities due to vandalism or other causes on the day such damage is first noticed. Trucks and/or trailers will be driven on existing roads only and not across or through park areas to facilities. The Contractor shall also restore landscape features (shrubs, flowers, grasses, etc.), which are damaged or destroyed by the contractor’s operation. Damaged or destroyed grass areas shall be re-planted as directed by the Technical Point of Contact, and shrubs and flowers which are damaged or destroyed shall be replaced from nursery stock of like size and kind.

Parking

Parking on the USDFRC lot is not permitted. All contractor personnel must park in the University of Wisconsin paid parking spaces or use street parking outside of the university campus. The nearest parking garage is lot 67 as shown:

there are however several other lots within walking distance or a shuttle ride away. For more information about parking on UW-Madison campus obtaining a visitor/ temporary permit please visit the link: https://transportation.wisc.edu/parking-lots/

The contractor is responsible to provide parking for their personnel and to bid accordingly.

Scheduled Outages

All outages that will affect areas outside of the scope must be scheduled in advance. The contractor must notify the COR one week (5 business days) in advance, to have a minimal impact on research and center operation.

Noise Control

The Contractor must conform to state and local laws, ordinances, and regulations affecting noise control. The Government requires work that generates excessive noise be scheduled at other than standard work hours. The Contractor must protect the building occupants from sudden or severe sounds generated by the work.

Contractors’ Personnel

• Minimum Personnel Requirements - The Contractor shall provide an adequate number of fully qualified personnel to perform the specified service properly and efficiently within the time limits specified. The Contractor shall provide a list of the names and contact phone numbers for all employees prior to them working on Government Property.

• Employee Conduct - The Contractor shall be responsible for seeing that the firm’s employees strictly comply with the Code of Federal Regulations Title 36, Chapter III, Part 327, and all federal, state, and municipal laws. Any personnel activity, which, in the opinion of the Government, is deemed detrimental to the performance of the contract may result in the https://transportation.wisc.edu/parking-lots/ removal of Contractor employee/employees. Examples of unbecoming actions or conduct include but are not limited to the following:

1) Cursing, harassment, or discrimination of and/or unwarranted physical contact with visitors, ARS or UW personnel, or other contractors

2) Recurring written and/or verbal complaints from visitors, ARS or UW personnel, or other contractors.

3) Unsafe operation of vehicles while on ARS property.

• Removal of Contractor’s Employees - The COR may require the Contractor to immediately remove from the work site any employee of the Contractor or subcontractor, who, in the opinion of the COR, is incompetent, who endangers persons or property, or whose physical or mental condition is such that it would impair the employee’s ability to satisfactorily perform assigned work. Notification to the Contractor shall be promptly made in writing if time and circumstances permit. Otherwise, notification shall be verbal or by telephone, and shall be confirmed in writing as soon as possible. No such removal, however, will reduce the Contractor’s obligation to perform all work required under this contract, and immediate replacement will be made as required. This requirement shall not be made the basis of any claim for compensation or damages against the United States or any of its officers or agents.

Quality Assurance

The contractor is responsible for the quality control of the contract work. The contractor shall establish and maintain a quality control system to assure compliance with the contract requirements. The government has the right to inspect and test all items called for by the contract, to the extent practicable at all times and at all places during the term of the contract.

Omissions

This contract may not cover all specified activities, steps, and procedures required to supply the contract product. In case of omission, the normal industry, state, or federal standards, practices, specifications, and/or guides shall prevail. In no instance shall an omission be reason to produce less than an acceptable product.

Documentation

• Contractor shall prepare and submit to the Owner a combined construction schedule for the entire project. The schedule be comprehensive, integrated, and fully developed. Contractor shall secure time commitments for performing construction activities from his subcontractors and suppliers prior to submitting the construction schedule. Contractor shall revise the construction schedule based on actual progress.

• Contractor shall prepare a daily construction report recording events at Project site. An electronic copy (pdf format) of the daily report shall be submitted daily to the Contracting Office Representative (COR) / Engineering Project Manager (EPM) / Location Monitor (LM). The daily construction report must be dated and signed and should include the following :

A. List of subcontractors.

B. High and low temperatures and general weather conditions.

C. Accidents D. Stoppage, delays, and losses E. Orders and requests of authorities having jurisdiction.

Safety

All work shall be conducted in accordance with the Research, Education, and Economics (REE’s) Safety, Health, and Environmental Management Program (Policies and Procedures P&P 160.0 v1, most recent edition), and all applicable Occupational Safety and Health Administration (OSHA), federal, state, and local safety and health requirements. A copy of P&P (160.0 v1) can be access upon request from the COR or by visiting the Agricultural Research Service ARS Facilities Division website using the following link:

https://www.ars.usda.gov/ARSUserFiles/FD/SHEMB/P%20and%20P%20160/P%20and%2 0P%20160%20Safety,%20Health%20and%20Environmental%20Program.pdf

Project staff reserve the right to cease work at any time should the safety of employees, Contractors, and/or the public become jeopardized.

Activity Hazard Analysis (AHA)

An AHA shall be submitted for each major phase of work. A major phase of work is defined as an operation involving a type of work presenting hazards not experienced in previous operations or where a new subcontractor or work crew is to perform the work. The analysis shall define all activities to be performed, identify the sequence of work, the specific hazards anticipated, and the control measures to be implemented to eliminate or reduce each hazard to an acceptable level. The AHA shall be continuously reviewed and revised to address changing site conditions as appropriate.

Accident Prevention Plan

The Contractor shall prepare an Accident Prevention Plan (APP) specific to the activities being performed. It shall include Activity Hazard Analyses (AHAs) as described below.

A preparatory meeting shall be conducted by the prime contractor to discuss the APP contents with all effected onsite employees. The Prime Contractor is responsible for informing their subcontractors of the safety provisions under the terms of the contract.

Emergency Response

Emergency procedures shall be documented in the Accident Prevention Plan and will include a map with directions to the nearest hospital, emergency contact numbers, and onsite First Aid/CPR responders.

https://www.ars.usda.gov/ARSUserFiles/FD/SHEMB/P%20and%20P%20160/P%20and%20P%20160%20Safety,%20Health%20and%20Environmental%20Program.pdf https://www.ars.usda.gov/ARSUserFiles/FD/SHEMB/P%20and%20P%20160/P%20and%20P%20160%20Safety,%20Health%20and%20Environmental%20Program.pdf

Accident Reporting

All accidents and near misses shall be investigated by the Contractor. All work-related recordable injuries, illnesses and property damage accidents (excluding on-the-road vehicle accidents), in which the property damage exceeds $5,000.00, shall be verbally reported to the COR within four (4) hours of the incident (by phone or in person) in addition, an Accident Investigation Form (see Attachments) shall be completed and submitted to the COR within five (5) working days of the incident.

Required Personnel

The Contractor shall employ a minimum of one Competent Person (CP) at each project site to function as the Site Safety and Health Officer (SSHO). The SSHO shall be present at the project site and report to the contractor’s upper management. The SSHO is required to have related construction experience and have at a minimum completed a 10 Hour OSHA training.

In addition, when emergency medical services are not accessible within five (5) minutes of the work location and there are two (2) or more workers onsite, at least two (2) employees shall have (in-person) training in First Aid and CPR.

Personal Protective Equipment

It is the contractor’s responsibility to furnish and supply personnel with the proper personal protective equipment necessary for performing the work.

All contractor employees shall don protective clothing, reflective vests, hard hats and appropriate ear protection.

Clean Up and Waste

The contractor shall practice good housekeeping to maintain a safe job site. The contractor shall keep the work area, including any designated storage areas free from accumulation of waste materials. Upon completing work in an area, the contractor shall remove any tools, equipment, and materials that are not the property of the Government. Any and all disturbed areas resulting from contractor activities shall be restored by the contractor to the satisfaction of the COR. All waste material will be disposed of offsite in accordance with all Federal, State, and Local regulations.

Environment Protection

Containers for excess and/ or waste materials, rubbish, etc. shall be provided by the contractor at the site, and the site will be inspected/ cleaned on a daily basis. No burning is permissible. Water, air, and land resources shall not be adversely impacted during the course of the work. Contractor will take necessary steps to ensure all federal, state, and local environmental regulatory requirements are met.

Attachments

Photographs:

Aerial Overview

Parking Lot East View

Parking Lot Loading Dock

Greenhouse Alley

Parking Lot North View

Greenhouse Alley Entrance (West View)

Loading dock (West View)

Forms

The following Forms are attached in this order:

Material Approval Submittal form Accident Investigation Form

MATERIAL APPROVAL SUBMITTAL

TO: USDA/ARS CO

CC: A&E, COR

FROM: (Contractor) CONTRACT NUMBER:

(To be completed by the Contractor) Government Use Only

SUBMITTAL

NUMBER:

PREVIOUS SUBMITTAL NUMBER

(only if items listed were submitted previously):

A&E

Recommendation

COR/EPM

Recommendation

Contracting Officer Approval/Disapproval

Line

No.

Specification Sect.

Para No., Draw No.

Description of Material

(Include type, model, mfg) APP

See

Comments on Reverse APP DISAP

See

Comments on Reverse APP DISAP

See

Comments on

Reverse

If an item is disapproved, a resubmittal is due within ________ calendar days of the Contracting Officer’s signature below.

Contractor A&E COR/EPM Contracting Officer TYPE or PRINT NAME & TITLE TYPE or PRINT NAME & TITLE TYPE or PRINT NAME & TITLE TYPE or PRINT NAME & TITLE

SIGNATURE: SIGNATURE: SIGNATURE: SIGNATURE:

DATE: DATE: DATE: DATE:

By completing this form, the above signed contractor certifies that the material complies with all specifications of the subject contract.

DATE RECEIVED FROM KTR: DATE RECEIVED FROM A&E: DATE RECEIVED FROM COR:

Material Approval Submittal Cover Sheet (11/2016)

PROJECT TITLE:

N-A

N-A

N-A

N-A

CONTRACT #: SUBMITTAL #:

COMMENTS

Instructions: Enter the initials of the individual making the comment, the Line Number of the item for which the comment is being made, and the comment.

Material Approval Submittal Cover Sheet (11/2016) (Reverse)

1 | P a g e

ACCIDENT INVESTIGATION REPORT

USDA/ARS/MIDWEST AREA

EMPLOYEE

Name:

Age: Position/Title:

Injury, body part:

Medical Facility:

Employee’s Supervisor:

Location/Unit:

BACKGROUND

Date of Accident: Time of Accident:

Location:

Equipment Involved:

Equipment/Contributing Factors:

2 | P a g e

USDA/ARS/MIDWEST AREA

ACCIDENT DESCRIPTION

3 | P a g e

USDA/ARS/MIDWEST AREA

WITNESSES AND/OR POC

Name:

Position/Title:

Name:

Position/Title:

Name:

Position/Title:

Name:

Position/Title:

ACTIONS OR MEASURES THAT COULD HAVE PREVENTED THE ACCIDENT

WHAT ACTIONS ARE BEING TAKEN TO PREVENT REOCCURRENCE?

Scope of Work Description
General Project Information
Project Location
USDA Project Team
Bid Information
Site Visit
Contract Scope
Schedule
Technical Requirements
General
Materials
Execution
Demolition
Construction
General Notes and Requirements
Pre-Construction Meeting
Contract Performance
Receiving, Storing and Staging of Materials
Permits
Security
Buildings and Asset Protection
Parking
Scheduled Outages
Noise Control
Contractors’ Personnel
Quality Assurance
Omissions
Documentation
Safety
Activity Hazard Analysis (AHA)
Accident Prevention Plan
Emergency Response
Accident Reporting
Required Personnel
Personal Protective Equipment
Clean Up and Waste
Environment Protection
Attachments
Photographs:
Forms
Employee Name:
Age:
Position/Title:
Injury/Body Part:
Medical Facility:
Supervisor:
Location/Unit:
Date:
Time:
Location:
Equipment:
Contributing Factors:
Accident Description:
POC 1:
POC 2:
Position:
POC 3:
POC 4:
Preventive Measures:
Actions Taken:

File details come from the government source that posted it. Updated .