Attch J-5 Lockout -Tagout.pdf
PDF 87 KB Posted
- Attached to
- KSC Electrical BPA Construction Services Federal contract opportunity
- Solicitation number
- 80KSC024R0005
About this file
This document is a Lockout/Tagout Control Record form used to track lockout/tagout tag numbers that are received, issued out, and lost or destroyed. It includes 20 rows to track information for individual tags, such as tag numbers received and issued out, which employee or facility the tags were issued to, and any tag numbers that were lost or destroyed. No additional context is provided on the purpose or use of this form.
The related federal contract opportunity is a solicitation from the National Aeronautics and Space Administration Kennedy Space Center seeking electrical construction services on an indefinite delivery/indefinite quantity basis. Offerors are invited to provide pricing for electrical construction labor, material, and equipment for projects up to $5 million annually. The base period of performance is one year with four optional one-year extensions. Proposals are due by April 2023 and awards will be made by July 2023. Small businesses, including 8(a), HUBZone, SDVOSB, and WOSB concerns, are encouraged to compete.
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KSC FORM 28-915 NS 07/02 (1.0) PREVIOUS EDITIONS ARE OBSOLETE. Validate prior to use.
NRRS 8/103
Page of Lockout / Tagout Control Record (for KSC Form 20-195) Tag Numbers Received Tag Numbers Issued Out Tags Issued to (Name & Shop / Facility) Tag Numbers Lost or Destroyed This space left intentionally blank 11.0.0.20130303.1.892433.887364
LOCKOUT/TAGOUT TAG CONTROL RECORD (FOR KSC FORM 20-195)
KSC FORM 28-915 Rev 07/02, Created 12/14 Version 1.0 12/14 KSC Forms
LOCKOUT/TAGOUT TAG CONTROL RECORD (FOR KSC FORM 20-195)
07/02 1.0 Row 1 Tag Numbers Received Row 1 Tag Numbers Issued Out Row 1 Tags issued to (Name and Shop or Facility) Row 1 Tag Numbers Lost or Destroyed 1 Row 1 Tag Numbers Lost or Destroyed 2 Row 2 Tag Numbers Received Row 2 Tag Numbers Issued Out Row 2 Tags issued to (Name and Shop or Facility) Row 2 Tag Numbers Lost or Destroyed 1 Row 2 Tag Numbers Lost or Destroyed 2 Row 3 Tag Numbers Received Row 3 Tag Numbers Issued Out Row 3 Tags issued to (Name and Shop or Facility) Row 3 Tag Numbers Lost or Destroyed 1 Row 3 Tag Numbers Lost or Destroyed 2 Row 4 Tag Numbers Received Row 4 Tag Numbers Issued Out Row 4 Tags issued to (Name and Shop or Facility) Row 4 Tag Numbers Lost or Destroyed 1 Row 4 Tag Numbers Lost or Destroyed 2 Row 5 Tag Numbers Received Row 5 Tag Numbers Issued Out Row 5 Tags issued to (Name and Shop or Facility) Row 5 Tag Numbers Lost or Destroyed 1 Row 5 Tag Numbers Lost or Destroyed 2 Row 6 Tag Numbers Received Row 6 Tag Numbers Issued Out Row 6 Tags issued to (Name and Shop or Facility) Row 6 Tag Numbers Lost or Destroyed 1 Row 6 Tag Numbers Lost or Destroyed 2 Row 7 Tag Numbers Received Row 7 Tag Numbers Issued Out Row 7 Tags issued to (Name and Shop or Facility) Row 7 Tag Numbers Lost or Destroyed 1 Row 7 Tag Numbers Lost or Destroyed 2 Row 8 Tag Numbers Received Row 8 Tag Numbers Issued Out Row 8 Tags issued to (Name and Shop or Facility) Row 8 Tag Numbers Lost or Destroyed 1 Row 8 Tag Numbers Lost or Destroyed 2 Row 9 Tag Numbers Received Row 9 Tag Numbers Issued Out Row 9 Tags issued to (Name and Shop or Facility) Row 9 Tag Numbers Lost or Destroyed 1 Row 9 Tag Numbers Lost or Destroyed 2 Row 10 Tag Numbers Received Row 10 Tag Numbers Issued Out Row 10 Tags issued to (Name and Shop or Facility) Row 10 Tag Numbers Lost or Destroyed 1 Row 10 Tag Numbers Lost or Destroyed 2 Row 11 Tag Numbers Received Row 11 Tag Numbers Issued Out Row 11 Tags issued to (Name and Shop or Facility) Row 11 Tag Numbers Lost or Destroyed 1 Row 11 Tag Numbers Lost or Destroyed 2 Row 12 Tag Numbers Received Row 12 Tag Numbers Issued Out Row 12 Tags issued to (Name and Shop or Facility) Row 12 Tag Numbers Lost or Destroyed 1 Row 12 Tag Numbers Lost or Destroyed 2 Row 13 Tag Numbers Received Row 13 Tag Numbers Issued Out Row 13 Tags issued to (Name and Shop or Facility) Row 13 Tag Numbers Lost or Destroyed 1 Row 13 Tag Numbers Lost or Destroyed 2 Row 14 Tag Numbers Received Row 14 Tag Numbers Issued Out Row 14 Tags issued to (Name and Shop or Facility) Row 14 Tag Numbers Lost or Destroyed 1 Row 14 Tag Numbers Lost or Destroyed 2 Row 15 Tag Numbers Received Row 15 Tag Numbers Issued Out Row 15 Tags issued to (Name and Shop or Facility) Row 15 Tag Numbers Lost or Destroyed 1 Row 15 Tag Numbers Lost or Destroyed 2 Row 16 Tag Numbers Received Row 16 Tag Numbers Issued Out Row 16 Tags issued to (Name and Shop or Facility) Row 16 Tag Numbers Lost or Destroyed 1 Row 16 Tag Numbers Lost or Destroyed 2 Row 17 Tag Numbers Received Row 17 Tag Numbers Issued Out Row 17 Tags issued to (Name and Shop or Facility) Row 17 Tag Numbers Lost or Destroyed 1 Row 17 Tag Numbers Lost or Destroyed 2 Row 18 Tag Numbers Received Row 18 Tag Numbers Issued Out Row 18 Tags issued to (Name and Shop or Facility) Row 18 Tag Numbers Lost or Destroyed 1 Row 18 Tag Numbers Lost or Destroyed 2 Row 19 Tag Numbers Received Row 19 Tag Numbers Issued Out Row 19 Tags issued to (Name and Shop or Facility) Row 19 Tag Numbers Lost or Destroyed 1 Row 19 Tag Numbers Lost or Destroyed 2 Row 20 Tag Numbers Received Row 20 Tag Numbers Issued Out Row 20 Tags issued to (Name and Shop or Facility) Row 20 Tag Numbers Lost or Destroyed 1 Row 20 Tag Numbers Lost or Destroyed 2 Row 21 Tag Numbers Received Row 21 Tag Numbers Issued Out Row 21 Tags issued to (Name and Shop or Facility) Row 21 Tag Numbers Lost or Destroyed 1 Row 21 Tag Numbers Lost or Destroyed 2 Row 22 Tag Numbers Received Row 22 Tag Numbers Issued Out Row 22 Tags issued to (Name and Shop or Facility) Row 22 Tag Numbers Lost or Destroyed 1 Row 22 Tag Numbers Lost or Destroyed 2 Row 23 Tag Numbers Received Row 23 Tag Numbers Issued Out Row 23 Tags issued to (Name and Shop or Facility) Row 23 Tag Numbers Lost or Destroyed 1 Row 23 Tag Numbers Lost or Destroyed 2
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