B1051_Att_10_Safety_Data.docx
DOCX document 31 KB Posted
- Attached to
- Bldg. 1051 Replace Main Dry Valves
- Solicitation number
- N0025326Q0013
About this file
This is a Safety Data Sheet template that offerors must complete to provide safety information for evaluation in the solicitation N0025326Q0013 for Building 1051 Replace Main Dry Valves at Naval Undersea Warfare Center (NUWC) Division, Keyport. The form requires offerors to submit five years of historical safety data (2021–2025) including DART (Days Away from Work, Restricted Duty, or Job Transfer) rates and TCR (Total Recordable Case) rates as decimal figures. Offerors must explain any missing data and provide detailed explanations for negative safety trends where DART rates exceed 3.0 or TCR rates exceed 4.5, including corrective actions taken.
Additionally, offerors must provide a safety narrative not exceeding two pages that describes their Safety Management System (SMS) implementation, including management and employee involvement, hazard prevention and control, worksite analysis, and safety training standards used for benchmarking. The narrative must also address the evaluation process for selecting subcontractors and the oversight processes for ensuring safety compliance of all subcontractors and in-house workforce throughout contract performance. For Joint Ventures or partnerships, a Safety Data Sheet must be provided for each contractor involved, though only one combined safety narrative is required. Insurance carrier information must also be included.
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Other files
| File | Type | Posted |
|---|---|---|
| Solicitation Amendment N0025326Q00130002 SF 30.pdf | ||
| C07_B1051_Att_13_PPI_Answers.pdf | ||
| Solicitation Amendment N0025326Q00130001 SF 30.pdf | ||
| B1051_Att_12_SOW_Rev_1.pdf | ||
| B1051_Att_13_PPI_Answers.pdf | ||
| B1051_Att_06_Schedule_of_Values.xlsx | XLSX spreadsheet | |
| B1051_Att_12_SOW.pdf | ||
| Solicitation - N0025326Q0013.pdf | ||
| B1051_Att_01_Material_Equip.xlsx | XLSX spreadsheet | |
| B1051_Att_04_Guide_Environmental.pdf | ||
| B1051_Att_02_Wage_Det.pdf | ||
| B1051_Att_05_Guide_OPSEC.pdf | ||
| B1051_Att_08_Bid_Form.xlsx | XLSX spreadsheet | |
| B1051_Att_03_Guide_Safety.pdf | ||
| B1051_Att_07_Past_Perf.docx | DOCX document | |
| B1051_Att_09_PPI_Form.docx | DOCX document | |
| B1051_Att_11_OSHA.pdf |
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Text version
N0025326Q0013 Safety Data Sheet
SAFETY DATA SHEET
This form is to be completed by the offeror. Use this form to provide safety information for the Safety factor. DART and TRC rates shall not be submitted for subcontractors.
Joint Venture (JV) or Partnership: Provide a Safety Data Sheet for each contractor who is part of the JV or partnership; however, only one safety narrative is required.
1. Offeror Name:
Name of JV partner providing the information below (if applicable):
2. Insurance Carrier Information:
Insurance Carrier Name:
Agent’s name:
Phone No.:
Email:
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.
3. OSHA Days Away from Work, Restricted Duty, or Job Transfer (DART) Rate
| 2021 |
| 2022 |
| 2023 |
| 2024 |
| 2025 |
3a. If you do not have a DART Rate for a given year, affirmatively state so here and explain why:
3b. Explain any negative trend above moderate risk (DART Rates of 3.0 or greater), an acceptable/detailed explanation is required that includes any corrective actions taken for improvement:
4. Total Recordable Case (TCR) Rate
| 2021 |
| 2022 |
| 2023 |
| 2024 |
| 2025 |
4a. If you do not have a TCR Rate for a given year, affirmatively state so here and explain why:
4b. Explain any negative trend above moderate risk (TCR Rates of 4.5 or greater), an acceptable/detailed explanation is required that includes any corrective actions taken for improvement:
SAFETY DATA SHEET (Continuation)
5. Technical Approach for Safety: Provide the Safety Narrative using this form. Do not exceed 2 pages. Any additional pages will not be considered.
a. Describe the Offeror’ s approach to implementing and executing a Safety Management System (SMS) including Management/Leadership involvement, Employee involvement, Hazard prevention, Hazard control, Worksite analysis, and Safety and health training, to include the standard(s) used to benchmark the SMS.
b. Describe the evaluation process used to select potential subcontractors.
c. Describe the processes of how the Offeror will oversee safety compliance of subcontractors at all levels throughout performance of the contract (to include the Offeror’s own in-house workforce).
File details come from the government source that posted it. Updated .