C12_Att_06_Safety Data Sheet.docx
DOCX document 26 KB Posted
- Attached to
- Bldg 82 HVAC Installation Federal contract opportunity
- Solicitation number
- N0025324Q0042
About this file
This document is a Safety Data Sheet that must be completed by the offeror for a federal contract opportunity. It requests information on the offeror's insurance carrier, their past 5 years of OSHA Days Away from Work, Restricted Duty, or Job Transfer (DART) rates and Total Recordable Case (TCR) rates, as well as a 2-page technical approach for safety. The safety narrative should describe the offeror's Safety Management System, subcontractor evaluation and oversight processes, and other safety-related approaches. This Safety Data Sheet is required for a federal contract opportunity to install a ductless HVAC system at Building 82, which is a 100% small business set-aside solicitation issued by the Department of the Navy, Naval Sea Systems Command. The contract will be performed at Keyport, WA and Naval Base Kitsap - Bangor, Silverdale, WA.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| C24_N0025324Q00420003.pdf | ||
| C24_N0025324Q00420002.pdf | ||
| C24_N0025324Q00420001.pdf | ||
| C12_N0025324Q0042.pdf | ||
| C12_Att_07_OSHA-Calculating Injury and Illness Incident Rate.pdf | ||
| C12_Att_10_Safety Requirements for Contractors and Sub (30 AUG 2021).pdf | ||
| C12_Att_09_Contractors Guide to Env Compliance 2019 Rev1.docx | DOCX document | |
| C12_Att_04_bid form.docx | DOCX document | |
| C12_Att_05_Past Performance References.docx | DOCX document | |
| C12_Att_12_Joint Venture Proposed Distribution of Work Form.docx | DOCX document | |
| C12_Att_01_material_equip_in-place_list.xlsx | XLSX spreadsheet | |
| C12_Att_11_Wage_Determination.pdf | ||
| C12_Att_08_OPSEC Guide for Defense Contractors_2016.pdf | ||
| C12_Att_02_PPI Form.docx | DOCX document | |
| C12_Att_03_sched_of_values.xlsx | XLSX spreadsheet |
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Text version
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
| 2016 |
| 2017 |
| 2018 |
| 2019 |
| 2020 |
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
| 2016 |
| 2017 |
| 2018 |
| 2019 |
| 2020 |
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 .