C12_Att_10_Safety_Data_Sheet.docx
DOCX document 27 KB Posted
- Attached to
- Bldg 81 Repair Awning Federal contract opportunity
- Solicitation number
- N0025325Q0013
About this file
The document is a Safety Data Sheet (SDS) template for a federal contract opportunity, designed to capture safety performance and management information from potential contractors. The form requires offerors to provide detailed safety data, including OSHA Days Away from Work, Restricted Duty, or Job Transfer (DART) rates and Total Recordable Case (TCR) rates for the previous five calendar years (2019-2023). Contractors must explain any negative safety trends and provide a two-page safety narrative detailing their Safety Management System (SMS), subcontractor selection process, and safety compliance oversight.
The related federal contract opportunity is a small business set-aside solicitation (N0025325Q0013) issued by the Department of the Navy Naval Sea Systems Command for Building 81 Repair Awning at Naval Undersea Warfare Center - Keyport, WA. The project involves removing and replacing an existing 100' awning with two smaller awnings, abating asbestos and lead, removing old piping/conduit, installing new conduit and exterior lighting, and repairing and repainting surfaces. The government estimates the contract value between $35,000 and $75,000, with a target award date of September 3, 2025, and anticipates issuing the solicitation on June 19, 2025, with a 30-day response period.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| CUI Bldg. 81 Repair Awning Photos.pdf | ||
| N0025325Q0013-00001.docx | DOCX document | |
| C11B_Att_02_WD_WA20250109_20250627.pdf | ||
| C12_Att_01_-_Material_Equipment_In_Place_List.xlsx | XLSX spreadsheet | |
| C12_Att_06_Schedule_of_Values.xlsx | XLSX spreadsheet | |
| C11d_Att_07_Past_Performance_References.docx | DOCX document | |
| C12_Att_08_Bid_Form.xlsx | XLSX spreadsheet | |
| 25Q0013_Bldg81_RFQ.pdf | ||
| C11B_Att_02_WD_WA20250109_20250307.pdf | ||
| C12_Att_05_OPSEC_Guide_for_Defense_Contractors.pdf | ||
| C12_Att_09_PPI_Form.docx | DOCX document | |
| C12_Att_03_Safety_Requirements_for_Contractors_and_Subcontractors.pdf | ||
| C12_Att_04_Kpt_EV_Guide_for_Contractors_Jan_2025.pdf | ||
| C12_Att_11_OSHA_Calculating_Injury_and_Illness_Incident_Rate.pdf |
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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
| 2019 |
| 2020 |
| 2021 |
| 2022 |
| 2023 |
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
| 2019 |
| 2020 |
| 2021 |
| 2022 |
| 2023 |
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 .