C12_Att_10-Safety_Data_Sheet.docx
DOCX document 27 KB Posted
- Attached to
- Bldg. 84 Remodel Restroom and Lunchroom
- Solicitation number
- N0025325Q0011
About this file
This is a Safety Data Sheet for a federal construction contract opportunity at Naval Undersea Warfare Center (NUWC) Keyport. The document requires offerors to provide detailed safety performance data, including OSHA Days Away from Work, Restricted Duty, or Job Transfer (DART) and Total Recordable Case (TCR) rates for the past five calendar years (2019-2023). Offerors must submit a two-page safety narrative explaining their Safety Management System, which includes management leadership, employee involvement, hazard prevention and control, worksite analysis, and safety training.
The related solicitation (N0025325Q0011) is for renovating Building 84's restroom and lunchroom, with a government estimate between $125,000-$175,000. The project involves removing peeling paint, demolishing and installing plumbing fixtures, applying epoxy flooring, and repainting walls, ceiling, and window frames. It is 100% set aside for small businesses, using the NAICS code 238390 with a $19.0 million size standard. The target award date is July 28, 2025, and the contract will be awarded using Low Price Technically Acceptable evaluation factors under FAR Parts 13 and 36.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| C26_WA20250109_20250606_Mod3.pdf | ||
| C24_N0025325Q00110002.pdf | ||
| C26_Attachment_Distro_A_rev2.pdf | ||
| C26_SOW_rev_2.pdf | ||
| C24_N0025325Q00110001.pdf | ||
| C26_Attachment_Distro_A_rev.pdf | ||
| C26_SOW_rev.pdf | ||
| C11_N0025325Q0011.pdf | ||
| C12_Att_03-Safety_Requirements_for_Contractors_and_Subcontractors.pdf | ||
| C12_Att_01-Material_Equipment_In_Place_List.xlsx | XLSX spreadsheet | |
| C12_Att_09-PPI_Form.docx | DOCX document | |
| C12_Att_11-OSHA_Calculating_Injury_and_Illness_Incident_Rate.pdf | ||
| C11b_Att_02_WD_WA20250109_03072025.pdf | ||
| C12_Att_08-Bid_Form.xlsx | XLSX spreadsheet | |
| C11d_Att_07-Past_Performance_References.docx | DOCX document | |
| C12_Att_05-OPSEC_Guide_for_Defense_Contractors.pdf | ||
| C12_Att_06-Schedule_of_Values.xlsx | XLSX spreadsheet | |
| C12_Att_04-Kpt_EV_Guide_for_Contractors_Jan_2025.pdf |
Show all 18
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
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 .