C12_Att_11_-_Safety_Data_Sheet.docx
DOCX document 27 KB Posted
- Attached to
- Bird Deterrent Federal contract opportunity
- Solicitation number
- N0025324Q0070
About this file
This document is a Safety Data Sheet that is to be completed by the offeror for a federal contract opportunity. It requires the offeror to provide information on their insurance carrier, as well as their OSHA Days Away, Restricted Duty, or Job Transfer (DART) rate and Total Recordable Case (TCR) rate for the past 5 calendar years. The offeror must also provide a safety narrative describing their approach to implementing and executing a Safety Management System, their process for selecting subcontractors, and how they will oversee safety compliance of subcontractors.
The related federal contract opportunity is for installing bird deterrents in various buildings at the Naval Undersea Warfare Center Division (NUWC) Keyport. The solicitation number is N0025324Q0070, the NAICS code is 236210 Industrial Building Construction, and the requirement is set aside for small businesses. The government anticipates awarding a single firm fixed price construction contract, with a target award date of January 15, 2024.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| N0025324Q00700001.pdf | ||
| C12_Att_09_-_Bid_Form.xlsx | XLSX spreadsheet | |
| C12_Att_05_-_OPSEC_Guide_for_Defense_Contractors.pdf | ||
| C11b_Att_02_-_WA20240109_10242024.pdf | ||
| C12_Att_10_-_PPI_Form.docx | DOCX document | |
| C11d_Att_08_-_Past_Performance_References.docx | DOCX document | |
| C12_Att_06__Distro_A_Drawings.pdf | ||
| C12_Att_01_-_Material_Equipment_In_Place_List.xlsx | XLSX spreadsheet | |
| C12_Att_12_-_OSHA_Calculating_Injury_and_Illness_Incident_Rate.pdf | ||
| C12_Att_07_-_Schedule_of_Values.xlsx | XLSX spreadsheet | |
| C12_Att_04_-_Contractors_Guide_to_Env_Compliance.pdf | ||
| C12_Att_03_-_Safety_Requirements_for_Contractors_and_Subcontractors.pdf | ||
| C11_N0025324Q0070.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 .