CDRL A004.pdf

This document is a DD Form 1423-1 Contract Data Requirements List (CDRL) for the MXSG Tool and Parts Attendants contract. The form specifies an Accident Incident Report (Data Item A/B/C/D/E004) for the Robins Air Force Base Safety Office, with specific notification requirements in the event of mishaps or incidents involving DoD property.

The document outlines detailed reporting procedures, requiring the contractor to notify the Robins AFB Safety Office by telephone within four hours of an incident, with a follow-up written notification within 20 calendar days. Key points include reporting to multiple points of contact: Primary Government POC Leo Honore, Alternate Government POC James Riser, CSMO/WAWF Primary Randy Wimberly, and CSMO/WAWF Alternate Eric Lester. The Contracting Officer is Claudette MacNeil. The form is dated 10/6/2025 and follows standard federal contract reporting protocols for incident documentation and communication.