CDRL A004 p1 Serious Incident Reporting Schools 240213.pdf
PDF 131 KB Posted
- Attached to
- MNG CONUS SCHOOLS SUPPORT Federal contract opportunity
- Solicitation number
- W519TC-24-R-2005
About this file
This document package includes a Contract Data Requirements List (CDRL) and details of a related federal contract opportunity. The CDRL outlines reporting requirements for a management support contract to provide services at CONUS schools, including initial and follow-up serious incident reports to be submitted within 2 hours and every 12 hours, respectively, of any qualifying incidents. It also requires weekly status reports, closeout reports for completed efforts, and after-action reports. The related federal contract opportunity is a pre-solicitation notice from the Department of the Army Materiel Command Contracting Command at Rock Island Arsenal for CONUS schools support services, referencing the attached documents including the CDRL, performance work statement, and sample report delivery formats.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| CDRL A005 After-Action Report Schools 240213.pdf | ||
| CDRL A003 Functional Hour Cost Report Schools 240213.pdf | ||
| CDRL A001 Weekly Reports Schools 240213.pdf | ||
| B01 CONUS Schools Sources Sought_02122024.pdf | ||
| CDRL A004 p2 Serious Incident Reporting Schools 240213.pdf | ||
| CDRL A002 CLO Reports Schools 240213.pdf | ||
| A02 Performance Work Statement CONUS SCHOOLS 20240213.pdf |
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Text version
DD FORM 1423-1, FEB 2001
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
Untitled
| 1_DATA_ITEM_NO: A004 |
| 2_TITLE_OF_DATA_ITEM: Accident/Incident Report |
| 3_SUBTITLE: Serious Incident Reporting |
| 4_AUTHORITY_Data_Acquisit: DI-SAFT-81563 |
| 5_CONTRACT_REFERENCE: PWS 3.4 |
| 6_REQUIRING_OFFICE: OPM-SANG G-3 |
| 7_DID_250_REQ: N/A |
| 8_APP_CODE: N/A |
| DIST_STATEMENT: |
| 10_FREQUENCY: See Block 16 |
| 11_AS_OF_DATE: See Block 16 |
| 12_DATE_OF_FIRST_SUBMISSI: See Block 16 |
| 13_DATE_OF_SUBSEQUENT_SUB: See Block 16 |
| addressee1: KO |
| draft1: |
| reg1: 1 |
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| 16_REMARKS: Serious Incident Reporting |
- The Contractor shall promptly, thoroughly and impartially investigate and report simultaneously to the Contracting Officer and COR any circumstances which indicate that a serious incident, as defined herein, has occurred. The COR will notify the OPM-SANG chain of command. Doubtful cases shall be resolved in favor of satisfying the investigation and reporting requirements specified herein.
- Initial notification shall be made within 2 hours of the incident. (An initial report shall be generated for each individual involved in the incident) Follow-up reporting shall be made every 12 hours after the initial report until it is determined that the incident is resolved. (A Follow-up report shall be generated for each individual involved in the incident) Initial notification shall include, at a minimum, the following information:
(1) Type of incidents/accidents, including but not limited to the following: Property Damage, Vehicular accidents, Theft, Personal Injury, Vandalism, Bombing, Kidnapping, Direct assault, employee arrest and or incarceration, etc. The Contractor shall require similar reporting requirement in all subcontracts.
(2) Date, Time and Location of incident. (Injured evacuated to where).
(3) Personnel Involved. (Name, Position, Duty Related, Injuries suffered, Casualties).
(4) Notifications. (Contractor chain of command, Host Nation authorities, US Embassy), as applicable.
(5) Actions of Host Nation Authorities, if applicable.
(6) Summary of current security status, if applicable Follow-up reporting shall include all pertinent information discovered within the 12 hour update period. Follow-up information shall be submitted in the same format as the initial report.
- Serious incidents are defined as, but not limited to, the following:
(1) Any incident which involves the investigation, arrest or incarceration of Contractor personnel by local or national Saudi Arabian law enforcement or security agencies.
(2) Any confrontation or altercation between Contractor personnel and or member(s) of the SANG, Kingdom of Saudi Arabia officials or Saudi Arabian Nationals.
(3) Any act by Contractor's personnel which may constitute a violation of Saudi Arabian or U.S. laws, other than minor traffic offenses.
(4) Any court action or judgment(s), EEO case, legal action, or claim which may affect the Modernization Program or relations between OPM and SANG or may affect program costs.
| 17_PRICE_GROUP: |
| ESTIMATED_TOTAL_PRICE: |
| G_PREPARED_BY: |
| H_DATE: |
| 1_APPROVED_BY: |
| J_DATE: |
| Page: 1 |
| reg38t: 2 |
| A_CONTRACT_LINE_ITEM_NO: XXXX |
| B_EXHIBIT: A |
| TDP: |
| TM: |
| OTHER: MGMT |
| DSYSTEMITEM: OPM CONUS Schools |
| E_CONTRACTPR_NO: #### |
| FCONTRACTOR: TBD |
| of_pages: 2 |
| Reset: |
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