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This document contains a safety data sheet template and information on a federal indefinite delivery indefinite quantity multiple award construction contract solicitation. The safety data sheet template requires offerors to provide safety ratings and narratives for the previous three years, including experience modification rates, days away from work rates, and total recordable case rates. It also requests descriptions of plans for evaluating and monitoring safety performance of subcontractors.

The construction contract solicitation is being conducted by the Naval Facilities Engineering Command Southeast to award approximately five indefinite delivery indefinite quantity multiple award contracts for general building projects totaling no more than $900 million over five years. Task orders will typically range from $20-100 million and include new construction, renovation, alteration, demolition and repair work on administrative, training, maintenance and retail facilities. Both design-build and design-bid-build project delivery methods may be used.

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Exhibit B

SAFETY DATA SHEET

This form is to be completed by the Offeror. Use this form to provide safety information for the Safety factor. EMR, 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):

Offeror’s Three 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.

2. Experience Modification Rate (EMR):
2017
2016
2015

2a. Explain any extenuating circumstances resulting in any EMRs greater than 1.0:

2b. Explain any upward or downward EMR trends:

2c. If you do not have an EMR for a given year, state so here and explain why:

3. Insurance Carrier Information:

Insurance Carrier Name:

Agent’s name:
Phone No.:
Email:
4. U.S. Dept. of Labor, OSHA Days Away from Work, Restricted Duty, or Job Transfer (DART) Rate
2017
2016
2015

4a. Explain any extenuating circumstances resulting in any DART Rates of 3.0 or greater:

4b. Explain any upward or downward DART Rate trends:

4c. If you do not have a DART Rate for a given year, state so here and explain why:

5. Total Recordable Case (TRC) Rate
2017
2016
2015

5a. Explain any extenuating circumstances resulting in any TRC Rates of 4.5 or greater:

5b. Explain any upward or downward TRC Rate trends:

5c. If you do not have a DART Rate for a given year, state so here and explain why:

Exhibit B (Continuation)

SAFETY NARRATIVE

6. Technical Approach for Safety: Provide the Safety Narrative using this form. Do not exceed 2 pages. Any additional pages will not be considered.

Describe the plan that the Offeror will implement to evaluate safety performance of potential subcontractors, as a part of the selection process for all levels of subcontractors:

Describe any innovative methods that the Offeror will employ to ensure and monitor safe work practices at all subcontractor levels:

File details come from the government source that posted it. Updated .