Exhibit B -Safety Data Sheet.docx
DOCX document 36 KB Posted
- Solicitation number
- N6945020R4502
About this file
This document contains a safety data sheet template and details of a federal contract opportunity for design-build and design-bid-build construction services. The safety data sheet requests safety information from offerors including experience modification rates, OSHA recordable incident rates, and a safety narrative plan for the past three years.
The federal contract opportunity is a multiple award construction contract solicitation from the Naval Facilities Engineering Command for design-build and design-bid-build construction projects totaling $249 million over five years. Services include general building construction, renovation, demolition and repair work for aviation, marine, barracks and other facilities in Texas, Louisiana, Mississippi and Tennessee. Evaluation will use a two-phase best value tradeoff process, with the selected phase two offerors submitting proposals for a seed project, and the best value proposal receiving an IDIQ award and seed project task order while the other six receive IDIQs with $1,000 minimum guarantees.
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Other files
| File | Type | Posted |
|---|---|---|
| Exhibit D - ProjNet_How _to_Guide.pdf | ||
| Exhibit A -Construction and Design Experience.docx | DOCX document | |
| N69450-20-R-4502.pdf | ||
| Exhibit C - NAVFAC USACE PPQ.docx | DOCX document |
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Text version
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): |
| 2019 |
| 2018 |
| 2017 |
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 |
| 2019 |
| 2018 |
| 2017 |
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 |
| 2019 |
| 2018 |
| 2017 |
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
7. 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 .