Exhibit B Safety Data Sheet.pdf

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Attached to
Albany GA Mini MACC Federal contract opportunity
Solicitation number
N6945022R0068
Issued by
Department of the Navy Naval Facilities Engineering Command

About this file

This document contains an exhibit for a federal contract safety data sheet and information on a related federal contract opportunity. The safety data sheet exhibit requires offerors to provide insurance information and OSHA DART and Total Recordable Case rates for the past five years, as well as a two-page maximum safety narrative describing the offeror's safety management system, subcontractor evaluation and oversight processes.

The associated federal contract opportunity is a solicitation from the Naval Facilities Engineering Command for design-build and construction services under an Indefinite-Delivery Indefinite-Quantity Multiple Award Construction Contract at the Marine Corps Logistics Base in Albany, Georgia. Services include general construction, demolition, repair, and facility types such as administrative, industrial, warehouses and more. The NAICS code is 236220 and it is set aside for small businesses under $39.5 million. The solicitation will use a two-phase selection process to identify up to ten best-value offerors for phase two proposals. The government intends to award approximately five contracts from this solicitation ranging from $250,000 to $6 million task orders over a five year period not exceeding a total of $99 million.

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Text version

Revised 7 December 2011

SOURCE SELECTION SENSITIVE INFORMATION

DISCLOSURE LIMITATIONS AS OUTLINED IN FAR 2.101 & 3.104 APPLY

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. 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) Rates.

CY2021 CY2020 CY2019 CY2018 CY2017

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) Rates

CY2021 CY2020 CY2019 CY2018 CY2017

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:

DISCLOSURE LIMITATIONS AS OUTLINED IN FAR 2.101 & 3.104 APPLY

EXHIBIT B (Continuation)

SAFETY NARRATIVE

6. Technical Approach for Safety: Provide the Safety Narrative using this form. Do not exceed 2 single-sided 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.

DISCLOSURE LIMITATIONS AS OUTLINED IN FAR 2.101 & 3.104 APPLY

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 .