Appendix_L_Slide_Show__30July13_(2).pdf

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Attached to
Replace Chiller Pumps & Piping Bldg 4196 Federal contract opportunity
Solicitation number
FA301618R0068
Issued by
Department of the Air Force Air Education and Training Command

About this file

Appendix L - GC HazMat Usage Report (SDS)

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Other files for this federal contract opportunity

Other files attached to Replace Chiller Pumps & Piping Bldg 4196, newest first.
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Amendment_0003_22_Aug_18.pdf PDF
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Text version

pwc

Contractor Requirements for

Hazardous Material Usage

502 CES Environmental

Hazardous Material (HAZMAT)

Management http://en.wikipedia.org/wiki/File:United_States_Department_of_Defense_Seal.svg http://en.wikipedia.org/wiki/File:United_States_Department_of_Defense_Seal.svg

Develop America's Airmen Today ... for Tomorrow

The First Command

Contractor HAZMAT Usage

Requirements

• Required by:

Federal Acquisition Regulation (FAR) Clause 52.223-3 Contractors are required to list and provide the Safety Data Sheets (SDSs) for any hazardous materials to be delivered under the contract.

AFI 32-7086, Hazardous Materials Management. Provides the

Installation Hazardous Management Program the authority to provide Air

Force Installations with a standard way to manage HAZMAT.

AFI 32-7086 AETCSUP I Hazardous Material Management.

Contractors are required to provide the Contracting Office with the list of proposed hazardous materials and supporting documentation necessary to obtain HAZMAT usage information.

• Coordination and Reporting:

Coordinate hazardous material usage reporting through the Contracting

Officer (CO)

Report all hazardous material with supporting documentation prior to delivery for usage on the project (i.e., before the hazardous material is brought onto the installation).

AFI – Air Force Instruction

AETC – Air Education Training Command Sup – Supplement

JBSA Contractor Hazardous Materials Usage Report Contractor Instructions:

1. List any hazardous material and supporting documentation on the HAZARDOUS MATERIAL USAGE REPORT and provide a copy of the manufacturer-specific Safety Data Sheet (SDS) (formerly MSDS) prior to delivery for usage on the project (i.e., before the hazardous material is brought onto the installation).

2. Submit the completed Usage Report attached to the Contracting Officer (CO) Material Approval Form (AF Form 3000). Attach a

Compact Disc (CD) with a copy of the Usage Report (formatted in Microsoft Word or Excel and the manufacturer SDSs

[formatted in Adobe Portable Document Format (pdf)].

3. Submit the Form 3000 and Usage Report (with SDSs) to the CO by the 10 th work day of each month. If there is a change or new material is added after the monthly report is submitted, then submit an updated Usage Report (with SDSs) no later than the same work day that the material is received on the installation.

Note: Hazardous Material is defined in Federal Acquisition Regulation (FAR) Clause 52.223-3 and the AF Instruction 32-7086

Contract Number:______________________________

Project Name: _________________________________________

Date of Report (Ex: 10Jun 2012):_______________________

Reporting Period (Ex: 10Jun2012 -30Jun2012):

Project Address: ________________________________________

Project Building #:_______________________________________

HAZMAT Location Address/Building# (if different from project):_______________________________________________

Contract Start Date: _______________________________

Contract End Date (Original date)____________________

Modified End Date (If Applicable):___________________

Contractor Business Name:___________________________________________________________________________________

Contractor POC for obtaining Hazardous Materials information Name: ________________________________________________

Phone:___________________________ Email: _________________________________

JBSA CO Name:________________________ Phone #:______________ Email:______________________________________

JBSA Shop Code(if known):_________________ Comments:____________________________________

Ref #

Process

(Brief description of the work being performed.)

Manufacturer

Name

Safety Data Sheet

(SDS) Manufacturer

Trade Name

Package

Part # or

Order #

Type of

Container

(e.g., drum, glass bottle, aerosol can, tube)

Size of

Containe r (e.g., oz, gal, lbs, volts)

Total Quantity brought on

Installation during reporting period

EESOH MSN (to be added by

JBSA HAZMAT

MGR)

Example: Cleaning Furniture in Bldg

S.C. Johnson & Son, Inc.

PLEDGE® Furniture Polish Revitalizing

Oil 498940

Trigger Spray Plastic bottle

16 fl oz.

1 case with 12 containers per case (total of

12)

(7930-01-381- 3491)

1.

HAZMAT USAGE REPORT

JBSA

completes this column

Example: Safety Data Sheet (formerly MSDS)

Manufacturer

Name Manufacturer

Trade Name

Note: Please ensure all SDSs are manufacturer specific. Generic

SDSs are not allowed in the AF

HAZMAT

database.

Example: Product Code and

Container

Type of Container

Package part # or order # Size on Product label

Container Size on Product label

Example: Quantity Delivered

Total Quantity delivered

(i.e., brought on the

Installation) during reporting period

Example: 1 box with 12 containers per box (total of

12)

Submit to Contracting Officer (CO)

• Submit the following to the CO by the 10th work day of each month:

Material Approval Form (AF Form 3000)

Hazardous Material Usage Report

Compact Disc (CD) with a copy of the completed form (formatted in

Microsoft Word© or Excel©) and copies of the manufacturer SDSs

[formatted in Adobe© Portable Document Format (pdf)]

• If there is a change or new material is added after the monthly report is submitted then:

• Submit an updated Usage Report (with SDSs) no later than the same work day that the material is received on the installation

Questions

JBSA-FSH HAZMAT Management Team:

Monica Scott, 808-6333, monica.scott@cn-bus.com

Melanie Berry, 808-6280, melanie.d.berry.ctr@mail.mil

Fred Fisher, 808-6333, fisher_fred@bah.com mailto:monica.scott@cn-bus.com mailto:melanie.d.berry.ctr@mail.mil

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