Attch 3 CDRL A011 Sys Safety Pgm Plan Draftv2.pdf
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- Solicitation number
- FA461027R0001
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PREVIOUS EDITION MAY BE USED.
DD FORM 1423, FEB 2024
Page of (Updated 20250617)
INSTRUCTIONS FOR COMPLETING DD FORM 1423
(See DoDM 5010.12 for detailed instructions.)
DD FORM 1423, FEB 2024
Page of (Updated 20250617)
CONTRACT DATA REQUIREMENTS LIST
C. CATEGORY:
14. DISTRIBUTION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES Draft Final Reg Repro
16. REMARKS
14. DISTRIBUTION
15.TOTAL
Image of arrow pointing towards totals
FOR GOVERNMENT PERSONNEL
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package; TM - Technical Manual; Other - other category of data, such as "Provisioning," "Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support (e.g., Mission Design Series (MDS) designator).
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Name of preparer of CDRL.
Item H. Date CDRL was prepared and signature of preparer of CDRL.
Item I. Name of CDRL approval authority.
Item J. Date CDRL was approved and signature of CDRL approval authority.
Item 1. See DFARS Subpart 204.71 for proper numbering. To add or delete additional data items, point and click the plus or minus sign to the right of Block J.
Item 2. Enter title as it appears on data acquisition document cited in Item 4.
Item 3. Enter subtitle of data item for further definition of data item (optional entry).
Item 4. Identify only one Data Acquisition Document No. If a single work task generates more than one deliverable data product, prepare a separate data item for each deliverable data product.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work/Performance Work Statement paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data and computer software, specify the contractor's requirement to mark the appropriate distribution statement on the technical data or computer software (ref. DoDI 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.
Item 15. Enter total number of draft/final copies to be delivered.
Item 16. Use for additional/clarifying information for Items 1 through 15. Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14; Desired medium for delivery of the data item.
Identify for which data item additional remarks are provided. When tailoring the Data Acquisition Document invoked in Item 4, identify which portions of that Document are being tailored.
Identify any referenced attachments to the form. Attachments can be added using the button at the bottom of page 1.
FOR THE CONTRACTOR
Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.
Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.
These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government’s rights to use the data shall be governed by the pertinent provisions of the contract.
9.0.0.2.20120627.2.874785 DD Form 1423, "Contract Data Requirements List"
| CurrentPage: |
| PageCount: |
| Select Classification from drop-down list.: 1 |
| CUI Indicator Information: |
| Click on this button to attach a file(s).: |
| A. CONTRACT LINE ITEM NUMBER: |
| exhibit: |
| C. CATEGORY: Select for "TDP.": 0 |
| C. CATEGORY: Select for "TM.": 0 |
| C. CATEGORY: Select for "OTHER.": 1 |
| C. CATEGORY: Enter specification for "Other.": MISC |
| System: |
| ContractNum: |
| Contractor: |
| 1. DATA ITEM NUMBER: A011 |
| titleDataItem: System Safety Program Plan |
| subtitle: System Safety Program Plan |
| 4. AUTHORITY (Data Acquisition Document Number): N/A |
| contractRef: PWS 2.7.1 |
| reqOffice: SLD 30/SEAL |
| 7. DD 250 REQUIREMENT: NO |
| 8. APPROVAL CODE : A |
| 9. DISTRIBUTION STATEMENT REQUIRED: D |
| freq: ONE/R |
| asOfDate: N/A |
| dateFirstSub: 30 DAC |
| dateSubseqSub: ASREQ |
| 16. REMARKS: Block 4: Contractor format compatible with USG information system is acceptable. |
-Provide a Systems Safety Plan describing safety processes and procedures for IAW SSCMAN91-710 Volume 1, Ch. 2 Requirement 2.5.2 System Safety Program and referencing Volume 1 Attachment 3 System Safety Program Requirements.
(Reference information and templates can be found at: https://www.vandenberg.spaceforce.mil/Range/RangeSafety/)
Provide a System Safety Program Plan that describes the contractor’s safety organization, processes, procedures, hazard analysis approach, risk assessment and acceptance process, and interfaces with Range Safety in accordance with SSCMAN 91-710. In addition, the contractor shall:
-Prepare detailed procedures for operation and maintenance of hazardous and safety-critical systems and submit these procedures (and any subsequent changes) to SLD 30/SEAL for review and approval.
-Prepare crane lift plans for all hazardous, mission essential equipment, and items requiring dual crane lifts, and submit these lift plans to SLD 30/SEAL for review and approval IAW SSCMAN 91-710.
Block 8: Draft due 30 calendar days after contract award (30 DAC). The Government will have thirty (30) calendar days to review the initial submission and provide comments. If USG comments are not received within this period, the contractor shall request guidance from the SLD 30/PM for disposition. The Contractor shall address all comments and submit the final version within fourteen (14) calendar days of receiving Government feedback.
Block 13: Updates required when a significant change to safety processes is implemented as determined by the Contractor or the Government.
Block 14a: All submissions in electronic format ONLY shall be delivered via e-mail to: SLD30.PM.FRAME@spaceforce.mil, SLD30SEAL@spaceforce.mil and SLD30SE@spaceforce.mil.
Technical data. Delivered with Unlimited Rights in accordance with PWS paragraph 2.4.6 unless a properly justified assertion of lesser rights is accepted by the Government.
| Click to add continuation field for Remarks: |
| 14. DISTRIBUTION - a. ADDRESSEE, new line: SLD 30/SEAL |
| 14. DISTRIBUTION - a. ADDRESSEE, new line: SLD 30/PM |
| 14. DISTRIBUTION - a. ADDRESSEE, new line: SLD 30/SE |
| 15.TOTAL - Total draft copies is automatically calculated.: 1 |
| 15.TOTAL - Total draft copies is automatically calculated.: 1 |
| 15.TOTAL - Total draft copies is automatically calculated.: 1 |
| 15.TOTAL - Total draft copies is automatically calculated.: 3 |
| 15.TOTAL - Total final regular copies is automatically calculated.: 1 |
| 15.TOTAL - Total final regular copies is automatically calculated.: 1 |
| 15.TOTAL - Total final regular copies is automatically calculated.: 1 |
| 15.TOTAL - Total final regular copies is automatically calculated.: 3 |
| 15.TOTAL - Total final reproducible copies is automatically calculated.: 0 |
| priceGrp: |
| estTotalPrice: |
| remarks: |
| preparedBy: |
| J. SIGNATURE: H. SIGNATURE |
| J. SIGNATURE: J. SIGNATURE |
| J. SIGNATURE: |
| approvedBy: |
| Click to add additional data items.: |
| Click to delete additional data items.: |
File details come from the government source that posted it. Updated .