J-0200000 Management and Administration - CPAF 11-23-2021.docx

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DRAFT RFP for Base Operations Support (BOS) Services at Naval Support Facility (NSF) Redzikowo, Poland
Solicitation number
N62470-21-R-0002
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SECTION J

DOCUMENTS, EXHIBITS, AND OTHER ATTACHMENTS

TABLE OF CONTENTS

ATTACHMENT NUMBER

ATTACHMENT TITLE

J-0200000-01
DEFINITIONS AND ACRONYMS
J-0200000-02
DIRECTIVES, INSTRUCTIONS, AND REFERENCES
J-0200000-03
FORMS
J-0200000-04
GOVERNMENT-FURNISHED PROPERTY, MATERIALS, AND SERVICES
J-0200000-05
SERVICE PROVIDER INFORMATION
J-0200000-06
ASSET INFORMATION
J-0200000-07
ASSET SPECIFICATION
J-0200000-08
CHARACTERISTIC METER READINGS
J-0200000-09
NAVFAC MAXIMO DATA REPORTING
J-0200000-10
NAVFAC MAXIMO SYSTEM ACCESS PROCEDURES
J-0200000-11
INSTALLATION SPILL PREVENTION AND RESPONSE PLAN
J-0200000-12
CONTRACTOR HAZARDOUS MATERIAL INVENTORY LOG
J-0200000-13
EXHIBIT LINE ITEM NUMBERS

ATTACHMENT J-0200000-01

DEFINITIONS AND ACRONYMS

Definition
Description
Assessment
A general term referring to either a survey or inspection of a facility to determine condition.
Asset
A general term used to refer to an item, such as a component, system, building or facility, which is managed by an automated data management program.
Competent Person
A person who has the professional experience and training necessary to identify existing and predictable hazards at a work or service environment, and who has the authority to take prompt and corrective action to eliminate or remove dangers from the environment.

One who can identify existing and predictable hazards in the working environment or working conditions that are dangerous to personnel and who has authorization to take prompt corrective measures to eliminate them.

Component Inventory Management Unit (CIMU)
An organization of like-kind real property into manageable maintenance units. CIMU is a building component, group of components or component assemblies, serving a specific purpose in a facility that can be expected to follow a common and predictable lifecycle behavior. This class of non-equipment will include items such as exterior walls, exterior windows, interior finish, and roofs. This class of equipment will include items such as fan coil units, air handling units, lighting, and water closets. CIMUs can include one or more items of installed equipment typically subject to routine scheduled maintenance.
Confined Work Space
A space that is large enough and so configured that a person may bodily enter a space (such as in tanks, vessels, silos, storage bins, hoppers, vaults, pits, and like spaces where there is limited means of entry) and is hindered or restricted from escaping during an emergency.
Contracting Officer (KO)
That individual with the authority to enter into, administer, and/or terminate contracts and make related determinations and findings. The term includes certain authorized representatives of the Contracting Officer acting within the limits of their authority as delegated by the Contracting Officer.
Contracting Officer’s Representative (COR)
The individual appointed by the KO responsible for monitoring the Contractor’s technical compliance and progress, relative to assigned contract(s)/orders(s), based on the contract requirements specified in the PWS and in accordance with the PAP. The COR performs a variety of contract administration duties that includes oversight of PA, documenting and rating Contractor performance, reviewing invoices, and acceptance of work. Assignment as a COR is a collateral duty typically performed by the FSCM or SPAR.
Contractor
That entity or its representative responsible for the delivery of the services or materials specified in this contract, as designated by contract award. The term Contractor as used herein refers to both the prime Contractor and any subcontractors. The prime Contractor shall insure that subcontractors comply with the provision of this contract.
Contractor Representative
That individual appointed by the Contractor, either orally or in writing, who has been assigned responsibility for executing the requirements of this contract.
Crane, Category 1
Portal cranes, Hammerhead cranes, Locomotive cranes, Derricks, Floating cranes (YD), Tower cranes, Container cranes, Mobile cranes (except those indicated as category 4), including truck, cruiser, crawler, warehouse/industrial cranes, and cranes used for dragline, pile driving, clamshell, magnet, bucket work, and Aircraft crash cranes.
Crane, Category 2 & 3
Cranes with rated capacities of 20,000 pounds or greater are category 2. Examples are Overhead traveling cranes, Gantry cranes (rail mounted), Wall cranes, Jib cranes, Pillar cranes, Pillar jib cranes, Monorails and associated hoists, Fixed hoists including chain falls. Pedestal mounted commercial boom assemblies (fixed length, telescoping, and articulating types) attached to stake trucks, trailers, flatbeds, or railcars, or stationary mounted to piers, etc., with OEM rated capacities less than 2,000 pounds.
Crane, Category 4
Commercial truck mounted cranes, Truck mounted articulating boom cranes, Pedestal mounted commercial boom assemblies (fixed length, telescoping, and articulating types) attached to stake trucks, trailers, flatbeds, or railcars, or stationary mounted to piers, etc., with OEM rated capacities of 2,000 pounds and greater. Commercial truck mounted cranes and truck mounted articulating boom cranes with OEM capacities of 2,000 pounds and greater require a licensed operator even if the cranes are down rated below 2,000 pounds capacity for administrative purposes.
Direct Material Costs
The actual vendor invoice charges for materials used for performance of work under this contract. Direct material costs shall include transportation charges when such charges are included on the invoice by the vendor, as well as any discounts allowed for prompt payment and discounts or rebates for core value or salvage value that accrue to the Contractor. When questions arise concerning the cost of materials, material costs will be based on the lowest of quotes provided by the Contractor from at least three different commercial vendors for the direct material cost. The Government retains the right to obtain additional quotes in questionable situations. The lowest price will be used.
Electronic Operation And Maintenance And Support Information (eOMSI)
A set of consultant-prepared data and document files that contain detailed, as-built technical information that describes the efficient, economical and safe operation, maintenance and repair of a facility, plant, equipment or system throughout its life cycle. Generally it is prepared during construction and submitted upon completion of a new facility or major facility upgrade. eOMSI’s typically include asset information, staffing and budgeting information, supply support including critical spare parts, operating procedures, troubleshooting and diagnostic guides, extended warranty data, maintenance task frequencies and documentation, technical data, repair procedures and manufacturer’s product data. eOMSI data and document files are provided in electronic formats.
Equipment
Tangible asset that is functionally complete for its intended purpose, durable, and non-expendable.
Facility
A building or structure designed and created to serve a particular function.
Fixed Burden Rate (FBR)
The additional costs (expressed in percent of direct material cost) for ordering, handling, and stockpiling materials and repair parts. For example, if the offeror's Fixed Burden Rate for materials in the Base Period is 10% then:

$100,000.00 + ($100,000.00 x 10%) = $110,000.00

The Government will compensate the Contractor for the required parts and materials and not the total amount shown in Schedule of Indefinite Delivery Indefinite Quantity Work.

Frequency Of Service
Annual (A). Services performed once during each 12-month period of the contract at intervals of 335 to 395 days.

Biennial (B). Services performed once during each 24-month period of the contract at internals of 670 to 790 days.

Daily (D5). Services performed once each calendar day, Monday through Friday, including holidays unless otherwise noted.

Daily (D7). Services performed once each calendar day, seven days per week, including weekends and holidays.

Monthly (M). Services performed 12 times during each 12-month period of the contract at intervals of 28 to 31 calendar days.

Quarterly (Q). Services performed four times during each 12-month period of the contract at intervals of 80 to 100 calendar days.

Semiannual (SA). Services performed twice during each 12-month period of the contract at intervals of 160 to 200 calendar days.

Semimonthly (SM). Services performed 24 times during each 12-month period of the contract at intervals of 14 to 16 calendar days.

Three times weekly (3W). Services performed three times a week, such as Monday, Wednesday, and Friday.

Twice weekly (2W). Services performed twice a week, such as Monday and Thursday or Tuesday and Friday.

Weekly (W). Services performed 52 times during each 12-month period of the contract at intervals of six to eight calendar days.

Government Furnished Property (GFP)
Property in the possession of, or directly acquired by, the Government and subsequently furnished to the contractor for performance of a contract. Government furnished property includes, but is not limited to, spares and property furnished for repairs, maintenance, overhaul, or modification. Government furnished property also includes contractor acquired property if the contractor acquired property is a deliverable under a cost contract when accepted by the Government for continued use under the contract.
Hazardous Material (HM)
A material that because of its quality, concentration, physical, chemical or infectious nature may pose a threat to human health or the environment if released or spilled into the environment or any material designated by the Department of Transportation (DOT) or any materials that require a SDS form as posing a potential threat while being transported. Hazardous materials are listed in 49 CFR Part 172.
Hazardous Waste (HW)
Any discarded solid waste (liquid, semi-solid, solid, or gaseous) that meets the definition of a hazardous waste by USEPA, state authorities, or the Navy. In accordance with RCRA, a solid waste is a listed hazardous waste if it is specifically listed, or it is a characteristic hazardous waste if it exhibits the characteristics of ignitability, corrosivity, reactivity, or toxicity.
Hazardous Waste Management Plan
In accordance with OPNAVINST 5090.1C, every Navy shore activity that generates HW shall develop and use a Hazardous Waste Management Plan or a Hazardous Waste management component in its P2 Plan and EMS. A Hazardous Waste Management Plan shall:
•Identify applicable federal, state, and local regulations pertaining to the generation and management of hazardous waste.
•Identify training requirements and describe procedures for obtaining training and maintaining training records.
•Assign responsibilities for the generation, designation, handling, storage, treatment, disposal, and all documentation.
•Describe all hazardous waste generation and management procedures.
•Include or reference the hazardous waste minimization plan and goals.
•Include or reference contingency plans and emergency response procedures.

The plan shall be kept up to date to include changes in hazardous waste generation and management procedures, as well as changes in applicable federal, state, and local hazardous waste regulations. The plan shall include or reference minimization procedures sufficient to achieve DOD minimization goals. Tenant activities are covered by the host CO's Hazardous Waste Management Plan.

Hazardous Waste Manifest
A hazardous waste manifest as defined in 40 CFR 260 is required for the transport of hazardous waste. The installation commanding officer (ICO) or the ICO’s designated representative shall retain signature authority for hazardous waste manifests.
Infrastructure Condition Assessment Program (ICAP)
A Navy automated data management program that utilizes historical asset lifecycle data and a structured assessment process to evaluate the condition facilities and their components.
Inspection
A rigorous, detailed assessment of the condition of a facility performed to generate a fundable scope and cost estimate for prioritization and funding of maintenance and repair.
Job or Work Order
An authorization for work that requires planning and estimating and has an individual line of accounting for financial and performance evaluation.
Life-Cycle Costs
A form of economic analysis that considers the total cost of owning, operating, and maintaining a building or system over its useful life.
Less-than-90-day Accumulation Areas or Storage Facilities
Temporary HW storage areas where HW may be stored for up to 90 days without a RCRA permit.
Maintenance And Repair
The preservation or restoration of a piece of equipment, system, or facility to such condition that it may be effectively used for its designated purposes. Maintenance/repair may be adjustment, overhaul, reprocessing, or replacement of constituent parts or materials that are missing or have deteriorated by action of the elements or usage, or replacement of the entire unit or system if beyond economical repair.
NAVFAC MAXIMO
A specially configured software version of MAXIMO®, a commercially available computerized maintenance management system (CMMS), adopted by NAVFAC for enterprise facility asset data management. The terms “MAXIMO”, “NAVFAC MAXIMO” or “Government’s MAXIMO” shall be used interchangeably in the document.
Non-RCRA Regulated Waste
Waste that is not regulated as a hazardous waste under RCRA; however, is waste may be regulated by other federal, state or local regulations including but not limited to TSCA, Clean Air Act, Clean Water Act or other regulations and statues. Examples include Used Oil, Universal Waste, Oily Water, antifreeze, etc.

Non-RCRA regulated waste (while not meeting the definition of a Hazardous Waste) must be managed according to its applicable regulations and may not be discarded into the general trash.

Non-Regulated Solid Waste (Debris and Rubbish)
Waste not associated with an industrial process such as refuse and scraps resulting from preparation, cooking, dispensing, and consumption of food. Non-hazardous construction and demolition wastes such as dimension and non-dimension lumber, plywood, chipboard, and hardboard are included.
Partnering
The terms “partnering” and “partnership” used herein shall mean a relationship of open communication and close cooperation that involves both Government and Contractor personnel working together for the purpose of establishing a mutually beneficial, proactive, cooperative environment within which to achieve contract objectives and resolve issues and implementing actions as required.
Performance Assessment
A method used by the Government to provide some measure of control over the quality of purchased goods and services received.
Performance Assessment Representative (PAR)
The individual(s) assigned as a Technical Point of Contact (TPOC) / Subject Matter Expert (SME) to the COR to perform duties as the on-site representative who assesses Contractor performance. The PAR periodically observes Contractor performance, reviews delivered services, reviews quality management corrective actions, periodically assesses and documents Contractor performance on PAWs and the MPAS, and communicates findings as necessary with the Contractor, SPAR, and COR.
Pre-Expended Bin Materials And Supplies
The minor materials and supplies that are incidental to the job, for which the total direct cost of any one material line item shown on the material estimate is $10.00 or less. Examples of pre-expended bin materials and supplies include, but are not limited to, solder, lead, flux, electrical connectors, electrical tape, fuses, nails, screws, bolts, nuts, washers, spacers, masking tape, sand paper, solvent, cleaners, lubricants, grease, oil, rags, mops, glue, epoxy, spackling compound, joint tape, plumbers tape and compound, clips, welding rods, and touch up paint.
Property Administrator
An authorized representative of the Contracting Officer who is responsible for administering contract property requirements, terms and conditions of the contract
Property Management Program
A Government program established for the purpose of reviewing and approving the Contractor’s Property Management Plan and System through performance of a system analysis whenever government property is in the possession of the Contractor.
Quality Assurance (QA)
The planned and systematic activities implemented in a quality system so that quality requirements for a product or service will be fulfilled.
Quality Control (QC)
The observation techniques and activities used to fulfill requirements for quality.
R. S. Means
A data collection and organization system developed by R. S. Means Company which can be used to prepare accurate, dependable construction estimates and budgets in a variety of ways. The Contractor shall use the latest edition. Material prices are based on a national average and computed labor costs are based on a 30-city national average. An estimate prepared using this data is called a "Means estimate"; data may simply be referred to as "Means".
Real Propery
Land and improvements to land (i.e., facilities). It includes equipment affixed and built into the facility as an integral part of the facility (such as heating systems), but not movable equipment (e.g., plant equipment, industrial equipment, buoys).
Real Property Inventory Equipment (RPIE)
A Government owned or leased individual pieces of equipment, apparatus, or fixture that are essential to the function of the real property (i.e. plumbing, electrical, heating, cooling and elevators). It is physically attached to, integrated into, and built in or on the property.

Individual RPIE’s can be combined to make a CIMU to facilitate facilities management. An individual RPIE can also be a CIMU if the equipment is complex enough to require its own management planning.

Regulated Waste
Any hazardous, non-hazardous, industrial process waste (aka special waste), e-waste, and/or off-specification HM, which because of its physical characteristics, chemical make-up or biological nature requires either special handling procedures and permitting, or poses an unusual threat to human health, equipment, property, or the environment. Examples include (but are not limited to) liquid sludge, pastes, and/or filter cakes, chemical compounds and/or petroleum products, fine powders or highly dusty materials, spent blast media and/or grit, demolition wastes from industrial facilities, debris and/or residues from spill cleanup work, underground storage tank remediation materials, pollution control wastes, ash from fires, furnaces, boilers or incinerators, off-specification products, other materials that have the potential to be a hazardous waste. All RW may be used or unused excess hazardous materials. Laboratory analysis may be required to verify the waste is not a RCRA-regulated hazardous waste.
Response Time
The time allowed the Contractor after initial notification of a work requirement to be physically on the premises at the work site with appropriate personnel, tools, equipment, and materials, ready to perform the work required.
Restoration
Restoration of real property to such a condition that it can be used for its intended purpose. Includes repair or replacement work to restore facilities damaged by inadequate sustainment, excessive age, natural disaster, fire, accident or other causes.
Sampling Plan
Plan and procedures to conduct sampling, field testing and laboratory analysis for a defined testing objective.
Satellite Accumulation Areas
Designated approved areas, at or near the point of generation and under the control of the operator generating the waste, where no more than 55 gallons (cumulative total) of all types of HW or 1 quart of acutely HW may be accumulated. The 55-gallon limit does not include non RCRA regulated waste, universal waste and used oil etc.
Spill Prevention Control and Countermeasure (SPCC) Plan
The SPCC Plan establishes engineering controls including procedures, methods, equipment and other requirements to prevent the discharge of oil into or upon navigable waters. The Plan includes procedures for oil spill prevention, measures to contain spills and an established spill drill exercises to ensure effective countermeasures in the event of oil spill.
Sustainment
Maintenance and repair activities necessary to keep a typical inventory of facilities in “normal working condition”. Sustainment includes regularly scheduled maintenance as well as cyclical major repairs or replacement of components that occur periodically over the expected service life of the facilities.
System
An assemblage of mechanically and/or electrically interlocked parts, equipment and/or components forming a unitary whole.
Unit Priced Labor (UPL) Hour
The unit price bid by the Contractor to perform one hour of work-in-place. With the exception of direct material and construction equipment costs, the unit price includes all indirect and direct costs associated with performing work. The price includes the Contractor’s hourly composite trade wage, adjusted to allow for workforce productivity; costs for pre-expended bin materials, union agreements, crew sizes, hand tools, payroll burdens and fringes, overtime, job (field) overhead (including clerical support, supervision, inspection, fees, taxes, licenses, permits, and insurance), general and administrative (home office) overhead, and profit. Additionally, time for job preparation, safety standby personnel, and similar indirect labor elements are included.
Uniformat Classification
A standard classification of building components established by the National Institute of Standards and Technology.
Universal Equipment
Universal equipment refers to equipment that can cover two or more industries and is commercially employed in execution of operation, maintenance, and repair work, such as: Aerial Work Platforms, Backhoes, Cranes, Dump Trucks, Excavators, Generators, Graders, Lifts, Loaders, Man Lifts, Monitoring and Test Equipment, Pumps, Tractors, Trailers, etc.
Universal Waste (UW)
Universal Waste (UW) (defined in 40 CFR Part 273) means batteries, fluorescent lamps, some pesticides, and mercury-containing equipment formally classified as a HW, but that are now subject to less stringent regulations, when recycled if recycling is available.
Utility Infrastructure Condition Assessment Program (UICAP)
A comprehensive assessment processes for planning, managing, and executing Navy utility infrastructure inspections.

ATTACHMENT J-0200000-01

DEFINITIONS AND ACRONYMS

Acronym
Title
ACO
Administrative Contracting Officer
AFFF
Aqueous Film Forming Foam
BFR
Basic Facility Requirements
BW
Biweekly
CBMM
Condition Based Maintenance Management Program
CDR
Contract Discrepancy Report
CIA
Controlled Industrial Area
CIMU
Component Inventory Management Unit
CMMS
Computerized Maintenance Management System
CNSSI
Committee on National Security Systems Instruction
COR
Contracting Officer Representative
COR
Condition of Readiness
DBH
Diameter at Breast Height
DCR
Direct Condition Rating
DoD
Department of Defense
DoDI
Department of Defense Instruction
DoN
Department of Navy
DRMO
Defense Reutilization Management Office
EPA
Environmental Protection Agency
EPCRA
Emergency Planning and Community Right-to-Know Act
FAR
Federal Acquisition Regulation
FFP
Firm Fixed Price
FIFRA
Federal Insecticide, Fungicide, and Rodenticide Act
FSC
Facility Support Contract
FSCM
Facility Support Contract Manager
GIS
Geospatial Information System
GFE
Government-furnished Equipment
GFF
Government-furnished Facilities
GFM
Government-furnished Materials
HCA
Head Contracting Agency
ICAP
Infrastructure Condition Assessment Program
ICP
Integrated Contingency Plan
IDIQ
Indefinite Delivery Indefinite Quantity
iNFADS
Internet Navy Facilities Asst Data Store
IPM
Integrated Pest Management
IPMIS
Integrated Pest Management Information System
IPMP
Integrated Pest Management Plan
KO
Contracting Officer
LAN
Local Area Network
M
Monthly
MAP
Maintenance Action Plan
MDI
Mission Dependency Index
MEP
Mechanical, Electrical and Plumbing
MILCON
Military Construction
MPAS
Monthly Performance Assessment Summary
MRI
Mission Readiness Index
MSDS
Material Safety Data Sheets
NAVFAC
Naval Facilities Engineering Command
NIST
National Institute of Standards and Technology
NIST SP
National Institute of Standards and Technology Special Publication
NMCI
Navy Marine Corps Intranet
NOSC
Navy-On-Scene Coordinator
PAP
Performance Assessment Plan
PAR
Performance Assessment Representative
PAW
Performance Assessment Worksheet
PEO
Program Executive Officer
PM
Project Manager
PM
Planned Maintenance or Preventative Maintenance
POAM
Plan of Action and Milestones
PRCSP
Permit Required Confined Space Program
PWS
Performance Work Statement
PWO
Public Works Officer
Q
Quarterly
QC
Quality Control
RSIP
Regional Shore Infrastructure Plan
RPIE
Real Property Inventory Equipment
RSL
Remaining Service Life
SC
Security Clearances
SM
Semimonthly
SPAR
Senior Performance Assessment Representative
TE
Technical Exhibit
VIQ
Variation in Quantity
WBS
Work Breakdown Structure

ATTACHMENT J-0200000-02

DIRECTIVES, INSTRUCTIONS, AND REFERENCES

Reference
Title
CNSSI 1253
Security Categorization and Control Selection for National Security Systems
DoD Directive 5200.2
DoD Personnel Security Program (PSP)
DoDI 8582.01
Security of Unclassified DoD Information on Non-DoD Information Systems
DODD 6055.9
DoD Explosives Safety Management and the DoD Explosives Safety Board
EM 385-1-1
U.S. Army Corps of Engineers Safety and Health Requirements
NAVFACINST 4161.1
Accountability, Tracking, and Management of Government-Furnished Property
NAVFACINST 11010.45
Regional Planning Instruction (Site Approval Process)
NAVFAC P-78
Real Property Inventory Procedures Manual
NIST SP 800-171 Revision 1
Protecting Controlled Unclassified Information in Nonfederal Information Systems and Organizations
NIST SP 800-53
Security and Privacy Controls for Federal Information Systems and Organizations
OPNAVINST 11000.16
Command Responsibility for Shore Activity Land and Facilities
OPNAVINST 11010.20
Navy Facilities Projects
OPNAVINST 11011.10
Utilization of Navy Real Property
P.L. 91-596
Occupational Safety and Health Act
SECNAVINST 11011.47
Acquisition, Management, and Disposal of Real Property and Real Property Interests by the Department of the Navy
UFC 2-000-5N
Facility Planning Criteria for Navy/Marine Corps Shore Installations
UFC 3-560-01
Operation and Maintenance: Electrical Safety

ATTACHMENT J-0200000-03

FORMS

ATTACHMENT "A"

CONTRACTOR CRANE OPERATING CHECKLIST FOR CRITICAL LIFTS
YES
NO
1
Does the operator know the weight of the load to be lifted?
2
Is the load to be lifted within the crane manufacturer's rated capacity in its present configuration?
3
Is the crane level and on firm ground?
4
Are outriggers required?
5
If so, are outriggers fully extended and down, and the load off the wheels?
6
If blocking is required, is the entire surface of the outrigger pad supported, and is the blocking material of sufficient strength to safely support the loaded outrigger pad?
7
If outriggers are not used, is the crane rated for on-rubber lifts by the manufacturer's load chart?
8
Is the swing radius of the crane counterweight clear of people and obstructions and accessible areas within the swing area barricaded to prevent injury, damage and unplanned encroachment?
9
Has the hook been centered over the load in such a manner to prevent swing (deflection, side loading, load-moment)?
10
Is the load well secured and balanced in the sling or lifting device before it is lifted (free and clear) more than a few inches?
11
Is the lift swing path clear of obstructions?
12
If rotation of the load being lifted is hazardous, is tag line or restraint line being used?
13
Are personnel prevented from standing or passing under a suspended load?
14
Are personnel prevented from entering the load fall zone?
15
Is the crane operator's attention diverted?
16
Are proper signals being used at all times?
17
If radio communications are used is the frequency isolated to the crane team?
18
Do the operations ensure that side and tip loading is prohibited?
19
Are start and stop motions in a smooth fluid motion (no sudden acceleration or deceleration)?
20
If operating near electric power lines, are the rules and guidelines understood and adhered to as specified in NAVFAC P-307?
21
Is the lift a critical lift?
22
If so, are critical lift regulations understood, check-off sheets initialed and signed off, and was there an interactive brief conducted with associated personnel?
23
Is Attachment "A" current, filled out completely, and posted in the crane?

Contractor Name (Print Legibly):

Contractor Name (Signature):

Location:
Date:

CRANE AND RIGGING GEAR ACCIDENT REPORT

Accident Category: |_| Crane Accident |_| Rigging Gear Accident

From:

UIC:

To:Navy Crane Center

Bldg. 491 NNSY Portsmouth, VA 23709 Fax: 757-967-3808

Activity:

Report No:

Crane No:

Category:

Accident Date:

Time: hrs:

Category of Service:|_| SPS|_| GPS
Crane Type:

Crane Manufacturer:

Was Crane/Rigging Gear Being Used in SPS: |_| Yes |_| No
Was Crane/Rigging Gear Being Used in a Complex Lift/Critical Non-Crane Rigging Operation: |_| Yes |_| No

Location:

Weather:

Crane Capacity:

Hook Capacity:

Weight of Load on hook:

Fatality or Permanent Disability? |_| Yes |_| No

Material/Property Cost Estimate:

Reported to NAVSAFECEN? |_| Yes|_| No
Accident Type:
|_| Personal Injury|_| Overload|_| Derail|_| Damaged Rigging Gear

|_| Load Collision |_| Two Blocked |_| Dropped Load |_| Damaged Crane

|_| Crane Collision|_| Damaged Load|_| Other: Specify
Cause of Accident:
|_| Improper Operation|_| Equipment Failure|_| Inadequate Visibility

|_| Improper Rigging |_| Switch Alignment |_| inadequate Communication

|_| Track Condition|_| Procedural Failure|_| Other: Specify
Chargeable to:
|_| Crane Walker |_| Rigger|_| Operator
|_| Maintenance|_| Management/Supervision|_| Other: Specify
Crane Function:
|_| Travel|_| Hoist|_| Rotate|_| Luffing|_| Telescoping|_| Other|_| N/A

Is this accident indicative of a recurring problem? |_| Yes |_| No

If yes, list Accident Report Nos.:

ATTACH COMPLETE AND CONCISE SITUATION DESCRIPTION AND CORRECTIVE/PREVENTIVE ACTIONS TAKEN AS ENCLOSURE (1). Include probable cause and contributing factors. Assess damages and define responsibility. For equipment malfunction or failure, include specific description of the component and the resulting effect or problem caused by the malfunction or failure. List immediate and long term corrective/preventive actions assigned and respective codes.

Preparer:

Phone:

E-mail:

Code:

Date:

Concurrences: (Include Code, Signature and Date)

Code:

Date:

Code:

Date:

Certifying Official (Crane Accident Only):

Code:

Date:

CRANE AND RIGGING GEAR ACCIDENT REPORT INSTRUCTIONS

This form is designed for fax transmission without a cover page or by e-mail and, with enclosures and signatures, shall be the official document. Electronic submission will be accepted without signatures but the names of the preparer, concurring personnel, and certifying official (for crane accidents only) shall be filled in. The e-mail address is m_nfsh_ncc_accident@navy.mil. The fax number is (757) 967-3808.

1. Accident Category: Indicate either crane accident or rigging gear accident.

2. From: The naval activity that is responsible for reporting the accident and UIC number.

3. Activity: The naval activity where the accident took place.

4. Report No.: The activity assigned accident number (e.g., 95-001).

5. Crane No.: The activity assigned crane number (e.g., PC-5), if applicable.

6. Category: Identify category of crane (i.e., 1, 2, 3, or 4), if applicable.

7. Accident Date: The date the accident occurred.

8. Time: The time (24 hour clock) the accident occurred (e.g., 1300).

9. Category of Service: Check the applicable service (SPS as defined by NAVSEA 0989-030-7000).

10. Crane Type: The type of crane involved in the accident (e.g., mobile, bridge), if applicable.

11. Crane Manufacturer: The manufacturer of the crane (e.g., Dravo, Grove, P&H), if applicable.

12. SPS: Was the crane or rigging gear being used in an SPS lift?

13. Complex lift: Was the crane or rigging gear being used in a complex lift?

14. Location: The detailed location where the accident took place (e.g., building 213, dry dock 5).

15. Weather: The weather conditions at time of accident (e.g., wind, rain, cold).

16. Crane Capacity: The certified capacity of the crane (e.g., 120,000 pounds), if applicable.

17. Hook Capacity: The capacity of the hook involved in the accident at the max radius of the operation, if applicable.

18. Weight of Load on Hook: If applicable, the weight of the load on the hook.

19. Fatality or Permanent Disability?: Check yes or no.

20. Material/Property Cost Estimate: Estimate total cost of damage resulting from the accident.

21. Reported to NAVSAFECEN?: Self-explanatory.

22. Accident Type: Check all that apply.

23. Cause of Accident: Check all that apply.

24. Chargeable to: Check all that apply.

25. Crane Function: Check all functions in operation at time of accident. Check N/A if a rigging gear accident.

26. Is this a recurring problem?: Check yes or no. Identify any other similar accidents.

27. Situation Description/Corrective Actions: Self-explanatory.

28. Preparer: Self-explanatory.

29. Concurrences: Self-explanatory.

30. Certifying Official (Crane Accidents Only): Self-explanatory.

31. Brief Description: No more than one paragraph summarizing the resultant incident.

32. Background and Detailed Description: Provide the relevant background in a descriptive timeline of preconditions leading up to the event, as well as a detailed description of the event.

33. Corrective Actions: List all short term and long term corrective actions that are taken to prevent recurrence of the incident. Short Term Corrective Actions are those actions taken that will allow return to work in short time frame. Long Term actions are more ‘programmatic’ in nature and typically include: process revision, changes in training, ‘mistake proofing’, etc.

CRANE AND RIGGING GEAR NEAR MISS REPORT

Near Miss Category:

Crane Near Miss

Rigging Gear Near Miss

From:

UIC:

To: Navy Crane Center Bldg 491 NNSY Portsmouth, VA 23709 Fax (757) 967-3808 nfsh_ncc_accident@navy.mil

Activity:
Report No:
Crane/Equipment No:
Category:
Near Miss Date:
Time: hrs

Category of Service:

SPS

GPS
Crane /Equipment Type:
Crane/Equipment Manufacturer:
Location:
Weather:
Crane/Equipment Capacity:
Hook Capacity:
Weight of Load on Hook:

Is this near miss indicative of a recurring problem?

Yes

No

If yes, list report numbers:

In the space below, include a brief description of the event and corrective actions taken to prevent recurrence:

Preparer:

Phone and email

Code
Date

CRANE AND RIGGING GEAR NEAR MISS INSTRUCTIONS

This form is designed for fax transmission without a cover page or by e-mail and, with enclosures and signatures, shall be the official document. Electronic submission will be accepted without signatures but the names of the preparer, concurring personnel, and certifying official (for crane accidents only) shall be filled in. The e-mail address is nfsh_ncc_accident@navy.mil. The fax number is (757) 967-3808.

1. Near Miss Category: Indicate either crane or rigging gear near miss.

2. From: The naval activity that is responsible for reporting the near miss and UIC number.

3. Activity: The naval activity where the near miss took place.

4. Report No.: The activity assigned near miss number (e.g., 95-001).

5. Crane No.: The activity assigned crane number (e.g., PC-5), if applicable.

6. Category: Identify category of crane (i.e., 1, 2, 3, or 4), if applicable.

7. Near Miss Date: The date the near miss occurred.

8. Time: The time (24 hour clock) the near miss occurred (e.g., 1300).

9. Category of Service: Check the applicable service (SPS as defined by NAVSEA 0989-030-7000).

10. Crane Type: The type of crane involved in the near miss (e.g., mobile, bridge), if applicable.

11. Crane Manufacturer: The manufacturer of the crane (e.g., Dravo, Grove, P&H), if applicable.

12. Location: The detailed location where the near miss took place (e.g., building 213, dry dock 5).

13. Weather: The weather conditions at time of the near miss (e.g., wind, rain, cold).

14. Crane Capacity: The certified capacity of the crane (e.g., 120,000 pounds), if applicable.

15. Hook Capacity: The capacity of the hook involved in the near miss at the maximum radius of the operation, if applicable.

16. Weight of Load on Hook: If applicable, the weight of the load on the hook.

17. Is this a recurring problem? Check yes or no. Identify any other similar near misses or accidents.

18. Situation Description/Corrective Actions: Self-explanatory.

19. Preparer: Self-explanatory.

Contractor Hazardous Material Inventory Log

(EPRCA)

PRIME COMPANY NAME: _______________________________CONTRACT NO: ______________________

PROJECT TITLE / LOCATION: _________________________________________________________________

Material Name
Manufacturer
SDS Number
State

(Liquid, Solid, Gas)

Storage Quantity
Quantity (lbs/gals) used in Calendar Year [ ]
Average Daily
Maximum Daily

Contractor(s) certifies that the hazardous material(s) removed from installation will be used/reused for its intended purpose.

Company Using Material Listed Above Company Representative’s Signature

Submitted By: ________________________ Phone: ______________ Fax: __________ Date: _________ Printed Name

Contracting Officer _____________________Phone: ______________ Fax: __________ or ROICC Representative

Page ____ of ____

SECTION 01 57 19.00 20 – APPENDIX A

HAP Tracking Form

Totals:

Product Name (Manufact-urer’s Name & Product Identification Name Or Number)
CONTRACTOR:
VOC/HAP Tracking Form

Emission Data

Product Type (I.E. Paint, Solvent, Adhesive) Usage (I.E. Surface Prep, Or Clean-Up)

AUL

Unique Identifier Number

Quantity Used (Gal)

Product Density (Lb./Gal.)

VOC

Content (lb./gal.)

Total VOC Weight (lbs.)

REPORTING PERIOD (Month):

HAP Name (NONE if none present in product)

% Weight of HAP in Product

Weight of HAP (lbs.) (N/A if NONE present)

ATTACHMENT J-0200000-04

GOVERNMENT-FURNISHED PROPERTY, MATERIALS, AND SERVICES

The Government will furnish or make available to the Contractor certain Government owned facilities for use in connection with this contract.

The Government will provide the following spaces for Contractor’s use during SA phase.

Space (compacted gravel or hardstand area) for up to three (3) Contractor-furnished Administrative Trailers (max. ~10ft x 40ft each) including a connection point for utilities (water, wastewater, and power). The Contractor shall provide all labor and materials required to make utility connections, three direct internet data lines, and three unclassified phone lines for local calls only. (Note: Possible use of the existing runway in the SA Man Camp area will suffice). Within the contractor’s trailers, the contractor will provide the government with a lockable (government access only) 10ft² communications closet of regular proportions. Exterior fiber will be brought into this room and terminated on a patch panel. Inside copper distribution will be brought into this communications room and terminated on a patch panel. Government will provide the rack that the patch panels will be installed in. The communications room will have two 220V (Shuko type) power outlets and an air conditioner adequate to support equipment cooling.

The Contractor will be expected to remove the three trailers and transition to permanent facilities (Navy MILCON) once they become available.

Parking for a Fire Engine (if need is determined to support SA). A compacted gravel or hardstand area to support a fire truck that is ~8ft x 36ft, weighing up to 36,000 pounds (lbs).

Limited space will be made available on-site to the Contractor for storage of day-to-day supplies and tools only.

Trailer space in the SA area will not be available until construction is completed. Temporary space can be made available for placement of the containers; however, contractor will be responsible for any infrastructure requirements such as power, water, waste water removal and communications.

There are no additional facilities or space for Contractor-provided facilities identified at this time. The Contractor should plan to satisfy any such requirements by other means. After award, the Contractor may make a request identifying specific size and utility requirements. If the Government can accommodate the request, the contract will be modified to document the terms agreed upon.

The Contractor shall assume responsibility and accountability of the above spaces and shall take adequate precautions to prevent fire hazards, safety hazards, odors and vermin. Custodial services for Government furnished facilities shall be provided by the Contractor. The Contractor shall obtain written approval from the KO before making any modifications or alterations to any of these areas. Any modifications to Government Furnished Facilities shall be at Contractor expense. The cost of any repairs caused by negligence or abuse by the Contractor or his employees shall be the responsibility of the Contractor. Exceptions to the list or condition of spaces shall be reported to the KO by the Contractor within 24 hours after space occupancy; failure to do so shall be interpreted to indicate that no exceptions existed at the time of award. At the completion of the contract all spaces shall be returned to the Government in the same condition as received, except for reasonable wear and tear.

ATTACHMENT J-0200000-05

SERVICE PROVIDER INFORMATION

Refer to Microsoft Excel Spreadsheet “J-0200000-05 – SERVICE PROVIDER INFORMATION.”

ATTACHMENT J-0200000-06

ASSET INFORMATION

Refer to Microsoft Excel Spreadsheet “J-0200000-06 – ASSET INFORMATION.”

ATTACHMENT J-0200000-07

ASSET SPECIFICATION

Refer to Microsoft Excel Spreadsheet “J-0200000-07 – ASSET SPECIFICATION.”

ATTACHMENT J-0200000-08

CHARACTERISTIC METER READINGS

Refer to Microsoft Excel Spreadsheet “J-0200000-08 – CHARACTERISTIC METER READING.”

ATTACHMENT J-0200000-09

NAVFAC MAXIMO DATA REPORTING

PURPOSE AND OVERVIEW

The purpose of this attachment is to provide guidance on how data is to be recorded and provided by the Contractor in reporting Service Provider, Asset, Specification, and Characteristic Meter Reading Information for NAVFAC MAXIMO. This document outlines the methods that must be utilized by the Contractor and associated NAVFAC business process and procedures for how data is to be submitted.

GENERAL TYPES OF DATA

Work Order Data Work order data includes all necessary information for the documentation of all completed work orders, including, but not limited to, service orders, preventive maintenance (as performed under the PM program), and work issued as IDIQ. Specific NAVFAC MAXIMO fields required for work order data are listed on the Service Provider Information spreadsheet provided in J-0200000-05.

Asset Data Asset data includes the specific details necessary for proper identification and tracking of assets. Asset data must be updated for all completed work orders where an asset is repaired, replaced, installed, or otherwise affected. Specific NAVFAC MAXIMO fields required for asset data are listed on the Asset Information spreadsheet provided in J-0200000-06. Utilities assets require the additional data listed on the Specification Information spreadsheet provided in J-0200000-07. When replacing existing assets, the Contractor shall change the status of the current asset which will remove it from the maintenance plan and add the new asset.

Condition Assessment Data Condition assessment data includes all necessary information for the accurate condition rating of all assets in support of the Infrastructure Condition Assessment Program (ICAP). Specific NAVFAC MAXIMO fields required for condition assessment data are listed on the Characteristic Meter Reading Information spreadsheet provided in J-0200000-08.

METHODS FOR DATA SUBMISSION

The Contractor shall provide work order, asset, specification, and condition assessment data using the methods as specified in Section C. Additional details are provided below for submission of data via Direct Entry and Flat File methods.

METHOD 1: Direct Data Entry In this method a Contractor obtains authorized access as specified in Section C and directly enters data into NAVFAC MAXIMO. Detailed guidance on NAVFAC MAXIMO System Access Procedures is provided in J-0200000-10. All reference value verification is provided by NAVFAC MAXIMO.

All Contractors who obtain authorized access will be granted entry only within the applicable NAVFAC MAXIMO screens necessary to enter work order, asset, specification, and condition assessment data. Contractors are only authorized to view, edit, report or otherwise access data related to their work. Any unauthorized attempt to do otherwise may be grounds for removal of access privileges. Contractors will be assigned a specific work center code for their work and shall utilize this code for all such data entry and retrieval.

METHOD 2: NAVFAC MAXIMO Flat File Data Exchange The Contractor will utilize the data formats contained in the Service Provider Information provided in J-0200000-06, Asset Information provided in J-0200000-07, and Characteristic Meter Reading Information provided in J-0200000-08. The Contractor shall use their own internal systems to generate the flat file data into the format required. The Contractor is responsible for ensuring that data is correct and validated to meet the Maximo data requirements. If any data gets rejected the Contracting Officer will send the “rejected” data back to Contractor and the Contractor shall correct and resubmit the data within one week. In all cases of data rejects the Contractor shall communicate with the Contracting Officer to rectify the data rejects.

Flat File Data Validation and Preparation NAVFAC MAXIMO has several interfaces to assist in data transfer, many interfaces are used for multiple purposes to efficiently load or modify existing data in the system. Because of those multiple uses for each interface there are strict rules on how the data must be prepared for successful submission and loading.

The format required for flat files is detailed in the spreadsheets described below:

· SERVICE PROVIDER INFORMATION – (Spreadsheet provided in J-0200000-05) –contains the format and data elements for submission of Work Order Information.

· ASSET INFORMATION – (Spreadsheet provided in J-0200000-06) – contains the format and data elements for submission of new or updated Asset Information.

· ASSET SPECIFICATION – (Spreadsheet provided in J-0200000-07) – contains the format and data elements for submission of new or updated Asset Specification.

· CHARACTERISTIC METER READING INFORMATION – (Spreadsheet provided in J-0200000-08) – contains the format and data elements for submission of updated Condition Assessment Information.

Service Provider, Asset, Specification, & Characteristic Meter Reading Information Spreadsheet Format

· Tab 1 – General Information - Version number, change log, etc.

· Tab 2 – Field Information – Field Name, Data Type, short description on field use and related information including Content Notes and NAVFAC MAXIMO Field Name.

· Tab 3 – Flat File Data Layout The Contractor is required to validate their data prior to submission to minimize data rejects. To assist the contractor in data validation, the appropriate reference values will be provided by the Government and updated as changes occur. The reference files contain the valid data values for specific fields within MAXIMO at a specific time. Due to the frequent nature of changes for some value lists within MAXIMO (e.g., new assets added or status being changed), this file will be directly transferred from a local PW Representative to the Contractor as changes occur. The Contractor shall communicate with the Contracting Officer if any data values need to be added.

Examples of data requiring validation:

· A current list of the valid Manufacturer’s (Company) Name values in NAVFAC MAXIMO. When adding a new asset, the contract will select the appropriate Company value so it will permit the successful asset record insert.

Company
Description
Company Type
Organization
MCQUAY
McQuay International; HVAC equipment
M
NAVFAC

· A current list of the valid Assets for the contract. The file must be refreshed periodically to reflect assets added over the contract period. Assets must be added prior to Work Order being submitted for work on the asset or the Work Order will be rejected.

Sample Reference Value “asset”

Asset
Description
Location
Parent
Rotating Item
Work Center
Site
WNY111-AHU-05
SPLIT SYSTEM #1A
WNY-111
WNY111-AHU-CIMU-02
WCCP22
10101

· For some fields, NAVFAC MAXIMO may have many valid values such as SiteID and Work Center, however the Contractor will have only one authorized value. The Government will notify the Contractor of the specific values to be used for all records.

Flat File Submission Requirements For data required to be submitted via flat file as specified in Section C, further detail of the format and submission requirements are detailed below. There are two different types of flat files: Pipe Delimited and Spreadsheet format.

· Pipe Delimited Flat File:

In this method the Contractor will prepare data in flat files for submission. These documents have strict requirements that must be followed to permit the successful processing by the Government to import into NAVFAC MAXIMO. Pipe Delimited Flat files are text files which are pipe delimited (the ‘|’ symbol on the keyboard) with one record per line in the file. The Contractor is responsible to verify data against the reference values to prevent record rejects for required information.

Service Provider Information, Asset Information, Specification Information, and Characteristic Meter Reading Information Reports submitted as pipe delimited flat-files must be prepared as follows:

An individual flat file record is made up of over 30 individual fields, stored in a text file and delimited by the piping symbol ( ‘|’ ). Not all of the fields must have data. Fields that are not required to have data must still exist in the flat file record but are allowed to have no data present for that field. See below for illustration for fields not required.

This is the start of the file's text. The full file is on GovTribe.

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