Attachment 14 SITREP FORM 1 4 25.pdf

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Attached to
ROTHR Operations and Maintenance Support Services
Solicitation number
N0018925RZ003
Issued by

About this file

This document is a Situation Report (SITREP) form for the ROTHR O&M Contract, designed to be submitted to the Forces Surveillance Support Center Facility Manager and Contracting Officer's Representative. The form provides a structured template for reporting various incident types across multiple locations (Virginia, Texas, Puerto Rico) including receive and transmit sites. The form allows detailed documentation of events such as facility damage, power outages, communications disruptions, hazardous material spills, vehicle or equipment damage, and other potential incidents. Key sections include general summary checkboxes, specific location details, event date and time, personnel involved, extent of damage, generator information, hazardous material details, containment actions, and impact to site and system operations. The form is version dated 1/4/2024 and is associated with the Naval Supply Systems Command's ROTHR Operations and Maintenance Support Services contract (Solicitation Number: N0018925RZ003).

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Text version

ROTHR O&M CONTRACT – SITUATION REPORT

TO BE SUBMITTED TO FORCES SURVEILLANCE SUPPORT CENTER FACILITY MANAGER

AND CONTRACTING OFFICER’S REPRESENTATIVE (COR)

GENERAL SUMMARY:

☐FACILITY LOSS OR DAMAGE

☐ELECTRICAL POWER OUTAGE

☐COMMS OUTAGE

☐HAZARDOUS MATERIAL (HAZMAT) CONTAMINATION OR SPILL

☐VEHICLE OR EQUIPMENT DAMAGE

☐OTHER -

LOCATION:

VIRGINIA TEXAS PUERTO RICO

☐ RECEIVE SITE ☐ TRANSMIT SITE ☐ RECEIVE SITE ☐ TRANSMIT SITE ☐ RECEIVE SITE ☐ TRANSMIT SITE

☐ BLDG 310

☐ BLDG 344

☐ BLDG 363

☐ BLDG 446

☐ OTHER

DETAILED INFORMATION:

DATE OF EVENT:

Format: MMDDYY_01

TIME OF EVENT:

PERSONNEL INVOLVED:

EXTENT OF DAMAGE TO FACILITY, VEHICLE, EQUIPMENT:

GENERATOR RUN TIME (HRS): FUEL LEVEL (Gal):

GENERATOR HOUR METER READING:

HAZARDOUS MATERIAL INVOLVED (Attach MSDS):

ESTIMATED QUANTITY SPILLED:

ESTIMATED AREA OF CONTAMINATION:

CONTAINMENT / REMEDIATION ACTIONS TAKEN (Include Environmental Agencies Contacted):

IMPACT TO SITE AND SYSTEM OPERATIONS:

Version 1/4/2024

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