J-0200000-05-04 Crane and Rigging Gear Near Miss Form.pdf
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- Solicitation number
- N40080
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This pre-solicitation notice provides details for an upcoming facilities support services contract opportunity with the Naval Support Activity Patuxent River. The proposed single award IDIQ contract will require management and labor to provide custodial, pest control, grounds maintenance, landscaping, pavement clearance, transportation, and material handling services at locations supported by the Naval Support Activity Patuxent River. Services will include trash removal, cleaning, lawn maintenance, snow removal, vehicle maintenance, and equipment operation. The solicitation will utilize FAR Part 15 procedures and require offerors to submit experience, technical approach, management approach, safety, and past performance for evaluation. The tradeoff source selection process will consider best value to the government. The NAICS code is 561720 and the small business size standard is $19.5 million. The incumbent contractor is Diversified Service Contracting, Inc. The base period is up to 12 months with four 12-month option periods not to exceed 66 months total. The draft RFP is attached and the final RFP is expected on January 30, 2020 with proposals due February 20, 2020. This procurement will be an 8(a) small business set-aside.
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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.
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
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