Exhibit_A_-_Combined_CDRLs_and_DIDs_-_66_pages.pdf

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CVN Nuclear Maintenance and alteration IDIQ
Solicitation number
N4523A18R0801
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Exhibit A - Combined CDRLs and DIDs - 66 Pages

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DATA ITEM DESCRIPTION

Title: QUALIFICATIONS RECORD REPORT

Number: DI-MGMT-XXXXX Approval Date: Draft AMSC Number: Limitation: N/A DTIC Applicable: N/A GIDEP Applicable: N/A Preparing Activity: SA Project Number: N/A Applicable Forms: N/A

Use/relationship: This Report shall be submitted used to verify contractor personnel meet the experience and skill level requested in the contract through the Period of Performance (POP).

This DID contains the format, content and intended use information for the data product resulting from the work task described in the contract SOW.

Requirements:

1. Format: The report shall be in the contractor’s format.

2. Content: The report shall include experience and training completed by all contractor personnel assigned to a contract.

3. The report shall identify completion of the following:

a. Asbestos Awareness

b. Occupational Safety and Health (OSH)

c. Lockout/Tag-Plus

d. Electrical Safety

e. Hearing Conservation

f. Eye Safety Awareness

g. Fall Protection

h. Respirator Certification (half or full face)

i. Gas-Free Confined Space Entry

j. Lead/Cadmium Awarenss

k. Sexual Harrassment

l. Proper Use of PPE

m. Hazardous Communications Process

Page 1 of 2 Pages

DI-MGMT-XXXXX

4. The report shall also specify:

a. Employee Name

b. Expiration Date

c. Certifications (copy to be provided)

d. Licenses (copy to be provided)

e. Medical Limitations

END OF DI-MGMT-XXXXX

Page 2 of 2 Pages

Title: OCCUPATIONAL IONIZING RADIATION EXPOSURE REPORT

Number: DI-MGMT-XXXXX Approval Date: Draft AMSC Number: Limitation: N/A DTIC Applicable: N/A GIDEP Applicable: N/A Preparing Activity: SA Project Number: N/A Applicable Forms: N/A

Use/relationship: This Report and Form shall be used to verify radiological qualifications and track radiological exposure for contractor personnel.

This DID contains the format, content and intended use information for the data product resulting from the work task described in the contract SOW.

Requirements:

1. Format: The report shall be in the ARCMIS or contractor’s format. The visitor form shall be in the host organization’s format.

2. Content: The report and form shall include radiological qualifications for contractor personnel assigned to perform radiological tasks on a contract.

3. The report and form shall identify the following:

a. Radiological qualifications in accordance with (IAW) NAVSEA 389-0288 Radiological Controls.

4. The report and form shall also specify:

a. Full Legal Name

b. SSN

c. Date of Birth

d. Dates of Visit

e. Exposure History, current and lifetime; if within NNPP

f. Level of NNPP Training with Expiration Date; if within NNPP

g. Medical Qualifications; if within NNPP

h. Exposure Control Limits; if within NNPP

Page 1 of 1 Page

Title: TRAVEL SUMMARY REPORT

Number: DI-MGMT-XXXXX Approval Date: Draft AMSC Number: Limitation: N/A DTIC Applicable: N/A GIDEP Applicable: N/A Preparing Activity: SA Project Number: N/A Applicable Forms: N/A

Use/relationship: This Report is used to provide a listing of all travel dates for contractor personnel in order to effectively schedule production tasks.

This DID contains the format, content and intended use information for the data product resulting from the work task described in the contract SOW..

Requirements:

1. Format: The report shall be in the contractor’s format.

2. Content: The report shall contain travel dates for all contractor personnel assigned to a contract.

3. The report shall identify the following:

a. Dates of Initial and subsequent travel

b. Contract Number

c. Delivery Order Number, if applicable

d. Group Identification (i.e., example: X11, Sup, Non-Nuc)

4. The report shall also specify:

a. Employee Name

b. Badge Number

c. Department

d. Job Title

e. Previous PSNS&IMF Project

f. Demand Date

g. Initial Travel Date

h. Subsequent Travel Date(s)

Page 1 of 2 Pages

DI-MGMT-XXXXX

i. End Travel Date

j. Notes

Page 2 of 2 Pages

A001 Certification-Data Report-HII 091917 A
A001- Qualifications Record Report 081417
A002 - Occupational Ionizing Radiation Exposure Report-HII 081817
A002- Occupational Ionizing Radiation Exposure Report 081417
A003 - Trip-Travel Report-HII 091917 A
A003- Travel Summary Report 081417
A004 - Attendance Record Report-HII 091917 A
A004 - OT-17-20209 Attendance
A005 Contract Funds Status Report-HII 091917 A
A005- DI-MGMT-81468 Contract Funds Status Report (CFSR)
A006 - Incident Report-HII 081917 A
A006- DI-MGMT-82071 Incident Report
A007 - HII Condition Found Report CDRL 090117
A007- DI-MGMT-81648 Condition Found Report
A008 - HII Progress Report CDRL 090117
A008- DI-MGMT-80227 Progress Reports
A009 - HII CHMI 090117
A009- DI-ENVR-82091 KTR CHMI
A010 - HII HAZMAT Usage 090117
A010- DI-ENVR-82091 KTR Haz Mat Usage Report - Copy
A011 - HII CDRL Production Schedule 090117
A011- DI-MGMT-82075 Integrated Production Support

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