Exhibit B Safety Data Sheet Revised.docx
DOCX document 20 KB Posted
- Solicitation number
- N69450-21-R-0004
About this file
This document contains a safety data sheet exhibit and information on a federal contract opportunity for construction projects. The safety data sheet exhibit requests safety information from offerors, including OSHA DART and total recordable case rates for the past five years, as well as a safety narrative describing the offeror's safety management system, subcontractor evaluation process, and oversight of subcontractor safety compliance.
The federal contract opportunity is a solicitation to construct a communications facility and contingency response facility at Muñiz Air National Guard Base in Puerto Rico. The projects will be designed to UFC standards and use local materials where cost effective, with reinforced foundations, drainage improvements, and utilities upgrades for the contingency facility given soil and water conditions at the site. The NAICS code is 236220 and size standard is $39.5 million. The project magnitude is $25-100 million. The prime contractor must perform 20% of the work. The anticipated award date is Q4 FY2021. The contracting agency is the Navy NAVFAC.
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Other files
| File | Type | Posted |
|---|---|---|
| N69450-21-R-0004 0001.pdf | ||
| Exhibit C Past Performance Questionnaire.docx | DOCX document | |
| Exhibit E Historical SB Utilization.docx | DOCX document | |
| Exhibit D Attachment E ProjNet How To Guide.pdf | ||
| Exhibit F SB Participation Commitment Doc.docx | DOCX document | |
| Exhibit A Construction and Design Experience Project Data Sheet.docx | DOCX document | |
| N69450-21-R-0004.pdf | ||
| Exhibit B Safety Data Sheet.docx | DOCX document | |
| Exhibit H Small Business Subcontracting Plan.doc | DOC document |
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Text version
Exhibit B
SAFETY DATA SHEET
This form is to be completed by the Offeror. Use this form to provide safety information for the Safety factor. DART and TRC rates shall not be submitted for subcontractors.
Joint Venture (JV) or Partnership: Provide a Safety Data Sheet for each contractor who is part of the JV or partnership; however, only one safety narrative is required.
1. Offeror Name:
Name of JV partner providing the information below (if applicable):
2. Insurance Carrier Information:
Insurance Carrier Name:
Agent’s name:
Phone No.:
Email:
Offeror’s Five Previous Complete Calendar Years of Reported Safety Data:
Only complete year safety data will be considered. Indicate data rates as decimal figures, not whole numbers.
3. OSHA Days Away from Work, Restricted Duty, or Job Transfer (DART) Rates.
| 20XX |
| 20XX |
| 20XX |
| 20XX |
| 20XX |
3a. If you do not have a DART Rate for a given year, affirmatively state so here and explain why:
3b. Explain any negative trend above moderate risk (DART Rates of 3.0 or greater), an acceptable/detailed explanation is required that includes any corrective actions taken for improvement:
4. Total Recordable Case (TCR) Rates
| 20XX |
| 20XX |
| 20XX |
| 20XX |
| 20XX |
4a. If you do not have a TCR Rate for a given year, affirmatively state so here and explain why:
4b. Explain any negative trend above moderate risk (TCR Rates of 4.5 or greater), an acceptable/detailed explanation is required that includes any corrective actions taken for improvement:
Exhibit B (Continuation)
SAFETY NARRATIVE
6. Technical Approach for Safety: Provide the Safety Narrative using this form. Do not exceed 2 single-sided pages. Any additional pages will not be considered.
a. Describe the Offeror’ s approach to implementing and executing a Safety Management System (SMS) including Management/Leadership involvement, Employee involvement, Hazard prevention, Hazard control, Worksite analysis, and Safety and health training, to include the standard(s) used to benchmark the SMS.
b. Describe the evaluation process used to select potential subcontractors.
c. Describe the processes of how the Offeror will oversee safety compliance of subcontractors at all levels throughout performance of the contract (to include the Offeror’s own in-house workforce).
File details come from the government source that posted it. Updated .