NEW Safety_Data_Sheet.docx
DOCX document 15 KB Posted
- Attached to
- WEAPONS GENERATION FACILITY B EARLY START SITE Federal contract opportunity
- Solicitation number
- N69450-21-R-0041
About this file
This document contains a safety data sheet template for a federal contract opportunity to perform early start site work at Barksdale Air Force Base in Louisiana. The safety data sheet requests information on the offeror's insurance carrier and OSHA DART and TCR rates for the previous 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 related federal contract opportunity is solicitation number N69450-21-R-0041 from the Department of the Navy Naval Facilities Engineering Command to clear, grade, demolish existing structures and utilities, install security fencing and roads, and perform environmental remediation across 53 acres in preparation for construction of a weapons generation facility at Barksdale Air Force Base, with an anticipated award date in 2021.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| N69450-21-R-0041-0001.pdf | ||
| N69450-21-R-0041-0002.pdf | ||
| SF-312 (Classified Information Nondisclosure Agreement).pdf | ||
| Exhibit B Past Performance Questionnaire.docx | DOCX document | |
| Exhibit E SB Participation Commitment Doc.docx | DOCX document | |
| N6945021R0041.pdf | ||
| Exhibit A Construction Experience Project Data Sheet.docx | DOCX document | |
| Exhibit D Historical SB Utilization.docx | DOCX document | |
| Attachment A ProjNet How To Guide.pdf | ||
| Exhibit C Safety Data Sheet.docx | DOCX document | |
| Exhibit F Small Business Subcontracting Plan.doc | DOC document |
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Text version
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) Rate
| 2016 |
| 2017 |
| 2018 |
| 2019 |
| 2020 |
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) Rate
| 2016 |
| 2017 |
| 2018 |
| 2019 |
| 2020 |
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:
SAFETY DATA SHEET (Continuation)
5. Technical Approach for Safety: Provide the Safety Narrative using this form. Do not exceed 2 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 .