E008 Accident Incident Report Accident Incident Report Field Incident Report (Change).pdf

PDF 137 KB Posted

Attached to
Call for Solutions - Low Altitude Stalking and Striking Ordnance (LASSO) Rapid Prototyping
Solicitation number
SOLDIER_25-01
Issued by

About this file

This document is a Data Item Description (DID) for an Accident/Incident Report with the DID number DI-SAFT-81563, associated with the LASSO (Low Altitude Stalking and Striking Ordnance) system. The document outlines specific requirements for reporting accidents or incidents during the project, including immediate notification procedures and follow-up reporting protocols. Key reporting requirements include:

  • Initial accident/incident reports must be sent immediately to two specified email addresses (jennifer.l.barnes78.civ@army.mil and nicholas.c.glad.civ@army.mil)
  • Follow-up reports must be submitted within 24 hours of an incident
  • The government has 15 business days to review and provide comments or approval
  • If comments are received, the contractor must resubmit updated versions within 10 business days
  • The report must be compatible with Windows and Microsoft Office 2016 products
  • The document carries a Distribution Statement D, limiting distribution to Department of Defense and U.S. DoD Vendors only
  • The report must include details such as date, time, location, description of the incident, people involved, injuries or damages, and proposed actions

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Text version

ADRL Number: E008

System/Item

LASSO

OTA No:

TBD

Vendor:

TBD

Accident/Incident Report Accident Incident Report/Field Incident Report

Data Item Description (DID) No:

DI-SAFT-81563

SOO Reference:

8.4., 2, 5.1.2, 5.1.3, 5.1.4, 8.4

DD 250 Req

No

Distribution Statement

Required

D

Date of First

Submission

See Remarks

Date of Subsequent

Submission

See Remarks

Remarks:

Initial report of accident/incident shall be made immediately to:

jennifer.l.barnes78.civ@army.mil nicholas.c.glad.civ@army.mil

Follow-up report shall be provided within 24 hours of accident/incident.

The Government has 15 business days to provide either review comments, or document disapproval, or document approval after receipt.

If Government review comments are provided, or the document is disapproved, the contractor shall resubmit updated versions no later than 10 business days after receipt of Government's comments.

Distribution

Addressee

Copies

Draft Final

Hard copy

Soft copy

Hard copy

Soft copy

SFAE-SDR-SWAR-

SPTD

1 1

Total

1 1 mailto:jennifer.l.barnes78.civ@army.mil mailto:nicholas.c.glad.civ@army.mil

Title

Accident/Incident Report Accident Incident Report/Field

Incident Report

Data Item Description (DID) Number

DI-SAFT-81563

Description

An "Accident/Incident Report," also known as an "Accident Incident Report" or "Field Incident Report," is a document used to record details of an event that caused or could have caused injury, illness, or damage. These reports are crucial for incident investigation, identifying hazards, and improving safety measures. A typical incident report includes details such as the date, time, and location of the incident; a description of what happened; the people involved; any injuries, damages, or impact; and actions taken or proposed.

Preparation Instructions

Format:

Vendor format acceptable. Documents shall be compatible with Windows and Microsoft Office 2016 products

(i.e., Word, Excel, PowerPoint, etc.) MS Project Professional 2019 and MS 365 formatted files.

Export Control Act Warning (Required Warning):

This document may contain technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

Security Markings:

Shall contain DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S.

DoD Vendors only. Date of determination is date product is generated. Other requests for this document shall be referred to the attention of the Product Manager Soldier Precision Targeting Devices, SFAE-SDR-IVAS-SPTD, 5966 12th Street, Bldg. 1024, Fort Belvoir, VA 22060-5512.

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