Attachment K - FRAL Contractor Accident Reporting Format.xlsx

XLSX spreadsheet 37 KB Posted Oct 20, 2026

Attached to: Fort Rucker, AL Full Food Service
Solicitation number: W5168W27RA014
Issued by: Department of the Army

About this file

Written by GovTribe AI · Oct 20, 2026

This file is an accident reporting template for the Fort Rucker, AL Full Food Service contract. The attachment provides a standardized Excel-based format that the contractor must use to document and report any accidents occurring during the performance of food service operations at the installation. The template is designed to capture essential incident information required for compliance with Federal Reporting and Accountability requirements applicable to Army food service contracts. This form serves as an appendix to the broader contracting documents and does not address specific deliverables or service requirements beyond establishing the mandatory accident reporting protocol that contractors must follow throughout the contract performance period.

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Main

Contractor Injury/Mishap Report and/or Property Damage

All Blocks Are Required	Key		Drop Down Menu		Auto Populated
	1	POC Email Address
	2	COR Email Address
	3	Today's Date
	4	Mishap Date
	5	UIC
Enter Valid UIC in Block 5	6	Brigade
Enter Valid UIC in Block 5	7	Battalion
Enter Valid UIC in Block 5	8	LRC
	9	Where Exactly Did This Accident/Mishap Occur?
	10	Accident Type
	11	Accident Context
	12	Category
	13	Days in Hospital In-Patient
	14	Days of Lost Time
	15	Days of Restricted Work
Abrassions	16	Injury/Illness Type
	17	Cause of Injury
	18	Body Area
	19	Specific Body Part
	20	Attributable Factor
	21	If Human Error
	22	What Was Damaged
	23	Estimated Cost of Damage
	24			Who/What was Injured/Damaged
				What happened
		Narrative		Where did this occur
				When did this happen
				Why did this happen
	25	Corrective Actions Taken or Will Take To Prevent This From Happening Again

UIC Table Start
W0DAAA	HQ ASC	HHC	N/A
W0DA6B	HQ ASC	JPPSO-MA	N/A
W0DA4G	HQ ASC	JPPSO-NW	N/A
WJN799	401	N/A	N/A
W0DA49	401	AFSBn Qatar	N/A
W0DA51	401	AFSBn Kuwait	N/A
W0DAG7	401	AFSBn-SWA WEB Kuwait	N/A
W0DAH7	401	AFSBn-Afghanistan	N/A
W0DA55	401	AFSBn SWA	N/A
WJN899	402	N/A	N/A
W6XPAA	402	AFSBn HAWAII	N/A
W6XP01	402	N/A	LRC Hilo (PTA)
W6XSAA	402	AFSBn ALASKA (LRC JBER)	N/A
W6XS01	402	N/A	LRC GREELY
W6XS02	402	N/A	LRC WAINWRIGHT
WJN999	403	N/A	N/A
W6XGAA	403	N/A	LRC Daegu
W6XHAA	403	AFSBn Korea	N/A
W6XH01	403	N/A	LRC Yongsan
W6XH02	403	N/A	LRC Red Cloud
W6XJAA	403	N/A	LRC Camp Zama
W6XKAA	403	N/A	LRC Torii Station
W0DA52	403	AFSBn NEA	N/A
W0DAC6	403	AFSBn NEA FWD WEB YOKOHAMA	N/A
W0DA53	403	AFSBn NEA FWD/LST SAGAMI	N/A
WJP199	404	N/A	N/A
W6WTAA	404	N/A	LRC Aberdeen Proving Ground (& EA)
W6X8AA	404	N/A	LRC Adelphi
W6WRAA	404	N/A	LRC Detroit Arsenal
W6XCAA	404	N/A	LRC Devens
W6XFAA	404	N/A	LRC Hunter Liggett
W6XRAA	404	N/A	LRC Irwin
W6X9AA	404	N/A	LRC McCoy
W6WVAA	404	N/A	LRC Natick (Soldier Support Center)
W6WUAA	404	N/A	LRC Picatinny Arsenal
W6YFAA	404	N/A	LRC Polk
W6WQAA	404	N/A	LRC Redstone Arsenal
W6WSAA	404	N/A	LRC Rock Island Arsenal
W6XBAA	404	N/A	LRC JB McGuire-Dix
W6YXAA	404	N/A	LRC JB Lewis McChord (JBLM)
W6YX01	404	N/A	LRC Yakima Training Center
W0DA30	404	AFSBn CHARLESTON (ASLAC)	N/A
WJP299	405	N/A	N/A
W6XUAA	405	N/A	BASOPS
W6Y8AA	405	N/A	LRC Ansbach
W6Y0AA	405	N/A	LRC Baumholder
W6Y1AA	405	N/A	LRC Bavaria (Graf)
W6XVAA	405	N/A	LRC Benelux
W6XWAA	405	N/A	LRC Brussels
W6Y3AA	405	N/A	LRC Garmisch
W6Y4AA	405	N/A	LRC Hohenfels
W6Y5AA	405	N/A	LRC Italy (Vicenza)
W6Y6AA	405	N/A	LRC Livorno
W6XZAA	405	N/A	LRC Rheinland Pfalz (Ktown)
W6XXAA	405	N/A	LRC Schinnen
W6XYAA	405	N/A	LRC Stuttgart
W6Y7AA	405	N/A	LRC Wiesbaden
W0DAN5	405	AFSBn Germany	N/A
W0DAP4	405	BLSE CAB 12 ID KATTERB	N/A
W0DAC9	405	BLSE SBCT 2ND CR VILSECK	N/A
W0DA45	405	AFSBn Africa	N/A
W0DAB6	405	LST Africa	N/A
W0DAV8	405	BLSE 173RD VICENZA	N/A
W0DA24	405	AFSBn Benelux (Eygelshoven)	N/A
W0DA8M	405	APS 2 Zutendaal	N/A
W0DA88	405	APS 2 Dulmen	N/A
W0DAN6	405	AFSBn Mannheim	N/A
WJP399	406	N/A	N/A
W6WXAA	406	N/A	LRC AP Hill
W6WWAA	406	N/A	LRC Belvoir
W6YGAA	406	N/A	LRC Benning
W6X2AA	406	N/A	LRC Carlisle Barracks
W6WYAA	406	N/A	LRC Detrick
W6YHAA	406	N/A	LRC Gordon
W6XAAA	406	N/A	LRC Hamilton
W6YMAA	406	N/A	LRC Jackson
W6YCAA	406	N/A	LRC Lee
W6WZAA	406	N/A	LRC Meade
W6YJAA	406	N/A	LRC Rucker
W6X1AA	406	N/A	LRC West Point
W6YLAA	406	N/A	LRC Hunter Army Airfield
W6YNAA	406	N/A	LRC Joint Base Langley-Eustis
W6X0AA	406	N/A	LRC Joint Base Myer-HH
W6YBAA	406	AFSBn Bragg	N/A
W6YDAA	406	AFSBn Campbell	N/A
W6YEAA	406	AFSBn Drum	N/A
W6YKAA	406	AFSBn Stewart	N/A
WJP499	407	N/A	N/A
W6XDAA	407	N/A	LRC Buchanan
W6YVAA	407	N/A	LRC Knox
W6YTAA	407	N/A	LRC Leonard Wood
W6X3AA	407	N/A	LRC Leavenworth
W6XEAA	407	N/A	LRC Miami
W6YWAA	407	N/A	LRC Sill
W6YSAA	407	N/A	LRC JB San Antonio
W6YS01	407	N/A	LRC SotoCano
W6X5AA	407	N/A	LRC White Sands Missile Range
W6X4AA	407	N/A	LRC Presidio
W6X6AA	407	N/A	LRC Yuma Proving Ground
W6X7AA	407	N/A	LRC Dugway Proving Ground
W6XQAA	407	N/A	LRC Huachuca
W6YPAA	407	AFSBn Bliss	N/A
W6YQAA	407	AFSBn Carson	N/A
W6YRAA	407	AFSBn Hood	N/A
W6YUAA	407	AFSBn Riley	N/A
UIC Table End
Accident Type Start
Property Damage
Fatality
Injury/Illness That Causes 1 Day Away From Work or More Past Occurance
Injury/Illness That Causes Work Restriction/Job Transfer
Contaminated Needle Stick/Sharp
Work Related Turbuculosis
Medical Treatment Beyond First Aid
Occupational Hearing Loss
First Aid Only
Near Miss

Accident Type End

Accident Context Start

Maintenance

Warehouse

Shop Floor

Dining Facility

Army Tactical Vehicle

Non-Tactical Vehicle

Private Motor Vehicle

Material Handeling Equipment

Pedestrian

Railhead

Watercraft

N/A

Accident Context End

Category Start

Exposure

Vehicular

Other

Caught In/Under/Between-Struck By/Against

Slip/Trip/Fall

Bodily Reaction

Category End

Injury/Illness Type Start

Abrassions

Amputation - No Bone

Amputation - With Bone

Asphyxiation

Burns (Chemical)

Burns (Thermal)

Decompression Sickness (Bends)

Contusion

Concussion

Cuts/Laceration

Dislocation

Fractures

Frostbite

Heat Exhaustion

Heatstroke

Hernia/Rupture

Loss of Consciousness

Noise Injury

Puncture Wound

Rash

Sprains/Strains

Swelling

N/A

Injury/Illness Type End

Cuse of Injury Start

Bodily Reaction

Caught In/Under/Between

Exposure

External Contact

Fell From Elevation

Fell From Same Level

Ingested

Inhaled

Occupational Illness/Injury

Overexertion

Rubbed/Abbraded

Struck Against

Struck By

Thrown From

N/A

Cause of Injury End
Body Area Start
Area	Body	Head	Neck	Upper	Trunk	Lower	N/A
Body	General	General	General	General	General	General	N/A
Head		Ear(s)	Throat	Shoulder(s)	Chest	Hip(s)
Neck		Eye(s)		Arm(s)	Heart	Thigh(s)
Upper		Face		Elbow(s)	Abdominal	Leg(s)
Trunk		Forehead		Wrist(s)	Back	Knee(s)
Lower		General		Hand(s)		Shin(s)
N/A		Jaw		Finger(s)		Calve(s)
		Nose				Ankle(s)
						Foot/Feet
						Toe(s)

Body Area End
Attributable Factor Start
Fact	Environmental	Materiel	HumanError	N/A
Environmental	N/A	N/A	Complacency	N/A
Materiel			Over-Confident
HumanError			Unsupervised
N/A			Undisciplined
			Untrained

Attributable Factor End

GFE/GFF Start

Government Furnished Equipment

Government Furnished Facility

Other

N/A

GFE/GFF End

File details come from the government source that posted it. Updated Oct 20, 2026.