CRDLs_Combined_Rev_1.pdf
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- Attached to
- Overarching Research and Evaluation Plan (OREP) Federal contract opportunity
- Solicitation number
- W52P1J15R0185
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| W52P1J15R0185-0003.pdf | ||
| W52P1J15R0185-0002.pdf | ||
| Attachment_0001_SOW_Rev_3.pdf | ||
| W52P1J15R0185_Amd_1.pdf | ||
| W52P1J15R0185_Attachment_006.pdf | ||
| Attachment_0002_Listing_of_Relevant_Contract_Past_Performance.pdf | ||
| Attachment_0001_Statement_of_Work_(SOW).pdf | ||
| Attachment_0004_Compliance_Record.pdf | ||
| W52P1J15R0185.pdf | ||
| Attachment_0003_Contract_References.pdf | ||
| Attachment_0005_SB_Contract_Participation_Matrix_ _Instructions.pdf |
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Text version
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
TDP TM OTHER X
D. SYSTEM/ITEM
OREP NIA/Tech Support
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
D001
2. TITLE OF DATE ITEM
Contract Management
3. SUBTITLE
Contract Management Plan
4. AUTHORITY (Data Acquisition Document No.
DI-MGMT-80555A
5. CONTRACT REFERENCE
3.1.2
6. REQUIRING OFFICE
JPL-E
7. DD 250 FEQ
No
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
As Required
12. DATE OF FIRST SUBMISSION
15 DAA
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
See Block 16 DRAFT
Final
Req Repro
16. REMARKS
A. Contractor may use its own format within the guidelines of this document specifications.
Document shall be legible and reproducible on standard 8.5” x 11” paper, with electronic copy supplied via email as appropriate. All attachments shall be referenced and included with the report.
B. The deliverable shall include other Government agencies involved with efforts associated with this contract.
C. This plan describes the Contractor’s organization, assignment of functions, duties, and responsibilities, management procedures and policies, and reporting requirements for the conduct of this contract. This plan shall include:
A cover sheet which includes the Contractor’s name and address, the contract number, the system or program, the date of the report, the period covered by the report, the title of the report, either the serial number of the report or the deliverable number, the security classification, and the name of the issuing Government activity.
A summary which includes a brief statement of the overall organizational approach to managing the contract, and the corporate support provided by the organization to accomplish all objectives.
A table of contents and index
Organizational structure
Supporting narrative describing corporate structure
Functional relationships
Responsibilities
Participating elements and subcontractors
Contracted effort management
Organizational chart identifying key personnel and decision makers
Definition of lines of control and authority
Contractor/Government interface and conflict resolution guidelines
Subcontractor interface and conflict resolution guidelines
Methodology
Technical approaches (as applicable)
Task management
Property management
Planning
Logistics & maintenance
Training
Operations
Documentation
SFAE-CBD (JPL-E) 2 2
15. TOTAL 2 2 0
G. PREPARED BY
Leonard C. Rowe
H. DATE
14 Jan 2016
I. APPROVED BY
J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page __1__ of __1__ Pages
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing
D. SYSTEM/ITEM
D002
Quality Assurance Project Plan
(QAPP)
QA/QC Report
DI-MGMT-80555A
5. CONTRACT REFERENCE
Section 4.0
6. REQUIRING OFFICE
JPL-E
7. DD 250 FEQ
No
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
As Required
12. DATE OF FIRST SUBMISSION
20 DAA
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
Final
A. The requirements of this plan may be tailored with written approval from the COR (to be included with the submitted final document). This plan shall be reviewed and revised as necessary.
B. The Contractor shall prepare this plan in accordance with the current CMA QAPP, and use ISO 9001 guidelines for quality programs. The QA/QC system described by this document shall also include an implementation schedule and methodology description. The Contractor shall not commence activities prior to QAPP Government approval.
C. The Government reserves the right to conduct periodic QA Audits for the life of the contract. This audit will determine the effectiveness of the Contractor’s Quality Assurance Plans and will provide recommendations or suggestions to the Contractor.
D. Contractor may use its own form at within guidelines of this document specification. Document shall be legible and reproducible on standard 8.5” x 11” paper, with electronic copy supplied via email as appropriate. Attachments shall be referenced and included with the report.
Leonard C. Rowe
H. DATE
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing
D. SYSTEM/ITEM
D003
Draft Test Plan
DI-MGMT-80555A
5. CONTRACT REFERENCE
3.2.2
6. REQUIRING OFFICE
JPL-E
7. DD 250 FEQ
No
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
As Required
12. DATE OF FIRST SUBMISSION
20 DAS
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
Final
Req Repro
16. REMARKS
A. Contractor may use its own format within the guidelines of this document specifications.
Document shall be legible and reproducible on standard 8.5” x 11” paper, with electronic copy supplied via email as appropriate. All attachments shall be referenced and included with the report.
B. The Contractor shall prepare the Draft Test Plan in support of OREP activities, as instructed by the Government’s authorized representative.
C. The Test Plan outlines the plans and performance objectives at every level of testing on systems or equipment. It provides the Government the test concept, objectives and requirements to be satisfied, test methods, elements, responsible activities associated with the testing measures required and recording procedures to be used. This plan shall document in detail the Contractor’s plan for conducting tests and analyzing the test results to show how the system when fielded, will satisfy the requirements of the applicable design specification. This plan shall include, but is not limited to:
A cover sheet which includes the title of the test to be conducted, identification of systems being tested, Contractor’s name and address, the contract number, the nomenclature of the system or program, the period covered by the plan, either the serial number of the report or the Deliverable Number, the security classification, signature blocks, and the name of the issuing Government activity.
A detailed introduction describing the objectives of the test plan, flow diagrams, milestones, personnel participation, locations, schedules, and security measures.
Master test list including all tests to be accomplished in the order they are performed.
Test description
Applicable specifications, including title, identification number, paragraph number, title of test, functional category of test
Parameters, to include number of cycles and specific parameters observed
Special tests, to include description and rationale for verification of performance to specification
Test classification category
Test objectives
Success/failure criteria
Baseline
Duration
Quantity of test(s)
Test equipment, including description, nomenclature, and serial numbers Support equipment, including description, nomenclature, serial number, calibration procedures, and operating instructions
Special test equipment, including special fabrication, description, nomenclature, and date required
Description of approach for and steps required for each test
Type, quantity and location of instrumentation and data recording systems used for the test
Data reduction and analysis procedures for data evaluation
Facility requirements, including location, duration, and Government support requirements
D. Overview of the test results validation procedures.
Leonard C. Rowe
H. DATE
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing
D. SYSTEM/ITEM
D004
Final Test Plan
5. CONTRACT REFERENCE
3.2.2
6. REQUIRING OFFICE
JPL-E
7. DD 250 FEQ
No
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
As Required
12. DATE OF FIRST SUBMISSION
50 DAS
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
Final
Req Repro
16. REMARKS
Contractor may use its own format within the guidelines of this document specifications.
Document shall be legible and reproducible on standard 8.5” x 11” paper, with electronic copy supplied via email as appropriate. All attachments shall be referenced and included with the report.
The contractor shall prepare the Final Test Plan in support of OREP activities, as instructed by the Government’s authorized representative. The contractor shall prepare the Final Test Plan after the Draft Test Plan has been reviewed by the Government and the Government has returned comments to the contractor. The comments submitted by the Government shall be reviewed by the contractor and the contractor shall ensure that the Government’s comments are understood.
The Test Plan outlines the plans and performance objectives at every level of testing on systems or equipment. It provides the Government the test concept, objectives and requirements to be satisfied, test methods, elements, responsible activities associated with the testing measures required and recording procedures to be used. This plan shall document in detail the Contractor’s plan for conducting tests and analyzing the test results to show how the system when fielded, will satisfy the requirements of the applicable design specification. This plan shall include, but is not limited to:
A cover sheet which includes the title of the test to be conducted, identification of systems being tested, contractor’s name and address, the contract number, the nomenclature of the system or program, the period covered by the plan, either the serial number of the report or the Deliverable Number, the security classification, signature blocks, and the name of the issuing Government activity.
A detailed introduction describing the objectives of the test plan, flow diagrams, milestones, personnel participation, locations, schedules, and security measures.
Master test list including all tests to be accomplished in the order they are performed.
Test description
Applicable specifications, including title, identification number, paragraph number, title of test, functional category of test
Parameters, to include number of cycles and specific parameters observed
Special tests, to include description and rationale for verification of performances to specification
Test classification category
Test objectives
Success/failure criteria
Baseline
Duration
Quantity of test(s)
Test equipment, including description, nomenclature, and serial numbers
Support equipment, including description, nomenclature, serial number, calibration procedures, and operating instructions
Special test equipment, including special fabrication, description, nomenclature, and date required
Description of approach for and steps required for each test
Type, quantity and location of instrumentation and data recording systems used for the test
Data reduction and analysis procedures for data evaluation
Facility requirements, including location, duration, and Government support requirements
Overview of the test results validation procedures.
Leonard C. Rowe
H. DATE
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing
D. SYSTEM/ITEM
D005
Draft HASP at Contractor’s Facility
Follow-On HASP at Contractor’s Facility
DI-MGMT-80555A
5. CONTRACT REFERENCE
3.2.3
6. REQUIRING OFFICE
JPL-E
7. DD 250 FEQ
No
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
As Required
12. DATE OF FIRST SUBMISSION
20 DAS
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
Final
A. Contractor may use its own format within the guidelines of this document specification.
supplied via email as appropriate. All attachments shall be referenced and included with the report.
B. The HASP shall be appropriate for hazardous materials and operations involved in the activity.
C. This plan shall ensure the safety and health of working conditions on this subcontract. This plan shall ensure compliance with (but not limited to): 29 CFR 1926, EM 385-1-1, AR 40-5, AR 50-6, AR 190-59, AR 385-40, AR 385-1, DA Pam 40-173, DA Pam 50-6, DA Pam 385-61, CRDEC-CR- 143 and 148, FM 3-9, the Generic Medical Support Plan for the Chemical Materiel Activity Program, TB Med 503, CMA 385-1 and CMA 385-3.
This plan shall address, but is not limited to:
Purpose and Objectives of Site Specific Operations, including applicable regulations, emergency phone numbers, and general tasks
Site description, and results of any site-characterizations
Chemicals known to have been used at the site
Transportation/relocation of equipment
Installation/setup of equipment
Health & safety responsibilities including Contractor’s safety organization and personnel responsibilities
Hazard identification and risk assessment including chemical hazards, Permissible Exposure Limits (PEL) of chemical agents, physical hazards, industrial safety hazards, and an Activity Hazard Analysis
Training that includes basic safety & health training program, Unexploded Ordnance (UXO) training (if applicable), site specific hazard training, safety meetings, safety inspections, first aid/CPR, safety briefings for visitors, and maintaining training records
Personal Protective Equipment (PPE) Program including PPE to be used for different categories of work to be conducted at the site, respiratory protection action levels, respirator fit testing, and respirator cleaning, inspecting, maintenance, sanitation and storage
Methods of communication to be used at the site
Decontamination Section including personal hygiene, contamination prevention, personnel and equipment decontamination procedures, and disposal of contaminated materials
General Site Safety Procedures that included forbidden practices, heavy equipment operation, mechanical equipment operation, materials lifting, electrical hazards, safety in demilitarization operations, fire prevention and protection, cold stress, heat stress, buddy system, insect bites and stings, and sharp cutting tools
Site Specific Medical Surveillance
Site Specific Emergency Response
UXO (if applicable), including personnel, response and general safety precautions, demilitarization of UXO, safety precautions for fuze, precautions for pyrotechnics and incendiary munitions, safety precautions for ground launched and employed munitions, and disposal of UXO
Log reports and record keeping that include Field Change Requests (FCR), on-site log, accident/incident reports, accident exposure and experience, health and safety field log books, visitor log, and training log
Authorization of personnel to enter restricted areas
Leonard C. Rowe
H. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page __1__ of __2__ Pages
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing
D. SYSTEM/ITEM
D005
Draft HASP at Contractor’s Facility
DI-MGMT-80555A
5. CONTRACT REFERENCE
3.2.3
6. REQUIRING OFFICE
JPL-E
7. DD 250 FEQ
No
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
As Required
12. DATE OF FIRST SUBMISSION
20 DAS
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
Final
Final destruction/disposition of wastes
Site restoration
Equipment close-out
Material Safety Data Sheets (MSDS) or Safety Data Sheets (SDS)
Field Team Review of SHERP documentation
In addition, the plan shall include the following specific attachments:
1. Site Specific Medical Support Plan: The HASP shall describe the Contractor’s responsibilities and procedures in developing, implementing, and/or complying with the applicable Site Specific Medical Support Plan. The Site Specific Medical Support Plan shall include Occupational Health and Hygiene issues covering equipment installation and site operations. Occupational Health and Hygiene issues shall describe procedures to be implemented by the contractor to meet the Occupational Safety and Health Administration (OSHA) and Army requirements during the equipment installation and operations at each site.
The plan shall also contain the basic standard operating procedures for occupational health, environmental health, industrial health, and health care administration.
1.1 The HASP shall describe the Contractor’s compliance with an applicable Site Specific
Medical Surveillance Plan
1.2 The HASP shall describe the Contractor’s compliance with an applicable Occupational
Health Program (OHP) in compliance with applicable OSHA and DA standards.
2. Accident Reporting: The Contractor shall prepare and submit Accident/Incident Reports.
The Contractor shall prepare and furnish Accident/Incident Reports for all accidents involving either injury or in instances where chemical agent is released to the environment.
Reporting procedures shall follow the guidance within CMA 385-3.
3. Contingency Plan: The HASP shall describe the Contractor’s implementation of an Applicable Contingency Plan.
Leonard C. Rowe
H. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page __2__ of __2__ Pages
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing
D. SYSTEM/ITEM
D006
Final HASP at Contractor’s Facility
DI-MGMT-80555A
5. CONTRACT REFERENCE
3.2.3
6. REQUIRING OFFICE
JPL-E
7. DD 250 FEQ
No
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
As Required
12. DATE OF FIRST SUBMISSION
50 DAS
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
Final
Contractor may use its own format within the guidelines of this document specification.
Document shall be legible and reproducible on standard 8.5” x 11” paper, with electronic copy supplied via email as appropriate. All attachments shall be referenced and included with the report.
The HASP shall be appropriate for hazardous materials and operations involved in the activity. The final HASP must be approved by the Government’s authorized representative prior to initiating the activity.
The Final HASP shall be prepared after the Draft HASP has been reviewed by the Government and comments submitted to the contractor. The contractor shall ensure that the Government’s comments are understood and acceptable before the Final HASP is written and submitted.
This plan shall ensure the safety and health of working conditions on this subcontract. This plan shall ensure compliance with (but not limited to): 29 CFR 1926, EM 385-1-1, AR 40-5, AR 50-6, AR 190-59, AR 385-40, AR 385-1, DA Pam 40-173, DA Pam 50-6, DA Pam 385- 61, CRDEC-CR-143 and 148, FM 3-9, the Generic Medical Support Plan for the CMA
Site description, and results of any site-characterizations
Chemicals known to have been used at the site
Transportation/relocation of equipment
Installation/setup of equipment
Health & safety responsibilities including Contractor’s safety organization and personnel responsibilities
Hazard identification and risk assessment including chemical hazards, PEL of chemical agents, physical hazards, industrial safety hazards, and an Activity Hazard Analysis
Training that includes basic safety & health training programs, UXO training (if applicable), site specific hazard training, safety meetings, safety inspections, first aid/CPR, safety briefings for visitors, and maintaining training records.
PPE Program including PPE to be used for different categories of work to be conducted at the site, respiratory protection action levels, respirator fit testing, and respirator cleaning, inspecting, maintenance, sanitation and storage
Methods of communication to be used at the site
Decontamination Section including personal hygiene, contamination prevention, personnel and equipment decontamination procedures, and disposal of contaminated materials
General Site Safety Procedures that included forbidden practices, heavy equipment operation, mechanical equipment operation, materials lifting, electrical hazards, safety in demilitarization operations, fire prevention and protection, cold stress, heat stress, buddy system, insect bites and stings, and sharp cutting tools
Site Specific Medical Surveillance
Site Specific Emergency Response
Leonard C. Rowe
H. DATE
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing
D. SYSTEM/ITEM
D006
Final HASP at Contractor’s Facility
DI-MGMT-80555A
5. CONTRACT REFERENCE
3.2.3
6. REQUIRING OFFICE
JPL-E
7. DD 250 FEQ
No
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
As Required
12. DATE OF FIRST SUBMISSION
50 DAS
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
Final
UXO (if applicable), including personnel, response and general safety precautions, demilitarization of UXO, safety precautions for fuze, precautions for pyrotechnics and incendiary munitions, safety precautions for ground launched and employed munitions, and disposal of UXO
Log reports and record keeping that include Field Change Requests (FCR), on-site log, accident/incident reports, accident exposure and experience, health and safety field log books, visitor log, and training log
Authorization of personnel to enter restricted areas
Final destruction/disposition of wastes
Site restoration
Equipment close-out
Material Safety Data Sheets (MSDS) or Safety Data Sheets (SDS) applicable Site Specific Medical Support Plan. The Site Specific Medical Support Plan shall include Occupational Health and Hygiene issues covering equipment installation and site operations. Occupational Health and Hygiene issues shall describe procedures to be implemented by the contractor to meet the Occupational Safety and Health Administration (OSHA) and Army requirements during the equipment installation and operations at each site. The plan shall contain the basic standard operating procedures for occupational health, environmental health, industrial health, and health care administration.
3.1 The HASP shall describe the Contractor’s compliance with an applicable Site Specific
3.2 The HASP shall describe the Contractor’s compliance with an applicable Occupational
4. Accident Reporting: The Contractor shall prepare and submit Accident/Incident Reports.
involving either injury or in instances where chemical agent is released to the environment.
Reporting procedures shall follow the guidance within CMA 385-3.
5. Contingency Plan: The HASP shall describe the Contractor’s implementation of an
Leonard C. Rowe
H. DATE
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing
D. SYSTEM/ITEM
D007
Draft HASP at Aberdeen
Follow-On HASP at Aberdeen
DI-MGMT-80555A
5. CONTRACT REFERENCE
3.2.3
6. REQUIRING OFFICE
JPL-E
7. DD 250 FEQ
No
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
As Required
12. DATE OF FIRST SUBMISSION
TBD
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
Final
D. Contractor may use its own format within the guidelines of this document specification.
supplied via email as appropriate. All attachments shall be referenced and included with the report.
E. The HASP shall be appropriate for hazardous materials and operations involved in the activity.
F. This plan shall ensure the safety and health of working conditions on this subcontract. This plan shall ensure compliance with (but not limited to): 29 CFR 1926, EM 385-1-1, AR 40-5, AR 50-6, AR 190-59, AR 385-40, AR 385-1, DA Pam 40-173, DA Pam 50-6, DA Pam 385-61, CRDEC-CR- 143 and 148, FM 3-9, the Generic Medical Support Plan for the CMA Program, TB Med 503, CMA 385-1 and CMA 385-3.
Site description, and results of any site-characterizations
Chemicals known to have been used at the site
Transportation/relocation of equipment
Installation/setup of equipment
Health & safety responsibilities including Contractor’s safety organization and personnel responsibilities
Hazard identification and risk assessment including chemical hazards, PEL of chemical agents, physical hazards, industrial safety hazards, and an Activity Hazard Analysis
PPE Program including PPE to be used for different categories of work to be conducted at the site, respiratory protection action levels, respirator fit testing, and respirator cleaning, inspecting, maintenance, sanitation and storage
Methods of communication to be used at the site
Decontamination Section including personal hygiene, contamination prevention, personnel and equipment decontamination procedures, and disposal of contaminated materials
General Site Safety Procedures that included forbidden practices, heavy equipment operation, mechanical equipment operation, materials lifting, electrical hazards, safety in demilitarization operations, fire prevention and protection, cold stress, heat stress, buddy system, insect bites and stings, and sharp cutting tools
Site Specific Medical Surveillance
Site Specific Emergency Response
UXO (if applicable), including personnel, response and general safety precautions, demilitarization of UXO, safety precautions for fuze, precautions for pyrotechnics and incendiary munitions, safety precautions for ground launched and employed munitions, and disposal of UXO
Log reports and record keeping that include Field Change Requests (FCR), on-site log, accident/incident reports, accident exposure and experience, health and safety field log books, visitor log, and training log
Authorization of personnel to enter restricted areas
Final destruction/disposition of wastes
Site restoration
Equipment close-out
Leonard C. Rowe
H. DATE
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing
D. SYSTEM/ITEM
D007
Draft HASP at Aberdeen
DI-MGMT-80555A
5. CONTRACT REFERENCE
3.2.3
6. REQUIRING OFFICE
JPL-E
7. DD 250 FEQ
No
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
As Required
12. DATE OF FIRST SUBMISSION
TBD
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
Final
6. Site Specific Medical Support Plan: The HASP shall describe the Contractor’s applicable Site Specific Medical Support Plan. The Site Specific Medical Support Plan shall include Occupational Health and Hygiene issues covering equipment installation and site operations. Occupational Health and Hygiene issues shall describe procedures to be implemented by the contractor to meet the Occupational Safety and Health Administration (OSHA) and Army requirements during the equipment installation and operations at each site. The plan shall also contain the basic standard operating procedures for occupational health, environmental health, industrial health, and health care administration.
6.1 The HASP shall describe the Contractor’s compliance with an applicable Site Specific
Medical Surveillance Plan
6.2 The HASP shall describe the Contractor’s compliance with an applicable Occupational
7. Accident Reporting: The Contractor shall prepare and submit Accident/Incident Reports.
involving either injury or in instances where chemical agent is released to the environment.
Reporting procedures shall follow the guidance within CMA 385-3.
8. Contingency Plan: The HASP shall describe the Contractor’s implementation of an
Leonard C. Rowe
H. DATE
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing
D. SYSTEM/ITEM
D008
Final HASP at Aberdeen
DI-MGMT-80555A
5. CONTRACT REFERENCE
3.2.3
6. REQUIRING OFFICE
JPL-E
7. DD 250 FEQ
No
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
As Required
12. DATE OF FIRST SUBMISSION
TBD
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
Final
G. Contractor may use its own format within the guidelines of this document specification. Document shall be legible and reproducible on standard 8.5” x 11” paper, with electronic copy supplied via email as appropriate. All attachments shall be referenced and included with the report.
H. The HASP shall be appropriate for hazardous materials and operations involved in the activity.
The final HASP must be approved by the Government’s authorized representative prior to initiating the activity.
I. The Final HASP shall be prepared after the Draft HASP has been reviewed by the Government and comments submitted to the contractor. The contractor shall ensure that the Government’s comments are understood and acceptable before the Final HASP is written and submitted.
J. This plan shall ensure the safety and health of working conditions on this subcontract. This plan shall ensure compliance with (but not limited to): 29 CFR 1926, EM 385-1-1, AR 40-5, AR 50-6, AR 190-59, AR 385-40, AR 385-1, DA Pam 40-173, DA Pam 50-6, DA Pam 385-61, CRDEC-CR- 143 and 148, FM 3-9, the Generic Medical Support Plan for the Chemical Materiel Activity
Site description, and results of any site-characterizations
Chemicals known to have been used at the site
Transportation/relocation of equipment
Installation/setup of equipment
Health & safety responsibilities including Contractor’s safety organization and personnel responsibilities
Hazard identification and risk assessment including chemical hazards, Permissible Exposure Limits (PEL) of chemical agents, physical hazards, industrial safety hazards, and an Activity Hazard Analysis
Training that includes basic safety & health training program, UXO training (if applicable), site specific hazard training, safety meetings, safety inspections, first aid/CPR, safety briefings for visitors, and maintaining training records
PPE Program including PPE to be used for different categories of work to be conducted at the site, respiratory protection action levels, respirator fit testing, and respirator cleaning, inspecting, maintenance, sanitation and storage
Methods of communication to be used at the site
Decontamination Section including personal hygiene, contamination prevention, personnel and equipment decontamination procedures, and disposal of contaminated materials
General Site Safety Procedures that included forbidden practices, heavy equipment operation, mechanical equipment operation, materials lifting, electrical hazards, safety in demilitarization operations, fire prevention and protection, cold stress, heat stress, buddy system, insect bites and stings, and sharp cutting tools
Site Specific Medical Surveillance
Site Specific Emergency Response
UXO (if applicable), including personnel, response and general safety precautions, demilitarization of UXO, safety precautions for fuze, precautions for pyrotechnics and incendiary munitions, safety precautions for ground launched and employed munitions, and disposal of UXO
Leonard C. Rowe
H. DATE
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing
D. SYSTEM/ITEM
D008
Final HASP at Aberdeen
DI-MGMT-80555A
5. CONTRACT REFERENCE
3.2.3
6. REQUIRING OFFICE
JPL-E
7. DD 250 FEQ
No
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
As Required
12. DATE OF FIRST SUBMISSION
TBD
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
Final
Log reports and record keeping that include Field Change Requests (FCR), on-site log, accident/incident reports, accident exposure and experience, health and safety field log books, visitor log, and training log
Authorization of personnel to enter restricted areas
Final destruction/disposition of wastes
Site restoration
Equipment close-out
Field Team Review of Safety Hazard Emergency Response Plan (SHERP) documentation applicable Site Specific Medical Support Plan. The Site Specific Medical Support Plan shall include Occupational Health and Hygiene issues covering equipment installation and site operations. Occupational Health and Hygiene issues shall describe procedures to be implemented by the contractor to meet OSHA and Army requirements during the equipment installation and operations at each site. The plan shall also contain the basic standard operating procedures for occupational health, environmental health, industrial health, and health care administration.
8.1 The HASP shall describe the Contractor’s compliance with an applicable Site Specific
8.2 The HASP shall describe the Contractor’s compliance with an applicable Occupational
9. Accident Reporting: The Contractor shall prepare and submit Accident/Incident Reports.
involving either injury or in instances where chemical agent is released to the environment.
Reporting procedures shall follow the guidance within CMA 385-3.
10. Contingency Plan: The HASP shall describe the Contractor’s implementation of an
Leonard C. Rowe
H. DATE
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing
D. SYSTEM/ITEM
D009
Draft Evaluation Plan
5. CONTRACT REFERENCE
3.2.4
6. REQUIRING OFFICE
JPL-E
7. DD 250 FEQ
No
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
As Required
12. DATE OF FIRST SUBMISSION
35 DAS
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
Final
E. Contractor may use its own format within the guidelines of this document specifications.
supplied via email as appropriate. All attachments shall be referenced and included with the report.
F. The Contractor shall prepare the Draft Evaluation Plan in support of OREP activities, as instructed by the Government’s authorized representative. This plan shall describe the contractor’s procedures for evaluating testing.
G. The Draft Evaluation Plan outlines the plans and performance objectives at every level of testing on systems or equipment. It provides the Government the test concept, objectives and requirements to be satisfied, test methods, elements, responsible activities associated with the testing measures required and recording procedures to be used. This plan shall document in detail the Contractor’s plan for conducting tests and analyzing the test results to show how the system when fielded, will satisfy the requirements of the applicable design specification. This plan shall include, but is not limited to:
being tested, contractor’s name and address, the contract number, the nomenclature of the system or program, the period covered by the plan, either the serial number of the report or the Deliverable Number, the security classification, signature blocks, and the name of the issuing Government activity.
A detailed introduction describing the objectives of the test plan, flow diagrams, milestones, personnel participation, locations, schedules, and security measures.
Master test list including all tests to be accomplished in the order they are performed.
Test description
Applicable specifications, including title, identification number, paragraph number, title of test, functional category of test
Parameters, to include number of cycles and specific parameters observed
Special tests, to include description and rationale for verification of performances to specification
Test classification category
Test objectives
Success/failure criteria
Baseline
Duration
Quantity of test(s)
Test equipment including descriptions, nomenclature, and serial numbers
Support equipment, including description, nomenclature, serial number, calibration procedures, and operating instructions
Special test equipment, including special fabrication, description, nomenclature, and date required
Description of approach for and steps required for each test
Type, quantity and location of instrumentation and data recording systems used for the test
Data reduction and analysis procedures for data evaluation
H. Overview of the test results validation procedures.
Leonard C. Rowe
H. DATE
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing
D. SYSTEM/ITEM
D009
Draft Evaluation Plan
5. CONTRACT REFERENCE
3.2.4
6. REQUIRING OFFICE
JPL-E
7. DD 250 FEQ
No
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
As Required
12. DATE OF FIRST SUBMISSION
35 DAS
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
Final
I. The Evaluation Plan shall include (but not be limited to):
Evaluation Criteria
Identification of data to be evaluated including data tables and figures
Evaluation Report format
Objectives Approaches
Details of the work to be performed
Resulting technical data package
Recommendations/Conclusions
Leonard C. Rowe
H. DATE
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing
D. SYSTEM/ITEM
D010
Final Evaluation Plan
5. CONTRACT REFERENCE
3.2.4
6. REQUIRING OFFICE
JPL-E
7. DD 250 FEQ
No
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
As Required
12. DATE OF FIRST SUBMISSION
55 DAS
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
Final
J. Contractor may use its own format within the guidelines of this document specifications.
supplied via email as appropriate. All attachments shall be referenced and included with the report.
K. The Contractor shall prepare the Final Evaluation Plan in support of OREP activities, as instructed by the Government’s authorized representative. This plan shall describe the contractor’s procedures for evaluating testing. The Final Evaluation Plan shall be written after the Draft Evaluation Plan has been reviewed by the Government and written comments submitted.
The contractor shall ensure that the Government’s comments are understood before work starts on the Final Evaluation Plan.
L. The Final Evaluation Plan outlines the plans and performance objectives at every level of testing on systems or equipment. It provides the Government the test concept, objectives and requirements to be satisfied, test methods, elements, responsible activities associated with the testing measures required and recording procedures to be used. This plan shall document in detail the Contractor’s plan for conducting tests and analyzing the test results to show how the system when fielded, will satisfy the requirements of the applicable design specification.
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