CDRL PM-17 Safety and Emergency Response Plan.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved (1 Data Item) OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 220 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 the Department of Defense, Executive Services Directorate (0704-0188). 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 organization. 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

General

D. SYSTEM ITEM E. CONTRACT/PR NO. F. CONTRACTOR

Logistic Support Services W52P1J-15-R-0195

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

PM-17 Safety and Emergency Response Plan

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

PWS Para. 1.8.1 COR

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

NO As necessary See Blk 16 b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

Date of Submission

See Blk 16 Reg Repro

16. REMARKS COR 1 1

Block 12 – Initial submission shall be submitted 30 days after notice to proceed.

The Government will review and either provide comment or approve the draft copy within 15 days. Final copy, with changes in response to Government comments, shall be submitted NLT 15 days after receipt of Government comments.

Block 13 – The Contractor shall submit proposed revisions to the Government for approval. The Government will review and provide comment to the Contractor within 15 days. The Contractor shall resubmit revised Safety and Emergency Response Plan NLT 15 days after receipt of Government comments.

Contractor format acceptable.

The Contractor’s plan shall describe the processes, procedures, inspection methods, and instructions to personnel concerning:

a. Preventing accidents and personal injury.

b. Responding to accidents and injury.

c. Responding to emergency situations in Contractor-occupied GFF.

d. Eliminating or minimizing work center health risks to personnel.

e. Lock out/tag out procedures.

f. Complying with identifying HAZCOM and HAZWOPER Requirements.

g. Accident reporting.

h. Inspections, audits, or visits by compliance personnel.

i. Attendance at safety meetings.

ALL DAYS INDICATED ARE CALENDAR DAYS UNLESS OTHERWISE

ANNOTATED.

KO 1

Safety Officer 1 1

15. TOTAL 2 3

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 1 Pages