AD0004_SIR_Template.xls

XLS spreadsheet 47 KB Posted Mar 14, 2018

Attached to: Private Security Services for ECPs and ASP at BAF W91B4N-18-Q-2002
Solicitation number: W91B4N-18-Q-2002
Issued by: Department of the Army Materiel Command Joint Munitions Command

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AD0004 SIR

File	Type	Posted
AD0001_USFOR-A_FRAGO_16-143_MOD_1_Arming_Procedures_for_DoD_Contractors.pdf	PDF	Mar 14, 2018
AD0002_SPOT_Business_Rules_DoD_20180214.pdf	PDF	Mar 14, 2018
AD0003_Rule_of_Law_-_LOAC.pdf	PDF	Mar 14, 2018
W91B4N-18-Q-2002.pdf	PDF	Mar 14, 2018
AD0005_-_DD254_ASP-ECP-Truck_Yards.pdf	PDF	Mar 14, 2018
Attachment_1__-_Pricing_Workbook.xlsx	XLSX spreadsheet	Mar 14, 2018
W91B4N-18-Q-2002_Amendment_0001.pdf	PDF	Mar 14, 2018

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Sheet1

SERIOUS INCIDENT REPORT
SERIOUS INCIDENT REPORT: (INITIAL - UPDATE - FINAL)
AC / PSC INFORMATION
AC/PSC COMPANY			AC/PSC CONTRACT #		USG CONTRACTING OFFICE
COR NAME			COR EMAIL		COR PHONE #
RO NAME			RO EMAIL		RO PHONE #
INCIDENT / ATTACK INFORMATION
DATE OF INCIDENT	(DD-MON-YR)		INCIDENT LOCATION
TIME OF INCIDENT	(24 HR)		PROVINCE
TYPE OF INCIDENT			GRID CORD
# KIA		# WIA		# MISSING
PSC		PSC		PSC
CIV		CIV		CIV
ENEMY		ENEMY		ENEMY
TOTAL		TOTAL		TOTAL
MOBLE SECURITY INFORMATION
CARRIER			ORGIN		DESTINATION
CARGO DESCRIPTION			# OF CARGO TRUCKS		# OF ESCORT TRUCKS
			# OF TRUCKS ATTACKED		# OF TRUCKS DAMAGED
DESCRIPTION OF INCIDENT
(Detailed summary of the incident, to include the type of mission being performed by the AC / PSC)
WEAPONS DISCHARGED
(To include, but not limited to, firing weapons in response to attacks, Negligent Discharges(ND), etc.)
ID OF PERSON			WEAPON USED		# OF ROUNDS FIRED
ADDITONAL INFORMATION
(Provide any information related to this incident, ie action taken since incident)
Report Submitted By			Email / Phone Number

Sheet2

Sheet3

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