Wet Utilities Safety_Data.docx

DOCX document 20 KB Posted

Attached to
Wet Utilities Job Order Contract-Multiple Locations Federal contract opportunity
Solicitation number
N40080-21-R-9502
Issued by
Department of the Navy Naval Facilities Engineering Command

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This document contains a safety data sheet template and information on a related sources sought announcement for a wet utilities job order contract. The safety data sheet requests experience modification and OSHA injury rates for the past three years, along with explanations for any rates over thresholds or negative trends. Respondents are asked to provide days away from work, restricted duty or job transfer rates and total recordable case rates using BLS calculation methods.

The sources sought announcement is to identify potential small businesses for a wet utilities job order contract covering demolition projects at multiple Navy locations including Patuxent River, Indian Head, and Dahlgren. Responses will be used to qualify contractors with relevant experience, staffing, and capabilities to perform the contract work.

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Other files attached to Wet Utilities Job Order Contract-Multiple Locations, newest first.
File Type Posted
PAX IH DAHL_WET UTILITIES JOC Sources Sought AMD01.docx DOCX document
PAX IH DAHL_WET UTILITIES JOC Sources Sought.docx DOCX document

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SAFETY DATA SHEET

1. Respondent:

Most Recent Complete Calendar Years of Reported Safety Data:

Indicate data rates as decimal figures, not whole numbers.

2. Experience Modification Rate (EMR):
Year-20XX
Year-20XX
Year-20XX

2a. For EMRs greater than 1.0, explain any extenuating circumstances and corrective actions taken:

2b. Explain any negative EMR trends:

2c. If you do not have an EMR for a given year, state so here and explain why:

3. U.S. Dept. of Labor, OSHA Days Away from Work, Restricted Duty, or Job Transfer (DART) Rate
Year-20XX
Year-20XX
Year-20XX

Instructions for calculating the DART rate can be found at http://www.bls.gov/iif/osheval.htm.

3a. For DART Rates of 3.0 or greater, explain any extenuating circumstances and corrective actions taken:

3b. Explain any negative DART Rate trends:

3c. If you do not have a DART Rate for a given year, state so here and explain why:

Note: Form may be expanded.

(continuation)

SAFETY NARRATIVE

4. U.S. Dept. of Labor, OSHA Total Recordable Case (TRC) Rate
Year-20XX
Year-20XX
Year-20XX

Instructions for calculating the TRC rate can be found at http://www.bls.gov/iif/osheval.htm.

4a. For TRC Rates of 4.5 or greater, explain any extenuating circumstances and corrective actions taken:

4b. Explain any negative TRC Rate trends:

4c. If you do not have a TRC Rate for a given year, state so here and explain why:

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