80712 - Contract Data Requirements List A002 - Status Report EMS training

CONTRACT DATA REQUIREMENTS LIST

Form Approved

OMB No. 0704-0188

(1 Data Item)

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 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

0004

C. CATEGORY:

A

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

X

F. CONTRACTOR

HALON ANALYZER

1. DATA ITEM NO.

A002

3. SUBTITLE

TEST/INSPECTION REPORT

Environmental Management System - EMS

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

DI-MGMT-80368A/T

7. DD 250 REQ

NO

8. APP CODE

N/A

17. PRICE GROUP

2. TITLE OF DATA ITEM

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

18. ESTIMATED

TOTAL PRICE

6. REQUIRING OFFICE

PD Para 4.10.3

12. DATE OF FIRST SUBMISSION

ASREQ

78th CEG
14.

DISTRIBUTION

ASREQ

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

b. COPIES

a. ADDRESSEE

SEE BLK 16

16. REMARKS

See blk 16

Final

Draft

Reg

Repro

Block 11 & 13:
All contractor personnel working on Robins AFB who perform activities on the installation are required to complete Air Force-provided initial EMS Awareness Training. It is the responsibility of the Prime Contractor to ensure that all sub-contractors, vendors, and employees complete this training prior to beginning work on Robins AFB. Notification of training completion shall be sent to the Robins AFB Contracting Officer (CO) and the Contract Surveillance Management Office (CSMO) POCs to be maintained in the contract file for tracking purposes. Failure to provide documentation of EMS Training may result in termination of the contract. (see PD for full details)
Environmental Management: Jessica Parker, [email protected] Primary Govt POC: Michael Tew, [email protected]
Alternate Govt POC: Della Smith, [email protected]