Contract Data Requirements List A010 - Contractors Safety Plan

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

C. CATEGORY:

0003

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

X

F. CONTRACTOR

ISO 50001 Program
1. DATA ITEM NO.

A010

3. SUBTITLE

Contractor's Safety Plan

Safety and Health Plan

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

DI-SAFT-82080/T NOT 1

7. DD 250 REQ

NO

8. APP CODE

A

17. PRICE GROUP

2. TITLE OF DATA ITEM

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

1TIME

WR-ALC/SE (Safety Office)
14.

DISTRIBUTION

See Blk 16

13. DATE OF SUBSEQUENT

SUBMISSION

11. AS OF DATE

b. COPIES

a. ADDRESSEE

See Blk 16

N/A

18. ESTIMATED

TOTAL PRICE

6. REQUIRING OFFICE

PWS Para 4.17.1

16. REMARKS

See blk 16

Final

Draft

Reg

Repro

Blks 12, and 13: (See Appendix C, Part II, Para 7) The Contractor shall establish and maintain an acceptable safety program in accordance with their accepted Safety and Health Plan. The Air Force is part of the OSHA Voluntary Protection Program (VPP). All shall familiarize themselves with the requirements of VPP. Information on the VPP can be accessed at http://www.osha.gov/dcsp/vpp/index.html. Additionally, the Contractor is responsible for the safety and health of all subcontractor employees. No more than two Class C mishaps per contract year and Zero Class A or B mishaps will be tolerated. All changes to the plan must also be submitted in writing and approved by the Government. Within 10 calendar days after contract award, the contractor shall email a copy of their company Safety Plan that is required to ensure compliance with the Occupational Safety