RMAS Exhibit G Contract Data Requirements List E001 CCIR

UNCLASSIFIED

CONTRACT DATA REQUIREMENTS LIST

A. CONTRACT LINE ITEM NO.

C. CATEGORY:

B. EXHIBIT

E

D. SYSTEM/ITEM

Recruiting, Mgmt, &Admn Support Services
1. DATA ITEM NO.

TDP

2. TITLE OF DATA ITEM

3. SUBTITLE

Commander's Critical Incident Report (CCIR)

5. CONTRACT REFERENCE

DI-MGMT-82188

DD

8. APP CODE

F. CONTRACTOR

Accident Incident Report

4. AUTHORITY (Data Acquisition Document No.)

7. DD 250 REQ

OTHER MGMT

TM

E. CONTRACT/PR NO.

W519TC-26-R-A076

6. REQUIRING OFFICE

See Block 16

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

D

11. AS OF DATE

N/A

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

SFAE-PSE-HS

12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

See Block 16

b. COPIES

ASREQ

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

a. ADDRESSEE

ASREQ

Draft

Final
Reg

16. REMARKS

KO

KO = Contracting Officer
COR-RA = Contracting Officer's Representative at the Requiring Activity COR-HRS = Contracting Officer's Representative at HR Solutions R-MAS = Recruiting, Management, and Administrative Support TO = Task Order
All submissions shall be electronic (email).

COR-RA

COR-HRS

HR Solutions Portal

HRS Director

Repro

Block 5: RMAS Base Contract PWS paragraphs 4.1.4.4 & 4.1.9 Block 10: Frequency is one email report per reportable incident Block 12: Submission is required one (1) business day after the incident occurred, except for incidents of breach of sensitive information (PII or classified), which shall be reported immediately upon discovery. Block 13: Weekly follow-up submissions are required until the issue is resolved/position is filled. Data Item Description Revisions:
1. Format: Figure 1 is replaced with the following format: a. Report Date:
b. Type/Nature of Incident/Event: (Any Matter, Development, Serious Concern or Issue that May Require the Input or Awareness of HR Solutions Leadership) c. Date/Time of Incident/Event:
d. Location(s): (The location where the incident took place) e. Personnel Involved:
f. Description of Incident/Issue: (What and how the incident happened, and the impact) g. Actions Taken:
h. Actions Needed to Close the Incident Report:
i. Additional Remarks:
j. Media Coverage:
k. Point of Contact: (Include full name, title, telephone and email address) l. Individual Reporting: (Include full name, title, telephone and email address) 2. Content: The report shall contain all of the information in the revised Figure 1. 3. Section 2.1 is replaced with the following:
2.1 The Report shall identify incidents resulting in any one or more of the following: 2.1.1 Death/serious injury to contractor personnel while on duty