SOW Leavenworth Decommissioning 09112026.docx

Department of Veterans Affairs CMOP 5000 S. 13th Street Leavenworth, KS 66048 Building and APFS Decommissioning and Disassembly Support

1. Overview

1.1. The United States Department of Veterans Affairs Leavenworth Consolidated Mail Outpatient Pharmacy (VA CMOP) located at 5000 S. 13th Street, Leavenworth, KS 66048, processes over 500,000 prescriptions per day at seven regional sites. Prescriptions are entered into the patient’s Electronic Health Record (EHR) at VA hospitals and clinics, then transmitted to the assigned CMOP for processing and mailing to the veteran.

1.2. Currently, Leavenworth CMOP processes an average of 55,000 scripts per day. The operations are being relocated to a new site and the lease in Leavenworth is expiring.

1.3. This RFP is intended to solicit proposals from contractors that will support the VA in disassembly, demolition, relocating and staging for disposal of existing APFS equipment. In addition, the contractors will demolish building related items such as walls, furniture, and fencing.

1.4. Proposals will be evaluated to select the best, most reliable support, and the most cost-effective means of providing the best value solution for the Leavenworth VA CMOP.

1.5. The period of performance is 365 days. More specifically,

2. Definitions

2.1. VA: United States Department of Veterans Affairs

2.2. VA CMOP: US Department of Veterans Affairs Consolidated Mail Outpatient Pharmacy. VA’s high volume prescription filling unit

2.3. Contractor: This term refers to those contractors from whom quotations are being solicited. From this potential contractor base, a contractor will be selected, and a contract awarded. Also referred to as Bidders, Vendors, and Contractors.

2.4. Contracting Officer’s Representative (COR) the VA contracting officer’s on-site contract/project manager. The COR does not have the authority to modify the contract terms or costs.

2.5. Project: APFS Decommission and Disassembly Support

2.6. APFS: Automated Prescription Fulfillment System

2.7. TCA: Tablet and Capsule Automation System

2.8. UUA: Unit of Use Automation

2.9. UoU: Unit of Use

3. Confidentiality

3.1. The Leavenworth CMOP considers all equipment, systems, distribution processes, and documentation relating to such equipment, systems, and processes to be confidential and proprietary information. The Contractor will not distribute, disclose, or disseminate, in any way, such information to anyone except its employees who are involved in this project.

4. Drawings Supplied With RFQ

4.1. Plan views of the existing Leavenworth pharmacy are provided to scale in the attached drawing. This plan view is provided as a PDF and is available in AutoCAD.

4.2. List attachment of drawings and supplemental information, which are added to the end of the scope.

4.2.1. Appendix A Facility Drawing

4.2.2. Appendix B GSA Turn In

4.2.3. Appendix C Scrap Metal

4.2.4. Appendix D Electrical

5. Scope of Demolition

5.1. The following section describes the equipment and details for breaking down and removing the existing equipment within the Leavenworth space.

5.2. Disassembly work shall include scraping conveyors, motors, gearboxes, control panels, pharmaceutical dispensing equipment, conduits, electrical trays, duct work, electrical and pneumatic lines feeding the APFS equipment.

5.3. Wiring shall be pulled back to the respective electrical panel, disconnected from the breaker, and scrapped. The electrical panel circuit breaker directory shall be updated to reflect the change.

5.4. Remove all low voltage (e.g. CAT V/coaxial cables, and fiber optic cables). Remove and account for GSA turn of security cameras and black IT telecommunication equipment cabinets. The VA shall remove IT equipment prior to demo of the IT cabinets.

5.5. Remove and scrap office furniture (unless otherwise marked via a physical tag by the VA), file cabinets, and workstations.

5.6. Remove Unistrut and threaded rods which are hung from the roof structure

5.7. Remove electrical power poles.

5.8. Other items to be demolished are interior cages, modular walls, interior safety railing, stairs, duct work, lighting for cages (all high bay lighting will remain), Baxter I & II lighting (TCA). All floors will be left in a condition conducive to an open space acceptable by the Lessor, including a smooth service without bolts protruding as trip hazards and holes filled.

5.9. Decommissioning of the central vacuum system.

5.9.1. This system was used to vacuum tablet and capsule spills by Baxter I & II (TCA). The system along all associated PVC pipes shall be decommissioned and disposed of as per the EPA and the Kansas Department of Health and Environment hazardous waste regulations.

5.9.2. A hazardous waste disposal company, at the cost of the Contractor, shall take dust samples inside the central vacuum system and send them off to a laboratory for hazardous waste analysis.

5.9.3. Once the hazardous waste is analyzed and the hazardous waste profile assigned, the central vacuum systems shall be decommissioned and disposed of by the hazardous waste company at the contractor’s cost. The VA will provide the contractor with our EPA number.

5.9.4. The COR shall receive a certified copy of the hazardous waste analysis along with the hazardous waste manifests.

5.10. Clean, bare, swept floors with no materials or debris.

5.11. Vacuum carpeted areas

5.12. Cut floor bolts flush, no obstructions.

5.13. In the drawings below, highlighted areas signify equipment to be removed. Pictures of the target portion of the system have been included to provide a visual of the work to be accomplished, but they are not all inclusive.

5.14. The phases are intended to maintain the organization of the equipment and components. They will occur sequentially without the need to demobilize.

6. Disassembly, Description, and Identification

6.1. Removal of A-Frames (Flex I & II)

6.1.1. Demolish the existing APFS UoU system and floor mounted belt conveyor systems and controls panels. The electrical shall be removed back to the distribution panel. The wire storage racks and shelving surrounding the A-Frames shall be removed as well. VA will relocate the inventory. Photos are examples and not all inclusive:

A-Frame Flex I

Electrical Panel Flex II

6.2. Removal of Labeling, Verification, Packing, and Tote Line

6.2.1. Demolish the existing conveyor (roller and belt), workstations, packing stations, automated packing equipment, package takeaway conveyor, and bridges/stairs. The electrical shall be removed back to the distribution panel. The compressed air shall be removed back to the air tank. Leave electrical panels and compressed air tanks in place. The tote line includes all the enclosed black area conveyors on the drawing; the VA will remove the computers and monitors. The photos are examples and not all inclusive:

Conveyor 2 Conveyor 1

Workstations 2 (Packing Stations) Workstations 1 (Packing Stations)

PLC

Conveyor 3

6.3. Baxter 1 & 2: Removal of Equipment

6.3.1. The Tablet Counting Automation (TCA) will be removed along with the conveyor. The drawing shows equipment outlined in black. The contractor will be responsible for removing the equipment, shelving, and conveyors in the highlighted blue area. The photos are examples and not all inclusive:

Bottle Hopper Baxter 1

Capper Bottle Hopper

6.4. Removal of Furnishings (Systems Furniture, Cabinets, & Chairs) and Mobile Partitions

6.4.1. Rooms/locations with furnishings and partitions are: Offices A, B, C, D, E, F, 100, 101, 102, 103, 105, 116, 117, 118, 119, 120, 121, 123, 124, 126, 127, 139,140, 141, 142, 143, 144, 145, 146, 147 (Records Storage), 149, Engineering Manager, Housekeeping, Special Handling Cages North and South, Supply Closest, on the Pharmacy Floor there are 2x quad partitioned work areas, and two partitioned workstation areas. All workstations, shelving, and file cabinets on the Pharmacy floor, Receiving, and Housekeeping. The main conference room table and cabinets will be turned into GSA. Photos are examples and not all inclusive.

Office Furniture 2 Office Furniture 1

Main Conference Room Furniture Office Furniture 3

Quad Partition Furniture

6.5. Removal of Miscellaneous Equipment

6.5.1. The contractor shall move the refrigerators to the NW corner of the facility.

6.5.2. The sprinkler pipe to the freezer shall be removed and capped at the wet pipe near the roof. See yellow arrow below.

6.5.3. Photos are examples and not all inclusive.

Freezer 8'x8'x8' (1 each)Refrigerators efrigerator

6.6. Garage Area: Removal of Air Compressors, Air Tank, and Dryer Air Compressor, Tank (1 Each), and Dryer (1 Each)

Air Compressor Rooms (2 Each)

6.7. Receiving Area

6.7.1. The forklift and charging station shall be disconnected by a licensed electrician. All electrical wiring, junction box, and conduit pulled back to electrical panel L3 CKT 32-34.

Forklift Forklift Charging Station

Workstations

7. Fire Alarm Panels, Burglar Alarm, Motion Detectors, Sensors, and associated wiring to remain in place and the systems shall be operational.

7.1. Access Control Readers to remain on doors along with the maglocks and electric strikes.

7.2. Access Control Panels, Power Supplies, and Building Management System (HVAC Controls)

7.2.1. Demo all access control panels, power supplies, and associated wiring.

7.2.2. Demo all “banana “cables and disconnect from access control readers. Banana cables are the thick yellow cables that are only used for the access control system.

7.2.3. Power supplies are found in Room #114, mounted on the SW wall near the cage, and above Pole F.

7.2.4. The Delta Controls Building Management System (BMS) Panel is in Room #114. The panel shall be removed and scrapped. The BMS software crashed in early 2025, and the unit is no longer operational.

7.2.5. The contractor shall patch/repair walls and replace ceiling tiles as necessary.

Room 114 Access Control Panels

Access Control & Security Camera Cabinets (Outside of Receiving)

8. Demolition of Exterior Items

8.1.1. Satellite dishes, benches, tables, bike rack, smoke shed and chairs. Photos are examples and not all inclusive.

Exterior Break Area

8.2. Exterior Items to be accounted for and turned into GSA:

8.2.1. HF Antenna which is mounted along the South exterior wall and all associated equipment. Repair wall penetration(s) to fill the hole and match the existing paint color.

HF Radio Antenna

9. Demolition of Interior Walls, Turnstiles, Duct, and Cages HAZMAT Storage Cage

Special Handling Interior

Special Handling 1 GIP Cage

LSS Cage

Engineering Shop Wall

Turnstiles with Cage (Interior View) Turnstiles with Cage (Exterior View)

9.1. Items and structures that will remain in place:

Air Compressor Rooms

Engineering Workshop (Walls & Lighting)Axillary Break Room

Server Room (Exterior)

Engineering Offices

Server Room (Interior)

1000 Kw Generator 30k Generator

9.2. Removal of Decommissioned Equipment:

9.2.1. The Government will attempt to dispose of decommissioned equipment from the Leavenworth site via appropriate means for possible resale or relocation to other CMOP sites. Decommissioned equipment will need to be fully inventoried (including photos), palletized and stretch wrapped, etc. to protect it for this subsequent disposal effort. Follow the attached guidelines from GSA and provide documentation to VA. The Contractor’s scope shall include time and materials to support this effort for all major pieces of decommissioned automation equipment.

9.2.2. Disassembly of the system must be done with care and by skilled individuals to ensure that the integrity of the system components is maintained. This includes the necessary provisions for safe disassembly of electrical, electronic, control and robotic components. In all cases these items shall be packaged in accordance with the manufacturers’ requirements to ensure they can be transported without damage. For electronic related components, these should be removed in a manner that prevents static discharge or damage to the component, and they should be packaged in a manner that is consistent with protecting the electronic integrity of the device (boards, controller cards, PLC, etc.).

9.2.3. Equipment/Electronic Component Removal and Packaging

9.2.3.1. Electronic products are considered fragile, the electronics product packaging must consider protection from extreme temperatures, mechanical damage, electrostatic discharge and high frequency noise emission. Care shall be taken by trained technicians to disassemble these components, inventory, and package them for future use. The contractor should provide packaging information for approval by the COR to ensure it is appropriate for the application needed. In most instances the level of packaging will conform to an industry standard at a Level 3, Level 4 or Level 5 as needed.

9.2.4. Packaged and Palletized Equipment and Materials

9.2.4.1. All items identified for packaging and palletization in accordance with manufacturer’s requirements to ensure the integrity of the equipment and materials remains in good working condition for future use or shipping. For all items determined to be handled in this manner the contractor will be required to be inventoried and documented in a manner that simplifies the process for final disposition of the item. The contractor will be required to take pictures in accordance with the GSA guidelines including the naming convention for these pictures, to expedite the final disposition of these items. These guidelines have been provided as attachments.

9.2.4.2. Use of cameras and pictures at the CMOP site is prohibited except for this intended purpose. All pictures taken shall be reviewed and approved by the local COR to ensure no private patient or employee information or images are present in the photographs.

9.2.4.3. Appendix E: Photo Taking Guidelines

9.2.4.4. Appendix F: GSAXcess Photo Naming Conventions

9.2.4.5. Appendix G: XCS Picture Guidelines PowerPoint

9.3. Project Management Requirements/Site Conditions

9.3.1. Decommissioning work shall be accomplished during normal operating hours Monday-Friday from 7:30am to 4pm. All Federal Holidays shall be observed.

9.3.2. If the contractor prefers working during non-operating hours or on weekends, then it should be coordinated and approved by the COR in advance of this work taking place.

9.3.3. A project schedule shall be submitted to the COR or their designated representative as part of the contract award. The schedule shall be revised and re-issued bi-weekly. A detailed listing of the de-installation shall be included in the schedule starting no later than one month before the de-installation is scheduled to begin to enable any required VA scheduling. This detailed schedule shall include time required for the de-installation for approval by the COR or their representative prior to being approved. All site preparation requirements shall be established in advance.

9.3.4. Disassembly of components shall be inspected and approved for each type of equipment identified within the job. An overall review of work accomplished, and upcoming schedule shall be done at least weekly with the COR and any items or deficiencies documented and maintained until corrected. Approval of completion of any phase will require completion of all punch list items and final sign off by the COR.

9.4. Permits and Inspections

9.4.1. The contractor shall be responsible for obtaining all permits and approvals, paying all fees (including disposal fees), scheduling inspections by the City of Leavenworth, and complying with all applicable governmental statutes, codes, and regulations, except as otherwise specified by the VA.

9.5. Use of Premises by Contractor Personnel

9.5.1. The contractor shall confine operations and those of any subcontractors to the project area of the site. The contractor shall limit the use of the premises for work and storage, to allow for work by other contracted personnel on the project. The contractor shall coordinate the use of the premises with the COR or their designated representative. All employees of the contractor and their subcontractors shall be restricted to the project area. They shall not enter other areas of the building except as required to complete the work covered by this project.

9.5.2. The contractor shall supervise and direct the project, using their best skill and attention, and shall be solely responsible for all construction means, methods, techniques, sequences, and procedures and for coordinating all portions of the project under contract. The contractor shall be responsible to VA CMOP for the acts and omissions of the contracted employees, subcontractors and their agents and employees, and other people performing any of the work under contract with the contractor.

9.5.3. The contractor shall, always, enforce strict discipline and good order among Contractor employees and shall not employ on the project any unfit person or anyone not skilled in the task assigned to them.

9.5.4. The contractor shall supply the VA CMOP with the names of all personnel to be admitted to the job site. The contractor’s personnel shall follow security procedures (name tags, check-in, etc.) as directed by the VA CMOP. The contractor's personnel shall enter and exit at locations designated by the VA CMOP. The contractor's employees shall confine themselves to the immediate work area on the site.

9.6. Coordination of Laydown

9.6.1. Demolition storage and laydown of materials is to be coordinated with the COR.

9.6.2. Crews shall have access, light, and conditioned working space. Days and hours of access will need to be planned and approved by the COR.

9.7. Housekeeping and Sanitation

9.7.1. On site toilets and break rooms are available for use. The contractor is responsible for providing supplies for their employees and keeping the areas clean.

9.7.2. The contractor shall be responsible for the overall cleanliness of the work area during decommissioning and shall make daily cleanup of the area, removing the collected materials to an approved dump site. Combustible materials shall not be allowed to accumulate and shall be removed from the installation site daily. All working areas shall be cleaned regularly. If the contractor fails to clean up at the completion of the workday, the VA may do so, and the cost thereof shall be charged to the contractor.

9.7.3. The contractor is to provide containers for all their collection and transfer of materials and trash. The contractor is responsible for all trash disposals. The contractor shall provide dumpsters for the removal of all trash from the site.

9.7.4. The contractor shall store material, equipment, and tools only at locations designated by the VA CMOP and shall not obstruct any roads, aisles, doors, or passageways. The VA CMOP assumes no responsibility for losses due to theft of the contractor's stored materials.

9.8. Scrap and Items to be Excessed Storage

9.8.1. Items identified for scrap will be coordinated with the COR.

9.8.2. Items to be stored on site shall be coordinated with the COR regarding the location.

9.8.3. The contract is required to provide off-site storage for palletized and non-palletized equipment and material while final disposition is being processed. The contractor shall ensure the off-site space is within 25 miles of the Shawnee CMOP located at 23501 W. 84th Street, Shawnee, KS. The term shall be one-year with early termination rights with a 30-day notice. The quantity of space is a minimum of 5,000 and maximum of 10,000 square feet. It must be temperature controlled with a burglar and fire alarm system, restroom access, and security cameras at the entrance and exit. The contractor is responsible for the lease payment as well as costs for utilities and alarms.

9.9. Sanitation

9.9.1. The contractor shall be responsible for all housekeeping, which includes trash, cleaning restrooms and breakrooms, mopping, sweeping, vacuuming carpeted areas, pick up trash in the interior and exterior of the site. The contractor will be responsible for all cleaning supplies, microfiber towels, mops, brooms, buckets, etc.

9.10. VA CMOP Access and Cooperation

9.10.1. The VA CMOP shall always have access to the project and storage areas.

9.11. Equipment Contractor's Personnel and Workmanship

9.11.1. The contractor shall supervise and direct the project, using their best skill and attention, and shall solely be responsible for all deconstruction means, methods, techniques, sequences, and procedures and for coordinating all portions of the project under the contract. The contractor shall be responsible to the VA CMOP for the acts and omissions of the contractor, their employees, subcontractors and their agents and employees, and other people performing any of the work under a contract with the contractor.

9.11.2. The Contractor shall, always, enforce strict discipline and good order among contractor employees and shall not employ on the project any unfit person or anyone not skilled in the task assigned. All employees of the contractor and their subcontractors shall be restricted to the immediate work site and only where they have proper business.

9.11.3. No cameras are allowed within the site without permission from the COR.

9.11.4. The equipment contractor shall supply the VA CMOP with the names of all personnel to be admitted to the job site. The equipment contractor's personnel shall enter and exit at locations designated by the VA CMOP.

9.11.5. All work at the job site will be performed by indicated labor under the proper supervision of a qualified representative of the contractor. Work areas will be identified and ready for use based on a project completion schedule submitted by the contractor.

9.12. VA Furnished Equipment

9.12.1. No equipment will be furnished by the VA.

9.12.2. Contractors are prohibited from using VA owned equipment e.g. ladders, lifts, powered industrial trucks, power tools, etc.

9.13. Material Handling and Unloading

9.13.1. Contractors shall provide their own material handling equipment e.g., forklift, pallet jacks, or other power equipment for unloading equipment.

9.13.2. All handling shall be by means of wheeled vehicles. Sliding the componentry directly on the floor is not permitted.

9.13.3. The contractor may utilize the docks for dumpsters and unloading/offloading.

9.14. VA Information Security

9.14.1. The certification and accreditation (C&A) requirements do not apply, and a Security Accreditation Package is not required.

9.15. Safety

9.15.1. The contractor shall be responsible for maintaining a safe work environment at the installation site.

9.15.2. The contractor shall be responsible for ensuring their employees, subcontractors, and agents are furnished with proper safety equipment and that all equipment and work methods are in complete conformance to national, state, and local laws and the VA CMOP's standard safety procedures.

9.15.3. All public health precautions (masks, virus testing, etc.) applicable to the CMOP site will be observed by the contractor.

9.15.4. The contractor will provide the COR with a safety plan for this project and any safety related training provided. This includes not only general safety training, but any training and certificates related to lift truck operation, fall protection, electrical safety, or other OSH related operations. In addition, the contractor is required to provide and ensure the use of all personal protective equipment (gloves, hard hats, safety shoes, hearing protection, etc.) for its personnel.

9.15.5. Electrical Safety

9.15.5.1. According to NFPA 70E 130.2(B) when energized electrical work is performed as allowed in Section 130.2(A), an energized electrical work permit is required and must be documented under the following circumstances:

9.15.5.1.1. When working within the restricted approach boundary.

9.15.5.1.2. When the employee interacts with the equipment and conductors or circuit parts are not exposed but an increased likelihood of injury from exposure to an arc flash hazard exists.

9.15.5.2. It is the policy of Leavenworth CMOP VA staff and contractors shall not perform energized electrical work. If for some reason energized work is required, the contractor shall submit an ENERGIZED PERMIT to the COR for approval and signature by the National CMOP Chief Engineer and the Leavenworth CMOP Director. See Appendix H for Hot Permit Form

9.15.6. Hot Permit

9.15.6.1. The contractor shall submit a HOT WORK PERMIT for any welding, cutting, grinding, soldering, and brazing to the COR for approval and signature by the National CMOP Chief Engineer and the Leavenworth CMOP Director. See Appendix I for Hot Work Permit Form.

9.15.6.2. A hot permit is necessary when working in areas where there are flammable or combustible materials nearby. This includes situations where materials cannot be completely removed or where a 35-foot radius cannot be cleared of combustibles.

9.15.6.3. A fire watch must be maintained during hot work operations in areas where fire hazards cannot be eliminated. This included having trained personnel on site to monitor potential fires and to respond quickly if one occurs.

9.15.6.4. Compliance with OSHA regulations (29 CFR 1910.252) and NFPA standards (such as NFPA 51B) mandate the use of hot work permits to ensure that fire prevention and protection measures are in place before commencing hot work activities.

Appendix A (Facility Drawing)

Appendix B (GSA Turn In)

Security Cameras Servers/Hard Drives

Bulk Master

FAC

Portable AC Unit

IT

Rx

ENG

HF Radio Equipment

HF Radio Antenna

Security Cameras

Appendix C (Scrap Metal) Scrap Metal

Updated: 7/31/25

Transfer to VA

Transfer to VA

Transfer to VA

Transfer to VA

3 sides

12'

L SHAPE NO TOP

ROLL UP DOOR

W/ TOP

3 SIDES / W TOP

W/ TOP

8'

W / GATE

12'

18"

11 EA 4X4 POST

18"

8 EA 5X5 POST

18"

5 EA 5X5 POST

18"

12 EA 4X4 POST

18"

6 EA 4X4 POST

18"

7 EA 4X4 POST

18"

3 EA 4X4 POST

Workstation chairs (Production Floor)

Crossover Ladders (Baxter I)

Crossover Ladders (Flex I by Pharmacists)

Crossover Ladders (LSS and Manual)

Crossover Ladders (Flex I by Packers)

Crossover Ladders (Labeling I South L-Shaped)

Crossover Ladders (Flex II South)

Electricians shall disconnect power before demo.

ADA GATE

2-Door Filing Cabinet (Pharmacy Floor)

3-Door Filing Cabinet (Pharmacy Floor)

4-Door Filing Cabinet (Pharmacy Floor)

5-Door Filing Cabinet (Pharmacy Floor)

Central Vacuum w/motor (Garage Area)

The Contractor is responsible for removing electrical power from unit in preparation of decommissioning.

Filled with pills and dust; will need to be disposed of as hazardous waste. Clean Harbors shall test for level and type of hazardous waste, decommission the central vacuum system, and dispose. (Contractor’s Cost)

Tables

All Thread (estimated)

5,000

Unistrut (estimated)

2,500

Cat 6, Fiber, Cabling (estimated)

60,000

Electrical Trays 4 x 4 (estimated

1"-2"Conduit with wiring (estimated)

30,000

Conveyor (estimated)

Conveyor Belt (estimated)

15,000

Desk Room 119

Small table room 118

Table & Chairs Room 123

Bookcase Room 123

File Cabinet Room 123

Pallet Flex Used Conveyor Belt

LLS Conveyor Belt

Pallet Flex Conveyor Belt

Pallet of Red Totes

2nd Pallet of Red Totes

Robot & Table

Pallet of Tote Conveyor Belt

Pallet of New Flex Belt

Pallet of Gears and Shafts from Flex

Pallet Of Conveyor Structure

2nd Pallet of New Flex Conveyor Belt

Pallet of Power Cabinets

Pallet of Flex Sleeve Frames

Pallet of Used Flex Belt

2nd Pallet of New Conveyor Belt

Pallet of Flex Parts

Pallet with New Flex Motor and 3 Drive Shafts

Pallet Used Flex Motors

Conveyor Motors (on conveyor line)

Each motor has 0.75 ounces of oil. Drain oil and dispose as Used Oil

Conveyor Motors (stored in garage)

Each motor has 0.75 ounces of oil. Drain oil and dispose as Used Oil

Oil Reservoirs (on conveyor line)

The total amount of oil for the 7 oil reservoirs is 12 gallons.

Appendix D (Electrical)

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CHECKED BY: Philip Hanno, P.E.

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By

Approved

Date

DRAWN BY: KEVIN TAULBEE

CHECKED BY: Philip Hanno, P.E.

ELECTRICAL EQUIPMENT, POWER POLES, & CIRCUITS TO BE DECOMMISSIONED

UPDATED: 7/11/2025

PUSH STATION 27

PUSH STATION 23

PUSH STATION 24

PUSH STATION 22

PUSH STATION 30

PUSH STATION 29

PUSH STATION 28

POWER POLE (LSS)

PUSH STATION 12, 13, 14

PUSH STATION 26

PUSH STATION 2

POWER POLE (BY QUAD DESKS)

POWER POLE (BY QUAD DESKS)

POWER POLE (BY PHARM CHECK DESK)

PUSH STATION 1

PUSH STATION 4

PUSH STATION 3

PUSH STATION 6

CANT SEE LABEL

PULL STATION 8

PUSH STATION #9

PUSH STATION #10

PUSH STATION #14

PUSH STATION #12

PUSH STATION #18

PUSH STATION #15

POWER STATION T-3

PUSH STATION T-8

PUSH STATION T 4/5

SPECIAL HANDLING CAGE (QUAD)

PUSH STATION T2

PUSH STATION 1

PUSH STATION #21

Appendix E (GSAXcess Photograph Taking Guidelines) Requirements:

· Type: Only digital or scanned photographs are acceptable.

· Format: Only the .jpg, Joint Photographic Experts Group (JPEG), file extension is acceptable.

· Size: Submit any size photograph; however, the large (full view) picture is displayed in GSAXcess® in a rectangular format at 600 X 400 pixels. Therefore, for the best image, reporting activities should submit rectangular pictures. Additionally, up to 11 thumbnails showing different views of the item will be displayed on the same screen in a square format at 70 X 70 pixels. Clicking on any thumbnail will resize the picture to 600 x 400. When clicking on the large picture, it will resize the photo to the size in which it was submitted by the reporting activity. Pictures are automatically resized by GSAXcess® and may show some distortion especially if going from a square or vertical to a rectangular photo that is horizontal.

· Quantity: No more than 12 photographs can be submitted per Item Control Number (ICN).

Before Taking the Photograph:

· Check the lighting. Ensure the lighting is sufficient to bring out the detail and show the true colors of the item(s). Avoid shadows and do not take photographs of vehicles inside a garage. When using a flash, avoid reflections on glass or mirrors.

· Show detail. Let the item fill the entire frame. If the brand name, manufacturer, or any other data are visible, include them in the photo. Take more than one picture to show different views, that is, the entire object versus sectional shots. It is important to remove tags from vehicles before taking photos. Don’t show duct tape or other wrapping material that may be used to hold multiples of the same item together.

· Avoid cluttering. Anything in the background that distracts from the item being excessed, either remove or isolate. A plain colored fabric backdrop can be used to accomplish this. However, do not use all white because the contrast will be too great. Ensure that pictures of people are not included. When taking a photo of an item that contains a mirror, ensure that no one’s image is in the mirror.

· No offensive or derogatory information. Ensure that nothing is included in the photographs that may be construed as offensive or derogatory in nature.

After taking the photograph, it is important to balance the contrast and brightness, rotate the photo to the correct position, and crop unnecessary background items.

Appendix F (GSAXcess Photograph Naming Conventions)

BATCH REPORTING ONLY

When photographs are submitted by the reporting activity by the Batch method to be posted to GSAXcess®, the naming of the file must meet the conditions below:

· Each photograph must be identified by a separate photograph filename; no more than 12 photographs can be submitted for a single Item Control Number (ICN).

· The photograph filename begins with the ICN (a 15-position field with the 15th space blank or with a suffix) identifying the item being reported for excess by the reporting agency.

· The photograph suffix (consisting of an Alpha character) is added to the end of the ICN for each separate photograph for that item. The large photograph (full view) will end with the photograph suffix ‘A’, and thumbnails (sectional view) photographs will be from suffix “B through M, excluding the letter I.” For example, if an ICN has 12 different photographs, each separate photograph will have a different suffix, W31G3G4329B408A, W31G3G4329B408B, etc. Please note that all alphabetical letters are capitalized. Therefore, a photograph filename will be either 15 or 16 positions depending on the size of the ICN.

· For pictures that are emailed or uploaded in GSAXcess®, the photograph file extension must end with “.jpg. For example, W31G3G4329B408A.jpg, W31G3G4329B408B.jpg, etc.

· For files that are batched and sent via File Transfer Protocol (FTP), the photograph file extension “.jpg” must be omitted even though the file is in the Joint Photographic Experts Group (JPEG) format.

ONLINE REPORTING

When photographs are submitted when reporting online, GSAXcess® will automatically resize and rename your photographs for you.

Appendix G (Energized Permit)

ENERGIZED ELECTRICAL WORK PERMIT

1.) To Be Completed By the Requestor:

Description of circuit/equipment/job location: _____________________________________________________________________________________________________________________________ Description of work to be done: _______________________________________________________________________________________________________________________________________ Justification of why the circuit/equipment cannot be de-energized or the work deferred until the next scheduled outage: ____________________________________________________________________________________________________________________________________________________________________________________________________ Requestor/Title: _________________________________________________________________________________________________ Date ______________________________________ 2.) To Be Completed By the Electrically Qualified Person Doing The Work:

Detailed job description procedure to be used in performing the Work To Be Done detailed above: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Description of the safe work practice to be employed: __________________________________________________________________________________________________ Results of the Shock Hazard Analysis:

· Shock Hazard when cover is removed _________________ VAC

· Limited Approach __________________________________ inch

· Restricted Approach ________________________________ inch

· Prohibited Approach ________________________________ inch Results of the Arc Flash Hazard Analysis:

· PPE Level _______________________________________

· Incident Energy ___________________________________ cal/cm^2

· Arc Flash Boundary ________________________________ inch Appropriate PPE: (Use Check Box)

· Non Melting or Untreated Fiber (cotton/wool/rayon/silk > 4.5oz/sq. yd.) Shirt (long sleeve) Pants (long)

· Non Melting or Untreated Fiber (cotton/wool/rayon/silk > 4.5oz/sq. yd.) Coveralls

· Gloves Leather

· Gloves Rubber

· Safety Glasses

· Hearing Protection

· Other ________________________________________________________________________________________________________________________________________________

Do You Agree The Above Described Work Can Be Done Safely? (Use Check Box):

· YES

· NO (If NO return to requestor)

3.) Approvals to Perform The Work While Electrically Energized:

4.) After work is completed return this form to the CMOP Safety Officer

DEFINITIONS

What are shock approach and flash protection boundaries?

NFPA 70E has developed requirements to reduce the risk of injury to workers due to shock and arc flash hazards. There are three shock approach boundaries (limited, restricted and prohibited) required to be observed in NFPA 70E 2000. The limited, restricted and prohibited approach boundaries are based on the voltage of the energized equipment. Also, NFPA 70E 2000 requires that before a worker approaches exposed electric conductors or circuit parts that have not been placed in a safe work condition, a flash hazard assessment must be performed. Until equipment is placed in a safe work condition (NFPA 70E 2000 Part II 2-1.1.3), it is considered live. It is important to note that conductors and equipment are considered live when checking for voltage while putting equipment in a safe work condition. The flash hazard analysis should determine the flash protection boundary (FPB) and level of personal protective equipment (PPE) that the worker must wear. The flash protection boundary is based on voltage, the available fault current and the time it takes for the upstream protective device to operate and clear the fault. The boundaries are summarized below:

Limited Approach Boundary NFPA 70 defines Limited Approach Boundary as "a shock protection boundary to be crossed by only qualified persons (at a distance from a live part) which is not to be crossed by unqualified persons unless escorted by a qualified person". The limited approach boundary is the minimum distance from the energized item where unqualified personnel may safely stand. No untrained personnel may approach any closer to the energized item than this boundary. The boundary is determined by NFPA 70E Table 2-1.3.4 and is based on the voltage of the equipment (2000 edition). A qualified person must use the appropriate PPE and be trained to perform the required work to cross the limited approach boundary and enter the limited space.

Restricted Approach Boundary A shock protection boundary to be crossed by only qualified persons (at a distance from a live part) which, due to its proximity to a shock hazard, requires the use of shock protection techniques and equipment when crossed. To cross the Restricted Approach Boundary into the Restricted Space, the qualified person, who has completed required training, must wear appropriate personal protective equipment (PPE). Also, he must have a written approved plan for the work that they will perform and plan the work to keep all parts of the body out of the Prohibited Space. This boundary is determined from NFPA Table 2-1.3.4 (2000 Edition) and is based on the voltage of the equipment.

Prohibited Approach Boundary A shock protection boundary to be crossed by only qualified persons (at a distance from a live part) which, when crossed by a body part or object, requires the same protection as if direct contact is made with a live part. Only qualified personnel wearing appropriate personal protective equipment (PPE), having specified training to work on energized conductors or components, and a documented plan justifying the need to perform this work may cross the boundary and enter the Prohibited Space. Therefore, personnel must obtain a risk assessment before the prohibited boundary is crossed. This boundary is determined by NFPA 70E Table 2-1.3.4 (2000 Addition) and is based upon the voltage of the equipment.

Arc Flash Boundary (AFB) The AFB is a safe approach distance from energized equipment or parts. NFPA 70E establishes the default arc flash boundary at 4 feet for low voltage (< 600V) systems where the total fault exposure is less than 5000 amperes-seconds (fault current in amperes multiplied by the upstream device clearing time in seconds). NFPA 70E also allows the AFB to be calculated.