A06-Specifications.pdf

Driving Surface Aggregate resurfacing project at the Muscatatuck National Wildlife Refuge located in Jennings & Jackson Counties, Indiana

United States Department of the Interior Fish and Wildlife Service

Infrastructure Management Division Region 3, Bloomington, MN 55437-1458

December 2020

PROJECT MANUAL

Page J - 1

PART III, SECTION J

LIST OF DOCUMENTS, EXHIBITS, AND OTHER ATTACHMENTS

INDEX

TECHNICAL PROVISIONS/SPECIFICATIONS

DIVISION 1 - GENERAL REQUIREMENTS

SECTION 01100 SUMMARY OF THE WORK

SECTION 01310 PROJECT COORDINATION

SECTION 01330 SUBMITTALS

SECTION 01420 DEFINITIONS AND STANDARDS

SECTION 01770 PROJECT CLOSEOUT

DIVISION 2 – SITE CONSTRUCTION

SECTION 02230 AGGREGATE SURFACING (DRIVING SURFACE AGGREGATE)

DIVISION 3 through 16 – NOT USED

ATTACHMENTS:

SUBMITTAL REGISTER

PA Test Method No. 100

PRECONSTRUCTION SAFETY CHECKLIST

DRAWINGS

Drawing Number Description Sheet

3R-IN-766-262 Cover Sheet, County/Location Map, and Drawing Index 1 of 3

3R-IN-766-263 Site Plan 2 of 3

3R-IN-766-264 Proposed Road Cross Section & Details

DIVISION 1 SECTION 01100

GENERAL REQUIREMENTS SUMMARY OF THE WORK

01100-1

PART 1 – GENERAL

1.1 Project Title: Resurfacing of existing roads and

parking lots with Driving Surface Aggregate at the Muscatatuck National Wildlife Refuge (NWR).

1.2 Work Under These Specifications: The Fish & Wildlife

Service is requesting proposals to rehabilitate and resurface the existing roads and parking lots at the Muscatatuck NWR. The existing gravel roads and parking areas are in need of additional aggregate surfacing. As part of this project, the FWS would like to test a new aggregate specification and placement technique referred to as “Driving Surface Aggregate”. The improvements as shown on the attached drawings include supplying and installing the Driving Surface Aggregate on various roads and parking lots on the refuge. Contractor shall furnish materials, labor, and equipment for the work described below.

Work includes but is not limited to:

1. Coordinating with a local aggregate supplier to provide an aggregate mixture meeting the Driving Surface Aggregate specifications. Developing a quality control program including testing to ensure the specifications and moisture content are consistently obtained.

2. Preparing, regrading, and sloping the existing gravel roads and parking lots in preparation for placement of the aggregate

3. Installing the driving surface aggregate with an asphalt paver

4. Compacting the aggregate to the required specifications

5. Backfilling, compacting and seeding roadside slopes to ensure no edge drop-off and other associated work as required by the drawings and specifications provided.

Special Notes:

The contractor shall be required to implement a traffic control plan that limits roadways to be closed to traffic during working hours only, employees and visitors shall have access while construction is not being performed. The contractor shall stage construction to ensure access to all facilities.

01100-2

This work shall not be measured for payment and shall be paid for on a lump sum basis, complete.

1.3 Location and Inspection Of Site

A. The work site is located at the Muscatatuck NWR near Seymour, Indiana as shown on the included drawings. The mailing address is shown on the Solicitation, Offer, and Award (Standard Forms 1442 or, 18 block 9) as attached to this Invitation.

B. All prospective bidders/quoters, contractors, subcontractors, and related persons are encouraged to visit the site(s) of the proposed work and to assess the location(s) and extent of the work prior to submitting bids/quotes. Persons may inspect the work site by contacting the WMD Manager. All questions regarding the scope of work shall be presented in writing to the Contract Officer.

1.4 Specifications and Drawings for Construction

A. The successful bidder will be provided, upon request, a digitial pdf of the half size prints of the contract drawings and a pdf of the specifications as necessary for execution of this contract. These drawings will be provided at no additional cost to the successful bidder/quoter.

B. Exact location of all affected utilities will be the responsibility of the contractor. Drawings do not completely show existing utilities. Site verification is required in addition to contacting any local authorities and utility companies to determine exact locations of utilities.

C. In case of difference between drawings and specifications, the specifications shall govern.

1.5 Work Not Included In This Contract

01100-3

A. All items indicated "NIC" on drawings or in specifications are items not included in this contract.

B. Work in place is generally shown as "Existing" on the Contract Drawings.

C. Work to be performed under other contracts and not included as part of this contract is generally shown as "By Others" on the Contract Drawings.

1.6 Items Provided By The Government

A. Work to be accomplished by the Government or manufactured items to be provided by the Government are generally shown as "By Government" on the Contract Drawings.

1. Unless specifically provided herein, no materials or equipment shall be furnished by the Government under this Contract.

1.7 Temporary Facilities

A. Maintain and restore all Government roads, service areas and utilities used to pre-construction condition.

B. Temporary Toilet facilities will be required for workers throughout the project.

C. Water needed for compaction, cleanup, or other needs shall not be provided by the Government.

1.8 Site Access, Staking and Right of Way

A. The construction access limits on Government property will be established by the Government and the Contractor shall be responsible for complying with these limits and governing all work accordingly. All temporary access roads shall be removed following work completion unless directed otherwise by the Contracting Officer.

01100-4

B. Construction staking will not be provided by the Government, the contractor shall include all costs to stakeout, mark, survey, or otherwise layout the work to be accomplished as part of this contract.

C. Maintain traffic in a safe manner with signs, barricades, lights, and watchmen as required.

Follow Manual of Uniform Traffic Control Devices (MUTCD). Load limits and other restrictions shall be obeyed. All bidders are reminded that they are responsible for contacting the local entity such as township, county, or state having jurisdiction in the project vicinity to insure bidders/quoters are aware of any requirements of the local entity. These requirements are between the entity and the bidder. If the Contractor proposes to cross private property, permission must be obtained from the owner to use private property or roads in the conduct of the Work.

D. Work scheduled on Saturdays, Sundays, Federal

Holidays or other than normal working hours shall be approved in advance by the Government.

1.9 Safety - In addition to FAR 52.236-13 Accident

Prevention

A. The contractor shall designate a safety officer to ensure a safe work site. The safety officer shall perform daily work site inspections to assure compliance with all safety regulations and standards.

B. The Contractor’s Safety Plan shall be available on-site. The Contractor shall provide Safety Data Sheets (SDS) for all hazardous materials brought on-site. SDS shall be made available in a conspicuous location.

C. The Contractor shall provide a Pre-construction

Safety Checklist during the preconstruction conference.

D. All equipment and work activities shall comply with OSHA Regulations and all accidents incidental to work performed under this contract

01100-5 shall be reported in accordance with OSHA reporting requirements. Additionally, a copy of the accident report shall be provided to the Contracting Officer.

E. The contractor shall provide and install barricades, signs, or other warning devices to delineate & warn the public of the construction area.

F. Provide at least one non-freezing-type fire extinguisher in each workshop and shed used for storage of materials on the premises. Place in location readily accessible to workers.

G. Provide at least one non-freezing-type fire extinguisher of the appropriate class for each group of workers performing flammable procedures.

H. Provide and maintain a basic first aid kit for use of workers.

(a) Provide first aid supply commensurate with size of project with items necessary for first aid treatment of all injuries. The first aid supply shall include items identified on SDS (see paragraph B of this section) in applicable locations.

(b) Advise all workers of the location of first aid supplies.

(c) Post telephone numbers of nearest hospital or ambulance service and fire station in conspicuous location. Advise all workers of location of telephone numbers.

I. Provide necessary Personnel Protective Equipment

(PPE) as identified by SDS and OSHA regulations.

Provide documentation, workers have been trained in use of PPE prior to individual use.

PART 2 - PRODUCTS (Not Applicable)

PART 3 - EXECUTION (Not Applicable)

(END OF SECTION 01100)

DIVISION 1 SECTION 01310

GENERAL REQUIREMENTS PROJECT COORDINATION

01310-1

PART 1 - GENERAL

1.1 Jobsite Administration - Superintendence, Subcontract

administration and Quality Control, is the responsibility of the Contractor.

A. Final decisions relative to items in conflict shall be made by the Contracting Officer.

B. The Government shall have the authority to temporarily suspend the Work for such time as necessary because of the failure on the part of the Contractor to perform any of the provisions of the Contract. No extension of contract performance time will be permitted until the Government determines that the deficiencies in performance, which caused the temporary suspension, have been corrected.

C. The Contractor shall have responsible superintendence on site during all project operations. Contractor shall notify Government of any changes of superintendents.

D. The Contractor shall notify the COR at least ten (10) days prior to the anticipated date of completion of all Work specified herein. Upon completion of the Work, the COR shall proceed with the final inspection which shall be completed as promptly as practicable.

The time required for such inspection and for performing any corrective Work shall be included in the contract performance time.

1.2 Modification/Change Order procedures

A. In the event of the need for a Change Order, the Contractor will receive a letter requesting a price quote for proposed changes to the Contract.

B. For evaluation purposes, the Contractor's quote shall be broken down to show the costs of labor and materials for each proposed category of Work included with the change, along with the total cost for

DIVISION 1 SECTION 01310

GENERAL REQUIREMENTS PROJECT COORDINATION

01310-2

Contractor's overhead, profit, and bond for the proposed changes.

C. All Contract time extensions required as a result of a proposed change must be justified and supported in detail at the time of the proposal.

1.3 Preconstruction Conference

A. Soon after award of the Contract and prior to commencing construction, the Contractor and any subcontractors shall attend a preconstruction conference with representatives of the Government.

Timely notification of the meeting will be given to the Contractor. Time, date, and place of the conference will be determined by the Contracting Officer. Requirements pertaining to Contract administration, construction operations and the project schedule will be discussed. The Preconstruction Safety Checklist shall be submitted for review during this conference.

1.4 Progress Meetings

A. Periodic general project meetings will be conducted with a representative of the Contractor at the project site or by telephone by the Government's representative for the purpose of coordinating, expediting, and assessing the work progress.

B. The Contractor shall provide reports of progress on the project, discuss the work schedule for the coming period and present all conflicts, discrepancies or other difficulties for resolution. A record of discussions and decisions will be prepared by the Government and distributed to those attending and others affected.

PART 3 - EXECUTION (not Applicable)

(END OF SECTION 01310)

DIVISION 1 SECTION 01330

GENERAL REQUIREMENTS SUBMITTALS

01330-1

1.1 General:

A. Refer to submittal register or technical specifications for all submittals required.

B. When specifically requested by the Contracting Officer

(CO), Contractor’s Officer’s Representative (COR) or the Government’s Construction Inspector, the Contractor shall provide copies of manufacturer's written installation instructions and/or recommendations for review and approval prior to accomplishing equipment installation.

1.2 Submittal Register:

A. A submittal register, listing all items requiring submittals under this solicitation, is provided as an attachment to this document. The Contractor shall provide all required submittals to the COR within 10 days of award except for items noted otherwise on the submittal register.

B. Unless submitted by email, furnish a minimum of four paper copies of all required submittals. Three copies will be retained by the Government. The remaining copies will be returned to the Contractor.

C. The approval of submittals shall not relieve the

Contractor to comply with the terms and conditions of the Contract Drawings and Specifications. The Contractor shall be responsible to determine correct dimension, design, connection, detail and satisfactory construction of all Work.

1.3 Project Schedule: Contractor shall provide as required by

Federal Acquisition Regulation (FAR) clauses. *

1.4 Price Breakdown - Lump Sum Items: Contractor shall provide as required by FAR clauses. *

01330-2

1.5 Subcontractor's List

A. Submit a list of subcontractors who will be working on the project.

1.6 Submittal of Progress Payment Certificate: Contractor shall provide as required by FAR clauses. *

1.7 Guarantees, Warranties And Certificates: Refer to Section

01770

1.8 Operating And Maintenance Instruction: Refer to Section

01770

1.9 Delivery Tickets

A. The Contractor shall submit to the Government's on site representative, one legible copy of each delivery ticket for all material delivered to the construction site.

B. The delivery ticket shall show brand name, catalog number, and number of items received.

1.10 Waste Manifests

A. The Contractor shall submit copies of all waste manifests.

B. Manifests shall state type of waste (i.e., construction debris, hazardous asbestos, etc.), location of disposal, landfill designation, EPA registration of landfill, and EPA registration for transportation of any hazardous wastes.

01330-3

* The applicable FAR clauses will be provided in full text to the resultant contractor at the pre-construction conference.

(END OF SECTION 01330)

DIVISION 1 SECTION 01420

GENERAL REQUIREMENTS DEFINITIONS AND STANDARDS

01420-1

1.1 Regulatory Requirements

A. All Work shall be accomplished in strict accordance with the regulations, codes, and laws in effect at the time the Work is performed for the location where it is to be performed. All completed construction shall comply with OSHA, NFPA, NEC and ADA regulations.

B. All work performed on this project shall comply with

Title 40, Protection of the Environment, Code of Federal Regulations.

C. All electrical installations, components and work shall comply with the most current edition of NFPA 70 National Electric Code.

1.2 Means and Methods

A. Means and methods used in the performance of this Contract must be in accordance with all applicable Federal Acquisition Regulations in addition to OSHA regulations, 29 Code of Federal Regulations, acceptable industry practices as recognized by societies, associations, building codes, manufacturers’ specifications and any applicable state safety and health requirements.

1.3 Permits

A. All permits required to support the construction activities such as road permits for oversize, overweight vehicles and equipment, bridge permits, and utility hookup permits, shall be obtained and paid for by the Contractor.

(END OF SECTION 01420)

DIVISION 1 SECTION 01770

GENERAL REQUIREMENTS PROJECT CLOSEOUT

01770-1

1.1 Manufacturer's Specifications

A. The installation of manufactured products and equipment, together with all associated parts, shall be in conformance with the manufacturer's recommendations, and code requirements. All installations shall be complete and ready for immediate use, and every part required for proper operation of the manufacturer's equipment shall be provided. Following the completion of the Work under this Contract, all installed equipment shall be tested for proper operation and compliance with the Contract.

1.2 Final Inspection

A. The Contractor shall request a final inspection in writing at least ten (10) days prior to the anticipated date of completion.

B. Work will not be considered ready for final inspection until all the Work has been completed and the Contractor has certified that all items are properly operating and in strict compliance with all Contract terms and conditions.

C. The Contractor or the project supervisor shall be at the job site during the final inspection.

1.3 Tests

A. Complete all tests required to prove actual operating performance of equipment and systems incorporated into the project.

B. Submit reports of all tests to the Contracting Officer prior to final payment.

C. Provide any regulatory acceptance documents in cases of cleanup.

01770-2

1.4 Maintenance and Operating Instructions

A. Submit three (3) final copies of all operating, maintenance instructions and parts lists for all equipment and systems that require adjustment, servicing, and attention for proper operation.

Include all information necessary for proper operation of equipment. Use simple, non-technical language where possible. Provide all necessary diagrams and schematics required by repairmen. Any hazards likely to occur in operation of equipment shall be pointed out to avoid improper operation of any equipment that might result in damage or danger to equipment, building or personnel.

B. Final copies of all maintenance and operating information shall be submitted in bound form as a "Manual of Operating Instructions" with items grouped by sections of Work. Append each manual with name, address, telephone number of Contractor, subcontractor and companies or individuals providing service for equipment used.

C. Provide competent personnel to meet with the

Government representative to fully explain and familiarize the Government personnel with all equipment and its operation and maintenance.

1.5 Record Drawings:

The Contractor shall provide and maintain in proper order and in good, clean condition, at the project office or at the project site, one (1) complete set of full size prints of all Drawings. On this set, with red pencil or ink, the Contractor will neatly inscribe all changes in Work. At time of final acceptance, and prior to final payment, these corrected prints will be presented to the COR. The Contractor will note all data and changes on these record drawings in sufficient detail and clarity to provide information necessary for preparation of "as built" drawings by the Government.

01770-3

1.6 Guarantees, Warranties and Certificates

A. The Contractor will submit all guarantees, warranties and certificates to the Government prior to final payment.

B. The Government requires a 100% warranty for a period of one full year after final acceptance. Items of Work found defective during the warranty period will be replaced at no cost to the Government and the warranty for that particular part of the Work shall automatically extend for one full year beyond the completion date of repairs.

C. If a manufacturer or supplier offers a guarantee in excess of the one year requirement outlined herein, then the longer guarantee period will apply for those particular items.

(END OF SECTION 01770)

DIVISION 2 SECTION 02230

SITE CONSTRUCTION AGGREGATE SURFACING

02230 - 1

SECTION 02230 – AGGREGATE SURFACING (DRIVING SURFACE AGGREGATE)

PART 1 - GENERAL

1.1 RELATED DOCUMENTS

A. Drawings and general provisions of the Contract, including General and Supplementary Conditions and Division 1 Specification Sections, apply to this Section.

B. Referenced Specifications: United States Department of Transportation, Federal Highway Administration (FHWA) Standard Specification for Road and Bridge Construction on Federal Highways, FP-14. Cost and payment provisions do not apply.

1.2 SUMMARY

A. This Section includes the following:

1. Preparing subgrades for placement of aggregate surface.

2. Constructing Driving Surface Aggregate over existing gravel base.

3. Compacting the aggregate surface to required specifications.

1.3 DEFINITIONS

A. Gravel Base (Subgrade): Existing aggregate base previously placed, shaped and compacted.

B. Driving Surface Aggregate (DSA): A special mixture of surface aggregate to be placed over prepared subgrade. DSA was developed by the Penn State Center for Dirt and Gravel Road Studies. DSA is to be derived from natural stone formations. Stone is defined as rock that has been crushed. All components of the aggregate mix are to be derived from crushed rock material that meets FHWA Section

703.06 Surface Course Aggregate and the exceptions listed

herein for abrasion resistance, pH, plasticity index, and freedom from contaminants.

02230 - 2

C. Rock: Consolidated mineral material in beds, ledges, unstratified masses, conglomerate deposits, and boulders of rock material 3/4 cu. yd. or more in volume that exceed a standard penetration resistance of 100 blows/2 inches when tested by an independent geotechnical testing agency, according to ASTM D 1586.

1.4 SUBMITTALS

A. Material Test Reports and Certifications: From a qualified testing agency indicating and interpreting test results for compliance of the following with requirements indicated:

1. Classification according to ASTM D 2487 of each on-site and borrow soil material proposed for fill and backfill.

2. Sieve Analysis performed per FHWA methods showing compliance with the special gradation that is required for this project.

3. Testing certificates for required specifications including pH, LA Abrasion, Plasticity Index, and optimum moisture.

4. Aggregate Density tests per Method C of AASHTO T 310 or other approved test procedure. Take tests every 1000 lineal feet of surface placed.

1.5 QUALITY ASSURANCE

A. Geotechnical Testing Agency Qualifications: An independent testing agency qualified according to ASTM E 329 to conduct soil materials and rock-definition testing.

PART 2 - PRODUCTS

2.1 DRIVING SURFACE AGGREGATE

A. General: Except for the following special requirements the contractor shall provide a mixture of aggregate materials meeting the requirements of the United States Department of Transportation, Federal Highways

02230 - 3

Administration Standard Specifications for Construction of Roads and Bridges on Federal Highway Projects. FP-14.

Exceptions to FHWA Specification FP-14.

1. Fines composition: If fines need to be added to the aggregate to meet gradation requirements, the added material passing the #200 sieve must be derived from rock material that conforms to program specifications.

No mineral clay or silt soil may be added. Limestone material passing the #200 sieve may be used to make up a deficit in the distribution of sandstone aggregate rock, and vice versa. All added materials passing the #200 sieve must be derived from rock material that conforms to these specifications. Lime kiln dust and cement kiln dust may be added to the mixture to account for up to 50% of the fines passing the #200 sieve. The amount of particles passing the #200 sieve shall be determined using the washing procedures specified in Pennsylvania Department of Transportation Test Method “PTM” No. 100.

2. LA Abrasion: The acceptable limit as measured by weight loss is “less than 40% loss”. Los Angeles Abrasion test, AASHTO T-96 [ASTM C 131] shall be used to determine this property.

3. pH: Aggregate must be in the range of pH 6 to pH 12.45 as measured by the United States Environmental Protection Agency (EPA) Test Method 9045C.

4. Plasticity Index: Material must not exceed Plasticity Index (PI) rating of 6. The laboratory test required for these results is the ASTM D4318 – Standard Test Method for Liquid Limit, Plastic Limit, and Plasticity Index of Soils.

5. Summary of Special Gradation required for this project:

See FP-14 for sieve analysis testing procedures.

Sieve Size Percent by Mass Passing

1.5” 100 0.75” 65-95 No. 4 30-65 No. 40 15-30 No. 200 10-15

B. Standard FP-14 requirements: Per Section 703.05 of the FHWA specifications:

02230 - 4

1. Los Angeles abrasion, 40% loss maximum (This requirement has been modified per exceptions)

2. Soundness of aggregate, 12% loss maximum

3. Durability Index (Course), 35 minimum

4. Durability Index (Fine), 35 minimum

5. Fractured Faces, 50% minimum

6. Liquid Limit, 25 maximum

PART 3 - EXECUTION

3.1 PREPARATION

A. Protect structures, utilities, sidewalks, pavements, curbs, and other facilities from damage caused by equipment and vehicles.

B. Prepare the subgrade for surfacing operations including removal of debris and vegetation, spraying with water to settle dust, minor shaping, crowning, and filling/cutting of ruts and imperfections in grade.

C. Install and maintain erosion and sedimentation controls as needed to prevent damage to downstream lakes, streams, and other watercourses.

D. Provide traffic control to prevent access to work areas during construction hours.

3.2 TRANSPORTATION

A. Transport aggregate materials in covered vehicles. Keep aggregate covered from the time of loading to immediately before dumping. Do not uncover when waiting at the site to dump.

3.3 PLACEMENT AND COMPACTION

A. The aggregate for the road surfacing shall be placed in a single six (6) inch lift with a total compacted thickness of four and one-half (4) inches.

02230 - 5

B. Material is to be delivered and placed at optimum moisture content or up to 2% below that value as determined by the proctor test. The optimum percentage moisture shall be determined using Proctor Test ASTM D698, procedure C, Standard or AASHTO T 180, Method D.

C. Aggregate surfacing shall only be placed using and asphalt paver that covers a full required lane width and can form a crown or slope as required.

D. Compaction shall be no less than 95% maximum dry density in accordance with AASHTO T310 or other approved testing method.

E. Compaction shall be performed using a 10 ton or larger vibratory smooth drum roller.

3.4 GENERAL REQUIREMENTS

A. The top of each aggregate course shall be checked transversely and all deviations in excess of 1/2 inch shall be corrected. If additional aggregate is required, the course shall be remixed and re-compacted to the correct grade.

B. Aggregate shall not be placed on a frozen sub-grade or when the air temperature is less than 35 degrees F.

C. Any equipment which drips fuel, grease, oil or any other substance which, in the opinion of the Engineer, is detrimental to the quality of the finished product shall not be permitted on the jobsite until such drips are adequately repaired.

D. Grade control shall be set and staked by the Contractor as needed.

E. Do not stockpile aggregate materials on site.

3.5 SUBGRADE INSPECTION

A. Notify Government prior to scheduling paving operations if subgrade is not acceptable or has soft spots.

B. If Government determines that unsatisfactory soil is present, a change order shall be negotiated to replace with compacted material.

02230 - 6

3.6 FIELD QUALITY CONTROL

A. Testing Agency: Contractor must engage a qualified independent geotechnical engineering testing agency to perform field quality-control testing.

B. Allow testing agency to inspect and test the final aggregate layer. Proceed with subsequent work only after test results for previously completed work comply with requirements.

C. When testing agency reports that aggregate surface materials have not achieved degree of compaction specified, scarify and moisten or aerate, or remove and replace to depth required; recompact and retest until specified compaction is obtained.

D. Provide the Government with copies of all test reports within one week of the completion of the tests.

3.7 DISPOSAL OF SURPLUS AND WASTE MATERIALS

A. Disposal: Comply with all Federal, State, County and local laws and regulations when removing unsuitable soil, obstructions, demolished materials, and waste materials including trash and debris off Government’s property.

Credits:

The DSA specifications herein have been developed from information supplied by the Penn State University Center for Dirt and Gravel Road Studies in conjunction with the Pennsylvania State Conservation Commission. Additional information and support was provided by the United States Geological Survey and United States Forest Service.

(END OF SECTION 02230)

S U

B M

IT

T

A L

R E

G

IS

T E

R

S H

O P

D R

A W

IN

G

S , E

Q U

IP

M

E N

T D

A T

A , A

N D

M A

T E

R

IA

L S

A M

P L

E S

D A

T E

2/

/2

C O

N T

R A

C T

N O

C

O N

T R

A C

T O

R

P R

O J.

M A

N A

G E

R

T od d C ri sw el l, P .E

P R

O

JE

C T

D ri vi ng S ur fa ce A gg re ga te

P ro je ct

A D

D R

E S

S

L O

C A

T

IO

N

M us ca ta tu ck

N at io na l W il dl if e R ef ug e

S P

E C

IF

IC

A T

IO

N

D E

S C

R

IP

T

IO

N D

A T

E T

R A

N S

R

E V

IE

W

E D

D

A T

E A

C T

A

C T

IO

N

D A

T E

A C

T

IO

N C

O M

M E

N T

S

S E

C T

IO

N

N O

S

U B

M

IT

T E

D N

O

B Y

T A

K E

N C

O D

E R

E S

U B

M

C O

D E

G en er al

0.

1.

9.

C

P re co ns tr uc ti on

S af et y

C he ck li st

0.

1.

1.

C

S up er in te nd an t/

S af et y

O ff ic er

C on ta ct

I nf or m at io n

0.

1.

2.

A

S ub m it ta l R eg is te r

0.

1.

P ro je ct S ch ed ul e

0.

1.

P ri ce

B re ak do w n

0.

1.

S ub co nt ra ct or

's L is t

0.

1.

P ay m en t C er ti fi ca te s

0.

1.

D el iv er y

T ic ke ts

0.

1.

W as te

M an if es ts

0.

1.

2.

A

F in al I ns pe ct io n W ri tt en N ot if ic at io n

0.

1.

3.

B

F ie ld Q ua li ty T es t R es ul ts

0.

1.

4.

A

R ec or d

D ra w in gs

0.

1.

5.

A

G ua ra nt ee s, W ar ra nt ie s, a nd

C er ti fi ca te s

A gg re ga te S u rf ac in g

0.

1.

4.

A

C la ss if ic at io n of b or ro w

0.

1.

4.

A

S ie ve A na ly si s

0.

1.

4.

A

T es ti ng c er ti fi ca te s fo r pH

, A br as io n, P la st ic it y, O pt im um M oi st ur e

0.

1.

4.

A

D en si ty

T es ti ng

R es ul ts

0.

1.

5.

A

T es ti ng c om pa ny q ua li fi ca ti on s

A

A pp ro ve d as

S ub m it te d

D

N o

A ct io n

T ak en

S ee

C om m en ts

B

A pp ro ve d E xc ep t A s

N ot ed

R es ub m is si on N ot R eq ui re d

E

D is ap pr ov ed

S ee C om m en ts

R es ub m is si on

R eq ui re d

C

A pp ro ve d E xc ep t A s

N ot ed

R es ub m is si on R eq ui re d

P A

G E o f

PRECONSTRUCTION SAFETY CHECKLIST

PROJECT LOCATION:

PRECONSTRUCTION MEETING

DATE:

NAME AND ADDRESS OF

CO NT RACT OR :

NAME OF CONTRACTOR

SU PER INT EN DE NT /FO RE M AN

NAME OF SERVICE

CONTRACTING OFFICER:

NAM E O F C ON TR ACT OR ’S

COM PETEN T PERSO N (PER 29

CFR

PROPOSED CONSTRUCTION

STAR T D ATE:

PROJECT T ITLE: CONTRACT NUMBER:

The Fish and Wildlife Service (FWS) places safety and health as a top priority at all Service contracted construction sites (360 FW 4). The contractor has ultimate responsibility for safety during construction until final completion and acceptance of the project by FWS.

This checklist serves as an assurance tool/guide in assessing safety program preparations of the contractor, and is not all-inclusive. As tasks change and new risks and hazards are introduced, you may need to address additional safeguards and corrective measures.

The contractor and subcontractor(s) must comply with all Occupational Safety and Health Administration (OSHA) regulations applicable to the construction project, including requirements set forth w ithin solicitation provisions and contract clauses (e.g., FAR 52.236-13 “Accident Prevention” with Alternate I and Special Provisions). It is the responsibility of the contractor/subcontractor(s) to adhere to regulations found at 29 CFR 1910, 1926, and 1928. (See page 5 for Table of Contents of OSHA Construction Safety Standards.) Each contractor/subcontractor must initiate and maintain an effective safety program that provides adequate systematic policies, procedures, and practices to protect their employees from, and allow them to recognize, job-related safety and health hazards. The program must include provisions for the systematic identification, evaluation, and prevention/control of general work s ite hazards, specific job hazards, and potential hazards that may arise from foreseeable conditions, as well as providing a competent person to conduct frequent and regular inspections. The contractor must instruct each employee to recognize and avoid unsafe conditions and the regulations applicable to the work environm ent.

The contractor will address the following items prior to and/or during the Preconstruction Conference (the Contracting

Officer/Contracting Officer’s Representative will record these items):

1.

FAR 52.236-13, Accident Prevention, Alternate I and applicable safety provisions?

The contractor has read and understands his/her re spo nsibilities for compliance with contractual safety language -

NO ___YES ___

2. Has contractor prepared a Safety Plan that analyzes anticipated hazards of the project and indicates how the hazards will be controlled?

use, scaffolding, excavat

Contractor must identify specific procedures for controlling hazardous operations such as crane

NO ___ion/trenching, hot work/welding, etc,. ES ___ Y N/A

FWS Form 3-2199 05/03 Page 1 of 5

3. How will contractor/subcontractor address the four leading hazards of construction work: falls, struck by, caught in/betw nd electr ical?

4. The “Designated Competent Person” (responsible for the pro ject’s safety and health performance) is knowledgeable corrective measures?

in applicable OSHA regulations and capable of identifying existing/predictable hazards, and has the authority to prompt

YES ___ NO ___

5.

haza

Do contractor and subcon tractor em ployees know wha t to do in the event of an em erge ncy (e.g., injury, fire, accident, ESYrdous material spill, etc.) with regard to the following actions? NO

a. Notification of Departm ent, FW S Facility Manager, CO, COR, CI, etc.

b. Means of com munication with contact numbers (e.g., radio, cellular, pager, etc.).

c. Availability of first-aid/medically-trained contractor personnel with appropriate medical supplies.

d. Personnel (including subcontractors) knowledge of location for imm ediate aid (e.g., first-aid, etc.).

e. Evacuation routes, signals, and procedures are provided to all on-site personnel.

f. Safety and health information disseminated to all site personnel (e.g., contractor and subcontractor employees).

6.

(If no, skip to # 7)

a. Location and type of trailer (office or equipment).

b. Telephone hook-up.

c. Electrical hook-up.

d.

W ill a contractor/s ubc ontra ctor tra iler be broug ht on site and its hook-up/p lacem ent coord inated with COR /CI?

e. Propane used for heating?

f. Serve as first-aid station? YES

Vehicle parking arrang em ent (adequate space).

YES ___

___NO ___

NO ___

7. Is contractor aware that he/she must ensure construction area is clearly delineated and posted with appropriate warning signs (e .g., “Hard Hat Area”, “Construction Site – CLOSED”, rea C losed to Public”, etc.), and that instructional signs (e.g., designated parking area, etc.) and flagmen or barriers may be required? Yes No

Housekeeping - Is contractor/subcontractor aware that they must ensure that following acceptable housekeeping

NO

“A

8.

standards are practiced from project’s start to finish?

YES

a. Form/scrap lumber with protruding nails and all other debris shall be kept clear from work areas.

b. Combustible scrap and debris shall be removed at regular/frequent intervals.

c. Materials shall be stored with regard to their fire characteristics with effective fire protection and prevention measures used.

d. An enclosed chute shall be used whenever materials are dropped more than 20 feet to an exterior point of a building.

e. Aisles, exits, and passageways shall be kept clear and in good repair.

9.

Is contractor aware of following Environmental and Personal Controls standards? YES NO

a. Potable water provided.

b. Restroom facilities provided.

c. W ashing facility provided for employees engaged in operations involving harmful substances.

d. Intoxicating beverages, controlled substances, and/or firearms are not permitted under any circumstances on the construction site.

e. All activities in or around water bodies must be in compliance with regulations for worker safety, including personal flotation devices or buoyant work vests, lifelines, ring buoys and guardrails while working over or adjacent to water hazards, and from barges, boats, and/or launches.

FWS Form 3-2199 05/03 Page 2 of 5

10.

a. Confined Space.

b. Scaffolding.

c. Fall Protection.

d. Hazard Comm unication.

e. Lockout/Tagout.

f. Respiratory Protection.

g. First Aid.

Is contractor/subcontactor aware that following employee training considerations may need to be addressed?

YES NO

11. Contractor/subcontractor is responsible for requiring the wearing of appropriate personal protective equipment in all operations where there is an exposure to hazardous conditions or where the need is indicated for using such equipment to reduce the hazard to their employee(s). The contractor/subcontractor is also responsible for ensuring equipment may include the following: Discussed with contractor?

that personnel using protective equipment shall be trained and medically qualified to do so. Such personal protective

a. Eye and face protection (safety goggles, safety glasses, welding goggles, face shields, etc.).

b. Protective footwear (safety shoes, boots).

c. Protective gloves (leather, rubber, insulated).

d. Respirators (dust, half-face, full-face, etc.).

e. Hearing protection (ear plugs, muffs, etc.).

f. Coast Guard-approved PFD/buoyant vest.

g. Fall protection equipm ent.

12. Tools (hand, electric, pneumatic) Standards: Discussed with contractor?

a. Hand tools, power tools, and jacks are maintained in safe operating condition and used only for the purpose for which they were designed.

b. Electric power-operated tools must be either approved double-insulated, or be properly grounded (see Item

#13 “Electrical” for additional considerations).

13. Electrical Standards:

a. Ground Fault Circuit Interrupters (GFCIs) or an assured equipment-grounding conductor program must be used to protect employees from ground-fault hazards.

b. Electrical cords/insulation must be in good condition (not frayed or damaged).

c. All ground plugs must be on electrical cords, if so designed by the manufacturer.

d. W orkspace, walkways, and similar locations shall be kept clear of electrical cords.

e.

f.

All electrical extension cords must be of the three-wire type.

Contractor/subcontractor must determine need and implem ent an appropriate Lock-out/Tag-out program.

14. W ill motor vehicles, cranes, and/or heavy equipment be used? YES NO __ (If no, skip to #15)

a. Crane and derrick use must comply with applicable standards.

b. Rollover protection as required.

c. Back-up alarms or observer signals as required.

d. No crawler type vehicles are allowed on an improved road.

e. All utilities must be located prior to excavating soil.

15. Excavating and Trenching work? YES ___ NO ___ (If no, skip to #16)

a. All excavating/trenching must be in accordance with applicable safety standards.

b. All utilities must be located prior to excavating.

FWS Form 3-2199 05/03 Page 3 of 5

16. Elevated W ork? YES ___ NO ___ (If no, skip to #17) a.

Ladders and their use must conform to standards.

b. Aerial lift usage must meet applicable requirements.

c. Fall protection needs must be assessed per standards.

d. Scaffold work must conform to standards.

e. Stair design, construction, and use must meet applicable requirements.

f. Toeboards, when used to protect workers from falling objects, must be erected along the edge of the overhead walking/working surface.

g. Safety net use must comply with standards.

h. Railing must conform to standards.

17.

construction.

Contractor is aware of and understands the need to incorporate app licable requirem ents for concrete and m asonry

YES ___ NO ___ N/A ___

18. Contractor is aware of and understands the need to incorporate welding and cutting operations that com ply with etc.).

applicable safe ty requirem ents (e.g., compressed gas cylinders are protected from vehicle traffic, valve caps secured, 19.

paint

Contrac tor is aw are o f and understands the need to m anage hazard ous m aterials/waste appro priately (e.g., YES N/A

N/A ___ s, solvents, fuels, etc.) including the following: NO ___

a. Use and storage of flammable/combustible liquids.

b. Aboveground fuel storage tanks properly managed/contained.

c. Com pressed gases and cylinders managed correctly (e.g., secured and protected from damage, etc.).

d. Procedures for managing use, storage, and disposal of hazardous materials properly established.

e. Excess/waste product(s) and containers properly disposed of per environmental regulations.

f. Hazards of product use and the need for protective measures (e .g., personal protective equipment, etc.)

conveyed to employees.

g. Asbestos work conform s to applicable standards.

h. Exposure to toxic gases, vapors, fum es, dusts , and m ists managed correctly.

i. Lead, laser, and any other hazardous components managed per the applicable standard.

j. Contract employees must conduct hazardous waste operations work within the parameters of a written safety

& health plan.

20. Comments, notes, additional requirements:

The contractor has the ultimate responsibility for safety on the project site at all times until final completion and acceptance of the project.

The contractor’s signature below indicates the above information was discussed and understood.

Contractor signature: _________________________________________ Date: __________________________

Date: __________________________

Contracting Officer/Contracting Officer’s Representative

FWS Form 3-2199 05/03 Page 4 of 5

OSHA CONSTRUCTION SAFETY STANDARDS - 29 CFR 1926:

(Following standards can be accessed at http://www.osha.gov):

Subpart A (1926.1 - 1926.5) - General

Subpart B (1926.10 - 1926.16) - General Interpretations

Subpart C (1926.20 - 1926.35) - General Safety and Health Provisions

Subpart D (1926.50 - 1926.66) - Occupational Health and Environm ental Controls

Subpart E (1926.95 - 1926.107) - Personal Protective and Life Saving Equipment

Subpart F (1926.150 - 1926.155) - Fire Protection and Prevention

Subpart G (1926.200 - 1926.203) - Signs, Signals and Barricades

Subpart H (1926.250 - 1926.252) - Materials Handling, Storage, Use and Disposal

Subpart I (1926.300 - 1926.307) - Tools - Hand and Power

Subpart J (1926.350 - 1926.354) - W elding and Cutting

Subpart K (1926.400 - 1926.449) - Electrical

Subpart L (1926.450 - 1926.454) - Scaffolds

Subpart M (1926.500 - 1926.503) - Fall Protection

Subpart N (1926.550 - 1926.555) - Cranes, Derricks, Hoists, Elevators and Conveyors

Subpart O (1926. 600 - 1926.606) - Motor Vehicles, Mechanized Equipment and Marine Operations

Subpart P (1926.650 - 1926.652) - Excavations

Subpart Q ( 1926.700 - 1926.706) - Concrete and Masonry Construction

Subpart R (1926.750 - 1926.752) - Steel Erection

Subpart S (1926.800 - 1926.804) - Underground Construction, Caissons, Cofferdam s and Compressed Air

Subpart T (1926.850 - 1926.860) - Demolition

Subpart U (1926.900 - 1926.914) - Blasting and the Use of Explosives

Subpart V (1926.950 - 1926.960) - Power Transmission and Distribution

Subpart W (1926.1000-1926.1003)- Rollover Protective Structures; Overhead Protection

Subpart X (1926.1050 -1926.1060)- Stairways and Ladders

Subpart Y (1926.1071 -1926.1092)- Diving

Subpart Z (1926.1100 -1926.1152)- Toxic and Hazardous Substances

FWS Form 3-2199 05/03 Page 5 of 5