Attachment 05 - Appendix E - Accident Prevention Plan.pdf
PDF 91 KB Posted
- Attached to
- Refuse Services Federal contract opportunity
- Solicitation number
- W912HZ21R0016
About this file
This document contains an accident prevention plan template and a solicitation for refuse removal services. The accident prevention plan template requires contractors to provide details on medical capabilities, training, personal protective equipment, housekeeping, emergencies, and accident reporting.
The solicitation is for refuse removal services at the U.S. Army Engineer Research and Development Center's Cold Regions Research and Engineering Laboratory facility. The fixed-price contract will have a one year base period and four option years. Responses are due no later than July 11, 2021. Offerors must be registered in the System for Award Management and complete FAR and DFARS representations and certifications to be eligible for award. The North American Industry Classification System code is 56211 and the size standard is $41.5 million in average annual receipts. The solicitation is a 100% small business set-aside.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| QUESTIONS AND ANSWERS_7_7_21.pdf | ||
| QUESTIONS AND ANSWERS_7_6_21.pdf | ||
| QUESTIONS AND ANSWERS_7_1_21.pdf | ||
| Solicitation_W912HZ21R0016_CRREL Refuse Removal Services.pdf | ||
| Attachment 01 - PickUp Dates.pdf | ||
| Attachment 06 - Past Performance Questionnaire.pdf | ||
| Attachment 02 - Dumpster Locations.pdf | ||
| Attachment 03 - WD 2015-4025 (Rev 16).pdf | ||
| Attachment 04 - Sample Certificate of Insurance.pdf |
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Text version
Appendix E
ACCIDENT PREVENTION PLAN DATE________________
Accident Prevention Plans shall be job specific and shall address all unusual and unique aspects of the project or activity for which it is written. Plan shall address the how, who, when, what, where for requirements of EM 385-1-1.
NAME OF CONTRACTOR: ______________________________________________________
CONTRACT NUMBER: ______________________________________________________
PROJECT/WORK TO BE PERFORMED AND LOCATION (Bldg., Floor, Room, etc.)
NAME OF SUPERVISOR/OWNER:
MEDICAL CAPABILITIES:
NAME OF HOSPITAL:
AMBULANCE SERVICE: (Ex: 911 if calling from a CRREL phone; notify Security via Ex.
4800) _______
NAME OF DOCTOR:
FIRE PHONE NUMBER:
TRAINING: State what your initial indoctrination for your employees will be, and outline any on-the-job training and continuing training such as “tool box meetings, safety meetings” etc., You must address procedures for the prevention of alcohol and drug abuse in the workplace.
SAFETY DOCUMENTATION: The contractor will provide the following information:
PERSONAL PROTECTIVE EQUIPMENT (PPE)
HOUSEKEEPING (daily job site cleanup will be performed)
EMERGENCY PLAN (Including provisions for MSDS’s)
ACCIDENT REPORTING: All accidents (whether injuries requires lost time or not) requiring medical attention, and property damage accidents in which the property exceeds $2,000 will be reported to the CRREL Safety Officer within 48 hours of accident. Accidents shall be reported using ENG Form 3394 available at http://www.usace.army.mil/inet/usace-docs/forms/engforms.htm. The contractor is also responsible for notifying the COTR who will notify the CRREL Safety Officer when one or more of their employees are severely injured, a fatal injury or when three or more persons are admitted to the hospital.
EMERGENCIES AND DRILLS: During emergencies or drills follow directions of CRREL personnel.
PRIME CONTRACTOR DATE
Plan has been reviewed & determined acceptable.
CONTRACTING OFFICER/COTR DATE
CONCUR _____ NONCONCUR____
CRREL SAFETY OFFICER DATE
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