Attachment 1_PWS_Pre-Demo Survey _NASA_Wallops_VA.pdf

FACILITIES REDUCTION PROGRAM

PERFORMANCE WORK STATEMENT

PRE-DEMOLITION SURVEY

VARIOUS BUILDINGS

NASA WALLOPS FLIGHT FACILITY SURVEY

WALLOPS, VA

Revision 0

24 April 2026

1.0 GENERAL STATEMENT OF SERVICES

1.1 Introduction and Purpose. NASA has tasked the US Army Corps of Engineers Engineering and Support Center, Huntsville, to initiate a Facility Reduction requirement at the NASA Wallops Flight Facility. Buildings are considered excess and will be demolished. The purpose of this contract is to procure Pre-demolition surveys according to the requirements set forth in this Performance Work Statement (PWS)

1.2 Site Description and Location. NASA Wallops Flight Facility, various buildings, at 175 Chincoteague Rd, Wallops Island, VA 23337)

1.3 Security Requirements. The Contractor shall be required to comply with all Installation entrance and security requirements. The Contractor shall be responsible for assuring that all employees meet the access requirements of the Installation prior to the execution of work action on the Installation. The Contractor will be required to present identification for base access installation requirements.

1.3.1 OPSEC requirements. The Contractor shall be required to adhere to the installation operations security (OPSEC) requirements in accordance with the Antiterrorism/Operations Security Review.

1.3.1.1 AT Level I Training. All contractor employees, to include subcontractor employees, requiring access to Federally controlled facility or Military Installations, facilities, controlled access areas, or require network access, shall complete AT Level I awareness training within 30 calendar days after contract start date or effective date of incorporation of this requirement into the contract, whichever is applicable. Upon request, the contractor shall submit certificates of completion for each affected contractor employee and subcontractor employee, to the COR or to the contracting officer (if a COR is not assigned), within 5 calendar days after completion of training by all employees and subcontractor personnel. AT Level I awareness training is available at the following website: http://jko.jten.mil/courses/atl1/launch.html; or it can be provided by the RA ATO in presentation form which will be documented via memorandum.

1.3.1.2 Access and General Protection/Security Policy and Procedures. All contractors and all associated sub-contractors employees shall comply with applicable installation, facility and area commander installation/facility access and local security policies and procedures (provided by government representative). The contractor shall also provide all information required for background checks to meet installation/facility access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services or Security Office. Contractor workforce must comply with all personal identity verification requirements (FAR clause 52.204- 9, Personal Identity Verification of Contractor Personnel) as directed by DOD, HQDA and/or local policy. In addition to the changes otherwise authorized by the changes clause of this contract, should the Force Protection Condition (FPCON) or Health Protection Condition (HPCON) at any installation or facility change, the Government may require changes in contractor security matters or processes.

1.3.1.2b For contractors who do not require a CAC but do require access to a DoD facility or installation. Contractor and all associated sub-contractors employees shall comply with adjudication standards and procedures using the National Crime Information Center Interstate Identification Index (NCIC-III) and Terrorist Screening Database (TSDB) (Army Directive 2014- 05 / AR 190-13), applicable installation, facility and area commander installation/facility access and local security policies and procedures (provided by government representative, as NCIC and TSDB are available), or, at OCONUS locations, in accordance with status of forces agreements and other theater regulations.

1.3.1.3 Suspicious Activity Reporting Training (e.g. iWATCH, CorpsWatch, or See Something, Say Something). Military Instillations have suspicious activity reporting requirement. Report suspicious activities to appropriate law enforcement agencies. Infringement of the base policy may result in a fine or incarceration.

1.3.1.5 Contractors will be escorted in areas where they may be exposed to classified and/or sensitive materials and/or sensitive or restricted areas. All contract employees, including subcontractor employees who are not in possession of the appropriate security clearance or access privileges, will be escorted in areas where they may be exposed to classified and/or sensitive materials and/or sensitive or restricted areas.

1.3.1.6 Pre-screen candidates using E-Verify Program. The Contractor must pre-screen Candidates using the E-verify Program (http://www.uscis.gov/e-verify) website to meet the established employment eligibility requirements. The Vendor must ensure that the Candidate has two valid forms of Government issued identification prior to enrollment to ensure the correct information is entered into the E-verify system. An initial list of verified/eligible Candidates must be provided to the COR no later than 3 business days after the initial contract award.

1.4 Cybersecurity Maturity Model Certification (CMMC) Requirements. The scope of this effort requires the contractor and/or subcontractor information system to process, store, or transmit FCI or CUI, and requires the contractor and/or subcontractor to comply with CMMC requirements. The Contractor shall have and maintain for the duration of this contract, order, or agreement a current CMMC status at the following CMMC level, or higher: CMMC Level 2 (Self) for all information systems used in performance of the contract, task order, or delivery order that process, store, or transmit FCI or CUI. See DFARS 252.204-7021 “Contractor Compliance With the Cybersecurity Maturity Model Certification Level Requirements”, for the definitions, requirements, reporting, and subcontract information for this contract/order/agreement”

2.0 OBJECTIVE - The objective of this Performance Work Statement is to plan and complete the environmental sampling of facilities at the installation. The structures of concern are listed in Table I. The sampling will determine ACM and ORM materials and complete a Waste Stream Analysis for RCRA 8 metals, lead-based paint (LBP) and PCB’s-in-paint for those parts of the structure currently identified as potentially having any painted components. Following sampling, the Contractor shall be able to completely quantify the environmental contamination present and the methods required to remove and dispose of said contamination in a safe manner.

All sampling shall be planned and performed in accordance with Federal, State, and local regulations for the installation. All recommendations for follow-on actions shall also be in accordance with Federal, State, and local regulations. Laboratory testing and analysis shall be completed within the workdays identified in table two following the respective site sampling field activity completion. The results of the site investigation and sampling effort will be provided in an individual Pre-Demolition Assessment Report for the installation that will be submitted within the workdays identified in table two following the receipt of sample results.

The intent of this contract effort is to provide comprehensive sampling for all ACM/ORM materials to include the facility exterior, roof, basement/crawl spaces, etc. The Contractor shall make every reasonable effort to access these areas when present in each facility. The Report will specifically address any areas within given structures that were not accessible during the survey and state the size of the area not accessed, and current or immediate previous use of the area not sampled.

3.0 DETAILED DESCRIPTION OF SERVICES

3.1 General Requirements. All work performed by the Contractor shall be designed and implemented in a manner which conforms to this PWS and all applicable Federal, State, and local requirements. The Contractor shall present a complete description of the planning and assessment process as applied to the subject facilities.

3.2 (Task 1) Pre-Demolition Assessments.

3.2.1 (Task 1.1) Accident Prevention Plan and Sampling Plan. No more than the workdays identified in table two after award, the Contractor shall prepare and submit an Accident Prevention Plan (APP), including the Sampling Plan. No Site Investigation shall be performed until the APP has been reviewed and approved by the Government. The APP must include recommendations for utilization of Personnel Protective Equipment (PPE) as required to ensure worker protection to the extent required by law or recommended as prudent and appropriate by the contractor. The types and numbers of samples per material type shall be generally described, as well as the process for collecting and securing the samples. The laboratory used for analysis shall be identified. Any special conditions required by State or Commonwealth regulations shall also be noted in the plan.

When the work plan is submitted, please provide a separate submittal consisting of the Abbreviated Accident Prevention Plan, Activity Hazard Analysis, and SSHO Qualifications.

Specific requirements for these safety submittals can be found in Appendix D Safety Requirements.

The Site-Safety Health Officer (SSHO) and the Quality Control Manager (QCM) shall always be present on- site while field activities are occurring. The SSHO shall comply with all applicable safety criteria and shall use their discretion to determine which activities require the SSHO to be present, and where the SSHO will be for day-to-day operations.

Government Designated Authority (GDA) for reviewing and accepting all required safety submittals is the HNC Safety Office.

The APP and all Activity Hazard Analysis’ (AHAs) shall be reviewed and accepted by the Government Safety Office prior to the notice to proceed. The installation or additional stake holders may require reviews of the Contractor’s AHAs which shall be accommodated by the Contractor.

Reference Appendix D for safety additional requirements/details.

Table 1 Target Facilities

Row Building/Structure Sq ft Description

1 E-002 28,200 CAFETERIA / PHOTO LAB

2 F-160 22,300

HEALTH/QUALITY VERIFICATION LAB /ENVIRONMENTAL

BLD

3 A-003 400 TAXIWAY LTG / SWITCHGEAR B

4 A-131 900 SOURCE EVAL BD BUILDING

5 D-010 14,880 GYMNASIUM/SPECIAL OPERATIONS

6 E-007 8,000 ASB RCDS STOR/POST OFC/MAIL / FILE

7 F-004 13,731

8 H-030 2,100 FOUR CAR GARAGE/WEMA

9 J-093 1,000 VIC CONCESSION BUILDING

10 N-133 1,500 CREDIT UNION ADMINISTRATIVE OFFICE BUILDING

11 N-134 600 VA COMM SPACE FLIGHT AUTHORITY OFFICE

12 X-036 400 UTILITY SHOPS STORAGE SHED

13 X-086 510 METEOROLOGICAL INSTRU DEVELOP LAB

14 Y-060 3,500 ISLAND RADAR CONTROL BUILDING (ICC

15 Z-040 2,575 LAUNCH AREA "0" SERVICE BUILDING

16 E-011 195 Groundwater Remediation FAC-Pump/Blower

17 F-163 120 Chemical Storage Building

18 F-164 128 RAIN SIMULATION EQUIPMENT SHELTER

19 N-218 69 Chemical Storage Building

3.2.2 (Task 1.2) Pre-Demolition Assessments. The Contractor shall provide the manpower, equipment and materials required to perform the sampling effort in the required facilities at the installation in accordance with all applicable local and federal regulations. The contractor shall ensure sufficient PPE, as required, is available for all contractor personnel and up to four additional Government employees.

For those facilities shown in Table 1, sampling shall be performed for the following:

- Assess for the presence of ACM, using destructive methods

- The assessment team shall ensure evaluation of the entire building to include the following spaces:

• Coring of the roof.

• Basement/crawl spaces.

• Coring of exterior walls.

• If there are any spaces that do not appear accessible, immediately contact the COR for potential access while remaining onsite. Any spaces not accessible during the assessment shall be noted within the Final Report.

Additionally, safe access to hazardous work locations must be addressed on applicable task specific AHAs.

- Assess the presence and type of any ORM found. Quantities and types shall be listed for each building surveyed. Make note of all ORMs within the Final pre-demolition assessment report. Typical ORM items include but are not limited to mercury switches, fluorescent bulbs, and PCB ballasts in each building. Quantities shall be developed for cost estimating purposes.

- Assess the facilities for lead-based paint and PCB’s-in-paint and provide a composite waste stream analysis, using standard EPA TCLP metals and PCB testing. The final report shall include a recommended disposal methodology to include recommendations supporting recycling of concrete, block and brick in accord with state regulations.

- Provide photographs of the building exterior and all interior rooms for each facility. Photographic coverage should include all positive results ACM/ORM found in the structure as well as any unique items and/or details that may impact demolition cost. Also provide photographs of the electrical lines and power drops to each structure. Locations of the power de-energize points for each facility is critical, i.e., where are the transformer(s) that serve each secondary drop line to the building.

- Patch and or repair building envelopes at sample/test locations sufficient to make them weathertight and prevent deterioration.

- Quantify all homogeneous areas sampled regardless of sample result.

3.2.3 (Task 1.3) Preparation of the Pre-Demolition Assessment Report. After all sampling results are obtained, the Contractor shall prepare and submit for approval the Pre-Demolition Assessment Report. The report shall present, in addition to a description of the effort performed, a summation of the results found, and a layout of any contamination determined to exist. As needed, the Contractor shall consult with appropriate regulatory authorities within each state and/or commonwealth to determine the nature of any specific sampling required. The contractor shall make recommendations, as necessary, regarding pre-demolition remediation efforts required along with extents and associated costs.

3.3 (Task 2) Project Management. The Contractor shall, during the life of this contract, manage the Contract in accordance with this PWS

3.4 (Task 3) Consulting Services. The Contractor shall provide consulting support during subsequent abatement and/or demolition, answering RFIs, assessment of potential engineering change proposals, and material submittal reviews. For bidding purposes assume labor expensed by the contractor shall not exceed more than 80 hours of total labor (at the Senior Industrial Hygienist level) during the abatement and/or demolition. The Contractor shall be responsive in a timely manner to avoid project delays and assist with answering RFIs, assessment of potential engineering change proposals, and material submittal reviews. Hours invoiced shall be verifiable and proof provided.

3.5 Resident Management System. The Government will use the Resident Management System

3.0 for Windows (RMS 3) to assist in monitoring and administration of this contract. The Contractor shall use the Government furnished Contractor Module of RMS, referred to as RMS 3/CM, to record, maintain, and submit various information throughout the contract period. The Contractor module, user manuals, updates, and training information can be downloaded from the RMS web site:

http://rms.usace.army.mil

This joint Government-Contractor use of RMS 3 will facilitate electronic exchange of information and overall management of the contract. RMS3/CM provides the means for the Contractor to input, track, and electronically share information with the Government in the following areas: Administration, Finances, Quality Control, Submittals, Reporting, and Scheduling.

4.0 SCHEDULE AND SUBMITTALS

4.1 Schedule. Unless authorized by the Contracting Officer, the Contractor shall be required to perform all work within the following schedule (days are working days). Final schedule shall be based on Contractor’s proposed schedule but shall not exceed the durations presented below. If no priority or work column is provided, then the Contractor shall state the progression and sequence of work with the Proposal.

a) Non-working days include:

i) All federal holidays

ii) The eight days between 25 December and 1 January.

A more detailed schedule will be developed within workdays identified in Table 2 after award (Item 2, below), which will document the project field window planned for the installation.

Table 2 Milestone Schedule

ITEM MILESTONE

CONTRACT SCHEDULE

(Schedule is in Working Days) Start Finish Duration Base Line

1 Contract Award - Milestone 0 1 1 START

2 Submit APP/Sampling Plan, Detailed Schedule 1 8 7

3 Review APP/Related Documents 8 13 5

4 Re-Submit APP/Related Documents 13 15 2

5 Review and Acceptance of APP and Related Documents 15 17 2

6 Process/Issue Pre-Demo Assessment NTP 17 19 2

7 Pre-Demo Assessment 19 64 45

8 Submit preliminary results table for Table I Facilities 64 99 35

9 Submit Pre-Demo Assessment Report for Table I Facilities. 99 114 15

10 Review of Pre-Demo Assessment Report for Table I Facilities. 114 119 5

11 Re-Submittal of Pre-Demo Assessment Report for Table I facilities. 119 129 10

12 Review and Acceptance of Pre-Demo Assessment Report for Table I Facilities

129 134 5 END

TOTAL WORKING DAYS 134

4.2 Submittals

4.2.1 General Submittal Requirements.

a) Distribution. The Contractor is responsible for production and distribution of all documents. The Contractor shall provide all submittals via RMS, with one electronic copy of submittals to the CEHNC Project Manager assigned to this task. Submittals are due not later than the close of business on the dates shown in table 2.

b) Partial Submittals. Partial submittals will not be accepted without prior written authorization of the Contracting Officer.

c) Cover Letters. A cover letter shall accompany each document and indicate the contract number, project, project phase, the date comments are due, to whom comments are submitted, the date and location of the review conference, etc., as appropriate. (Note that, depending on the recipient, not all letters will contain the same information.) The contents of the cover letters should be coordinated with the CEHNC PM prior to the submittal date.

d) Reproducibles. All submittals shall be provided via RMS in Microsoft Word or Adobe PDF format and in compliance with DID Preparation of submittals and work plan.

e) Mailing Address. All Submittals shall be submitted in electronic format to CEHNC Project Manager and uploaded in RMS.

5.0 PUBLIC AFFAIRS

The Contractor shall not publicly disclose any data generated or reviewed under this contract.

The Contractor shall refer all requests for site information and contract information to the Contracting Officer, Huntsville Center. Reports and data generated under this contract shall become the property of the Department of Defense, and distribution to any other source by the Contractor, unless authorized by the Contracting Officer, is prohibited. The Contractor shall notify the Contracting Officer and Installation Public Affairs Office prior to any contacts with regulatory agencies.

6.0 MANAGEMENT OF FUNDS

Funds for this Contract will be managed at the level specified in the negotiations. No transfer of funds by the Contractor between tasks will be allowed without the prior approval of the Contracting Officer or the Contracting Officer's Representative.

7.0 INVOICING

The Contractor shall prepare and submit invoices to the U.S. Army Engineering Corps of Engineers, Engineering and Support Center, Facilities Reduction Program (CEHNC-FRP) for technical review and payment. The required method for invoice submittal is the US Army Corps of Engineer’s Resident Management System (RMS). Submit the payment request and prompt payment certification in RMS, supplemented with signed copies of prompt payment and invoice documents through email correspondence.

Email electronic submissions to email address: FRPInvoices@usace.army.mil

Receipt of Invoices:

Disbursement of Payment will be made by:

U.S. Army Corps of Engineers Finance Center 5722 Integrity Drive Millington, TN 38054-5005

8.0 ORDER OF PRECEDENCE

In the event of a conflict or inconsistency between any of the requirements of the various portions of the contract, precedence shall be given in the following order:

1) Any portions of the accepted proposal or accepted work plan that exceed the requirements of the solicitation.

2) As between the accepted work plan and the accepted proposal:

a) Any portion of the accepted proposal that exceeds the accepted work plan

b) Any portion of the accepted work plan that exceeds the accepted proposal

c) The requirements of the contract solicitation and then the requirements of the basic contract.

3) Those portions of the accepted proposal or accepted final design that meet but do not exceed the solicitation requirement.

9.0 REFERENCES

9.1 All available documentation is being submitted as part of the RFP package. Such documentation includes pictures and location drawings of each.

9.2 All applicable local, State, and Federal regulations.

10.0APPENDICES

10.1 Appendix A: Quality Assurance Surveillance Plan (QASP)

10.2 Appendix B: Strategy For Performing In-Situ Waste Determinations as Part of a Pre-Demolition Facility Assessment

10.3 Appendix C: AT Requirements

10.4 Appendix D: Safety Requirements

11.4.1 Safety Requirements

11.4.2 Accident Prevention Plan Template

11.4.3 Activity Hazard Analysis Template

11.4.4 Site Safety and Health Officer (SSHO) Designation Letter Template

10.5 Appendix E: Contractor Quality Control Requirements

10.6 Appendix F: List of Supplemental Government Documentation

10.7 Appendix G: ProjNet Questions and Responses

APPENDIX A

QUALITY ASSURANCE SURVEILLANCE PLAN (QASP)

Quality Assurance Surveillance Plan (QASP)

1.0 Performance Requirements Summary

The table on the following page lists the PWS requirements/deliverables that the Government shall monitor. The absence of any contract requirement from the PRS/QASP does not detract from its enforceability nor limit the rights or remedies of the Government under any other provision of the contract, including the clauses entitled “Inspection of Services” and “Default.”

The table defines the standard for each listed PWS service, sites the respective specification, provides the method of surveillance, and describes disincentives for not meeting acceptable standards.

2.0 Government Quality Assurance

The Contracting Officer (KO) has overall responsibility for overseeing the Contractor’s performance. The KO shall monitor day-to-day contract compliance and administration. The COR shall assist the KO with their duties and is responsible for technical administration of the project. The COR also assures proper Government surveillance of the Contractor’s performance and shall monitor, record, and report on the technical performance of the Contractor on a day-to-day basis. The COR, along with USACE subject matter experts, shall assure the Contractor is meeting contract PWS standards, as well as all Federal, state, and local regulatory requirements.

The Government intends to use the following methods to monitor standards:

Inspection and review of all required documents and submittals.

Periodic inspection of work processes or output.

100% inspection at the completion of key work segments and deliverables.

Customer feedback.

3.0 Performance Evaluation

Performance of services shall be evaluated to determine whether or not it meets the performance requirements of the contract. The COR shall evaluate and report Contractor performance to the Contracting Officer at each milestone and delivery per the project schedule. Progress inspection reports shall be submitted as required. When the performance requirement is not met, a contract discrepancy report (CDR) shall be issued to the Contractor by the Contracting Officer. The Contractor must respond to the CDR and return it to the contracting officer within five (5) calendar days of receipt. Failure to meet acceptable performance standards may result in one or all of the following actions:

Issue a temporary work stoppage awaiting corrective action.

Withdrawal of work Terminate the contract.

Terminate the SATOC (basic) contract.

DA Form 5473-R Performance Requirements Summary Required Service

Paragraph . Number Standard Method of surveillance Incentives / Disincentives

(Task 1.1) Accident Prevention Plan and Sampling Plan

3.2.1 APP and

Sampling plan meets the requirements of the PWS with minimal deficiencies requiring no more than one revision.

Govt. review Govt. may reject in whole, or in part, Plans that do not comply with PWS requirements. Contractor must resolve and correct deficiencies in reasonable time or shall be subject to issuance of show cause notice/bad performance rating and possible termination.

(Task 1.2) Pre-Demolition Assessments

3.2.2 All site work

is completed on or before the dates in the accepted proposal.

Govt. review Satisfactory Past Performance Ratings will be given based upon successful completion of the project within the schedule conveyed in Par. 4.0.

Likewise Highly Successful or Marginal may be given for completion of project in advance of the schedule or after the target completion, respectively.

(Task 1.3) Preparation of the Pre- Demolition Assessment Report

3.2.3 The Pre-

Demolition Assessment Report meets the requirements of the PWS with minimal deficiencies requiring no more than one revision.

Govt. review Govt. may reject in whole, or in part, Plans that do not comply with PWS requirements. Contractor must resolve and correct deficiencies in reasonable time or shall be subject to issuance of show cause notice/bad performance rating and possible termination.

APPENDIX B

FACILITY REDUCTION PROGRAM

STRATEGY FOR PERFORMING IN-SITU WASTE

DETERMINATIONS AS PART OF A PRE-DEMOLITION

FACILITY SURVEY/ASSESSMENT

17 November 2021 1st Revision: 08 March 2023 2nd Revision: 11 Aug 2023

3rd Revision: 24 April 2025

Introduction Pre-Demolition Surveys/Assessments for the Facility Reduction Program (FRP) are performed for the purpose of determining presence and extent of Asbestos Containing Material (ACM) and Other Regulated Material (ORM), and to support the removal of each prior to demolition, as required by law. Thus, such assessments for ACM and ORM are performed in accordance with established regulations, by many capable assessment firms.

General Pre-demolition Surveys need to be coordinated with an Installation’s Environmental Office:

Base courtesy.

Base Environmental can provide historical context, to include particular areas/materials that have been a concern and require additional attention.

Use of an XRF (as discussed below) introduces a radiation source, which requires coordination and Command approval in order to bring on any installation.

Use of an XRF will require certifications in many states.

The Huntsville Center FRP requires that an In-Situ Waste Determination also be completed as part of the standard Pre-Demo Facility Assessment in order to assess and quantify the presence of both Lead based Paint (LBP) and PCB's-in-paint. The purpose for this is to give a "heads up" to our demo customers if there will be hazardous disposal concerns associated with the building debris which could cause additional cost to the demolition project.

Regulations require waste disposal be done in a particular manner, using disposal sampling of a representative sample of the debris pile and the Toxicity Characteristic Leaching procedure (TCLP) analysis for the RCRA 8 Metals. Once shown to be non-hazardous for the RCRA 8, the building debris is loaded and disposed of. The In-Situ Waste Determination is done on the building materials of a facility, as it stands, prior to demolition. FRP considers the entire facility to be the Decision Unit (DU) for consideration. Toward this aim, the in-Situ Waste Determination should be approached as follows:

LBP Determination

Determination should be made regarding the percentages of the various building materials that make up the facility structure (ie wood, concrete, CMU, metal, wallboard, etc).

The sample to be taken should be comprised of each type of building material found in accordance with the percentage of that building on which it is present. For example, if a building is considered to be 60% concrete/CMU, 30% wood (framing and wallboard) and 10% metal, then the sample to be taken should reflect the same percentages as the materials considered to be present.

Use of XRF as a screening tool to see where the highest relative levels of lead are located is acceptable in order to enable biased grab samples to be taken. However, TCLP is the only acceptable (to the FRP) analysis approach for determining disposal alternatives.

Both painted and unpainted materials should be collected for inclusion in the sample.

Or, samples of unpainted surfaces can be collected and tested by themselves, in addition to collection of samples from painted surfaces to be tested by themselves.

Painted samples should be selected/collected; in much the same way as ACM samples are selected, to be representative of different Homogeneous Areas (HA's). The term "paint histories" is applicable, with the color/relative time of application and substrate material representing a particular paint history.

For example, if a particular white paint is used in a room that is CMU/concrete below, supporting wood framing and wallboard above, that would be considered two paint histories.

Painted material surfaces should be sampled to include not just the paint, but the substrates as well. (Note: the presence of flaked paint on the walls/floor of a building is a separate issue, to be handled following the sweeping up and containerization of such flakes, if existent, prior to demolition. At that point, the paint flakes would be sampled on their own prior to disposal).

As with different forms of ACM, the Contractor will be expected to estimate the amount of material being affected by each paint so that an estimation of the amounts of affected materials can be derived as part of the Pre-Demo Survey.

Samples should be analyzed for presence/amount of contamination for the RCRA 8 metals using the Toxicity Characteristic Leaching Procedure (TCLP). However, TCLP is the only acceptable (to the FRP) analysis approach for determining disposal alternatives.

PCB's-in-Paint Determination PCB's-in-paint refers to the fact that in years past, paints were manufactured with PCB's in them to give the paints increased plasticity/stability, increased water and chemical resistance and, in facilities that employed heat processes, to allow better conductance of heat in building materials.

The sampling for PCB's will be performed using the same general process as the above for LBP and in accordance with "EPA Region I Standard Operating Procedure for Sampling Porous Surfaces for Polychlorinated Biphenyls (PCBs)", May 2011.

Sampling should be done of both painted and unpainted surfaces to demonstrate if unpainted concrete has absorbed any PCB's emanating from other potential sources (glazes, caulking, sealants, nearby equipment). Painted and unpainted samples shall be analyzed separately and distinctly, so as to avoid conclusions in the paints that affect the unpainted concrete, as well.

As with different forms of ACM, the Contractor will be expected to estimate the amount of material being affected by each paint history so that an estimation of the amounts of affected materials can be derived as part of the Pre-Demo Survey.

Samples should be analyzed for presence/amount of contamination for PCB's using a totals analysis (as opposed to a TCLP) to determine the concentration of PCB's (if any) within the paints:

Analyses should provide MDL’s that are <0.5 ppm.

Data will be developed to support installation decision-making with respect to appropriate disposal.

APPENDIX C

AT REQUIREMENTS

APPENDIX D

SAFETY REQUIREMENTS

1) GENERAL - ALL work under this contract will abide by the latest version of the U.S.

ARMY CORPS OF ENGINEERS (USACE) EM 385-1-1 Safety and Health Requirements Manual at time of award. In addition to the detailed requirements included in the provisions of this contract, comply with all federal, state, and local (including host nation laws), ordinances, criteria, rules, and regulations will be followed. If a work element is not covered by regulatory requirements a consensus standard will apply. Where the requirements of this specification, applicable laws, criteria, ordinances, regulations, and referenced documents vary, the most stringent requirements govern.

2) SUBMITTALS

a) General Information - Government acceptance is required for the following submittals.

i) Accident Prevention Plan (APP).

(1) A qualified person must prepare the written APP. Prepare the APP in accordance with Section 2-7.b in the 2024 EM 385-1-1 using the mandatory ENG Form 6293. A link for this Form can be found in the EM 385-1-1 Para 2-10.d. If jobsite-specific information is not available when APP is submitted Site Specific Addendums (SSAs) shall be submitted to the APP once information is acquired.

(2) Submit the APP to the Contracting Officer no more than 30 days before mobilization for work activities. Work cannot proceed without an accepted APP, and/or SSA (if required), and site- specific Activity Hazard Analysis or Analyses (AHA/s). Once reviewed and accepted by the Huntsville Center Safety Office, the APP, SSAs and AHAs will be enforced as part of the contract.

(3) Disregarding the provisions of this contract or the accepted APP is cause for stopping of work, at the discretion of the Contracting Officer. The Project Manager in consultation with the CEHNC Contracting Officer and Safety Office will provide correspondence to the contractor with the reason/s for stop work and the requirements necessary to resume work.

Continuously review and update the APP, as necessary, throughout the life of the contract, not to exceed 12 months. If updates are made resubmit to the Huntsville Center Safety Office for review and acceptance.

(4) The Government considers the Prime Contractor to be the "controlling authority" for the safety and health of the subcontractors. As a minimum the Prime Contractor will:

1. Inform their subcontractors of the safety provisions under the terms of the contract and the penalties for noncompliance.

2. Coordinate the work to prevent one craft from interfering with or creating hazardous working conditions for other crafts.

3. Inspect subcontractor operations to ensure that accident prevention responsibilities are being carried out.

4. Provide an interpreter who is fluent in English and the language being translated if English is not the foreman’s primary language.

5. Describe the methods to evaluate past safety performance of potential subcontractors in the selection process.

6. Describe innovative methods used to ensure and monitor safe work practices of subcontractors.

7. Incorporate unusual or high-hazard activities not identified in the original APP as a SSA before the work is started. The SSA must be submitted to the Huntsville Center Safety Office for review and acceptance.

8. If any severe hazard exposure (i.e. imminent danger) becomes evident, stop work in the area, secure the area, develop a plan to remove the exposure and control the hazard. Notify the Contracting Officer within 24 hours of discovery.

9. Eliminate and remove the hazard.

10. In the interim, take all necessary action to restore and maintain safe working conditions in order to safeguard onsite personnel, visitors, the public (as defined by ASSE/SAFE A10.34), and the environment.

(5) The SHO must provide and maintain the APP and a log of signatures by each subcontractor foreman, attesting that they have read and understand the APP, and make the APP and log available on-site to the Contracting Officer and/or the Huntsville Center Safety Office upon request.

ii) Site Specific Addendum (SSA); SSAs are required if work will be conducted on two or more sites. The SSA shall be submitted to the Huntsville Center Safety Office for acceptance prior to work starting on an additional location. An SSA contains detailed site-specific information only applicable to a specific location. It shall be attached to the APP as an addendum and be onsite. An SSA shall include the following minimum requirements: The Site-Specific Addendum shall include, as a minimum:

(1) Contractor Name

(2) Contract Number

(3) Project Name

(4) Site Specific Project Location

(5) Safety Officer name/s and responsibilities

(6) Identify point of contact at location (e.g. QAE)

(7) Emergency Response Plan

(8) Security information (contact information) if applicable.

(9) Activity Hazard Analysis shall be attached to each SSA

iii) Activity Hazard Analysis (AHA).

Before beginning each activity, task, or Definable Feature of Work (DFOW) involving a type of work presenting hazards not experienced in previous project operations, or where a new work crew or subcontractor is to perform the work, the Contractor(s) performing that work activity must prepare an AHA. AHAs must be developed by the Prime Contractor. If the Prime Contractor requires a subcontractor or any sub tier-contractor or supplier performing the work, to develop an AHA/s, it shall be provided to the SHO for review and approval before submitting to the Huntsville Center Safety Office for review and acceptance. AHAs must be signed by the SHO and the subcontractor Competent Person performing the work.

Format the AHAs in accordance with Section 2-6.d in the EM 385-1-1, or as directed by the Huntsville Center Safety Office. The Government reserves the right to require the Contractor to revise and resubmit the AHA/s if it fails to effectively identify the work sequences, specific anticipated hazards, site conditions, control measures to be implemented, risk assessment code (RAC), equipment, materials, and personnel qualifications. AHAs must be submitted, reviewed, and found acceptable by the Huntsville Center Safety Office before initiation of work at the job site.

Each employee performing work as part of an activity, task or DFOW must review the AHA for that work and sign a signature log specifically maintained for that AHA prior to starting work on that activity. The SHO must maintain a signature log on site for every AHA. Provide employees whose primary language is other than English, with an interpreter to ensure a clear understanding of the AHA and its contents.

Prime Contractor shall review the AHA list periodically (at least annually in conjunction with an APP review) and update as necessary when procedures, scheduling, or hazards change. Use the AHA during daily inspections by the SHO to ensure the implementation and effectiveness of the required safety and health controls for that work activity.

iv) Safety and Health Officer (SHO) Qualifications; Proof of competency/qualification for all SHO must be submitted, reviewed, and found acceptable by the Huntsville Center Safety Office before initiation of work at the job site. These qualifications shall be included in the APP. (Reference Para 2-8.b in the EM 385-1- 1 as well as the mandatory SSHO Designation Form – the ENG Form 6282).

v) The Safety and Health Officer shall be designated in writing in the APP.

3) SITE QUALIFICATIONS, DUTIES, AND MEETINGS

a) Safety Officer Requirement This contract requires a minimum of one designated Site

Safety and Health Officer to manage and oversee the implementation of the Prime Contractors Safety Program. No work shall be conducted at the site of work until the approved SSHO, his designated alternate, or a temporary designated SSHO is on site in accordance with Section 2-8.b in the EM 385-1-1

b) Safety and Health Officer Responsibilities:

i) Meet the qualifications for Level 1 SSHO found on the Mandatory ENG

Form 6282 Site Safety and Health Officer Designation Letter.

ii) Designate an equally qualified Alternate SHO to fulfill the same roles and responsibilities if off-site for a period longer than 24 hours.

(Alternate SHO/s shall be part of the APP and be designated by their employer in writing on an Appointment Memo.)

iii) Assist the Contractor’s project management team responsible for managing, communicating, implementing, and enforcing compliance with the Contractor's APP and other accepted safety and health submittals.

iv) Dual Hatting: Dual hatting is allowed on portions of this project.

1. The SSHO is allowed to dual hat with the QC.

2. The SSHO shall not dual hat with the Superintendent.

c) Contractor Contract Responsibilities

i) No work shall be conducted at the site of the work until a SSHO is present.

ii) All levels of SHOs qualifications with an Appointment Memo must be submitted to and accepted by the CEHNC SOHO prior to work commencing on the site of the work.

iii) There must be a CEHNC accepted APP and an SSHO prior to any work being performed. It is the prime contractor's responsibility to ensure the SSHO clearly meet the minimum requirements of this policy.

iv) Responsibilities and Lines of Authority. The SSHO responsible for ensuring all the safety and health requirements are being met shall be identified in the Responsibilities and Lines of Authority section of the APP. This section of the APP shall illustrate reporting procedures from the SSHO. The SSHO for the task order/award shall ensure all competent/qualified persons have the proper qualifications and training and shall maintain all documentation for the project.

All documentation shall be available upon request to the GDA.

v) The APP shall include discussion as to how the SSHO will ensure the requirements of the prime contractor's safety program, EM 385-1-1, OSHA, any additional local laws and regulations, and all accepted safety plans are implemented. This shall include but not limited to the review of site documentation, site audits, training, and meetings.

vi) A tailgate (a.k.a. toolbox) meeting is required prior to work activity. The accepted Activity Hazard Analysis (AHA) shall be reviewed at each tailgate. Any step, hazard and/or control changes made to an accepted AHA shall be identified (pen- and-ink) on the AHA along with the RAC. If the initial Risk Assessment Code (RAC) determination in the accepted AHA increases due to a change made to the work task or procedure by the workers, all work shall cease and the AHA shall be resubmitted to the CEHNC SOHO for review and acceptance prior to proceeding. All persons conducting work identified in the AHA shall review it and acknowledge the review by signing the AHA.

d) Post Award Meeting Contractor representatives who have a responsibility or significant role in accident prevention on the project must attend the meeting. This includes the project superintendent/PM, Safety and Occupational Health officer.

4) PERSONNEL DUTIES:

a) The Site Safety and Health Officer Shall:

i) Conduct safety and health inspections daily prior to each shift, when a new DFOW begins, when new workers begin work, and when work plans change or high hazard work activities begin. Maintain a written log which includes area/operation inspected, date of inspection, identified hazards, recommended corrective actions, estimated and actual dates of corrections.

ii) Conduct mishap investigations and complete required accident reports.

Report all recordable mishaps to the Contracting Officer within 24 hours.

iii) Use and maintain OSHA's Form 300 to log work-related injuries and illnesses occurring on the project site for Prime Contractors and subcontractors. Post and maintain the Form 300A on the site Safety Bulletin Board as required by OSHA.

iv) Maintain applicable safety reference material on the job site

v) Review the APP and AHAs for compliance with EM 385-1-1, and approve, sign, implement and enforce them.

vi) Establish a Safety and Occupational Health (SOH) Deficiency Tracking System that lists and monitors outstanding deficiencies until resolution.

vii) Ensure subcontractor compliance with safety and health requirements.

viii) Maintain a list of hazardous chemicals on site and their material Safety Data

Sheets (SDS).

ix) Provide and keep a record of site safety orientation and indoctrination for contractor employees, subcontractor employees, and site visitors.

x.) Perform safety program tasks (e.g. ensure training and qualifications of site workers, document safety meetings, AHA reviews and site-specific updates, inspections, etc.) as required and directed by a SHO or corporate safety official.

5) HIGH HAZARD ACTIVITIES

a) If/when the Contractor is tasked to perform work which is not covered in a previously submitted AHA, a separate AHA shall be submitted minimally 15 days prior to planned start date and must be approved by the Contracting Officer or his/her designated representative prior to commencement of work Per Spec 01 35 26.

b) Tasks involving any of the following are considered “High Hazard” activities:

i) Permit Required Confined Space Entry

ii) Fall Protection

iii) Load Handling Equipment (Any type of lifting equipment)

iv) Destruction or Demolition Projects

v) Electrical

vi) Hazardous Energy Control

vii) Working in, on, over, or around (within 5 feet) of water

The contractor is required to have a SSHO who shall have no other responsibilities, for any work repair being done on these activities. The above “high hazard” list is not meant to be comprehensive and does not relieve the contractor from maintaining an acceptable level of safety, in accordance with the EM 385-1-1, at all times work is being performed.

Certain hazardous activities require Site and Task Specific Plans to be submitted to and accepted by the USACE Huntsville Safety Office prior to conducting work.

These plans can be submitted as part of the APP or submitted for acceptance at least 15 days prior to the work. These plans, including mandatory site and task specific requirements, can be found in the cited sections of the EM 385-1-1 (2024 Ed) below:

a. Site Specific Fall Protection and Prevention Plan/Program -Section 21-7

b. Trenching and Excavation Plan – Section 25-7

c. Crane Plans – Standard Lift Plan Section 34-7.b, Critical Lift Plan Section

34-7.d

d. Demolition Plan – Section 17-7

e. Energized Work Plan/Permit – Section 11-8

f. Permit Required Confined Space Entry – Section 34-2.h

g. Scaffolding – Mandatory Specific AHA detailing requirements in Section

22-6 and 22-7

h. Steel Erection – 28-7.a

c) Display of Safety Information. Within 7 calendar day(s) after commencement of work, erect a safety bulletin board at the job site. Where size, duration, or logistics of project do not facilitate a bulletin board, will require the Prime Contractor to have a notebook on site with all safety bulletin board information as required by the EM 385-1-1, Section 1-8.f.(2).(a)-(h) (SOH Bulletin Board requirements and mandatory information, EM 385-1-1). Safety documentation shall be accessible on site (to include all mandatory information for employee and visitor review). Where required, maintain information on safety bulletin board as required by EM 385-1-1, Section 1-8.f.(2).(a)-(h).

d) Notifications and Reports

i) Mishap Reporting and Investigation shall comply with Table 2-1 in Section 2-

9 in the EM 385-1-1. Notify the Contracting Officer, USACE PM, and Huntsville Center Safety Office by email or telephonically as soon as practical, but no more than 24 hours after any mishaps including recordable accidents, incidents, and near misses. Serious accidents as listed in Table 2-1 in Section 2-9 in the EM 385-1-1 must be reported immediately to the Contracting Officer, USACE Huntsville PM, and USACE Huntsville Safety Office. After email and or telephonic notification to the entities above, the notifications shall be submitted via RMS under the QC daily reports tab. The updated 2021 version of the ENG Form 3394 is the mandatory form to use to provide an Initial Accident Report (IAR box on the form) and the Final Accident Report (FAR box on the form). The IAR is required to be submitted to the USACE KO/PM within 24 hours of any recordable accident or significant near miss and the FAR is required to be submitted within 7 days of any recordable accident or significant near miss.

ii) Monthly Exposure Reports Man-hours and Lost Workday Reporting. Submit project work hours to the Contracting Officer's Representative (COR) monthly in the format provided by the COR. Work hours include all hours on the project where an employee is in an on-duty pay status. The Contractor shall complete a report of exposure hours. The report shall be on the electronic data collection tool provided by the COR described as total hours associated where workers are exposed to the activity hazards and forwarded to the Contracting Officer no later than close of business (COB) the 10th day of the following month. If no hours are worked on the project/task, a report showing "zero (0)" is required.

ACCIDENT PREVENTION PLAN TEMPLATE (ENG FORM 6293, AUG2024)

(THIS APP TEMPLATE WILL ALSO BE PROVIDED AS A FILLABLE PDF)

Print Form Save As

U.S. Army Corps of Engineers (USACE)

ACCIDENT PREVENTION PLAN (APP)

For use of this form, see EM 385-1-1; the proponent agency is CESO.

Purpose: An APP is a written site-specific Safety & Occupational Health plan that documents project, contract, and job-specific potential hazards in the workplace, and the company policies, controls, and work practices that will be used to minimize those hazards. They are an integral part of the planning and risk management process. The APP must be developed by a Competent Person and reviewed and approved by the prime contractor and corporate safety official. Upon contractor approval, the plan must be submitted to the Contracting Officer (KO) or Contracting Officer Representative (COR) for review and acceptance prior to the performance of any work. No contract work can begin without a KO or COR accepted APP.

The completed APP must be posted…