Attachment 10- Pre-Construction Safety Brief (Updated 2020).pdf

Fort Gordon

Pre-Contract Safety Brief

Version: 20191001

Date: Time of Briefing:

Installation Safety Representative

Government Representative (Ctr Office/DPW)

Company Project Manager

Company Safety and Health Coordinator

Project Number

Project Description

Company Name

Company has written Safety Plan? YES / NO / N.A.

Was the plan reviewed by Installation Safety? YES / NO / N.A.

Length of Contract (approximately) Number of Days:

From: To:

Will contractor enter confined spaces?

(If yes, Attachment 1 & 2 applies)

YES / NO / N.A.

Will contractor have radioactive commodities? YES / NO / N.A.

Applicable Safety Standards:

29 CFR 1910, General Industry Standards

29 CFR 1926, Construction Standards

AR 385-10, The Army Safety Program

AR PAM 385-24, The Army Radiation Safety Program

EM 385-1-1, Army Corps of Engineers Safety and Health Requirements

Federal Acquisition Regulation (FAR) Clause 52.236-13: Accident Reporting

Applicable federal, state, and local codes and regulations

Compliance with Laws and Regulations:

The contractor, and any associated sub-contractors, will be knowledgeable of, and comply with, applicable federal, state, and local codes and regulations regarding a safe and healthful work environment. In the event safety laws and regulations change during the term of this contract, the contractor is responsible and required to comply with such regulations as they come into effect.

General:

Installation policy requires the use of seat belts when operating or riding in a motor vehicle while on base.

The base speed limit is 25MPH unless otherwise posted.

No person will ride in or on any part of a vehicle not equipped for a passenger.

Do not jeopardize or tamper with any device or system, i.e. fire alarms, emergency stops, warning devices, etc.

Immediately notify emergency personnel in the event of serious injury. From a base phone dial

911; from a cell phone dial 911—inform the dispatcher that you are on Fort Gordon.

Maintain your work areas in a safe condition and clean debris routinely.

Fort Gordon

Pre-Contract Safety Brief

Version: 20191205

Use of cell phones is prohibited while operating a motor vehicle on Fort Gordon.

EXCEPTION: Hands-free devices are acceptable.

Mishap Prevention Program:

In order to protect the life and health of employees, the contractor shall comply with all provisions of applicable federal, state, and local codes and regulations.

Mishap Reporting and Recording:

The contactor will immediately report any accidents involving government property/equipment damage, or government (military or civilian) personnel injuries occurring on the job to the

Contracting Officer and the Installation Safety Office (706-791-7233).

Workplace Inspections:

Army safety, fire protection, and industry hygiene officials may periodically enter a contractor’s workplace to verify working conditions of Army personnel, provided the contracting officer authorizes such action.

If an improper procedure or unsafe condition exists which, places government personnel or property in jeopardy, the Contracting Officer will be notified to request the situation be corrected.

Explosives: (as applicable)

When ammunition or explosives are involved, the contract will be reviewed by the Installation

Safety Office. The contractor will be required to comply with DoD 4145.26-M, DoD

Contractors' Safety Manual for Ammunition and Explosives.

Note: The US Army does not assume responsibility for, or have oversight of, contractor safety programs on Fort Gordon. Exception: Should installation safety personnel observe, or receive a complaint of, an imminent danger situation that involves contractor personnel, or in event government personnel or property are jeopardized, Installation Safety Office will make contact the site supervisor directly.

Contractor Representative (Print / Signature) Date

Installation Safety Office Representative (Print / Signature) Date

Attachment 1

Confined Space Safety Brief

Confined Space Entry:

Confined Space(s) to be entered:

Contents of space(s) and known hazards:

Precautions and procedures implemented to protect non-operational access to the space:

Confined Space Entry Program (on-site)

Barricades

Cones

Retrieval harness & related equipment

Traffic management procedures (spotter, signs, etc)

Other:

The Installation Fire Department must be notified on ALL confined space entries and contractor will provide all relevant details to include the confined space permit. FT Gordon Fire and EMS are not the stand by rescue team as required for Permit Required Confined Space Entry and will only respond upon notification of an actual emergency. FT Gordon Fire Department, Fire

Prevention Division for coordination and site visit. (706-791-5207).

Contractors shall conduct their own exposure monitoring during entry operations.

For entry into Communication Manholes, the contractors shall contact Network Enterprise

Center, Mr. Walker (706-791-8963). There, the contractor will be provided the Base

Communications organization’s specific confined space briefing.

Contractors shall brief and/or submit an after-action report to the Installation Safety Office (706-

791-7233) of any physical changes or concerns inside confined spaces. If pre-coordinated, this information can be given to the government contracting representative to forward to the

Installation Safety Office staff. The purpose of the brief is for the contractor to provide information regarding hazards encountered or created in the confined spaces.

Attachment 2 Contractor After-Action Brief or Report for Confined Spaces

Version: 20191001

The Fort Gordon Installation Safety Office is required to be briefed or receive an after-action report from contractors that identify safety hazards in confined spaces, any changes to the physical environment of the confined space, or performed work that could create a safety hazard in the future.

1. “Suspense” of the after-action brief or report:

a. The contractor shall provide this information to the Installation Safety Office within five (5) workdays of completion of the work performed in the confined space.

2. “Information” to be included in the after-action brief or report:

a. Name (confined space ID, building number, location/description)

b. Approximate size of space (describe shape and dimensions)

c. All identified hazards such as:

i. Configuration/Entanglement

ii. Engulfment

iii. Thermal (Hot or Cold)

iv. Atmospheric Conditions

v. Hazardous Energy (specify the source(s); ie. electrical, steam, compressed air, etc.)

d. Atmospheric conditions (air monitoring readings)

e. Any other information of significance (or change) to the confined space.

Attachment 3

Radioactive Commodities for Areas of Exclusive Federal Jurisdiction, and

Application for Army Radiation Permit

(Radioactive source(s) within equipment and/or radiation-producing, i.e. X-RAY)

1. Licensees (contractor/sub-contractor, etc) cannot perform work in areas of exclusive federal jurisdiction without filing (a) Nuclear Regulatory Commission (NRC) Form 241 (Report of Proposed

Activities in Non-Agreement States, Areas of Federal Jurisdiction, or offshore Waters), or (b) applying for a specific NRC license.

2. Agreement States (AL, FL, GA, SC, NC, etc., Form NRC Form 241) require NRC Form 241 to be filed with the NRC prior to entering areas of federal jurisdiction, unless the licensee has a specific NRC license.

3. The US Army requires you be granted an Army Radiation Permit (ARP) prior to bringing radioactive equipment onto federal installations (i.e. Fort Gordon). Request your ARP via email/letter to the

Installation Safety Office (ISO) NLT 30 Days prior to proposed start date. ISO will review your proposal and if applicable, forward an Army Radiation permit request to the Garrison Commander for review and signature. The ISO will then forward to ARP to you.

4. Required documentation to apply ARP 30 days minimum prior to work. Send to ISO at usarmy.gordon.cyber-coe.mbx.fort-gordon-safety-office@mail.mil:

a. Statement via email/letter of proposed equipment to be used, arrival date/time on post, specific locations/areas of use, duration of work activity (if equipment is changed out/replaced, re-submit application for ARP).

b. Current State Radioactive Materials License and NRC Form 241, or specific NRC license (re-submit

ARP application request if license expires within the proposed work dates).

c. Current leak test certificates for each piece of equipment (if leak test expired within work period, resubmit new test results).

d. Bill of Lading to transport equipment.

e. Emergency response information.

f. Operating manual (.pdf) for each piece of equipment.

5. Refer to Georgia Radiation Material Program for additional information at:

http://www.apnga.com/georgia.html mailto:usarmy.gordon.cyber-coe.mbx.fort-gordon-safety-office@mail.mil