Attachment 2 HEC CCCD REV D.pdf
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- Solicitation number
- N3904025Q4485
About this file
This document is a Hazardous Energy Control Contractor Compliance Certification form for contractors working at the Portsmouth Naval Shipyard. The document requires contractors to certify understanding and compliance with 29 CFR Part 1915.89 and the Naval Sea Systems Command (NAVSEA) Occupational Safety, Health and Environmental Corporate Manual Chapter 250, specifically addressing Lockout/Tags-Plus (LOTP) procedures for hazardous energy control.
Key requirements include that private-sector contractors performing work involving hazardous energy control must ensure their employees' safety, complete an in-brief with the Lockout/Tags-Plus Coordinator upon arrival, and potentially obtain coordination for their work. The document includes a warning that failure to comply with these requirements may result in serious injury or death, and that the Portsmouth Naval Shipyard will not assume liability for contractor responsibilities. Contractors must sign the document, confirming their understanding and agreement to these safety protocols, and email a completed copy to specified Navy personnel.
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| File | Type | Posted |
|---|---|---|
| Attach 1 Wage Determination San Diego.pdf | ||
| RFQ N3904025Q4485.docx | DOCX document |
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Text version
Hazardous Energy Control Contractor Compliance Certification Document Rev D 2/2/2022
Purchase Order Number____________________________ Job Location________________________________ New Equipment Y/N_______
Company name Date
By the contractor’s representative’s signature below the contractor’s representative certifies that the Company whose name is listed above understands and agrees to the following requirements for any task or work the contractor performs aboard the Portsmouth Naval Shipyard (NAVSHIPYD PTSMH) that involves Hazardous Energy Control (HEC).
29 CFR Part 1915.89, which became effective and enforceable on 31 October 2011, provided a new standard addressing hazardous energy control in shipyard employment. Part 1915.89 applies to private-sector contractors performing servicing operations in shipyard employment, and states the Navy’s HEC Program is in effect in Naval Shipyards. Private-sector contractors performing work that involves HEC aboard NAVSHIPYD PTSMH are responsible for ensuring the safety of their employees who may perform tasks or work involving HEC.
The contractor’s representative’s signature below certifies that the contractor understands and shall comply with all requirements for work involving HEC as provided in 29 CFR Part 1915.89 and the Naval Sea Systems Command (NAVSEA) Occupational Safety, Health and Environmental Corporate Manual (OSHECM) Chapter 250 (latest revision), including Lockout/Tags-Plus (LOTP). The text of 29 CFR Part 1915.89 is available at the OSHA Fact Sheet web site, and the latest revision of OSHECM Chapter 250 is available at;
https://www.navsea.navy.mil/Portals/103/Documents/NNSY/OSHE%20Hazardous%20Energy%20Control.pdf?ver=q_urWglPuHWHaGyy42jhYw%3 d%3d
Upon arrival at the Shipyard: The contractor must in-brief with the Lockout/Tags-Plus Coordinator (LOTC) assigned to determine if coordination is needed. When the in-brief is complete, the LOTC will sign below and the contractor can commence work.
WARNING: CONTRACTOR’S FAILURE TO COMPLY WITH THE HEC REQUIREMENTS REFLECTED IN 29 CFR PART 1915.89 AND OSHECM CHAPTER 250 MAY CAUSE SERIOUS INJURY OR DEATH TO THE CONTRACTOR’S EMPLOYEES. UNDER NO CIRCUMSTANCES SHALL THE PORTSMOUTH NAVAL SHIPYARD ASSUME ANY LIABILITIES THAT RIGHTLY ARE THE RESPONSIBILITIES OF THE CONTRACTOR.
Shop Card Holder/POC____________________________________________________________________________________
Lockout/Tags-Plus Coordinator (Print)_______________________________________________________________________ Lockout/Tags-Plus Coordinator (Signature)__________________________________________Date_____________________
Coordination Req’d (circle one) ( Y / N ) LOTP Serial Number (only when coordination is required)_____________
Contractor’s Representative’s Name (Print clearly) ____________________________________________________________ Contractor’s Representative’s Signature ____________________________________________Date_____________________
Email completed copy to LOTP Chair- Stephen.e.toth2.civ@us.navy.mil and Shop 06 EMMS Supervisor-Brian.s.cribby.civ@us.navy.mil https://www.navsea.navy.mil/Portals/103/Documents/NNSY/OSHE%20Hazardous%20Energy%20Control.pdf?ver=q_urWglPuHWHaGyy42jhYw%3d%3d https://www.navsea.navy.mil/Portals/103/Documents/NNSY/OSHE%20Hazardous%20Energy%20Control.pdf?ver=q_urWglPuHWHaGyy42jhYw%3d%3d
Company name Date
| Purchase Order Number: |
| Job Location: |
| New Equipment YN: |
| Company name: |
| Date: |
| Shop Card HolderPOC: |
| LockoutTagsPlus Coordinator Print: |
| Date_2: |
| LOTP Serial Number only when coordination is required: |
| Contractors Representatives Name Print clearly: |
| Date_3: |
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