Attachment 4 - Form 29.pdf
PDF 731 KB Posted
- Solicitation number
- SP060425R0402
- Issued by
-
Defense Logistics Agency Energy
About this file
This document is a Host Nation Stewardship Checklist of Tasks (Form 29) for USVF-Managed Construction Works. It outlines the design, construction, and post-construction stage requirements for a federal contract opportunity, including compliance with various regulations, approvals, and document submissions.
Key details include:
- The checklist covers topics such as CDM compliance, asbestos/specialist surveys, planning approvals, fire safety, structural certification, maintenance strategy, and other construction-related requirements.
- For each requirement, the form indicates whether DIO input is required, the forecast date, estimated DIO costs, and the responsible party (CE, DIO, or N/A).
- The document also provides guidance on DIO's requirements and expectations for each of the checklist items.
- This checklist is to be completed by the USVF Focal Point and approved by the DIO Focal Point, Base Civil Engineer, and DIO Manager.
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Text version
ATTACHMENT 2
Call-Off Schedule 28 Module A - Leaflet AL-07 Form 29
(For USVF Managed Construction Works)
Document No: DIOCB1/151/1 Version: v0.1 Date: 07 Dec 2018
File: Call-Off Schedule 28 Module A-AL-07_Form_29_20181207_48FW_RD-R_v0_1
HOST NATION STEWARDSHIP CHECKLIST OF TASKS
(FOR USF-MANAGED CONSTRUCTION WORKS)
Form 29 Serial Number:
Base / Establishment
USVF Project Number
Project Title
Construction Cost Limit
F100 Number (for DIO time charge)
Value allocated to DIO:
USVF Agency Initiating Works
Proposed Designer
Proposed Contractor
Proposed scope of work
Proposed contracting method
Document No: DIOCB1/151/1 Version: v0.1 Date: 07 Dec 2018
A. Parts 1, 2 and 3 of this form should be completed by the USVF Focal Point for issue to the DIO Focal Point.
B. On receipt the DIO Focal Point should insert estimated costs for any DIO involvement, create a project record for cost recovery and return to the USVF Focal Point to obtain the BCE’s acceptance prior to issue to the DIO Manager for final agreement / approval.
C. * Definition of DIO USVF involvement Assurance – indicates that DIO USVF will require evidence that the task has been satisfactorily completed.
(consultation between CE/DIO) Yes – indicates that DIO USVF will play an active role in completing the tasks and all costs incurred will be recoverable.
Document No: DIOCB1/151/1 Version: v0.1 Date: 07 Dec 2018
Part 1 – Design Stage
Requirement (Completed by CE)
DIO Input Required Yes/No *
(Completed by CE/DIO)
Forecast Date (Completed by
CE for programming resources)
Estimated DIO Costs involved (Completed by
DIO)
Hours / cost £
Person Responsible (Either CE, DIO or N/A)
Comments
1 Compliance with CDM and appointment of CDMC
Assurance
2 Asbestos / Specialist Surveys
If requested
3 RAFCC Siting Board Assurance
4 Local Authority Planning including archaeological
Yes
5 Archaeological Survey Yes
6 SSSI / EN compliance Yes
7 Building Regulations compliance
Yes
8 MOD Fire Officer approval including NFPA
Yes
9 Independent Structural Certification
Assurance
10 EA drainage plans approval Yes
11 Maintenance strategy approval
Yes
12 Authorising Engineer approval
Yes
13 Pre-construction H&S Information
Yes
14 Contract Strategy Yes
Document No: DIOCB1/151/1 Version: v0.1 Date: 07 Dec 2018
Part 2 – Construction Stage
DIO Input Required Yes/No *
(Completed by CE/DIO)
Forecast Date (Completed by
CE for programming resources)
Estimated DIO Costs involved (Completed by
DIO)
Hours / cost £
Person Responsible (Either CE, DIO or
N/A)
Comments
15 CDM Construction H&S plan
Assurance only
16 Contractor’s security clearance
No
17 HSE notification using HSE Form F10
Assurance
18 SRP compliance Yes
19 Skilled Person Certificate Yes (if no
USF AP)
20 Hazardous Waste Regulations compliance
Assurance
21 Compliance with DIO USVF Code TECH 012, Schedule of Maintainable Assets Form DIO USVF 140 and Form DIO USVF 141 Handover Checklist
Yes
22 MoD Fire Certification using Form DIO USVF 15
Yes
23 Issue of H&S file and O&M documentation
Yes
24 Building Regulations compliance
Yes
Document No: DIOCB1/151/1 Version: v0.1 Date: 07 Dec 2018
Part 3 – Post Construction Stage
DIO Input Required Yes/No *
(Completed by CE/DIO)
Forecast Date (Completed by
CE for programming resources)
Estimated DIO Costs involved (Completed by
DIO)
Hours / cost £
Person Responsible (Either CE, DIO or
N/A)
Comments
25 BFMA / FMIS / Asset Register
Yes
26 Management of Warranty items
Yes
TOTAL ESTIMATED
COST AND ESTIMATED
PROJECT COMPLETION
Document No: DIOCB1/151/1 Version: v0.1 Date: 07 Dec 2018
Part 4 – Authorisation
USV Focal Point - (Eg. CEO or CEP Flight Chief).
Name: Signature: Date:
DIO Focal Point - (Eg. Senior Project Manager or Ops Manager)
Base Civil Engineer - (or Regional Civil Engineer if scope is applicable) Agreement to scope and DIO costs.
DIO Manager – (or DH Ops Accn USVF if scope is applicable)
Document No: DIOCB1/151/1 Version: v0.1 Date: 07 Dec 2018
GUIDANCE - DIO REQUIREMENTS AND EXPECTATIONS
1 Compliance with CDM and appointment of
CDMC
DIO requires a copy of the HSE F10, signed by the USVF representative, for the design stage for notifiable works. For non-notifiable works written confirmation is required that the scheme complies with the CDM regulations
2 Asbestos / Specialist Surveys DIO will provide support in obtaining any specialist / asbestos surveys and provide estimated costs if requested.
3 RAFCC Siting Board DIO requires a copy of the board result.
4 Local Authority Planning including archaeological compliance
DIO will provide support and apply for the LPA Planning Consent and provide estimated costs if requested. CE to produce all required documents.
5 Archaeological survey DIO will provide liaison with local authority archaeology unit and necessary funds. CE shall allow time in the programme for archaeological works
6 SSSI / EN compliance DIO will provide support in applying for relevant approvals and provide estimated cost if requested.
7 Building Regulations compliance DIO expects all works to comply with the Building Regulations and all designs and construction works are to be certified by an approved third party Building Control Adviser employed by the designer. Copies of design proposals and certificates are to be issued to the DIO BCO. Forms DIO USVF 67 and 68 shall be used. All construction works are to be inspected by the DIO BCO prior to occupation.
8 MoD Fire Officer approval including NFPA DIO expects all works to comply with UK and USVF fire standards. All design and construction work will be inspected and approved by the MoD Fire Adviser. DIO will provide estimated costs if requested
9 Independent Structural Certification DIO expects all works to comply with relevant UK regulations and all structural designs are to be certified by an approved third party organisation. Form DIO USVF 2518 and 2519 shall be used.
10 EA drainage plans approval DIO will provide support in obtaining relevant approvals and provide estimated costs if requested.
11 Maintenance strategy approval DIO will provide support in agreeing a suitable maintenance strategy using Form DIO USVF 148.
Document No: DIOCB1/151/1 Version: v0.1 Date: 07 Dec 2018
12 Authorising Engineer approval DIO will provide support in obtaining relevant approvals and provide estimated costs if requested.
13 Pre-construction H&S Information DIO requires written confirmation that all Pre-construction H&S Information is in place prior to contract award.
14 Contract Strategy DIO requires written confirmation as to how USVF will carry out any tender action
15 CDM Construction H&S plan DIO requires written confirmation that a suitable safety plan is in place prior to construction commencing.
16 Contractor’s security clearance Those requesting the works shall sponsor and arrange the security clearance through the local pass office.
17 HSE notification using From F10 DIO requires a copy of the F10 for the construction stage for notifiable works.
18 SRP compliance DIO will provide support to ensure compliance with the SRP’s.
19 Skilled Person Certificate DIO can provide support as required.
20 Hazardous Waste Regulations compliance DIO requires written confirmation that the construction phase complies with the Hazardous Waste Regulations.
21 Comply with DIO USVF TECH 012, Form DIO USVF 140 and Form DIO USVF 141
DIO requires a completed copy of the Form DIO USVF 140 and Form DIO USVF 141 including associated certification, in compliance with DIO USVF Code TECH 012 procedures.
22 MoD Fire Certification using Form DIO
USF 15
DIO expects all works to comply with UK and USVF fire standards. All construction works are to be inspected by the MOD Fire Adviser prior to occupation.
24 Issue of H&S file and O&M documentation DIO expects a signed copy of the Form DIO USVF 141 Schedule of Documents.
25 BFMA / FMIS / Asset Register DIO will provide support to update the FMIS record. CE shall provide details of all assets installed or modified.
26 Management of Warranty items DIO can provide support to manage any issues that involve FSC Contractors and DIO AP’s.
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