Attachment 5 HEC CCCD REV D.pdf
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- Solicitation number
- N3904026Q4993
About this file
This is a Hazardous Energy Control Contractor Compliance Certification Document required for contractors performing work at Portsmouth Naval Shipyard (NAVSHIPYD PTSMH). The document, Revision D dated February 2, 2022, serves as a certification that contractors understand and agree to comply with hazardous energy control (HEC) requirements before commencing work at the facility.
The document establishes that contractors are responsible for ensuring employee safety during any tasks or work involving hazardous energy control, with compliance required under 29 CFR Part 1915.89 (effective October 31, 2011) and the Naval Sea Systems Command (NAVSEA) Occupational Safety, Health and Environmental Corporate Manual (OSHECM) Chapter 250, including Lockout/Tags-Plus (LOTP) procedures. Upon arrival at the shipyard, contractors must in-brief with the assigned Lockout/Tags-Plus Coordinator (LOTC) to determine if coordination is needed; once the in-brief is complete and the LOTC provides authorization, the contractor may commence work. The document requires completion of fields including purchase order number, job location, company name, equipment status, and contractor representative information. A LOTP Serial Number is required only when coordination is deemed necessary. The Portsmouth Naval Shipyard explicitly disclaims liability for contractor non-compliance, which may result in serious injury or death to contractor employees. Completed certifications must be emailed to the LOTP Chair (Stephen.e.toth2.civ@us.navy.mil) and Shop 06 EMMS Supervisor (Brian.s.cribby.civ@us.navy.mil).
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 6 OPSEC red_Redacted.pdf | ||
| Attachment 1 SOW.docx | DOCX document | |
| Exhibit C CDRLs 001-002.pdf | ||
| Exhibit B CDRLs 001-002.pdf | ||
| Attachment 4 HPAC Maintenance Schedule.docx | DOCX document | |
| Exhibit E CDRLs 001-002.pdf | ||
| Attachment 2 Sole Source Just_Red.pdf | ||
| RFQ N3904026Q4993.docx | DOCX document | |
| Exhibit D CDRLs 001-002.pdf | ||
| Exhibit A CDRLs 001-002.pdf | ||
| Attachment 3 Wage determination.pdf |
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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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