Attachment 8 Silica Control Plan.pdf

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Bidder Survey Questionnaire

Silica Management Under the OSHA Expanded Construction Standard.

Instructions for completing this questionnaire. For each item below, select responses to the questions that best match your firm’s physical and administrative capability. Your answers may be used by the government in assessing any bid you submit. Bidders must provide full, accurate, and complete information as required by this solicitation and its attachments. The penalty for making false statements in bids is prescribed in 18 U.S.C. 1001.

Masonry Cutting

These controls are NOT required by the scope of work

I possess equipment with manufacturer designed dust controls

I will acquire equipment with manufacturer designed dust controls

I will perform the work using dust controls other than those designed by the manufacturer

Stationary Saws Handheld power saws Walk-behind saws Drivable saws Rig-mounted Saws

Masonry Drilling

These controls are NOT required by the scope of work

I possess equipment with manufacturer designed dust controls

I will acquire equipment with manufacturer designed dust controls

I will perform the work using dust controls other than those designed by the manufacturer

Impact/rotary hammer Handheld drill, other Dowel drills Core drills Other Rig-mounted Drills Vehicle-mounted drills

Masonry Chipping / Breaking

These controls are NOT required by the scope of work

I possess equipment with manufacturer designed dust controls

I will acquire equipment with manufacturer designed dust controls

I will perform the work using dust controls other than those designed by the manufacturer

Impact/rotary hammer Handheld chipper Jackhammer Hoe Ram Rock Crusher/Chipper

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Masonry Grinding / Milling

These controls are NOT required by the scope of work

I possess equipment with manufacturer designed dust controls

I will acquire equipment with manufacturer designed dust controls

I will perform the work using dust controls other than those designed by the manufacturer handheld grinder, tuckpointing Handheld grinder, other Walk-behind milling machine Drivable milling machine Vehicle-mounted milling machine

General Demolition Work

These controls are NOT required by the scope of work

I possess equipment with an enclosed cab that provides fresh, climate-controlled air to the operator

I will acquire equipment with an enclosed cab that provides fresh, climate-controlled air to the operator

I will apply water and/or dust suppressants as necessary to minimize dust emissions

I will restrict access to the work area as necessary, to minimize exposure to dust emissions

Compact Track Loader Front Loader/backhoe Road Grader Excavator Haul Truck Other Vehicles

Health And Safety Program (HASP)

True False I have an existing HASP that complies with the requirements of 29 CFR 1926.1153, the Respirable Crystalline Standard for Construction

I have read and am familiar with OSHA 3902-07R, the Small Entity Compliance Guide for the Respirable Crystalline Standard for Construction

I have prepared written silica control plans for this type of work on previous Jobs

Competent Person I will assign a dedicated employee with prior silica work experience to manage dust control

I will assign a dedicated employee from general construction trades to manage dust control

The project manager will be assigned responsibility for managing dust control

The shift foreman will be assigned responsibility for managing dust control

Print/Sign: / Date: .

Project #/Company/Title: / / .

Licensing I am a licensed contractor in the state of Pennsylvania

I am a licensed contractor in another state

I am not a licensed contractor

If licensed, provide the following information:

License Number State