Attachment A-II.docx

DOCX document 313 KB Posted

Attached to
Bridge Operations-Fort Street Bridge
Solicitation number
RFP 591 200000001437 1
Issued by
Wayne County, Detroit City, Michigan

About this file

This document is an attachment containing inspection and reporting forms for RFP 200000001437, which involves bridge operator services and management. The attachment includes five standardized forms designed to evaluate bridge operations and maintenance: the Bridge Operator's Report (Form 0406), Unnecessary Bridge Openings documentation, Contractor/Operator's Inspection evaluation, Equipment Checklist, and Accident Incident reporting. The Bridge Operator's Report captures vessel passage data including bridge name, vessel identification, location, time, direction, and cause of any unnecessary bridge openings, with specific notation of appurtenances such as antennas, outriggers, masts, and clearance measurements. The Contractor/Operator's Inspection form assesses bridge operators on multiple performance dimensions including knowledge of operational procedures, emergency protocols, administrative requirements, Coast Guard regulations, operational ability, bridge navigation and safety conditions, appearance, housekeeping standards, and overall bridge condition, with evaluation ratings of good, fair, or poor.

The Equipment Checklist specifies required safety and operational equipment including two first-aid kits, two life jackets and rings, 150 linear feet of rope, six fire extinguishers (four 10-pound ABC and two 10-pound BC units), emergency ship warning flags, two flashlights, six cones, two reflectorized vests, and various operational systems including commode, ventilation, door locks, telephone, and intercom systems. The Accident Incident form documents accidents with required information on location, time, date, weather conditions, operator identification, vehicle or boat identification, driver's license number, insurance company, property damage description, police report number, and space for sketch documentation. These forms establish standardized protocols for bridge operation oversight, safety compliance verification, and incident documentation as required under the contract terms.

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Text version

RFP 200000001437

ATTACHMENT A-II

FORMS

1. BRIDGE OPERATOR’S REPORT (Form 0406)

2. UNNECESSARY BRIDGE OPENINGS

3. CONTRACTOR/OPERATOR’S INSPECTION

4. EQUIPMENT CHECK LIST

5. ACCIDENT INCIDENT

UNNECESSARY BRIDGE OPENINGS

BRIDGE NAME: BRIDGE No.

BRIDGE LOCATION:

· NUMBER OF VESSEL (IF NUMBERED):

· NAME OF VESSEL:

· HOME PORT (IF SHOWN):

· NAME & ADDRESS OF OWNER:

MONTH:DAY: YEAR:TIME: AM:PM:
DIRECTION OF PASSAGE: UP STREAM:DOWN STREAM:

CAUSE OF UNNECESSARY BRIDGE OPENING

APPURTENANCES UNESSENTIAL TO NAVIGATION:

ANTENNA: OUTRIGGER: DECORATIVE MAST:

FLAGPOLE: FALSE STACK: CANVAS TOP:

OTHER:

CLEARANCE GAUGE: FEET

ESTIMATED CLEARANCE OF VESSEL’S HIGHEST FIXED POINT: FEET

REMARKS:

BRIDGE OPERATOR:

(VIOLATION CANNOT PROCEED WITHOUT THIS INFORMATION)

CONTRACTOR/OPERATOR’S INSPECTION

BRIDGE NAME:

INSPECTOR: TIME: DATE:

EVALUATION
GOOD
FAIR
POOR

A. Bridge Operators Overall Knowledge Of Functions

1. Knowledge of routine operations procedures

2. Knowledge of emergency operating procedures

3. Knowledge of administrative requirements

4. Knowledge of Coast Guard Regulations

B. Bridge Operators Overall Operational Ability

1. Ability to operate bridge

2. Bridge logs (Completeness)

C. Bridge Navigation And Safety Conditions

1. Navigation lights (daily checks)

2. Fender systems

3. Other safety devices

D. Bridge Operators Appearance

E. Housekeeping Overall

1. Operators bridge house floors

2. Bridge house windows

3. Control console and switchgear

4. Walkways and platforms

5. Commode

F. Overall Bridge Condition

EQUIPMENT CHECK LIST

BRIDGE NAME:

1.FIRST-AID KIT – (2 required)
a.In a readily accessible place?
b.Has it been used?
c.Has it been replenished?
2.LIFE JACKETS – (2 required) and LIFE RINGS – (2 required)
a.Is the required number accounted for?
b.Ripped, torn, or cracked?
c.General Condition: New Good Fair Poor
3.ROPE, 150 linear feet 1/4 inch (plus vertical distance of the draw span to water)
a.Is it in a readily accessible condition?
b.General Condition: New Good Fair Poor
4.FIRE EXTINGUISHERS (6 required)
a.Are there 4 ABC, 10 lbs.?
b.Are there 2 BC, 10 lbs.?
c.Date filled?
d.Has the pin been broken?
5.BIG RED FLAG FOR EMERGENCY SHIP WARNING
a.Is the required number accounted for?
b.Are they properly stored?
6.FLASHLIGHTS – (2 required)
a.Is the required number accounted for?
b.Are they in working condition?
c.Are the batteries good?
7.ARE THE FOLLOWING AVAILABLE?
a.Cones – (6 required)
b.Vests (Reflectorized) – (2 required)
8.ARE THE FOLLOWING WORKING SATISFACTORILY?
a.Commode
b.Fan/air conditioner
c.Door locks
d.Telephone

e. Intercom (if available)

9. COMMENTS:

PROJECT MANAGER DATE

ACCIDENT INCIDENT

LOCATION:

TIME OF ACCIDENT: ____________ DATE: ____________ HOUR: ______ AM: PM:

WEATHER CONDITIONS: ______________________________ (CLEAR, RAIN, FOG, ETC.)

OPERATOR’S NAME, ADDRESS & PHONE NUMBER
VEHICLE / BOAT IDENTIFICATION NUMBER
DRIVERS LICENSE NUMBER
INSURANCE COMPANY

MDOT PROPERTY DAMAGED:

DESCRIPTION OF ACCIDENT:

POLICE AGENCY REPORT NUMBER:

SKETCH IF NECESSARY

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