Attachment No. 15 - O'Hare Underground Utility Notification Checklist.xls
XLS spreadsheet 84 KB Posted
- Solicitation number
- 697DCK-20-R-00436
About this file
This document provides details for a federal construction contract opportunity for establishing NAVAIDS facilities at O'Hare International Airport in Chicago, Illinois. The solicitation seeks construction services including labor, supervision, materials, and equipment for the project with an estimated price range of $5,000,000 to $10,000,000. Interested offerors must have successfully completed similar airport construction projects within the past five years. The performance period is 605 calendar days starting November 15, 2020. Offers are due by October 7, 2020 and must include documentation of past experience, insurance, bonding capability, and small business subcontracting plans. The contract will be awarded by the Federal Aviation Administration Southwestern Region.
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| O'HARE INTERNATIONAL AIRPORT | |||||||||
| UNDERGROUND CONSTRUCTION NOTIFICATION | |||||||||
| I. | PROJECT INFORMATION | ||||||||
| A. | Project Name | ||||||||
| Date | |||||||||
| 1. | Project no. | ||||||||
| 2. | Resident Engineer | 24 Hr. Phone | |||||||
| B. | Work Location | ||||||||
| C. | Description of Work | ||||||||
| D. | General Contractor | ||||||||
| 1. | Name of Superintendent / Foreman | 24 Hr. Phone | |||||||
| 2. | Name of Superintendent / Foreman | 24 Hr. Phone | |||||||
| E. | Subcontractor | / | |||||||
| 1. | Name of Superintendent / Foreman | 24 Hr. Phone | |||||||
| 2. | Name of Superintendent / Foreman | 24 Hr. Phone | |||||||
| F. | Anticipated Dates of Work | ||||||||
| G. | Anticipated Hours of Work | ||||||||
| Days | Nights | ||||||||
| Remarks / Clarifications (as necessary): | |||||||||
| H | Scheduled Pre-Activity Meeting | ||||||||
| 1. | Pre-Activity meeting scheduled: | Time: | |||||||
| Date: | |||||||||
| Location: | |||||||||
| Optional: Field Meeting | |||||||||
| Time: | |||||||||
| Date: | |||||||||
| Location: | |||||||||
| 2. | Has the Pre-Activity meeting notification email been sent? | Yes | No | ||||||
| . | * Attach email for documentation |
&CPage 1 of 7
| II. | DOCUMENTATION | ||||||||||
| A. | Pre-Activity Meeting Minutes | ||||||||||
| 1. | Meeting Date and Time: | ||||||||||
| 2. | Meeting Location: Field / Office | ||||||||||
| 3. | Organizations in Attendance: | Primary Representative at Meeting (SIGNATURE) | |||||||||
| a. | Construction Manager | Yes | NA | ||||||||
| b. | General Contractor | Yes | NA | ||||||||
| c. | Subcontractor | Yes | NA | ||||||||
| d. | FAA Facilities | Yes | NA | ||||||||
| e. | DOA Operations | Yes | NA | ||||||||
| f. | DOA Facilities | Yes | NA | ||||||||
| g. | Other ……………………… | Yes | NA | ||||||||
| h. | Other ……………………… | Yes | NA | ||||||||
| Define why N/A was selected | |||||||||||
| 4. | Key Discussion points: | ||||||||||
| 5. | Meeting Minutes Available: | Yes | No | ||||||||
| B. | FAA Cable Locate Forms | ||||||||||
| 1. | Have FAA cable locate forms been submitted ? | Yes | No | Copies in binder | |||||||
| Note: FAA cable locate forms must be submitted three (3) days prior to the cable locate being performed in the field (The 3 Day Notice excludes Holidays, Saturdays and Sundays) | |||||||||||
| 2. | Did you receive an approved copy? | Yes | No | Copies in binder | |||||||
| C. | FAA Assistance Forms | ||||||||||
| 1. | Have FAA assistance forms been submitted ? | Yes | No | Copies in binder | |||||||
| Note: FAA assistance forms must be submitted five (5) days prior to the cable locate being performed in the field (The 5 Day Notice excludes Holidays, Saturdays and Sundays). | |||||||||||
| 2. | Did you receive an approved copy? | Yes | No | Copies in binder | |||||||
| D. | DOA User Form (If applicable) | ||||||||||
| 1. | Has the DOA User Form been submitted ? | Yes | No | Copies in binder | |||||||
| 2. | Was the DOA User Form approved? | Yes | No | Copies in binder |
&CPage 2 of 7
| II. | DOCUMENTATION (Continued) | |||||
| E. | Airspace Case Study | |||||
| 1. | Has the Aircase Space Study been approved ? | Yes | No | Copies in binder | ||
| 2. | Approved Airspace Case No. | |||||
| 3. | Was a post Air Case Space Study review conducted with the FAA ? | |||||
| Yes | No | Copies in binder | ||||
| F. | Applicable Installation Documentation | |||||
| 1. | Shop drawings | Yes | No | Copies in binder | ||
| 2. | Submittals | Yes | No | Copies in binder | ||
| 3. | Field Orders | Yes | No | Copies in binder | ||
| 4. | RFIs | Yes | No | Copies in binder | ||
| 5. | Work Related Drawings and Specifications | Yes | No | Copies in binder | ||
| 6. | Field Sketches | Yes | No | Copies in binder | ||
| 7. | Composite Utility Drawings | Yes | No | Copies in binder | ||
| III. | UTILITY / FACILITY IMPACTS | |||||
| A. | Anticipated / Potential Impacts | |||||
| 1. | Facilities Affected or Nearby | |||||
| B. | Additional Power Sources | |||||
| 1. | Does the Facility currently have backup power ? | Yes | No | NA | ||
| 2. | List items on backup power | |||||
| a. | ||||||
| b. | ||||||
| c. | ||||||
| d. | ||||||
| e. | ||||||
| 3. | Remarks (if necessary) |
&CPage 3 of 7
| III. | UTILITY / FACILITY IMPACTS (Continued) | ||||||||||
| 4. | Generator Power | ||||||||||
| a. | Is a Generator necessary to provide temporary power to Facilities before work starts ? | ||||||||||
| Yes | Who | ||||||||||
| No | Date / Time | ||||||||||
| Standby Only | How | ||||||||||
| b. | What Facilities require Generator Power ? | ||||||||||
| i | |||||||||||
| ii. | |||||||||||
| iii. | |||||||||||
| IV. | DELINEATION OF CRITICAL AREA / SAFETY AREA | ||||||||||
| A. | Safety Areas | Define why N/A was selected. | |||||||||
| 1. | Have the Safety Areas (RSA/TSA) been identified? | Runway (RSA) = 250' From Centerline | |||||||||
| Runway (RSA) = 1,000' From RW End | |||||||||||
| Yes | No | N/A | Taxiway (TSA) = 131' From Centerline | ||||||||
| 2. | Have the Object Free Areas been (ROFA/TOFA) been identified? | Runway (OFA) = 400' From Centerline | |||||||||
| Runway (OFA) = 1,000' From RW End | |||||||||||
| Yes | No | N/A | Taxiway (OFA) = 160' From Centerline | ||||||||
| B. | Critical Areas | ||||||||||
| 1. | Have the navigational critical areas been identified with snow fence or silt fence to ensure adequate | ||||||||||
| recognition of the area? | |||||||||||
| Yes | No | N/A | |||||||||
| C. | Review of delineation of critical / safety areas. | ||||||||||
| 1. | Have the governing agencies reviewed the proposed delineation plan? | ||||||||||
| DOA | FAA | ||||||||||
| V. | UTILITY LOCATES | ||||||||||
| A. | Layout of Proposed or New Work | ||||||||||
| Has the Contractor clearly identified the line of the proposed excavation ? | Yes | No | |||||||||
| B. | Utility Locate Organizations | ||||||||||
| 1. | Identify organizations that have completed utility locates. | ||||||||||
| FAA | |||||||||||
| (date) | |||||||||||
| DOA | |||||||||||
| (date) | |||||||||||
| DIGGER no. | |||||||||||
| (active date) | |||||||||||
| JULIE no. | |||||||||||
| ( active date) | |||||||||||
| OTHER explain: | |||||||||||
| (date) | |||||||||||
| OTHER explain: | |||||||||||
| (date) |
&CPage 4 of 7
| V. | UTILITY LOCATES (Continued) | ||||||||
| 2. | Identified Utilities | ||||||||
| Have all known Utilities around the Facility (FAA, DOA, Com Ed, SBC, AGI, Other) been physically | |||||||||
| located on the ground by the FAA, and others as applicable ? (Identify point of origin and point of | |||||||||
| termination for each line.) | |||||||||
| a. | Power | NA | Yes | No | Origin | Termination | |||
| b. | Control | NA | Yes | No | Origin | Termination | |||
| c. | Grounding | NA | Yes | No | Origin | Termination | |||
| d. | Comm / Data | NA | Yes | No | Origin | Termination | |||
| e. | Water | NA | Yes | No | Origin | Termination | |||
| f. | Sewer | NA | Yes | No | Origin | Termination | |||
| g. | Other | NA | Yes | No | Origin | Termination | |||
| C. | Contractor's Proposed Method of Identifying Known Utilities | ||||||||
| 1. | Vacuum Excavating | Yes | No | ||||||
| 2. | Ground Penetrating Radar | Yes | No | ||||||
| 3. | Hand Excavation | Yes | No | ||||||
| 4. | Other Explain: | ||||||||
| 5. | Were all known utilities identified ? | Yes | No | ||||||
| If no, which known utilities were not identified and why? | |||||||||
| 6. | Were utilities encountered that weren't previously identified ? | Yes | No | ||||||
| If yes, in the space below, describe the nature of the situation and the actions taken. | |||||||||
| D. | Utility Delineation | ||||||||
| 1. | Has the ten foot (10') utility channel "five feet (5') on either side of the known utilities" been marked or | ||||||||
| delineated with Snow Fence, Orange Silt Fence or PVC Indicators where the new work crosses the utility? | |||||||||
| Yes | No | ||||||||
| 2. | Runways | ||||||||
| Are utility locates required within the Runway Safety Area (RSA)? | Yes | No | |||||||
| Identify the method the utility locates have been identified. | Paint | Flags | |||||||
| No Utility Locates Shall Be Performed Within the Runway Safety Area While the Runway is Open to Air Traffic. All runway safety area locates must be performed between the hours 2230 and 0600 (10:30 pm -- 6:00 am). |
&CPage 5 of 7
| V. | UTILITY LOCATES (Continued) | |||||||||
| 3. | Taxiway | |||||||||
| Are utility locates required within the Taxiway Safety Area (TSA)? | Yes | No | ||||||||
| Identify the method the utility locates have been identified. | Paint | Flags | ||||||||
| The scheduling of utility locates within a Taxi Safety Area (TSA) shall be coordinated with DOA Operations. | ||||||||||
| E. | Protection and Delineation of Existing Facilities | |||||||||
| 1. | Have Snow Fence, Silt Fence, Barricades or other protective devices been installed around nearby | |||||||||
| existing Facilities, i.e., Buildings, Antenna, Transformers, Markers, RVRs, LLWAS, etc., to ensure | ||||||||||
| adequate recognition ? | ||||||||||
| Yes | ||||||||||
| (facility) | ||||||||||
| Yes | ||||||||||
| (facility) | ||||||||||
| Yes | ||||||||||
| (facility) | ||||||||||
| Yes | ||||||||||
| (facility) | ||||||||||
| Yes | ||||||||||
| (facility) | ||||||||||
| F. | Deviation from Approved Procedure -- Request for Waiver | |||||||||
| 1. | If approved procedural means of excavating have been determined to be ineffective, have you sought | |||||||||
| approval for an alternative approach to the work ? | ||||||||||
| Yes | No | |||||||||
| 2. | If yes, describe the approach that is not effective, and then describe the proposed alternative method | |||||||||
| of approach. | ||||||||||
| a. | Ineffective method: | |||||||||
| b. | Proposed method: | |||||||||
| 3. | Was a "Waiver" from the planned approach sought and approved ? | |||||||||
| Yes | Who | |||||||||
| No | Date / Time | |||||||||
| How |
&CPage 6 of 7 page7
| VI. | Acknowledgment of Notification | |||||
| General Contractor | ||||||
| Signature Required | Date | |||||
| Construction Manager | ||||||
| Signature Required | Date | |||||
| Federal Aviation Administration | ||||||
| Signature Required of FAA Manager | Date | |||||
| Department of Aviation | ||||||
| Signature Required | Date | |||||
| Other | ||||||
| Signature Required | Date | |||||
| VII. | Authorization to Commence Work | |||||
| Signature Required | Date |
&CPage 7 of 7
Inspector Daily
| O'Hare Underground Utility Notification | ||||||||
| Inspector Daily Checklist | ||||||||
| A. | Hand Digging | |||||||
| 1. | Have you identified areas where the new excavation is within five feet (5') of an existing utility ? | |||||||
| Yes | No | |||||||
| 2. | If Yes, have you ensured that the Contractor is, in fact, digging by hand ? | |||||||
| Yes | No | |||||||
| B. | Unidentified Cable / Conduit / Ductbank Strike | |||||||
| 1. | After being authorized to proceed with the work and doing so, if any unmarked utilities are | |||||||
| encountered, you must STOP WORK, notify the proper authorities, wait for further field visits, | ||||||||
| and obtain approval to continue on with the work. | ||||||||
| a. | DOA Operations: 773-686-2255 | |||||||
| b. | Emergency Contact: 773-894-9111 | |||||||
| c. | Contact your assigned FAA Resident Engineer | |||||||
| 2. | If an unknown utility was encountered, make the following recordings: | |||||||
| a. | Date | |||||||
| b. | Approx. Time of Event | |||||||
| c. | Who was immediately notified ? | |||||||
| d. | Record Manpower and Equipment on Standby (separate record) | |||||||
| C. | Removal of Equipment and Materials | |||||||
| Have all excess materials, equipment and spoils been removed from the OFA at the end of the shift ? | ||||||||
| (i.e, FOD, dirt, stone, pumps, hoses, machines, etc.) | ||||||||
| Yes | No | |||||||
| D. | Safety Devices In Place | |||||||
| 1. | Have the proper safety measures, i.e., barricades and delineators, been provided and located appropri- | |||||||
| ately to safely identify open trenches, and to route traffic accordingly ? | ||||||||
| Yes | No | |||||||
| 2. | Have you or someone on the team verified that barricades are adequately illuminated during night time | |||||||
| hours ? | ||||||||
| Yes | Date: | |||||||
| E. | Notification to DOA OPS | |||||||
| Have you notified the DOA Operations prior to leaving the jobsite for the shift, and obtained their approval | ||||||||
| to do so ? | ||||||||
| Yes | Who | |||||||
| (Print Full Name) | ||||||||
| No | Date / Time | |||||||
| N/A | How | |||||||
| F. | Additional Notes and Remarks | |||||||
| DOA / CM Inspector: | ||||||||
| Signature | (Print) | Date |
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