Attachment No. 15 - O'Hare Underground Utility Notification Checklist.xls

XLS spreadsheet 84 KB Posted

Attached to
Establishment of the NAVAIDS Facilities Serving Extended Runway 9R-27L at O'Hare International Airport, Chicago, Illinois
Solicitation number
697DCK-20-R-00436
Issued by

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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697DCK-20-R-00436 - Amendment 0001.pdf PDF
ord-d-als09r-e009.pdf PDF
ord-d-gs09r-c004.pdf PDF
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O'HARE INTERNATIONAL AIRPORT
UNDERGROUND CONSTRUCTION NOTIFICATION
I.PROJECT INFORMATION
A.Project Name
Date
1.Project no.
2.Resident Engineer24 Hr. Phone
B.Work Location
C.Description of Work
D.General Contractor
1.Name of Superintendent / Foreman24 Hr. Phone
2.Name of Superintendent / Foreman24 Hr. Phone
E.Subcontractor/
1.Name of Superintendent / Foreman24 Hr. Phone
2.Name of Superintendent / Foreman24 Hr. Phone
F.Anticipated Dates of Work
G.Anticipated Hours of Work
DaysNights
Remarks / Clarifications (as necessary):
HScheduled 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?YesNo
.* 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 ManagerYesNA
b.General ContractorYesNA
c.SubcontractorYesNA
d.FAA FacilitiesYesNA
e.DOA OperationsYesNA
f.DOA FacilitiesYesNA
g.Other ………………………YesNA
h.Other ………………………YesNA
Define why N/A was selected
4.Key Discussion points:
5.Meeting Minutes Available:YesNo
B.FAA Cable Locate Forms
1.Have FAA cable locate forms been submitted ?YesNoCopies 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?YesNoCopies in binder
C.FAA Assistance Forms
1.Have FAA assistance forms been submitted ?YesNoCopies 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?YesNoCopies in binder
D.DOA User Form (If applicable)
1.Has the DOA User Form been submitted ?YesNoCopies in binder
2.Was the DOA User Form approved?YesNoCopies in binder

&CPage 2 of 7

II.DOCUMENTATION (Continued)
E.Airspace Case Study
1.Has the Aircase Space Study been approved ?YesNoCopies in binder
2.Approved Airspace Case No.
3.Was a post Air Case Space Study review conducted with the FAA ?
YesNoCopies in binder
F.Applicable Installation Documentation
1.Shop drawingsYesNoCopies in binder
2.SubmittalsYesNoCopies in binder
3.Field OrdersYesNoCopies in binder
4.RFIsYesNoCopies in binder
5.Work Related Drawings and SpecificationsYesNoCopies in binder
6.Field SketchesYesNoCopies in binder
7.Composite Utility DrawingsYesNoCopies 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 ?YesNoNA
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 ?
YesWho
NoDate / Time
Standby OnlyHow
b.What Facilities require Generator Power ?
i
ii.
iii.
IV.DELINEATION OF CRITICAL AREA / SAFETY AREA
A.Safety AreasDefine 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
YesNoN/ATaxiway (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
YesNoN/ATaxiway (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?
YesNoN/A
C.Review of delineation of critical / safety areas.
1.Have the governing agencies reviewed the proposed delineation plan?
DOAFAA
V.UTILITY LOCATES
A.Layout of Proposed or New Work
Has the Contractor clearly identified the line of the proposed excavation ?YesNo
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.PowerNAYesNoOriginTermination
b.ControlNAYesNoOriginTermination
c.GroundingNAYesNoOriginTermination
d.Comm / DataNAYesNoOriginTermination
e.WaterNAYesNoOriginTermination
f.SewerNAYesNoOriginTermination
g.OtherNAYesNoOriginTermination
C.Contractor's Proposed Method of Identifying Known Utilities
1.Vacuum ExcavatingYesNo
2.Ground Penetrating RadarYesNo
3.Hand ExcavationYesNo
4.Other Explain:
5.Were all known utilities identified ?YesNo
If no, which known utilities were not identified and why?
6.Were utilities encountered that weren't previously identified ?YesNo
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?
YesNo
2.Runways
Are utility locates required within the Runway Safety Area (RSA)?YesNo
Identify the method the utility locates have been identified.PaintFlags
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)?YesNo
Identify the method the utility locates have been identified.PaintFlags
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 ?
YesNo
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 ?
YesWho
NoDate / Time
How

&CPage 6 of 7 page7

VI.Acknowledgment of Notification
General Contractor
Signature RequiredDate
Construction Manager
Signature RequiredDate
Federal Aviation Administration
Signature Required of FAA ManagerDate
Department of Aviation
Signature RequiredDate
Other
Signature RequiredDate
VII.Authorization to Commence Work
Signature RequiredDate

&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 ?
YesNo
2.If Yes, have you ensured that the Contractor is, in fact, digging by hand ?
YesNo
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.)
YesNo
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 ?
YesNo
2.Have you or someone on the team verified that barricades are adequately illuminated during night time
hours ?
YesDate:
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 ?
YesWho
(Print Full Name)
NoDate / Time
N/AHow
F.Additional Notes and Remarks
DOA / CM Inspector:
Signature(Print)Date

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