Appendix_M_Digging_Clearance.pdf

BASE CIVIL ENGINEERING WORK CLEARANCE REQUEST DATE PREPARED

1. Clearance is requested to proceed with work at: Building Name of project: ______________________________________________ Brief description of work: ___________. _______________________ ___________________________________________________ CE Work Order No._________ Contract No. _____________________ involving excavation or utility disturbance per Detailed Sketch on reverse side of form. Note: Pavement (streets/parking lots) will not be cut unless approved 502CES/ CE2. Requesting Official must call CEO 221-5200 when work is completed to schedule site visit to inspect for proper grounds restoration and to update base ongoing construction map.

The area involved Has Has not been staked or clearly marked

2. TYPE OF FACILITY/WORK INVOLVED

A. Pavements D. Fire Detection & Protection Systems G. Aircraft or Vehicular Traffic Flow

B. Drainage Systems E. Utility Overhead Underground H. Security

C. Railroad Tracks F. Comm Overhead Underground I. Other Site Borings

3. DATE CLEARANCE REQUIRED 4. DATE CLEARANCE TERMINATED 5. CE CLEARANCE CONTROL NUMBER

6. Requesting Official 7. Telephone No. 8. Organization & E-Mail address

CLEARANCE REVIEW

Once marked it the responsibility of requestor to maintain the marking. This clearance is good for thirty (30) days only.

ORGANIZATION REMARKS REVIEWER’S NAME AND INITIALS

9. A.ELECTRICAL DISTRIBUTION B4197

(Red) 669-8987 /669-5485

B A

B. STORM DRAINS (Green) 295-0295 B2194

S E

C. BASE WATER (Blue)

SEWER )210-295-0295 B2194

C I

D. Dig Tess 1-800-344-8377 CPS (Gas, Elect. Lines)

V I

E. CATHODIC PROTECTION

669-8987/669-5485 (Red) B4197

L E

F. IRRIGATION SPRINKLERS (Blue)

SEE FACILITY MANAGER

N G

G. FIRE DEPARTMENT

221-5452 B-4196

I N

H. EMCS FIBER & FIRE ALARMS

808-6036 (Orange) B4197

E E

I. CHILL WATER LINES

295-4789 (Blue) J. Security Forces 221-2222 Traffic K. CAD/Tech B4196 (New construction or modification)

10. SAMMC/J&J B3600

Elec. Chill Water, Gas, Sprinkler Sys.

11. Base Communications

808-6912 (Orange)

12. 502 Wing Safety B4196

13. San Antonio Water System Recycled Water Lines (Green) locates@saws.org

14. 502D CES Natural Resources Management Section 210-295-8339 Environmental B4196 210-773-7615

15. Compliance

16. Historical 17.

18.

19. Requested Clearance APPROVED DISAPPROVED

20. Name and Signature of Approving Officer 17a. Date Signed

AF FORM FSH 103 PREVIOUS EDITIONS ARE OBSOLETE (digging clearance AF 103) Rev. 26 April 2017

Dig Tess/ AT&T & Cable

LMH 226-5540/295-0484

paul.e.parker10 Typewritten Text paul.e.parker10 Typewritten Text paul.e.parker10 Typewritten Text paul.e.parker10 Typewritten Text paul.e.parker10 Typewritten Text john.c.patrick8 Typewritten Text

INSTRUCTIONS: The BCE work clearance request is used for any work (contract or in-house) that may disrupt aircraft or vehicular traffic flow, base utility services, protection provided by fire and intrusion alarm system, or routine activities of the installation. This form is used to coordinate the required work with key base activities and keep customer inconvenience to a minimum. It is also used to identify potentially hazardous work conditions in an attempt to prevent accidents. The work clearance request is processed just before starting work. If delays are encountered and the conditions at the job site change (or may have changed) this work clearance must be reprocessed.

21. REMARKS. (This section must describe specific precautionary measure to be taken before and during work accomplishment concerning the approved method of excavation, hand or powered equipment should be included (Provide detailed sketch of excavation in space below)

FORM 103 (REVERSE), MS Word V6.0

JOINT BASE SAN ANTONIO CIVIL ENGINEER SQUADRON

Civil Engineer

Base Civil Engineer Work Clearance Request Procedures

The Air Force Form 103(AF Form 103), Base Civil Engineering (BCE) Work Clearance Request (commonly referred to as a “digging permit”) outlines the policy for work clearance requests. The BCE work clearance request is required prior to any digging for any work (contractor or in-house) that may disrupt aircraft or vehicular traffic flow, base utility services, excavations deeper than four inches, protection provided by fire and intrusion alarm system, or routine activities anywhere on Joint Base San Antonio or its auxiliary fields/ locations. An AF Form 103 is also required prior to the start of any major facility internal renovation work, i.e., plumbing, electrical, communication lines, and Asbestos.

The BCE Work Clearance Request must be utilized to ensure that all utility and communication lines are identified prior to the start of any excavation. This protects not only the utility lines but more importantly ensures the SAFETY of the person(s) doing the excavation by identifying potentially hazardous work conditions. This form is also used to coordinate the required work with key base activities so that customer inconvenience is kept to a minimum.

1. RESPONSIBILITIES:

1.1 Requestor

1.1.1 Mark, on the ground, the limits of the proposed excavation (stakes in soil in winter months) prior to the AF Form 103 submission.

1.1.2 Initiate/File AF Form 103 to include brief work description and drawing

1.1.3 Notify/coordinate with state agency responsible for marking non-government owned systems/utilities

1.1.4 Ensure all necessary AF agency’s coordinate as needed

1.1.5 Maintain all markings indicated and approved on the AF Form 103. Check your excavation area daily to confirm these markings.

1.1.6 Have original AF Form 103 on site, or if an excavation vehicle is used, the operator must possess permit while work is underway.

1.1.7 Forward any changes to the site utility plan to 502d Civil Engineer Squadron, Geo

Integration Office (502 CES/CENME) in order to update utility drawings.

1.1.8 Submit a new AF Form 103 if there are any changes in the clearance originally approved, permit expires or additional requirements are needed.

1.2 Customer Service Production Control

1.2.1 The Track location of AF Form 103s

1.2.2 Issue and validate Work order numbers (AF form 332 or DSW’s)

1.2.3 Provide AF Form 103 to Requestors who do not have Government POC

1.3 Operations Infrastruture Element (502 CES/CEOI)

1.3.1 Ensure all submitted AF Form 103’s are properly coordinated

1.3.2 Ensure all AF Form 103’s are approved

1.3.3 Schedule/mark all utilities and infrastructure in idnetiifed areas

1.4 Engineering Flight (502 CES/CEN)

1.4.1 Function as Government POC for all managed Construcution and Design contractors, Private Entties, and utilities requesting a work clearance.

1.5 Housing Office

1.5.1 Function as Government POC for all housing residents.

1.5.2 Responsible for ensuring all AF coordinates are accomplished.

1.6 Environmental

1.6.1 Review work requirement for possible site hazards – occupational compliance (lead based paint/asbestos containing material), construction storm water, or disturbance of existing environmental sites and Coordinate on AF Form 103.

1.7 Fire Protection

1.7.1 Review work requirements and coordinate on AF Form 103

1.8 Security Police

1.8.1 Review work requirement for possible vehicular obstruction, security alarm compromises, or other security breaches and coordinate on AF Form 103.

1.9 Safety

1.9.1 Review work requirement for possible safety issues and coordinate on AF Form

103.

1.10 Communications

1.10.1 Locate and mark all government owned communication lines (telephone, fiber optic, cable, etc.) and devices in work area and coordinate on AF Form 103. 1.11 Commercial Utility Company – telephone, gas, electric and cable. Call Dig Tess 1-800-344-8377

1.11.1 Locate and mark all commercially owned utilities. Each company is responsible for marking their respective utility. Call Dig Tess 1-800-344-8377

2. PROCEDURES:

2.1 Requestor shall contact Government POC to initiate work clearance. Government POC shall provide requestor with the most recent version of the AF Form 103 to fill out for work clearance requests (Block 1 thru 7). Requestor shall include description of work, drawings showing the limits of the proposed excavation, contract number, and project work order number (AF Form 332) on the AF Form 103 (when available). Drawings must clearly illustrate the width and depth of the excavation and location relative to nearby buildings, streets, and other visible structures. Requestor must also physically mark area to be excavated.

2.2 If requester does not have a valid work order number (AF Form 332 or DSW#) Government POC, is responsible for contacting the Civil Engineering Squadron’s customer service department at 210-671-1555 to initiate new work order # in IWIMS. No new work order number will be initiated for dig clearances related to construction/design projects and requetors will be redirected to government POC for guidance.

2.3 For Work clearance requests from housing, base residents, in-house shops or other non-construction/design related activities, the requestor is responsible for contacting the Civil Engineering Squadron’s customer service department at 210-671-1555 to initiate new work order # in IWIMS. A new work order number will be provided.

2.4 Once AF Form 103 is filled out completely, requestor is responsible for contacting and coordinating with all private entities and other non-government agencies for all non-government owned systems/utilities. Requestor shall sign in Blocks 13 & 14 of the AF Form 103 assuming responsibility for and verifying that he/she has contacted all private entities and other non-government agencies for private and commercial utility systems.

2.5 Requestor is responsible for contacting and coordinating with any “other” entities as directed by Government POC deemed necessary in Block 15.

2.6 Requestor shall proceed with coordinating the work clearance through government contacts listed on the AF Form 103 and obtaining approval signatures (Blocks 8 thru 12).

2.7 Housing/Base residents will submit initiated form (Blocks 1-7, and 13-15 complete) to local housing management office to attain coordination of blocks 8 thru 12. Local Housing management offices will complete work clearance process and be primary contact for residents.

3. FINAL REVIEW/APPROVAL:

3.1 The Electrical or Structural Superintendent (502 CES) will be the last to review and sign the AF Form 103 as final approval. Approved primary and alternate signature authorities are listed on the AF Form 103 for each JBSA locations to ensure requestors can gain approval quickly and efficiently at each location.

3.2 Once approved, Requestor is authorized to proceed with work. Requestor shall keep the approved work clearance on site from start to finish of the project excavation.

4. EXCAVATION:

4.1 When the excavation is in progress (an open hole indicates that the excavation stage is in-progress) the AF Form 103 will be on site at all times. The requestor is responsible for providing proper safety barricades and safety equipment to protect workers, base patrons, and infrastructure during excavation. The government POC is responsible for verifying requestor is in compliance with approved work clearance and all safety regulations.

4.2 Requestor is responsible for maintaining utility markings after the initial clearance is given. If a re-mark is required or if excavation does not commence within 30 days of approval, requestor must re-accomplish work clearance process.

4.3 The excavation is not complete until all grounds work, dressing, sodding, etc. has been accomplished. Site must be restored to “as good as” or “better” condition than original.

5. WORK STOPPAGE:

5.1 If the excavation crew uncovers an unexpected obstacle, and is uncertain as to whether it is utility or not, the crew will STOP all excavations in the immediate vicinity of the obstacle and immediately notify both the government POC and CE customer service department (210-671- 1555).

5.2 CE Infrastructure Utility Personnel will determine if the obstacle in question is a functioning part of a utility system and will advise the government POC and the excavation crew how to proceed.

5.3 CE Infrastructure/Utility Personnel are authorized to stop all excavation if an obstacle observed is an active part of an existing utility system

5.4 Many areas of Joint Base San Antonio are protected under Historical Preservation. If any unknown or unidentified items are uncovered during excavation at any installation, notify the Cultural Resource Manager, Arlan Kalina, at XXX-XXX or Dayna Cramer, at 210-426-7131.

The cultural resources personnel will determine if the items are of historical significance and advise how to proceed with the excavation.

5.5 All work stoppages and/or repeat visits of any kind will be documented on site (date/time/results/and names) in block 18 of the approved AF Form 103.

6. UTILTIY BREAKAGE:

6.1 If any utility lines are broken during excavation, in addition to notifying the government POC, the following agencies will be notified immediately: Please refe to AF Form 103 for contacts and phone numbers.

Gas Line: Fire Department Installation Utility Personnel CE customer service.

Water Line: Installation Utility Personnel CE customer service SAWS (where applicable).

Electric Line: Installation Utility Personnel CE customer service CPS (where applicable).

Storm Sewer: Installation Utility Personnel

SAWS (where applicable)

San Antonio River Authority (where applicable).

Sanitary Sewer: Installation Utility Personnel

SAWS (where applicable)

San Antonio River Authority (where applicable).

Comm. Line: Communications squadron

7. EMERGENCY JOBS:

7.1 AF Form 103, Base Civil Engineer Work Clearance Request, is required for emergency excavations.

7.2 During normal duty hours: The Requestor responsible for the emergency event will notify the government POC and CE customer service (210-6710-1555), which will immediately dispatch the Infrastructure Utility Personnel to the sites. The requestor is responsible for contacting all other agencies.

7.3 After normal duty hours: Work outside of normal duty hours shall be approved and coordinated separately prior to beginning any excavation. In the event of an emergency outside of normal duty hours, contact EMCS and the designated after hour’s personnel coordinated for work. The Utility call-back personnel will be contacted to respond and provide an emergency utility locate. Excavation will proceed with caution only after coordination with Utility personnel, Communications Squadron and the Infrastructure Chief or designated representative.

8. CLEARANCE COMPLETION AND CLOSEOUT:

8.1 Once all excavation has been completed and grounds/pavements surface have been restored, the requestor will follow up with the Computer Aided Design (CAD) section (CENME).

8.2 Once complete, requestor shall notify the Government POC. Government POC may conduct a site visit inspection to ensure all grounds/ pavements have been restored. *Government POC is responsible for closing out work clearance in in IWIMS, or contacting CE customer service to have the work clearance closed out.*

9. TRAINING:

9.1 All CE personnel will be briefed on the procedures and requirements of the Joint Base San

Antonio Work Clearance Request. The AF FORM 103 for each location and this JBSA Work Clearances Standard Operating Procedures will be available to all CE personnel, located at each location as well as the Joint Base San Antonio 502D Civil Engineering Squadron SharePoint website.

NEW DIGGING CLEARANCE OUTAGE REQUEST PROCESS FSH

The 502d Civil Engineering Squadron has implemented new digging clearance and utility outages procedures in an effort to streamline the process.

The requestor is required to read and follow all guide lines identified in the 502 CES Work Clearance (SOP) Standard Operating Procedures.

1. Engineering, Project Managers for SAWS and CPS. Lincoln Military Housing or a LMH resident will be responsible of initiating digging clearances and utility outages for their respective project.

2. To initiate a clearance/outage, the requestor must complete sections 1, 2, 6, 7 & 8 of the AF Form 103. The requestor must attend the digging clearance/outage request meeting held every Monday at 0900 Hours in the Civil Engineer (CE) conference room in Bldg. 4197 JBSA Ft Sam Houston, AF Form FSH 103 and drawing or Map printed from the internet.

3. During the Clearance/Outage request meeting all digging clearance and outage request, will be scheduled and or signed off by each CE shop for their respective area of responsibility. If the area needs to have utilities located the CE shops will schedule and perform the utility locates during that week.

4. The requestor is also required to contact Dig Tess for all commercial utility locates. The phone number for Dig Tess is located on the digging clearance form

5. The requestor will be required to attend the digging clearance meeting the following Monday to have the clearance signed off by any shop that required the area to be marked. Safety, Security Forces, Fire Dept. and the Natural Resources Management Section. will not attend this meeting. The requestor will be required to make contact as necessary.

6. Utility Outage Requests are require to be approved at least 2 weeks prior to the scheduled outage. The Requestor must notify the 502 CES Operations Flight Chief, Mr. Antony Person of the outage request once approved.

7. Upon completion of digging clearances or outage request the requester is required to return the completed signed clearance along with all related documents and e-mails received by the Dig Tess & commercial utilities to the 502 CES approving authority for Approval and Signature.

8. The 502 CES Approving Authority: Mr. Paul Parker or Mr. John Patrick. Building 4197 FSH.

Paul Parker 502 CES Electrical Superintendent JBSA-Ft Sam Houston: Office: 210-221-8322 Cell: 210-389-3845 Paul.e.parker10.civ@mail.mil

John Patrick 502 CES Structures Superintendent JBSA-Ft Sam Houston: Office: 210-221-5374 Cell: 210-872-6819 John.c.patrick8.civ@mail.mil mailto:Paul.e.parker10.civ@mail.mil