TE-08 - Work Clearance Request.pdf

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Simplified Acquisition of Base Engineer Requirements (SABER)
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FA4661-10-R-0002
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SOW Technical Exhibit 08 (of 10) Work Clearance Request

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Technical Exhibit 8

TE-8 Page 1 of 3

CIVIL ENGINEER WORK CLEARANCE REQUEST

1. PURPOSE: The AF Form 103, Base Civil Engineering Work Clearance Request, more commonly referred to as a digging permit is used for any work on Dyess AFB. 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 shall be initiated at least ten (10) working days prior to the start of work and is valid for 30 calendar days.

1.1. The processed and approved AF Form 103 is used as an authorization document to work in a specified area. It certifies that all required coordination has been conducted.

1.2. If work delays are encountered, and/or the conditions at the job site change (or may have changed) the Work Clearance Request must be reprocessed.

2. CONTRACTOR – REQUESTER

2.1. Accomplish AF Form 103 for any work at Dyess AFB.

2.2. Maintains copies of original and renewals of the AF Form 103 for the duration of work at the work site.

2.3. Ensures all applicable parties have coordinated on the form prior to start of work.

2.4. Notices to Commercial Utilities are good for 15 calendar days; after that period, the notices must be renewed. Indicate renewals on the reverse side of the AF Form 103 as applicable.

2.5. Prior to commencing any excavation, the requester must confirm that clearance/marking operations have been completed and inspect the site for clear evidence of unmarked facilities. If evidence of such facilities is present, the excavator must notify 7 CES/CEO and request assistance.

2.6. After the markings have been made, requesters are required to maintain a minimum clearance of five (5) feet between a marked, underground utility line and the cutting edge of any power-operated excavating equipment. If excavation is required within five (5) feet of any marking, it shall be performed very carefully with hand tools until underground utility is located.

2.7. If, during the course of excavation, a utility line has been exposed, before backfilling, the requester must inspect these facilities to ascertain if the facilities have been damaged. If damage of any kind is discovered or suspected, it is the requester’s responsibility to immediately notify the utility owner directly. The requester must NOT attempt to repair damaged facilities.

2.1. Maintain any paint marks or stakes indicating underground utilities/lines as required during the duration of work or 30 calendar days from date of approved AF Form 103 (whichever is earlier). Date of approval is defined as the date the approving official signs the AF 103. Note that Commercial Utility Company clearances expire after 15 calendar days.

TE-8 Page 2 of 3

3. DYESS AFB ORGANIZATIONS

3.1. 7 Civil Engineer Operations Flight (7 CES/CEO):

3.1.1. Responsible for overall management of the work clearance program with assistance and cooperation from other 7 CES flights and other Base Organizations.

3.1.2. Responsible for marking Air Force-owned underground utility (electrical, water, sanitary sewage, storm water, POL, and steam) and irrigation distribution lines in accordance with

Paragraph 4.4. of this instruction.

3.2. 7 Security Forces Squadron (7 SFS): Review AF Form 103, and provide guidance, as required, to enhance traffic safety and resource protection. Responsibility for compliance with

Federal, State, local, and Air Force traffic safety and resource protection policies, regulations, and procedures falls upon the requester.

3.3. 7 Bomb Wing Safety (7 BW/SE): Review AF Form 103, and provide guidance, as required, to enhance overall safe construction practices. Responsibility for compliance with

Federal, State, local, and Air Force safety policies, regulations, and procedures falls upon the requester.

3.4. 7 Communications Squadron (7 CS): Responsible for marking Air Force-owned underground communications distribution lines in accordance with Paragraph 4.4.

3.5. 7 Operations Support Squadron (7 OSS): Review AF Form 103, and provide guidance, as required, to maximize flying safety and minimize disruptions to airfield operations.

4. PROCEDURES

4.1. Routine Requests: Submit the completed AF Form 103 (blocks 1 through 7, 9 through 14) to 7 CES/CEOI not less than 15 calendar days prior to date clearance required (block 3) date.

Attach any drawings, sketches, and/or site plans to fully explain and delineate the work area.

4.2. Emergency Requests: Occasionally, mission requirements dictate coordination and approval of the AF Form 103 in shorter timeframes. In these cases, submit the request to 7

CES/CEOI for emergency processing. The requester is still responsible for completing AF

Form 103 (blocks 1 through 7, 9 through 14) by hand carrying the request to each OCR listed on the form. “Emergency”, as it pertains to this instruction, is defined as a situation which directly impairs the 7 BW mission, and/or presents a significant and immediate threat to life, property, and/or the environment.

4.3. AF Form 103s Exceeding 30 Days. The AF Form 103 is good for 30 calendar days from the date of approval. The form must be reviewed/re-approved for any work continuing after the 30-day approval period. Procedures for re-approval are identical for initial submittals.

TE-8 Page 3 of 3

4.3.1. Exceptions to the 30 day-rule may be granted by the Chief or Deputy Chief, Operations

Flight, only for contract projects with a performance period exceeding 30 days. Contractors must submit a written request for exception with the initial AF Form 103, and agree to the following:

4.3.1.1. After utilities have been initially identified, the contractor shall bear all responsibility for up keeping marks throughout the term of the contract performance period.

4.3.1.2. Should the contractor damage utilities after the initial 30 day period has expired on the

AF Form 103, the contractor shall be responsible for all costs associated with damage and expedient repair to the utility at no additional cost to the government. All associated costs borne by the government due to the utility disruption shall also be reimbursed by the contractor.

4.3.1.3. The contractor shall be responsible for continuing renewal of notices to Commercial

Utilities every 15 calendar and indicating renewals on the reverse side of the AF Form 103.

4.4. Maintenance of Marks. The requester is responsible for maintaining marks/stakes indicating underground utilities throughout the AF Form 103 approval period.

File details come from the government source that posted it. Updated .