007100_Attch1_Airfield Construction Waiver.pdf
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- Solicitation number
- FA813725R0035
About this file
The document is an Airfield Construction Waiver Application Form for a construction project at Tinker Air Force Base. The form requires detailed information about a construction activity, including location, height data, construction dates, and specific coordination requirements with various base departments such as Airfield Operations, Flight Safety, Ground Safety, Logistics, Communications, and Security Forces. The form is designed to obtain approval for a temporary waiver from standard airfield construction criteria, mandating that the requester complete specific blocks with project details, construction activity description, and risk mitigation measures. The form, dated April 2018, provides spaces for government personnel to document the waiver criteria, coordination status, and final approval by the Installation Commander or Base Civil Engineer in emergency situations.
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Text version
INSTRUCTIONS: Requester MUST complete blocks 1, 2, 4-6, 8,10,11, if not applicable put N/A in the block.
4.
5.
6.
7.
8.
9.
10.
Phone & Email:CEC (THDR, Alutiq,etc.) Project Manager:
Phone & Email:
Construction End Date:
11.
12.
LOGISTICS
COMMUNICATIONS
Installation Commander approval authority. If waiver is an emergency the Base Civil Engineer may approve according to UFC 3-260-01, B1-2.5.4.7.
72 OSS/OSAM
72 OSS/OSA
HQ AFMC/A3
72 ABW/SEF
72 ABW/SEG
72 LRS/DD
72 CS/SCX
AIRFIELD OPERATIONS
TERPS
FLIGHT SAFETY
GROUND SAFETY
Describe risk mitigation measures that will be taken for each violation/waiver. (eg. Special painting, obstruction lighting, barricades, marshallers, flagging, safety plan/recall procedures, etc.)
AIRFIELD MANAGER
COORDINATION COMPLETED (Government Civil Engineering Use Only):
Point of Contact Data:
AIRFIELD CONSTRUCTION WAIVER APPLICATION FORM
N
CRITERIA TO BE WAIVED (Government Use Only- State Chapter, paragraph, table number, etc. from UFC 3-260-01 or other):
Include a map with a detailed depiction of the construction location and submit with this form.
Description of Construction Activity: Include description of construction with notes pertaining to the work that will be done.
Location and Height Data of Construction Activity:
SECURITY FORCES 72 SFS/S5S
Why is the temporary waiver required?
h of construction.
Facility Number (Closest to Construction Activity):
Form Date: April 2018
13. APPROVAL (Government Use Only)
Installation Commander
Contractor (Executing the work):
Construction Start Date:
1. Project or Work Order # 2. Contract # 3.Waiver # (Government Use Only)
Longitude:
Latitude: W
A) Construction Activity Ground Elevation (Average Mean Sea Level):
B) Tallest Construction Equipment Height (Crane Height, etc):
Ft.
Ft.
Total Height (A+B): Ft.
(Base Civil Engineer if Emergency)
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File details come from the government source that posted it. Updated .