CENTAC_Compressor_PWS_-_7-25-2018.pdf

PERFORMANCE-BASED WORK STATEMENT (PWS)

MAINTENANCE SERVICES

INSPECTION AND MAINTENANCE OF CENTAC COMPRESSORS

U.S AIR FORCE

309TH CMXG

7/25/2018

CENTAC Compressor i

TABLE OF CONTENTS

1 DESCRIPTION OF SERVICES

2 BASIC SERVICES

2.1 SCHEDULED MAINTENANCE

2.2 REPAIR

2.3 ACCEPTANCE TESTING

2.4 EXCLUSIONS

2.5 PARTS AND MATERIAL

2.6 DAMAGE TO COMPRESSOR SYSTEM

2.7 TRAVEL REQUIREMENTS

3 SERVICE SUMMARY (SS)

4 CONTRACT DATA REQUIREMENTS LIST (CDRL)

5 GOVERNMENT FURNISHED PROPERTY AND SERVICES

6 GENERAL INFORMATION

6.1 SECURITY REQUIREMENTS

6.2 SAFETY AND HEALTH STANDARDS

6.3 HOURS OF OPERATION

6.4 GOVERNMENT OBSERVATIONS

6.5 ENVIRONMENTAL

6.6 HAZARDOUS MATERIALS MANAGEMENT

6.7 MANPOWER REPORTING

6.8 FOREIGN OBJECT DAMAGE (FOD) AND TOOL CONTROL

Appendix A – ACRONYMS AND ABBREVIATIONS

Appendix B – ESTIMATED WORKLOAD DATA

Appendix C – SAFETY

Appendix D – MAINTENANCE WORK PLAN

Appendix E – PREVENTATIVE MAINENANCE CHECKLIST

1 DESCRIPTION OF SERVICES

This requirement is to provide skilled labor, equipment, tools, replacement parts and material, technical services and other items necessary to perform inspection, maintenance and repair services on two (2) CENTAC compressor systems located in Building 240 on Hill Air Force

Base (HAFB). Operation of the compressor systems is critical as they support secondary power systems used to supply high volume, high pressure air to simulate aircraft conditions. The contractor shall provide preventive maintenance services to ensure the systems remain in operable condition. This requirement will not include personal services or inherently governmental functions. The contractor shall comply with this PWS in its entirety.

2 BASIC SERVICES

The contractor shall inspect, maintain, and repair the two (2) CENTAC compressor systems, model # 2CII40M3, serial #’s M9910520 and M9910521. The contractor shall perform

Preventive Maintenance (PM) and repairs for the compressor systems in order to maintain fully functional compressor systems as determined by the 309th Commodities Maintenance Group

Facility Engineer (FE). PM and repairs shall not disrupt production or disturb personnel and shall be performed during normal work hours and scheduled with the FE. The contractor shall be responsible for service, maintenance, and repair of the lubrication equipment on the compressors, including the oil pumps and oil pressure regulators. Compressor maintenance and services shall be performed in accordance with manufacturer's operation equipment manuals. The FE will notify the contractor by phone and email when compressor support service is needed and schedule date and time of service. The contractor shall provide the required services in accordance with (IAW) applicable guidance/regulations and/or manufacturer’s maintenance manuals.

2.1 SCHEDULED MAINTENANCE

2.1.1 Preventative Maintenance (PM). The contractor shall perform scheduled maintenance which includes quarterly inspections; replacing or replenishing lubricants and filters; and tests and analysis and repair or replacement of parts due to normal wear and tear. The contractor shall perform scheduled maintenance IAW the Maintenance Work Plan (Appendix D) and Preventative

Maintenance Checklist (Appendix E).

2.1.1.1 The contractor shall submit the completed Preventative Maintenance

Checklist to the Facility Engineer for approval upon PM completion.

(CDRL A001).

2.1.1.2 The contractor shall provide a Compressor Service and Inspection Report within five (5) business days after service completion. The report shall include the results of the inspections and scheduled maintenance work accomplished. It shall also include a completed/approved copy of

Appendix E signed by the FE. The contractor shall provide the report to the FE. (CDRL A002).

2.1.2 Vibration Analysis. The contractor shall perform vibration tests IAW manufacturer’s manual. The contractor shall use the following vibration analysis equipment or FE approved equivalent: Azima DLI-60 Data Collector/Analyzer, and CENTAC Micro Controller (CMC) Service Tools Software. The contractor shall take a sample back to their shop for analysis. Then provide the Azima

Vibration Analysis Reporting Services report to the FE within five (5) business days after completed test. (CDRL A003).

2.1.3 Oil Sample Analysis. The contractor shall take a sample back to their shop for analysis. Then provide an Oil Sample Analysis report of the compressors to the

FE IAW with Appendix D #26, within five (5) business days after the completed test. (CDRL A003).

2.1.4 CMC. The contractor shall ensure the CMC is functional/operational as part of the scheduled maintenance.

2.2 REPAIR

2.2.1 Repairs may include compressor system unit disassembly, repairing, replacing, or rebuilding parts, assemblies, subassemblies, components, and end items.

Repairs for a compressor may include, rebuild of the air-end, single stage overhaul, complete field overhaul, 1st stage intercooler replacement, 2nd stage intercooler replacement oil cooler replacement, oil pump replacement, and motor overhaul. The FE will notify the contractor via phone or email when a repair is required. The contractor shall have up to four (4) hours to contact the FE via phone or email after the initial notification.

2.2.2 The contractor shall provide the FE and CO with an initial cost estimate for repairs within two (2) business days, unless otherwise specified by the FE. Any cost estimate(s) in excess of $3,000.00 will be approved by the CO prior to any repairs being accomplished. The cost estimate shall include the following elements: parts and materials, required labor hours, and associated travel expenses. (CDRL A004).

2.2.3 The contractor shall provide to the FE the actual total cost of the repair action to include parts and materials; required labor hours, and associated travel expenses within five (5) business days after completion of repair. (CDRL A004).

2.3 ACCEPTANCE TESTING

2.3.1 After completion of repairs, contractor shall test the compressor(s) for acceptability in the presence of the FE. Contractor shall demonstrate successful operation of the compressor prior to Government acceptance of work completion.

Contractor shall start the compressor and bring system pressure up to 300 PSI including pressure in the receiver tank(s). After the system pressure has been maintained at 300 PSI for no less than 15 minutes the temperature, vibration, and pressure readings will be observed, if all readings are within acceptable limits the compressors will be acceptable for operation.

2.3.2 If during this time the compressor has any alarms, the compressor will be shut down and steps will be taken to correct the problem.

2.4 EXCLUSIONS

2.4.1 Maintenance service under this contract shall not include electrical work or utility changes external to the equipment disconnect switch.

2.4.2 Modifications and Configuration Changes: Equipment end items shall not be changed from their present configuration without prior written approval from the

Facility Engineer. Configuration changes to the equipment shall be performed during compressor down time to include scheduled PM and unscheduled repairs.

2.5 PARTS AND MATERIAL

The contractor shall use only new Original Equipment Manufacturer (OEM) parts or

Government approved /provided parts of equal quality and at a warranty at least equal to the OEM in making repairs. The contractor shall contact the Facility Engineer for any spare parts required for repair/ maintenance. The Government may provide the contractor with parts meeting Technical Orders (TO) or equivalent specifications when it is in the

Government’s best interest. The contractor shall use Commercial-Off-The-Shelf (COTS) hardware. If COTS hardware is not available the contractor shall receive prior approval from the Facility Engineer prior to purchase. In the event the use of any replacement parts in repairing equipment results in the original equipment manufacturer refusing to support the equipment or void any warranties, the contractor shall provide equal support and warranty services.

2.6 DAMAGE TO COMPRESSOR SYSTEM

If the contractor or its agent damages the compressors or any part of the compressor system, the contractor or its agent shall immediately report the incident to the Contracting Officer or Facility Engineer. The liability for the damage rests solely with the contractor and its agent.

2.7 TRAVEL REQUIREMENTS

Any travel required shall be performed IAW FAR 31.205-46, Travel Costs. The contractor is responsible for making all necessary travel arrangements for their personnel, including air travel, car rental, lodging and subsistence. Travel is restricted to round trip coach airfare tickets, economy class car rental, and per diem rates not to exceed Federal Travel Regulation (FTR) rates for the Temporary Duty (TDY) location.

Contractor shall obtain CO approval prior to travel. Contractor shall provide applicable travel receipts to the CO upon completion of travel.

3 SERVICE SUMMARY (SS)

Performance Objective PWS

Para

Performance Threshold

Schedule Maintenance Plan -- The contractor shall perform scheduled maintenance IAW the Maintenance Work

Plan (Appendix D). The CO will ensure the contractor has provided the plan.

2.1.1

Acceptable if the contractor performs the scheduled maintenance as required and with zero deviations* per quarter.

Preventative Maintenance Checklist

(PM) -- The contractor shall submit the completed checklist IAW (Appendix E).

The CO will ensure the contractor provided the PM to the FE.

2.1.1.1

Acceptable if the contractor performs the scheduled maintenance as required and with zero deviations* per quarter.

Compressor Service & Inspection Report

-- The contractor shall submit the completed report. The CO will validate through the FE that the contractor submitted the report NLT five (5) business days upon service completion.

2.1.1.2

Acceptable if the contractor submits the report as required with zero deviations* per quarter.

Vibration & Oil Analysis Reports -- The contractor shall submit the completed reports. The CO will validate through the

FE the reports were submitted NLT five

(5) business days upon completion of analysis.

2.1.2

2.1.3

Acceptable if the contractor submits the report as required with zero deviations* per quarter.

Notification & Response Time -- The contractor shall respond within four (4) hours after FE’s initial notification. The

CO will verify with the FE the contractor responded within the allotted time.

2.2.1

Acceptable if the contractor has met the performance objective as required with no more than one (1) late response per quarter.

Performance Objective PWS

Para

Performance Threshold

Initial & Actual Cost Estimates -- The contractor shall provide the FE and CO with an initial cost estimate and an actual cost for repairs. The FE will ensure the contractor provided initial NLT two (2) business days and actual NLT than five

(5) business days

2.2.2

2.2.3

Performance is acceptable if the contractor has met the performance objectives as required with no more than one (1) late response per quarter.

The contractor shall submit Contract

Data Requirements List (CDRLs) as required IAW the required timetable.

Para/

Table

4.1

Acceptable if the contractor CDRL is provided as required and no more than one (1) deviations* per quarter.

Substantive mistakes shall be corrected within two working days and corrective action taken to prevent recurrence of inaccurate/ late CDRLs.

Definitions:

* Deviation - A deviation is defined one instance of not complying with written Air Force, AFMC, or OO-ALC policies/guidance or an instance of submitting applicable deliverables after the identified due date IAW with the applicable CDRL.

4 CONTRACT DATA REQUIREMENTS LIST (CDRL)

CDRL Requirements. Contract information data shall be delivered electronically in accordance to the corresponding requirement for each Data Item listed in Table 4-1

(below). The contractor shall have no more than one error per quarter for all CDRL submittals. The contractor shall submit CDRLs according to the due date indicated and have no more than one CDRL per quarter submitted after the identified due date.

Grammatical errors do not count as an error. Substantive mistakes shall be corrected within two working days and corrective action taken to prevent recurrence of inaccurate late CDRLs.

Table 4.1 CDRL SUMMARY

DATA

ITEM

PWS

PARA

TITLE DELIVERY DATE

A001 2.1.1.1 Preventative Maintenance Checklist NLT upon completion of preventative maintenance

A002 2.1.1.2 Compressor Service and Inspection Report

NLT five (5) business days upon service completion

A003

2.1.2

2.1.3

Vibration and Oil Analysis Report

NLT five (5) business days upon completion of analysis

A004

2.2.2

2.2.3

Cost Estimates (Initial and Actual)

NLT two (2) business days unless otherwise specified by FM for

Initial, and NLT within five (5) business days after completion of repairs for Actual

A005 6.2.4 Safety Plan NLT fifteen (15) calendar days after contract award

A006 6.8.1 Quality Plan NLT thirty (30) calendar days post contract award

5 GOVERNMENT FURNISHED PROPERTY AND SERVICES

Government furnished property, equipment, or services will not be provided in the performance of this PWS.

6 GENERAL INFORMATION

6.1 SECURITY REQUIREMENTS

6.1.1 Contractor personnel performing work under this contract must be escorted by

Facility Engineer. At the close of each work period, government facilities, property, and materials shall be secured.

6.2 SAFETY AND HEALTH STANDARDS

6.2.1 The contractor shall follow Appendix C and adhere to the Air Force is part of the

Occupational Safety and Health Administration (OSHA).

6.2.2 Voluntary Protection Program (VPP). The contractor is required to attain familiarization with the requirements of VPP. Information on the VPP can be accessed at http://www.osha. gov/dcsp/vpp/index.html. VPP requirements apply to contractors whose employees work more than 1,000 hours per quarter. The contractor shall flow down these requirements to all sub-contractors who qualify as applicable contractors under this contract.

6.2.3 The contractor shall provide from its OSHA 300 information the Total Case

Incident Rate/Days Away Restricted or Transferred (TCIR/DART) rate by 15

January of each year to the CO for submission as part of the installation's annual

OSHA VPP self-evaluation report.

6.2.4 System Safety Program Plan. The contractor shall implement a safety program that ensures protection of Government personnel and property (See Appendix C).

As part of the Safety Program the contractor shall establish a Safety Plan IAW

Appendix C of this PWS. The contractor shall submit the Safety Plan within fifteen (15) days after contract award. (CDRL A005).

6.2.5 The contractor shall provide Personal Protective Equipment (PPE) to all its agents working on the compressor system. Hearing protection is required in the compressor room while the compressors are operating.

6.2.6 Due to explosives being stored in a hallway cabinet outside of the compressor room, cell phones will not be allowed in this hallway area.

6.2.7 The contractor shall receive weapons awareness training.

6.3 HOURS OF OPERATION

6.3.1 The contractor shall have access to perform services during normal working hours up to Force Protection Condition (FPCON) C. Unless otherwise scheduled with the FE work is required to be performed in Building 240 on Hill AFB, UT and will be performed during normal business hours to the following times:

Monday through Friday, 0700-1700, with the exception of Federal Holidays.

6.3.2 Unless otherwise required by the Government, the contractor shall not have access to Government facilities on the following federal holidays: New Year’s

Day, Martin Luther King’s Birthday, President’s Day, Memorial Day, Independence Day, Labor Day, Columbus Day, Veterans’ Day, Thanksgiving

Day, and Christmas Day. If the holiday falls on Sunday, it is observed on

Monday. If the holiday falls on Saturday, it is observed on Friday.

6.3.3 All visits shall be scheduled by the CO or FE. Schedules may have to be modified in the case of incidents or emergencies, to include natural hazards, furloughs or similar circumstances.

6.4 GOVERNMENT OBSERVATIONS

The Government will periodically evaluate the contractor’s performance through inspections IAW with FAR 52.246-4 Inspection of Services.

6.5 ENVIRONMENTAL

6.5.1 The contractor shall ensure their employees are made aware that the performance of these services will occur in industrial areas. The industrial complex at Hill Air

Force Base has the potential to expose workers to hazardous materials, which may include, but are not limited to, hexavalent chrome, cadmium, beryllium, lead, etc. While the contractor will not perform duties in a marked and signed regulated area (where exposures are expected to exceed the permissible exposure limits set by OSHA, there may be contact hazards with these materials during cleanup of dust, metal shavings, etc. The contractor shall ensure proper protective measures and training is taken to ensure contracted employees are protected from these hazards.

6.5.2 Compliance with Laws and Regulations. The contractor shall be knowledgeable of and comply with all applicable Interstate, Federal, State, and Local laws, regulations, and requirements regarding environmental protection. In the event environmental laws/regulations change during the term of this contract, the contractor is required to comply as such laws come into effect. If there is an increase or decrease in cost as a result of the change, the contractor shall inform the CO pursuant to notice requirements and negotiate a modification to the contract.

6.5.3 Notification of Environmental Spills. If the contractor spills or releases any substance contained in 40 CFR 302, including hazardous materials, into the environment, the contractor or its agent shall immediately call 911. If the call is made from an on base phone it will go directly to Hill AFB dispatch. If using a cell phone it will go off base, ask the 911 dispatcher to be transferred to Hill

AFB. The liability for the spill or release of such substances rests solely with the contractor and its agent.

6.5.4 The contractor shall maintain current Material Safety Data Sheet (MSDS) documents for all chemicals used in maintaining and operating the system, and shall provide copies to upon request IAW Appendix C of this PWS.

6.6 HAZARDOUS MATERIALS MANAGEMENT

6.6.1 The contractor shall ensure all Hazardous Materials (HM) used during Technical

Order (TO) performance are inventoried, labeled, tracked, managed, and issued under the direction of, and working through, the established Hazardous Material

Cell (HazCell) in building 1256.

6.6.2 Material Storage and Use. The contractor shall use HM in the process and manner for which it is intended by the manufacturer and as authorized by the

HazCell. The contractor shall follow manufacturer’s guidelines and professional recommendations for control of humidity, temperature, cleanliness, and materials handling. This includes the handling, tracking, and storage of hazardous materials, as well as flammable and combustible liquids as identified in AFI 32-

7086, AFI 32-7086 Hill Supplement, and AFI 91-203 Chapter 22and NFPA 30.

The contractor shall practice (at all times) housekeeping/storage methods and procedures of material/work residue to ensure items do not migrate out of the immediate work area to become a potential Foreign Object Debris (FOD) or fire hazard.

6.6.3 The contractor shall remove all HM from the work site and the end of a work shift. HM must be in the employee’s possession during use and must be removed from the base at the end of each shift. HM for use shall only be transported, stored, and used on base from its original container, with the yellow sticker issued by the HazCell affixed to the container.

6.6.4 Spent or used HM generated as a result of the services provided will be carefully collected and transferred to a suitably sized collection container. The collection container must be labeled with the contents, date, company name, responsible point of contact, and phone number. The contractor shall ensure that empty HM containers or other refuse is not discarded in a government refuse can or dumpster. The contractor shall manage its generated waste IAW applicable federal, state and local laws when disposing of wastes.

6.6.5 The contractor shall use rags instead of absorbent pads or “kitty litter” to clean the work site. Rags are considered tools and shall be accounted for IAW the tool and FOD instructions contained in this document.

6.6.6 Basic Hazardous Material Management Process (HMMP) training (Course #587) shall be completed prior to contractor personnel transporting or using any potentially hazardous materials on the installation.

6.6.7 The contractor shall comply with asbestos and/or lead-based paint survey instructions, as provided by the FE.

6.7 MANPOWER REPORTING

6.7.1 The contractor shall report ALL Contractor labor hours (including sub-contractor labor hours) required for performance of services provided under this contract via a secure data collection site. The contractor is required to completely fill in all required data fields at http://www.ecmra.mil/.

6.7.2 Reporting inputs will be for the labor executed during the period of performance for each Government fiscal year (FY), which runs 1 October through 30

September. While inputs may be reported any time during the FY, all data shall be reported no later than 31 October* of each calendar year. Contractors may direct questions to the Contractor Manpower Reporting Application (CMRA) help desk.

6.7.3 Uses and Safeguarding of Information. Information from the secure web site is considered to be proprietary in nature when the contract number and contractor identity are associated with the direct labor hours and direct labor dollars. At no time will any data be released to the public with the contractor name and contract number associated with the data. User Manuals: Data for Air Force service requirements must be input at the Air Force CMRA link at http://www.ecmra.mil/.

6.7.4 UIC Code: FFD5V0

6.8 FOREIGN OBJECT DAMAGE (FOD) AND TOOL CONTROL

6.8.1 The contractor shall follow the applicable guidance in chapters/paragraphs/ sections of AFI 21-102, AFMC Supplement to 21-102, AFSCMAN 21-102, Chapter 10, 309 MXW supplements to the AFI 21-102 concerning base tool

(Chapter 10), and FOD control policies (chapter 14, and sub paragraphs designated as 41), daily. Cloth rags are considered tools and will follow the same regulations and procedures as tools.

6.8.2 If tools, and/or equipment are lost (rags are considered tools), the contractor will report the loss to the FE or CO no later than one (1) hours after discovery. If tools are lost or not accounted for, then the contractor shall implement the lost tool procedures of AFSCMAN 21-102, Chapter 10.

6.8.3 Contractors performing functions in industrial areas on the center shall have a method for controlling and accounting for all tools used. All contractors working on the center shall inventory their tools at the beginning and end of each shift and at the end of each task to check for any lost or missing tools.

6.8.4 The contractor shall follow control/restrictions of cell phones and personal electronic devices within designated high potential FOD areas (reference chapter

1 sub paragraph 35, Communication) of AFI 21-102 and AFMC, Hill AFB, and

OO-ALC supplements.

APPENDIX A – ACRONYMS AND ABBREVIATIONS

Acronym/Abbreviations Definition

AFED Air Force Engineering Data

AFTD Air Force Technical Data

ANSI American National Standards Institute

ASO American Standards Organization

ATP Automated Test Procedures

AFI Air Force Instruction

AFB Air Force Base

AFMC Air Force Material Command

AMSO Acquisition Management Support Office

AMSS Acquisition Management Support Specialist

CAC Common Access Card

CAR Corrective Action Report

CFR Code of Federal Regulation

CMXG/FE Commodities Maintenance Group/Facility Engineer

CO Contract Officer

COR Contracting Officer Representative

CQCP Contractor Quality Control Plan

DoD Department of Defense

DFAR Defense Federal Acquisition Regulation

ECM Engineering Change Memorandum

FAR Federal Acquisition Regulation

FPCON Force Protection Condition

GTPOC Government Technical Points of Contact

HAFB Hill Air Force Base

IAW In Accordance With

NELAP National Environmental Laboratory Accreditation Program

OEM Original Equipment Manufacturer

OSHA Occupational Safety and Health Act

PARA Paragraph

PE Performance Evaluation

PPE Personal Protective Equipment

PWS Performance-Based Work Statement

QCP Quality Control Plan

QASP Quality Assurance Surveillance Plan

OEM Original Equipment Manufacture

QAS Quality Assurance Specialists

QVI Quality Verification Inspections

OJT On The Job Training

SS Service Summary

TO Technical Order

TP Test Plan

APPENDIX B – ESTIMATED WORKLOAD DATA

Identification, Preventive Maintenance and Inspection (PMI) Frequencies.

EQUIPMENT END ITEM MODEL # SERIAL # PM No.

IR CENTAC Compressor 2CII40M3 M9910520 10199

IR CENTAC Compressor 2CII40M3 M9910521 10200

Note: Historical data shows the compressor system requires approximately 2 unscheduled and/or emergency service calls per year over the historical life of the compressors.

APPENDIX C – SAFETY

SAFETY, FIRE PROTECTION AND HEALTH

SPECIFICATION

INDUSTRIAL SAFETY REQUIREMENTS

OGDEN AIR LOGISTICS COMPLEX

UNITED STATES AIR FORCE

HILL AIR FORCE BASE, UTAH 84056

INSPECTION AND MAINTENANCE OF CENTAC COMPRESSORS

20 Oct 2016

Prepared by:

Tim Helms

OO-ALC/SE

801-586-6038

Control Number: TH161006

SECTION I - GENERAL REQUIREMENTS

A. Safety Program Requirements.

The contractor will implement a safety program plan that ensures protection of

Government personnel and property. The program will consist of, as a minimum:

1. Mishap reporting, as defined in paragraph B1 below.

2. A Safety Plan that addresses, as a minimum, the subjects listed in Section II –Specific

Requirements, and will be used during the performance of the work described in the contract. The Safety Plan will be accepted by OO-ALC/SE (Safety Office) prior to commencement of any work described in this contract.

3. Routine and recurring surveillance to ensure the safety requirements of this contract are enforced.

4. Competent personnel to provide surveillance of the Safety Plan.

5. Identification of segregated work site locations for operations that cannot be co-mingled with general industrial operations and the process for ACO approval of operations and changes at these specific sites.

6. All contractor personnel shall be trained and qualified to perform their duties safely.

7. The contractor shall include a clause in all subcontracts requiring the subcontractors to comply with the safety provisions of this contract, as applicable.

B. Mishap Notification

1. The contractor shall notify OO-ALC/SE (801-586-6038) or the Hill AFB Command Post

(801-777-3007) after normal duty hours, and the designated SME, i.e., the ACO, PCO, or

DCMA COR (Contracting Officer's Representative) within one (1) hour of all mishaps or incidents at or exceeding $2,000 (material + labor) in damage to DOD property entrusted by this contract, even if the government is wholly or partially reimbursed. This notification requirement shall also include physiological mishaps/incidents. A written or email copy of the mishap/incident notification shall be sent within three calendar days to the COR, who will forward it to OO-ALC/SE. For information not available at the time of initial notification, the contractor shall provide the remaining information no later than 20 calendar days after the mishap, unless extended by the ACO.

Mishap notifications shall contain, as a minimum, the following information:

(a) Contract, Contract Number, Name and Title of Person(s) Reporting

(b) Date, Time and exact location of accident/incident

(c) Brief Narrative of accident/incident (Events leading to accident/incident)

(d) Cause of accident/incident, if known

(e) Estimated cost of accident/incident (material and labor to repair/replace)

(f) Nomenclature of equipment and personnel involved in accident/incident

(g) Corrective actions (taken or proposed)

(h) Other pertinent information

2. The contractor shall cooperate with any and all government mishap investigations.

Additionally if requested by government personnel or designated SME, i.e., the ACO, PCO, or DCMA COR, the contractor shall immediately secure the mishap scene/damaged property and impound pertinent maintenance and training records, until released by safety investigators.

3. The contractor shall provide copies of contractor data related to mishaps, such as contractor analyses, test reports, summaries of investigations, etc. as necessary to support the government investigation.

4. The contractor shall support and comply with the safety investigation and reporting requirements of AFI 91-204, Chapters 1 – 5.

C. General Safety Requirements:

If the safety plan is modified, the contractor shall submit the proposed modification, in writing, to the Contract Administration Office safety representative.

The contractor is solely responsible for compliance with all federal, state and local laws, the Occupational, Safety and Health Act (OSHA) (Public Law 91-596) and the resulting standards, OSHA Standards 29 CFR 1910 and 1926, as applicable, and the protection of their employees. Additionally, the contractor is responsible for the safety and health of all subcontractor employees. All documents required as a result of OSHA 29 CFR

1910 and 1926 regulations, (i.e. certifications, training, respiratory protection program, workplace hazard assessments), shall be made available to the COR upon request.

The contractor shall ensure assigned personnel are adequately trained and qualified for the task being performed. Brief all personnel on the hazards involved with operations and applicable precautions to be taken. Should unidentified hazards arise, cease operations until actions are taken to eliminate or mitigate hazards to safe levels.

Hazard Assessment. In accordance with 1910.132(d)(2), the contractor shall conduct a certified Hazard assessment on all work areas. A follow-on survey shall be conducted by the contractor when the workload or environment conditions change. If http://www.osha.gov/pls/oshaweb/owasrch.search_form?p_doc_type=STANDARDS&p_toc_level=0 respirators are necessary to protect the health of the employee or whenever respirators are required by the contractor, the contractor employer shall establish and implement a written respiratory protection program according to 29CFR 1910.134.

Contractor personnel must receive Explosive Safety Awareness Training if their duties require entry into the Explosive Clear Zone. This training will be provided by the OO-ALC Safety Office. Contact Eric Covington at 586-0168.

A Risk Assessment will be required prior to any work being accomplished, if munitions will remain in the facility.

Compliance with OSHA and other applicable laws and regulations for the protection of contractor employees is exclusively the obligation of the contractor. Note:

The government shall assume no liability or responsibility for the contractor's compliance or non-compliance with such requirements. The contractor shall furnish to each of his/her employees a place of employment, which is free from recognized hazards. The contractor shall brief his/her employees on the safety requirements of this contract and on hazards associated with prescribed tasks. The contractor is responsible for compliance with OSHA

Public Law and the resultant standards identified within. In addition, the contractor is required to flow down the safety requirements/specification to all subcontractors. This applies to Federal Acquisition Regulation (FAR) 12 commercial acquisitions as well. This contract shall in no way require persons to work in surroundings or under working conditions which are unsafe or dangerous to their health. The contractor must coordinate and perform work so as not to impact the safety of government employees or cause damage to government property. This requires providing personnel with protective equipment and associated safety equipment as may be necessary. The contractor must also protect personnel from hazards generated by the work. If the contractor employs BILINGUAL speaking employees, they must post bilingual signs and have written procedures for specific tasks in applicable languages.

SECTION II – SPECIFIC REQUIREMENTS

The contractor’s prepared Safety Plan shall:

Demonstrate a management commitment to employee safety and health

Identify applicable rules and regulations

Identify the roles and responsibilities of Management, Supervisors, Employees and Safety

Coordinator

Identify work to be performed and location of expected operations

Provide a description of safety program, safety monitoring responsibilities, organizational structure, and contact information for on-site personnel

Include a work hazard analysis of the worksite and operations to be performed to include baseline hazard identification and required control measures

Identify employee safety and health training requirements and the documentation process

Include emergency response plans and procedures that relate to protection of government personnel and property

Include hazard reporting procedures and identify individual(s) responsible for the correcting identified hazards

Identify procedures for accident reporting and investigation

Identify the process for tracking controlled hazards in contractors work area

The contractor shall ensure that each element identified below is adequately addressed in detail in the safety and health plan:

PEDESTRIAN CROSSWALKS: All contractor personnel are required to use the closest crosswalk, or traffic controlled intersection when crossing the road. Pedestrians must look both ways to ensure the coast is clear before stepping out into the crosswalk. Pedestrians

DO NOT have the right of way unless they are already in the crosswalk. Contractor vehicle operators have the same responsibilities as pedestrians, to share the road and mutually observe and yield to pedestrians.

MOTOR VEHICLES: Contractor shall comply with the standards in: DoD Directive

5525.4, Enforcement of State Traffic Laws on DoD Installations", Nov 2, 1981, Para 3-4;

DODI 6055.4, DoD Traffic Safety Program, 20 Jul 99; AFI 91-207, USAF Traffic Safety

Program, 22 May 07; and AFI 91-207 AFMC SUP1, The US Air Force Traffic Safety

Program, 1 Oct 07. Each applies to all persons at any time on an Air Force Installation and includes all leased, owned, or privatized property including housing areas. In addition:

AFI 13-213, Airfield Management, 29 Jan 08, Paragraphs 1.3.6 and 4.4.2.1 applies to all contractors, sub-contractors, vendors, commercial delivery companies, and all other private business vehicles who operate anywhere on Hill Air Force Base, including the airfield (to include the industrial areas and any buildings or hangars located upon the airfield) in support of their mission.

HOUSEKEEPING: Housekeeping shall be conducted according to the requirements in

OSHA Standard 29 CFR 1910.141. CLEAN AS YOU GO will be enforced.

The authorized Government Representative (OO-ALC Safety Office) shall accept/reject the contractor’s procedures within the Health and Safety Plan as meeting the intent of the below referenced standards, with the exception of Mishap Notification / Reporting

Procedures, which are outlined in Section I, paragraph B of this Appendix C.

Element/Requirement Referenced Benchmark

Contract Safety AFPAM 91-210 Para. 6

Mishap Notification/Reporting Appendix C, Section I AFI 91-204 Para. 4.9

Facility Fire Protection NFPA 13, 70, & 72

NFPA 409/410

AFI 91-203 Chapters 6, 22

Handling, Storage and use of Flammable/ NFPA 30, 33

Combustible Liquids

Hazardous Material Management AFI 32-7086 HAFBSUP 1

Storage and Materials Handling DoDI 4140.62 DoDI 4145.19-R-1

APPENDIX D – MAINTENANCE WORK PLAN

Compressor

Preventative Maintenance Checklist

Contractors

Responsibility

Item # Description Action Three

Months

Six

Months

Nine

Months

Annual

1: Hour meter Check / Record X X X X

2: Oil Temperature Check / Record X X X X

3: Oil Pressure Check / Record X X X X

4: Driver Lubrication (Oil

Flooded)

Check / Record X X X X

5: Vibration Monitor

Readings

Check / Record X X X X

6: Stage Air Pressures Check / Record X X X X

7: Stage Air Temperature Check / Record X X X X

8: Test Indicator/Warning

Lights

Check / Maintain X X X X

9: Inlet Air Temperature Check / Record X X X X

10: Coolant Temperature:

IN/Out

Check / Record X X X X

11: Condensate Traps Check / Inspect /

Maintain

X X X X

12: Inlet Air Filter DP Record / Maintain X X X X

13: Inspect Inter/After cooler Check / Maintain X X X X

14: Drain condensate from piping drip leg

Drain X X X X

15: Reservoir Oil Level Check / Record /

Maintain

X X X X

16: Control & Instrument Air

Filter.

Replace as required X X X X

17: Oil Filter DP Check / Record /

Replace as required

X X X X

18: Inspect Pre-lube Pump

Coupling

Replace as required X X X X

19: Inspect For Oil Leaks Check / Maintain X X X X

20: Inspect For Coolant

Leaks

Check / Maintain X X X X

22: Control Valves

Calibration

Check / Maintain X X X X

23: Shaft Vibrations, Compressor Drive

Check / Advise X X X X

24: Inlet Air Filter Panels &

Housing

Inspect / Maintain X X X X

25: Compressor Diagnostic

Service (CDS) analysis and Report

Submit report X X X X

26: Oil Sample Analysis. The contractor shall take oil samples to be analyzed for wear metals, free chlorides, and acid content and moisture. Oil shall be changed when checked parameters exceed manufacturer’s criteria.

Submit report X X X X

27: Oil Mist Arrestor Check / Maintain X X X X

28: Change Oil Filter Replace X X

29: Discharge Check Valve Inspect / Maintain X

30: Coupling Alignment Check / Maintain X

31: Clean, Inspect & Grease

Coupling

Inspect / Maintain X X

32: Inspect Driver Per Mfrs.

Instructions

Advise X X

33: Inlet Screens For Oil

Pumps

Inspect / Maintain X X

34: Vibration Monitor

Calibration

Inspect X X

35: Oil Cooler Water side Inspect / Maintain X X

36: Inspect Bull Mesh Noise Inspect / Maintain X

37: Surge Test Compressor Check / Advise X

38: Detailed inspection report

Each Visit

Submit report X X X X

APPENDIX E – PREVENTATIVE MAINENANCE CHECKLIST

Compressor

Preventative Maintenance Checklist

Item # Description Action Results

1: Hour meter Check / Record

2: Oil Temperature Check / Record

3: Oil Pressure Check / Record

4: Driver Lubrication (Oil

Flooded)

Check / Record

5: Vibration Monitor

Readings

Check / Record

6: Stage Air Pressures Check / Record

7: Stage Air Temperature Check / Record

8: Test Indicator/Warning

Lights

Check / Maintain

9: Inlet Air Temperature Check / Record

10: Coolant Temperature:

IN/Out

Check / Record

11: Condensate Traps Check / Inspect /

Maintain

12: Inlet Air Filter DP Record / Maintain

13: Inspect Inter/After cooler Check / Maintain

14: Drain condensate from piping drip leg

Drain

15: Reservoir Oil Level Check / Record /

Maintain

16: Control & Instrument Air

Filter.

Replace as required

17: Oil Filter DP Check / Record /

Replace as required

18: Inspect Pre-lube Pump

Coupling

Replace as required

19: Inspect For Oil Leaks Check / Maintain

20: Inspect For Coolant

Leaks

Check / Maintain

22: Control Valves

Calibration

Check / Maintain

23: Shaft Vibrations, Compressor Drive

Check / Advise

24: Inlet Air Filter Panels &

Housing

Inspect / Maintain

25: Compressor Diagnostic

Service (CDS) analysis and Report

Submit report

26: Oil Sample Analysis. The contractor shall take oil samples to be analyzed for wear metals, free chlorides, and acid content and moisture. Oil shall be changed when checked parameters exceed manufacturer’s criteria.

Submit report

27: Oil Mist Arrestor Check / Maintain

28: Change Oil Filter Replace

29: Discharge Check Valve Inspect / Maintain

30: Coupling Alignment Check / Maintain

31: Clean, Inspect & Grease

Coupling

Inspect / Maintain

32: Inspect Driver Per Mfrs.

Instructions

Advise

33: Inlet Screens For Oil

Pumps

Inspect / Maintain

34: Vibration Monitor

Calibration

Inspect

35: Oil Cooler Water side Inspect / Maintain

36: Inspect Bull Mesh Noise Inspect / Maintain

37: Surge Test Compressor Check / Advise

38: Detailed inspection report

Each Visit

Submit report

SIGNATURE: