idf-nezpr221-1_WFLHD-28.pdf

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Sheet of Form WFLHD 28 (Rev. by WFLHD 09/2025) U. S. Department of Transportation Guide Outline of Contractor’s Federal Highway Administration Accident Prevention Plan To ensure compliance with Subsection 107.08 of the Special Contract Requirements, this form shall be completed, and with any necessary attachments, be submitted to the Contracting Officer (CO) at the date and place designated by the CO. The accepted plan, with all approved modifications and agreements, will become part of the contract. time, will be required to comply with all phases of the construction safety and health regulations.

Space is provided after each section for answers. If additional space is needed, attach additional sheets.

Section 1926 references can be found in the Occupational Safety and Health Administration's Safety and Health Regulations for Construction, Part 1926, Title 29, Code of Federal Regulations.

SIGNATURE (Contractor Representative*):

SIGNATURE (Project Manager/Superintendent*) Date:

SIGNATURE (FHWA Representative) SIGNATURE (FHWA Representative) Date:

Date:

Date:

"I certify that the information contained in this record is accurate and that work documented herein complies with the contra

ct. Exceptions to this certification are documented as a part of this record."

SUBPART A. GENERAL

Section 1926.2 Variations from Safety and Health Standards.

If a variance is requested from the Department of Labor, submit a copy of the requested variation and resulting approval or disapproval to the CO.

SUBPART C. GENERAL SAFETY AND HEALTH PROVISIONS

Section 1926.20 General Safety and Health Provisions.

Paragraph (b) Accident prevention responsibilities. Name of person who will make regular inspections of the job site, equipment, and material for the purpose of accident prevention. List the applicable training and qualifications of the individual.

How frequently will job site, equipment, and material inspections be made?

Section 1926.21 Safety Training and Education.

Paragraph (b). Employer responsibility. Describe the training given to employees to recognize and avoid unsafe working conditions.

Describe the training given to employees who handle poisons, caustics, and other harmful substances.

Describe the training given to employees who handle flammable liquids, gases, or other toxic materials.

It is normal to encounter harmful plants and animals on WFL projects, describe training given to employees to avoid encounters and injuries.

Section 1926.25 Housekeeping Name of person who will make regular inspections of the job site to ensure scrap, debris, waste, and refuse are properly stored and disposed of at frequent and regular intervals.

Section 1926.28 Personal Protective Equipment.

Paragraph (a). Name of person who will be responsible for enforcing the use of appropriate personal protective equipment on the project.

SUBPART D. OCCUPATIONAL HEALTH AND ENVIRONMENTAL CONTROLS

Section 1926.50 Medical Services and First Aid.

Paragraph (a). Name and address of medical facility available to advise and consult on matters of occupational health.

Paragraph (b). Describe the plan to provide prompt medical attention in case of serious injury.

Paragraph (c). List the project personnel who are currently certified in first aid training from the American Red Cross, U.S. Bureau of Mines, or equivalent training.

Paragraph (d). List the locations where first aid supplies will be available on the project Name the person who will check and maintain the first aid kits.

Paragraph (e). Describe the vehicle(s) available for prompt transportation of injured persons to a physician or hospital, or the communication system available for contacting necessary ambulance service.

Paragraph (f). Where 911 service is not available, describe the communication system available for contacting emergency dispatch services.

Where will the emergency telephone numbers (e.g., physicians, hospitals, ambulances) be conspicuously posted?

Paragraph (g). Where people may be exposed to injurious corrosive materials, where will the quick drenching or flushing facilities be located within the work area?

Section 1926.51 Sanitation.

Paragraph (a) Potable water. Describe drinking water facilities and location(s) within the project area.

Paragraph (c) Toilets at construction job sites. Describe sanitation facilities to be provided and location(s) within the project area.

SUBPART E. PERSONAL PROTECTIVE AND LIFE SAVING EQUIPMENT

Section 1926.100 Head Protection.

Paragraph (a). Describe working areas or operations where head protection will be worn.

Section 1926.101 Hearing Protection.

Paragraph (a). Describe working areas or operations where ear protection will be provided and worn Section 1926.102 Eye and Face Protection.

Paragraph (a). Describe work areas or operations where eye and face protection will be provided and worn.

Section 1926.104 and 1926.105 Safety Belts, Lifelines, and Lanyards; Safety Nets.

Describe work areas or operations where safety belts, lifelines, lanyards, and/or safety nets will be provided and used.

Section 1926.106 Working Over or Near Water.

Paragraphs (a), (b), and (c). Describe work areas or operations near water where life jackets or buoyant work vests will be provided and worn, and ring buoys and a skiff will be provided.

SUBPART F. FIRE PROTECTION AND PREVENTION

Section 1926.150 Fire Protection.

Paragraph (a). Describe the fire protection program to be followed throughout all phases of the project.

Section 1926.152 Flammable and Combustible Liquids.

Paragraph (a) General requirements. Describe work areas or operations where approved safety cans will be used for handling flammable and combustible liquids Paragraph (c) Storage outside buildings. Describe storage facilities and locations for flammable and combustible liquids on the project.

SUBPART I. TOOLS - HAND AND POWER

Section 1926.300 General Requirements.

Paragraphs (a) (b) (c) and (d). Name the person who will inspect tools for compliance and provide the frequency of inspections.

Section 1926.302 Power Operated Hand Tools.

Paragraph (b) Pneumatic power tools. Describe the method to be used for securing hose ends of pneumatic power tools.

SUBPART K. ELECTRICAL

Section 1926.403 General Requirements.

Describe the work areas or operations where employees will be provided protection against electric shock.

Section 1926.416 General Requirements Paragraph (a) Protection of Employees. Describe the methods to be used for protecting employees against electric shock.

SUBPART L. SCAFFOLDING

Section 1926.451 Scaffolds.

Describe work areas and operations where scaffolding meeting the requirements of this section will be provided and used.

Section 1926.543 Aerial Lifts Describe work areas and operations where aerial lifts meeting the requirements of this section will be provided and used.

Paragraph (b)(2)(ii) List certified aerial lift operators.

SUBPART M. FALL PROTECTION

Section 1926.501 Duty to Have Fall Protection Describe work areas and operations where fall protection will be provided and used on the project.

Section 1926.503 Training requirements Describe the training program that will be provided to employees who might be exposed to fall hazards

SUBPART N.HELICOPTERS, HOISTS, ELEVATORS AND CONVEYORS

Section 1926.551 Helicopters Describe work areas and operations where helicopters will be used to perform project work.

Paragraph (b). Name of person who will conduct daily briefings before operations begin.

Section 1926.555 Conveyors.

Paragraph (a) General requirements. Describe audible warning system which will be sounded immediately before starting up the conveyor.

Paragraph (a) (5). Describe precautions that will be taken where a conveyor belt passes over work areas, aisles, or thoroughfares.

SUBPART O. MOTOR VEHICLES, MECHANIZED EQUIPMENT AND MARINE OPERATIONS

Section 1926.600 Equipment.

Paragraph (a) (1) and (3) (ii) General requirements. List precautions that will be taken after the work shift for parked unattended equipment.

Section 1926.601 Motor Vehicles.

Paragraph (b) (4) General requirements. List precautions that will be initiated when motor vehicle equipment which has an obstructed view to the rear is used on the project.

Paragraph (b) (14). Name of person who will make before shift inspections of vehicles in accordance with this section and assure that vehicles with defects will be corrected before being placed in service.

Section 1926.602 Materials Handling Equipment.

Paragraph (a) (4) Brakes. Describe procedures used to assure that earthmoving equipment described in this section will have a service brake system capable of stopping and holding the equipment fully loaded.

How often will service brakes be tested?

Paragraph (a) (9) (ii) Audible alarms. List the precautions that will be initiated when earthmoving or compaction equipment with an obstructed view to the rear is used in reverse gear.

Section 1926.603 Pile Driving Equipment.

Paragraph (a)(8). Describe provisions made for the protection of loft workers on pile driver leads.

Section 1926.605 Marine Operations and Equipment.

Describe work areas and operations where barges will be used to perform project work.

Paragraphs (d)(2) - (3). List safety equipment that will be provided.

SUBPART P. EXCAVATIONS

Section 1926.651 Specific Excavation Requirements.

Paragraph (j). Describe the provisions made to assure that employees will not be exposed to falling loose rock or soil.

Paragraph (k). Name of competent person who will make daily inspections of excavations for possible slides or cave-ins and inspect excavations after rain or other hazard producing occurrence. This person will initiate the necessary corrective actions required to safeguard the employees.

Section 1926.652 Requirements for Protective Systems.

Paragraph (a)(1). Describe the provisions that will be made to provide protection from slides or cave-ins during trenching operations.

SUBPART Q. CONCRETE AND MASONRY CONSTRUCTION

Section 1926.701 General Requirements.

Paragraph (b). What provisions will be made to ensure that vertically protruding reinforcing steel will not become an impalement hazard?

Section 1926.703 Requirements for Cast-In-Place Concrete Paragraph (b)(1) and (b)(3). Name of person who will inspect shoring equipment prior to erection and prior to, during, and after concrete placement.

SUBPART R. STEEL ERECTION

Section 1926.753 Hoisting and Rigging Paragraph 1926.753(c)(1)(i). Name of competent person who shall inspect cranes prior to each shift and during use to make sure it is in safe operating condition.

Paragraph 1926.753(c)(2). Name of qualified rigger who shall inspect the rigging prior to each shift.

SUBPART S. UNDERGROUND CONSTRUCTION, CAISSONS, COFFERDAMS, AND COMPRESSED AIR

Section 1926.800 Underground Construction Paragraph (b)(3). Describe the provisions that will be made to control access to underground work.

Paragraph (d). Describe the training that is provided to employees instructing them in the recognition and avoidance of hazards associated with underground construction activities

SUBPART U. BLASTING AND THE USE OF EXPLOSIVES

Section 1926.900 General Provisions Paragraph (a). Names of persons authorized and qualified to handle and use explosives.

Paragraph (d). Location of the record maintained for the inventory and use of explosives.

Paragraph (k) (3). Name of person responsible for placement of blasting signs meeting the requirements of this section.

Section 1926.901 Blaster Qualifications Paragraph (c) - (e). Provide the name of the blaster and applicable training, knowledge, or experience.

Section 1926.902 Surface Transportation of Explosives.

Describe the vehicle that will be used to transport explosives on the project for project use.

SUBPART X. Stairways and Ladders Section 1926.450 Ladders.

Paragraph (a) General requirements. Describe the work areas or operations where ladders will be provided and used to give safe access between working elevations.

SUBPART CC. Cranes and Derricks in Construction Section 1926.1412 Inspections.

Paragraph (c)(1) - (c)(3). Name of qualified person who shall inspect machinery and equipment assure it is configured in accordance with the manufacturer equipment criteria.

Paragraph (d)(1). Name of competent person who shall inspect equipment and items listed under paragraphs (d)(1)(i) through (xiii) of this section prior to each shift and during use to confirm safe operating conditions.

Paragraph 1926.1412(e)(3). Location of record giving the date and results of inspections for each hoisting machine and piece of equipment.

Section 1926.1422. Signals - Hand Chart Signal.

Where will hand signal charts be posted?

Section 1926.1427 Operator Training, Certification, and Evaluation Paragraph 1926.1427(a). Name of operator(s) and applicable training, certification/licenses, and evaluations as described in this section.

MISCELLANEOUS

Provide any additional plans, training, or other OSHA requirements relevant to this project that have not been addressed above.

6.5.0.20190320.2.935878.932721 Service Desk May 16, 2024 Information Technology FHWA WFLHD Guide For Contractor's Accident Prevention Plan

WFLHD

Guide For Contractor's Accident Prevention Plan May 16, 2024