Attached_3_099-010PH_RMMCO_Check-In_v01_2014_updates.pdf

ITEM NO: 099-010

FY-2014

PHNSY & IMF

LOCAL STANDARD ITEM

DATE: 1 Oct 2013

CATEGORY: 1

1. SCOPE:

1.1 Title: Contractor Regional Maintenance and Modernization Coordination Office Check-In;

accomplish

2. REFERENCES:

2.1 NAVSHIPYD&IMFPEARLINST 5510.78C, PHNSY and IMF Information and Personnel Security Program, Chapter 13, Badge and Pass Program.

2.2 NAVSEA STANDARD ITEM 009-74, Occupational, Safety and Health Requirements.

2.3 PHNSY & IMF, Environmental Code 106.3, Environmental Agreement for Contractors on Ship Projects, Revision January 17, 2013.

2.4 29 Code of Federal Regulations 1910, Occupational Safety and Health Standards.

2.5 NAVSEA STANDARD ITEM 009-10, Shipboard Asbestos-Containing Material (ACM).

2.6 NAVSEA STANDARD ITEM 009-32, Cleaning and Painting Requirements.

2.7 40 Code of Federal Regulations, Protection of Environment.

2.8 49 Code of Federal Regulations, Transportation.

2.9 NAVSEA STANDARD ITEM 009-04, Quality Management System.

3. REQUIREMENTS:

3.1 Contact the Pearl Harbor Naval Shipyard and Intermediate Maintenance Facility (PHNSY & IMF) SUPERVISOR (Project Manager), at least five (5) Working Days (WDs) prior to start of work, for coordination of Regional Maintenance and Modernization Coordination Office (RMMCO) Check-In.

3.2 The Contractor shall attain PHNSY & IMF Security Access Control (SAC) Badges for all personnel (Contractor and Subcontractors) entering PHNSY and IMF. The Contractor shall use reference

2.1 for guidance.

3.2.1 The Contractor shall submit a Visit Request for access to PHNSY & IMF, outlined in Attachment A, to the SUPERVISOR, five (5) WDs prior to start of work.

3.2.2 Upon direction of the SUPERVISOR, the Contractor shall proceed to the PHNSY & IMF Pass & ID Office for issuance of badges and viewing of a 15-minute orientation briefing video.

3.3 The Contractor shall generate and submit a RMMCO Check-In Binder to the SUPERVISOR, three (3) WDs prior to the start of work. The RMMCO Check-In Binder shall be divided into sections with a Table of Contents. At a minimum, the RMMCO Check-In Binder shall include:

3.3.1 Safety Plan in accordance with reference 2.2. The Safety Plan shall be specific to the PWS/Work Items to be accomplished.

3.3.2 Environmental Plan in accordance with reference 2.3. The Environmental Plan shall be specific to the PWS/Work Items to be accomplished. The Environmental Plan shall include:

3.3.2.1 Completed Environmental Checklist, outlined in Attachment B.

3.3.2.2 Environmental Protection Plan (Exempt when no dust, debris, pollutant, or waste is generated and no potential exists for a release to the environment).

3.3.2.2.1 Spill Prevention, Control, and Countermeasure (SPCC) Plan:

3.3.2.2.1.1 Provide name and telephone number for a 24-hour

emergency coordinator with alternate.

3.3.2.2.1.2 Describe the method and work practices to be

employed to prevent discharges of any volume to the river or ocean.

3.3.2.2.1.3 Describe the Contractor's spill clean-up capability (i.e., equipment such as oil skimmer, absorbent pads/booms, etc.).

3.3.2.2.1.4 Identify a standby Subcontractor in case a

discharge exceeds the Contractor's clean-up capability. Provide name of proposed subcontractor, estimated response time, clean-up capabilities, and certify that the Subcontractor will respond if called regardless of time/weather, etc.

3.3.2.2.1.5 Provisions for notification of the SUPERVISOR

(after normal working hours) or PHNSY & IMF Environmental Code 106.3 (during normal working hours) immediately upon discovery of any improper discharge.

3.3.2.2.1.6 Provide documentation of successful

accomplishment of spill training for all spill team members.

3.3.2.2.2 Pumping operations (liquid transfer to barge/tank or vice versa or in combination):

3.3.2.2.2.1 Describe the continuous communications between

pump tender and barge/tank tender to allow immediate shutdown if a problem occurs during pumping/transfer operations.

3.3.2.2.2.2 Specific method for gauging compartment volume

in barge/tank; maximum volume to be 90 percent of capacity in receiving barge/tank.

3.3.2.2.2.3 Describe provisions to tag pump lines to indicate where line is originating from (i.e., ship/craft tank/void pump number).

3.3.2.2.3 Hazardous Material:

3.3.2.2.3.1 Provide documentation of training for personnel

using hazardous materials as required by reference 2.4.

3.3.2.2.3.2 Indicate that no hazardous material shall be stored on the ship or craft, except while the material is in daily use or while located in storage areas assigned by the SUPERVISOR.

3.3.2.3 Abatement Plan (i.e., asbestos, lead), as applicable, in accordance with reference 2.5 and 2.6.

3.3.2.3.1 Procedures to be implemented for medical surveillance of personnel.

3.3.2.3.2 Worker protection: Respiratory controls and personal protective equipment requirements.

3.3.2.3.3 Control procedures for airborne fibers.

3.3.2.3.4 Procedures for air sampling before, during and after abatement.

3.3.2.3.5 Decontamination of work area.

3.3.2.3.6 Waste disposal requirements.

3.3.2.3.7 Encapsulation applications and procedures.

3.3.2.4 Waste Management Plan:

3.3.2.4.1 Hazardous waste is defined by reference 2.7 and applicable state Hazardous Waste Management Regulations.

3.3.2.4.2 Indicate that the Contractor is responsible for properly determining waste identification, including laboratory analysis if necessary under the requirements of reference 2.7, so that the proper Department of Transportation (DOT) shipping name can be determined for disposal of the hazardous waste in accordance with reference 2.8. Copies of all laboratory analyses shall be provided to the SUPERVISOR along with manifests.

3.3.2.4.3 Identify the proposed transporter and transporter Environmental Protection Agency (EPA) Identification (ID) number who will deliver the hazardous waste to the disposal site. Certify in writing that the proposed transporter meets all Federal, state, and local laws/requirements for the services to be provided. This information shall be submitted to the SUPERVISOR.

3.3.2.4.4 Describe the segregated storage area that will be utilized by the Contractor for storage of hazardous waste.

3.3.2.4.5 Develop and use a checklist to ensure that transporter's vehicles comply with all applicable DOT requirements of reference 2.8.

3.3.2.4.6 Provide certification that the disposal site is legally authorized to accept the identified hazardous waste.

3.3.2.4.7 Provide documentation of hazardous waste training for all required personnel in accordance with references 2.4, 2.7 and 2.8.

3.3.3 Quality Management Plan, if applicable, in accordance with the PWS/Work Items.

3.3.4 Quality Assurance (QA) Workbook. The QA Workbook shall contain the following:

3.3.4.1 Section 1: PWS/Work Item.

3.3.4.2 Section 2: Personnel – A comprehensive list of all Contractor personnel that will be onboard PHNSY & IMF during execution of the PWS/Work Items. In addition, the list shall identify subcontractors and temporary employees. This section shall include up-to-date qualifications, certifications and training received that is relevant. Minimum requirements as to required personnel certifications are:

3.3.4.2.1 Hot work.

3.3.4.2.1.1 Competent Person: Department of Labor Form

OSHA 73, Designation of competent person(s) and designation of the certified marine chemist(s) responsible of preparing certificates are required.

3.3.4.2.1.2 Firewatch personnel: Certificates of training for fire watch standing.

3.3.4.2.1.3 Tank cleaning personnel: Certificates of safety

practices training for tank cleaning personnel.

3.3.4.2.1.4 Persons performing hot work: Certification(s) of

qualification for performance of applicable hot work.

3.3.4.2.1.5 Test personnel qualification. Certification(s)

qualifications for nondestructive testing personnel.

3.3.4.2.2 Insulation work.

3.3.4.2.2.1 Qualified Person: Provide written designation of the qualified person who will take and count samples, monitor personnel, inspect affected spaces, and certify affected areas are safe to enter.

3.3.4.2.3 Fluorocarbon use.

3.3.4.2.3.1 Qualified/Competent Person: Certification of the

person who will monitor atmosphere, inspect and certify spaces are safe to enter, and who will supervise these activities.

3.3.4.2.4 Electrical/Electronic Connector and Fiber Optic Work.

3.3.4.2.4.1 Qualified personnel: Qualification certification for all Electrical Connector Fabricators, Connector Fabricator Supervisors, and Connector Fabrication Quality Assurance Inspector(s). Fiber Optic Fabricators, Installers, Fabricator Supervisors, and Fabrication Quality Assurance Inspectors shall obtain a MIL-STD-2042 based qualification certification from an Approved Trainer designated by the Naval Surface Warfare Center Dahlgren Division (NSWCDD).

3.3.4.2.5 Accomplishment of Nondestructive Testing (NDT).

3.3.4.2.5.1 Qualified personnel: Certification of qualifications for all certified NDT inspectors in the applicable NDT method/methods to be employed.

3.3.4.2.6 Painting of Critical Surfaces.

3.3.4.2.6.1 Qualified personnel: Certification of qualification for all certified coating inspectors and painters/blasters.

3.3.4.2.7 Entry into Confined Spaces. Provide written designation of the OSHA certified marine chemist who will inspect atmosphere of confined spaces prior to entry.

3.3.4.2.8 Electrostatic Discharge (ESD) Work. Workers require ESD qualification.

3.3.4.2.9 Passive Countermeasure System (PCMS) Work. Workers

require qualification/certification.

3.3.4.3 Section 3: Procedures –The Contractor shall generate and document the process control procedures when identified in the PWS/Work Items and cross-reference with personnel qualifications in Section 3.3.4.2, when applicable.

3.3.4.4 Section 4: Plan of Actions and Milestones (POA&M) – Gantt chart that provides a breakdown of Contractor work being accomplished in a sequence of events, and provides time requirements.

3.3.4.5 Section 5: Test and Inspection (T&I) Plan in accordance with reference 2.9.

The plan shall provide all of the Inspections, Verification and Government observation points that demonstrate the Contractor has completed all process control procedures.

3.3.4.6 Section 6: Test & Inspection Records – Includes all forms that will be used to document the tests and inspection performed in Section 3.3.4.5.

3.3.5 Privately-owned Portable Electronic Device (PED) Approval Request Forms, if applicable. Privately-owned PEDs of any type are prohibited within PHNSY & IMF unless authorization has been granted by PHNSY & IMF Code 1230. The Privately-owned PED Approval Request Form is outlined in Attachment C. Once approved, the Contractor shall carry the approved Privately-owned PED Approval Request Form with the applicable PED at all times within PHNSY & IMF.

3.4 The Contractor (All personnel that will be onboard PHNSY & IMF during execution of the PWS/Work Items, including Subcontractors) shall attend PHNSY & IMF Training at RMMCO on start of work. Once PHNSY & IMF Training has been completed, the Contractor shall add the Training Rosters to the RMMCO Check-In Binder. The Contractor shall coordinate the scheduling of the PHNSY & IMF Training with the SUPERVISOR. PHNSY & IMF Training includes:

3.4.1 PHNSY & IMF Indoctrination Training (RMMCO).

3.4.2 PHNSY & IMF Radiation Control (RadCon) Training (RMMCO).

3.4.3 NAVSEA Instruction 6010 Training, when applicable (RMMCO).

3.4.4 PHNSY & IMF Safety and Environmental Brief (PNSY & IMF Code 106).

4. NOTES:

4.1 The Indoctrination, RadCon, and NAVSEA Instruction 6010 Training are provided from Monday-Friday: 0630-1400.

4.2 The Safety and Environmental Brief is provided from Monday-Thursday: 0930 and 1330; and Friday: 0830 and 1330.

4.3 Contractor personnel shall have a valid Driver’s license, and a vehicle pass for base access. The Government will submit the Base Access Request to the Joint Base Pearl Harbor Hickam (JBPHH) Security. JBPHH participates in the RAPIDGate Program. Details on the RAPIDGate Program can be found at http://www.rapidgate.com/.

4.4 The PHNSY & IMF Pass & ID Office is open Monday-Friday: 0615-1445. U.S. Citizenship is required for PHNSY & IMF access. Access to the Controlled Industrial Area (CIA) and/or other PHNSY & IMF spaces is limited to first shift hours (0630-1500). Access to the CIA outside of first shift must be requested in writing to PHNSY & IMF Code 1121 via the SUPERVISOR. The written request must include: company name; purpose of work; location that work will take place; duration period; time; and SUPERVISOR name and phone number.

4.5 The SUPERVISOR will submit Privately-owned PED Approval Request Forms to Code 1230 for approval. Code 1230 accepts PED Approval Request Forms Tuesday: 1330-1630; and Wednesday:

0630-0930. The Contractor is encouraged to submit PED Approval Request Forms to the SUPERVISOR as soon as award is made to allow for timely approval.

4.6 Contractor employees shall clearly identify themselves as a Contractor (i.e. company shirt, badge, company identification) in a visible location on the front of exterior clothing, above the waist, (except when safety or health reasons prevent such placement). Identification badges shall be worn at all times when performing work.

4.7 Contractors performing services will be required to comply with all PHNSY & IMF rules, regulations, and training that is applicable to conduct, safety, security, and procedures governing site entry and exit. Contractor personnel will be escorted when working in sensitive areas, as required. The SUPERVISOR will make arrangements to provide escort service if required.

5. GOVERNMENT FURNISHED MATERIAL (GFM):

5.1 None.

ATTACHMENT A

PRIVACY ACT STATEMENT

AUTHORITY: U.S. Code, Title 5, Section 301. NAVSEAINST 5510, subj:

Physical Security, Access and Movement Control at Shore Activities and NAVSHIPYD&IMFPEARLINST 5510.78 series, subj: Pearl Harbor Naval Shipyard and Intermediate Maintenance Facility (PHNSY/IMF) Information and Personnel Security Program

PRINCIPAL PURPOSE:

(1) The information is obtained:

(a) To identify personnel visiting the PHNSY/IMF areas, including PHNSY/IMF shops/offices, ships and tenant activities located within the PHNSY/IMF CIA (Controlled Industrial Area).

(b) To authorize access to the PHNSY/IMF CIA to conduct official business which constitutes a fleet or PHNSY/IMF operational need.

(2) The information will be used to authorize the issuance of an appropriate PHNSY/IMF Identification badge/pass, which is required to visually identify personnel who are authorized entry into controlled industrial areas and security areas.

ROUTINE USE(S):

(1) Information provided in the form, when compared with information known to or normally in the possession of an individual, is used in determining whether or not an individual is where he purports to be when visiting an activity.

(2) The reported information will be maintained in the PHNSY/IMF Security Office and will not be divulged to anyone not having an official need-to-know.

(3) In addition to those disclosures generally permitted under 5 U.S.C. 552a(b) of the Privacy Act, these records or information contained therein may specifically be disclosed outside the DoD as a routine use pursuant to 5 U.S.C. 552a(b)(3) as follows:

To designated contractors, Federal agencies and foreign governments for the purpose of granting Navy officials access to their facility.

The Blanket Routine Uses that appear at the beginning of the Navy’s compilation of systems of records notices apply to this system.

DISCLOSURE: Voluntary. However, failure on your part to furnish all the information requested may serve as a basis for denial of the request for visit or issuance of a PHNSY/IMF security access control badge to you, and denial to enter PHNSY/IMF controlled areas.

ATTACHMENT B

ENVIRONMENTAL CHECKLIST

PHNSY&IMF ENVIRONMENTAL, CODE 106.3 (rev 06/09/10)

CONTRACTOR INFO

Contractor Company Name:

Date:

E-mail address: FAX number:

Subcontractor Company Name:

POC Phone number:

Subcontractor Company Name: POC Phone number:

Contractor Env Manager/POC Name: Phone number:

PHNSYIMF POC:

Phone number:

Liaison Name:

Phone number:

ENVIRONMENTAL ASPECTS

Y N Check all that apply. Attach additional sheets as required.

Using Hazardous Material?

If yes, description and quantity:

Generating Hazardous Waste/PCB Waste?

Generating Industrial Wastewater?

JOB INFO

Job Location (Bldg\Ship):

Start/End Dates: Start/End Dates:

Work Shifts:

Summary of Job:

ENVIRONMENTAL CHECKLIST (CONTINUED)

Y N Check all that apply. Attach additional sheets as required.

Generating Recyclables? (scrap metal, cardboard, etc)

Generating Used Oil?

Generating Solid Waste?

Generating Excavation/Construction/Demolition Debris?

Hydroblasting/Sandblasting?

Painting?

Generating Ozone Depleting Substances? (halon, Freon, etc.)

Using Compressed Gas Cylinders?

Using Generator?

Require potable water? (Cross Connection) Have Environmental plan?

If Yes, attach to this form. If No, justification why not.

Have Environmental surveillance plan?

If Yes, attach to this form or describe here. If No, justification why not.

Have Environmental training?

If Yes, list names of people who took training and which classes they competed.

ENVIRONMENTAL CHECKLIST (CONTINUED)

Signature:

Name (print):

Date:

Title within company (supervisor, foreman, lead mechanic, etc.):

ATTACHMENT C