NEA Contractor Approval Procedure Template.docx

Northeast Area COVID19 Program Approval Procedures for Construction Consultant/Contractor Site Visit and Construction Project (State)

1. Location:

2. State:

3. County:

4. Center Director/Location Coordinator:

5. Location Pandemic Coordinator and Alternate:

a. LPC:

b. ALPC:

6. Location Operational Status:

7. Project Name:

8. NEA Engineering Project Manager:

9. Name of Contractor:

10. States Where the Contractors (Prime and Subs) are Traveling From:

a. Prime State of Origin:

b. Sub to Prime State of Origin:

c. High Risk Update: 9/25/2020

d. High Risk States: Verify CDC Status and issue

11. Dates of Visit for Design Team:

12. Method of Travel:

13. Compliance with CDC Travel Requirements (Testing and Quarantine) as applicable:

14. Construction Contractor Planned Mobilization Dates:

15. Duration of Construction:

16. Site Support Required for Contractor:

17. Project Indoor/Outdoor:

18. ARS Role/Responsibilities:

a. Identify POC for Pandemic/COVID19 information:

b. Provide Contractor Expectations for Wellness checks

c. Convey to Contractor/Consultant the requirements per the location plans for non-ARS employee to be onsite

d. Outline “Social Distancing” expectation

e. Decontamination of Space the contractor occupied

f. Hygiene, Face Covers and other PPE while on site

g. Comply with all State and Local requirements for out of Area/State visitors.

19. Contractor Responsibilities (includes all subs) to be onsite:

a. Meet all State or Local Guidelines for Work activities and entry to the State

b. Provide ARS COR with Documentation including redacted test results for staff/workers entering from a designated High-Risk State.

c. Submit a Social Distancing Plan as part of the “Site Safety Plan.”

d. Ensure all employees comply with PPE requirements including Face Covers

e. Complete and document a daily “Wellness Check of employees onsite daily”

f. Notify ARS immediately of any Wellness failures – symptomatic or COVID19+

g. Complete daily check-ins and records of where and when workers are on the property including contact information for 30 days beyond the last onsite dates.

20. Approval by Location Management:

21. Approval by Area Pandemic Coordinator: