Portable Hydraulic Power Unit Performance Work Statement.pdf

U.S. Army Corps of Engineers® Chicago District

Statement of Work Lockport Lock

FY24 Lockport Lock Portable Hydraulic Power Unit

Customer:

Lock Master, Lockport Lock

Prepared By:

Brian Dockstader, Operations Technical Support Branch U.S. Army Corps of Engineers Chicago District 231 S. LaSalle St., Suite 1500 Chicago, IL 60604

1 Point of Contact 2 Pre-Bid Site Visit 3 Project/Contractual References 4 Material/Equipment Specifications 5 General Description of Work

5.1 Base Bid Item(s)

5.1.1 Base Bid Item 1 – Mobilization/Demobilization ............................................. Error! Bookmark not defined.

5.1.2 Base Bid Item 2 –Supply One (1) Portable HPU and Install Two (2) Hydraulic System Setups

6 Project Information

6.1 Basis for Award

6.1.1 Award Period for Options

6.2 Period of Performance

6.2.1 Pre-Construction Submittals

6.2.2 Project Timeline

6.3 Pre-Construction Meeting

6.4 Work Schedule

6.5 Material/Equipment Information

6.6 Dimension/Quantity Verification

6.7 Material Storage

6.8 Site Cleanup

7 Quality Assurance (QA)

7.1 Overview

7.1.1 Government Project Manager (PM)

7.1.2 Government Quality Assurance (QA)

7.1.3 Government Inspections

7.2 Contractor Quality Control (CQC)

7.2.1 Quality Control Program (QCP)

8 Communication 9 Repair/Restoration of Government Property 10 Work Stoppage, Contract Cancellation Actions 11 Liquidated Damages 12 Completion/Inspections 13 Payment 14 Warranty

14.1 Warranty Period

14.2 Repairs

15 Safety 16 Security

16.1 Access and General Protection/Security Policy and Procedures

16.1.1 Candidate Pre-Screening

16.1.2 Suspicious Activity Reporting Training

16.2 Start of Work

16.3 Arrival/Departure

16.4 Video/Camera Equipment

17 Submittals

17.1 Bid Submittals

17.2 Pre-Construction Submittals

17.3 Project Completion Submittals

Attachment #1 – Bid Schedule Attachment #2 – Location of U.S. Army Corps of Engineers Lockport Lock, 2502 Channel Drive Lockport, IL 60441 Attachment #3 – Government Safety Requirements

Attachment #4 – Accident Prevention Plan (APP) Checklist Attachment #5 – Activity Hazard Analysis (AHA) Attachment #6 – Drawings

1 Point of Contact For scheduling project site visits and/or questions regarding this Statement of Work:

U.S. Army Corps of Engineers, Chicago District Attn: Contracting Officer/Specialist NAME 231 S. LaSalle St., Suite 1500 Chicago, IL 60604

Phone: XXXX Facsimile: XXXX

2 Pre-Bid Site Visit There will be one (1) scheduled pre-bid site visit for prospective bidders. The date and time of the visit will be posted on SAM.GOV. The location of the visit will be the U.S. Army Corps of Engineers Lockport Lock at 2502 Channel Drive Lockport, IL 60441. Prospective bidders are urged to attend to gain information that will be necessary in the preparation of bid submittals. Due to maintenance, operation and security requirements, unscheduled visits may not be honored.

Following the visit to the project site, a question-and-answer session will be held. During this session, prospective bidders are asked to direct all questions concerning the project to the Chicago District Contracting Office (DCO).

3 Project/Contractual References

EM 385-1-1, 30 Nov 2014, U.S. Army Safety and Health Requirements Manual IEEE C2, National Electrical Safety Code (2017).

NFPA 70, National Electrical Code (2023).

NFPA 70E, National Electrical Code (2021).

Unified Facilities Guide Specifications (UFGS).

UFC 3-501-01, Electrical Engineering Change 1 (2019).

UFGS-41 24 26 Hydraulic Power Systems

NEMA KS-1.

UL 467.

NFPA – National Fire Protection Association.

ASME B31 Pressure Piping.

ANSI B16 Standards for Pipes and Fittings.

Manufacturer Product Data Specification Sheets Shop Drawings/As-Built Drawings/Etc.

4 Material/Equipment Specifications

The following material and equipment specifications must be met for this project:

All equipment, lines, wiring, controls, etc.

Portable Hydraulic Power Unit (HPU).

Hydraulic Reservoir (if applicable).

Piping, fittings, valves, hardware, etc.

5 General Description of Work

This Statement of Work details the addition and connection points/setups of a portable HPU to the hydraulics system of the Lockport Lock. The new HPU will be used on the upstream lift gates to move the hydraulic cylinder during maintenance operations to disconnect the crosshead from the piston or move the piston without the crosshead connected, which supports the gate cables while the main hydraulic pump/system is not in use. The necessary components and setup for the HPU will be installed to the hydraulics system at both sides of the upstream lift gates.

Hydraulic operating pressure 1500-2000 psi, ~250 gallon hydraulic cylinder, bore 20.86 in diameter, rod 8.66 in diameter, stroke 170 in., cycle time 90-120 seconds (per the operators), 100 HP pump, 750 gallon reservoir. This hydraulic system is the same on both sides of the Lock (East and West) for both sets of gates.

Drawings of the current hydraulic system are provided in the Attachments.

Provide submittals for Government approval on the proposed new HPU, equipment, and any other components as listed in Section 19 prior to any purchases.

Must include a 5-year parts warranty.

Follow all industry, manufactures, local, State and Federal codes, rules, regulations, and directions for all work performed.

Image 5-1 Hydraulic Cylinder Drawing (Included in Attachment Drawings).

5.1 Base Bid Item(s)

5.1.1 Base Bid Item 1 –Supply One (1) Portable HPU and Install Four (4) Hydraulic System Setups

Contractor will supply one (1) new portable HPU to be used to move the hydraulic cylinder during maintenance operations. The contractor will be responsible for providing and installing four (4) hydraulic connection points/setups to the existing hydraulic system for supporting the HPU at the East and West Machinery Houses, two houses per side. The HPU and setups must be capable of moving the piston rod in the cylinders to detach the crosshead during maintenance.

The contractor is responsible for any valves, connections, piping, and other component installation necessary for the connection of the HPU to the system. Any piping or valves, hardware, connections, etc. must all be stainless steel. The HPU must have a remote control. The HPU must be capable of throttling, holding pressure when stopping the movement of the cylinder, and be able to raise and lower. The HPU must run off electrical power with the Lock having 480v 3-Phase with a 100A breaker available or 240v 3-Phase with a 60A breaker available and the electrical connections with the existing connections in place at the Lock. The HPU and the connection to the hydraulic system must be quick disconnects with the contractor also supplying the hosing and connections necessary to run between the HPU and connection points. The HPU must be portable and capable of being moved between East and West houses.

The HPU and setups must be compatible with the current hydraulic oil being used, CITGO Hydurance AW68. The contractor is responsible for supplying hoses to reach the setup location points while the HPU is kept at ground level or near the entrance points of the houses (approximately at least 100 foot of hose necessary) for the supply, return, and the remote controls.

The contractor must follow UFGS language including below but not limited to:

Install hydraulic components in accordance with the manufacturer's written instructions and under the direction of the hydraulics technician. Install complete units or assemblies without disassembly. Provide necessary supports for all equipment or components. Mount all valves and other fluid control devices where required. Mark components to indicate pertinent operational requirements, warnings, and limitations such as maximum allowable operating pressure, temperature, velocity, range of adjustment, flow capacity, stroke, direction of flow, rotation or motion, safety precautions, and materials compatibility. The markings must be by stamping or embossing on the component or on an attached plate or tag which must, barring mutilation, remain affixed and legible for the life of the component.

Securely mount and anchor hydraulic pipe and tubing to structural members. Locate supports and anchors as indicated.

Provide guards at all locations where the structure does not provide protection for the lines from damage due to movement of personnel and equipment. Do not remove seals from pipe and tubing assemblies or from ports on components until the lines are ready for connection. Take provisions, including but not limited to providing portable screens and shelters, to minimize the entrance of abrasives, dirt, metal chips, and other foreign materials into the hydraulic system through open ends of lines and ports of components.

Install flexible conductors in accordance with the manufacturer's recommendations. Exercise special care to avoid imparting any twist in the conductors during tightening of fittings. Provide and locate supports to prevent conductors from contacting and chafing against fixed members. Provide clamps and straps used to support hoses with soft resilient sleeves, linings or bushings to prevent cutting and abrading of the hose. Arrange the routing of flexible hoses to preclude imparting a twist in the hose due to relative motion between the components to which the hose is connected.

Ensure the minimum bend radius of the hose is not less than that recommended for the particular hose size and maximum system operating pressure. Provide heat shields or insulating jackets where hose passes close to heated surfaces.

Cut tubing square using tube cutters specifically designed for the material to be cut. The use of hacksaws or other chip-producing equipment will not be permitted. Remove burrs completely after the tubing is cut and chamfer the inside diameter of the tube slightly. After the cutting and deburring operations, remove all metal fragments from the tubing interior and from sealing surfaces. Use tube benders designed and recommended by the manufacturer for bending stainless steel tubing of the wall thicknesses and sizes specified for the installation. Make bends accurately to the proper angle so that fittings align properly and mate without application of force or springing of the tube or fitting and ensure alignment is true enough so that threads may be engaged and hand turned no less than three turns. Ensure bends are completely free from wrinkling, and flattening does not exceed 5 percent of the outside diameter. Provide tube benders with necessary radius blocks, slide blocks, and special close radius blocks, as required to adapt the bending tools to the requirements of the work. Where necessary to ensure properly fabricated bends, use internal mandrels of proper diameter for the size and wall thickness of the tubing.

Provide hydraulic pipe weldments where required.

Provide services of a hydraulics technician to coordinate and supervise the installation, adjustments, tests, and field instructions for the hydraulic system. Ensure the hydraulics technician has at least 3 years of current experience in the installation and operation of similar systems.

This bid item includes mobilization and demobilization. Include all costs to mobilize all personnel, equipment, supplies, tools, testing equipment, etc. to the worksite and demobilize upon completion of all awarded base and optional items.

Mobilization and demobilization includes any costs associated with proper handling, storage, and disposal of waste such as demolished/removed parts unless separately itemized.

6 Project Information

6.1 Basis for Award

The Government must award the contract to the offeror who provides the lowest priced offer.

6.1.1 Award Period for Options

The Government reserves the right to award any and/or all optional bid items within ninety (90) calendar days following the initial award.

6.2 Period of Performance

The project completion date is set at one-hundred twenty (120) calendar days following the Notice to Proceed (NTP) for the awarded contract. In the event the contractor is unable to meet the project completion date, requests for extensions must be made in writing. The request must explain, in detail, why the original project completion date will not be met.

The request must be sent to the DCO along with an informational copy to the Project Manager (PM). The request must be made as soon as possible, but not later than ten (10) calendar days prior to the original completion date. This request must not negate penalties for liquidated damages unless an extension is granted by the DCO in writing.

6.2.1 Pre-Construction Submittals

All pre-construction submittals, as stated in Section 15.2 of this SOW, must be provided to the Government within fourteen (14) calendar days following the NTP of the contract. The contractor must allow up to twenty-one (21) calendar days from time of receipt for Government review of submittals. Work may not begin until Government approval of all submittals required in Section 15.2 of this Statement of Work. Submittals must include ENG FORM 4025.

6.2.2 Project Timeline

As part of the pre-construction submittals, the contractor must supply a timeline or schedule for accomplishing the work showing the following minimum milestones and completion dates: submittal completion date, start date, 100% completion date.

6.3 Pre-Construction Meeting

Following the award of the contract and review and acceptance of the contractor’s pre-construction submittals, the prime contractor must attend a mandatory pre-work conference. The meeting must be scheduled by the Government, and conducted on-site, at the Lockport Lock, at a time and date to be announced following the award of the contract.

6.4 Work Schedule

All scheduled work is to be performed Monday through Thursday 0630-1530 hours, excluding Federal holidays. If the contractor desires to work beyond the previously stated hours and days, written permission to do so must be obtained from the Government. Schedule changes must be requested at minimum 24 hours in advance unless there is an emergency situation.

6.5 Material/Equipment Information

Contractor must provide all labor, tools, ladders, scaffolding, equipment, supplies, and materials needed to complete the work described herein, unless otherwise noted herein that any of these items will be provided by the Government.

6.6 Dimension/Quantity Verification

Contractor must independently measure and verify all dimensions and quantities as needed.

6.7 Material Storage

If temporary storage of equipment is requested, the contractor must make a written request to the Government’s QA person and receive written approval from the Government. If material is found to be hazardous, flammable, combustible, etc., the contractor will be required to provide the appropriate hazardous material storage locker. Storage locations will be discussed at the pre-bid site visit and during the pre-con meeting. See Section 13 of this SOW for further information.

6.8 Site Cleanup

All waste, and material related to this project must be removed from the site and dispose of all waste materials per local, state and federal regulations. Restore surface around ground rod access well and dispose of all waste materials per local, state and federal regulations.

7 Quality Assurance (QA)

7.1 Overview

7.1.1 Government Project Manager (PM)

The Government has appointed a Project Manager (PM) for this project. The PM must ensure all questions of a technical nature concerning the contractual work are answered.

7.1.2 Government Quality Assurance (QA)

The Government will appoint a Quality Assurance (QA) person to ensure the Contractors QC is verifying all work is performed in accordance with the contract documents. The QA person for this contract will be identified after the contract is awarded. The QA person serves as the liaison between the contractor, PM, and the DCO. The QA person does not have the authority to modify contractual agreements.

7.1.3 Government Inspections

Contractor must allow inspection by the Government PM, QA person, DCO personnel, and District Safety and Health personnel, at any time during the life cycle of the project. The contractor must provide safe access for Government personnel visiting the project.

7.2 Contractor Quality Control (CQC)

Contractor Quality Control (CQC) is the means by which the contractor ensures that the removal, to include that of subcontractors and suppliers, complies with the requirements of this contract.

7.2.1 Quality Control Program (QCP)

The contractor must implement a written Quality Control Program (QCP) for performing contractual work and must designate an on-site QCP supervisor. The contractor must provide copies of the QCP for review by the Government QA and PM. The QCP is one of the pre-construction submittals. The QCP must, at minimum, include the following to cover all construction operations, both on-site and off-site, including work by subcontractors, fabricators, supplies, and purchasing agents:

The name, qualifications (in resume format), duties, responsibilities, and authorities of the person assigned the QCP supervisor.

Procedures for scheduling, reviewing, certifying, and managing submittals, including those of subcontractors, off-site fabricators, supplies, and purchasing agents.

Acceptance of the contractor’s QCP is required prior to the start of construction. At the pre-construction meeting, the QCP will be discussed along with the relationship between the contractor and the Government. It may be advantageous for the contractor to make incremental submittals of the plan. The Government reserves the right to require the contractor to make changes in their QCP plan and operations including removal of personnel, as necessary, to obtain the quality specified.

8 Communication During the execution of the contract, the PM must receive daily status reports from the contractor on issues such as milestones met and/or missed, and issues standing in the way of project completion. The DCO must be the communication hub for the Government QA Person, PM, and the contractor regarding clarification of contractual issues.

By adhering to the established lines of communication, it will reduce or avoid generation of duplicate requests for information, which may inadvertently result in the Government or the contractor to the acceptance of contractual changes without official approval by the DCO.

9 Repair/Restoration of Government Property Contractor, at no expense to the Government, is required to protect all Government facilities, grounds, equipment, sidewalks, and pavement during construction. All Government structures, grounds, and equipment disturbed by contractor during the performance of work must be returned to a pre-work condition prior to request of final payment. Damages to Government property that were caused by contractor and/or sub-contractor will be repaired at no expense to the Government by the prime contractor.

10 Work Stoppage, Contract Cancellation Actions The Mount Morris Dam Manager, PM, or Government QA person may issue temporary “Stop Work” notification if they find activities or job site conditions are in violation of Federal, Department of Defense, State or local health, safety and/or environmental standards, laws and regulations. The District Safety Officer (DSO), the DCO, and the PM must be contacted immediately after a Stop Work notification order is issued or rescinded. Violation of health, safety or environmental regulations committed by the contractor must not be grounds for compensation by the Government to the contractor. Refer to contractual documents provided by the District Contracting Office regarding additional work stoppage and/or contract cancellation actions.

11 Liquidated Damages Liquidated Damages of $500 per work day will be assessed if the work is not completed within the time period described in Section 6.2 of this Statement of Work. Liquidated Damages must be assessed beginning the day following the end of the initial period.

12 Completion/Inspections The contract will not be deemed fulfilled until all submittals, products, services, equipment, material, installation, construction work, and final inspection is provided by the contractor under the terms of the contractual documents and found satisfactory to the DCO.

Upon completion of the on-site work, the Government will perform a pre-final inspection to verify that the project is complete. A Government pre-final punch list may be developed as a result of this inspection. If contractual requirements are not met, this list must be provided to the DCO, who will bring them to the attention of the contractor. The contractor’s QC supervisor must ensure that all items on this list have been corrected in a timely manner before notifying the Government, so that a final inspection with the Government and contractor can be scheduled. The contractor’s QC supervisor, PM, DCO representative, and QA person must be in attendance at the final acceptance inspection.

13 Payment The project will be paid for on a lump sum basis, the price for which includes all labor, materials, equipment, mobilization/demobilization, disposal, and other costs required to complete the work.

14 Warranty

14.1 Warranty Period

Contractor must, at a minimum, warranty all workmanship against deficiencies for a period of three years from the date of acceptance of the work. The contractor must also provide the manufacturer’s warranty for newly installed equipment and/or materials produced by said manufacturer. The period of warranty must commence at time of Government's acceptance of the work. If within the warranty period the installed equipment/materials experiences failures, breakdowns, excessive wear, or become unreliable, the costs to repair or replace installed equipment and materials must be borne by the prime contractor. A five year parts warranty must also be included. The warranty must bear the name of the Chicago District, U.S. Army Corps of Engineers as the recipient of the warranty and display the period of coverage.

All warranties must be submitted prior to request of final payment on this contract.

14.2 Repairs

When repairs are required because of factory issues or defective workmanship during the warranty period, contractor must make such repairs within 72 hours of notification. When repairs are not performed within the specified time, emergency repairs performed by others will not void the warranty and contractor must reimburse the Government for the cost of said repairs. Contractor must not bill the Government for costs of repair work and delay of payment due to repair work. Contractor must resolve defective workmanship and/or problems with materials used and services provided.

15 Safety

Refer to Attachment(s) #3, #4 and #5 for Government safety requirements.

16 Security

16.1 Access and General Protection/Security Policy and Procedures All contractor and all associated sub-contractors’ employees must comply with applicable installation, facility and area commander installation/facility access, and local security policies and procedures, which will be provided by a Government representative. The contractor must also provide all information required for background checks or background investigation and to meet installation/facility access requirements to be accomplished by the Army Corps of Engineers (USACE) Chicago District Emergency Management Office. Contractor workforce must comply with all personal identity verification requirements as directed by the Department of Defense (DOD), Headquarters Department of the Army (HQDA) and/or USACE Chicago District policy. In addition to the changes otherwise authorized by the changes clause of this contract, should the Force Protection Condition (FPCON) at any installation or facility change, the Government may require changes in contractor security matters or processes.

16.1.1 Candidate Pre-Screening

Pre-screen candidates using E-Verify Program: Contractors must comply with the requirements set forth in FAR clause 52.222-54 Employment Eligibility Verification and FAR Subpart 22.18 in using the E-Verify Program at (https://www.e-verify.gov/) (website subject to change) to meet the contract employment eligibility requirements. Contractors are encouraged to cooperate with Federal and State agencies responsible for enforcing labor requirements to include eligibility for employment under United States immigration laws in accordance with FAR 22.102-1(i). An initial list of verified/eligible candidates will be provided to the COR/PM no later than three business days after the initial contract award. When contracts are with individuals, the individuals will be required to complete a Form I-9, Employment Eligibility Verification, and submit it to the Contracting Officer to become part of the official contract file.

16.1.2 Suspicious Activity Reporting Training

The contractor and all associated sub-contractors must receive a brief/training provided by the PM on the local suspicious activity reporting program. This locally developed training will be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the project manager, security representative or law enforcement entity. This training must be completed within 30 calendar days of contract award and within 30 calendar days of new employees commencing performance with the results reported to the PM no later than five calendar days after the completion of the training.

16.2 Start of Work

Contractor must notify the PM of their planned arrival at the project to start work at least seven (7) calendar days in advance. Contractor must submit a weekly work schedule thereafter by no later than the Friday before the coming work week.

16.3 Arrival/Departure

Contractor is required to notify the Government QA/QC representative, PM, or their representative of their arrival to and departure from the project site. A similar notification is required if there must be any deviation or cancellation of a scheduled workday during the life of the project.

16.4 Video/Camera Equipment

Contractor must not transport or use video or camera equipment while working inside of the Lockport Lock unless permission to do so is requested through the PM and approval is granted by the Chicago District Security Officer.

17 Submittals

17.1 Bid Submittals

The following submittals are required from the contractor under this Scope of Work to be submitted with the bid proposal:

Complete Bid Schedule. (See Attachment #1)

17.2 Pre-Construction Submittals

All submittals are required as per the timeline described in Section 5.2.2 of this SOW:

Contractor timeline showing start and completion of contractual work Contractor employees Personally Identifiable Information (PII) Product specification sheets of all materials and equipment to include but not limited to:

o All equipment, lines, wiring, controls, valves, electrical components, etc.

o Portable HPU o Piping, fittings, hardware, etc.

o Hydraulic Technician Credentials

Accident Prevention Plan (APP) and Hazard Analysis (AHA’s): Safety and health submittals as described in Attachments #4 and #5 of this Scope of Work will be submitted to the DCO. Safety and health submittals will be reviewed and accepted in writing by the DSO prior to commencement of work.

Lock out tag out (LOTO) Plan

17.3 Project Completion Submittals

All submittals are required as per the timeline described in Section 5.2.2 of this SOW:

All required submittals required under this contract.

Manufacturer warranty for newly installed equipment and material.

Three (3) copies of the following: Manufacturer operating procedures and specifications, manufacturer parts lists and maintenance procedures, and manufacturers factory test and certifications (including Coast Guard Certification).

END OF STATEMENT OF WORK

Attachment #1 – Bid Schedule Attachment #2 – Location of U.S. Army Corps of Engineers dock in Kewaunee, Wisconsin Attachment #3 – Government Safety Requirements Attachment #4 – Accident Prevention Plan (APP) Checklist Attachment #5 – Activity Hazard Analysis (AHA)

Attachment #1 – Bid Schedule Lockport Lock, Lockport, Illinois

FY24 Lockport Lock Portable Hydraulic Power Unit

Item No. Description Bid Quantity Bid Unit Unit Price ($) Price ($)

1 (Base) Supply One (1) Portable HPU and Install Four

(4) Hydraulic System Setups

1 JA

Total Base Bid Amount (Item(s) 1): ________________

Attachment #2 – Location of U.S. Army Corps of Engineers Lockport Lock, 2502 Channel Drive Lockport, IL 60441

Attachment #3 – Government Safety Requirements

The contractor must follow all applicable safety requirements detailed in the Unified Facilities Guide Specifications (UFGS) 01-35-26, Safety & Health Requirements Manual EM 385-1-1, OSHA 29 CFR 1910 Occupational Safety and Health Standards, OSHA 29 CFR 1926 Safety and Health Regulations for Construction, National Electric Code and any other applicable Illinois State or Federal regulations. Required submittals are listed below.

Submittals required prior to performance of each bid item:

Accident Prevention Plan (APP) APP Checklist, Attachment #4 Activity Hazard Analysis (for each definable feature of work), Attachment #5 Proof of qualifications for Site Safety and Health Officer(s) (SSHO); to include copy of the 30-hour OSHA construction safety class completion certificate and resume including five (5) years of similar project experience in supervising/managing safety programs.

Competent Person/Qualified Person for Lock Out Tag Out, Fall Protection, Confined Space, etc. Provide resume and applicable certificates.

1. Competent Person for Fall Protection training must be a minimum of 24 hours with a combination of formal classroom training and practical applications.

Hot work permits must be required when performing activities which generate or have the potential to generate, heat, sparks, or open flames, such as abrasive blasting, burning, brazing, cutting, grinding, powder-actuated tools, hot riveting, soldering, thawing activities, welding, or any similar operation capable of initiating fires or explosions. Comply with EM 385-1-1 section 09.A.04.

All activities which could generate chromium (VI) fumes, mists, or dusts must be evaluated by an IH to determine potential personnel exposure over the OSHA Chromium (VI) standards. Comply with EM 385-1-1 section 06.M.

First Aid / CPR Certificates (at least 2 employees on-site at all times)

Submit reports as required Monthly Man-Hour Reports by the 5th day of each month, Attachment #6 Eng Form 3394 Accident Investigation Report as incidents occur, Attachment #7

Overarching UFGS and EM 385-1-1 requirements, all contractor accidents involving injuries, illnesses or property damage, occurring during the execution of this contract must be reported to USACE immediately within the contractor becoming aware of its occurrence. Reporting injuries, illness or property damage to the Contracting Officer Representative (COR) may be sufficient. Based upon the severity of the injury, illness or property damage, more detailed reporting may be required. More detailed notification will include contractor name; contract title; type of contract; name of activity, installation or location where accident occurred; date and time of accident; names of personnel injured; extent of property damage, if any; extent of injury, if known, and brief description of accident (to include type of construction equipment used, PPE used, etc.

Work must not begin until the APP and AHA have been submitted to, and accepted by the USACE Chicago District Contracting Officer or COR. The AHA must be prepared following the format found in USACE publication USACE Safety and Health Requirements Manual EM 385-1-1.

During the performance of work, the contractor must create procedures for control and safety of persons visiting the site and USACE personnel conducting their normal daily activities transgressing between buildings in the vicinity of the work area. Contractor is responsible for his personnel and for familiarizing each of his subcontractors and all visitors with safety requirements. Contractor must advise the Contracting Officer of any special safety restriction he has established so that Government personnel can be notified of these restrictions. The SSHO must be present on-site whenever project-related work is being executed. The buddy system must be utilized. The contractor must permit safety inspections of all work being performed.

Attachment #4 – Accident Prevention Plan (APP) Checklist

CONTRACTOR ACCIDENT PREVENTION PLAN (APP) CHECKLIST

(EM 385-1-1, Appendix - A, dated 30 Nov 2014)

Minimum Basic Outline for APP The APP is the Contractor Safety and Health Program Document. The following Site Specific Areas will be addressed:

NOTE: 1. Contractor will complete Checklist and Submit with their APP.

NOTE: 2. Contractor APP WILL be submitted in format below.

NOTE: 3. Safety Office will review Contractor APP and return to PM /COR.

NOTE: 4. Contractor APP's ARE NOT APPROVED by the USACE, only found as Acceptable or Non-Acceptable.

Safety Office Review Status: ACCEPTED BY/DATE: NOT ACCEPTED BY/DATE:

Contractor Name: _______________________________________________________

Contract No: _________________________________

Project Title & Location: Included? Location

Page(s) Yes No N/A

ALL CHECKLIST ITEMS WILL BE COMPLETED!

1. SIGNATURE SHEET. Title, signature, and phone number of the following:

a. Plan Preparer (qualified person, Competent Person such as corporate safety staff person, QC).

b. Plan Approval by company/corporate officers authorized to obligate the company (e.g.

owner company president, regional vice president etc.)

c. Plan Concurrence (e.g. Chief of Operations, Corporate Chief of Safety, Corporate Industrial Hygienist, project manager or superintendent, project safety professional, project QC). Provide concurrence of other applicable corporate and project personnel (Contractor).

2. BACKGROUND INFORMATION. List the following:

a. Contractor;

b. Contract number;

c. Project name;

d. Brief project description, description of work to be performed, and location (map);

equipment to be used; anticipated high risk activities

e. Major phases of work anticipated and activities that will require an AHA

3. STATEMENT OF SAFETY AND HEALTH POLICY. Provide a copy of your current corporate/company Safety & Health Policy Statement, detailing commitment to providing a safe and healthful workplace for all employees. The Contractor’s written safety program goals, objectives, and accident experience goals for this contract should be provided.

4. RESPONSIBILITIES AND LINES OF AUTHORITIES. Provide the following:

a. A statement of the employer’s ultimate responsibility for the implementation of his SOH program for his own employees, all sub-contractors and all others on the worksite.

b. Identification and accountability of personnel responsible for safety at both corporate and project level. Contracts specifically requiring safety or industrial hygiene personnel shall include a copy of their resumes. Per EM 385-1-1 01.A.17, the SSHO is required to have as a minimum the OSHA 30-hour Construction Safety course and construction industry safety experience; and must be on-site at all times when work is being performed.

c. The names of Competent and/or Qualified Person(s) and proof of competency/qualification to meet specific OSHA Competent/Qualified Person(s) requirements must be attached. The District SOHO will review the qualifications for acceptance;

d. Requirements and details of the employers Risk Management Process (i.e.AHAs)

Page(s) Yes No N/A

e. Requirements for activity specific AHAs to be submitted and accepted at preparatory meetings, prior to work being performed;

f. Requirements that no work by the Contractor shall be performed unless a designated CP/SSHO is present at the job site;

g. Policies and procedures regarding noncompliance with safety requirements (to include disciplinary actions for violation of safety requirements) should be identified;

h. Lines of authority;

i. Provide written company procedures for holding managers and supervisors accountable for safety.

5. SUBCONTRACTORS AND SUPPLIERS. If applicable, provide procedures for coordinating SOH activities with other employers on the job site:

a. Identification of subcontractors and suppliers (if known);

b. Safety responsibilities of subcontractors and suppliers.

6. TRAINING.

a. Requirements for new hire SOH orientation training at the time of initial hire of each new employee.

b. Requirements for mandatory training and certifications that are applicable to this project (e.g., explosive actuated tools, confined space entry, crane operator, diver, vehicle operator, HAZWOPER training and certification, PPE) and any requirements for periodic retraining/recertification.

c. Procedures for periodic safety and health training for supervisors and employees.

d. Requirements for emergency response training.

7. SAFETY AND HEALTH INSPECTIONS.

a. Specific assignment of responsibilities for a minimum daily job site safety and health inspection during periods of work activity: Who will conduct (e.g., SSHO, PM, safety professional, QC, supervisors, employees – depends on level of technical proficiency needed to perform said inspections), proof of inspector’s training/qualifications, when inspections will be conducted, procedures for documentation, deficiency tracking system, and follow-up procedures;

b. Any external inspections/certifications that may be required (e.g., USCG).

8. MISHAP REPORTING AND INVESTIGATION. The Contractor shall identify person(s) responsible to provide the following:

a. Exposure data (man-hours worked);

b. Accident investigations, reports, and logs: Report all accidents/incidents as soon as possible but not more than 4 hours afterwards to the Contracting Officer/Representative (KO/COR). The contractor shall thoroughly investigate the incident/accident per Section 01.D and, if applicable, submit the findings of the investigation along with appropriate corrective actions to the KO/COR in the prescribed format as soon as possible. Implement corrective actions as soon as reasonably possible and provide notice to the KO/COR when corrective actions are completed;

c. The following require immediate accident notification:

(1) A fatal injury;

(2) A permanent total disability;

(3) A permanent partial disability;

(4) The hospitalization of three or more people resulting from a single occurrence;

(5) Property Damage of $200,000 or more.

9. PLANS (PROGRAMS, PROCEDURES) REQUIRED BY THE SAFETY MANUAL. Based on a risk assessment of contracted activities and on mandatory OSHA compliance programs, the Contractor shall address all applicable occupational risks and compliance plans.

Using the EM 385-1-1 as a guide, plans may include but not be limited to:

a. Fatigue Management Plan (01.A.20);

b. Emergency Plans (01.E);

Page(s) Yes No N/A

c. Site Sanitation/ Housekeeping Plan (Section 02.B);

d. Medical Support Agreement (03.A.01; 03.A.03);

e. Blood Borne Pathogen Program (03.A.05);

f. Exposure Control Plan (03.A.05);

g. Automatic External Defibrillator (AED) Program (03.B.04);

h. Site Layout Plan (04.A);

i. Access / Haul Road Plan (04.B);

j. Hearing Conservation Program (05.C);

k. Respiratory Protection Plan (05.G);

l. Health Hazard Control Program (06.A);

m. Hazard Communication Program (06.B.01);

n. Process Safety Management Plan (06.B.04);

o. Lead Compliance Plan (06.C.02 & specifications);

p. Asbestos Abatement Plan (06.C.03 & specifications);

q. Radiation Safety Program (06.F);

r. Abrasive Blasting Procedures (06.I.01);

s. Heat Stress Monitoring Plan (HSMP) (06.J.02);

t. Cold Stress Monitoring Plan (CSMP) (06.J.04);

u. Indoor Air Quality Management Plan (06.L);

v. Mold Remediation Plan (06.L.04);

w. Chromium (VI) Exposure Evaluation (06.M);

x. Crystalline Silica Evaluation (06.N.02) ;

y. Lighting Plan for Night Operations (07.A.06);

z. Traffic Control Plan (08.C.05);

aa. Fire Prevention Plan (09.A.01);

. Fire Prevention Plan (09.A);

bb. Wild Land Fire Management Plan (09.L);

cc. Arc Flash Hazard Analysis (11.B);

dd. Assured Equipment Grounding Control Program (AEGCP) (11.D.05, Appendix E);

ee. Hazardous Energy Control Program & Procedures (12.A.01);

ff. Standard Pre-Lift Plan – Load Handling Equipment (16.A.03);

gg. Critical Lift Plan – Load Handling Equipment (16.H);

hh. Naval Architecture Analysis – Load Handling Equipment (Floating) (16.L);

ii. Floating Plant Inspection and Certification (19.A.01);

jj. Severe Weather Plan for Marine Activities (19.A.03);

kk. Emergency Plan for Marine Activities (19.A.04);

ll. Man Overboard/Abandon Ship Procedures (19.A.04);

mm. Float Plan for Launches, Motorboats, and Skiffs (19.F.04);

nn. Fall Protection & Prevention Plan (21.D);

oo. Demolition/Renovation Plan (to include engineering survey) (23.A);

pp. Rope Access Work Plan (24.H2);

qq. Excavation / Trenching Plan (25.A.01);

rr. Fire Prevention and Protection Plan for Underground Construction (26.D.01);

ss. Compressed Air Work Plan for Underground Construction (26.D.01);

tt. Erection and Removal Plan for Formwork and Shoring (27.C);

uu. Precast Concrete Plan (27.D.01);

vv. Lift Slab Plans (27.E);

ww. Masonry Bracing Plan (27.F.01);

Page(s) Yes No N/A

xx. Steel Erection Plan (28.B);

yy. Explosives Safety Site Plan (ESSP) (29.A);

zz. Blasting Safety Plan (29.A; 26.J);

aaa. Dive Operations Plan (30.A.14 & 30.A.16);

bbb. Safe Practices Manual for Diving Activities (30.A.15);

ccc. Emergency Management Plan for Diving (30.A.18);

ddd. Tree Felling and Maintenance Program (31.A.01);

eee. Aircraft/Airfield Construction Safety & Phasing Plan (CSPP) (32.A.02);

fff. Aircraft/Airfield Safety Plan Compliance Document (SPCD) (32.A.02);

ggg. Site Safety and Health Plan for HTRW (33.B);

hhh. Confined Space Entry Procedures (34.A.05);

iii. Confined Space Program (34.A.06);

10. RISK MANAGEMENT PROCESSES. Detailed project-specific hazards and controls shall be provided by an Activity Hazard Analysis (01.A.14, 01.A.15) for each major phase/activity of work.

Attachment #5 – Activity Hazard Analysis (AHA)

Attachment #6 – Drawings