Preconstruction_Safety_Checklist.pdf

Neosho National Fish Hatchery Stream Bank Restoration

140F0221C0031 Neosho National Fish Hatchery

October 13, 2021 Kovilic Construction Company 3721 N Carnation St Franklin Park, IL 60131

Wayne Gardner

Jeanne Mohlis Wayne Gardner 11/15/21

16.

17.

18.

19.

Elevated Work? YES /NO (If no, skip to #17)

a. Ladders and their use must conform to standards.

b. Aerial lift usage must meet applicable requirements.

c. Fall protection needs must be assessed per standards.

d. Scaffold work must conform to standards.

e. Stair design, construction, and use must meet applicable requirements.

f. Toeboards, when used to protect workers from falling objects, must be erected along the edge of the overhead walking/working surface.

g. Safety net use must comply with standards.

h. Railing must conform to standards.

Contractor is aware of and understands the need to incop,f>rate applicable requirements for concrete and masonry construction. YES_,/_ N NO_ N/A _

Contractor is aware of and understands the need to incorpora e w ding and cutting operations that com ply with applicable safety requirements (e.g., compressed gas cylinders ar rotected from vehicle traffic, valve caps secured, etc.). YES_ NO_ N/A _

Contractor is aware of and understands the need to manage hazardous mjilt'erials/waste appropriately (e.g., paints, solvents, fuels, etc.) including the following: YES / NO N/A _

a. Use and storage of flammable/combustible liquids.

b. Aboveground fuel storage tanks properly managed/contained.

c. Com pressed gases and cylinders managed correctly (e.g., secured and protected from damage, etc.).

d. Procedures for managing use, storage, and disposal of hazardous materials properly established.

e. Excess/waste product(s) and containers properly disposed of per environmental regulations.

f. Hazards of product use and the need for protective measures (e.g., personal protective equipment, etc.)

conveyed to employees.

g. Asbestos work conforms to applicable standards.

h. Exposure to toxic gases, vapors, fumes, dusts, and mists managed correctly.

i. Lead, laser, and any other hazardous components managed per the applicable standard.

j. Contract employees must conduct hazardous waste operations work within the parameters of a written safety

& health plan.

20. Comments, notes, additional requirements:

The contractor has the ultimate responsibil i ty for safety on the project site at all times untll final completi on and acceptance of the project.

The contractor's signature below indicates the above information was discussed and understood.

Cont,acto, slgnatu,Qi---- Date: /{) /;.-1 . ./ L/ r'

Date: ____________ _ Contracting Officer/Contracting Officer's Representative

FWS Form 3-2199 09/01 Page 4of 5

All topics listed above will also appear in contractor Accident Prevention Plan and Quality Control Plan which will be sent under separate transmittals.