Statement of Work.doc

UNITED STATES DEPARTMENT OF AGRICULTURE

BELTSVILLE AGRICULTURAL RESEARCH CENTER

FACILITIES SERVICE

ENGINEERING AND CONSTRUCTION BRANCH

BUILDING 426A, BARC-EAST

10300 BALTIMORE AVENUE

BELTSVILLE, MARYLAND 20705-2350

STATEMENT OF WORK AND SPECIFICATION

TO

DEMOLISH AND REMOVE THE OLD FLAGPOLE AND FOUNDATION AND INSTALL A NEW FLAGEPOLE AND FOUNDATION FROM BUILDING 003

BELTSVILLE AGRICULTURAL RESEARCH CENTER

BELTSVILLE, MARYLAND

February 8, 2023

GENERAL REQUIREMENTS

1.1 GENERAL INTENTION

A.

Contractor shall completely prepare the site for building operations, including demolition and removal of existing structures, and furnish labor and materials and perform work as required by the contract documents.

B.

Visits to the site by Bidders may be made only by appointment with the EPM/COR. Site visit for all bidders is scheduled for a predetermined time.

C.

All employees of general contractor and subcontractors shall comply with ARS security management program, obtain permission of the ARS Location Manager, be identified by project and employer by wearing contractor issued identification badges at all times on ARS property, and restricted from unauthorized access.

D.

Prior to commencing work, the general contractor shall provide proof that an OSHA certified “competent person” (CP) (29 CFR 1926.20(b)(2) will maintain a presence at the work site whenever the general or subcontractors are present.

E.

Training:

1. All employees of the general contractor or subcontractors shall have the 10-hour OSHA certified Construction Safety course and /or other relevant competency training. Supervisors shall have completed the 30-hour OSHA training.

2.

Submit training records of all such employees to the Contracting Officer for approval before the start of work.

A.

ITEM I, GENERAL CONSTRUCTION: Work includes general construction, alterations, and removal of existing structures and construction and certain other items.

STATEMENT OF WORK

PROJECT LOCATION: Beltsville Agricultural Research Center (BARC) Building 003, Beltsville, Maryland The contractor shall provide the materials and perform the work described below.

The contractor shall provide an aluminum flagpole- external halyard- satin finish with an above ground length of 45 feet and overall length of 49.5 feet. It shall have a butt diameter of 8 inches, a top diameter of 3.5 inches and wall thickness of .188 inches. It shall sustain a 100 mph wind speed and have a suggested flag size of 8 feet by 12 feet.

It shall possess an aluminum gold colored eagle E24, cast aluminum revolving truck, solid braided polyester halyard, swivel snap hooks with vinyl covers and cast aluminum cleat with screws. It shall possess a spun aluminum flash collar and galvanized steel foundation sleeve.

The contractor shall demolish and remove existing 45 foot steel flagpole and foundation.

The contractor shall install a new foundation including finishing work.

The contractor shall install a new 49.5 foot aluminum flag pole including equipment and miscellaneous material.

The contractor shall provide and install four (4) LED exterior lights for the newly installed flagpole. Lights provided shall be RAB FX LED 150W.

The contractor shall provide surface protection and restoration as needed to all nearby landscaping.

Location Map

Existing Flagpole (to be removed)

1.4 SAFETY SUBMITTALS

A. Contractor shall submit a "site specific" Safety Plan to the Contracting Officer that describes how the contractor is to comply with all applicable OSHA standards and NFPA codes pertaining to construction work to include, but not limited to: General Safety and Health Provisions, Occupational Health and Environmental Controls, Personal Protective and Life Saving Equipment, Hand and Power Tools, Welding and Cutting, Electrical, Scaffolds, Fall Protection, Excavations, Demolition, Stairways and Ladders, Toxic and Hazardous Substances, Confined Space Entry, Lockout/Tagout, Respiratory Protection, Hearing Protection. Safety Plan shall identify Contractor and sub-contractor employees who are authorized/qualified to perform electrical work. No work shall proceed until written approval of the Safety Plan by the Contracting Officer. Safety Plan shall describe how the Contractor and/or sub-contractors are to secure equipment, supplies, tools, and chemical products. Contractor and/or sub-contractor equipment, supplies, tools, and chemical products are to be under the control of the Contractor at all times, equipment, supplies tools, and chemical products found not to be under the control of the Contractor or sub-contractor may be confiscated and delivered to the Contracting Officer.

B. The Contractor shall inspect the entire construction site daily, including days without construction work if there are NFPA 101 Life Safety Code deficiencies existing while construction work is shut down, the results of that inspection shall be documented on the attachment “DAILY INSPECTION FORM”, and the form is to be signed and submitted to the Contracting Officer.

C. Contractor shall provide continuous monitoring for noise, dust, chemical vapor generation, volatile organic compounds, and vibration. At no time, shall noise exposure to any ARS staff exceed 75 dB. Contractor shall provide to the Contracting Officer a written weekly update of the all test results and also for proposed work for the subsequent two weeks (a two week “look-ahead”) involving any construction activity that will produce loud noises, heavy vibrations, strong smells, or significant dust inside ARS staff occupied space.

D. Contractor and sub-contractors shall notify in writing the Contracting Officer at least one week prior to executing high risk work (this may be included in the two week “look-ahead” update). High risk work includes, but is not limited to, tasks requiring Lockout/Tag Out, live electrical work, hot work, work at heights, trenching/ shoring, crane operations, and confined space entry. Contractor’s Competent Person shall provide the Contracting Officer written weekly documented safety inspection results.

E. Contractor shall provide to the Contracting Officer for approval, copies of Material Safety Data Sheets (MSDS) for EVERY CHEMICAL WITHOUT EXCEPTION prior to bringing such chemical on the work site.

F. HOT WORK PERMITS: The Contractor will not be permitted to work without this permit when performing hot work.

1. A Hot Work Permit is required when cutting torch, welding, soldering and/or any other spark or heat producing equipment is to be used. A Hot Work Permit will be requested at least one work day in advance of the proposed work and will be issued only for the period necessary to perform such work. See Attachment: “Hot Work Permit”

1.5 construction security requiremenets

A.

Contractor Personnel

1.

Upon receipt of the Notice to Proceed, the Contractor shall provide information about every employee including that of all sub-contractors who will need access to construction site. Completion of the attached forms, additionally Form SF-87 fingerprint cards (2 sets), and successful completion of the background investigation are required before Contractor staff may enter the work site. Not more than 21 (twenty-one) calendar days will be required for the Government to complete background investigations after the Government receives all necessary information for each employee. No contract time extension will be granted based on failure of the Contractor to provide complete, accurate and timely information to the Government. All background investigation information shall be provided directly to:

Personnel Security and Suitability Office

5601 Sunnyside Ave

Beltsville, MD 20705

2.

Every employee of the Contractor or sub-contractor shall go through a security screening to determine their suitability for access to ARS facilities.

a.

Conviction of tax evasion may disqualify a person for working on an ARS construction project.

b.

Act of violence; arrest for firearms; illegal alien status or any felony conviction or possession of explosives will disqualify any person for working on any ARS construction project.

3.

Each employee shall be furnished with a badge by the Government for access to construction site. This badge must be worn so as to be clearly visible at all times while on the work site.

C.

Security Procedures:

1.

Contractor’s employees shall not enter the project site without appropriate badges. They may also be subject to inspection of their personal effects when entering or leaving the project site.

2.

For working outside the “regular hours” as defined in the contract, The Contractor shall give a ten (10) day notice to the Contracting Officer so that security arrangements can be provided for the employees. This notice is separate from any notices required for utility shutdown described later in this section.

3.

No photography of ARS premises is allowed without written permission of the Contracting Officer.

4.

ARS reserves the right to close down or shut down the project site and order the Contractor’s employees off the premises in the event of a national emergency or Government shutdown. The Contractor may return to the site only with the written approval of the Contracting Officer.

E.

Motor Vehicle Restrictions 1.

Vehicle authorization request shall be required for any vehicle entering the site and such request shall be submitted 24 hours before the date and time of access. Access shall be restricted to picking up and dropping off materials and supplies and Contractor must be on site to receive all deliveries.

2.

Separate permits shall be issued for Contractor and its employees for parking in designated areas only.

1.6 FIRE SAFETY

A.

Applicable Publications: Publications listed below form part of this Article to extent referenced. Publications are referenced in text by basic designations only.

1.

American Society for Testing and Materials (ASTM):

E84-2007 Surface Burning Characteristics of Building Materials

2.

National Fire Protection Association (NFPA):

10-2006 Standard for Portable Fire Extinguishers

30-2003 Flammable and Combustible Liquids Code

51B-2003 Standard for Fire Prevention During Welding, Cutting and Other Hot Work

70-2005 National Electrical Code

241-2004 Standard for Safeguarding Construction, Alteration, and Demolition Operations

3.

Occupational Safety and Health Administration (OSHA):

29 CFR 1926

Safety and Health Regulations for Construction

B.

Site and Building Access: Maintain free and unobstructed access to facility emergency services and for fire, police and other emergency response forces in accordance with NFPA 241.

C.

Separate temporary facilities, such as trailers, storage sheds, and dumpsters, from existing buildings and new construction by distances in accordance with NFPA 241. For small facilities with less than 20 feet exposing overall length, separate by 10 feet.

D.

Temporary Heating and Electrical: Install, use and maintain installations in accordance with 29 CFR 1926, NFPA 241 and NFPA 70.

E.

Means of Egress: Do not block exiting for occupied buildings, including paths from exits to roads. Minimize disruptions and coordinate with Contracting Officer.

F.

Egress Routes for Construction Workers: Maintain free and unobstructed egress. Inspect daily. Report findings and corrective actions weekly to the Contracting Officer.

G.

Fire Extinguishers: Provide and maintain extinguishers in construction areas and temporary storage areas in accordance with 29 CFR 1926, NFPA 241 and NFPA 10.

H.

Flammable and Combustible Liquids: Store, dispense and use liquids in accordance with 29 CFR 1926, NFPA 241 and NFPA 30.

I.

Existing Fire Protection: Do not impair automatic sprinklers, smoke and heat detection, and fire alarm systems, except for portions immediately under construction, and temporarily for connections. Provide fire watch for impairments more than 4 hours in a 24-hour period. Request interruptions in accordance with Article, OPERATIONS AND STORAGE AREAS, and coordinate with the Contracting Officer. All existing or temporary fire protection systems (fire alarms, sprinklers) located in construction areas shall be tested as coordinated with the Contracting Officer. Parameters for the testing and results of any tests performed shall be recorded by the General Contractor and copies provided to the Contracting Officer.

J.

Smoke Detectors: Prevent accidental operation. Remove temporary covers at end of work operations each day. Coordinate with the Contracting Officer.

K.

Hot Work: Perform and safeguard hot work operations in accordance with NFPA 241 and NFPA 51B. Coordinate with the Contracting Officer. Designate contractor's responsible project-site fire prevention program manager to coordinate permit hot work.

L.

Smoking: Smoking is prohibited in and adjacent to construction areas inside existing buildings and additions under construction. In separate and detached buildings under construction, smoking is prohibited except in designated smoking rest areas.

M.

Dispose of waste and debris in accordance with NFPA 241. Remove from buildings daily.

N.

Perform other construction, alteration and demolition operations in accordance with 29 CFR 1926.

1.7 OPERATIONS AND STORAGE AREAS

A.

The Contractor shall confine all operations (including storage of materials) on Government premises to areas authorized or approved by the Contracting Officer. The Contractor shall hold and save the Government, its officers and agents, free and harmless from liability of any nature occasioned by the Contractor's performance.

B.

Temporary buildings (e.g., storage sheds, shops, offices) and utilities may be erected by the Contractor only with the approval of the Contracting Officer and shall be built with labor and materials furnished by the Contractor without expense to the Government. The temporary buildings and utilities shall remain the property of the Contractor and shall be removed by the Contractor at its expense upon completion of the work. With the written consent of the Contracting Officer, the buildings and utilities may be abandoned and need not be removed.

C.

The Contractor shall, under regulations prescribed by the Contracting Officer, use only established roadways, or use temporary roadways constructed by the Contractor when and as authorized by the Contracting Officer. When materials are transported in prosecuting the work, vehicles shall not be loaded beyond the loading capacity recommended by the manufacturer of the vehicle or prescribed by any Federal, State, or local law or regulation. When it is necessary to cross curbs or sidewalks, the Contractor shall protect them from damage. The Contractor shall repair or pay for the repair of any damaged curbs, sidewalks, or roads.

D.

Working space and space available for storing materials shall be as determined by the Contracting Officer.

E.

Workers are subject to rules of the Location applicable to their conduct which shall be provided by the Contracting Officer.

F.

Execute work so as to interfere as little as possible with normal functioning of Location as a whole, including operations of utility services, fire protection systems and any existing equipment, and with work being done by others. Use of equipment and tools that transmit vibrations and noises through the building structure, are not permitted in buildings that are occupied during construction except as permitted by the Contracting Officer where required by limited working space.

1.

Do not store materials and equipment in other than assigned areas.

2.

Schedule delivery of materials and equipment to immediate construction working areas within buildings in use by the ARS in quantities sufficient for not more than two work days.

3.

Where access by ARS personnel to vacated portions of buildings is not required, storage of Contractor's materials and equipment may be permitted subject to fire and safety requirements.

G.

Contractor shall take all measures and provide all material necessary for protecting existing equipment and property in affected areas of construction against dust and debris, so that equipment and affected areas to be used in the ARS operations will not be hindered. Contractor shall permit access to ARS personnel through construction areas which serve as routes of access to such affected areas and equipment. Coordinate alteration work in areas occupied by ARS so that operations will continue during the construction period.

H.

When a building is turned over to Contractor, Contractor shall accept entire responsibility therefore until contract completion.

1.

Contractor shall maintain a minimum temperature of 40 degrees F at all times, except as otherwise specified.

2.

Contractor shall maintain in operating condition existing fire protection and alarm equipment. In connection with fire alarm equipment, Contractor shall make arrangements for pre‑inspection of site with Fire Department which will be required to respond to an alarm from Contractor's employee or watchman.

I.

Utilities Services: Maintain existing utility services for ARS at all times. Provide temporary facilities, labor, materials, equipment, connections, and utilities to assure uninterrupted services. Where necessary to cut existing water, steam, gases, sewer or air pipes, or conduits, wires, cables, etc. of utility services or of fire protection systems and communications systems (including telephone), they shall be cut and capped at suitable places where shown; or, in absence of such indication, where directed by the Contracting Officer.

1.

No utility service such as water, gas, steam, sewers or electricity, or fire protection systems and communications systems may be interrupted without prior written approval of the Contracting Officer. Electrical work shall be accomplished with all affected circuits or equipment de-energized. When an electrical outage cannot be accomplished, work on any energized circuits or equipment shall not commence without the Contracting Officer’s prior knowledge and written approval.

2.

Contractor shall submit a request to interrupt any such services to the Contracting Officer, in writing, Two weeks advanced notice and again 48 hours in advance of proposed interruption. Request shall state reason, date, exact time of, and approximate duration of such interruption.

3.

Contractor will be advised (in writing) of approval of request, or of which other date and/or time such interruption will cause least inconvenience to operations of ARS. Interruption time approved by ARS may occur at other than Contractor's normal working hours.

4.

Major interruptions of any system must be requested, in writing, at least 21 calendar days prior to the desired time and shall be performed as directed by the Contracting Officer. It is the Contractor's responsibility to develop a work plan and schedule detailing, at a minimum, the procedures to be employed, the equipment and materials to be used, the mitigating life safety measures to be used during the work, and a schedule defining the duration of the work with milestone subtasks.

5.

In case of a contract construction emergency, service will be interrupted on approval of the Contracting Officer. Such approval will be confirmed in writing as soon as practical.

6.

Whenever it is required that a connection fee be paid to a public utility provider for new permanent service to the construction project, for such items as water, sewer, electricity, gas or steam, payment of such fee shall be the responsibility of the Government and not the Contractor.

J.

To minimize interference of construction activities with flow of ARS traffic, comply with the following:

1.

Keep roads, walks and entrances to grounds, to parking and to occupied areas of buildings clear of construction materials, debris and standing construction equipment and vehicles.

2.

Method and scheduling of required cutting, altering and removal of existing roads; walks and entrances must be approved by the Contracting Officer.

K.

Coordinate the work for this contract with other construction operations as directed by Contracting Officer. This includes the scheduling of traffic and the use of roadways, as specified in Article, USE OF ROADWAYS.

1.8 ALTERATIONS

A.

Survey: Before any work is started, the Contractor shall make a thorough survey with the Contracting Officer, of areas of the building in which alterations occur and areas which are anticipated routes of access, and furnish a report, signed, to the Contracting Officer.

1.

Shall note any discrepancies between drawings and existing conditions at site.

2.

Shall designate areas for working space, materials storage and routes of access to areas within buildings where alterations occur and which have been agreed upon by Contractor and Contracting Officer.

B.

Any items required by drawings to be either reused or relocated or both, found during this survey to be nonexistent, or in opinion of Contracting Officer, to be in such condition that their use is impossible or impractical, shall be furnished and/or replaced by Contractor with new items in accordance with specifications which will be furnished by Government. Provided the contract work is changed by reason of this subparagraph B, the contract will be modified accordingly, under provisions of clause entitled "DIFFERING SITE CONDITIONS" (FAR 52.236‑2).

C.

Re‑Survey: Thirty days before expected partial or final inspection date, the Contractor and Contracting Officer together shall make a thorough re‑survey of the areas of building.

1.

Re‑survey report shall list any damage caused by Contractor and will form basis for determining extent of repair work required of Contractor to restore damage caused by Contractor's workers in executing work of this contract.

D.

Protection: Provide the following protective measures:

1.

Wherever existing roof surfaces are disturbed they shall be protected against water infiltration. In case of leaks, they shall be repaired immediately upon discovery.

2.

Temporary protection against damage for portions of existing structures and grounds where work is to be done, materials handled and equipment moved and/or relocated.

3.

Protection of interior of existing structures at all times, from damage, dust and weather inclemency. Wherever work is performed, floor surfaces that are to remain in place shall be adequately protected prior to starting work, and this protection shall be maintained intact until all work in the area is completed.

E.

Final Cleanup:

1.

Upon completion of project, or as work progresses, remove all construction debris from above ceiling, vertical shafts and utility chases that have been part of the construction.

1.9 DISPOSAL AND RETENTION

A.

Materials and equipment accruing from work removed and from demolition of buildings or structures, or parts thereof, shall be disposed of as follows:

1.

Items that remain property of the Government shall be removed or dislodged from present locations in such a manner as to prevent damage which would be detrimental to re‑installation and reuse. Store such items where directed by Contracting Officer.

2.

Items not reserved shall become property of the Contractor and be removed by Contractor from ARS property.

3.

Items of portable equipment and furnishings located in rooms and spaces in which work is to be done under this contract shall remain the property of the Government. When rooms and spaces are vacated by the ARS during the alteration period, such items which are NOT required by drawings and specifications to be either relocated or reused will be removed by the Government in advance of work to avoid interfering with Contractor's operation.

1.10 PROTECTION OF EXISTING VEGETATION, STRUCTURES, EQUIPMENT, UTILITIES, AND IMPROVEMENTS

A.

The Contractor shall preserve and protect all structures, equipment, and vegetation (such as trees, shrubs, and grass) on or adjacent to the work site, which is not to be removed and which does not unreasonably interfere with the work required under this contract. The Contractor shall only remove trees when specifically authorized to do so, and shall avoid damaging vegetation that will remain in place. If any limbs or branches of trees are broken during contract performance, or by the careless operation of equipment, or by workers, the Contractor shall trim those limbs or branches with a clean cut and paint the cut with a tree‑pruning compound as directed by the Contracting Officer.

B.

The Contractor shall protect from damage all existing improvements and utilities at or near the work site and on adjacent property of a third party, the locations of which are made known to or should be known by the Contractor. The Contractor shall repair any damage to those facilities, including those that are the property of a third party, resulting from failure to comply with the requirements of this contract or failure to exercise reasonable care in performing the work. If the Contractor fails or refuses to repair the damage promptly, the Contracting Officer may have the necessary work performed and charge the cost to the Contractor.

1.11 RESTORATION

A.

Remove, cut, alter, replace, patch and repair existing work as necessary to install new work. Except as otherwise shown or specified, do not cut, alter or remove any structural work, and do not disturb any ducts, plumbing, steam, gas, or electric work without approval of the Contracting Officer. Existing work to be altered or extended and that is found to be defective in any way, shall be reported to the Contracting Officer before it is disturbed. Materials and workmanship used in restoring work shall conform in type and quality to that of original existing construction, except as otherwise shown or specified.

B.

Upon completion of contract, deliver work complete and undamaged. Existing work (walls, ceilings, partitions, floors, mechanical and electrical work, lawns, paving, roads, walks, etc.) disturbed or removed as a result of performing required new work, shall be patched, repaired, reinstalled, or replaced with new work, and refinished and left in as good condition as existed before commencing work.

C.

At Contractor's own expense, Contractor shall immediately restore to service and repair any damage caused by Contractor's workers to existing piping and conduits, wires, cables, etc., of utility services or of fire protection systems and communications systems (including telephone) which are indicated on drawings and which are not scheduled for discontinuance or abandonment.

1.12 USE OF ROADWAYS

A.

For hauling, use only established public roads and roads on ARS property and, when authorized by the Contracting Officer, such temporary roads which are necessary in the performance of contract work. Temporary roads shall be constructed by the Contractor at Contractor's expense. When necessary to cross curbing, sidewalks, or similar construction, they must be protected by well‑constructed bridges.

1.13 TEMPORARY TOILETS

A.

Provide for use of all Contractors’ workers ample temporary sanitary toilet accommodations with suitable sewer and water connections; or, when approved by Contracting Officer, provide suitable dry closets where directed. Keep such places serviced regularly, clean and free from flies and all connections and appliances connected therewith are to be removed prior to completion of contract, and premises left perfectly clean.

1.14 AVAILABILITY AND USE OF UTILITY SERVICES

A.

The Government shall make all reasonably required amounts of utilities available to the Contractor from existing outlets and supplies, as specified in the contract. Should existing services be inadequate for the Contractor’s purposes without interfering with ARS operations, the Contractor shall provide and pay for their own services. The amount to be paid by the Contractor for chargeable electrical services shall be the prevailing rates charged to the Government. The Contractor shall carefully conserve any utilities furnished without charge.

B.

The Contractor, at Contractor's expense and in a workmanlike manner satisfactory to the Contracting Officer, shall install and maintain all necessary temporary connections and distribution lines, and all meters required to measure the amount of electricity used for the purpose of determining charges. Before final acceptance of the work by the Government, the Contractor shall remove all the temporary connections, distribution lines, meters, and associated paraphernalia.

C.

Electricity (for Construction and Testing): Furnish all temporary electric services.

1.

Obtain electricity by connecting to the ARS electrical distribution system. The Contractor shall meter and pay for electricity required for electric cranes and hoisting devices, electrical welding devices and any electrical heating devices providing temporary heat. Electricity for all other uses is available at no cost to the Contractor.

D.

Water (for Construction and Testing): Furnish temporary water service.

1.

Obtain water by connecting to the ARS water distribution system. Provide reduced pressure backflow preventer at each connection. Water is available at no cost to the Contractor.

2.

Maintain connections, pipe, fittings and fixtures and conserve water‑use so none is wasted. Failure to stop leakage or other wastes will be cause for revocation (at Contracting Officer’s discretion) of use of water from ARS system.

1.17 TESTS

A.

Conduct final tests required in various sections of specifications in presence of an authorized representative of the Contracting Officer. Contractor shall furnish all labor, materials, equipment, instruments, and forms, to conduct and record such tests.

1.18 INSTRUCTIONS

A.

Contractor shall furnish Maintenance and Operating manuals, verbal instructions and formal training when required by the various sections of the specifications and as hereinafter specified.

1.19 RELOCATED EQUIPMENT AND ITEMS

A.

Contractor shall disconnect, dismantle as necessary, remove and reinstall in new location, all existing equipment and items indicated to be relocated by the Contractor.

B.

Perform relocation of such equipment or items at such times and in such a manner as directed by the Contracting Officer.

1.20 HISTORIC PRESERVATION

Where the Contractor or any of the Contractor's employees, prior to, or during the construction work, are advised of, or discover any possible archeological, historical and/or cultural resources, the Contractor shall immediately notify the Contracting Officer verbally, and then with a written follow up.

HOT WORK PERMIT

NEEDED WHEN ANY SPARK OR HEAT PRODUCING EQUIPMENT IS TO BE USED

Project Name:

Name of Contractor’s Firm:

Contractor Contact Name:

Contractor Contact Telephone Number

Date:

Building/Location:

Work To Be Done:

Any Special Precautions:

Fire Watch Required: Yes No

The location where the work is to be performed has been examined, necessary precautions have been taken, and permission is granted for this work.

Signed

(Contractor Individual Responsible for Authorizing Hot Work)

Permit Expires: (Date)

Time Hot Work Started: Time Hot Work Completed:______________

FINAL CHECK-UP

Work area and all adjacent areas to which sparks and heat might have spread (including floors above and below and on opposite sides of walls) were inspected 30 minutes after the work was completed and were found fire safe.

Signed____________________________________ Date __________________ Contractor’s Fire Watch

ATTENTION

Before approving any cutting and welding permit, the contractor’s authorized representative or their appointee shall inspect the work area and confirm that precautions have been taken to prevent fire in accordance with NFPA Standard No. 51B.

PRECAUTIONS

· Sprinklers are in service where installed

· Cutting and welding equipment in good repair

· Within 35 feet; floors swept clean of combustible, no combustible material or flammable liquids, all wall and floor openings covered, and covers suspended beneath work to collect sparks

· When working on enclosed equipment and in confined space, equipment and area is free of flammable vapors

· Fire watch provided during and 30 minutes after operation (60 minutes for torch applied roofing operations)

· Portable fire extinguisher with adequate rating available in the immediate vicinity

· Standpipe system in service where installed

· Protection of any sprinkler heads when hot work is in close proximity

· Smoking prohibited in immediate vicinity

· Non-combustible shields provided when hot work is done near combustible walls, partitions, floors, roofs

· Prohibition of hot work on pipes contacting combustible walls

· Personnel trained in use of equipment including portable fire extinguishers and sounding a fire alarm

· Final check-up conducted after 30 minute

(Page 2 of 2)

DAILY INSPECTION FORM

INSTRUCTIONS: This form is to be utilized when hazards are posed by NFPA 101 deficiencies or construction activities are in progress. Remediation must be implemented upon project start and continuously enforced through project completion to provide a level of life safety comparable to that described in the Life Safety Code. Submit completed forms to the CO & COR weekly.

Completion Date:

Contractor:

Contractor CP:

1. Are exits readily accessible and provide unobstructed egress?

2. Have alternate exits been established if required due to inaccessibility of existing exits?

3. If alternate exits have been established, are personnel in the area informed and aware of their relocation?

4. Are the existing and relocated exits clearly marked and able to be seen in the event of a fire or emergency?

5. Are evacuation routes posted with follow-up inspections required by construction impact changes in escape routes?

6. Are written procedures and guidelines posted in the immediate and adjacent areas for what to do and who to call in the event of a fire or emergency?

7. Are personnel in immediate/adjacent areas aware and informed in procedures and guidelines to follow in the event of fire or emergency?

8. Is there free and unobstructed access to services for emergency personnel (eg, fire, medical, security)?

9. Are fire alarm (eg, pull station), detection (eg, smoke/heat), suppression (eg, sprinkler, extinguisher) systems in working order, protected and unobstructed with locations identified?

10. If the fire alarm, detection, suppression systems are impaired or temporarily non-functional, has a fire watch for the area, as required or necessary, been trained and established?

11. If the fire alarm, detection, suppression systems are impaired, have measures been taken to provide temporary equivalent equipment and/or systems for adequate protection? Note date for equivalent measures.

12. If the fire alarm, detection, suppression systems are impaired, are equivalent equipment/systems inspected and tested at least monthly?

13. If temporary fire alarm, detection, suppression systems are installed, are personnel in the area aware and trained on how to operate or utilize them in the event of fire or emergency?

14. Has the “No Smoking” policy been posted, implemented and enforced in the construction area?

15. Are temporary partitions built to be fire/smoke tight with fire retardant noncombustible material and inspected daily for integrity?

16. Is construction site access restricted to authorized personnel only including warning signs and secured at the end of each day?

17. Is construction area hazard surveillance conducted daily?

18. Is construction area storage, waste, debris and excess materials being daily managed properly to reduce fire or safety hazards?

19. Are construction activities and materials prosecuted, handled, stored, and secured in an orderly and safe manner?

20. Is the generation, spread and exposure of construction dust, fumes, noise, odor, smoke controlled with appropriate fume, odor, vapor ventilation provided to control noxious, infectious, toxic exposure and store/protect flammable/combustible products?

21. Has a GC Safety Manager been designated with routine site safety meetings conducted to ensure awareness of Life Safety Code?

22. Is personnel protective equipment (e.g., safety glasses, ear plugs, hard hats) required and being used?

23. If there are hand/safety rails, scaffolding or ladders required, are they in place, in good condition and being used in a safe manner?

24. Are the construction site (buildings and exterior grounds) hazards (e.g., fall/trip) guarded and free of potential safety violations?

25. Do electrical panels, temporary wiring, extension cords (3 wire grounded type), tools, and equipment appear to be installed, utilized, and functioning in a safe manner?

26. If there are temporary electrical outlets provided, do they have ground fault protection at the receptacle/panel?

27. If hazardous equipment/systems need to be de-energized, are applicable “Lockout/Tagout” procedures being followed?

28. Are utility services (e.g., electrical, steam, water, waste, gas) properly secured at the end of each day?

29. If there is any hot work (welding, soldering, cutting) being performed within the construction site, have additional fire safety precautions been taken and necessary equipment provided?

30. If there is any hot work (welding, soldering, cutting) being performed on the construction site, has Contracting Officer been notified? Has the Hot Work Permit been approved?

31. If hazardous products are present, are they limited to the amount needed and used daily?

32. Are hazardous products disposed according to EPA requirements?

33. Are all hazardous products present or being used (e.g., flammable, combustible, corrosive, noxious) labeled with MSDS information readily available?

34. Are all safety incidents documented and reported to the Contracting Officer?

Contractor CP Initials Performing Daily Inspections:

Inspection Comments/Findings: (PROVIDE DETAILED EXPLAINATION OF EXCEPTIONS/DEFICIENTIES)

Signature/Date: ________________________________________ ___________________

Project CP/ GC Safety Manager Date