TE6-Polk Army Airfield Safety Plan Compliance Document (SPCD).pdf

SPCD October 2014 i

SAFETY PLAN COMPLIANCE DOCUMENT

(SPCD)

Polk Army Airfield

Project:

SPCD October 2014 ii

APPROVALS

By their signature, the undersigned certify that this Safety Plan Compliance Document (SPCD) is approved and will be used at the Polk Army Airfield ______________ Construction Project, Fort Polk, Louisiana.

Project Engineer Date

COR __________________________ Date

Airfield Safety Program Manager Date

Project Manager

Site Superintendent

SPCD October 2014 iii

TABLE OF CONTENTS

APPROVALS ............................................................................................................................ ii

ACRONYMS AND ABBREVIATIONS ................................................................................... v

1.0 EXECUTIVE SUMMARY

1.1 APPROVALS

1.2 REGULATORY DRIVERS

1.3 PENALTIES

2.0 INTRODUCTION

3.0 HEALTH AND SAFETY PERSONNEL

3.1 PROJECT TEAM KEY STAFF ORGANIZATION

3.2 PROJECT MANAGER

3.3 SITE SUPERINTENDENT

3.4 QUALITY CONTROL MANAGER

3.5 QUALITY CONTROL SYSTEMS MANAGER

3.6 SITE HEALTH AND SAFETY OFFICER

3.7 SITE WORKERS

4.0 PROJECT DESCRIPTION AND WORK PLAN

4.1 WORK PHASES

4.1.1 Notification to FAA

4.1.2 Duration of Each Phase

4.1.3 Daily Work Start Time and Finish Time to Include “Night Only” Projects

4.1.4 Aircraft Operational Areas Affected by Construction

4.1.2 NAVAIDS Potentially Affected by Construction

4.2 SPECIAL PRECAUTIONS

4.2.1 Runway and Taxiway Marking and Lighting

4.2.2 Protection of Runway and Taxiway Safety Areas (RSAs and TSAs)

4.2.3 Protection of Obstacle-Free Zones (OFZs), Object-Free Areas (OFAs) and Mandatory Frangibility Zones (MFZs)

4.2.4 Foreign Object Debris (FOD) Control

4.2.5 Wildlife Management

4.2.6 Security Fence Integrity

4.3 CONSTRUCTION PRECAUTIONS

SPCD October 2014 iv

4.3.1 Traffic Control

4.3.2 Area Delineation

4.3.3 Special Construction Limitations

4.3.4 Stockpile Locations

4.3.5 Hazardous Materials Management (Spill Response)

4.3.6 Trench and Excavation Identification and Cover

4.3.7 Erosion Control

4.3.8 Special Inspection Requirements

4.3.9 Utility Location and Protection

4.3.10 Use of Temporary Visual Aids

5.0 COMMUNICATIONS

5.1 NOTAM ISSUANCE

5.2 ACTIVE AND PASSIVE COMMUNICATIONS

5.3 EMERGENCY NOTIFICATION PROCEDURES

5.4 EMERGENCY PHONE NUMBERS

6.0 TRAINING AND RECORD KEEPING

6.1 Initial Safety Orientation

6.2 SITE-SPECIFIC TRAINING

6.3 SAFETY BRIEFINGS

6.4 VISUAL COMMUNICATIONS

6.6 EVACUATION

7.0 REFERENCES

TABLE

Table 1 Key Staff

FIGURE

Figure 1 Site Location and Layout

Figure 2 Project Layout Diagram

APPENDIX

Appendix A Field Team Review Roster

SPCD October 2014 v

ACRONYMS AND ABBREVIATIONS

°F Degrees Fahrenheit

UN-NAMED Un-named Construction Services, LLC.

CSPP Construction Safety Phasing Plan

CTAF Common Traffic Advisory Frequency

FAA Federal Aviation Administration

MHz Megahertz

NOTAM Notice to Airmen

PE Project Engineer

PM Project Manager

QC Quality Control

QCM Quality Control Manager

SS On-Site Superintendent

SPCD Safety Plan Compliance Document

SSHP Site Safety and Health Plan

SSHO Site Safety and Health Officer

USACE U.S. Army Corps of Engineers

SPCD December 2014 6

1.0 EXECUTIVE SUMMARY

See the Construction Safety Phasing Plan (CSPP)

1.1 APPROVALS

The signatures on the approval page at the front of this document, certifies that the PE, PM, and SS have approved the Safety Plan Compliance Document (SPCD) for use during construction activities. Addenda or changes will require written approval by the Contracting Officer.

1.2 REGULATORY DRIVERS

See the Construction Safety Phasing Plan (CSPP)

1.3 PENALTIES

See the Construction Safety Phasing Plan (CSPP)

2.0 INTRODUCTION

UN-NAMED ID/IQ Contract # provides a vehicle for the Army to accomplish multiple small-scope construction projects using a single contractor. The contract Task Order that necessitates this SPCD is Number with a scope to at Polk Army Airfield.

The Task Order has an anticipated time duration of months from to .

3.0 HEALTH AND SAFETY PERSONNEL

UN-NAMED shall provide the site health and safety staff for this project in the following table and describe their functions in the following paragraphs.

3.1 PROJECT TEAM KEY STAFF ORGANIZATION

Table 1 identifies key personnel and the key staff positions:

Table 1 Key UN-NAMED Staff

TITLE NAME PHONE COMPANY

Sr. PM UN-NAMED

PM UN-NAMED

CQCSM UN-NAMED

SHSO UN-NAMED

SPCD December 2014 7

SS UN-NAMED

QCM UN-NAMED

Notes:

PM = Project Manager

CQCSM = Contractor Quality Control System Manager

QCM = Quality Control Manager

SS = On-site Superintendent

SHSO = Site Health and Safety Officer

3.2 PROJECT MANAGER

Un-named will be the PM for this project. He has the overall project management responsibility.

Un-named has the responsibility to ensure that the CSPP and SPCD meets or exceeds FAA Advisory Circular 150/5370-2F. He will ensure that adequate resources are provided to the construction staff to carry out their responsibilities as outlined in this CSPP and SPCD. He will also ensure that adequate personnel and equipment resources are available to complete the project safely.

3.3 SITE SUPERINTENDENT

Un-named will be the Site Superintendent for this work. He will ensure that all site work is performed in accordance with contract requirements and in full compliance with the specifications and with this CSPP. The SS is responsible for implementing this CSPP and initiating changes to the SPCD with the concurrence of the PM and Project Engineer (PE). The SS has the authority to stop work if the CSPP or SPCD is compromised. The SS will also serve as the site emergency coordinator. The SS will conduct a daily walk-through of the site to ensure CSPP and SPCD compliance. Any discrepancies noted and corrective actions taken will be documented in a Daily Quality Control (QC) Report, which will be found in the approved Quality Control Plan. He has authority to stop work when it is determined that existing work conditions are unsafe.

3.4 QUALITY CONTROL MANAGER

Un-named will be the Quality Control Manager. He will be responsible for quality control during the project.

3.5 QUALITY CONTROL SYSTEMS MANAGER

Un-named will be the Quality Control Systems Manager for this project. He shall be responsible for overall management of CQC and have the authority to act in all CQC matters for the contractor.

SPCD December 2014 8

3.6 SITE HEALTH AND SAFETY OFFICER

Un-named will be the designated Health and Safety Officer for the project. He will be responsible to monitor all activities to ensure that all work is accomplished in accordance with the Corps of Engineers Safety Manual.

3.7 SITE WORKERS

All site workers must be familiar with and comply with the terms and conditions of the CSPP and this SPCD as well as all Airport and Base Safety and Security Regulations. All site workers shall receive site-specific safety training from the airfield safety manager and sign the CSPP and SPCD Field Team Review Roster before beginning work. All site workers have the responsibility to immediately report any unsafe or potentially hazardous condition to the SS, stop work if an accident or injury is foreseen, and/or correct any work or safety hazard.

In addition, all drivers who will operate vehicles or construction equipment on Polk Army Airfield must pass a Flightline Driving Test prior to being able to operate a vehicle on the Airfield proper. UN-NAMED will ensure all potential drivers take this test and that records of passing the test are maintained with the airfield operations officer who will issue temporary flightline licenses which shall be maintained on their person while operating on the airfield.

4.0 PROJECT DESCRIPTION AND WORK PLAN

This is a taxiway and parking pad paint project. Figure 1 shows the location of the work. The Airport will NOT be closed/restricted during construction activity; however, UN-NAMED will have exclusive access to a Work Area designated in Figure 2. To further ensure safety, a portion of Taxiway A will be closed to all Aircraft and Base vehicles for the duration of this work. Figure 2 also delineates the parts of Taxiway A that will be closed. Airfield operations will issue a NOTAM to announce this closure before construction begins.

The Airport Taxiway and Parking Construction Project will:

1. Install improved .

2. Construct .

3. Repair and reinstall .

Accident prevention activities occur throughout every phase of this project and include inspections and employee training. Anticipated field activities for this project are listed below:

SPCD December 2014 9

4.1 WORK PHASES

UN-NAMED shall list each phase of work in the SPCD Task Order Work for the Project:

(Examples listed)

Phase I (Cover here in SPCD)

• Mobilization and setup project office.

• Preliminary Safety meetings and orientations.

• Pre-construction activities and approval of the SPCD.

• Notification to FAA

• Contractor Utility Identification and Protection Measures

• Construction surveying and staking in the project area.

Phase II (Cover here in SPCD)

• Install Site Control and Delineation Barriers separating Taxiways and Fire Lane.

• Establish staging areas, storage, safety, decontamination, and sanitary facilities.

• Establish approved stockpile areas.

• Establishing material haul routes.

• Perform Erosion and pollution control

Erect silt fencing and sediment control features along the runway side of the project, Install Site access and control and spill response features, and

Establish environmental protection features of site work.

• Stage spill response and other previously unstaged equipment.

• Transportation, receipt, and storage of equipment and supplies.

• Begin FOD Control Measures

Phase III (Cover here in SPCD)

• Site Drainage System and Underground Collection Facilities.

• Haul, place, and compact subgrade fill materials.

• Restripe Existing Taxiway Transitions

• Install Striping

Phase IV (Cover here in SPCD)

• Storm drainage wet vault and infiltration tanks.

SPCD December 2014 10

• Demobilization

Dispose of project wastes, Perform post-site activities clean up, and

Transport project equipment offsite.

4.1.1 Notification to FAA

Confirm that UN-NAMED has filed FAA Form 7460-1 with the FAA per 14 CFR part 77.

4.1.2 Duration of Each Phase

Provide the anticipated durations of each phase in this SPCD.

4.1.3 Daily Work Start Time and Finish Time to Include “Night Only” Projects

Provide the anticipated daily start and finish work times in this SPCD. Night only projects would still require this entry.

4.1.4 Aircraft Operational Areas Affected by Construction

See the Construction Safety Phasing Plan (CSPP)

4.1.2 NAVAIDS Potentially Affected by Construction

See the Construction Safety Phasing Plan (CSPP)

4.2 SPECIAL PRECAUTIONS

4.2.1 Runway and Taxiway Marking and Lighting

See the Construction Safety Phasing Plan (CSPP)

OR

Provide details on how temporary markings and lighting will be accomplished.

Taxiway Lighting for Taxiway A, within the Project Site, will be out of service for the duration of work. These lights will be removed and reinstalled at the completion of work.

4.2.2 Protection of Runway and Taxiway Safety Areas (RSAs and TSAs)

OR

SPCD December 2014 11

UN-NAMED will protect the integrity of all appropriate RSAs and TSAs by means of barricades and Orange Construction Silt Fencing.

UN-NAMED will isolate the Work Site from existing Taxiways using Multi Barrier, Model AR- 10, HDPE Impact-Resistant, Water-Filled, UV Resistant Safety Barricades. These barricades meet the requirements of FAA Circular 150/5370-2F and will be equipped with Red Caution lights. These barriers are shown in Appendix B.

4.2.3 Protection of Obstacle-Free Zones (OFZs), Object-Free Areas (OFAs) and Mandatory Frangibility Zones (MFZs)

See the Construction Safety Phasing Plan (CSPP)

OR

This Project will have no impact on Obstacle-Free Zones, Object-Free Areas or Mandatory Frangibility Zones.

4.2.4 Foreign Object Debris (FOD) Control

Define UN-NAMED measures to be taken.

UN-NAMED has included FOD Control in the general training given to all employees on site.

Haul Routes within the site, and shown in Figure 2, have been developed to minimize FOD and to keep vehicles and materials as far as possible from existing Taxiways.

The SS and Foremen will continually inspect the work during operations and each Foreman will walk the site each day before ceasing operations.

Tarps will be used to cover dumpsters at the end of each day and as necessary due to high winds.

A tractor with street brush will be on site for use in cleaning paved areas as required.

4.2.5 Wildlife Management

4.2.6 Security Fence Integrity

OR

Explain UN-NAMEDs plan.

SPCD December 2014 12

4.3 CONSTRUCTION PRECAUTIONS

4.3.1 Traffic Control

See the Construction Safety Phasing Plan (CSPP)

4.3.2 Area Delineation

Explain UN-NAMED method of delineation.

Plus:

UN-NAMED will inspect the Site Perimeter on a daily basis and maintain positive control of all perimeter barriers.

4.3.3 Special Construction Limitations

See the Construction Safety Phasing Plan (CSPP)

4.3.4 Stockpile Locations

See the Construction Safety Phasing Plan (CSPP)

4.3.5 Hazardous Materials Management (Spill Response)

Explain UN-NAMED procedures.

UN-NAMED shall notify airfield safety of the presence of hazardous materials on the airfield and insure proper procedures are used and applicable documents (SDS) are present at the job site.

Explain: Spill response shall be address in UN-NAMEDs SPCD.

4.3.6 Trench and Excavation Identification and Cover

If NO: See the Construction Safety Phasing Plan (CSPP)

No Trenches are anticipated in any areas other than the Work Site. All trenches on the site will be promptly backfilled and covered, and identified by construction tape if they present a depression of more than 4 inches.

If YES explain:

All trenches and excavations in any traffic areas (Work Site Haul Routes) will be covered at the end of each work shift.

SPCD December 2014 13

4.3.7 Erosion Control

If NO: See the Construction Safety Phasing Plan (CSPP)

If YES explain plan.

4.3.8 Special Inspection Requirements

4.3.9 Utility Location and Protection

Explain procedures to be used by UN-NAMED.

The utilities potentially impacted by these operations are electricity for Taxiway A lights on the south side of the project, and an underground electrical power line on the far north side of the project. The Army has performed a Utility-Locate prior to the start work.

All electrical runs will be prominently marked on the surface. Where the location of any utility is unclear, hand-excavations will be performed if there is any danger the excavation will impact the utility.

UN-NAMED will note the location of all utility runs on As-Built Drawings.

In the event of an unplanned utility outage, UN-NAMED will immediately contact the Airfield Safety Office and Project Manager, and will begin repair actions as instructed.

4.3.10 Use of Temporary Visual Aids

OR explain.

5.0 COMMUNICATIONS

5.1 NOTAM ISSUANCE

See the Construction Safety Phasing Plan (CSPP)

5.2 ACTIVE AND PASSIVE COMMUNICATIONS

UN-NAMED shall provide company communication specifics in the SPCD.

SPCD December 2014 14

All vehicles and each crew foreman will be equipped with 2-way radio communications, tuned to the approved frequency. The SS will continually monitor the Airport Operational and Emergency Frequencies.

The SS will be monitoring the designated radio frequencies for aircraft at all times during construction activities.

5.3 EMERGENCY NOTIFICATION PROCEDURES

Explain procedures to be used by UN-NAMED.

In the event of a Medical Emergency on site, UN-NAMED will exercise the appropriate requirements of the Health and Safety Plan (HASP).

In the event of a non-Medical Emergency, UN-NAMED will stop all work and call a general evacuation of the site. Simultaneously, the SS or PM will notify the Project Engineer, Airfield Safety Office, and Control Tower relating the nature of the emergency and the ongoing response.

5.4 EMERGENCY PHONE NUMBERS

UN-NAMED shall use the below table to list applicable emergency phone numbers.

Organization/Personnel Phone Number

Fire/Rescue 911 or 531-COPS (2677)

Airfield Safety Program Manager 337-531-6782

6.0 TRAINING AND RECORD KEEPING

Explain procedures to be used by UN-NAMED.

Safety training for this project includes an initial project safety meeting, site-specific safety training, and Daily Safety Tailgate Briefings. The SS or designee will provide and document all training.

6.1 INITIAL SAFETY ORIENTATION

Explain procedures to be used by UN-NAMED.

Before beginning field work, employees, subcontractors, and visitors will read the CSPP and SPCD and sign a Team Review Roster. Individuals refusing to sign the agreement may be prohibited from working at the site.

SPCD December 2014 15

6.2 SITE-SPECIFIC TRAINING

No drivers can operate a vehicle without first passing the Polk Army Airfield Vehicle test as noted in Section 3.3 of this CSPP.

No site workers will be allowed to begin work onsite until the site-specific training is completed and documented by the SS on the CSPP and SPCD Field Team Review Roster, provided as Appendix A. This training will address this CSPP and all health and safety issues and procedures pertinent to site operations. As part of the site-specific training, the following topics will be covered:

• Radio Communications

• Scope of Work

• Vehicle Identification

6.3 SAFETY BRIEFINGS

UN-NAMED shall provide company requirements for safety briefings within this SPCD.

6.4 VISUAL COMMUNICATIONS

Explain procedures to be used by UN-NAMED.

Construction equipment will be fitted with an amber strobe and will have two-way radio communication capabilities.

6.5 EVACUATION

UN-NAMED shall provide, in this SPCD, their procedures in the event of an emergency situation where evacuation is required:

• Sound three blasts with an air horn;

• Solicit the aid of the SS, or the nearest employee. Have that individual call for help. Notify the SS, if onsite, and give the exact location of the evacuated area. Direct all personnel in the affected area to evacuate and assemble upwind in a designated safe area;

• Establish the safety of all personnel and direct the administration of first aid as appropriate;

• Shut down all combustion equipment;

• Provide emergency equipment as appropriate; and

• Notify SS, or on-site representative.

SPCD December 2014 16

7.0 REFERENCES

Advisory Circular, U.S. Department of Transportation, Federal Aviation Administration.

AC No: 150/5370/2F. Construction Safety Planning.

Airfield Construction Safety Phasing Plan Polk Army Airfield Project Contract No. UN-NAMED Project No.

FIGURE 1

Site Location and Layout

FIGURE 2

Project Location and Layout

APPENDIX A

UN-NAMED Field Team Review Roster

APPENDIX B

Airfield Warning Barrier System

CSPP AND SPCD FIELD TEAM REVIEW ROSTER

Each Field Team Member shall sign this section after site-specific training is completed and before being permitted to work on site.

I have read and reviewed the Construction Safety Phasing Plan and the Safety Plan Compliance Document for Polk Army Airfield Parking Apron Construction Project and I understand the information presented. I will comply with the provisions contained therein.

NAME DATE

7.0 REFERENCES