Tech_Exhibit_0701_Sample_Maintenance_Cycle_Checklists.docx

DOCX document 40 KB Posted

Attached to
Base Operations Support Services Federal contract opportunity
Solicitation number
W15QKN-19-R-1004
Issued by
Department of the Army Materiel Command Contracting Command Picatinny Arsenal

About this file

This certification checklist is for a wastewater collection system operation and maintenance manual. It outlines required contents for the manual, including sections on staffing, spill and bypass events, safety, security and emergencies, and operation and maintenance procedures. Checklist items cover system maps, standard operating procedures, inspection schedules, emergency response plans, and safety equipment inventories. Recommended reference materials are also listed.

The solicitation seeks proposals for base operations support services at Fort Hamilton in New York. A site visit is scheduled for January 24, 2019, with any questions due in writing by January 30th. Proposals must be received by February 13, 2019. The soliciting agency is the Department of the Army Materiel Command Contracting Command at Picatinny Arsenal.

Technical Exhibit 0701

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Text version

State of Wisconsin Department of Natural Resources Bureau of Community Financial Assistance PO Box 7921 Madison WI 53707-7921

Wastewater Collection System Operation and Maintenance Manual Certification Checklist

Phone No. (608) 266-7555 Fax (608) 267-0496 dnr.wi.gov

Form 8700-310 (R 5/07)

NOTE:

An acceptable Operation and Maintenance (O&M) Manual must address the applicable items in this checklist. For upgrading projects, addenda or revisions to the existing O&M manual may be provided. The applicable portions of this checklist should then be completed for the addenda or revisions. Manufacturers' Manuals and other standard reference materials do not need to be included with the copy of the manual provided to DNR.

Notice: This form is authorized by s. NR 162.12(1)(k)(1), Wis. Adm. Code. Receipt of this information by the Department of Natural Resources (DNR) is mandatory to obtain a CWFP loan. Failure to submit a completed form may result in denial of loan funds for the project. Personal information collected on this form will be used for program administration and may be made available to requesters as required by Wisconsin Open Records law [s. 19.31–19.39, Wis. Stats.].

Facility Information

Municipality Name
Clean Water Fund Project No.
Plan & Spec Approval No.
WPDES Permit No.
Address
City
State
ZIP Code

Name of Firm that Prepared Manual

Name of Individual who Prepared Manual
Phone Number (include area code)
Email
Checklist Completed By
Phone Number (include area code)
Email

Municipal

Acceptance )We certify that to the best of our knowledge and belief, the information provided on this form and any associated attachments are true, accurate and complete.

Project Engineer Name
Title
Signature
Date Signed
Authorized Representative Name
Title
Signature of Authorized Representative
Date Signed

Operator Acceptance

I certify that I have reviewed the Operation and Maintenance Manual developed for this project and find that the manual meets the information and training requirements for this wastewater collection system.

Operator Name
Title
Signature
Date Signed

Leave Blank – DNR Use Only

This certification checklist has been reviewed by me and is acceptable.

DNR Reviewer Name
Date Received
Reviewer Signature
Date Reviewed
A. General
Page No.
Satisfactory
N/A

1. Table of Contents

2. Introduction - Purpose and use of the manual

3. Contact Information

a. Emergency telephone numbers and addresses

b. Telephone number, address, contact person for:

i. Utilities

ii. regional and central office

4. Format

a. Text written

b. Manual is an instructional tool

c. Manual is organized and makes sense

i. General information and discussion

ii. Inspection, operation and maintenance sections including specific safety procedures and concerns

d. Appendices

e. Will user find manual helpful (satisfactory)

f. Index Tabs

B. Staffing

1. Line diagram showing each position

2. General description of responsibility of each position

3. Qualifications required for each position

C. Spill and Bypass Events

1. Reporting procedures and contacts

2. Sanitary Sewer Overflow or Bypass Notification Report (Form 3400-184)

D. Safety

1. General discussion

2. Personal hygiene,

3. Hazards,

a. Physical injuries

b. Pathogens (recommended inoculations)

c. Oxygen deficiency and noxious gases

d. Electrical safety

e. Explosion and fire

f. Chemical safety

g. Equipment safety

h. Laboratory safety

i. Traffic and roadway safety

4. Definition of confined spaces and applicable rules and regulations for entry

5. Safety procedures for confined space entry

6. List of specific hazardous areas and confined spaces at treatment facility/collection system

7. List of actual chemicals used and a Material Safety Data Sheet (MSDS) for each

8. Safety equipment and first aid kits (types and locations)

9. Accident reports

10. Job safety instruction and training

Wastewater Collection System Operation and Maintenance Manual Certification Checklist

E. Security and Emergencies
Page No.
Satisfactory
N/A

1. Vulnerability Assessment

2. Emergency Response Plan

3. Emergency Operating Plan

4. Emergency Generators and Pumps

a. Functional description, location and procedures

b. Startup and normal operation

c. Emergency repair procedures and procedures for obtaining outside help

d. Trouble shooting guide (table format)

e. Safety associated with tasks

F. Operation and Maintenance

1. Sewers and Manholes

a. Functional description of system (may refer to maps and general description)

b. Normal operation, alternative operation and emergency operation

c. Inspections

d. Maintenance tasks, schedules and procedures

e. Trouble shooting guide (table format)

f. Safety associated with tasks

2. Lift Stations

a. Function, location and description of lift stations

b. Schematic drawing

c. Normal operation, startup, alternate operation and emergency operation

d. Maintenance tasks, schedules and procedures

e. Trouble shooting guide (table format)

f. Safety associated with tasks

3. Sewer Cleaning Equipment

a. Function and location of equipment (each unit)

b. Trouble shooting guide (table format)

c. Safety associated with tasks

4. Safety Equipment

a. Tasks and procedures

b. Personnel assigned to each task

c. Schedules by which tasks are done

d. Trouble shooting guide (table format)

5. Appurtenances (inverted siphons, chlorinators, air relief valves, telemetering equipment, etc.)

a. Functional description, schematics and location

b. Normal operation, alternate operation and emergency operation

c. Mechanical and/or electrical components

d. Trouble shooting guide (table format)

e. Safety associated with tasks

G. Appendices

1. “Bypasses or Overflows from Sewage Collections Systems“

2. Sewer use ordinance and user charge system

3. Sewer System Map

G. Appendices (continued) Page No. Satisfactory N/A

4. Capacity, Management, Operation & Maintenance Program (if applicable)

5. Compliance Maintenance Annual Report (CMAR): Collection System Section

6. Summary of purchase order system and forms

7. Summary of equipment inventory systems and forms

8. Summary of mutual aid system (formal and informal)

9. List of known or suspected dangerous locations, danger and mitigative actions

10. List of manufacturers O&M manuals and location

11. List of equipment and material suppliers and service representatives with address and telephone number

12. List of safety equipment and respective location Provided )Wastewater Collection Systems Recommended Reference Materials Check if

1. Wastewater Collection Systems Management

2. Operation & Maintenance of Wastewater Collections Systems

3. Collection Systems: Methods For Evaluating & Improving Performance

4. Confined Space Entry or other:

5. Safety & Health at Wastewater Systems

6. Biological Hazards at Wastewater Treatment Facilities

7. Collection System Reference Books as they apply. List additional books, if provided:

8. Security Vulnerability Self-Assessment Guide for Wastewater Systems (WRWA)

COMMENTS

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