Attachment 11_TE-8- SampleSafetyAndHealthPlan.doc

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88th RSC PM/CM Services - Chicago Region Federal contract opportunity
Solicitation number
W912DY-17-R-UES9
Issued by
Department of the Army Corps of Engineers Engineering Support Center Huntsville

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Technical Exhibit TE-8 Safety and Health Plan Data Item Description BaseOps-0001, Continued

DATA ITEM DESCRIPTION
FORM APPROVAL

OMB NO 0704-0188

2. TITLE Safety & Health Program
1. IDENTIFICATION NUMBER DID-BaseOps-0001

3. DESCRIPTION / PURPOSE

This plan details the tasks and activities of site safety management required to identify, evaluate, and eliminate or control hazards at the work.

4. APPROVAL DATE

(YYMMDD)

5. OFFICE OF PRIMARY RESPONSIBILITY

6a. DTIC APPLICABLE

6b. GIDEP APPLICABLE

7. APPLICATION / INTERRELATIONSHIP:

8. APPROVAL LIMITATION

9a. APPLICABLE FORMS
9b. BASEOPS NUMBER

10. PREPARATION INSTRUCTIONS The FFP Contract Safety and Health Program, including the accident prevention plans as discussed below, shall be prepared in accordance with this Data Item Description unless otherwise indicated or directed by the Contracting Officer. This Contract incorporates a special Variance to USACE Policy EM 385-1-1 as further described herein.

10.1. Safety and Health Program. The contractor is required by regulation to develop and maintain a written safety and health program in compliance the requirements of the Occupational Safety and Health Administration (OSHA) and the U.S. Army Corps of Engineers (USACE) safety and health requirements. The contractor shall submit this plan to the contracting officer for review prior to the award of any task orders under this contract.

10.2. Abbreviated Accident Prevention Plan (AAPP). The contractor shall complete a “fill-in-the blank” AAPP to be used for all site visits only. The completed AAPP shall be submitted to the contracting officer at least three (3) business days prior to a site visit. The AAPP shall be prepared as per the template at attachment 1. Site visits shall not take place until the AAPP has been reviewed and accepted by the USACE Safety Office (U.S. Army Engineering and Support Center, Huntsville).

10.3. Accident Prevention Plan (APP), also referred to as Site Safety and Health Plan (SSHP), Safety and Health Plan (SHP), Site-Specific Accident Prevention Plan (SSAPP) or Site-Specific Safety and Health Plan (SSSHP), herein will be referred to as the APP. The APP shall be prepared in accordance with the requirements specified in this PWS and this section and shall comply with all federal, state and local health and safety requirements, e.g., OSHA requirements (29 CFR 1910 and 1926) and the U.S. Army Corps of Engineers Safety and Health Requirements Manual, EM 385-1-1, as well as a special Variance to EM 385-1-1 as further described herein. The APP shall as a minimum address the applicable items listed in Appendix A, EM 385-1-1. In addition, other applicable requirements not specifically identified in Appendix A but are contained in EM 385-1-1 or OSHA must be addressed as dictated by the work activity. The APP shall address those elements, which are site-specific and have the potential for adverse effects on the safety and health of workers and other personnel on the jobsite. The APP is the contractor’s site-specific implementing document and the plan must place special emphasis on “WHAT” elements must be included that accurately reflect the work activity to be performed as described in Appendix A, EM 385-1-1, “WHO” specifically is responsible for each element, “HOW” the element will be specifically addressed to mitigate any known or potential hazards, and “WHEN” each of the

11. DISTRIBUTION STATEMENT

DD Form 1664, JUN 86 PREVIOUS EDITIONS ARE OBSOLETE PAGE_1__of_3__PAGES applicable requirements will be performed. If an element contained in Appendix A is not applicable, the Contractor shall make negative declaration in the plan to establish that adequate consideration was given the topic, with a brief justification provided for its omission. The APP shall cover the safety and health aspects of asbestos and/or lead-based paint inspection and removal but is not intended to take the place of plans and specifications for these hazards. Hazardous and toxic chemicals and Environmental remediation (RCRA and CERCLA clean-up) are not covered under this APP. Detailed site-specific hazards and controls shall be provided in the activity hazard analyses required IAW this DID, paragraph 10.3.2, for each phase of the operation or work activity. Daily safety and health inspections shall be conducted to determine if site operations are being performed IAW the accepted APP and contract requirements. The APP shall be in a form usable by authorized U.S. government representatives and other authorized visitors to the site during site operations.

10.3.1. APP Submission Requirements. The APP shall be submitted no later than 14 calendar days after the contracting officer issues notice to proceed for any repair/renewal action. The Repair/Renewal Action work shall not begin until the APP has been reviewed and accepted by the U.S. Army Engineering and Support Center, Huntsville (USAESCH) Safety Office.

10.3.2. Activity Hazard Analyses. Before beginning each work activity, Activity Hazard Analyses (AHAs) shall be prepared by the contractors performing the work activity. AHAs shall define the (1) sequence of work; (2) specific hazards known or anticipated; (3) and the control measures to mitigate the identified hazard(s). Figure 1-1, EM 385-1-1, is an analysis outline that can be used in meeting the AHA contract requirement. Work will not begin until the AHA has been reviewed and accepted by the U.S. Army Engineering and Support Center, Huntsville (USAESCH) Safety Office. The AHA may be submitted with the Accident Prevention Plan or as a separate submittal but shall be submitted for review and acceptance at least five (5) business days before any work activity begins. In no case shall a specific work activity be started until an AHA for that specific activity has been reviewed and accepted. Specific hazards such as struck by moving vehicle, burns, slip, trips and falls, asphyxiation, back injury, electrical shock, heat exhaustion, head, foot, or eye injury, etc. should be listed in a manner which is easily understood by general workers with the controls identified to mitigate the hazard or exposure. The accepted AHA shall be discussed with all contractor personnel and all subcontractors engaged in the activity prior to commencement of work.

10.3.3. Staff Organization, Qualifications, and Responsibilities. A fully trained and experienced safety and health officer (SHO), responsible to the Contractor, may be delegated to implement the on-site elements of the APP. The operational and health and safety responsibilities of each key person shall be discussed. The organizational structure, with lines of authority for safety and health and overall responsibilities of the Contractor and all subcontractors shall be provided. An organizational chart showing the lines of authority for safety shall be provided. Each person assigned specific safety and health responsibilities shall be identified and his/her qualifications and experience documented by resume.

10.3.4. Noise Control. The Contractor shall monitor for hazardous noise conditions. If warranted, a hearing conservation program and noise abatement program shall be implemented.

10.3.5. Standing Operating Procedures, Engineering Controls and Work Practices. The Contractor shall develop Standing Operating Procedures for minimizing hazards and taking action to correct hazards where necessary. Site rules and safe work practices shall be discussed and shall include such topics as use of the buddy system, smoking restrictions and designated areas, material handling procedures, confined space entry, excavation safety, physiological and meteorological monitoring for heat/cold stress, illumination, sanitation, and daily safety inspections, etc. This list of topics is not intended to be all-inclusive.

10.3.6. Logs, Reports and Record Keeping. Record keeping procedures for training logs, safety inspection logs, employee/visitor registers, medical surveillance records and certifications, air monitoring results and personal exposure records shall be described. All personnel exposure and medical monitoring records shall be maintained in accordance with applicable OSHA standards, CFR 1910 and 1926.

10.3.7 SHO VARIANCE FOR THIS FFP CONTRACT/TASK ORDER. A special Variance for USACE policy EM-385-1-1 ‘Safety and Health Requirements,’ par. 01.A.17, regarding Contractor implementation of Site Safety and Health Officer (SSHO) responsibilities, has been incorporated into this contract. In acknowledgement of the ‘Maintenance and Services’ activities performed at numerous different field locations under this contract, the very specific provisions of this special Variance to EM-385-1-1 are detailed in the subsections below.

10.3.7.1 SHO VARIANCE Overview. The Prime Contractor is responsible for ensuring that an appropriately qualified SHO is assigned to each worksite and office location as required to implement their safety program. This Variance establishes three (3) SHO Levels (L1, L2 and L3), and the on-site Competent Person Level of the SHO assigned by the Contractor for all work activities and conditions shall be commensurate to the degree of risk so as to fully ensure the safety and health of employees and others at the work site at all times.

10.3.7.2 Site Safety Officer Designation and Concept. The SHO Variance provides for delegation at three different levels from which the Contractor may delegate SHO responsibilities to appropriate Prime Contractor or Subcontractor employees. Each such delegation of an individual shall be commensurate with the risk as determined by the Contractor top-level SSHO. Each such delegation of an individual by the Contractor requires that the Contractor complete and submit for approval to COR the attached ‘Appointment Memo / Designation of Safety and Health Official Certificate’. The Contractor shall also submit accompanying evidence that supports the individual’s appointment -- no such SHO actual responsibilities shall be implemented until such time that the appointment has been acknowledged as ‘approved’ by the USACE Safety Office.

10.3.7.3 The diagram that follows, entitled ‘Site Safety Officer Designations,’ provides the characteristics that define the three different SHO levels – L1, L2 and L3 (or ‘Designated Representative’ – ‘DR’) - that are recognized under this contract. To utilize this Variance, the Contractor may delegate SHO responsibilities to qualified individuals according to the characteristics indicated and the Contractor’s own process for properly evaluating the risks for particular activities, so as to ensure an adequate level of oversight by a qualified safety compliance professional. The defining characteristics include the specific type of activities being addressed, anticipated risks of the activities, the qualifications of the individual being assigned as an SHO, whether the safety oversight is being performed in a standalone capacity or as a collateral duty of a worker, and the employment relationship of the individual to the organization (employee of Primary Contractor or Subcontractor).

10.3.7.4 The diagram that follows entitled “SHO Concept’ demonstrates the relationship of the various lower tier SHO levels in the field to the Level 1 SSHO required key personnel.

10.3.7.5 The flowchart below indicates the considerations that shall be addressed and the decision process that shall be employed in determining the appropriate level for delegation of an SHO depending upon risk criteria (Risk is evaluated based upon the RAC, or Risk Assessment Code, for an activity) and other germane factors.

1.3.7.6 CONTROLS. No work shall be conducted in the field unless the proper level of SHO is present. The L2 and L3 SHO must be trained on the Prime Contractor’s Corporate Safety & Health Policies. All SHO must have an Appointment Memo submitted & Accepted by USACE Safety Office prior to start of work. The APP and AHA also must be accepted by the USACE Safety Office in advance of the work being performed and the SHO responsibility being invoked. The APP shall demonstrate how L1 ensures that L2 & L3 are implementing safety and health requirements in the field. The Responsibilities and Lines of Authority Section of the APP shall illustrate the reporting chain of command between all SHOs

1.3.7.7To ensure the effectiveness of delegated SHO assignments in the field, a crucial component shall be a required Safety ‘Tailgate Meeting’ prior to the start of work for every Service Order. This crucial safety meeting shall review the accepted AHA, make changes as necessary based upon circumstances noted in the field, communicate hazards, and ensure controls of activity as necessary. If the Risk Assessment Code (RAC) for the activity has increased above that for which the intended AHA was approved, or if there is not an AHA that covers an Activity, the Contractor shall not commence work until an appropriate AHA is submitted and accepted by the USACE Safety Office. All persons working on the Service Order shall review the applicable AHA and sign to acknowledge their review of the AHA. Copies (or originals if requested) of the signed AHA shall be submitted with the invoices or completed Service Order. Availability of an approved AHA shall be confirmed on the Service Order form by the Contractor. The Contractor shall cooperate in anticipated audits by the Government of the processes utilized for implementing the special Maintenance and Services Safety SHO Variance.

1.3.7.8 Variance Process in APP and Service Orders. After award, the Contractor shall submit the APP with AHAs for activities expected for the FFP contract/Task Order, including intended implementation of the SHO Variance. The USACE Safety Office will accept appropriate APP and AHAs.

a) L1 is accepted

b) L2 may be accepted or may be in Service Order

c) SHO L3 (DR) – submitted with Service Orders

1.3.7.9 When the Contractor is requested to perform work via a Service Order, the Contractor shall note with the proposal as to whether there is an accepted AHA for the activities. If there is not an accepted AHA for the activity, the contractor shall develop a suitable AHA and attach with the submitted Service Order package. The USACE Program Manager will route any Service Orders received with attached AHA to the USACE Safety Office to seek approval. The Safety Office shall review and approval acceptable AHA submissions or route back via Program Manager to Contractor with comments regarding any needed revisions.

10.4. Accident Reporting. Accidents involving personal injury/illness or property damage shall be reported to the Contracting Officer, or authorized representative, immediately.

10.4.1. Accident Reports. An Engineer Form 3394 shall be prepared and submitted in reporting lost work day cases, accidents where 3 or more persons are admitted to a hospital, a fatality, or property damage $2000 or greater, or as directed by the Contracting Officer. The ENG Form 3394 shall be submitted to the Contracting Officer within 5 working days following the accident in accordance with AR 385-40 and USACE Supplement 1 to that regulation. The ENG Form can be accessed via the internet at:

www.hnd.usace.army.mil/engrdir/organization/systems-eng/Safety/safety2.htm

The ENG Form 3394 is prepared by the contactor, with original signatures shown in blocks 15c and 16 (copies/faxes are not acceptable). The remaining signature blocks, blocks 17 -19, will be completed by the Huntsville Engineering Center.

10.5. Man-hours and Lost Workday Reporting. Man-hours and lost workday (LWD) cases will be submitted to the COR monthly with copy furnished the U.S. Army Engineering and Support Center, Huntsville (USAESCH), ATTN: CEHNC-SO. The data must be submitted to arrive at the USAESCH not later than 10 calendar days after the end of each month. The information cut-off date will be the last day of each month. The monthly submission must include the title of the report i.e., Accident Exposure Data Report, contract number, task order number, project site, month and year for which the report is made, a point of contact listing both email address and telephone number, and number of lost workday accidents to include total days lost. If no hours are worked on the project/task, a report showing “zero (0)” is required.

10.6. Sampling Plan. When performing sampling for asbestos, lead-based paint, or other materials, the contractor shall prepare a site-specific sampling plan. The Sampling Plan shall be developed by a Certified Industrial Hygienist (CIH) or in consultation with a CIH. A CIH must sign the Sampling Plan. The sampling shall be conducted in a manner that will not increase exposure to sampling personnel, building occupants or the environment. A detailed sampling plan shall be developed and used to ensure the safety of all involved. A list of representative topics to be included in the Sampling Plan is shown in attachment 2. This list is not all-inclusive and is provided as a guide in preparing the site-specific sampling plan. Any sampling conducted by the contractor shall be coordinated with and approved by the entity in charge of the facility. The Sampling Plan shall be submitted to the contracting officer at least 5 business days before sampling is expected to occur. Sampling shall not be performed at the site until the Sampling Plan has been reviewed and accepted by the U.S. Army Engineering and Support Center, Huntsville (USAESCH) Safety Office.

SHO Level Decision Process Flow Chart

Section J - Att_8b DID OMEE0001 Safety DID (20Mar09)(Pfnl)[RevisedTo-TE-8a].doc

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