PWS_Attachment_B.PDF

TF SAFE Attachment B

HNC-001.02

DATA ITEM DESCRIPTION

Title: Project Planning Documents

Number: HNC-001.02 Approval Date:

AMSC Number: Limitation:

DTIC Applicable: No GIDEP Applicable: No Office of Primary Responsibility: CEHNC-OE-GOD Applicable Forms:

Use/Relationship: Project Planning Documents will be used to describe the goals, methods, procedures, and personnel used for field activities for all Task Force Safety Assessments of Fire and Electricity responses and other related actions.

Requirements:

1. Format. Project Planning Documents shall be printed on standard size (e.g., 8 ½ by 11 inch) white paper, with drawings folded, if necessary, to this size or to fit within pockets of this size. Pages shall be sequentially numbered.

Drawings shall be of engineering quality in drafted form with sufficient detail to show interrelations of major features. When drawings are required, data may be combined to reduce the number of drawings. All attachments shall be identified and referenced in the text of the document. The document shall be legible and suitable for reproduction.

1.1 Chapters shall be numbered sequentially. Within each chapter, each page shall be numbered sequentially, starting with the specific chapter number. Within each chapter, the paragraphs shall be numbered sequentially starting with the chapter number and using a decimal system, with each section and paragraph having a unique decimal designation. Within each chapter, any figures, tables, and charts shall be numbered sequentially starting with the chapter number. Documents shall be bound in a three-ring binder. Binders shall hold pages firmly while allowing easy removal, addition, or replacement of pages.

1.2 Appendices shall be lettered alphabetically. Within each appendix, each page shall be numbered sequentially starting with the appendix letter.

1.3 3 A title sheet will be provided on the front of the binder and also inside the binder which includes the name of the project (site), contractor's name and address, the Corps of Engineers’ contract number, Contract number, and project number, the date of the document, and the title of the document. The contractor’s name shall not be present on the binder of the document. The title sheet shall identify the contracting agency and shall name the Geographical Corps District where the project is located. The title sheet on the inside of the binder shall identify the company and the Corporate Quality Management representative shall sign the title sheet. The version of the document (i.e., draft, final, etc.) shall be clearly identified on the title sheet. The contractor shall not place a company logo on Project Planning Documents.

1.4 Each page of the document shall contain a date footer and the Corps of Engineers’ contract/Contract number.

When revisions to the document are required, a revision date, revision number, Corps of Engineers’ contract/ and amendment/modification number (if applicable) shall be included in the date footer. A dated summary page listing all revised pages shall be submitted with each revision. This summary page shall be identified as such and placed directly behind the title page.

2. Project Planning Documents shall be organized by chapters and or sub plans unless specifically excluded by the Contract. When an issued Contract does not require a specific chapter, sub plan or appendix, the chapter, sub plan or appendix heading shall be retained with a declaration that the chapter, sub plan or appendix is not required by the contract. EM 200-1-15, Chapter 4 provides description of Uniform Federal Policy – Quality Assurance Project Plan contents. Uniform Federal Policy – Quality Assurance Project Plan content shall be organized as described in EM 200-1-15, section 4.4.5. Standard Operating Procedures shall be organized as described in EM 200- 1-15, Section

4.4.4. Appendices shall be organized as described in EM 200-1-15 with the following exception, Standard Operating Procedures shall be the first Appendix.

2. End of DID HNC-001.02.

HNC-002.01

Title: Accident Prevention Plan

Number: HNC-002.01 Approval Date:

DTIC Applicable: No GIDEP Applicable: No Office of Primary Responsibility: CEHNC-SO Applicable Forms: ENG Form 3394, Activity Hazard Analysis (AHA) EM 385-1-1, Figure 1-2 Use/Relationship: This Data Item Description contains instructions for preparing an Accident Prevention Plan (APP) for Task Force Safety Assessments of Fire and Electricity

1.1. The contractor shall develop an Accident Prevention Plan (APP) as the safety and health policy program. The APP shall interface with the contractor’s overall safety and health program. The APP shall be prepared in the format shown and address all the elements in EM 385-1-1, Appendix A. Where a specific element is not applicable, list the element in the plan and state that the element is not applicable with a brief justification for its omission. The APP shall be an implementing document with emphasis on “who” will have each of the specific responsibilities and “how” and “when” each of the applicable requirements will be performed. The prime contractor shall integrate all subcontractor work activities into the APP, make the APP available to all contractor and subcontractor employees, and ensure that all subcontractors integrate provisions of the APP in their work activities.

1.2. SIGNATURE SHEET. Title, signature, and phone number of the following:

1.2.1. Plan preparer (Qualified Person (QP), Competent Person (CP), such as corporate safety staff person, QC) and their qualifications;

1.2.2. Plan must be approved, by company/corporate officers authorized to obligate the company;

1.2.3. Plan concurrence (e.g., Chief of Operations, Corporate Chief of Safety, Corporate Industrial Hygienist, project manager or superintendent, project safety professional, project QC). Contractor shall provide concurrence of other applicable corporate or project personnel.

1.2. BACKGROUND INFORMATION. List the following:

1.2.1. Contractor;

1.2.2. Contract number;

1.2.3. Project name;

1.2.4. Brief project description, description of work to be performed, and location (map); equipment to be used, anticipated high risk activities, and Major phases of work anticipated.

1.2.5. Within these major phases of work identified, activities (includes Definable Features of Work (DFOWs) and tasks) to be performed that will require an AHA shall be specifically highlighted.

1.3. STATEMENT OF SAFETY AND HEALTH POLICY. Provide a copy of current corporate/company Safety and Health Policy Statement, detailing commitment to providing a safe and healthful workplace for all employees.

The Contractor’s written safety program goals, objectives, and accident experience goals for this contract should be provided.

1.4. . RESPONSIBILITIES AND LINES OF AUTHORITIES. Provide the following:

1.4.1. A statement of the employer’s ultimate responsibility for the implementation of his SOH program for his own employees, all subcontractors and all others on the worksite (includes the strict enforcement of the program).

1.4.2. Identification and accountability of personnel responsible for safety at both corporate and project level.

Contracts specifically requiring safety or industrial hygiene personnel shall include a copy of their resumes.

Qualifications shall be in accordance with Section 01.A.17 and shall include the OSHA 30-hour course or equivalent course areas as listed here:

1.4.2.1. OSH Act/General Duty Clause;

1.4.2.2. 29 CFR 1904, Recordkeeping;

1.4.2.3. Subpart C: General Safety and Health Provisions, Competent Person;

1.4.2.4. Subpart CC: Cranes and Derricks in Construction;

1.4.2.5. Subpart D: Occupational Health and Environmental Controls, Citations and Safety Programs;

1.4.2.6. Subpart E: PPE, types and requirements for use;

1.4.2.7. Subpart F: understanding fire protection in the workplace;

1.4.2.8. Subpart K: Electrical;

1.4.2.9. Subpart M: Fall Protection;

1.4.2.10. Rigging, welding and cutting, scaffolding, excavations, concrete and masonry, demolition; health hazards in construction, materials handling, storage and disposal, hand and power tools, motor vehicles, mechanized equipment, marine operations, steel erection, stairways and ladders, confined spaces or any others that are applicable to the work being performed.

1.4.3. The names of Competent and/or Qualified Person(s) and proof of competency/qualification to meet specific OSHA Competent/Qualified Person(s) requirements must be attached. The District SOHO will review the qualifications for acceptance;

1.4.4. Requirements that no work shall be performed unless a designated competent person is present on the job site;

1.4.5. Requirements for pre-task safety and health analysis;

1.4.6. Lines of authority;

1.4.7. Policies and procedures regarding noncompliance with safety requirements (to include disciplinary actions for violation of safety requirements) should be identified;

1.4.8. Provide written company procedures for holding managers and supervisors accountable for safety.

1.5. SUBCONTRACTORS AND SUPPLIERS. If applicable, provide procedures for coordinating SOH activities with other employers on the job site:

1.5.1. Identification of subcontractors and suppliers (if known). If not known at the time of the initial APP submittal, the contractor shall include the following statement in their initial APP. "The subcontractors for the following DFOWs/activities are not known at this time, but additional information will be submitted to the APP for acceptance prior to the start of any activities listed."

1.5.2. Safety responsibilities of subcontractors and suppliers.

1.6. TRAINING.

1.6.1. Requirements for new hire SOH orientation training at the time of initial hire of each new employee.

1.6.2. Requirements for mandatory training and certifications that are applicable to this project (e.g., electrical, fire, confined space entry, Lockout Tag-out, diver, vehicle operator, Unified Facilities Criteria (UFC) 3-520- 01, 2010, Interior Electrical Systems, and National Electrical Code (NEC) for 60 Hz System standards, British Standards 7671, 17th edition (BS7671, 17th Ed) for 50 Hz systems training and certification, PPE, etc.) and any requirements for periodic retraining/recertification.

1.6.3. Procedures for periodic safety and health training for supervisors and employees.

1.6.4. Requirements for emergency response training.

> See paragraph 1.9.2. below for a list of requirements that may require emergency response training.

1.7. SAFETY AND HEALTH INSPECTIONS.

1.7.1. Specific assignment of responsibilities for a minimum daily job site safety and health inspection during periods of work activity: Who will conduct (e.g., SSHO, PM, safety professional, QC, supervisors, employees – depends on level of technical proficiency needed to perform said inspections), proof of inspector’s training/qualifications, when inspections will be conducted, procedures for documentation, deficiency tracking system, and follow-up procedures;

1.7.2. Any external inspections/certifications that may be required (e.g., USCG).

1.8. MISHAP REPORTING and INVESTIGATION. The Contractor shall identify person(s) responsible to provide the following:

1.8.1. Exposure data (man-hours worked);

1.8.2. Accident investigations, reports, and logs: Report all accidents as soon as possible but not more than 24 hours afterwards to the Contracting Officer/Representative (CO/COR). The contractor shall thoroughly investigate the accident and submit the findings of the investigation along with appropriate corrective actions to the CO/COR in the prescribed format as soon as possible but no later than five (5) working days following the accident.

Implement corrective actions as soon as reasonably possible;

1.8.3. The following require immediate accident notification:

1.8.3.1. A fatal injury;

1.8.3 .2. A permanent total disability;

1.8.3.3. A permanent partial disability;

1.8.3.4. The hospitalization of three or more people resulting from a single occurrence;

1.8.3.5. Property damage of $500,000 or more;

1.8.3.6. Arc Flash Incident/Accident;

1.8.3.7. USACE aircraft destroyed or missing; or

1.8.3.8. Three or more individuals become ill or have a medical condition which is suspected to be related to a site condition, or a hazardous or toxic agent on the site;

1.8.3.9. Electrical - to include Arc Flash, electrical shock, etc.;

1.8.3.10. Uncontrolled Release of Hazardous Energy (includes electrical and non-electrical);

1.8.3.11. Load Handling Equipment (LHE) or Rigging;

1.8.3.12. ll-from-Height (any level other than same surface), and

1.8.3.13. Underwater Diving.

1.9. PLANS (PROGRAMS, PROCEDURES) REQUIRED BY THE SAFETY MANUAL. Based on a risk assessment of contracted activities and on mandatory OSHA compliance programs, the Contractor shall address all applicable SOH risks and associated compliance plans. Using the current EM 385-1-1 as a guide, plans, programs, procedures (assessments and evaluations) may include but not be limited to:

1.9.1. Fatigue Management Plan (01.A.20);

1.9.2. Emergency plans (01.E):

1.9.2.1. Procedures and tests (EM 385-1-1, 01.E.01);

1.9.2.2. Spill plans (EM 385-1-1, 01.E.01, 06.A.02);

1.9.2.3. Firefighting plan (EM 385-1-1, 01.E.01, Section 19);

1.9.2.4. Posting of emergency telephone numbers (EM 385-1-1, 01.E.05);

1.9.2.5. Man overboard/abandon ship (EM 385-1-1, 19.A.04);

1.9.2.6. Medical Support. Outline on-site medical support and offsite medical arrangements including rescue and medical duties for those employees who are to perform them, and the name(s) of on-site Contractor personnel trained in first aid and CPR. A minimum of two employees shall be certified in CPR and first aid per shift/site (EM 385-1-1, 03.A.02; 03.D);

1.9.3. Site Sanitation/Housekeeping Plan (02.B);

1.9.4. Medical Support Agreement (03.A.03);

1.9.5. Blood Borne Pathogen Program (03.A.05);

1.9.6. Exposure Control Plan (03.A.05);

1.9.7. Automatic Exposure Defibrillator (AED) Program (03.B.04);

1.9.8. Site Layout Plan (04.A);

1.9.9. Access/Haul Road Plan (04.B);

1.9.10, Hearing Conservation Program (05.C);

1.9.11. Respiratory protection plan ( 05.G);

1.9.12. Health hazard control program (06.A);

1.9.13. Hazard communication program (06.B.01);

1.9.14. Process Safety Management Plan (06.B.04);

1.9.15. ad Compliance Plan (06.C.02 & specifications);

1.9.16. Asbestos Abatement Plan (06.C.03 & specifications);

1.9.17. Radiation Safety Program (06.E.03.a);

1.9.18. Abrasive blasting (06.I.01);

1.9.19. Heat Stress Monitoring Plan (HSMP) (06.J.02);

1.9.20. Cold Stress Monitoring Plan (CSMP) (06.J.04);

1.9.21. Indoor Quality Air Quality Management (06.L);

1.9.22. Mold Remediation Plan (06.L.04);

1.9.23. Chromium (VI) Exposure Evaluation (06.M);

1.9.24. Crystalline Silica Evaluation (06.N.02);

1.9.25. Lighting Plan for Night Operations(07.A.06);

1.9.26. Traffic Control Plan (08.C.05);

1.9. 27. Fire Prevention Plan (09.A.01);

1.9. 28. Wild Land Fire Management Plan (09.L);

1.9.29. Hazardous Energy Control Plan (12.A.01);

1.9.30. Standard Pre-Lift Plan - Load Handling Equipment (16.A.03);

1.9.31. Critical Lift Plan - Load Handling Equipment (16.H);

1.9.32. Naval Architectural Analysis - Load Handling Equipment (Floating) (16.L);

1.9.33. Floating Plant Inspection and Certification (19.A.02);

1.9. 34. Severe Weather Plan for Marine Activities (19.A.03);

1.9.35. Emergency Plan for Marine Activities (19.A.04);

1.9.36. Man Overboard/Abandon Ship Procedures (19.A.04);

1.9.37. Float Plan for Launches, Motorboats, and Skiffs (19.F.04);

1.9.38. Fall Protection & Prevention Plan (21.D);

1.9.39. Demolition/Renovation Plan (to include engineering survey) (23.A);

1.9.40. Rope Access Work Plan (24.H);

1.9.41. Excavation/Trenching Plan (25.A.01);

1.9.42. ire Prevention and Protection Plan for Underground Construction (26.I.01);

1.9.43. Compressed Air Work Plan for Underground Construction (26.O.01);

1.9.44. Erection and Removal Plan for Formwork and Shoring (27.C);

1.9.45. Pre-Cast Concrete Plan (27.D.01);

1.9.46. Lift Slab Plans (27.E);

1.9.47 Masonry Bracing Plan (27.F.01);

1.9.48. Steel Erection Plan (28.B);

1.9.49. Explosives Safety Site Plan (ESSP) (29.A);

1.9.50. Blasting Plan (29.A and 26.J);

1.9.51. Dive Operations Plan (30.A.14 and 30.A.16);

1.9.52. Safe Practices manual for Diving Activities (30.A.15);

1.9.53. Emergency Management Plan for Diving (30.A.18);

1.9.54. Tree Felling and Maintenance Program (31.A.01);

1.9.55. Aircraft/Airfield Construction Safety & Phasing Plan (CSPP) (32.A.02);

1.9.56. Aircraft/Airfield Safety Plan Compliance Document (SPCD) (32.A.02);

1.9.57. Site Safety and Health Plan for HTRW work (33.B);

1.9.58. Confined Space Entry Procedures (34.A.05);

1.9.59. Confined Space Program (34.A.06).

1.10. RISK MANAGEMENT PROCESSES. Detailed project-specific hazards and controls shall be provided by an Activity Hazard Analysis for each activity (DFOW) 01.A.13) for each major phase/activity of work. No work will begin on an activity (DFOW) until the initial AHA has been accepted by the GDA addressing the project specific hazards.

2. End of DID HNC-002.01

HNC-008.01

Title: Mishap (Accidents, Incidents, and Near Misses) Reporting and Investigation

Number: HNC-008.01 Approval Date: 20170111

DTIC Applicable: No GIDEP Applicable: No Office of Primary Responsibility: CEHNC-SO Applicable Forms: ENG 3394, OSHA Form 300

1.0 Purpose: This Data Item Description shall be used for reporting accidents/incidents that occur on the work site or in connection with the stated work of this contract.

2.1 References:

2.2 AR 385-10, The Army Safety Program;

2.3 DA Pam 385-40, Accident Reporting and Records;

2.2 2 ER 385-1-99, U.S. Army Corps of Engineers (USACE) Accident Investigation and Reporting;

2.3 3 EM 385-1-1, Corps of Engineers Safety and Health Requirements Manual;

2.4 CEHNCR 385-1-1, Safety and Occupational Health Program Management;

2.5 29 CFR 1904, Recording and Reporting Occupational Injuries and Illnesses; and

2.6 CEHNC-WI-SO-64-02, Accident Reporting, (U.S. Army Engineering and Support Center, Huntsville).

2.7 Reference are available from the CEHNC Safety Office, (256) 895-1225 and the Safety Office website at:

http://www.hnc.usace.army.mil/Missions/Command-and-Staff-Offices/Safety-Office/

3.1 Requirements:

3.2 All mishaps occurring incidentally to an operation, project, or facility for which EM 385-1-1, latest edition, is applicable shall be investigated, reported, and analyzed as prescribed and in accordance with ER 385-1-99..

Mishaps meeting the following criteria shall be recorded on an ENG Form 3394, Mar 99, Version 2.

3.2.1 Personal injury or illness resulting in Days away injuries;

3.2.2 Days away illnesses;

3.1.2 Work Related/Transfer Injuries or;

3.1.3 Property damage greater than $5,000.

3.2 The contractor shall prepare the ENG Form 3394 in accordance with the instructions attached to the form and those contained in ER 385-1-99. The ENG Form with instructions can be accessed via the internet at:

http://publications.usace.army.mil/publications/forms/ or http://www.hnc.usace.army.mil/Missions/Command-and- Staff-Offices/Safety-Office/. Do not enter Personally Identifiable Information (PII) such as Social Security Number on the form for the injured person.

3.2.1 The ENG Form 3394 prepared by the contractor must be channeled thru their USACE point of contact (POC) for the project/activity. The USACE POC will transmit through their Directorate to the Safety Office, who will coordinate with the Commander for review and approval as appropriate.

3.2.2 In addition to the ENG Form 3394, the contractor is requested to prepare the Preliminary Accident Notification (PAN) Worksheet, located at the following website, as a prelude to the actual submission of the ENG Form 3394 within the designated timelines http://www.hnc.usace.army.mil/Missions/Command-and-Staff-Offices/Safety- Office/.

3.3 The Contractor shall immediately report all accidents and incidents, described below, to the Contracting Officer (KO) or Government Designated Authority (GDA).

3.3.1 A fatal injury/illness;

3.3.2 A permanent totally disabling injury/illness;

3.2.3 A permanent partial disabling injury/illness;

3.3.4 Three (3) or more persons hospitalized as inpatients as a result of a single occurrence;

3.3.5 $500,000 or greater accidental property damage;

3.3.6 Three (3) or more individuals become ill or have a medical condition which is suspected to be related to a site condition, or a hazardous or toxic agent on the site;

3.3.7 USACE aircraft destroyed or missing; 3.3.8 Contractors are responsible for notifying OSHA in accordance with 29 CFR 1904.39 within 8-hours when their employee(s) is/are fatally injured or 1 or more persons are hospitalized as inpatients as a result of a single occurrence.

3.3.8 Any accident/incident which could bring adverse attention or publicity to the U.S. Army or the Corps of Engineers.

3.3.9 In addition to the above, any mishap occurring in any of the following high hazard areas shall be immediately reported to the GDA. These mishaps shall be investigated in depth to identify all causes and to recommend hazard control measures.

3.3.9.1 Electrical - to include Arc Flash, electrical shock, etc.;

3.3.9.2 Uncontrolled Release of Controlled Energy (includes electrical and non-electrical);

3.3.9.3 Load Handling Equipment (LHE) or Rigging;

3.3.9.4 Fall-From-Height (any level other than same surface);

3.3.9.5 Underwater Diving.

3.4 First Aid Injuries will be submitted to the GDA upon request IAW Section 01.D.08, EM 385-1-1 latest edition

3.5 Signature authorities on the ENG Form 3394 area as follows: For USACE contractors only, block 15 will be signed by the contractor’s Project Manager on the Contractor line (this is the only place the contractor or contractor's representatives will sign the ENG Form 3394). The USACE person, designated as the GDA, by the Directorate/Division, or other separate offices responsible for oversight of that contractor activity will sign in block 15 on the Corps line. That USACE person will forward the accident report on for the 1st Management Review, which is a USACE review, normally at the corporate division level, within the Center, not the contractor. NOTE:

Section 11.b requires the submittal of the AHA if there was one completed for the task being performed at the time of the accident. If there was no AHA developed, the corrective action section of the investigation form must discuss the path forward as to the development of an AHA. An AHA must be developed and submitted to the CEHNC Safety and Occupational Health Office for review and acceptance prior to resuming the specific work activity being performed at the time of the accident.

3.6 ENG Form 3394 transmittals to the USACE POC can be accomplished electronically using digitally signed forms and from the USACE POC up through the USACE reporting channels with electronic signatures as well.

3.7 The contractor shall maintain a list of alternate POCs, provided by CEHNC, in the event the KO or GDA is not available.

4.0 End of DID HNC-008.01.

HNC-009.01

Title: Periodic Status Reports

Number: HNC-009.01 Approval Date:

DTIC Applicable: No GIDEP Applicable: No Office of Primary Responsibility: CEHNC-OE-GOD Applicable Forms:

Use/Relationship: Periodic Status Reports will be used to provide summarized cost and performance information for project management purposes. Two types of status reports will be used depending on the status of project work, Daily Personnel Status Reports, Daily Inspection and Repair Reports, Weekly and Monthly Status reports.

A. Personnel Status Reports (PERSTATS) shall be completed Daily IAW, PWS 2.12 theater reporting requirements

A. Monthly Status Report. For reporting project status prior to and after completion of field work. (For purposes of this DID)

(1) Data included on the monthly status report will be reported for each Contract in a summary format.

(2) The Monthly Status Report will be submitted no later than 10 calendar days following the reporting cut-off date. Reports will reflect data as of the last working day of the week that includes the end of the calendar month. If the calendar month ends on a Sunday, the report will end on the previous week's last working day.

B. Weekly Status Report. For reporting project status from beginning field work through completion of field work IAW, Section 2 of the PWS

1.1 The Periodic Status Report, consisting of a progress report and an exposure data report, shall be prepared in accordance with this Data Item Description (DID). Additional reporting requirements may be specified and required for the CENTCOM AOR. The reports shall be submitted on 8.5 x 11-inch plain bond paper or corporate letterhead. Multiple sites may be on the same page, but shall be listed separately on the form.

1.2 The monthly Periodic Status Report should additionally include a Fire and Electrical Monthly Progress Summary Report covering all individual Contract s shall be provided as indicated in Table 1. The projects/Tasks shall be grouped and reported by types indicating both a work category and technology used by a Roman numeral and Arabic letter, as best described using the following:

1.3 Cost/Schedule/Progress Data.

a. Costs (for cost-type contracts only). In spreadsheet format, indicate total hours and funds authorized by contract line item number (CLIN). Separate labor, materials, and travel. Indicate the Contract modification number (if applicable) under which the funds are authorized. For each CLIN, show the current month/week and cumulative expenditures in both dollars and hours (for labor). Indicate balance, and percentage of total remaining for hours and dollars. Expenditures shall be reported as accrued/incurred, and do not necessarily have to be paid. Notes shall be used to explain pertinent facts that are not apparent within the spreadsheet.

HNC-009.01

b. Progress (for all type contracts). By tasks or sub-tasks, if appropriate, indicate level of completion. Include supporting data (e.g., number of facilities inspected/repairs, actual versus planned).

c. Include a graph that depicts a cumulative summary by month of the percentage of costs budgeted, the percentage of costs expended, and the repairs completed and square footage inspected.

d. Schedule (for all type contracts). Include a project schedule prepared in MS Project or similar software.

Indicate changes from baseline schedule and explain deviations.

1.4 Discussion of Issues Relating to Project Expenditures and Work Progress.

a. Notice of 85% of expended funds, or other percentage expended, as required by contract clauses.

b. Discussion of ability to complete the project within funds currently authorized (cost-type contracts only).

c. List/status of pertinent correspondence related to the project.

d. List/status of deliverables and dates submitted.

e. Discussion of any issue that impacts completion of project on schedule and within budget.

2. An Exposure Data Report shall be prepared covering all individual Contract s. (Note: This report does not negate the requirement to submit an ENG FORM 3394 to report an accident). The report shall include the following information:

2.1 Title of Report (e.g., “EXPOSURE DATA REPORT”)

2.2 Month and year for which the report is made.

2.3 Contract Number/Project Name/Site Name and Location. Report each Contract on a separate line on the form.

2.4 Hours worked in direct support of the contract (by all personnel) during the reported month, and cumulative.

(Do not report hours expended on corporate personnel issues, payroll, etc.) Do report hours expended by subcontract personnel in direct support of the contract.

2.5 Total number of lost workday accidents during the reported month, and cumulative.

2.6 Total number of lost workdays due to on-the-job accidents during the reported month, and cumulative.

2.7 Number of property damage accidents (includes vehicles) with property loss value of $2,000 or more, during the reported month, and cumulative.

2.8 Quality Control Documentation. Provide a list of Quality Control Documentation submitted during the reporting period and to date. Provide a list of Quality Control Documentation expected to be submitted the following the reporting period. Annotate when a Quality Control Documentation submission represents the final submission required to meet an agreed upon Milestone. Annotate when Quality Control Documentation has been accepted by the government.

3. Signature, Title and Date: A Corporate Manager shall sign and date both the progress report and the exposure data report. The reports shall be submitted under a single letter of transmittal to the Contracting Officer, with 2 copies furnished to USAESCH, ATTN: CEHNC-CT-E. Delivery can be made electronically.

4. End of DID HNC-009.01.

HNC-011.02

Title: Site Specific Final Report

Number: HNC-011.02 Approval Date: 20151101

DTIC Applicable: No GIDEP Applicable: No Office of Primary Responsibility: CEHNC-EDC-E Applicable Forms:

Use/Relationship: The Site Specific Final Report (SSFR) will be used to provide the results of Munitions Response Remedial and Removal Actions, or other munitions related operations and activities as required. This Data Item Description (DID) contains instructions for preparing SSFRs to document the completion of Munitions Response Remedial and Removal Actions or other munitions related projects.

1. Format. This report shall be printed on standard size (e.g. 8 ½ by 11 inch) white paper, with drawings folded, if necessary, to this size or to fit within pockets of this size. Pages shall be sequentially numbered. Drawings shall be of engineering quality in drafted form with sufficient detail to show interrelations of major features. When drawings are required, data may be combined to reduce the number of drawings. All attachments shall be identified and referenced in the text of the report. The report shall be legible and suitable for reproduction. An electronic copy (CD or DVD) of the report will be secured, to prevent loss, within each hard copy report submitted. All data files create during the contract shall be included on the CD or DVD submitted Final document Where printing of large files, tables, charts etc. would require more than one binders be used, an electronic copy may be substituted for the additional binders provided that it is clearly labeled and included in the report index.

1.1 Chapters shall be numbered sequentially. Within each chapter, each page shall be numbered sequentially, starting with the specific chapter number. Within each chapter, the paragraphs shall be numbered sequentially starting with the chapter number and using a decimal system, with each section and paragraph having a unique decimal designation. Within each chapter, any figures, tables, and charts shall be numbered sequentially starting with the chapter number. Reports shall be bound in a three-ring binder. Binders shall hold pages firmly while

1.2 Appendices shall be lettered alphabetically. Within each appendix, each page shall be numbered sequentially starting with the appendix letter.

1.3 A title sheet will be provided on the front of the binder and also inside the binder which includes the name of the project (site), contractor's name and address, the Corps of Engineers’ contract number, project number, the date of the report, and the title of the report. The contractor shall not place the company name or logo on the cover sheet or binder. The title sheet shall identify the contracting agency and shall name the Geographical Corps District where the project is located. The version of the report (i.e., draft, final, etc.) shall be clearly identified on the title sheet. The contractor shall not place a company logo in Reports.

1.4 Each page of the report shall contain a date footer and the Corps of Engineers’ contract number. When revisions to the report are required, a revision date, revision number, Corps of Engineers’ contract and amendment/modification number (if applicable) shall be included in the date footer. A dated summary page listing all revised pages shall be submitted with each revision. This summary page shall be clearly identified as such and placed directly behind the title page. The front cover of the SSFR shall be prepared in accordance with Attachment A of this DID. The front cover will be marked to indicate the version of the document, as Draft or Draft-Final. The Final version will simply be identified as the “Site Specific Final Report”.

1.5 The report shall be written in common language easily understood by the general public.

1.6 All versions of the SSFR shall be signed by the Corporate Quality Management representative attesting that the report is accurate and complies with contractual requirements and accurately represents work completed.

1.9 The Final SSFR shall be signed by a principle of the company, attesting to the completeness of the report and conformance of the report to contractual requirements.

2. The Contractor shall determine inapplicable requirements, or requirements in addition to those listed below, that should be included in the report. Existing documentation shall be relied on whenever possible. See EP 1110-1-18, paragraph 11-8 for minimum report contents. Chapters shall be organized as follows:

2.1 Executive Summary. The Executive Summary shall consist of a brief discussion of the reasons for the response action and make reference to the Contract Statement of Work (SOW), Technical Instructions, other contract direction, previous related submittals and citation of the government authorization. It shall list project objectives and whether those project objectives were met. Include discussion of any unresolved or outstanding issues and concerns.

2.2 Chapter 1. Project Activities and Operations. Describe the overall approach and methods used. Provide beginning and end dates for field activities. Reference the associated decision documents authorizing the work to be completed. Describe any military/public involvement activities conducted. Describe any future activities planned or required to attain project and property closeout.

2.3 Chapter 2. Fire and Electrical Inspection and Repair Results. Provide a listing of all inspections and repairs by site, appropriate maps will be included describing general location, type of facilities, inspections and actual response activities Describe damages to utilities, facilities, and corrective actions taken to repair these damages. Also include the total square footage of facilities inspected.

2.4 Chapter 3. Quality Control Activities and Results. Describe the results of contractor QC activities conducted for all aspects of the project, including lessons learned. Supporting QC documentation shall be included as an appendix to this report.

2.5 Chapter 4. Quality Assurance Activities and Results. Describe results of government QA activities including documented QA deficiencies and corrective actions taken by the contractor. QA documentation issued by the government shall be included as an appendix to this report.

2.6 Chapter 5. Fire Investigations as a result of electrical workmanship, code violations, and results to include the cause, recommendations and property damage and locations.

2.7 Chapter 6. Exposure Data. Provide final exposure data for the entire project as defined in DID HNC-009.

2.8 Appendices (additional data generated shall be provided as applicable).

2.8.1 Appendix A. Documentation accounting for all EBOM

2.8.2 Appendix B. Property Accountability Records.

2.8.3 Appendix C. Monthly/Weekly Reports.

2.8.4 Appendix D. Major Repairs, Serious LHS issues

2.8.5 Appendix E. Fire Investigations/Reports

2.8.6 Appendix F. Project Photographs

3.0 End of DID HNC-011.02.

Attachment A

SITE SPECIFIC FINAL

REPORT

(Title of project)

(Name of site where work is being performed) (Location of site where work is being performed)

PREPARED FOR:

(US Army Corps of Engineers LOGO) Geographical District:

Implementing Design Center:

(Contract number) (Contract number) (Project number)

(Date of report)

HNC-012.01

Title: Project Management Plan

Number: HNC-012.01 Approval Date:

DTIC Applicable: No GIDEP Applicable: No Office of Primary Responsibility: CEHNC-OE-GOD Applicable Forms:

Use/Relationship: A Project Management Plan (PMP) is required for all projects. This Data Item Description supplements the Engineering Regulations 1110-1-12 Quality Management Planning, Central Command Regulation 415-1, and Construction in the USCENTCOM Area of Responsibility “The Sand Book.” The PMP shall specify the schedule, technical approach and resources required for the planning, execution, and completion of the performance objectives. The PMP shall include a payment milestone plan. The PMP must be reviewed by the government and gain acceptance through the KO/COR.

1.0 REFERENCES;

The publications listed below form a part of this DID to the extent referenced. The publications are referred to in the text by basic designation only.

U.S. Army AR 5-1, Total Army Quality Management

AR 11-2, Management Control

U.S. Army Corps of Engineers ER 5-1-11, US Army Corps of Engineers Business Processes USACE PMBP Manual, PROC2000, PMP-PgMP Development, REF8005G, PMP-PgMP Content, are the guidance for this WI

1. Format. This plan shall be printed on standard size (e.g., 8 ½ by 11 inch) white paper, with drawings folded, if necessary, to this size or to fit within pockets of this size. Pages shall be sequentially numbered. Drawings shall be of engineering quality in drafted form with sufficient detail to show interrelations of major features. When drawings are required, data may be combined to reduce the number of drawings. All attachments shall be identified and referenced in the text of the plan. The plan shall be legible and suitable for reproduction.

1.1 Chapters shall be numbered sequentially. Within each chapter, each page shall be numbered sequentially, starting with the specific chapter number. Within each chapter, the paragraphs shall be numbered sequentially starting with the chapter number and using a decimal system, with each section and paragraph having a unique decimal designation. Within each chapter, any figures, tables, and charts shall be numbered sequentially starting with the chapter number. The plan shall be bound in a three-ring binder. Binders shall hold pages firmly while

1.2 Appendices, if provided, shall be lettered alphabetically. Within each appendix, each page shall be numbered sequentially starting with the appendix letter.

1.3 3 A title sheet shall be provided on the front of the binder and also inside the binder which includes the name of the project (site), contractor's name and address, the Corps of Engineers’ contract number, project number, the date of the plan, and the title of the plan. The contractor’s name shall not dominate the title sheet. The title sheet shall identify the contracting agency and shall name the Geographical Corps District where the project is located. The Corporate Quality Management representative shall sign the title sheet. The version of the plan (i.e., draft, final, etc.) shall be clearly identified on the title sheet. The contractor shall not place a company logo on the PMP.

1.4 A Table of Contents shall be provided to include a listing of table, figures and appendices.

HNC-012.01

1.5 Each page of the plan shall contain a date footer and the Corps of Engineers’ contract number. When revisions to the plan are required, a revision date, revision number, Corps of Engineers’ contract and amendment/modification number (if applicable) shall be included in the date footer. A dated summary page listing all revised pages shall be submitted with each revision. This summary page shall be identified as such and placed directly behind the title page.

2. The plan shall be organized by chapters. Chapters shall be organized as follows:

2.1 Introduction – to include brief discussion on project authorization; project overview; performance objectives;

performance payment milestones; regulatory process for Military Munitions Response Program Sites and Potential Areas of Concern and/or Areas of Concern; health and safety requirements; additional site plans; quality control to cover as a minimum, geophysical quality control and chemical data quality control; project deliverables; and guidance used for development of the PMP.

2.2 Detailed discussion of each performance objective to include the general approach; site description, to include previous investigations and recommendations, for each site covered under the performance objective; project execution; project deliverables to include work plan, reports, studies, memoranda, quality control submittals, etc.

2.3 Detailed discussion of remedy reviews (e.g. root cause analysis, corrective action plans) to address QC/QA failures.

2.4 Detailed discussion of project management to include all project delivery team members indicating roles and responsibilities; communication methods and lines of communication; required meetings; status reports; change management; community involvement; project repository and administrative record; Army Environmental Database and ERIS.

2.5 Project Contact Information and Document Distribution

2.6 6 Performance/Payment Milestones and Project Schedule

2.7 References

3.0 End of DID HNC-012.01