A.01.30_Technical_Specifications.pdf

Jackson Levee Fill Material Supply 2017 - 2022 W912EF-17-R-0038

PROJECT TABLE OF CONTENTS

DIVISION 01 - GENERAL REQUIREMENTS

01 00 00.00 28 GENERAL REQUIREMENTS

DIVISION 35 - WATERWAY AND MARINE CONSTRUCTION

35 42 37.81 28 FILL MATERIAL SUPPLY

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PROJECT TABLE OF CONTENTS Page 1

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SECTION TABLE OF CONTENTS

DIVISION 01 - GENERAL REQUIREMENTS

SECTION 01 00 00.00 28

GENERAL REQUIREMENTS

PART 1 GENERAL

1.1 VETERANS EMPLOYMENT EMPHASIS FOR U.S. ARMY CORPS OF ENGINEERS

CONTRACTS

1.2 PRE-SCREENING OF CONTRACTOR EMPLOYEES

PART 2 PRODUCTS (NOT USED)

PART 3 EXECUTION (NOT USED)

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SECTION 01 00 00.00 28

GENERAL REQUIREMENTS

PART 1 GENERAL

1.1 VETERANS EMPLOYMENT EMPHASIS FOR U.S. ARMY CORPS OF ENGINEERS CONTRACTS

In addition to complying with the requirements outlined in FAR Part 22.13, FAR Provision 52.222-38, FAR Clause 52.222-35, FAR Clause 52.222-37, DFARS

222.13 and Department of Labor regulations, U.S. Army Corps of Engineers (USACE) contractors and subcontractors at all tiers are encouraged to promote the training and employment of U.S. veterans while performing under a USACE contract. While no set-aside, evaluation preference, or incentive applies to the solicitation or performance under the resultant contract, USACE contractors are encouraged to seek out highly qualified veterans to perform services under this contract. The following resources are available to assist USACE contractors in their outreach efforts:

Federal Veteran employment information at http://www.fedshirevets.gov/index.aspx

Department of Labor Veterans Employment Assistance http://www.dol.gov/vets/

Department of Veterans Affairs-VOW to Hire Heroes Act http://benefits.va.gov/vow/

Army Wounded Warrior Program -http://wtc.army.mil/modules/employers/index.html

U.S. Chamber of Commerce Foundation-Hiring Our Heroes http://www.hiringourheroes.org/

Guide to Hiring Veterans - Reference Material http://www.whitehouse.gov/sites/default/files/docs/white_house _business_council_-_guide_to_hiring_veterans_0.pdf

1.2 PRE-SCREENING OF CONTRACTOR EMPLOYEES

All Contractors must pre-screen all employees using the E-verify Program (http://www.uscis.gov/e-verify) website to ensure that workers meet the established employment eligibility requirements. The Contractor must ensure that the individuals undergoing screening have two valid forms of Government issued identification prior to pre-screening to ensure that the correct information is entered into the E-verify system. An initial list of verified/eligible employees must be provided to the contracting officer no later than 3 business days after contract Award.

PART 2 PRODUCTS (NOT USED)

PART 3 EXECUTION (NOT USED)

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SECTION TABLE OF CONTENTS

DIVISION 35 - WATERWAY AND MARINE CONSTRUCTION

SECTION 35 42 37.81 28

FILL MATERIAL SUPPLY

PART 1 GENERAL

1.1 SUMMARY OF WORK

1.2 REFERENCES

1.3 PROJECT SCHEDULE

1.4 PRE-WORK MEETING

1.5 PRE-WORK AND POST WORK SURVEYS

1.6 WORKING HOURS AT THE STOCKPILE SITES

1.7 LEVEE ACCESS

1.7.1 Pedestrian Access

1.7.2 Road And Bridge Restrictions

1.8 Gate Security At Stockpile Locations

1.8.1 Gate Keys

1.9 CONTRACTOR STORAGE

1.10 OTHER CONTRACTS

1.11 TESTING OF EQUIPMENT

1.12 KEY PERSONNEL SUBSTITUTION

1.13 ENVIRONMENTAL

1.13.1 Protection And Restoration Of Existing Facilities

1.13.2 Sanitation Facilities

1.13.3 Regular Cleanup And Debris Disposal

1.13.4 Snow Removal Areas

1.13.5 Snow Removal

1.13.6 Snow Removal Equipment

1.13.7 Dust Control

1.14 CONTRACTOR QUALITY CONTROL

1.14.1 Quality Control Manager

1.14.1.1 Organizational Changes

1.14.2 Documentation

1.15 GOVERNMENT QUALITY ASSURANCE

1.16 FILL MATERIAL

1.16.1 Contractors Responsibility

1.16.2 Acceptance of Materials

1.16.2.1 Visual Inspections And Measurements

1.17 FILL MATERIAL DELIVERY SCHEDULE

1.18 MEASUREMENT AND PAYMENT

1.18.1 Measurement

1.18.2 Payment

1.18.3 Remote Site Delivery

1.18.4 Gradation testing

PART 2 PRODUCTS

2.1 FILL MATERIAL

2.1.1 Quality

2.1.2 Gradation

SECTION 35 42 37.81 28

PART 3 EXECUTION

3.1 DELIVERY AND STOCKPILING

3.1.1 Delivery

3.1.1.1 Stockpiling Fill Material

3.1.2 Location

3.1.3 Piling of Materials

ATTACHMENTS:

Activity Hazard Analysis (AHA)

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FILL MATERIAL SUPPLY

PART 1 GENERAL

1.1 SUMMARY OF WORK

This summary of work is a generalized description of work and is not all inclusive.

The project is located in Teton County, Wyoming, near the town of Jackson.

The project consists of 29 levees, 48 levee access roads, 4 small riprap stockpile sites, and the major stockpile site adjacent to the Walton Quarry levee. This work is to replenish the stockpile of levee fill material to support flood fight and annual maintenance efforts for the Jackson Hole Project for up to a five year period. This project will supply fill material to the major stockpile site and to remote sites as required to support ongoing levee work. In the event the Government directs fill material to be delivered directly to work sites on the levees, the Contractor will be reimbursed a surcharge based on additional haul mileage. Fill material deliveries will typically commence 15 Aug, and be complete by 15 Nov of any contract year, due to the onset of winter.

1.2 REFERENCES

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

ASTM INTERNATIONAL (ASTM)

100 Barr Harbor Drive, P.O. Box C700 West Conshohocken, PA 19428-2959 Ph: 877-909-2786 Internet: http://www.astm.org

ASTM C117 (2013) Standard Test Method for Materials Finer than 75-um (No. 200) Sieve in Mineral Aggregates by Washing

ASTM C136/C136M (2014) Standard Test Method for Sieve Analysis of Fine and Coarse Aggregates

ASTM D75/D75M (2014) Standard Practice for Sampling Aggregates

U.S. ARMY CORPS OF ENGINEERS (USACE)

EM 385-1-1 Safety and Health Requirements Manual

The Contractor shall be responsible for complying with the current edition and all changes posted on the web as of the effective date of this solicitation.

1.3 PROJECT SCHEDULE

Following award of each Task Order the Contractor shall coordinate and establish a project delivery schedule with the USACE Walla Walla District Representative, (REP).

1.4 PRE-WORK MEETING

A tele-conference pre-work meeting will be conducted at least ten (10) working days prior to the beginning of work. The purpose of this meeting is to discuss and develop mutual understandings relative to the general and technical, safety, quality control program, scheduling of work, and environmental protection provisions of the contract. Each of the following items shall be mailed or emailed to the REP one (1) week prior to this meeting:

a. A list of all equipment to be used by the Contractor in the course of contract work.

b. A List of names and addresses of all employees and authorized site supervisor who will be working for the Contractor, including subcontractors and their employees.

c. Safety plan and Activity Hazard Analysis (AHA).

d. A List of vehicles to be used and license plate numbers in the course of contract work.

e. Environmental protection plan.

f. Suggested Certified Scale to be used for the project, bring a copy of the Current State Certification to the meeting.

g. Gradation Test data performed on the fill material from the Contractor's source, performed by a State-Certified laboratory.

h. Documentation from the state showing fill material source is state certified.

i. Letter signed by company President and/or Chief Operating Officer stating e-file verification of employees, by name.

j. A pre-work survey of levees and access roads to catalog existing damages prior to the start of work. See pre-work and post work survey paragraph for details.

See paragraph Titled "Documentation" for address of REP.

1.5 PRE-WORK AND POST WORK SURVEYS

Conduct a pre-work survey prior to start of on-site work and a post-work survey during project closeout, with the REP, of the levees and access roads. The results of the surveys shall be documented by digital photographs and descriptive narrative reports. A color copy of the survey photographs and narrative reports shall be submitted to the Contracting Officer within five (5) days after survey has been completed.

1.6 WORKING HOURS AT THE STOCKPILE SITES

The Contractor's delivery of fill material to the stockpile sites shall be accomplished between the hours of 7:00 a.m. to 6:30 p.m. each workday unless otherwise specified herein, or authorized in advance by the REP.

1.7 LEVEE ACCESS

The levees are located on private property. There is a speed limit of 25 mph while traveling on the Walton Quarry levee, unless reduced by the REP.

All other levees have a maximum speed of 15 MPH.

1.7.1 Pedestrian Access

There is public pedestrian access on the Walton Levee, and the contractor is responsible for maintaining a safe speed to ensure safety of these pedestrians.

1.7.2 Road And Bridge Restrictions

There are road and bridge restrictions in the area. Contractor is responsible for following the local road and bridge restrictions in the Project area. Contact the Teton County Roads and Levees Department for current information

1.8 Gate Security At Stockpile Locations

Gate security shall be the responsibility of the Contractor. Delivery locations are protected by one or more gates. To ensure landowner privacy and prevent cattle and other livestock from escaping, the gates shall be kept closed at all times, except when trucks are passing through. At the Contractors option, gate guards may be placed at levees and/or access road gates to maintain security and facilitate truck traffic.

1.8.1 Gate Keys

The Contractor shall maintain a key register to document employee possession of Government keys. The Contractor, upon request from the REP, shall make available for inspection the key register or photo copy of it.

Extra keys shall be kept in a locked and secured key cabinet. Discharged employees shall be required to turn in all Government keys. All occurrences of lost keys shall be reported to the REP within 24 hours of loss. For each occurrence of a key being lost or stolen, the Contractor shall be required to reimburse the Government for actual costs of a new key and combination of all locks affected by the lost key. Keys shall not be duplicated.

1.9 CONTRACTOR STORAGE

The Contractor may request to store equipment long term at the main stockpile site. The Government will not be liable for the theft or destruction of any Contractor's tools or equipment left at the main stockpile site or any of the other quarry stockpile sites.

1.10 OTHER CONTRACTS

The Government may undertake or award other contracts for additional work, and the Contractor shall fully cooperate with such other contractors and Government employees and carefully fit his own work to such additional work as may be directed by the Contracting Officer (KO). The Contractor shall not commit or permit any act which will interfere with the performance of work by any other contractors or Government employees.

1.11 TESTING OF EQUIPMENT

Before any machinery or mechanized equipment is put to use on the job, it shall be inspected and tested by a qualified person and determined to be in safe operating condition. Cranes or derricks shall be tested by the Contractor or a qualified testing agency in accordance with EM 385-1-1 .

Equipment shall be large enough to safely handle proposed picks or tasks without exceeding the crane rating established by these tests.

1.12 KEY PERSONNEL SUBSTITUTION

If the Contractor plans on replacing the site supervisor or quality control manager, they must have the approval of the REP and the new personnel qualifications must meet or exceed the personnel they are replacing.

1.13 ENVIRONMENTAL

1.13.1 Protection And Restoration Of Existing Facilities

The Contractor shall take precautions to prevent damage to existing facilities while performing work under this contract. Upon completion of the work, all the existing facilities not included as a portion of the work shall be left in a condition equal to the condition existing at time of contract award.

In particular, the Contractor is responsible for any damages to the levee surfaces or access roads caused by contract work, such as wash boarding.

In the event of damages, the Contractor shall replace lost material and grade surfaces as needed.

1.13.2 Sanitation Facilities

The Contractor shall furnish sanitation facilities in accordance with EM 385-1-1 . The location of all facilities will be subject to the REP's approval. The Contractor shall provide freeze protection during the months October through March to prevent any spillage.

1.13.3 Regular Cleanup And Debris Disposal

All debris resulting from the work regardless of size, such as packing cases, scrap lumber, metal grindings, and all other debris shall be collected and removed from the project site daily and disposed of in a legal manner.

1.13.4 Snow Removal Areas

Access roads to the main stockpile site and other sites may be covered with snow from October until late spring. Heavy snow accumulation is common in the Jackson area and can remain on the ground well into or throughout the spring. Snow plowing operations required to maintain access to the designated stockpile area(s) shall be the responsibility of the Contractor.

1.13.5 Snow Removal

Remove snow from all or part of the access roads and levees traveled to facilitate safe and efficient PROJECT use and to protect the roads and levees. Perform work in a manner to preserve and protect roads, levees, and appurtenances, and to prevent damage to adjacent land. Do not undercut banks, nor blade gravel or other surfacing material off the roads or levees. Drainage ditches and culverts shall be functional during and after completion of snow removal operations.

1.13.6 Snow Removal Equipment

Any type of equipment may be used to remove snow, providing the equipment is of the size and type commonly used to remove snow and will not cause damage to the roads or levees. On roads and levees that have a crushed rock surface, dozers shall be equipped with shoes or runners to keep the dozer blade a minimum of two (2) inches above the road or levee surface, unless agreed otherwise.

1.13.7 Dust Control

Hauling and stockpiling operations shall be controlled, by the Contractor, to eliminate all unnecessary dust creating activities. Control dust so that vehicles are visible within the stopping sight distance for the average user speed on a particular section. As a minimum, water shall be used for dust abatement, unless otherwise agreed. Adequate dust-control measures shall be employed as are directed or approved by the REP.

Sprinkling, or other approved dust palliatives or stabilizing materials, as required to satisfactorily control dust, shall be applied at no additional or direct cost to the Government. Temporary construction roads, access haul roads (excluding streets and roads maintained by Teton County or State of Wyoming), levee crowns and work areas shall be maintained free from excessive dust by an approved program of either adequate sprinkling, graveling, chemical treatment, or other approved method, or combination thereof, for the duration of the Contractor's hauling.

1.14 CONTRACTOR QUALITY CONTROL

Contractor Quality Control is the means by which the Contractor ensures that the work, to include that of subcontractors, complies with the requirements of the contract. The Contractor is responsible for quality control and shall establish and maintain an effective inspection system.

The quality control inspection system shall be adequate to ensure that all fill material complies with the contract requirements. The system shall cover all work operations and shall be keyed to the proposed work sequence.

1.14.1 Quality Control Manager

The Contractor shall identify an individual within his organization who will be the point of contact for the REP. This individual shall be responsible for overall management of quality control (QC) and have the authority to act in all QC matters for the Contractor. This Manager shall be employed by the Contractor, except as noted in the following. An alternate for the QC Manager shall be identified in the plan to serve in the event of the system manager's absence. The requirements for the alternate shall be the same as for the designated QC Manager.

1.14.1.1 Organizational Changes

The Contractor shall obtain the REP's acceptance before replacing the Quality Control Manager.

1.14.2 Documentation

The Contractor shall maintain current records of quality control operations, activities, and inspections, including the work of subcontractors. These records shall be on an acceptable form and shall include factual evidence that required quality control activities and inspections have been performed, including but not limited to the following:

a. Contractor/subcontractor and their area of responsibility.

b. Operating plant/equipment with hours worked, idle, or down for repair.

c. Control activities performed with results and references to specifications requirements. List deficiencies noted along with corrective action.

d. Job safety evaluations stating what was checked, results, and instructions or corrective actions.

e. List instructions given/received and conflicts in specifications.

f. Work performed today, giving location, description, and by whom.

g. The QC manager shall have a copy of all reports and weight tickets on site and available for review by the REP.

h. Copies of all weight tickets shall be scanned and emailed to the REP within 2 business days of each fill material delivery.

Mailing Address:

District Commander ATTN: CENWW-OD-B Kenneth Koebberling Walla Walla District Corps of Engineers 201 North Third Avenue Walla Walla, WA 99362-1876

Email address: Kenneth.E.Koebberling@usace.army.mil

1.15 GOVERNMENT QUALITY ASSURANCE

a. The Government will monitor the Contractor's performance under this contract using quality assurance procedures developed by the Government. Typical procedures might include random sampling, checklists and observations.

b. The Government reserves the right to inspect and test all materials called for by the contract, to the extent practicable at all times and places during the term of the contract. The Government will perform inspections and tests in a manner that will not unduly delay the work.

c. If any of the materials do not conform to contract requirements, the Government will request the Contractor to remove the materials and replace them with materials that conform with contract requirements.

1.16 FILL MATERIAL

The Contractor shall designate in writing only one source or one combination of sources from which he proposes to furnish fill material.

The fill material source shall be approved by a state or other government agency, and proof of the government approval shall be included with the written fill material source designation. This approval is not to be construed as approval of the fill material source required under this contract. This designation shall also include any test results for the source fill material, the location by section, township, and range, pit name, owner, and operator using the pit. It is the Contractor's responsibility to determine that the fill material source or combination of sources selected is capable of providing the quality, quantities, and gradation needed to meet the requirements of these specifications and at the rate needed to maintain the scheduled progress of the work.

1.16.1 Contractors Responsibility

The Contractor shall make his own arrangements concerning availability of all sources. The payment of royalties, disposal of wastes, and restoration of the borrow areas or quarry upon completion of the work shall be the Contractors responsibility. The Contractor shall also comply with all applicable local, State, and Federal laws and regulations including but not limited to the Clean Water Act, Resource Conservation and Recovery Act (RCRA), and Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA).

1.16.2 Acceptance of Materials

Acceptance of a source of fill material is not to be construed as acceptance of all material from that source. The right is reserved to reject materials from certain localized areas, zones, or strata when such materials are unsuitable for fill material as determined by the REP. The REP also reserves the right to reject individual units of produced specified materials upon delivery to the stockpile when such materials are determined to be unsuitable.

1.16.2.1 Visual Inspections And Measurements

During the contract period, both prior to and after materials are delivered to the stockpile, visual inspections and measurements of the fill materials may be performed by the REP. If the REP, during the inspection, finds that the fill material quality or gradation of fill material being furnished is not as specified or is questionable, re-sampling and retesting shall be required. Sampling of the delivered fill material for testing and the manner in which the testing is to be performed, shall be as directed by the REP. All testing shall be performed by a State Certified laboratory. This additional sampling and testing shall be performed at the Contractor's expense when test results indicate that the materials do not meet specified requirements. When test results indicate that materials meet specified requirements, an equitable adjustment in the contract price will be made for the sampling and testing per applicable contract line item "Gradation Testing". Any material rejected shall be removed or disposed of at the Contractors expense.

1.17 FILL MATERIAL DELIVERY SCHEDULE

Deliveries of fill material to the main stockpile site and levees will typically begin 15 August of a contract year, to avoid impacts to nesting Bald Eagles and migratory birds. When the USACE, after consultion with the Wyoming Fish and Game and the Fish and Wildlife Services, determines there is little to no risk to these species, the KO may request earlier deliveries of fill material. The Contractor's schedule should reflect completion of fill material deliveries by 15 November of the contract year, to avoid impacts due to the onset of winter.

1.18 MEASUREMENT AND PAYMENT

1.18.1 Measurement

Fill material will be measured for payment as the number of tons of fill material satisfactorily manufactured and delivered to the delivery site.

Measurement will be made from weight tickets furnished to the REP. Trucks shall be weighed on a State certified scale furnished by the Contractor or on a State certified permanently installed commercial scale. Scales shall be self-printing for producing weight tickets. Contractor furnished scale shall be furnished, erected, and maintained by the Contractor. After erection, the scale shall be certified by the State in which the scale is located. A copy of the State certificate shall be furnished to the REP before the scale is put into use. Trucks used to haul fill material shall be weighed empty weekly at times directed by the REP. Each truck shall bear a plainly legible identification mark.

1.18.2 Payment

Payment will be made at the contract unit price per ton for Item Nos.

ending in AA, Furnish, Deliver and Stockpile Fill Material to the main stockpiles or within 5 miles of Hwy. 22 bridge. These prices and payments shall be full compensation for furnishing all plant, equipment, materials, and labor and for performing all work required to test, produce, load, weigh, deliver, unload, and stockpile fill material, complete, as specified and as approved. No payment will be made for any rejected materials and no separate payment will be made for disposal of rejected materials.

1.18.3 Remote Site Delivery

In the event the KO directs fill material delivery to other than the stockpile sites specified, to support ongoing levee rehabilitation, the Contractor will be paid an additional surcharge, per Schedule Items AC, for road mileage between 5-20 miles, as measured from the HWY 22 bridge.

1.18.4 Gradation testing

Gradation testing will be measured for payment as the number of passing tests actually performed. Payment will be made at the contract unit price for Item Nos. ending in AB, "Gradation testing", which price and payment shall be full compensation for furnishing all equipment, materials, and labor and for performing all work required to perform gradation testing, as specified and as approved. Gradation tests not passing will not be paid for.

PART 2 PRODUCTS

2.1 FILL MATERIAL

2.1.1 Quality

Fill material shall consist of naturally occurring sediments. The material shall be free of wood debris, roots, clay, organic matter, refuse, or other deleterious materials.

2.1.2 Gradation

The Contractor shall submit gradation test results for the proposed source of fill material. If more than one source is proposed, gradations test results shall be submitted for each separate source. The gradation test submitted shall have been performed within 6 months prior to contract award. During contract performance, additional gradation tests may be required. Gradation tests shall be performed in accordance with ASTM C117, ASTM C136/C136M, and ASTM D75/D75M. The gradation of the fill material shall meet the following requirements:

Gradation Requirements for Fill Material

Sieve Size Percent Passing

8 in. 100

3 in. 80-100

1 in. 40-80

1/2 in. 25-60

No. 4 15-40

No. 30 10-30

No. 200 0-8

PART 3 EXECUTION

3.1 DELIVERY AND STOCKPILING

3.1.1 Delivery

The Contractor is responsible for delivery of all fill material. After the Contractor has begun delivery of fill material, he shall continue delivery, without interruption, until the total specified quantity has been delivered. The Contractor's scheduled days off will not be considered an interruption in the delivery. If the material being delivered to the delivery site does not meet specified requirements, delivery will be refused and the material shall be removed at the Contractors expense.

3.1.1.1 Stockpiling Fill Material

When delivering fill material to remote locations, the Contractor shall ensure dumped material doesn't damage the levee surface or obstruct levee traffic. If levee width or slopes inhibit the Contractors actions to dump on the slopes of the levee, the Contractor shall use a loader or other wheeled equipment to push material off crest to maintain traffic flow.

3.1.2 Location

All fill material, to be stockpiled, shall be delivered to a designated area of the main stockpile site. Over the life of this contract there will be 2 stockpile sites. The initial stockpile site is the Walton Quarry as indicated on the drawings. Later in the contract, the main stockpile site will be located approximately five miles northwest of the city of Jackson, Teton County, Wyoming, in the NE 1/4 of Section 24, Township 41 North, Range 117 West, Lat 43,5075, Long. -110.8309. Access to the main stockpile site is via the Walton Levee immediately North and East of Snake River Bridge on Highway 22. Travel north on levee road approximately 1 mile to the stockpile site access road. The actual stockpile location and limits of the stockpile area will be staked and/or flagged in the field by the REP prior to delivery of fill materials, with an approximate area of

0.6 Acres.

The entrance for the main stockpile site is on the North side of Highway 22 and is immediately east of highway 22 bridge.

3.1.3 Piling of Materials

Locate the stockpile to occupy as small an area as practical leaving adequate working room for removing the materials later. The stockpile sites only have a minimum amount of room for stockpiling material so the Contractor shall move the material accordingly to get the maximum amount of material in the defined stockpile location. The final height of the stockpile shall not exceed 30 feet, nor have side slopes steeper than 1H:1V, unless directed. Any method of stockpiling that would cause segregation or degradation of material shall not be permitted. Unless otherwise allowed, place the material in horizontal layers not more than 4 feet in thickness. Each layer shall be completed over the entire area of the pile before depositing material in the succeeding layer. The material shall not be dumped so that any part of it runs down and over the lower layers in the stockpile. When stockpiling the Contractor shall maintain as constant and regular a cross section as possible to facilitate surveying for quantities if necessary.

-- End of Section --

Item Description Yes No N/A

1. Signature sheet

a. Includes the name, signature, and title of the Plan Preparer (Qualified person, i.e. corporate safety staff person, QC )

b. Includes the name, signature, and title of the Plan Approver (e.g. owner, company president, regional vice president ) (HTRW activities require approval of a Certified Industrial Hygienist, a Certified Safety Professional may approve the plan for operations involving UST removal where contaminants are known to be petroleum, oils, or lubricants).

c. Includes the name(s), signature(s), and title(s) for Plan Concurrence (provide concurrence of other applicable corporate and project personnel (contractor)) (e.g. Chief of Operations, Corporate Chief of Safety, Corporate Industrial Hygienist, project manager or superintendent, project safety professional, project

QC. )

2. Background information

a. Includes the Contractor Name.

b. Includes the Contract Number.

c. Includes the Project Name.

d. Includes the Brief Project Description.

e. Includes the Location of the Project (map).

f. Includes the Contractor Accident Experience (Copy of OSHA

g. Includes the Listing of Phases of Work and Hazardous Activities Requiring an Activity Hazard Analyses (AHA).

3. Statement of Safety and Health Policy. Includes a copy of the corporate safety policy. (In addition to the corporate policy statement, a copy of the corporate safety program may provide a portion of the information required by the accident prevention

4. Responsibilities and Lines of Authorities

a. Includes the identification and job responsibilities of personnel responsible for safety - at both corporate and project level – including their resumes.

b. Includes the lines of authority.

CESO Form A-02 Sep 13

Remarks (Any NO or N/A item)

Form A-02 U.S. Army Corps of Engineers

Accident Prevention Plan Checklist

Date of Inspection

Location (Plant or Facility) Contract Number

Contractor Name Project Name

Inspector Name (Print) Inspector Signature

This checklist serves as a guide only, it does not replace or eliminate the need to comply with the requirements set forth in Engineering Manual 385-1-1, Safety and Health Requirements Manual, dated XX Sept 2014. The references included in this checklist correspond to the applicable sections of EM 385-1-1.

5. Training

a. Includes the list of subjects to be discussed with employees at safety indoctrination.

b. Includes the list of mandatory training and certifications applicable to this project (e.g., explosive actuated tools, confined space entry, crane operator, diver, vehicle operator, HAZWOPER training and certification, PPE ) and any requirements for periodic retraining / recertification.

c. Includes the identity requirements for emergency response training.

d. Includes the outline requirements (who attends, when given, who will conduct, etc. ) for supervisory and employee safety

6. Safety and Health Inspections

a. Includes the name(s) of individual(s) responsible for conducting safety inspections. (e.g., PM, safety professional, QC, supervisors, employees )

b. Includes proof of inspector's training / qualifications.

c. Indicates when inspections will be conducted.

d. Furnished sample forms upon which inspections will be recorded.

e. Indicates deficiency tracking system and follow-up procedures.

f. Includes the names of competent and / or qualified person(s) and proof of competency / qualification to meet specific OSHA competent / qualified person(s) requirements.

g. Includes any external inspections / certifications which may be required. (e.g., US Coast Guard )

7. Safety and Health Expectations, Incentive Programs, and Compliance

a. Includes the company's written safety program goals, objectives, and accident experience goals.

b. Includes a brief description of the company's safety incentive programs (if any ).

c. Includes the policies and procedures regarding noncompliance with safety requirements (to include disciplinary actions for violation of safety requirements).

d. Includes the written company procedures for holding managers and supervisors accountable for safety.

8. Mishap Reporting

a. The plan identifies how, when, and who shall complete the Exposure data (man-hours worked).

b. The plan identifies how, when, and who shall complete mishap investigations, reports, and logs.

c. The plan identifies how, when, and who shall make immediate notification of major mishaps.

CESO Form A-02 Sep 13

Remarks (Any NO or N/A item)

Form A-02 U.S. Army Corps of Engineers

Accident Prevention Plan Checklist (cont’d)

Date of Inspection

9. Plans (Programs, Procedures) required by the Safety Manual

a. Fatigue Management Plan (01.A.20)

b. Emergency response plans:

(1) Procedures & Test (01.E.01)

(2) Spill Plans (01.E.01, 06.A.02)

(3) Fire Fighting Plan (01.E.01; 19.A)

(4) Posting of Emergency Telephone Numbers (01.E.05)

(5) Man overboard/abandon ship (19.A.04)

(6) Medical Support. Outline on-site medical support and off-site 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 (Section 03.A; 03.D)

c. Plan for prevention of alcohol and drug abuse (01.C.02)

d. Site Sanitation Plan (Section 02.B)

e. Medical Support Plan, (03.A.01; 03.A.06; 03.D)

f. Bloodborne Pathogen Plan (03.A.05)

g. Exposure Control Plan (03.A.05)

h. Site Layout Plan (04.A)

i. Access/Haul road Plan (04.B)

j. Hearing Conservation Program (05.C)

k. Respiratory Protection Plan (05.G)

l. Health Hazard Control Program (06.A)

m. Process Safety Management Plan (06.B.04)

n. Lead Abatement Plan (06.C & Specs)

o. Asbestos Abatement Plan (06.C & Specs)

p. Radiation Safety Program (06.F)

q. Abrasive Blasting Plan (06.I)

r. Heat/Cold Stress Monitoring Plan (06.J)

s. Indoor Air Quality Management Plan (06.L)

t. Mole Remediation Plan (06.L.04)

u. Chromium (VI) Exposure Evaluation (06.M)

v. Crystalline Silica Assessment (06.N)

w. Lighting Evaluation (07.A)

x. Lighting Plan for Night Operations (07.A.09) CESO Form A-02 Sep 13

Form A-02 U.S. Army Corps of Engineers

Accident Prevention Plan Checklist (cont’d)

Date of Inspection

Based on a risk assessment of contracted activities and on mandatory OSHA compliance programs, the Contractor shall address all applicable occupational risks and compliance plans. Using the EM 385-1-1 as a guide, plans may include but not be limited to:

Remarks (Any NO or N/A item)

9. Plans (Programs, Procedures) continued.

y. Traffic Control Plan (08.C.05)

z. Fire Prevention Plan (09.A.01)

aa. Wild Land Fire Management Plan (09.L)

bb. Arc Flash Hazard Analysis (11.B)

cc. Assured Equipment Grounding Control Program (AEGCP), (11.D.05, App D)

dd. Hazardous Energy Control Plan, (12.A.01)

ee. Standard Pre-Lift Plan (LHE) (16.A.03, 16.L.15)

ff. Critical Lift Plan – LHE (16.H)

gg. Naval Architectural Analysis (16.L)

hh. Contingency Plan for Severe Weather (19.A.03)

ii. Man Overboard/Abandon Ship (19.A.04)

jj. Float Plan (19.F.04)

kk. Fall Protection Program, (21.D);

ll. Demolition/Renovation Plan (to include engineering survey), (23.A.02)

mm. Rope Access Program, (24.H.02)

nn. Excavation/Trenching Plan, (25.A.01)

oo. Underground construction fire prevention and protection Plan, (26.D.01)

pp. Compressed Air Plan, (26.I.01)

qq. Formwork and Shoring Erection and Removal plan, (27.C)

rr. PreCast Concrete Plan, (27.D) ss Lift. slab plans, (27.E)

tt. Masonry Bracing Plan, (27.F.01)

uu. Steel Erection Plan, (28.B)

vv. Explosives Safety Site Plan (ESSP) (29.A)

ww. Blasting Plan, (29.A; 26.J)

xx. Underwater Dive Operations Plan, (30.A.14, 16, )

yy. Tree Felling/Maintenance Program, (31.A)

zz. Aircraft/Airfield Construction Safety & Phasing Plan, (32.A.02) aaa. Site Safety and Health Plan (HTRW), (33.B) bbb. Confined Space Entry Program, (34.A.06, 07)

10. Risk Management Processes. Detailed project-specific hazards shall be identified and controls provided via Activity Hazard CESO Form A-02 Sep 13

Form A-02 U.S. Army Corps of Engineers

Accident Prevention Plan Checklist (cont’d)

Date of Inspection

Based on a risk assessment of contracted activities and on mandatory OSHA compliance programs, the Contractor shall address all applicable occupational risks and compliance plans. Using the EM 385-1-1 as a guide, plans may include but not be limited to:

Remarks (Any NO or N/A item)

Other Remarks:

CESO Form A-02 Sep 13

ACTIVITY HAZARDS ANALYSIS

NWW Form 385-1 (Revised) April 2008

S e v e r i t y

Date: Project:

Overall Risk Assessment Code (RAC) (Use highest code)

Risk Assessment Code Matrix E = Extremely High Risk H = High Risk Probability M = Moderate Risk L = Low Risk Frequent Likely Occasional Seldom Unlikely

Catastrophic E E H H M

Critical E H H M L

Marginal H M M L L

Negligible M L L L L

Activity:

Activity Location:

Prepared By:

Add Identified Hazards

JOB STEPS HAZARDS ACTIONS TO ELIMINATE OR MINIMIZE HAZARDS RAC

X

X

X

Add Items

EQUIPMENT TRAINING INSPECTION

X

X

X

Involved Personnel:

Acceptance Authority (digital signature):

1.14.2 Documentation