AccidentPreventionPlanChecklist2011Sep08.pdf
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- Attached to
- Devils Lake Drainage Project Federal contract opportunity
- Solicitation number
- W912ES-15-B-0003
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Accident Prevention Plan Checklist
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| BIDDING_ABSTRACT_W912ES-15-B-0003.pdf | ||
| Amendment_1_Devils_Lake_Drainage.pdf | ||
| W912ES-15-B-0003_22X34_PLANS.pdf | ||
| W912ES-15-B-003_REF_DRAWINGS.pdf | ||
| W912ES-15-B-0003_11X17_PLANS.pdf | ||
| Best_Management_Practices_Half_Size.pdf | ||
| Best_Management_Practices_Full_Size.pdf | ||
| SOLICITATION_SPECIFICATION_15-B-0003.pdf |
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ACCIDENT PREVENTION PLAN REVIEW CHECKLIST
Contract No.:_________________________________________________________
Description:__________________________________________________________
PLAN IS (circle one): Acceptable Unacceptable – see Note:
(Note: If any statement in a plan or section = N, then the plan is UNACEPTABLE)
LEGEND:
Y= Yes N=No A=Acceptable U=Unacceptable NR=Not Required
Note: EM 385-1-1, paragraph 01.A.11 on page 4 states, “Accident Prevention Plans will be developed and submitted by the contractor in the formats provided in Appendix A of this manual. The contractor will address each of the elements/sub-elements in the outline contained in Appendix A in the order that they are provided in the manual. If by the nature of the work an item is not applicable, the contractor will so state and provide a justification for why that element/sub-element is not applicable.”
A U 1 SIGNATURE SHEET.
Includes the title, signature, and phone number of the following:
Y N 1 a. Plan preparer (Qualified Person, Competent Person, such as corporate safety staff person, QC)
Y N 1 b. Plan approved, by company/corporate officers authorized to obligate the company.
Y N 1 c. Plan concurrence (e.g., Chief of Operations, Corporate Chief of Safety, Corporate Industrial Hygienist, project manager or superintendent, project safety professional, project QC).
A U 2 BACKGROUND INFORMATION.
The following is listed:
Y N 2 a. Contractor
Y N 2 b. Contract number
Y N 2 c. Project name
Y N 2 d. Brief project description, description of work to be performed, and location
Y N 2 e. Phases of work anticipated (these will require an AHA)
A U 3 STATEMENT OF SAFETY AND HEALTH POLICY
Y N 3 a. Provided a copy of current corporate/company Safety and Health Policy Statement, detailing commitment to providing a safe and healthful workplace for all employees.
Y N 3 b. The Contractor’s written safety program goals, objectives, and accident experience goals for this contract should be provided.
A U 4 RESPONSIBILITIES AND LINES OF AUTHORITIES.
The following are provided:
Y N 4 a. A statement of the employer’s ultimate responsibility for the implementation of their SOH program
Y N 4 b. Identification and accountability of personnel responsible for safety at corporate level.
Y N 4 c. Identification and accountability of personnel responsible for safety at project level.
Y N 4 d. Does contract specifically require safety or IH personnel?
Y N 4 d. (1) If yes to 4.d.; is copy of their resumes included?
Y N 4 d. (2) Qualifications include the OSHA 30-hour course or equivalent course areas as listed below:
Y N 4 d. (2) (a) OSH Act/General Duty Clause
Y N 4 d. (b) 29 CFR 1904, Recordkeeping
Y N 4 d. (2) (c) Subpart C: General Safety and Health Provisions, Competent Person
Y N 4 d. (2) (d) Subpart D: Occupational Health and Environmental Controls, Citations and Safety Programs
Y N 4 d. (2) (e) Subpart E: PPE, types and requirements for use
Y N 4 d. (2) (f) Subpart F: understanding fire protection in the workplace
Y N 4 d. (2) (g) Subpart K: Electrical
Y N 4 d. (2) (h) Subpart M: Fall Protection
Y N 4 d. (2) (i) 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.
Y N 4 e. Includes the names of Competent and/or Qualified Person(s) and proof of competency/qualification to meet specific OSHA Competent/Qualified Person(s) requirements are attached. The District SOHO will review the qualifications for acceptance.
Y N 4 f. Includes requirements that no work shall be performed unless a designated competent person is present on the job site
6 a.
Y N 6 c.
Y N 6 e.
7 a.
Y N 7 b.
7 c.
Y N 7 d.
Y N 7 e.
Y N 7 f.
Y N 4 g. Includes requirements for pre-task safety and health analysis
Y N 4 h. Includes lines of authority
Y N 4 i. Includes policies and procedures regarding noncompliance with safety requirements (to include disciplinary actions for violation of safety requirements) are identified
Y N 4 j. Provided written company procedures for holding managers and supervisors accountable for safety
NR A U 5 SUBCONTRACTORS AND SUPPLIERS.
If applicable, provided procedures for coordinating SOH activities with other employers on the job site:
Y N 5 a. Identification of subcontractors and suppliers (if known)
Y N 5 b. Safety responsibilities of subcontractors and suppliers
A U 6 TRAINING.
Y N Includes company program for new hire SOH orientation training at the time of initial hire of each new employee.
Y N 6 b. Includes mandatory training and certifications that are applicable to this project (e.g., explosive actuated tools, confined space entry, crane operator, diver, vehicle operator, HAZWOPER training and certification, PPE, etc.).
Includes requirements for periodic retraining/recertification.
Y N 6 d. Includes procedures for periodic safety and health training for supervisors.
Includes procedures for periodic safety and health training for employees.
Y N 6 f. Includes requirements for emergency response training.
A U 7 SAFETY AND HEALTH INSPECTIONS.
Specific assignment of responsibilities for a minimum daily job site safety and health inspections during periods of work activity:
Y N Includes who will conduct inspections(e.g., SSHO, PM, safety professional, QC, supervisors, employees – depends on level of technical proficiency needed to perform said inspections)
Includes proof of proof of inspector’s training/qualifications.
Y N Includes when inspections will be conducted.
Contains procedures for documentation of inspections.
Identifies deficiency tracking system and follow-up procedures.
Identifies any external inspections/certifications that may be required (e.g., USCG).
Provide the following information:
Y N 8 a.
Y N 8 b. (1) Project Accident investigation
Y N 8 b. (1) (a) - Name and title of person(s) who conducts accident investigations.
Y N 8 b. (1) (b) - Procedures for conducting an accident investigation.
Y N 8 b. (1) (c) - Timeframe for conducting an accident investigation.
Y N 8 b. (2) Accident reports and logs
Y N 8 b. (2)
Form 3394).
Y N 8 b. (2) and forwarding Eng. Form 3394.
Y N 8 b. (3) Notification of major accidents
Y N 8 b. (3) (a) - Name and title of person(s) who makes immediate notification of major accidents.
Y N 8 b. (3) (b) - Description of how this notification is delivered.
Y N 8 c.
NR A U 9 a. Layout plans (04.A.01) Includes the following:
NR A U 9 a. (1)
NR Y N 9 a. (2) Description of anchoring systems for trailers and other temporary structures.
NR Y N 9 a. (3) Description of fencing and warning signs.
NR Y N 9 a. (4) Description of temporary work camps.
A U 9 b. Emergency response plans:
Y N 9 b. (1) Response Plans:
Y N 9 b. (1) (a) - Method for reviewing plans with all affected employees.
A U 8 ACCIDENT REPORTING.
Name and title of person providing contractor exposure data (hours worked).
Y N 8 b. Accident investigations, reports, and logs.
(a) - Name and title of person(s) who enters data into the Corps accident reporting system, completes accident reports/logs and the USACE accident report form (Eng.
(b) - Timeframe for completing government accident reports/logs, and for completing
Ensuring accidents are reported in the required time frames.
PLANS (PROGRAMS, PROCEDURES) REQUIRED BY THE
SAFETY MANUAL.
Plans for laying out temporary construction buildings and facilities See 09.A.19 for temporary building spacing requirements; Section 11 for temporary power distribution approval requirements; and Section 24 for temporary ramp, trestle, scaffold, and platform approval requirements.
Procedures and tests (01.E.01); The following are requirements for all Emergency
Y N 9 b. (1) (b) - Test procedures to ensure the plan’s effectiveness.
Y N 9 b. (1) (c) - Documentation of specific on-site emergency services.
Y N 9 b. (1) (d) - Means for reporting emergencies.
Y N 9 b. (1) (e) - Location of emergency phone numbers.
Y N 9 b. (1) (f) - Persons to be contacted for additional information or clarification.
Y N 9 b. (1) (g) - Description of critical plant operations.
Y N 9 b. (1) (h) - Communication system for employees working alone or in remote locations.
Y N 9 b. (1) (i) - Escape procedures and routes.
Y N 9 b. (1) (j) - Rescue and medical duties.
Y N 9 b. (1) (k) - Procedure for employee accounting after an emergency evacuation.
NR A U 9 b. (2) Spill plans (01.E.01, 06.A.02);
NR A U 9 b. (3) Firefighting plan (01.E.01, Section 19);
NR A U 9 b. (4) Man overboard/abandon ship (Section19.A.04); MVK
A U 9 b. (5) On site Medical Support. Provide the following information:
Y N 9 b. (5) first-aid/CPR/blood borne pathogens.
Y N 9 b. (5) (b) - Location of list(s) identifying personnel trained in first-aid/CPR/blood borne
Y N 9 b. (5) (c) - Rescue and medical duties for those employees who perform them.
Y N 9 b. (5) (d) - Location of first-aid kits.
Y N 9 b. (5) (e) - Location of list(s) identifying emergency telephone numbers.
Y N 9 b. (5) (f) - Approximate driving-time to nearest medical facility/emergency physician.
A U 9 b. (6) Off-site Medical Support Provide the following information:
Y N 9 b. (6) (a) - Address/phone number of nearest medical facility/emergency physician.
Y N 9 b. (6) (b) - Address/phone number of ambulance service (if different from item 1.)
NR Y N 9 b. (6) (c) - Address/phone number/description of medivac services (if applicable).
NR Y N 9 b. (6) (d) - Complete description of any other emergency services (if applicable).
A U 9 c.
how to accomplish the following:
Y N 9 c. (1) such substances will be immediately removed from the job site.
(a) - Names, training organization, and training dates for personnel certified in
Plan for prevention of alcohol and drug abuse (01.C.02) includes
How employees found to be under the influence of or consuming
Y N 9 c. (2) requirements.
Y N 9 c. (3) his supervisor.
A U 9 d. Site sanitation plan (Section 02);
Y N 9 d. (1) Housekeeping procedures are clearly addressed for the site/project.
Y N 9 d. (2) employment, for both drinking and personal cleaning.
Y N 9 d. (3) Non-potable water sources are clearly identified and addressed.
Y N 9 d. (4) Toilets are provided and required washing facilities are provided IAW section 02.E.
Y N 9 d. (5) and sanitary conditions.
NR Y N 9 d. (6) substances.
NR Y N 9 d. (7) facilities for both street clothes and protective clothing.
NR Y N 9 d. (8) ensure that such clothing is decontaminated, clean and dry before reuse.
NR Y N 9 d. (9) paperwork were provided.).
Y N 9 d. (10) of employment.
NR Y N 9 d. (11) detected (Proof of applicator licenced must be provided.).
NR A U 9 e. Access and haul road plan (4.B) include the following:
Y N 9 e. (1) Equipment usage, traffic density, and hours of operation;
Y N 9 e. (2) and sight distances;
Y N 9 e. (3) traffic control devices;
How the contractors shall enforce the drug-free workplace
Process for any employee under a physician's treatment and taking prescribed narcotics or any medication that may prevent one being ready, willing and able to safely perform position duties shall provide a medical clearance statement to
Drinking water is addressed to ensure potable water is provided in all places of
Washing facilities are provided at toilet facilities and as needed to maintain healthful
Showers for persons engaged in application of paints, coatings, herbicides, insecticides, or other operations where contaminates may be harmful are at or near the work site and are equipped in order to enable employees to remove such
Changing rooms are provided whenever employees are required by a particular standard to wear protective clothing, changing rooms are equipped with separate
Cloths drying facilities are provided if working clothes are provided by the employer and become contaminated, wet or are washed between shifts, provisions are made to
Food service areas are in compliance with all US public health service and applicable state and local regulations (Copies of required licenses and other
Wastes disposal methods are adequate to maintain sanitary conditions in the place
An effective and continuing extermination program, done by a licenced exterminator/pest control person, will be instituted when the presence of vermin is
Road layout and widths, horizontal and vertical curve data, Sign and signalperson requirements, road markings, and
Y N 9 e. (4) Drainage controls;
Y N 9 e. (5)
Y N 9 e. (6)
Y N 9 e. (7) embankments, etc.
NR A U 9 f.
following information:
Y N 9 f. (1) Address voluntary use of respiratory protective equipment.
Y N 9 f. (2) Address selection of respiratory protective equipment.
Y N 9 f. (3) Address medical evaluations for an employee’s ability to wear a respirator.
Y N
Y N 9 f. (5) Address use of respiratory protective equipment.
Y N 9 f. (6) Address maintenance and care of respiratory protective equipment.
Y N 9 f. (7) Address breathing air quality and use.
Y N 9 f. (8)
Y N 9 f. (9) Address training and information.
Y N 9 f. (10) Address program evaluation.
Y N 9 f. (11) Address record keeping.
NR A U 9 g.
(9) areas that will be included in the evaluation (if applicable):
NR A N 9 g. (1)
NR A N 9 g. (2)
NR A N 9 g. (3) Harmful plants, animals, and insects.
Points of contact between vehicles and the public, and safety controls at these points of contact;
Maintenance requirements, including roadway hardness and smoothness and dust control;
Hazards adjacent to the road, such as bodies of water, steep
Respiratory protection plan (05.g); The program will be in accordance with the requirements contained in this section, the OSHA respirator standards, and 29 CFR 1910.134. Program must include the
9 f. (4) Address fit testing of respiratory protective equipment.
Address identification of filter, cartridges, and canisters.
Health hazard control program (06.A) An industrial hygienist or other competent person will use an AHA or position hazard analysis (PHA) form to annotate this program. The analysis will identify all substances, agents, and environments that present a hazard and recommend hazard control measures. The AHA/PHA will state it serves as certification of a hazard assessment. In addition, the form will identify the workplace and activity evaluated, the name of the person certifying the evaluation has been performed, and the date of the evaluation. The GDA must accept this program before the start of operations. Listed below are nine
Hazardous substances.
Hot substances.
NR A N 9 g. (4)
NR A N 9 g. (5) Non-ionizing radiation and magnetic and electric fields.
NR A N 9 g. (6) Ventilation and exhaust systems.
NR A N 9 g. (7)
NR A N 9 g. (8) Cumulative trauma prevention.
NR A N 9 g. (9) Indoor air quality management.
NR A U 9 h.
communication program contains all of the following:
Y N 9 h. (1)
Y N 9 h. (3)
Y N
Y N 9 h. (7)
Y N 9 h. (8) potentially exposed employees.
NR A U 9 i.
and occupational health manager for review.
NR A U 9 j.
safety and occupational health manager for review.
NR A U 9 k.
district safety and occupational health manager for review.
NR A U 9 l.
occupational health manager for review.
NR A U 9 m. Abrasive blasting (06.H.01); Provide the following information:
Ionizing radiation.
Inclement weather and environmental hazards.
Hazard communication program (06.B.01) The written hazard
A current inventory of hazardous chemicals on-site to include listing approximate quantities (e.g. gallons, pounds, liters, kilograms) that will be on-site at any given time.
Y N 9 h. (2) A current site map showing where inventoried hazardous substances are stored.
Method to ensure the inventory and site map will be updated as frequently as to ensure accuracy.
Y N 9 h. (4) Description of training to include potential safety/health effects from exposure.
Y N 9 h. (5) Address OSHA-compliant labeling of containers.
9 h. (6) The location of Material Safety Data Sheets (MSDSs)
Address how all employees potentially exposed to hazardous substances are advised of information in the substance’s MSDs and required personal protective equipment/clothing when they are brought onto the job site.
Method to ensure a copy of each hazardous substance’s MSDS on the project will be maintained in an inventory, provided to the GDA, and made available to all
Process Safety Management Plan (06.B.04) Submit to district safety
Lead abatement plan (06.b.05 & specifications) Submit to district
Asbestos abatement plan (06.B.05 & specifications) Submit to
Radiation Safety Program (06.E.03.a) Submit to district safety and
Y N 9 m. (10) Address a housekeeping program.
NR A U 9 n. Heat/Cold Stress monitoring plan (06.I.02)
NR A U 9 o.
district safety and occupational health manager for review.
NR A U 9 p. Night operations lighting plan (07.A.08)
NR A U 9 q. Fire Prevention plan (09.A)
NR A U 9 r. Wild Land Fire Management Plan (09.K)
NR A U 9 s.
Y N 9 s. (2)
Y N 9 s. (3)
Y N 9 s. (4)
Y N 9 s. (5)
Y N 9 s. (6)
Y N 9 s. (7) out, and procedures for safely responding to those emergencies.
Y N 9 m. (1) Address employee monitoring.
Y N 9 m. (2) Address air monitoring.
Y N 9 m. (3) Address medical surveillance.
Y N 9 m. (4) Address training requirements.
Y N 9 m. (5) Address personal protective devices.
Y N 9 m. (6) Address protective clothing.
Y N 9 m. (7) Address personal hygiene facilities and practices.
Y N 9 m. (8) Address engineering controls.
Y N 9 m. (9) Address itinerant work practices.
Crystalline Silica Monitoring Plan (Assessment) (06.M) Submit to
Hazardous energy control plan (12.A.01) Provide the following information:
Y N 9 s. (1) A statement of the intended use of the procedure.
Address means of coordinating and communicating hazardous energy control activities.
Address procedural steps and responsibilities for shutting down, isolating, blocking, and securing systems to control hazardous energy.
Address procedural steps and responsibilities for the placement, removal, and transfer of lockout/tag out devices.
Address procedural steps and responsibilities for placing and tagging, and moving or removing and untagging, protective grounds.
Address requirements for testing the system to verify the effectiveness of isolation and lockout and tag out devices.
Description of any emergencies that may occur during the system lockout or tag
Y N 9 s. (8)
Y N 9 s. (9) Address the means to enforce compliance with these procedures.
NR A U 9 t.
Y N 9 t. (1) components that add to the weight. The manufacturer’s maximum load limits for the
Y N 9 t. (2)
Y N 9 t. (4)
Y N 9 t. (5) sufficient bearing capacity for the lift. For floating cranes or derricks, describe the
Y N 9 t. (8) and swing speeds, and requirements for an equalizer beam.
NR A U 9 u.
Y N 9 u. (1)
Y N 9 u. (2) speed and direction. Also include the estimated time to move the plant to a safe
Y N 9 u. (4) Name of the vessel(s) that will be used to move any non-self propelled plant, and
Address requirements for when authority for removal of hazardous energy control devices must be transferred from the authorized employee to another individual, and the names of the individuals qualified for receiving such transfer.
Critical lift plan (16.H) Before making a critical lift, a qualified person will prepare a critical lift plan. The qualified person preparing the plan may be the crane operator, lift supervisor, or rigger. However, all three will participate in the plan’s preparation. A copy of the plan will be provided to the GDA, and the plan will be reviewed and signed by all personnel involved with the lift. Provide the following information:
The exact size and weight of the load to be lifted, and the crane and rigging entire range of the lift, as listed in the load charts will also be specified.
The lift geometry and procedures including the crane position, height of the lift, load radius, and the boom length and angle for the entire range of the lift.
Y N 9 t. (3) Name and qualifications of the crane operator, lift supervisor, and rigger.
A rigging plan that shows lift points and describes rigging procedures and hardware requirements.
Description of the ground conditions, outrigger or crawler track requirements and, if necessary, the design of mats necessary to achieve a level and stable foundation of operating base (platform) condition and any potential list.
Y N 9 t. (6) Environmental conditions under which lift operations will be stopped.
Y N 9 t. (7) Coordination and communication requirements for the lift operation.
For tandem or tailing crane lifts – the make and model of the cranes, the line boom
Contingency plan for severe weather (19.A.03) Where a floating plant may be endangered by severe weather (storms, high winds, hurricanes, and floods), a plan will be developed for removing or securing the plant, and for evacuating personnel in emergencies. Provide the following information:
Description of the types of severe weather hazards the plant may potentially be exposed to, and the steps that will be taken to guard against the hazards.
Address the timeframe for implementing the plan using as a reference the number of hours remaining for the storm to reach the work site if it continues at the predicted harbor after movement is started.
Y N 9 u. (3) Name and location of the safe location(s).
Y N 9 u. (5)
Y N 9 u. (6) A method for securing equipment if not moved.
NR A U 9 v. Float plan (19.F.04)
NR A U 9 w. Site-Specific Fall Protection & Prevention Plan (21.C)
NR A U 9 x.
Submit to district safety and occupational health manager for review.
NR A U 9 y. Excavation/trenching plan (25.A.01)
NR A U 9 z..
Submit to district safety and occupational health manager for review.
NR A U 9 aa.
Y N 9 aa. (2) Address response measures to be taken in case of fire to control and extinguish the
Y N 9 aa. (7) personnel to maintain a working knowledge of emergency responsibilities and
Y N 9 aa. (8) Address how often drills will be conducted to ensure its effectiveness.
NR A U 9 bb.
will be performed in compliance with the requirements of 29 CFR 1926.803. The plan
Y N 9 bb. (4) Requirements for signs and record keeping.
their type, capacity, speed, and availability.
River/tide gage readings at which the floating plant must be moved away from dams, river structures, etc. to safe areas.
Demolition plan (to include engineering survey) (23.A.01) –
Emergency rescue (tunneling) (26.A); –
Underground construction fire prevention and protection plan (26.D.01) Provide the following information:
Y N 9 aa. (1) Address specific work practices to be implemented for preventing fires.
fire.
Y N 9 aa. (3) Address required equipment for fire prevention and protection.
Y N 9 aa. (4) Address personnel requirements and responsibilities for fire prevention and protection.
Y N 9 aa. (5) Address requirements for daily and weekly fire prevention and protection inspections.
Y N 9 aa. (6) Address where the plan will be posted at the job site.
Address how the plan will be reviewed as often as is necessary with all affected procedures.
Compressed air plan (26.I. 01) Work in compressed air environments will include the following considerations:
Y N 9 bb. (1) Requirements for a medical lock and its operation.
Y N 9 bb. (2) An identification system for compressed air workers.
Y N 9 bb. (3) Communication system requirements.
Y N 9 bb. (12)
NR A U 9 cc.
Submit to district safety and occupational health manager for review.
Precast concrete plan (27.D)
NR A U 9 ee.
instructions and sketches indicating the prescribed method of erection and will be submitted to the GDA for review.
Steel erection plan (27.F.01)
NR A U 9 gg.
concurrence of the district safety and occupational health manager, and accepted by
Y N 9 gg. (8) Requirements for heat and cold stress.
Y N 9 bb. (5) Special compression and decompression requirements.
Y N 9 bb. (6) Man lock and decompression chamber requirements.
Y N 9 bb. (7) Requirements for compressor systems and air supply.
Y N 9 bb. (8) Ventilation requirements.
Y N 9 bb. (9) Electrical power requirements.
Y N 9 bb. (10) Sanitation considerations.
Y N 9 bb. (11) Fire prevention and fire protection considerations.
Requirements for bulkheads and safety screens.
Formwork and shoring erection and removal plans (27.C) –
NR A U 9 dd.
Lift slab plans (27.E) Lift-slab operations will be planned and designed by a registered engineer or architect. Plans and designs will include detailed
NR A U 9 ff.
Site safety and health plan for HTRW work (28.B) The plan will address all occupational safety and health hazards associated with site cleanup operations. All contracted work on the cleanup project(s) will be performed in compliance with the SSHP as well as the overall APP. Changes and modifications to the SSHP are permitted and will be made in writing with the knowledge and the GDA. Provide the following information:
Y N 9 gg. (1) Site description and contamination characterization.
Y N 9 gg. (2) Hazard/risk analysis.
Y N 9 gg. (3) Staff organization, qualifications, and responsibilities.
Y N 9 gg. (4) Training requirements.
Y N 9 gg. (5) Requirements for PPE.
Y N 9 gg. (6) Medical surveillance requirements.
Y N 9 gg. (7) Exposure monitoring/air sampling requirements.
NR A U 9 hh.
Periodic replenishment of approved supplies will not require written approval.
NR A U 9 ii. Diving Plan (30.A.13) As a minimum, the plan will contain the following
Y N 9 ii. (7) Type of diving platform to be used.
Y N 9 gg. (9) Standard operating safety procedures, engineering controls, and work practices.
Y N 9 gg. (10) Site-control measures.
Y N 9 gg. (11) Personal hygiene and decontamination requirements.
Y N 9 gg. (12) Equipment decontamination requirements.
Y N 9 gg. (13) Requirements for emergency equipment and first-aid.
Y N 9 gg. (14) Emergency response and contingency procedures.
Blasting safety plan (29.a.01) Prior to bringing explosives on site, the GDA will accept the contractor’s blasting plan and give his/her permission in writing.
Provide the following information:
Y N 9 hh. (1) Names, qualifications, and responsibilities of personnel involved with explosives.
Y N 9 hh. (2) Requirements for handling, transportation, and storage of explosives.
Y N 9 hh. (3) Employee training-program requirements.
Y N 9 hh. (4) Loading procedures.
Y N 9 hh. (5) Safety signals.
Y N 9 hh. (6) Danger-area clearance requirements.
Y N 9 hh. (7) Methods for securing the site.
Y N 9 hh. (8) Requirements for vibration and damage control.
Y N 9 hh. (9) Post-blast inspection and misfire procedures.
Y N 9 hh. (10) Provisions for disposal of explosives, blasting agents, and associated material.
Y N 9 hh. (11) Post-blast ventilation requirements.
information:
Y N 9 ii. (1) Name of contractor (and diving subcontractor if applicable).
Y N 9 ii. (2) Contract number.
Y N 9 ii. (3) Date of dive plan submission.
Y N 9 ii. (4) Name of diving supervisor preparing the dive plan.
Y N 9 ii. (5) Names and duties of dive team members including diving supervisor.
Y N 9 ii. (6) Diving equipment to be used.
Y N 9 ii. (10) Diving mode used (SCUBA, SSA, and snorkeling) including a description of the backup
Y N 9 ii. (11) Nature of work to be performed by the diver(s) including tools used and materials to
Y N 9 ii. (12) Surface and underwater conditions to include visibility, temperature, currents, etc.
Y N 9 ii. (13)
Y N 9 ii. (14) Name of each person directly involved in topside assistance/support to the dive team
Y N 9 ii. (15) personnel, or equipment, the district dive coordinator will be contacted in order to review and
NR A U 9 jj.
Y N 9 jj. (1)
Y N 9 jj. (2)
Y N 9 jj. (3) and assure the proper use of the following:
Y N 9 jj. (3) (d) - PPE used where engineering controls and work practices adequately protect
Y N 9 jj. (3) (f) - Equipment such as ladders needed for safe ingress and egress by authorized entrants.
Y N 9 ii. (8) Detailed description of the mission.
Y N 9 ii. (9) Date(s), time(s), duration, and location of the operation.
air supply, as required.
be handled or installed.
Thermal protection will be considered as appropriate.
Maximum single dive bottom time for the planned depth of dive for each diver. Altitude adjustments to dive tables will be calculated for dives made at altitudes of 1000 ft (304.8m) or more above sea level
(i.e. crane operator, lock operator, etc.)
Means of direct communication between the dive site and the contractor’s project office, the contracting officer, and the lockmaster/USACE project manager. Note: The dive plan will include the following statement: “If for any reason the dive plan is altered in mission, depth, accept the alteration prior to actual operation.”
Confined space program (34.A) The contractor will assign, in writing, a competent person to evaluate the potential for permit-required confined spaces (PRCSs). This individual, in turn, will complete an evaluation to identify PRCSs using the procedures and decision logic presented in EM 385-1-1, Figure 6-1. The contractor will provide the following information:
Location of list identifying confined spaces (permit-required and non-permit required) and how it will be updated as new confined spaces are discovered.
Address how confined spaces will be reevaluated whenever they or their characteristics change in a way that could lead to reclassification as a PRCS.
Address how the contractor, as part of its PRCS program, will provide, maintain, Y N 9 jj. (3) (a) - Testing and monitoring equipment.
Y N 9 jj. (3) (b) - Ventilating equipment needed to obtain acceptable entry conditions.
Y N 9 jj. (3) (c) - Communications equipment.
personnel.
Y N 9 jj. (3) (e) - Lighting equipment.
Y N 9 jj. (3)
Y N
Y N 9 jj. (5)
Y N 9 jj. (6)
Y N 9 jj. (7) Address practice training whereby each member of the rescue/emergency team practices PRCS rescues at least once every 12 months.
(g) - Rescue and emergency equipment.
Y N 9 jj. (3) (h) - Any other equipment necessary for safe entry into, and rescue from, permit spaces.
9 jj. (4) Address the procedures for the preparation, issuance, use, and cancellation of PRCS entry permits.
Address the procedures for summoning rescue and emergency services, for rescuing entrants from PRCSs, and for preventing unauthorized personnel from attempting a rescue.
Address employee-training requirements and documentation that will include instructor certification, personnel receiving the training, and date(s) of training.
Sheet1
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