18R3007vol1.PDF

Seymour Johnson AFB, North Carolina

Solicitation Number

W912HN-18-R-3007

Construct tanker Truck Delivery System Volume 1 of 3: Procurement and Contracting Requirements and Specification Divisions 01 - 04

PN DESC1801

June 2018

U.S. ARMY ENGINEER DISTRICT, SAVANNAH

CORPS OF ENGINEERS

100 WEST OGLETHORPE AVENUE

SAVANNAH, GEORGIA 31401-3640

US Army Corps of Engineers Savannah District

Const r uct Tanker Tr uck Del i ver y Syst em 18R3007 Seymour Johnson AFB, NC

PROJECT TABLE OF CONTENTS

DI VI SI ON 01 - GENERAL REQUI REMENTS

01 11 00 * 2 SUMMARY OF WORK

01 14 00 * 2 WORK RESTRI CTI ONS

01 30 00 * 2 ADMI NI STRATI VE REQUI REMENTS

01 32 01. 00 10 PROJECT SCHEDULE

01 33 00 SUBMI TTAL PROCEDURES

01 33 29 SUSTAI NABI LI TY REPORTI NG

01 35 26 GOVERNMENTAL SAFETY REQUI REMENTS

01 35 29. 13 HEALTH, AND SAFETY, AND EMERGENCY RESPONSE PROCEDURES FOR

CONTAMI NATED SI TES SOI L EXCAVATI ON

01 42 00 SOURCES FOR REFERENCE PUBLI CATI ONS

01 45 00. 00 10 QUALI TY CONTROL

01 45 00. 15 10 RESI DENT MANAGEMENT SYSTEM CONTRACTOR MODE( RMS CM)

01 45 35 SPECI AL I NSPECTI ONS

01 50 00 TEMPORARY CONSTRUCTI ON FACI LI TI ES AND CONTROLS

01 57 19 ENVI RONMENTAL PROTECTI ON

01 57 23 TEMPORARY STORM WATER POLLUTI ON CONTROL

01 74 19 CONSTRUCTI ON AND DEMOLI TI ON WASTE MANAGEMENT

01 78 00 CLOSEOUT SUBMI TTALS

01 78 23 OPERATI ON AND MAI NTENANCE DATA

01 78 23. 33 OPERATI ON AND MAI NTENANCE MANUALS FOR AVI ATI ON FUEL

SYSTEMS

DI VI SI ON 02 - EXI STI NG CONDI TI ONS

02 41 00 DEMOLITION

02 61 13 EXCAVATI ON AND HANDLI NG OF CONTAMI NATED MATERI AL

02 81 00 TRANSPORTATI ON AND DI SPOSAL OF HAZARDOUS MATERI ALS

02 82 13. 00 10 ASBESTOS ABATEMENT

02 83 13. 00 20 LEAD I N CONSTRUCTI ON

DI VI SI ON 03 - CONCRETE

03 11 13. 00 10 STRUCTURAL CAST- I N- PLACE CONCRETE FORMI NG

03 15 00. 00 10 CONCRETE ACCESSORI ES

03 20 00. 00 10 CONCRETE REI NFORCI NG

03 30 00. 00 10 CAST- I N- PLACE CONCRETE

03 35 00. 00 10 CONCRETE FI NI SHI NG

03 39 00. 00 10 CONCRETE CURI NG

03 42 13. 00 10 PLANT- PRECAST CONCRETE PRODUCTS FOR BELOW GRADE

CONSTRUCTION

DI VI SI ON 04 - MASONRY

04 20 00 MASONRY

DI VI SI ON 05 - METALS

05 12 00 STRUCTURAL STEEL

05 21 19 OPEN WEB STEEL JOI ST FRAMI NG

05 30 00 STEEL DECKS

05 50 13 MI SCELLANEOUS METAL FABRI CATI ONS

05 51 33 METAL LADDERS

05 59 10 * 2 DELETED ROLLI NG COVER FOR AVI ATI ON REFUELI NG VAULTS

DI VI SI ON 06 - WOOD, PLASTI CS, AND COMPOSI TES

PROJECT TABLE OF CONTENTS Page 1

06 10 00 ROUGH CARPENTRY

DI VI SI ON 07 - THERMAL AND MOI STURE PROTECTI ON

07 21 13 BOARD AND BLOCK I NSULATI ON

07 22 00 ROOF AND DECK I NSULATI ON

07 27 26 FLUI D- APPLI ED MEMBRANE AI R BARRI ERS

07 52 00 MODI FI ED BI TUMI NOUS MEMBRANE ROOFI NG

07 60 00 FLASHI NG AND SHEET METAL

07 61 14. 00 20 STEEL STANDI NG SEAM ROOFI NG

07 84 00 FIRESTOPPING

07 92 00 JOI NT SEALANTS

DI VI SI ON 08 - OPENI NGS

08 11 13 STEEL DOORS AND FRAMES

08 51 13 ALUMI NUM WI NDOWS

08 51 23 STEEL WI NDOWS

08 71 00 DOOR HARDWARE

08 81 00 GLAZING

08 91 00 METAL WALL LOUVERS

DI VI SI ON 09 - FI NI SHES

09 22 00 SUPPORTS FOR GYPSUM BOARD

09 29 00 GYPSUM BOARD

09 51 00 ACOUSTI CAL CEI LI NGS

09 65 00 RESI LI ENT FLOORI NG

09 90 00 PAI NTS AND COATI NGS

09 97 13. 17 THREE COAT EPOXY I NTERI OR COATI NG OF WELDED STEEL

PETROLEUM FUEL TANKS

09 97 13. 27 EXTERI OR COATI NG OF STEEL STRUCTURES

DI VI SI ON 10 - SPECI ALTI ES

10 44 16 FI RE EXTI NGUI SHERS

DI VI SI ON 12 - FURNI SHI NGS

12 21 00 WI NDOW BLI NDS

DI VI SI ON 13 - SPECI AL CONSTRUCTI ON

13 34 19 METAL BUI LDI NG SYSTEMS ( PUMP SHELTER)

13 34 20 METAL BUI LDI NG SYSTEMS ( CANOPI ES)

DI VI SI ON 22 - PLUMBI NG

22 00 00 PLUMBI NG, GENERAL PURPOSE

DI VI SI ON 23 - HEATI NG, VENTI LATI NG, AND AI R CONDI TI ONI NG ( HVAC)

23 00 00 AI R SUPPLY, DI STRI BUTI ON, VENTI LATI ON, AND EXHAUST SYSTEMS

23 05 93 TESTI NG, ADJUSTI NG, AND BALANCI NG FOR HVAC

23 07 00 THERMAL I NSULATI ON FOR MECHANI CAL SYSTEMS

23 08 00. 00 10 COMMI SSI ONI NG OF HVAC SYSTEMS

23 81 00. 00 20 UNI TARY AI R CONDI TI ONI NG EQUI PMENT

23 82 46. 00 40 ELECTRI C UNI T HEATERS

PROJECT TABLE OF CONTENTS Page 2

DI VI SI ON 26 - ELECTRI CAL

26 00 00. 00 20 BASI C ELECTRI CAL MATERI ALS AND METHODS

26 08 00 APPARATUS I NSPECTI ON AND TESTI NG

26 12 19. 10 THREE- PHASE PAD- MOUNTED TRANSFORMERS

26 20 00 I NTERI OR DI STRI BUTI ON SYSTEM

26 23 00 * 2 DELETED LOW- VOLTAGE SWI TCHGEAR

26 24 13 * 2 SWITCHBOARDS

26 28 01. 00 10 COORDI NATED POWER SYSTEM PROTECTI ON

26 32 15. 00 10 DI ESEL- GENERATOR SET STATI ONARY 100- 2500 KW, WI TH

AUXILIARIES

26 41 00 LI GHTNI NG PROTECTI ON SYSTEM

26 42 14. 00 10 CATHODI C PROTECTI ON SYSTEM ( SACRI FI CI AL ANODE)

26 42 17. 00 10 CATHODI C PROTECTI ON SYSTEM ( I MPRESSED CURRENT)

26 51 00 I NTERI OR LI GHTI NG

26 56 00 EXTERI OR LI GHTI NG

DI VI SI ON 27 - COMMUNI CATI ONS

27 10 00 BUI LDI NG TELECOMMUNI CATI ONS CABLI NG SYSTEM

DI VI SI ON 28 - ELECTRONI C SAFETY AND SECURI TY

28 31 64. 00 10 FI RE DETECTI ON AND ALARM SYSTEM, ADDRESSABLE

DI VI SI ON 31 - EARTHWORK

31 00 00 EARTHWORK

31 31 16. 13 CHEMI CAL TERMI TE CONTROL

DI VI SI ON 32 - EXTERI OR I MPROVEMENTS

32 01 19 FI ELD MOLDED SEALANTS FOR SEALI NG JOI NTS I N RI GI D

PAVEMENTS

32 11 20 BASE COURSE FOR RI GI D AND SUBBASES FOR FLEXI BLE PAVI NG

32 11 23 AGGREGATE BASE COURSES

32 12 16 HOT- MI X ASPHALT ( HMA) FOR ROADS

32 13 13. 06 PORTLAND CEMENT CONCRETE PAVEMENT FOR ROADS AND SI TE

FACILITIES

32 16 13 CONCRETE SI DEWALKS AND CURBS AND GUTTERS

32 17 23 PAVEMENT MARKI NGS

32 92 23 SODDING

DI VI SI ON 33 - UTI LI TI ES

33 01 50. 01 CLEANI NG FUEL STORAGE TANKS

33 08 53 AVI ATI ON FUEL DI STRI BUTI ON SYSTEM START- UP

33 09 53 AVI ATI ON FUEL PUMP CONTROL AND ANNUNCI ATI ON SYSTEM

33 11 00 WATER UTI LI TY DI STRI BUTI ON PI PI NG

33 30 00 SANI TARY SEWERS

33 32 13. 10 24 DROP TANK VAULT SUBMERSI BLE PUMP

33 34 00 DROP TANK VAULT FORCE MAI N

33 40 00 STORM DRAI NAGE UTI LI TI ES

33 52 43. 11 AVI ATI ON FUEL MECHANI CAL EQUI PMENT

33 52 43. 12 AVI ATI ON FUEL PANTOGRAPHS

33 52 43. 13 AVI ATI ON FUEL PI PI NG

33 52 43. 14 AVI ATI ON FUEL CONTROL VALVES

33 52 43. 23 AVI ATI ON FUEL PUMPS

PROJECT TABLE OF CONTENTS Page 3

33 52 43. 28 FI LTER SEPARATOR, AVI ATI ON FUELI NG SYSTEM

33 56 10 FACTORY- FABRI CATED FUEL STORAGE DROP TANKS

33 56 13. 13 STEEL TANKS WI TH FI XED ROOFS

33 56 19 FUEL I MPERMEABLE LI NER SYSTEM

33 58 00 * 3 DELETED LEAK DETECTI ON FOR FUELI NG SYSTEMS

33 71 02 UNDERGROUND ELECTRI CAL DI STRI BUTI ON

33 82 00 TELECOMMUNI CATI ONS OUTSI DE PLANT ( OSP)

DI VI SI ON 41 - MATERI AL PROCESSI NG AND HANDLI NG EQUI PMENT

41 22 13. 24 BRI DGE CRANES, OVERHEAD HAND OPERATED, UNDER RUNNI NG

- - End of Pr oj ect Tabl e of Cont ent s - -

PROJECT TABLE OF CONTENTS Page 4

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

A. CONTRACT CHANGES: This post-closing amendment is issued due to the need to undergo Congressional Reprogramming. Because of this, Offerors w ho submitted a proposal are asked to submit a revised price proposal by 28 September 2018 at 2:00pm EDT and allow for

Government acceptance of their proposal through 31 May 2019. Only a price proposal and acknow ledgment of this amendment are required.

B. TECHNICAL SPECIFICATION CHANGES: There are no technical specif ication changes w ith this amendment.

C. CONTRACT DRAWINGS: There are no draw ing changes w ith this amendment.

1. CONTRACT ID CODE PAGE OF PAGES

1 2

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

BY 17-Sep-2018

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X W912HN18R3007

X 9B. DATED (SEE ITEM 11)

13-Jun-2018

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer X is extended, is not extended.

Offer must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended by one of the following methods:

(a) By completing Items 8 and 15, and returning 1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE

RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN

REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE

CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(B).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

17-Sep-2018

CODE

USACE - SAVANNAH DISTRICT

100 W. OGLETHORPE AVE

SAVANNAH GA 31401

W912HN 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W912HN18R3007

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION 00 10 00 - SOLICITATION

The required response date/time has changed from 31-Jul-2018 02:00 PM to 28-Sep-2018 02:00 PM.

The offeror acceptance period has increased by 156 from 90 to 246.

(End of Summary of Changes)

ATTACHMENT 1 TO SECTION 00 73 00

LIST OF ATTACHMENTS

Attachment 1 - 1

Army Project Sign

Project Sign Legend Defined

Project Sign Erection Detail

Safety Performance Sign

Corps of Engineers Logo

Minimum Basic Outline for Accident Prevention Plans (EM 385-1-1, App A)

Construction Quality Control Report

Small Business Subcontracting Plan

Weekly Temporary Electrical Inspection

Minimum Standard for Temporary Electrical Service (Ref. FAR 52.236-14)

SAS Form 9 - Activity Hazard Analysis

SAD Form 1666a-R - Safety Checklist for Crawler, Truck & Wheel Mounted Cranes

SAD Form 1666d-R Safety Checklist for Control of Hazardous Energy

(Lockout/Tagout)

SAD Form 1666d-R Safety Checklist for Motor Vehicles, Trailers, and Trucks

SAD Form 1666d-R Safety Checklist for Safe Access and Fall Protection

SAD Form 1666d-R Safety Checklist for Scaffolds - Other Types

SAD Form 1666e-R Safety Checklist for Crawler Tractors and Dozers

SAD Form 1666e-R Safety Checklist for Cutting/Welding Operations

SAD Form 1666e-R Safety Checklist for Demolition Operations

SAD Form 1666e-R Safety Checklist for Forms, Falsework, and Concrete

Operations

SAD Form 1666e-R Safety Checklist for Permit Required Confined Spaces (PRCS)

SAD Form 1666e-R Safety Checklist for Personal Protective Equipment

SAD Form 1666e-R Safety Checklist for Portable Ladders

SAD Form 1666e-R- Safety Checklist for Portal, Tower, and Pillar Cranes

SAD Form 1666e-R Safety Checklist for Rigging

SAD Form 1666e-R Safety Checklist for Sanitation/Housekeeping

SAD Form 1666e-R Safety Checklist for Scaffolds - Metal Frame

ATTACHMENT 1 TO SECTION 00 73 00

LIST OF ATTACHMENTS

Attachment 1 - 2

SAD Form 1666f-R - Safety Checklist for Scrapers, Motor Graders, and Other Mobile Equipment

SAD Form 1666e-R Safety Checklist for Structural Steel Erection

SAD Form 1666e-R Safety Checklist for Tree Work, Maintenance, or Removal

Operations

SAD Form 1666e-R Safety Checklist for Trenching and Excavation Competent

Person

SAD Form 1666e-R Safety Checklist for Trenching and Excavation Operations

SAD Form 1666f-R Safety Checklist for Crane Inspections

SAD Form 1666g-R - Safety Checklist for Material Hoists

SAD Form 1666h-R - Safety Checklist for Earth Drilling Equipment

SAD FL 198 – Report of Safety Meeting

DA Form 5418-R - Cost Estimate Analysis

DD Form 1354 - Transfer and Acceptance of Military Real Property

DD Form 1532 - Pest Management Report

DD Form 1532 - Pest Management Maintenance Record

DHS Form I-9 - Employment Eligibility Verification

ENG Form 2454 - Construction Progress Chart

ENG Form 3394 – Accident Investigation Report

ENG Form 4025 - Transmittal of Shop Drawings, Equipment Data, Material

Samples, or Manufacturer's Certificates of Compliance

Real Property Inventory and BIS Worksheet

Landfill Permit Application

Standard Form LLL-A - Disclosure of Lobbying Activities

AF3952 - Contractor HazMat Authorization, Inventory, and Usage Form

Contractor-Furnished Spoil, Disposal Areas

PROJECT SIGN LEGEND DEFINED

Legend Group 1: The words:

"Construction or "Design and Construction Supervised by:" Supervised by:"

shall be placed on two lines using black, 1.25" Helvetica regular typeface.

Maximum line length is 19".

10.5" Reverse Signature: The Corps symbol shall be a 10.5" white reverse signature using a 6" castle on a red background. The castle and surrounding border lines shall be white. The castle windows, door, and logo background are to be red. The words "U.S. Army Corps of Engineers" shall be black.

Legend Group 2: The words:

"Savannah District South Atlantic Division" shall be placed on two lines below the 10.5" reverse signature, using black, 1.25" Helvetica regular typeface.

Legend Group 3: The "Name of Project" shall be placed on one to three lines using white 3" Helvetica bold typeface. Maximum line length is 42".

Legend Group 4: The "Army Installation" shall be a one or two line identification of the facility or name of the sponsoring department.

Lettering is to be white, 1.5" Helvetica regular typeface. Maximum line length is 42".

NOTE: Cross-align the first line of legend group 4 with the first line of the Corps signature (U.S. Army Corps) as shown.

Legend Group 5a: The words:

"Architects:" or "Engineers:" or "Architect-Engineers:"

shall be a one to five line identification of the prime architect or engineering corporate or firm name, city, and State. Lettering shall be white, 1.25" Helvetica regular typeface. Maximum line length is 21".

Legend Group 5b: The "Contractor:" shall be a one to five line identification of the prime Contractor corporate or firm name, city, and State. Include type of Contractor, i.e. General Contractor, etc. Lettering shall be white, 1.25" Helvetica regular typeface. Maximum line length is 21".

NOTE: All typography shall be flush left and rag right, upper and lower case with initial capitals only as shown.

Safety Performance Sign EP 310-1-6a 01 Jun 06

16-3

Each contractor’s safety record is to be posted on Corps managed or supervised construction projects and mounted with the Construction Project Identification sign specified on page 16-2.

The graphic format, color, size and type-faces used on the sign are to be repro-duced exactly as specified below. The title with First Aid logo in the top section of the sign, and the performance record captions are standard for all signs of this type. Legend groups 2 and 3 below identify the project and the contractor and are to be placed on the sign as shown.

Safety record numbers are mounted on individual metal plates and are screw-mounted to the background to allow for daily revisions to posted safety perfor-mance record.

Special applications or situations not covered in these guidelines should be referred to the district Sign Program Manager.

Legend Group 1: Standard two-line title “Safety is a Job Requirement” with 8” (outside diameter) Safety Green first aid logo.

Color: To match Pantone system 347 Typeface: 3" Helvetica Bold Color: Black

Legend Group 2: One- to two-line project title legend describes the work being done under this contract and name of host project.

Color: Black Typeface: 1.5" Helvetica Regular Maximum line length: 42"

Legend Group 3: One- to two-line identifica-tion: name of prime contractor and city, state address. Color: Black Typeface: 1.5" Helvetica Regular Maximum line length: 42"

Legend Group 4: Standard safety record captions as shown.

Color: Black Typeface: 1.25” Helvetica Regular

Replaceable numbers are to be mounted on white .060 aluminum plates and screw-mounted to background.

Color: Black Typeface: 3" Helvetica Regular Plate size: 2.5" x 4.5"

All typography is flush left and rag right, upper and lower case with initial capitals only as shown. Letter- and word-spacing to follow Corps standards as specified in Appendix D.

3” 33.030” eq. 8” eq.

6”

4.5”

10.5”

2.25” 3”

2.25” 3”

4.875”

4.875”

6.75”

4.875” .75” 4.875”

4.5”

3”

3” 42” 3”

2.25” 2.25” 2.25” 2.25”

.75”

3”

.75”

Sign Legend Panel Post Specification Mounting Color Type Size (A) Size Size Code Height Bkg/Lgd

CID-02 various 4’x4’ 4”x4” HDO-3 48” WH/BK-SG

CORPS OF ENGINEERS LOGO

HALF SIZE

EM 385-1-1

30 Nov 14

A-1

APPENDIX A

Minimum Basic Outline for Accident Prevention Plans

1. Accident Prevention Plan (APP) - General. An APP is a safety and health policy and program document that is contract- or job- specific. It is an integral part of the planning process. > See Section 01 and 01.A.12.

a. The APP shall interface with the employer’s overall safety and health program. Any portions of the overall safety and health program that are referenced in the APP shall be included as appropriate.

b. The APP shall be submitted to the GDA for acceptance prior to work starting.

(1) Understanding that the APP is submitted prior to work starting and that some project-specific information is not yet known (e.g., subcontractors to be used, type of fall protection to be used at a certain point in time, specific cranes or other load handling equipment (LHE) to be brought on site, etc.), the known information shall be provided and additional information added at each preparatory phase/meeting along with the appropriate Activity Hazard Analyses (AHAs).

(2) A copy of the contractor’s project-specific, accepted APP shall be available on the work site. > See ANSI/ASSE A10.38 for programmatic issues.

2. Abbreviated APP. In lieu of a fully-developed APP, for Limited-Scope Service, Supply and R&D Contracts (e.g. grass mowing, park attendant, rest room cleaning, etc.), the Contracting Officer (KO) and local Safety and Occupational Health Office (SOHO) may allow an Abbreviated APP to be developed and submitted for acceptance.

a. The non-mandatory Abbreviated APP Form, Form A-1 (or similar) may be used to insure each area of required information has been provided.

b. This APP is a short-version APP that can be used on low-risk, limited-scope contracts. > See 01.A.12.e, and Appendix A, paragraph 3.k.

c. Each sub-contractor shall be provided a copy of the APP by the prime contractor and be required to comply with it.

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3. APP Format. The following areas are typically addressed in an APP, but besides being job-specific, the APP shall also address any unusual or unique aspects of the contract or job for which it is written. The non-mandatory Accident Prevention Plan (APP) Checklist, Form A-2 (or similar), may be used to insure each area of required information has been provided. > See ANSI A10.33 for multi-employer projects.

a. Signature Sheet: Include title, signature, and phone number of the following:

(1) Plan preparer (Qualified Person (QP), Competent Person (CP), Corporate safety staff person, QC) and their qualifications;

(2) Plan must be approved by company/corporate officers authorized to obligate the company;

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

b. Background Information. List the following:

(1) Contractor;

(2) Contract number;

(3) Project name;

(4) Brief project description, description of work to be performed, location (map), equipment to be used, anticipated high risk activities, and

(5) Major phases of work anticipated.

(6) 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. This information can then be used by QC, QA and Safety personnel to track AHA submittals. The AHAs for these activities, tasks of DFOWs are NOT submitted at this time (AHAs created/submitted at this time would not be activity-specific as they are intended to be). > See Sections 01.A.14 and 01.A.15.

c. 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 shall also be provided.

A-3

d. Responsibilities and Lines of Authority. Provide the following:

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

(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.

Note: Only official OSHA 30-Hour cards will be accepted or, if equivalent training is provided, appropriate instructor qualifications. > See also Section 01.A.17.i, Exception 2.

(3) If equivalent training to the OSHA 30-hour classes is being presented as qualification, the training shall have covered the following areas:

(a) OSH Act/General Duty Clause;

(b) 29 CFR 1904, Recordkeeping;

(c) Subparts C, CC, D, E, F, K and M of OSHA;

(d) Rigging, load handling equipment (LHE), 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;

(4) The names of CP(s) and/or QP(s) and proof of competency/qualification to meet specific OSHA CP/QP requirements must be attached. The local SOHO will review the qualifications for acceptance;

(5) Requirements and details of the employer’s Risk Management Process;

Note: USACE uses the Activity Hazard Analysis (AHA) as part of a total risk management process. Contractors and other individual employer’s may use the AHAs or their own version [Job Safety Analyses (JSAs), Job Hazard Analyses (JHAs), or similar Risk Management assessment tools]. These documents are considered equivalent to, and acceptable substitutes for, the USACE’s AHA provided the data collected is the same as that required by the AHA.

(6) Requirements for initial activity-specific AHAs to be submitted and accepted at preparatory meetings, prior to work being performed;

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(7) Requirements that no work by the Contractor shall be performed unless a designated CP/SSHO is present on the job site;

(8) Policies and procedures regarding non-compliance with safety requirements (to include disciplinary actions for violation of safety requirements) should be identified;

(9) Lines of authority;

(10) Provide written company procedures for holding managers and supervisors accountable for safety.

e. Subcontractors and Suppliers. If applicable, provide procedures for coordinating SOH activities with other employers on the job site:

(1) Identification of subcontractors and suppliers. If not known at the time of 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”;

(2) Safety responsibilities of subcontractors and suppliers.

f. Training.

(1) Requirements for new hire SOH orientation training at the time of initial hire of each new employee.

(2) Requirements for mandatory training and certifications that are applicable to this project (e.g. explosive actuated tools, confined space entry, crane operator, underwater diver, vehicle operator, HAZWOPER training and certification, PPE, etc.) and any requirements for periodic retraining/recertification.

(3) Procedures for periodic safety and health training for supervisors and employees.

(4) Requirements for emergency response training.

g. Safety and Health Inspections.

(1) Specific assignment of responsibilities for a minimum daily jobsite SOH inspection during periods of work activity: Who will conduct (e.g., SSHO, PM, 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;

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

h. Mishap Reporting and Investigation. The Contractor shall identify means to provide the following:

(1) Exposure data (man-hours worked);

(2) Mishap reports, investigations, and documentation. Report all accidents per the requirements covered in Section 01.D. Mishaps shall be reported as soon as possible but not more than 24 hours afterwards to the KO/COR. The contractor shall report, thoroughly investigate, and analyze all mishaps occurring incidentally to an operation, project or facility for which this manual is applicable. Implement corrective actions as soon as reasonably possible and provide notice to the KO/COR when corrective actions are completed;

i. Plans, Programs and Procedures, required by this 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.

(1) Include a project-specific compliance plan, as applicable to the work being performed, and as identified below. The plans shall incorporate project-wide procedures to control hazards to which the employees of all project employers may be exposed.

(2) These procedures shall be coordinated with all project employers and shall include project-specific, project-wide emergency response and evacuation procedures, PPE requirements, recordkeeping and reporting requirements, and training requirements.

(3) The plans shall be prepared prior to the start of any work activities on the job site (as much as the information can be known at that point in time). The plans shall be updated throughout the life of the project to include changes in personnel, equipment, conditions, etc. Additional revisions shall be incorporated as necessary to reflect changing site conditions, construction methods, personnel roles and responsibilities and construction schedules.

(4) No activity (DFOW) shall be started on site until the APP is revised and submitted to the GDA for acceptance, with the site-specific plans, programs and procedures required to complete the project. Using the EM 385-1-1 as a guide, plans, programs, procedures (assessments and evaluations) may include but not be limited to:

Fatigue Management Plan (01.A.20);

Emergency Plans (01.E);

Site Sanitation/Housekeeping Plan (02.B);

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Medical Support Agreement (03.A.01; 03.A.03);

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

Exposure Control Plan (03.A.05);

Automatic External Defibrillator (AED) Program (03.B.04);

Site Layout Plan (04.A);

Access/Haul Road Plan (04.B);

Hearing Conservation Program (05.C);

Respiratory Protection Plan (05.G);

Health Hazard Control Program (06.A);

Hazard Communication Program (06.B.01);

Process Safety Management Program (06.B.04);

Lead Compliance Plan (06.C.02 & specifications);

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

Radiation Safety Program (06.F);

Abrasive Blasting Procedures (06.I.01);

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

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

Indoor Air Quality Management (06.L);

Mold Remediation Plan (06.L.04);

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

Crystalline Silica Evaluation (06.N.02);

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

Traffic Control Plan (08.C.05);

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Fire Prevention Plan (09.A.01);

Wild Land Fire Management Plan (09.L);

Arc Flash Hazard Analysis (11.B);

Assured Equipment Grounding Control Program (AEGCP) (11.D.05, Appendix E);

Hazardous Energy Control Program & Procedures (12.A.01);

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

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

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

Floating Plant Inspection and Certification (19.A.01);

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

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

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

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

Fall Protection and Prevention Plan (21.D);

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

Rope Access Work Plan (24.H);

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

Fire Prevention and Protection Plan for Underground Construction (26.D.01);

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

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

Precast Concrete Plan (27.D.01);

Lift-Slab Plans (27.E);

Masonry Bracing Plan (27.F.01);

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Steel Erection Plan (28.B);

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

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

Dive Operations Plan (30.A.14, 30.A.16);

Safe Practices Manual for Diving Activities (30.A.15)

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

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

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

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

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

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

Confined Space Program (34.A.06).

j. Risk Management Process (AHAs). Detailed project-specific hazards and controls shall be provided by AHAs for each activity (DFOW). No work will begin on an activity (DFOW) until the initial AHA has been accepted by the GDA addressing the project-specific hazards. > See Section 01.A.14 and 01.A.15.

Note: USACE uses the Activity Hazard Analysis (AHA) as part of a total risk management process. Contractors and other individual employer’s may use the AHAs or their own version [Job Safety Analyses (JSAs), Job Hazard Analyses (JHAs), or similar Risk Management assessment tools]. These documents are considered equivalent to, and acceptable substitutes for, the USACE’s AHA provided the data collected is the same as that required by the AHA.

(1) The AHA defines the work sequence, anticipated hazards, conditions, equipment, materials, personnel and the control measures to be implemented to eliminate or reduce each hazard to an acceptable level of risk, and the Risk Assessment Code for each step.

(2) Once this process has occurred, an overall RAC shall be assigned to the activity, based on the highest RAC assigned to an individual step.

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(3) Acceptance of risk. The residual risk is that which remains after controls have been applied. This residual risk must be communicated to the proper authority for acceptance in order to proceed with the activity.

(4) Before beginning each work activity/DFOW, the Contractor performing that work activity shall prepare the initial AHA, which will include a RAC for that activity.

(5) No work will begin on the activity until the initial AHA has been accepted by the GDA addressing the activity-specific hazards.

(6) AHA’s are intended to be created by the contractor field crews/workers performing the work, with the assistance of others (SSHO, QC, Superintendent, etc) as needed. They are living documents and are intended to be created in the field and updated (by the workers) as needed.

(7) The AHA shall be reviewed and modified as necessary to address changing site conditions, operations, or change of CP(s)/QP(s).

(a) If a new CP/QP (not on the original list) is added, the list shall be updated (an administrative action not requiring an updated AHA). The new person shall acknowledge in writing that he or she has reviewed the AHA and is familiar with current site safety issues.

(b) If the initial RAC increases due to a change made to the AHA by the workers, the AHA shall be resubmitted to GDA for acceptance prior to work proceeding.

(c) Changes to or updates of an AHA that do not increase the RAC are not required to be resubmitted for acceptance by the GDA.

(8) Workers/crews shall have in their possession the current AHA that reflects current site conditions, personnel, equipment, control measures, etc while the work is being performed.

(9) The AHA shall be used by the contractor and USACE personnel to assure work is being performed consistent with the AHA. In the event that the work is not being conducted in a safe manner, the contractor and/or the USACE shall stop the unsafe work being conducted until it is in compliance with this manual, APP and the AHA or the APP/ AHA is revised and accepted by the GDA, if necessary. > See Section 01.A.14.

(10) Once the activity has been completed, the AHA shall be available and kept on file on site for the length of the contract.

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k. Abbreviated APP for Limited-Scope Service, Supply and R&D Contracts. If service, supply and R&D contracts with limited-scopes are awarded, the contractor may submit an abbreviated APP in lieu of a full APP. The abbreviated APP shall address the following areas at a minimum. If other areas of the EM 385-1-1 are pertinent to the contract, the contractor must assure these areas are addressed as well. The non-mandatory Abbreviated APP Form, Form A-01 (or similar) may be used to insure each area of required information has been provided.

(1) Title, signature, and phone number of the plan preparer.

(2) Background Information to include:

(a) Contractor;

(b) Contract number;

(c) Project name;

(d) Brief project description, Note: The project description shall provide a means to evaluate the work being done (see AHA requirements in 01.A.14), associated hazards involved and a RAC assigned to each. The overall RAC for the activity must be determined (based on highest task RAC) and accepted at the appropriate level in order for work to proceed.

(e) Description of work to be performed, and

(f) Location of work being performed, to include a map.

(3) Statement of Safety and Health Policy detailing their commitment to providing a safe and healthful workplace for all employees.

(4) Responsibilities and Lines of Authorities – to include a statement of the employer’s ultimate responsibility for the implementation of his SOH program; Identification and accountability of personnel responsible for safety at all levels to include designated site safety and health officer (SSHO) and associated qualifications. The District SOHO will be asked to review the qualifications for acceptance.

(5) Training - new hire SOH orientation training at the time of initial hire of each new employee and any periodic retraining/recertification requirements.

(6) Procedures for job site inspections - assignment of responsibilities and frequency.

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(7) Procedures for reporting man-hours worked and reporting and investigating any mishaps required by Section 01.D.

(8) Emergency Planning. Employees working alone shall be provided an effective means of emergency communication. This may be cellular phone, two-way radio or other acceptable means. The selected means of communication must be readily available and must be in working condition.

(9) Drinking Water provisions, toilet and washing facilities.

(10) First Aid and CPR training (at least two employees on each shift shall be qualified/certified to administer first aid and CPR) and provision of first aid kits (types/size).

(11) Personal Protective Equipment (PPE).

(a) Work Clothing - Minimum Requirements. Employees shall wear clothing suitable for the weather however minimum requirements for work shall be short-sleeve shirt, long pants (excessively long or baggy pants are prohibited) and leather work shoes. If analysis determines that safety-toed (or other protective) footwear is necessary (i.e., mowing, weedeating, chainsaw use, etc), they shall be worn.

(b) Eye and Face Protection. Eye and face protection shall be worn as determined by an analysis of the operations being performed, however, all involved in chainsaw use, chipping, stump grinding, pruning operations, grass mowing, weedeating and blowing operations shall be provided safety eyewear (Z87.1) as a minimum.

(c) Hearing Protection. Hearing protection must be worn by all those exposed to high noise activities (to include grass mowing and trimming, chainsaw operations, tree chipping, stump grinding and pruning).

(d) Head Protection. Hard hats shall comply with ANSI Z89.1 and shall be worn by all workers when a head hazard exists, per Section 05.D.

(e) High Visibility Apparel shall comply with ANSI/ISEA 107, Class 2 requirements at a minimum and shall be worn by all workers exposed to vehicular or equipment traffic.

(f) Protective Leg chaps shall be worn by all chainsaw operators.

(g) Gloves of the proper type shall be worn by persons involved in activities that expose the hands to cuts, abrasions, punctures, burns and chemical irritants.

(h) If work is being performed around water and drowning is a hazard, PFDs must be provided and worn as appropriate.

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(12) Machine Guards and safety devices. Power tools/equipment must have appropriate guards and safety devices in place and operational.

(13) Hazardous Substances. When any hazardous substances are procured, used, stored or disposed, a Hazard Communication Program must be in place and MSDSs (SDSs) shall be available at the worksite. Employees shall have received training in hazardous substances being used. When the eyes or body of any person may be exposed to corrosives, irritants or toxic chemicals, suitable facilities for quick drenching or flushing of the eyes and body shall be provided within 10 seconds of the worksite.

(14) Traffic control shall be accomplished in accordance with DOT’s MUTCD.

(15) Control of Hazardous Energy (Lockout/Tagout). Before an employee performs any servicing or maintenance on any equipment where the unexpected energizing or startup of the equipment could occur, procedures must be in place to ensure adequate control of this energy. > See Section 12.

(16) High hazard activities should not be encountered on these types of jobs. If they are (i.e., driving/operating equipment on slopes, working from/in boats, etc), a determination shall be made by the KO and local SOH Office as to whether an abbreviated APP is applicable. If so, they shall be fully addressed in the APP. AHAs are required on work activities which include high hazard activities.

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Item Description Yes No N/A

(Qualmed person, corporate safety staff person, owner, company president, regional vice presiden

U.S.Army Corps of Engineers Safety Inspection Checklist

Abbreviated Accident Prevention Plan

Remarks (Any NO or N/A Item) of

U.S.Army Corps of Engineers Safety Inspection Checklist

Remarks (Any NO or N/A item)

Item Description Yes No N/A Remarks (Any NO or N/A Item)

U.S.Army Corps of Engineers Safety Inspection Checklist

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:

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:

Other Remarks:

CESO Form A-02 Sep 13

CONTRACTOR'S NAME

(Address)

DAILY CONTRACTOR QUALITY CONTROL REPORT

Date: ______________ Report No. _____

Contract No. _____________________________

Description and Location of Work: ___________________________________________

Weather: (Clear) (P. Cloudy) (Cloudy); Temperature: ___ Min. ___ Max; ___

Rainfall ______ inches

Contractor/Subcontractors and Area of Responsibility

1. Work Performed Today: (Indicate location and description of work performed. Refer to work performed by prime and/or subcontractors by letter in table above.)

2. Results of Surveillance: (Include satisfactory work completed, or deficiencies with action to be taken.)

3. Tests required by Plans and/or Specifications Performed and Results of tests:

4. Verbal Instructions Received: (List any instructions given by Government personnel on construction deficiencies, retesting required, etc., with action to be taken.)

5. Remarks: (Cover delays and any conflicts in plans, specifications, or instructions.)

6. Safety Inspection: (Report violations noted; corrective instructions given; and corrective actions taken.)

7. Equipment Data: (Indicate items of construction equipment, other than hand tools, at jobsite, and whether or not used.)

CONTRACTOR'S VERIFICATION: The above report is complete and correct and all material and equipment used and work performed during this reporting period are in compliance with the contract plans and specifications except as noted above.

Contractor's Approved Authorized Representative

SMALL BUSINESS SUBCONTRACTING

PLAN

I. IDENTIFICATION DATA:

Company Name:

Address:

Date Prepared: Solicitation Number:

Description:

Estimated Contract Dollar Value:

Our firm has established a policy to afford Small Business concerns (SB), Small…