FY11 - REVISED_C S BRL BUF - SOW 25 MAY 2011.pdf

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CLEAR & SNAG OF BLACK ROCK CHANNEL & LOCK, BUFFALO RIVER, & BUFFALO HARBOR W/ MISCELLANEOUS WORK ITEMS
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W912P4-11-T-0005
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CLEAR & SNAG OF BLACK ROCK CHANNEL & LOCK, BUFFALO RIVER, & BUFFALO

HARBOR W/ MISCELLANEOUS WORK ITEMS

BUFFALO, NEW YORK

Scope of Work May 2011

PART 1 DESCRIPTION OF WORK

1.1 Snag and Clear – Black Rock Channel

The work for this task includes removal of foreign debris and material (trees, branches, tires, etc.)

from the locations noted during the pre-work site visit. At a minimum removal locations shall include:

Culverts located under the Bird Island Pier, Upstream of Squaw Island, and

Other areas of the Black Rock Channel may require removal of debris and other material.

1.2 Snag and Clear – Black Rock Lock Structure

The work for this task includes removal of foreign debris and material from the locations noted during the pre-work site visit. At a minimum removal shall include locations upstream and downstream of the lock swing gates. Work in the area of the lock structure could require involvement of the United States Army Corps of Engineers (USACE) Dive Team at the Buffalo District. Outside of the contract, the USACE Buffalo District Dive Team may be asked to investigate foreign debris that may have accumulated around the lock prior to the start of the work, and then report as to the necessity of removal of this material.

1.3 Snag and Clear – Buffalo River & Harbor

The work for this task includes removal of foreign debris and material (trees, branches, tires, etc.). At a minimum removal locations shall include:

Buffalo River between the Michigan Ave. and the Conrail bridge remains Buffalo Harbor: Outer Harbor, Entrance Channels, & Ship Canal

Other areas of the Buffalo River & Harbor may require removal of debris and other material.

1.4 Optional Bid Item: Relocation of Concrete Blocks or Stone

The work for this task includes loading, transporting, and delivery of concrete blocks or stone for use in breakwater repair. The blocks or stone are currently located on the Buffalo Harbor at the NFTA dock at 901 Fuhrmann Boulevard, Buffalo, NY. Blocks or stone are to be relocated to the Stony Point Breakwater within Buffalo Harbor. No work will be required outside of the protection of the Buffalo Harbor. A total of 105 concrete blocks are required to be relocated.

Attachments 11-18 to this Scope of Work provide additional detail as to the existing and proposed locations of the block, and the size and weight of the block. The proposed block location at the Stony Point Breakwater is shown in general terms, and the Government representative shall specify the exact location and layout of the block based on conditions in the field. The Contractor shall salvage the existing wooden dunnage in place at the NFTA dock and shall transport and reuse it when placing the block at the Stony Point Breakwater.

1.5 Work Limits

The work will be performed between the mouth of the Black Rock Channel and the downstream limit of the lower east approach wall and onward downstream in the Federal navigation channel of the Niagara River, between the mouth of the Buffalo River and the Conrail bridge pier remains, and within the entire Buffalo Harbor. A Location Map and Project Maps for the limits of clearing and snagging and miscellaneous work are illustrated in Attachment 1 and Attachment

2. The aforementioned Conrail bridge pier remains are located approximately 0.25 miles downstream of the Buffalo River-Cazenovia Creek confluence at 42.86064°N & 78.83272°W as illustrated in Attachment 3. No clearing and snagging work will be required outside of the protection of the Buffalo Harbor.

1.6 Debris Removal and Disposal

Disposal of organic debris and materials will be at the USACE Buffalo Confined Disposal Facility 4 (CDF4). Material will be transported to CDF4 by water and disposed of from the water.

The time spent transporting material to CDF4, disposing of all materials, and returning to the work site from CDF4 will not be included in calculations of work hours/days. The Contractor shall dispose of material in CDF4 in the location illustrated in Attachment 4, approximately 50 feet northwest of the wier located northwest of the lighthouse, inside of the stone dike. A pre-and post-disposal inspection will be required at CDF4 and be attended by the contractor and a representative from USACE.

The material disposed of in this facility must be of appropriate size and material. At a minimum, trees, logs and branches must be cut into sections no larger than 10 feet long. All material must be placed on the interior side of the CDF4 containment wall.

Non-organic construction and demolition debris, as well as tires, trash, etc., will not be permitted to be placed in CDF4. Material not suitable for disposal in CDF4 shall be legally disposed of in a public or private off-site disposal facility. Any removed material must be disposed of in accordance with all applicable federal, state and local requirements at no additional cost to the U.S. Government. See Section 2.4 for requirements on equipment.

All disposal operations are required to be performed by water. There will be no land access allowed to CDF4 due to NYSDEC environmental regulations. Land access may be allowed after July 15th, if necessary, but shall be requested by the Contractor and approved by the Contracting Officer.

The Contractor shall conduct disposal operations in compliance with applicable ordinances and environmental laws. If sediment has been removed as a consequence of removing debris, and has accumulated on the barge deck, the Contractor may not wash this material off the barge into adjacent waters. This material must be disposed of in CDF4 or by other legal means.

1.7 Safety

The Contractor shall submit a site specific Abbreviated Accident Prevention Plan (APP) for review and approval by the United States Army Corps of Engineers (USACE) in accordance with the requirements EM 385-1-1. In addition, the Contractor shall meet the requirements of the Attachment 5: Safety and Occupational Requirements.

The Contractor should be aware of the safety and health hazards that will be encountered in the areas where the work will be performed. This information will be useful when developing the Activity Hazard Analysis forms (AHA) which are required by EM385-1-1, Safety and Health Requirements Manual. A copy of this manual can be obtained on-line at:

http://www.usace.army.mil/CESO/Pages/EM385-1-1.aspx

No later than ten (10) business days prior to the start of work, the Contractor shall submit the applicable AHAs to the Contracting Officer. The AHAs must be reviewed and approved by the USACE Buffalo District Safety Officer prior to commencement of work.

PART 2 PROJECT REQUIREMENTS

2.1 Submittals

The Contractor shall submit, as directed below, shop drawings and product data required by this scope of work and project specifications. Submittals shall be made to the USACE Contracting Officer within ten (10) business days of the Notice to Proceed (NTP) unless otherwise noted herein.

Submittals shall include the following.

1. Activity Hazard Analysis

2. Abbreviated Accident Prevention Plans

3. Operations Plan

4. CDF Disposal Operations Plan

5. Work Schedule

6. Site Safety and Health Officer (SSHO) Qualifications

7. Other information required by the Contract Documents and the USACE Buffalo District

Contracting Officer.

Submission Requirements

The Contractor shall submit four (4) copies of all submittals to:

U.S. Army Corps of Engineers Buffalo District Office Jeff Ernest Contracting Officer 1776 Niagara Street Buffalo, New York 14207 Phone: (716) 879-4173 Fax: (716) 879-4353

2.2 Work Hours

The Contractor may work during daylight hours Monday through Friday during the week to complete the work. Weekend work will not normally be authorized or planned for. In exigency situations, the Contracting Officer may direct and approve work to be completed on a weekend to meet mission requirements. Requests for weekend work for the convenience of the contractor will be made a minimum of 24 hours in advance of the anticipated work date and requires prior approval of the Contracting Officer before commencing work.

Payment to the contractor is measurable in whole or partial work days. One full work day is considered to be eight (8) hours of productive work. Partial work days will be paid in two (2) hour increments with each increment equaling one-quarter of a work day. Work days and hours do not include mobilization, demobilization, transportation of materials to the CDF, disposal, or returning to the work site.

2.3 Quality Assurance

The Contractor shall demonstrate that they have performed similar work within five (5) years prior to submittal of the bid. All work is to be performed by trained and qualified personnel.

At all times during the eight (8) productive snagging & clearing work hours, there will be a Government Quality Assurance (QA) Person on board the Contractor’s vessel to help direct the Contractor on what debris is to be cleared. This is to help minimize any confusion on work locations and types of debris that shall be cleared.

The Contractor, at no expense to the U.S. Government, shall protect all government facilities, grounds, structures, equipment, sidewalk, and/or pavement during completion of the work.

Damages that were caused by the operations of the Contractor and/or the Contractor’s crew shall be repaired at no expense to the U.S. Government.

2.4 Equipment Requirements

The contractor is required to utilize equipment that satisfies minimum performance conditions.

The collection barge must be able to temporarily store one full days worth of clearing and snagging debris. The collection barge is required to hold, at minimum, 150 CY.

The equipment to be used for clearing and snagging above the water level must be able to safely lift large debris at 60 feet from the face of its marine vessel. The Contractor is required to perform clearing & snagging of debris to the full depth of the Black Rock Channel, approximately 25 feet.

The Contractor is required to have capabilities of clearing & snagging below the waterline by the use of a clam shell bucket. See Section 1.2 of this Scope of Work regarding the use of USACE Dive Teams to locate and report on submerged debris.

The CDF dike is 15 feet high and 61 feet wide and there is a 12 foot wide access road adjacent to the CDF's interior side-slope. The disposal equipment must be able to place debris in the water at least 5 feet beyond the access road.

The Contractor must demonstrate the ability to quickly and efficiently cut all debris into the maximum 10 foot sections. There shall be a dedicated chain saw crew member to accomplish this.

For the Optional Bid Item – Relocation of Concrete Blocks described in Section 1.4, the equipment must be able to safely lift 10.5 tons at a distance of 40 feet from the face of the marine vessel. The Contractor will also need lifting attachment devices approved by the manufacturer for use with the Dayton Superior Swift-Lift 20 ton lifting anchors cast into each concrete block.

Two anchors are provided in the top of each block.

All equipment to be utilized during this project must safely perform the tasks necessary to maintain efficient contractor performance.

All Federal, State, and Local laws and regulations shall be followed.

2.5 Project Schedule

For base bid work, Annual Spring Cleanup (snagging and clearing) of the Black Rock Channel and Lock and the Buffalo River and Harbor, the Contractor will have a 30-day performance period to complete work following issuance of the NTP. All submittals for approvals and material procurement must be submitted to USACE within the first 10 days of the contract period.

The optional bid item (#3), snagging and clearing of Black Rock Channel and Lock, and Buffalo River and Harbor, if needed, are on a per-day basis. To allow the Contractor to provide services required by this contract within one period of mobilization/demobilization, optional work days shall run continuously following the base bid work days. Optional days may be necessary if the two productive eight (8) hour work day(s) in the base work are not sufficient to cover the clearing and snagging amount of debris present. The Government may choose to award any number of optional work days.

For optional bid item (#4), relocation of the concrete block or stone, the Contractor shall provide a schedule for this work item within 3 business days of the date of award of this Contract showing completion by 30 June 2011.

Liquidated damages of $500 per work day will be assessed if the work is not completed within the time period described above.

2.6 Completion and Acceptance

A USACE Quality Assurance inspector will be required to accompany the Contractor during performance of the work to make certain that the Contractor is removing the appropriate material.

PART 3 BIDDING INFORMATION

3.1 Point of Contact

For all questions:

U.S. Army Corps of Engineers Buffalo District Office Jeff Ernest 1776 Niagara Street Buffalo, New York 14207

(716) 879-4173 Fax (716) 879-4353

3.2 Bid

The Contractor shall provide a proposal for the work as shown on the attached Bid Schedule. The costs proposed shall include the costs of all labor, material and equipment necessary to complete the work as provided for in this request for proposal and all related documents including, plans, figures, specifications and other contract documents previously provided.

The Contractor is not required to bid the Optional Bid Item – Relocation of Concrete Blocks or Stone, described in Section 1.4. The bid price for this item will not be included in the selection criteria for this contract.

As part of the proposal the Contractor shall provide a schedule for completion of the base bid work.

3.3 Attached Documents

The following documents have been attached for your use in preparing the Proposal and performing the work under this task order:

Attachment 1 – Location Map Attachment 2 – Project Maps Attachment 3 – Buffalo River Project Limit Attachment 4 – CDF Location Map & Disposal Area Attachment 5 – Safety & Occupational Requirements Attachment 6 – Sample AHA Form Attachment 7 – Abbreviated APP Attachment 8 – Accident Report Form Attachment 9 – Accident Reporting Guidance Attachment 10 – Contractor Monthly Man Hour Reports Attachment 11 – Overall Map for Concrete Block Relocation Attachment 12 – Map of Existing Concrete Block Storage at NFTA Dock Attachment 13 – Map of Block Relocation Area at Stony Point Breakwater Attachment 14 – Detailed Block Layout Diagram for NFTA Site Attachment 15 – Shop Drawing of Concrete Block, Toe Type 1 Attachment 16 – Shop Drawing of Concrete Block, Deck Attachment 17 – Shop Drawing of Concrete Block, Slope Type 1 Attachment 18 – Shop Drawing of Concrete Block, Slope Type 2

END OF SCOPE OF WORK

Attachment 2

ATTACHMENT 4 – CDF LOCATION MAP AND DISPOSAL AREA

ATTACHMENT 5

SAFETY & OCCUPATIONAL REQUIREMENTS

FOR

THE CLEAR & SNAG OF BLACK ROCK CHANNEL & LOCK, BUFFALO RIVER, & BUFFALO HARBOR W/ MISCELLANEOUS

WORK ITEMS

1 GENERAL REFERENCES AND INFORMATION

a. AMERICAN SOCIETY OF SAFETY ENGINEERS (ASSE/SAFE)

ASME B30.8 (2004) Floating Cranes and Floating Derricks

b. U.S. ARMY CORPS OF ENGINEERS (USACE)

EM 385-1-1 Safety -- Safety and Health Requirements (go to the following link http://www.usace.army.mil/publications/eng-manuals/em385-1-1/toc.htm to download the latest revision) c 29 CFR 1910 Occupational Safety and Health Standards

d. SAFETY AND OCCUPATIONAL HEALTH REQUIREMENTS USACE / BUFFALO DISTRICT UFGS-01 08 March 08.

(Contact the District Safety Officer for this document)

e. Unforeseen Hazardous Material: If suspected hazardous material is disturbed during the clearing and snagging operation, the contractor shall stop that portion of work and notify the Government Quality Assurance Person immediately. Work on this portion of the project will not proceed until the Government determines if the material is hazardous. If material is not hazardous, the Government will direct the Contractor to proceed with the operation. If material is hazardous and handling of the material is necessary to accomplish the work, the Government will issue a modification pursuant to "FAR 52.243-4, Changes" and "FAR 52.236-2, Differing Site Conditions.”

2 SUBMITTALS

Abbreviated Accident Prevention Plan (APP) (See Section 5 of this Attachment) per EM385-1-1 per EM 385-1-1 Section 1, 01.A.11, Section 19.A.03., Section 19.A.04 and Appendix A. (See Section 5.c. of this attachment

a. Abbreviated APP Checklist

b. Preliminary Hazard Tracking List (See Section 7 of this attachment)

c. Activity Hazard Analysis (AHA) (See Section 8 of this attachment)

d. Copies of current USCG Vessel Inspections and Certificates per EM385-1-1 Section 19 Paragraph 19.A.01, 19.A.02.

e. The following reports shall be submitted upon occurrence:

(1) Accident Reports; EF 3394

(2) Monthly Work-hour Reports (See Section 11 of this Attachment)

(3) Regulatory Citations and Violations

(4) Daily Safety Inspections (See Section 4.a. of this Attachment)

3 REGULATORY REQUIREMENTS

a. In addition to the detailed safety and health requirements of this attachment, the contractor shall comply with all applicable Federal, DOD, State, County, and City ordinances, criteria, rules and regulations during the life cycle of the project. Submit matters of interpretation of standards to the Government Quality Assurance Person for resolution. When regulatory requirements conflict or vary, the most stringent requirements shall apply.

4 SITE QUALIFICATIONS AND DUTIES FOR SAFETY AND HEALTH PERSONNEL

The contractor shall have a competent person who will be responsible for the following health and safety related activities:

a. Conduct daily safety and health inspections per contractual requirements and schedules in accordance with EM385-1-1, Section 01.A.12. Safety inspection logs shall be attached to the Contractors' daily production report and posted at the site.

b. Maintain a safety and health deficiency tracking system that monitors outstanding deficiencies until resolution. The contractor shall maintain a written deficiency tracking log which includes area/operation inspected, date of inspection, identified hazards, recommended corrective actions, estimated and actual dates of corrections. The tracking log shall be made available to government personnel upon demand.

c. Conduct mishap investigations and complete required reports. Maintain the OSHA Form 300 and Daily Production reports for prime and sub-contractors.

d. Maintain applicable safety reference material at the project site.

e. Implement and enforce job safety requirements.

f. Have available upon request, and maintain on-site, copies of the information required by EM 385-1-1, section 01.A.06. The contractor shall also have the following documents on site and available upon demand by government personnel:

(1) a listing of emergency telephone numbers and addresses of ambulance service, medical facilities, police, USCG and fire department facilities. The contractor shall have maps showing the routes of travel to these agencies.

(2) copies of Activity Hazard Analyses

(3) Hazard Tracking Log

(4) Accident and incident reports

(5) copies of regulatory citations and\or violations that occur on the project site

5. ABBREVIATED ACCIDENT PREVENTION PLAN

The contractor shall use a qualified person to prepare the written site-specific Abbreviated APP. Prepare the Abbreviated APP in accordance with the format and requirements of USACE EM 385-1-1 and as supplemented herein. Cover all paragraph and subparagraph elements in USACE EM 385-1-1, Appendix A, “Minimum Basic Outline for Accident Prevention Plan”.

a. Abbreviated Accident Prevention Plan (APP): The Abbreviated APP shall be job-specific and shall address any unusual or unique aspects of the project or activity for which it is written. Disregarding the provisions of this contract or the accepted Abbreviated APP will be cause for stopping of work, at the discretion of the Contracting Officer, until the matter has been rectified. Once work begins, changes to the accepted Abbreviated APP shall be made with the knowledge and concurrence of the Contracting Officer, project superintendent, Contracting Safety Officer, District Safety Officer and government QA person.

b. The Abbreviated APP shall be signed by the person and firm (senior person) preparing the Abbreviated APP, the Contractor, the on-site superintendent, the designated site safety and health officer and any designated CSP and/or CIH.

c. Submit the Abbreviated APP to the Contracting Officer 15 calendar days following the award of the contract. Work cannot proceed without an accepted APP. Once approved by the Buffalo District Safety Officer, the APP and attachments will be enforced as part of the contract.

d. Copies of the accepted plan will be maintained by the District Safety Officer and at the job site. The Abbreviated APP shall be continuously reviewed and amended, as necessary, throughout the life of the contract. Unusual or high-hazard activities not identified in the original Abbreviated APP shall be incorporated in the plan as they are discovered.

6. MANDATORY SAFETY AND HEALTH MEETING TOPICS

Safety Meetings shall be conducted and documented as required by EM 385-1-1. Minutes showing contract title, signatures of attendees and a list of topics discussed shall be attached to the Contractors' daily production report. The required mandatory topics will be discussed:

a Review of the Abbreviated Accident Prevention Plan b Methods of Emergency Communications while underway and while working at the project site c Accident Notification and Reporting requirements d Personal Protective Equipment requirements.

e. Equipment Safety

f. First Aid\CPR (First Aid Kits – where they are located and who is who is qualified to provide first aid)

g. Review of Preliminary Hazard Tracking List

h. Review of Activity Hazard Analysis

7. ACTIVITY HAZARD ANALYSIS (AHA)

a. The AHAs will be developed by the contractor, supplier or subcontractor and provided to the prime contractor for submittal to the Contracting Officer. The Activity Hazard Analysis (AHA) format shall be in accordance with the format provided in Enclosure 2 of this attachment. Submit AHAs for review at least 15 calendar days prior to the start of construction.

b. The AHA should be referred to while conducting daily safety and health inspections to ensure the implementation and effectiveness of the activity's safety and health controls. The AHA list will be reviewed periodically (at least monthly) during the life of the contract at the Contractor supervisory safety meeting and updated as necessary when procedures, scheduling, or hazards change.

c. AHAS shall address the hazards of the PHL as well as those hazards identified during the life cycle of the project.

8. EMERGENCY MEDICAL TREATMENT

Contractors will arrange for their own emergency medical treatment. The Government has no responsibility to provide emergency medical treatment. The contractor shall have a person current in the requirements of the American Red Cross First Aid and CPR on site at all times during working hours. An approved First Aid Kit shall be on site and readily available. The requirements for First Aid kits are found in EM-385-1-1, Section 03B.

9. ACCIDENT NOTIFICATION AND REPORTING

a. Accident Notification Notify the Government Quality Assurance Person as soon as practical, but not later than 4 hours after any accident meeting the definition of Recordable Injuries or Illnesses or High Visibility Accidents, property damage equal to or greater than $2,000, or any weight handling equipment accident. Information shall include contractor name; contract title; type of contract; name of activity, installation or location where accident occurred; date and time of accident; names of personnel injured; extent of property damage, if any; extent of injury, if known, and brief description of accident (to include type of construction equipment used, PPE used, etc.). Preserve the conditions and evidence on the accident site until the Government investigation team arrives on-site and Government investigation is conducted.

b. Record all accidents resulting in injury, illness and property damage on USACE Accident Report Form 3394 and provide the report to the Contracting Officer within five (5) calendar day(s) of the accident. The Contracting Officer will provide copies of any required or special forms.

c. For injuries and illnesses, and property damage accidents resulting in at least $2,000 in damages, the Prime Contractor shall conduct an accident investigation to establish the root cause(s) of the accident, complete USACE Accident Report Form 3394 and provide the report to the Contracting Officer within Five (5) calendar day(s) of the accident. The Quality Assurance person will provide copies of any required or special forms.

d. For any weight handling equipment accident (including rigging gear accidents) the Prime Contractor shall conduct an accident investigation to establish the root cause(s) of the accident, complete the 3394 form and provide the report to the Government Quality Assurance Person within 5 calendar days of the accident. Crane operations shall not proceed until cause is determined and corrective actions have been implemented to the satisfaction of the contracting officer. The Contracting Officer will provide a blank copy of the accident report form.

10. MONTHLY WORK HOUR REPORTS

Monthly exposure reporting to the Contracting Officer is required to be attached to the monthly billing request and submitted by the 5th of every month. This report is a compilation of employee-hours worked each month for all site workers, both prime and subcontractor. The Contracting Officer will provide copies of any special forms.

11. CRANE OPERATIONS

a. Crane operators shall meet the requirements in USACE EM 385-1-1, Section 16 and Appendix G. In addition, for mobile cranes with Original Equipment Manufacturer (OEM) rated capacitates of 50,000 pounds or greater, crane operators shall be designated as qualified by a source that qualifies crane operators (i.e., union, a government agency, or and organization that tests and qualifies crane operators). Proof of current qualification shall be provided.

b. Crane Reports Submit crane inspection reports required in accordance with USACE EM 385-1-1, Appendix H and as specified herein with Daily Reports of Inspections.

c. Crane Documentation: The contractor shall have documentation of compliance for each crane entering an activity under this contract. Documentation shall state that the crane and rigging gear meet applicable OSHA regulations. The contractor shall have documentation that the crane operator(s) is qualified and trained in the operation of the crane to be used. The Contractor shall also documentation for the crane operators working stating they have been trained in the proper use of all safety devices (e.g., anti-two block devices).

d. The use of hooks on equipment for lifting of material must be in accordance with manufacturer's printed instructions.

Attachment 7 – Abbreviated APP

U. S. Army Corps of Engineers Safety and Occupational Health Office

Minimum Basic Outline for Accident Prevention Plan

The APP is the Contractor Safety and Health Program Document. The following Site Specific Areas will be addressed:

NOTE: 1. Contractor will complete Checklist and Submit with their APP.

NOTE: 2. Contractor APP WILL be submitted in format below.

NOTE: 3. Safety Office will review Contractor APP and return to PM / COR.

NOTE: 4. Contractor APP's ARE NOT APPROVED by the USACE, only found as Acceptable or Non-Acceptable.

Safety Office Review Status: ACCEPTED BY/DATE: ________________ NOT ACCEPTED BY/DATE:________________

Contractor Name: Contract No:

Project Title & Location:

Yes No N/A Page(s)

ALL CHECKLIST ITEMS WILL BE COMPLETED !

11. 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 Accident Prevention Plan. This 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.

a. Title, signature, and phone number of the plan preparer.

b. Background Information to include: Contractor; Contract number; Project name; Brief project description, description of work to be performed, and location (map); The project description shall provide a means to evaluate the work being done (see AHA requirements in 01.A.13) and associated hazards involved. Contractor’s APP shall address the identified hazards involved and the control measures to be taken.

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

d. 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 review the qualifications for acceptance.

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

f. Procedures for job site inspections - assignment of responsibilities and frequency.

g. Procedures for reporting man-hours worked and reporting and investigating accidents. Report ALL accidents as soon as possible but not more than 4 hours afterwards to the Contracting Officer/Representative (CO/COR). An accident that results in a fatal injury, permanent partial or permanent total disability shall be immediately reported to the Contracting Officer.

h. 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.

i. Drinking Water provisions, toilet and washing facilities.

j. 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 kit (types/size).

k. Personal Protective Equipment.

Included ?

CONTRACTOR ABBREVIATED ACCIDENT PREVENTION PLAN (APP) CHECKLIST (EM 385-1-1, Appendix - A, dated; 15 Sept. 08)

POC: Keith Hall/Safety Office USACE Buffalo NY. District Ph:716-879-4406

Page 1 Last Updated 20 Jan 2009

U. S. Army Corps of Engineers Safety and Occupational Health Office

Minimum Basic Outline for Accident Prevention Plan

The APP is the Contractor Safety and Health Program Document. The following Site Specific Areas will be addressed:

NOTE: 1. Contractor will complete Checklist and Submit with their APP.

NOTE: 2. Contractor APP WILL be submitted in format below.

NOTE: 3. Safety Office will review Contractor APP and return to PM / COR.

NOTE: 4. Contractor APP's ARE NOT APPROVED by the USACE, only found as Acceptable or Non-Acceptable.

Safety Office Review Status: ACCEPTED BY/DATE: ________________ NOT ACCEPTED BY/DATE:________________

Contractor Name: Contract No:

Project Title & Location:

Yes No N/A Page(s)

Included ?

CONTRACTOR ABBREVIATED ACCIDENT PREVENTION PLAN (APP) CHECKLIST (EM 385-1-1, Appendix - A, dated; 15 Sept. 08)

(1) 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, chain saw use, etc), they shall be worn.

(2) 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 chain saw use, chipping, stump grinding, pruning operations, grass mowing, weedeating and blowing operations shall be provided safety eyewear (Z87.1) as a minimum.

(3) 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).

(4) Head Protection. Hard hats shall comply with ANSI Z89.1 and shall be worn by all workers when a head hazard exists. At a minimum, hard hats shall be worn when performing activities identified in (2) above.

(5) 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.

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

(7) 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.

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

l. Machine Guards and safety devices. Lawn maintenance equipment must have appropriate guards and safety devices in place and operational.

m. Hazardous Substances. When any hazardous substances are procured, used, stored or disposed, a hazard communication program must be in effect and MSDSs 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.

n. Traffic control shall be accomplished in accordance with DOT’s MUTCD.

o. 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.

p. Driving, working on (i.e., working with equipment/mowers) while on slopes, working from/in boats/skiffs, etc shall also be considered and dealt with accordingly.

POC: Keith Hall/Safety Office USACE Buffalo NY. District Ph:716-879-4406

Page 2 Last Updated 20 Jan 2009

Attachment 8 – Accident Reporting Form

5.

d. CONTRACTOR'S NAME

SIDE SWIPE

BROADSIDE

OTHER (Specify)

e. BODY PART AFFECTED

REAR END

BACKING

HEAD ON

ROLL OVER

d. ESTIMATED DAYS

RESTRICTED DUTY

b. ESTIMATED

DAYS LOST

c. ESTIMATED

DAYS HOSPIT-

ALIZED

b. TYPE OF CONSTRUCTION EQUIPMENT

SUPERFUND

IRP

b. TYPE OF COLLISION/MISHAP

a. ACTIVITY AT TIME OF ACCIDENT

g. HAZARDOUS/TOXIC WASTE

ACTIVITY

(For Safety Staff only)

REPORT NO. EROC

CODE UNITED STATES ARMY CORPS OF ENGINEERS

ACCIDENT INVESTIGATION REPORT

REQUIREMENT

CONTROL SYMBOL:

CEEC-S-8(R2)

PERSONNEL CLASSIFICATION

GOVERNMENT

INJURY/ILLNESS/FATAL PROPERTY DAMAGE MOTOR VEHICLE INVOLVED DIVING

a. Name (Last, First, MI) b. AGE c. SEX d. SOCIAL SECURITY NUMBER e. GRADE

f. JOB SERIES/TITLE g. DUTY STATUS AT TIME OF ACCIDENT h. EMPLOYMENT STATUS AT TIME OF ACCIDENT

a. DATE OF ACCIDENT (month/day/year)

b. TIME OF ACCIDENT (Military time)

e. CONTRACT NUMBER f. TYPE OF CONTRACT

c. EXACT LOCATION OF ACCIDENT

a. CONSTRUCTION ACTIVITY

a. SEVERITY OF ILLNESS/INJURY

g. TYPE AND SOURCE OF INJURY/ILLNESS

f. NATURE OF ILLNESS/INJURY

a. TYPE OF VEHICLE

a. NAME OF ITEM b. OWNERSHIP c. $ AMOUNT OF DAMAGE

(1)

(2)

(3)

a. TYPE OF VESSEL/FLOATING PLANT

b. PERSONAL FLOATATION DEVICE USED?

b. TYPE OF COLLISION c. SEAT BELTS USED NOT USED NOT AVAILABLE

(1) FRONT SEAT

(2) REAR SEAT

10. ACCIDENT DESCRIPTION (Use additional paper, if necessary)

8. PROPERTY/MATERIAL INVOLVED

9. VESSEL/FLOATING PLANT ACCIDENT (Fill in line and correspondence code number in box from list - see help menu)

7. MOTOR VEHICLE ACCIDENT

INJURY/ILLNESS INFORMATION (Include name on line and corresponding code number in box for items e, f & g - see help menu)

4. CONSTRUCTION ACTIVITIES ONLY (Fill in line and corresponding code number in box from list - see help menu)

3. GENERAL INFORMATION

2. PERSONAL DATA

1. ACCIDENT CLASSIFICATION

6. PUBLIC FATALITY (Fill in line and correspondence code number in box - see help menu)

CIVILIAN MILITARY

CONTRACTOR

FIRE

INVOLVED OTHER

FIRE

INVOLVED OTHER

OTHERFATAL

MALE FEMALE

ON DUTY

OFF DUTY

TDY

ARMY ACTIVE

PERMANENT

TEMPORARY

OTHER (Specify)

ARMY RESERVE

FOREIGN NATIONAL

STUDENT

VOLUNTEER

SEASONAL

CONSTRUCTION

A/E

OTHER (Specify)

SERVICE

DREDGE

DERP

OTHER (Specify)

(1) PRIME:

(2) SUBCONTRACTOR:

(CODE) (CODE)

(CODE)

(CODE)

(CODE)

(CODE)

(CODE)

(CODE)

(CODE) (CODE)

(CODE)

CIVIL WORKS

OTHER (Specify)

MILITARY

PRIMARY

SECONDARY TYPE

SOURCE

YES N/ANO

AUTOMOBILE

OTHER (Specify)

PICKUP/VAN

TRUCK

ENG FORM 3394, MAR 99 EDITION OF SEP 89 IS OBSOLETE. Page 1 of 4 pages (Proponent: CESO ) hrs

(For Use of this Form See Help Menu and USACE Suppl to AR 385-40)

PUBLIC

Version 2 a.

a.

a.

b. TYPE OF TRAINING. a. WAS PERSON TRAINED TO PERFORM ACTIVITY/TASK?

b. WAS A WRITTEN JOB/ACTIVITY HAZARD ANALYSIS COMPLETED

FOR TASK BEING PERFORMED AT TIME OF ACCIDENT?

a. (CONTINUED) a. (Explain YES answers in item 13)

CAUSAL FACTOR(S) (Read Instruction Before Completing)11.

TRAINING12.

FULLY EXPLAIN WHAT ALLOWED OR CAUSED THE ACCIDENT; INCLUDE DIRECT AND INDIRECT CAUSES (See instruction for definition of direct and indirect causes.) (Use additional paper, if necessary)

13.

ACTION(S) TAKEN, ANTICIPATED OR RECOMMENDED TO ELIMINATE CAUSE(S).14.

DATES FOR ACTIONS IDENTIFIED IN BLOCK 14.15.

MANAGEMENT REVIEW (1st)16.

MANAGEMENT REVIEW (2nd - Chief Operations, Construction, Engineering, etc.)17.

SAFETY AND OCCUPATIONAL HEALTH OFFICE REVIEW18.

COMMAND APPROVAL19.

c. DATE OF MOST RECENT FORMAL TRAINING.

a. DIRECT CAUSE

b. INDIRECT CAUSE(S)

DESCRIBE FULLY:

c. SIGNATURE AND TITLE OF SUPERVISOR COMPLETING REPORT

CORPS

CONTRACTOR

d. DATE (Mo/Da/Yr) e. ORGANIZATION IDENTIFIER (Div, Br, Sect) f. OFFICE SYMBOL

SIGNATURE TITLE DATE

COMMENTS

DATE

DATE

DATECOMMANDER SIGNATURE

TITLE

TITLE

SIGNATURE

SIGNATURE

a. BEGINNING (Month/Day/Year) b. ANTICIPATED COMPLETION (Month/Day/Year)

DESIGN: Was design of facility, workplace or equipment a factor?

INSPECTION/MAINTENANCE: Were inspection & mainten-ance procedures a factor?

PERSON'S PHYSICAL CONDITION: In your opinion, was the physical condition of the person a factor?

OPERATING PROCEDURES: Were operating procedures a factor?

JOB PRACTICES: Were any job safety/health practices not followed when the accident occurred?

HUMAN FACTORS: Did any human factors such as, size or strength of person, etc., contribute to accident?

ENVIRONMENTAL FACTORS: Did heat, cold, dust, sun, glare, etc., contribute to the accident?

OFFICE FACTORS: Did office setting such as, lifting office furniture, carrying, stooping, etc., contribute to the accident?

SUPPORT FACTORS: Were inappropriate tools/resources provided to properly perform the activity/task?

PERSONAL PROTECTIVE EQUIPMENT: Did the improper selection, use or maintenance of personal protective equipment contribute to the accident?

DRUGS/ALCOHOL: In your opinion, was drugs or alcohol a factor to the accident

CHEMICAL AND PHYSICAL AGENT FACTORS: Did exposure to chemical agents, such as dust, fumes, mists, vapors or physical agents, such as, noise, radiation, etc., contribute to accident?

CONCUR b. NON CONCUR c. COMMENTS

CONCUR b. NON CONCUR c. COMMENTS

CONCUR b. NON CONCUR c. ADDITIONAL ACTIONS/COMMENTS

Page 2 of 4 pages

YES (If yes, attach a copy.) NO

NOYES ON JOBCLASSROOM (Month) (Day) (Year)

YES NO YES NO

*U.S. GOVERNMENT PRINTING OFFICE: 1993-0-791-757

ACCIDENT DESCRIPTION (Continuation)

DIRECT CAUSE (Continuation)

10.

13a.

Page 3 of 4 pages

INDIRECT CAUSES (Continuation)

ACTION(S) TAKEN, ANTICIPATED, OR RECOMMENDED TO ELIMINATE CAUSE(S) (Continuation)

13b.

14.

Page 4 of 4 pages

Attachment 9 – Accident Reporting Guidance

Attachment 10 – Contractor Monthly Man-Hour Report

USACE Buffalo, NY. District Contractor Monthly Man-Hour Report

(Ref. EM 385-1-1, page-17, para. 01.D.05c)

MONTH:______ YEAR:______

Civ / Mil

Civ / Mil

Civ / Mil

Civ / Mil

Civ / Mil

Civ / Mil

Civ / Mil

Civ / Mil

Civ / Mil

Civ / Mil

Civ / Mil

Civ / Mil

# of Illness/Injury

Cases

# of Days Away from Work

Cases

MANHOURS

WORKED this

Month

PROJECT NAME

Civil or Military Funded

LOCATION

(City & State)

CONTRACTOR

NAME

LRB-ContractorMonthlyManhourExposureForm.xls

Attachment 11 – Overall Map for Concrete Block Relocation

Attachment 12 – Map of Existing Concrete Block Storage at NFTA Dock

Attachment 13 – Map of Block Relocation Area at Stony Point Breakwater

Attachment 14 – Detailed Block Layout Diagram for NFTA Site

Attachment 15 – Shop Drawing of Concrete Block, Toe Type 1

Attachment 16 – Shop Drawing of Concrete Block, Deck

Attachment 17 – Shop Drawing of Concrete Block, Slope Type 1

Attachment 18 – Shop Drawing of Concrete Block, Slope Type 2

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10Continued:
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14Continued:
MONTH:
YEAR:
PROJECT NAMERow1:
CONTRACTOR NAMERow1:
MANHOURS WORKED this MonthRow1:
LOCATION City StateCiv Mil:
of IllnessInjury CasesCiv Mil:
of Days Away from Work CasesCiv Mil:
PROJECT NAMERow2:
CONTRACTOR NAMERow2:
MANHOURS WORKED this MonthRow2:
LOCATION City StateCiv Mil_2:
of IllnessInjury CasesCiv Mil_2:
of Days Away from Work CasesCiv Mil_2:
PROJECT NAMERow3:
CONTRACTOR NAMERow3:
MANHOURS WORKED this MonthRow3:
LOCATION City StateCiv Mil_3:
of IllnessInjury CasesCiv Mil_3:
of Days Away from Work CasesCiv Mil_3:
PROJECT NAMERow4:
CONTRACTOR NAMERow4:
MANHOURS WORKED this MonthRow4:
LOCATION City StateCiv Mil_4:
of IllnessInjury CasesCiv Mil_4:
of Days Away from Work CasesCiv Mil_4:
PROJECT NAMERow5:
CONTRACTOR NAMERow5:
MANHOURS WORKED this MonthRow5:
LOCATION City StateCiv Mil_5:
of IllnessInjury CasesCiv Mil_5:
of Days Away from Work CasesCiv Mil_5:
PROJECT NAMERow6:
CONTRACTOR NAMERow6:
MANHOURS WORKED this MonthRow6:
LOCATION City StateCiv Mil_6:
of IllnessInjury CasesCiv Mil_6:
of Days Away from Work CasesCiv Mil_6:
PROJECT NAMERow7:
CONTRACTOR NAMERow7:
MANHOURS WORKED this MonthRow7:
LOCATION City StateCiv Mil_7:
of IllnessInjury CasesCiv Mil_7:
of Days Away from Work CasesCiv Mil_7:
PROJECT NAMERow8:
CONTRACTOR NAMERow8:
MANHOURS WORKED this MonthRow8:
LOCATION City StateCiv Mil_8:
of IllnessInjury CasesCiv Mil_8:
of Days Away from Work CasesCiv Mil_8:
PROJECT NAMERow9:
CONTRACTOR NAMERow9:
MANHOURS WORKED this MonthRow9:
LOCATION City StateCiv Mil_9:
of IllnessInjury CasesCiv Mil_9:
of Days Away from Work CasesCiv Mil_9:
PROJECT NAMERow10:
CONTRACTOR NAMERow10:
MANHOURS WORKED this MonthRow10:
LOCATION City StateCiv Mil_10:
of IllnessInjury CasesCiv Mil_10:
of Days Away from Work CasesCiv Mil_10:
PROJECT NAMERow11:
CONTRACTOR NAMERow11:
MANHOURS WORKED this MonthRow11:
LOCATION City StateCiv Mil_11:
of IllnessInjury CasesCiv Mil_11:
of Days Away from Work CasesCiv Mil_11:
PROJECT NAMERow12:
CONTRACTOR NAMERow12:
MANHOURS WORKED this MonthRow12:
LOCATION City StateCiv Mil_12:
of IllnessInjury CasesCiv Mil_12:
of Days Away from Work CasesCiv Mil_12:

File details come from the government source that posted it. Updated .