Attachment_6__Abbreviated_APP_Checklist.docx

Attachment 6 - Abbreviated APP Checklist

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

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:

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 must 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.

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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 must provide a means to evaluate the work being done (see AHA requirements in 01.A.13) and associated hazards involved. Contractor’s APP must address the identified hazards involved and the control measures to be taken.

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.

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/QA). An accident that results in a fatal injury, permanent partial or permanent total disability must be immediately reported to the Contracting Officer.

h. Emergency Planning. Employees working alone must 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.

(2) Eye and Face Protection. Eye and face protection must 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, weed eating and blowing operations must be provided safety eyewear (Z87.1) as a minimum.

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(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 must comply with ANSI Z89.1 and must be worn by all workers when a head hazard exists. At a minimum, hard hats must be worn when performing activities identified in

(2) above.

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

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

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

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