A02.01_-_Attachment_2_-_APP.pdf

OUTLINE FOR MINIMUM REQUIREMENTS OF:

U. S. ARMY COLD REGIONS RESEARCH AND ENGINEERING LABORATORY

ACCIDENT PREVENTION PLAN (APP)

Accident Prevention Plans shall be job specific and shall address all unusual and unique aspects of the project or activity for which it is written. The plan shall address the how, who, when, what, where for requirements of EM

385-1-1.

GENERAL

Date:

Name of Contractor:

Contract Number:

Names and Phone Numbers of Contract Points of Contact (Contractor & Government):

Project/Work to be Performed & Location (Bldg, Floor, Room, Site Location, Etc.):

Name of Contractor’s On-site Supervisor:

EMERGENCY INFORMATION

Name of Hospital:

Name of Doctor:

Emergency Services Contact (including AMBULANCE and FIRE): Dial 911 if calling from a CRREL phone

TRAINING: State what your initial safety training for your employees is, and outline any on-the-job training and continuing training such as “tool box meetings, safety meetings” etc.

REQUIRED CERTIFICATIONS: The contractor shall show proof of all certifications (attach certificates) required for the contract (i.e. OSHA 10 hr, Crane Operator etc.).

SAFETY DOCUMENTATION: The contractor shall provide all the following information that applies to work under the contract.

Personal Protective Equipment (PPE) Used:

Emergency Plan (Including provisions for Material Safety Data Sheets (MSDS)):

Confined Space Work Plan:

Fall Protection Work Plan:

Housekeeping: The contractor is required to perform daily job site cleanup.

ACCIDENT REPORTING: Report all accidents as soon as possible but not more than 24 hours afterwards to the

Contracting Officer/Representative (CO/COR). The contractor shall thoroughly investigate the accident and submit the findings of the investigation along with appropriate corrective actions to the CO/COR. Contractor is responsible for all OSHA accident reporting and recordkeeping requirements.

CONTRACTOR AUTHORIZED REPRESENTATIVE DATE

This plan has been reviewed and determined acceptable for this job.

SAFETY OFFICE REPRESENTATIVE DATE