Loren Data's SAM Daily™

FBO DAILY - FEDBIZOPPS ISSUE OF SEPTEMBER 13, 2014 FBO #4676
MODIFICATION

45 -- HOT WATER TANK REPLACMENT - Amendment 1

Notice Date

9/11/2014
 

Notice Type

Modification/Amendment
 

NAICS

811310 — Commercial and Industrial Machinery and Equipment (except Automotive and Electronic) Repair and Maintenance
 

Contracting Office

Department of Commerce, National Institute of Standards and Technology (NIST), Acquisition Management Division, 100 Bureau Drive, Building 301, Room B130, Gaithersburg, Maryland, 20899-1410, United States
 

ZIP Code

20899-1410
 

Solicitation Number

SB1341-14-RQ-0844
 

Archive Date

9/30/2014
 

Point of Contact

Mimi N. Robinson, Phone: 3019753696, Timothy Karol, Phone: 301-975-8249
 

E-Mail Address

mimi.robinson@nist.gov, timothy.karol@nist.gov
(mimi.robinson@nist.gov, timothy.karol@nist.gov)
 

Small Business Set-Aside

Total Small Business
 

Description

Photos as Attachment 3 Amendment 0001 - with track changes in SOW. RFQ SB1341-14-RQ-0844 AMENDMENT 0001 This is Amendment 0001 to RFQ SB1341-14-RQ-0844. In addition to listing all changes in this "Recap of Changes and Additional Information" below, the actual changes/additional information have been entered into the SOW as track changes with the actual SOW in a separate Attachment to this announcement. Attachment 2 of original solicitation is still valid, but not included in this amendment as there are no changes/deletions/additions being made to this attachment. Attachment 3 is included, providing pictures of the access area to performance site, as well as the existing water heater. NOTE: Should conflicting information exist between this amendment and the original solicitation, the information in this amendment takes precedence. RECAP OF CHANGES AND ADDITIONAL INFORMATION Combined Synopsis/Solicitation, beginning section - Change from: "This requirement is for the replacement (to include, both, procurement and installation) of a water heater that supplies 15 to 150 psi site steam. The replacement water heater included in Contractor's quote shall not supply less than 15 PSI site steam, but may exceed the 150 PROVIDED quoted heater is compatible with existing plumbing/electrical connection and NO reconfiguration/replacement of types of connections are required to accommodate installation and operation of heater. Place of delivery and performance is NIST campus, Gaithersburg, MD 20899." to: "This requirement is for a replacement (to include, both, procurement and installation) of a water heater that supplies a MAXIMIM of 15 psi site steam. Place of delivery and performance is NIST campus, Gaithersburg, MD 20899. Attachment 1 provides ALL specifications and requirements for this synopsis solicitation." Combined Synopsis Solicitation, Section "THE BASIS FOR AWARD IS LOWEST PRICED, TECHNICALLY ACCEPTABLE" - Change from: "b. not require work to be done to connections for compatibility." to: "b. not require work to be done to connections beyond the first shut-off valves." and, Change from: "Apparent successful awardee shall also have satisfactory past performance." to: "Apparent successful awardee shall also have satisfactory (or neutral) past performance." Combined Synopsis Solicitation - Change from: "Pricing shall include the provision and installation of new and removal and disposal of existing water heater." to: "Pricing shall include the provision and installation of new and removal and disposal of existing water heater. Attachment 1, SOW, Section C.2 - Add: "Current usage is estimated at 600 gph, for one (1) hour, twice a week." Attachment 1, SOW, Section C.5 - Change from: "Must have a minimum of one (1) year warranty on all parts." to: "Must have a minimum of one (1) year warranty on all parts and labor." Attachment 1, SOW, Section C.6 - Change from: "Contractor shall be responsible for clean-up and proper disposal of all installation debris." to: "Contractor shall be responsible for clean-up and proper disposal of all installation debris, as well as replaced water heater." Attachment 1, SOW, Section C.6 - Add: "a. Contractor may cut up old water heater to facilitate disposal. HOWEVER, it is the Contractor's responsibility to determine whether asbestos is present. Should asbestos be found, Contract is prohibited from cutting up the replaced heater." and: 7. Shall include a pump that runs on 210 Volts. 8. The lab water outlet of this heater shall be copper to the first shut off valve. 9. MAXIMUM of 15 psi site stream. Attachment 1, SOW, Section "Meetings and Contract Personnel Names" - Change from: "Before the project start, the COR will meet with the contractor to discuss the project, go over the time line and any other issues or concerns about the project. The COR and contractor will have weekly meetings at convenience of the Gov't. The contractor will provide the names of all key personnel involved with the project. Any personnel changes made during the work, the COR will be notified and provided with the replacement name." To: "Prior to the project start, the COR will meet with the contractor to discuss the project, go over the time line and any other issues or concerns about the project. Contractor shall contact the COR no later than three (3) days ARO to arrange pre-performance meeting."The COR and contractor will have weekly meetings at convenience of the Gov't. The contractor will provide the names of all key personnel involved with the project within five (5) days ARO. Any personnel changes made during the work, the COR will be notified and provided with the replacement name prior to change." Attachment 1, SOW, - Add: Attachment 1, SOW - Add: ADDITIONAL REQUIREMENTS Contractor shall be responsible for providing and installing all piping to closest shut-off valves, which includes the control valve. (NOTE: The replaced control valve WILL REMAIN THE PROPERTY OF THE GOVERNMENT.) The Government will be responsible for removing all insulation on piping. Contractor shall replace all steam traps. Contractor shall reuse the existing concrete pad." Attachment 1, SOW - Add: "DELIVERY Delivery shall be via external stairs that go one (1) flight down to double door entry. To access stairs Contractors may pull vehicle delivery to stairwell. HOWEVER, Contractor shall be liable for any/all damage done to lawn/landscaping as a result of this delivery. Responsible is defined as: Contractor making right any damage that occurs." Attachment 1, SOW, Section "Government Responsibility" - Change from: The Gov't reserves the right to inspect the contractors work as needed. to" The Government will be responsible for the removal of all piping insulation. The Gov't reserves the right to inspect the contractors work as needed. Attachment 1, SOW, Section "Reporting Requirements and Deliverables" - Add "(ARO)" as follows: 1. Contractor shall submit a safety plan that is specific to this requirement to the CO within seven (7) calendar days from receipt of award. (See Section I, "Safety Requirements", below, for additional information.) Attachment (2) of this RFQ provides the Safety Plan information template and information required. 2. List of all Contractor personnel who will be installing the water heater. This list shall include personnel name, birth date and year. This list is required within 5 days from receipt of award (ARO). *********************END OF AMENDMENT RECAP************************** REQUEST FOR QUOTE (RFQ) SB1341-14-RQ-0844 THIS IS A COMBINED SYNOPSIS/SOLICITATION FOR COMMERCIAL ITEMS PREPARED IN ACCORDANCE WITH THE FORMAT IN FAR SUBPART 12.6-STREAMLINED PROCEDURES FOR EVALUATION AND SOLICITATION FOR COMMERCIAL ITEMS-AS SUPPLEMENTED WITH ADDITIONAL INFORMATION INCLUDED IN THIS NOTICE. THIS ANNOUNCEMENT CONSTITUTES THE ONLY SOLICITATION; QUOTATIONS ARE BEING REQUESTED, AND A WRITTEN SOLICITATION DOCUMENT WILL NOT BE ISSUED. THIS SOLICITATION IS BEING ISSUED USING SIMPLIFIED ACQUISITION PROCEDURES UNDER THE AUTHORITY OF FAR SUBPART 13, SIMPLIFIED ACQUISITION PROCEDURES. This solicitation is a Request for Quotation (RFQ). The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2005-76. The associated North American Industrial Classification System (NAICS) code for this procurement is 811310 with size standard of $7.5 Million. 4:00 This acquisition is being procured as 100% Small Business Set-Aside. The Government requires all contractors doing business with the government to be registered with the System for Award Management (SAM). For additional information and to register in SAM, please access the following website: https://www.sam.gov/portal/public/SAM/. Award will not be made to any contractor that is not registered in SAM. This requirement is for the replacement (to include, both, procurement and installation) of a water heater that supplies 15 to 150 psi site steam. The replacement water heater included in Contractor's quote shall not supply less than 15 PSI site steam, but may exceed the 150 PROVIDED quoted heater is compatible with existing plumbing/electrical connection and NO reconfiguration/replacement of types of connections are required to accommodate installation and operation of heater. Place of delivery and performance is NIST campus, Gaithersburg, MD 20899. THE BASIS FOR AWARD IS LOWEST PRICED, TECHNICALLY ACCEPTABLE. To be found technically acceptable, quote shall a. meet all minimum specifications listed Attachment (1); and, b. not require work to be done to connections for compatibility. Apparent successful awardee shall also have satisfactory past performance. Pricing shall include the provision and installation of new and removal and disposal of existing water heater. Delivery and installation shall be accomplished during normal business hours, as identified in Attachment (1). SITE VISIT. A site visit is scheduled for Wednesday, September 10, 2014 at 9:30 AM. At NIST, Gaithersburg, MD campus - 100 Bureau Drive, Gaithersburg, MD, 20899, building 231. It is STRONGLY encouraged that interested parties attend this site visit, to ensure knowledge of existing connections, water heater site and delivery conditions. Interested parties shall notify Mimi Robinson, no later than 8:00AM on September 10, 2014 of the intent to attend this site visit. Intent to attend notification shall be made via email to: mimi. robinson@nist.gov and shall include attendee's complete name and citizenship. This intent to attend email shall include, in the subject line: "Site visit for water heater replacement". Base Access Effective July 21, 2014, new visitor access requirements go into effect at NIST and other federal facilities. To help ensure a smooth transition to this new policy, please inform your visitors and guests of the following information as soon as possible. Under the REAL ID Act of 2005, agencies, including NIST, can only accept a state-issued driver's license or identification card for access to federal facilities if issued by states that are REAL ID compliant or have an extension. Currently, all but 9 states and territories are either compliant or have received an extension. The Jurisdictions that do NOT meet the REAL ID standards are: • ALASKA • AMERICAN SAMOA • ARIZONA • KENTUCKY • LOUISIANA • MAINE • MASSACHUSETTS • MONTANA • OKLAHOMA Effective July 21, 2014, drivers' licenses from these states and territories will NOT be accepted for entry to NIST. Please inform your visitors and guests from these locations that they must use a REAL ID compliant form of identification. NIST currently accepts other forms of federally issued identification in lieu of a state-issued driver's license, such as a valid: • Passport • Passport Card • DOD's Common Access Card (CAC) • Veterans ID • Federal Agency HSPD-12 IDs • Military Dependents ID • Transportation Workers Identification Credential (TWIC) Quote Submission: A. Pricing Interested parties shall submit a firm-fixed-price quote that is inclusive of the -RQ--replacement water heater, installation and removal and disposal of existing water heater. All labor pricing shall be in accordance with (IAW) The Service Contract Act of 1965, as Amended, - should a collective bargaining agreement not exist. The applicable Wage Determination for work performed at this site is: Wage Determination No.: 2005-2103 |Revision No.: 14 Date Of Revision: 07/25/2014 B. Proposed Delivery Date, start and completion of removal/installation dates. C. Two (2) past performance references that are current (within the last three (3) years) and relevant (of the same scope as this requirement). Information shall include CURRENT POC information (ie. POC name, title, agency, telephone number and email address; brief description of contract requirements, contract number, contract value, contract period of performance). D. Completed Representations and Certifications (FAR provision 52.212-3) OR acknowledgement that online reps and certs (www.sam.gov) are current and accurate. E. Safety Plan - Acknowledgement of the requirement for a Safety Plan F. Product documentation/literature/written information that CLEARLY demonstrates the proposed water heater's ability to meet the minimum specifications (to include energy saving requirement, pursuant to FAR Clause 52.223-15. Documentation shall include owner's manual, water heater schematics and warranty information. G. List (and required information) of Contractor employees who will be supporting this requirement on-site. QUOTES ARE DUE MONDAY, SEPTEMBER 15, 2014 BY 4:00PM ET. QUOTES SHALL BE INCLUSIVE OFF ALL REQUIRED INFORMATION AND PRICING. QUESTIONS MAY BE FORWARDED TO mimi.robinson@nist.gov NO LATER THAN SEPTEMBER 11, 2014 BY 2:00 PM ET. TERMS AND CONDITIONS: 52.252-1 Solicitation Provisions Incorporated by Reference and 52.252-2 Clauses Incorporated by Reference This solicitation incorporates one or more solicitation provisions by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. The Offeror is cautioned that the listed provisions may include blocks that must be completed by the Offeror and submitted with its quotation or offer. In lieu of submitting the full text of those provisions, the Offeror may identify the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a solicitation provision may be accessed electronically at this/these address(es): http://acquisition.gov/comp/far/index.html. The following provisions apply to this acquisition: 52.204-7 System for Award Management 52.212-1 Instructions to Offerors-Commercial Items; 52.212-2 Evaluation-Commercial Items, with the following fill-ins: Lowest Priced, Technically Acceptable with satisfactory past performance; 52.212-3 Offerors Representations and Certifications- Commercial Items. The following clauses apply to this acquisition: 52.212-4 Contract Terms and Conditions-Commercial Items; 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders-Commercial Items including subparagraphs: 52.204-10, Reporting Executive Compensation and First-Tier Subcontract Awards. 52.209-6, Protecting the Government's Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment. 52.219-6, Notice of Total Small Business Set-Aside. 52.219-28 Post-Award Small Business Program Representation; 52.222-3, Convict Labor; 52.222-19, Child Labor - Cooperation with Authorities and Remedies; 52.222-21, Prohibition of Segregated Facilities; 52-222-26, Equal Opportunity; 52.222-36, Affirmative Action for Workers with Disabilities; 52.222-41 Service Contract Act of 1965; 52.223-18, Contractor Policy to Ban Text Messaging While Driving; 52.225-3, Buy American Act-Free Trade Agreements-Israeli Trade Act; 52.225-13, Restriction on Certain Foreign Purchases; 52.232-33, Payment by Electronic Funds Transfer-Central Contractor Registration; 52.225-1, Buy American Act - Supplies; 52.204-13 System for Award Management Maintenance; 52.222-50, Combating Trafficking in Persons; 52.223-15 Energy Efficiency in Energy-Consuming Products; 52.232-33, Payment by Electronic Funds Transfer - Central Contractor Registration; 52.247-34, FOB Destination; and The following CAR clauses: (https://www.federalregister.gov/articles/2010/03/08/2010-4132/commerce-acquisition-regulation-car#h-372) 1352.201-70 Contracting Officer's Authority 1352.209-73 Compliance with the Laws 1352.209-74 Organizational Conflict Of Interest 1352.213-70 Evaluation Utilizing Simplified Acquisition Procedures 1352.228-70 Insurance Coverage 1352.237-70 Security Processing Requirements 1352.237-73 Foreign national visitor and guest access to departmental resources; 1352.237-75 Key Personnel 1352.246-70 Place of acceptance - NIST 100 Bureau Drive Gaithersburg, MD 1352.201-72 Contracting Officer's Representative (COR) (a) Name to be provided at Award is hereby designated as the Contracting Officer's Representative (COR). The COR may be changed at any time by the Government without prior notice to the contractor by a unilateral modification to the contract. The COR is located at: To be provided at Award Phone Number: Email: (b) The responsibilities and limitations of the COR are as follows: (1) The COR is responsible for the technical aspects of the contract and serves as technical liaison with the contractor. The COR is also responsible for the final inspection and acceptance of all deliverables and such other responsibilities as may be specified in the contract. (2) The COR is not authorized to make any commitments or otherwise obligate the Government or authorize any changes which affect the contract price, terms or conditions. Any contractor request for changes shall be referred to the Contracting Officer directly or through the COR. No such changes shall be made without the express written prior authorization of the Contracting Officer. The Contracting Officer may designate assistant or alternate COR(s) to act for the COR by naming such assistant/alternate(s) in writing and transmitting a copy of such designation to the contractor. (End of clause) NIST LOCAL-04 Billing Instructions (a) NIST prefers electronic Invoice/Voucher submissions and they should be emailed to INVOICE@NIST.GOV. (b) Each Invoice or Voucher submitted shall include the following: (1) Contract Number. (2) Contractor Name and Address. (3) Date of Invoice. (4) Invoice Number. (5) Amount of Invoice and Cumulative Amount Invoiced to-date. (6) Contract Line Item Number (CLIN). (7) Description, Quantity, Unit of Measure, Unit Price, and Extended Price of Supplies/Services Delivered. (8) Prompt Payment Discount Terms, if Offered. (9) Any other information or documentation required by the contract. (c) In the event electronic submissions are not used, The Contractor shall submit an original invoice or voucher in accordance with the payment provisions of this contract to: NIST: Accounts Payable Office 100 Bureau Drive, Mail Stop 1621 Gaithersburg, MD 20899-1621 (End of Clause)   ATTACHMENT (1)   Statement of Work Replacement of the Lab Hot Generating System at Building 231 A. BACKGROUND INFORMATION This requirement is for the removal and replacement of currently of a hot water tank, installed in Building 231, NIST Gathersburg, MD campus, in the mid 1960's. The existing hot water tank is supplies with 15 to 150 psi site steam. B. PURPOSE AND OBJECTIVES OF THE PROCUREMENT This procurement is for the replacement of the original hot water heater currently installed in Bldg 231. This replacement heater installation is required, as the currently tank is failing C. PROCUREMENT REQUIREMENTS The following type of replacement water heater is required. This procurement is inclusive of all parts, equipment, supplies and labor required to ensure full operation of this water heater, upon completion of installation. The replacement water heater shall meet the following minimum specifications: 1. 100% compatability with existing PSI site steam, as identified in Section A, above; 2. Shall generate a minimum of 120 deg water at 600 gph, continuously; 3. Must have a recirculation system; 4. Must be tankless; 5. Must have a minimum of one (1) year warranty on all parts. 6. Contractor shall be responsible for clean-up and proper disposal of all installation debris. GOVERNMENT RESPONSIBILITIES The Gov't reserves the right to inspect the contractors work as needed. REPORTING REQUIREMENTS AND DELIVERABLES Contractor shall submit a safety plan that is specific to this requirement to the CO within seven (7) calendar days from receipt of award. (See Section I, "Safety Requirements", below, for additional information.) Attachment (2) of this RFQ provides the Safety Plan information template and information required. 2. List of all Contractor personnel who will be installing the water heater. This list shall include personnel name, birth date and year. This list is required within 5 days from receipt of award. PROJECT MANAGEMENT The Governments POC for the contractor will be the appointed COR, who will be identified at award. The contractor will contact only the COR on any technical matters pertaining to this contract. BADGING AND SITE ACCESS INFORMATION Delivery and installation of replacement water heater shall be done during normal working hours; M-F 7AM to 5PM. Site access shall be thru the C gate off of Quince Orchard Road. The contractor shall proceed to the NIST truck inspection station located at the loading dock area of building 302, each day, prior to proceeding to the job site. The Government will provide badging needed by the contactor for site entry. SAFETY REQUIREMENTS The contractor shall be responsible for ensuring all Contractor personnel supporting this requirement possess all OSHA required personal protection equipment (PPE). Any personnel who does not have the proper PPE will be asked to leave the job site - at no additional cost to the Government After award, but prior to a "Notice to Proceed can be issued, the contractor shall submit a job specific safety plan to the Contracting Officer for review and approval. (See Section E "Reporting Requirements and Deliverables", above. MEETINGS AND CONTRACT PERSONNEL NAMES Before the project start, the COR will meet with the contractor to discuss the project, go over the time line and any other issues or concerns about the project. The COR and contractor will have weekly meetings at convenience of the Gov't. The contractor will provide the names of all key personnel involved with the project. Any personnel changes made during the work, the COR will be notified and provided with the replacement name. ATTACHMENTS 1. Safety Plan Outline - Attachment (2)   ATTACHMENT (2)   SAFETY PROCEDURES (5/13/09) ACCIDENT PREVENTION PROVISIONS FOR CONTRACTORS GUIDE FOR PREPARATION OF ACCIDENT PREVENTION PLANS 1. Instruction and Training. Set forth initial indoctrination and continuing training, such as "tool boxll safety meetings. Such meetings to be recorded on reverse side of AMD Safety Form-03. 2. Accident Reporting. a. The Plan must state that all lost time injuries and property damage accidents (excluding on-the-road vehicle accidents) in which the property damage exceeds $2,000 will be reported to the COTR within 8 hours of the accident/incident, using the AMD Safety Form-05 "Contractor Accident Report". b. The Plan must also state that in the event of an employee being sent to the doctor for treatment, a release will be obtained from the doctor on the date of treatment stating either: (1) employee not fit for duty; (2) employee fit for light duty; or (3) employee fit for duty. Copy of this release must accompany accident report. c. The following reporting procedures apply to all Contractors and their employees performing at NIST Gaithersburg or NIST Boulder. (1) In the event of an accident which results in a lost work day or in property damage, an AMD Safety Form-05 will be completed and submitted within five (5) workdays. (2) The following signature chain is to be used on the AMD Safety Form-05 on Construction accidents. After each signature the name must be typed or printed legibly. (a) Superintendent (b) COSR (c) COTR (3) All AMD Safety Forms will be provided at the Pre-Construction Conference. 3. Sanitation. a. The Plan must set forth where drinking water will be obtained, type of dispenser, and provisions for receptacle for disposable cups. b. The Plan must include what type of toilets, how many will be provided and how will they be kept clean. 4. Medical Facilities. a. The Plan must set forth name, address, and telephone number for doctor, hospital, and ambulance service to be used. These emergency numbers must be posted on the bulletin board. b. First aid requirements for the Plan should show type and number of first aid kits and set forth requirement that at least two employees on each shift and at each differing location, will be qualified to administer First Aid and CPR (Cardiopulmonary Resuscitation). The minimum qualification for these employees is a current certification from American Red Cross, United States Bureau of Mines, or equivalent training that can be verified by documentary evidence. 5. Emergency Plans. The Plan must set forth provisions for preparation of action in the event of severe weather, i.e., hurricane, blizzard, high seas, etc. 6. Personal Protective Equipment. a. The Plan must set forth requirement for all employees to wear a "T-shirt" as minimum on upper part of body. Shorts are not permitted. No tennis shoes or sandals are permitted. b. Hard hats must meet requirements for Type A or Type B as defined by American National Standards Institute. (No metal hard hats or bump caps.) How you plan to mark HARD HAT AREAS. c. Provisions for other protective equipment. 7. Housekeeping. a. Daily job site cleanup required. b. Nails must be removed from scrap lumber. c. All stairways, passageways, gangways, and access ways must be kept free of material, supplies, and obstructions at all times. 8. Fire Prevention. The Plan must cover use of fire extinguishers, cleanup, heating devices, and flammable and combustible liquids (including safety cans and precautions to be taken with bulk gasoline storage). 9. Ropes, Slings, and Chains. The Plan must cover condition of same and usage; when slings and chains will be replaced, etc. 11. Floor and Wall Openings. If your contract covers erection, maintenance, or alteration of buildings, then your Plan must set forth precautions you will take to guard floor, wall or roof openings. 12. Noise Control. 13. Hot Substances. Set forth measures to be used with tar kettles (temperature gauges, etc.). 14. Welding, Cutting and Grounding of Machinery. Cover precautions to be used in these operations (fire extinguishers, shields, grounding of electric welders, insulation of welding leads, etc.). 15. Electrical. a. All temporary electrical work must be done in accordance 20 CFR 1926, Subpart K (special emphasis on weekly inspection, use of NEMA configuration on all plugs and connections, and type extension cords). b. Portable generators must be grounded as required by the National Electric Code (NEC). c. The use of GFCls is required in addition to appropriate grounding. 16. Hand Tools and Power Tools. Cover condition of same and use safety lashing on pneumatic lines; and authorization for use of explosive actuated tools. 17. Compressed Gas Cylinders. The Plan must set forth the precautions you will utilize to prevent accidents from these cylinders. a. Separation of different gases. b. Protection of cylinders. c. Utilization of valve caps. d. Securing cylinders in upright position. 18. Ramps, Runways, Platforms, and Scaffolds. Include in this section of your Plan those items in that apply to work under your contract. Include requirements of 29 CFR 1926, Subpart L. This will include, but not be limited to: a. Safety factors of all such devices. b. Use of ladders as working platforms. c. Method of erecting, supporting, and using scaffolding. d. Means of access to working surfaces--climbing of end pieces of scaffolds is prohibited. e. Roofing devices and practices 19. Excavations. If there will be excavation (footings, trenches, etc.) as part of your contract, then set forth procedures you will follow in accordance with 29 CFR 1926, Subpart P. 20. Clearing. The Plan must set forth actions you will take to assure safe operation of chain saws and other clearing devices. 21. Material Handling, Storage and Disposal. The Plan should address the location of storage facilities, compatibility of materials, and disposal of materials. 22. Hazardous Materials. The Plan should state method of providing workers with access to Material Safety Data Sheets, method of disposal, and compliance with federal, state, and local laws and regulations. 25. General. It is probable that all of the above areas will not apply to your contract. No attempt has been made to cover all eventualities. This guide is intended only to serve as just that -- a guide to assist you in preparing an Accident Prevention Plan that will be acceptable for work to be performed under your contract. GUIDE FOR PREPARATION OF AN ACTIVITY HAZARD ANALYSIS (AHA) 1. Purpose. Provides guidance in preparing an Activity Hazard Analysis (AHA). 2. Applicability. This applies to all contracts for NIST Gaithersburg and NIST Boulder. 3. Policy. An AHA for each major phase of work is required. This analysis, utilized correctly, will have favorable effects on your safety record. This section provides guidance for preparing an AHA through a step-by-step procedure giving an example, explanations, and definitions. By showing this procedure, we hope to increase your understanding of how and why the analysis is used. 4. Overview. a. An AHA is a procedure used to review job methods and identify hazards. These hazards may have been overlooked from the start or they may have developed after production work has started. Once the hazards are known, the best solution or control can then be developed. b. The person best suited to develop the analysis is the Contractor's Superintendent. The Superintendent is best suited to develop the AHA because he is likely to have 5-10 years of experience doing the work to be analyzed. He has made the mistakes, seen the hazards, and probably has the best suggestions on how to make the job safer and most beneficial. In addition, he is best qualified to break the job down into successive steps. c. Once the analysis' rough draft is completed, we recommend that it be reviewed by a safety person - someone within the organization that has safety responsibilities within their job duties. The safety person should review the analysis on a technical level, check to see that no hazards were overlooked, and examine the control measures to see that the most effective measures are being used. 5. Procedures. A. Step 1 - Selecting An Activity To Analyze. (1) An activity is a sequence of separate steps that together accomplish a work goal. Some activities can be too broadly defined in general terms of what is accomplished. Building a new dorm,are examples. Such broadly defined activities are not suitable for an activity hazard analysis. Similarly, an activity can be too narrowly defined in terms of a single action. Pulling a switch, tightening a screw, pushing a button are examples. Such narrowly defined activities are also not suitable for an AHA. (2) Activities suitable for a hazard analysis are those assigned generally to a line supervisor and related to a particular phase of work. Erecting block walls, placing a roof and painting are good subjects for an activity hazard analysis. (3) Once an activity or major phase has been selected we recommend completing the analysis using the format in Appendix D, "Sample Activity Hazard Analysis (AHA)". Note that the activity chosen for the example is Interior Demolition of the US Army Reserve Center. B. Step 2 - Break Activity Down Into Successive Steps (1) Now the activity is broken down into its principal steps. Usually you, the line supervisor or foreman, will rely on past experience with the type of work being analyzed. You know your work goal (end point), the beginning point, and what you have to do to accomplish the work goal (steps). You should be able to visualize a logical procession step by step. (2) Record the steps in their natural order of occurrence. Describe what is done, but not the details of how it is done. Usually three or four words are sufficient. Number the steps consecutively. (3) In the example, our progression of principal steps include the following: remove furniture from office; remove plumbing, electrical and HVAC duct work from partitions; demolish interior; and clean up. This shows a logical progression from point A (an old deteriorated interior) to point B (the state of final preparation for the next activity - Creating A New Interior). C. Step 3 - Identify Hazards and Potential Accidents (1) Once the principal steps have been identified and logged on the form, identify the potential hazards encountered in each of the principal steps listed. Once again past experience will be relied upon heavily. Also, talking with workers about past accidents or near misses will be of help to you. Checking with first aid logs or accident investigations will also help. At this point, evaluate hazards presented by other activities working adjacent to the activity being analyzed. (2)The following is a list of questions that will also help you identify most of the hazards: (a) Is there danger of striking against, being struck by or otherwise making injurious contact with the object? (b) Can the employee be caught on, in, or between the object? (c) Can the employee slip or trip? Can the employee fall on the same level or to another level? (d) Can the employee strain themselves by pushing, pulling or lifting? (e) Is there a possibility of electrical, health, or fire hazards associated with that principal step? (3)It is estimated that with these questions you should be able to uncover 90% of the potential hazards. What about the other 10%? The other 10% is what makes the activity hazard analysis so unique. This is why the so called "generic analysis" is so incomplete. Factors which are unique to an activity (elevation, terrain, weather, etc.) may add to or change the potential hazards. All this must be taken into consideration when doing the analysis. (4) In the example, we have listed most of the hazards associated with the principal steps. These are very general due to the lack of specific project information. The purpose of this is to keep the analysis simple and easy to follow. Had the Contractor's Superintendent prepared the analysis in accordance with all the specific information available, it would be more complete and extensive. D. Step 4 - Develop a Control for Each Hazard Identified. (1)This is where you come up with the methods of controlling the hazards identified in Step 3 of this procedure. There may be several solutions to controlling the hazard; we want the best solution (that which is most beneficial). Ask yourself "What are the benefits to this solution?" Sometimes the solution will solve that particular problem but create a new hazard for that step or another step. Once again it is useful to ask workers for suggestions. (2)The following are suggestions to help you come up with ideas for the best solution to your particular hazard: (a)Change the physical conditions that create the hazard. "What change in physical condition will eliminate the hazard or prevent the accident?" A good example of this would be changing the surface in a work area to a non-slip type surface. Supplying ear muffs to a worker who must travel through an area in which noise levels exceed the standard would be another. (b)Change the procedures of the Steps in the AHA. "What should the employee do or not do to eliminate the hazard or prevent this potential accident?" For example, "Is there another way for the employee to reach the work station other than going through the noisy area?" If there is, will it be more or less hazardous for the employee? You should consider work saving tools or equipment. For example, say an employee must lift and carry a heavy object to a workbench. All you need to do is supply the worker with a workbench that has casters. Also, if two workers were to lift the object, you would reduce the risk of back injury. (c)Reduce the frequency that a task must be performed. Every task has some potential for an accident to occur. Therefore, when you increase the times that the task is performed, you increase the probability of an accident occurring. (d)Training. If none of the previous suggestions are applicable, then the answer may be training the employees to do a task safely. Quite often we hear of accidents caused by lack of knowledge of proper safe procedures. This could mean a simple instruction from the Contractor's Superintendent or could involve specialized training from an outside source. The latter is recommended for irregular work which may be unique. (3)We have found that special attention should be given to newer employees (1 to 1 1/2 years). These employees have proven to be among the most likely to have an accident. This is why it is good practice for employers to give new employees good initial safety training. (4)Once you have decided on a control for the hazard, you must put it into a positive statement; i.e. Dust respirators will be supplied to the workmen. Electricity will be locked out by a mechanical device. In other words you will be committing yourself to perform the action you chose to control the hazard. (5)If you now turn to Appendix D, you will find a copy of our sample completed analysis. As an exercise, go back through Step 1 through Step 4 of the analysis. See if you can come up with anything that we left out. 6. Update as Needed. It should be noted that the completed analysis is not set in stone. We all know that field changes take place every day. With these changes a new hazard may arise. Also, a delay in a different activity could have you working next to that operation. This could add numerous hazards to your job. For an Activity Hazard Analysis to be most effective it must be updated as the activity progresses. 7. Benefits. a. A properly completed activity hazard analysis will reap many rewards. How much does your organization spend for worker's compensation insurance premiums? What you pay in premiums largely depends on your past accident history. If you can reduce your number of accidents using the activity hazard analysis process, then you can expect to see a reduction in your worker's compensation premiums. With lower premiums follows a lower quotation or bid. This means that your organization could be more competitive for various jobs. b. Accidents cost money. For every accident there are obvious costs (doctor, hospitals, etc.) as well as hidden costs (training a new employee, drop in morale, wages lost in reacting to the accident, etc.). By reducing the accidents, you can save money, thereby increasing your profit margins on each job. c. Safety training benefits your organization. Establishing safety contacts between line supervisor and worker (one-on-one) promotes good safety awareness and increases morale. This is very important for new employees. d. Training on the proper methods of performing certain tasks will in most cases increase productivity. An increase in productivity should turn into an increase in profits. SAMPLE ACTIVITY HAZARD ANALYSIS (AHA) ACTIVITY: ______________ ANALYZED BY/DATE: __________ _ NOTE: For additional guidance see instructions PRINCIPAL STEPS POTENTIAL SAFETY/ HEALTH HAZARDS RECOMMENDED CONTROLS Identify the principal steps involved and the sequence of work activities Analyze each principal step for potential hazards Develop specific controls for potential hazard EQUIPMENT TO BE USED INSPECTION REQUIREMENTS TRAINING REQUIREMENTS List equipment/machinery to be used in the work activity List inspection requirements for the work activity List training requirements, including hazard communication SAMPLE ACTIVITY HAZARD ANALYSIS (AHA) ACTIVITY: Interior Demolition, Army Reserve Center, Your City, FI ANALYZED BY: John Doe. Project Foreman 8/30/2004 NOTE: For additional guidance PRINCIPAL STEPS POTENTIAL SAFETY/HEALTH HAZARDS RECOMMENDED CONTROLS 1. Remove furniture from work area. 2. Disconnect plumbing, electrical, and HVAC duct work from interior 3. Demolish Interior 4. Clean Up EQUIPMENT TO BE USED INSPECTION REQUIREMENTS TRAINING REQUIREMENTS SAMPLE ACTIVITY HAZARD ANALYSIS (AHA) ACTIVITY: Interior Demolition, Army Reserve Center, Your City, FI ANALYZED BY/DATE: John Doe. Project Foreman 8/30/2004 NOTE: For additional guidance PRINCIPAL STEPS POTENTIAL SAFETY/HEALTH HAZARDS RECOMMENDED CONTROLS 1. Remove furniture from work area 1. Back injury 2. Foot injury 3. Hand injury 2. Disconnect plumbing, electrical, and HVAC ductwork from interior 1. Electrocution or shock from wires 2. Workers or tools falling from elevated work area 3. Asbestos from hot water pipe insulation 4. Slips, trips, or falls 5. Noise 6. Dust 7. Materials falling on workers 8. Fire/explosion 9. Cuts from pipes or ducts 3. Demolish Interior 1. Dust 2. Eye injury 3. Debris falling on workers 4. Workers, debris, or tools falling from elevated work area 5. Cuts/puncture wounds 6. Fire/explosion 7. Noise 4. Clean Up 1. Dust 2. Fire/explosion SAMPLE ACTIVITY HAZARD ANALYSIS (AHA) ACTIVITY: Interior Demolition, Army Reserve Center, Your City, FI ANALYZED BY/DATE: John Doe. Project Foreman 8/30/2004 NOTE: For additional guidance PRINCIPAL STEPS POTENTIAL SAFETY/HEALTH HAZARDS RECOMMENDED CONTROLS 1. Remove furniture from work area 1. Back injury 1. Use furniture dolly for large or bulky furniture. Two workers required for placing large or bulky furniture onto dolly and moving large furniture. 2. Workers to use proper lifting techniques to prevent back injury 2. Foot injury 1. Wear steel toed safety boots. 3. Hand injury 1. Wear leather gloves to prevent cuts and abrasions. 2. Disconnect plumbing, electrical, and HVAC duct work from interior 1. Electrocution or shock from wires 1. Have licensed electrician ensure electrical system is locked/tagged out. 2. Workers or tools falling from elevated work area 1. Provide scaffold with standard railing with toe boards. 3. Asbestos from hot water pipe insulation 1. Have asbestos removed by qualified licensed source prior to disconnecting hot water pipe. 4. Slips, trips, or falls 1. Ensure spills from removal of plumbing have been cleaned up to prevent slips and falls. Keep work areas such as aisles, stairs, and exits clear of debris. 5. Noise 1. Ensure earplugs are worn in designated areas. 6. Dust 1. Wear dust respirators and safety glasses with sideshields or dust goggles. 2. Provide fans for ventilation SAMPLE ACTIVITY HAZARD ANALYSIS (AHA) ACTIVITY: Interior Demolition. Army Reserve Center. Your City. FI ANALYZED BY/DATE: John Doe. Project Foreman 8/30/2004 NOTE: For additional guidance PRINCIPAL STEPS RECOMMENDED CONTROLS 7. Material falling on workers 8. Fire/explosion 1. Wear hard hats at all times while in the construction zone. 1. Prohibit smoking in work area. 2. Ensure an adequate number of fire extinguishers of the correct size and type are provided and that workers are trained in using extinguishers. 9. Cuts from pipes and ducts 1. Wear leather gloves to prevent cuts and abrasions. Tape sharp edges if possible. 3. Demolish interior 1. Dust 1. Wear dust respirators and safety glasses with side-shields or dust goggles. 2. Eye injury 1. Wear safety glasses with side• shields or dust goggles. For more severe conditions, wear face shield over safety glasses or dust goggles. 3. Debris falling on workers 1. Rope off areas and post signs when demolition begins. 2. Post watch person during demolition. 3. Workers shall wear hard hats at all times while in the construction zone. 4. Workers or tools falling from elevated work area. 1. Provide scaffold with standard railing and toe boards. 2. Supply 15 gauge U.S. standard wire 1/4" mesh between toe board and guardrail around entire perimeter scaffold. SAMPLE ACTIVITY HAZARD ANALYSIS (AHA) ACTIVITY: Interior Demolition, Army Reserve Center, Your City, FI ANALYZED BY/DATE: John Doe. Project Foreman 8/30/2004 NOTE: For additional guidance PRINCIPAL STEPS POTENTIAL SAFETY/HEALTH HAZARDS RECOMMENDED CONTROLS 5. Cuts/puncture wounds 1. Remove nails from scrap lumber. 2. Wear steel-toed safety boots. 3. Wear leather gloves. 6. Fire/explosion 1. Remove all scrap lumber after every shift. 2. Vacuum dust from work area after every shift. 3. Prohibit smoking in work area. 4. Ensure an adequate number of fire extinguishers of the correct size and type are provided and that workers are trained in using extinguishers. 7. Noise 1. Ensure earplugs are worn in designated areas. 4. Clean up 1. Dust 1. Wear dust respirators and safety glasses with side-shields or dust goggles. For more severe conditions, wear face shield over safety glasses or dust goggles. 2. Provide fans for ventilation. 2. Fire/explosion 1. Prohibit smoking in work area. 2. Vacuum dust from work area after every shift. 3. Ensure an adequate number of fire extinguishers of the correct size and type are provided and that workers are trained in using extinguishers. WEEKLY CONSTRUCTION SAFETY MEETING Each 30 minutes meeting should include: 1. Contracting Officer/Specialist 2. Contracting Officer's Technical Representative (COTR) 3. Contracting Officer's Safety Representative (COSR) 4. Contractor's Safety Representative 5. Contractor's Superintendent 6. Guest AGENDA I. INTRODUCTION II. OLD BUSINESS III. NEW BUSINESS (such as employee safety concerns, PPE, or coordination with other crafts) A. Topics B. Events/Occurrences C. Injuries/Illnesses D. Results of Safety Inspections/Walkthroughs E. Construction Communiqués/Lessons Learned and Issues IV. CONTRACTOR'S SAFETY REPRESENTATIVE V. OTHER Superintendent: Date: COSR: Date: COTR: Date: AMD Safety Form-01 (Jan. 09) CONTRACTOR'S SAFETY MEETING Contract No.: Sign-In Roster Date: Topics 1. 6._____________________________ 2. ______ 7._____________________________ 3. 8._____________________________ 4. 9._____________________________ 5. 10._____________________________ Name (Signature) Badge No. Comments/Safety Concerns/Training Requests Superintendent Name (Print): Superintendent Signature: COSR Name (Print): COSR Signature: COTR Name (Print): COTR Signature: AMD Safety Form-02 (Jan. 09) SAFETY PLANNING SIGN-OFF I have read the attached Activity Hazard Analysis attachments and understand the hazards associated with this job. Pre-job meeting - general Other (specify) ________ Energized work permit pre-job Confined space pre-entry meeting Fall protection work plan Asbestos work plan Contract Number: Job Location: Date Contractor Name (Print) Signature Superintendent Name (Print): Signature COSR Name (Print): Signature COTR Name (Print): Signature AMD Safety Form-03 (Jan. 09) CONTRACT SAFETY ANALYSIS (Cover Page of Contractor's Accident Prevention Plan) DATE: Prepared by: Project No: Task Order/Contract No: Area/Bldg: Work Scope/Description: Primary Secondary Emergency Contact Person(s) Emergency Radio/Phone No: Specific Work Location(s) Various Pre-job Walkthrough Conducted: Yes No Yes No Reference Yes No Reference 1.Radiological Area Work × ¤ 10CFR 835 13. Electrical Hazard × ¤ □ 29 CFR 1926, Subpart K 2. Hazardous Waste Operations × ¤ 29 CFR 1910.120 14. Asbestos Work × ¤ □ 29 CFR 1926.1101 3. Confined Spaces × ¤ □ 29 CFR 1910 Subpart J 15. Lead Work × ¤ □ 29 CFR 1926.62 4. Hot Work × □ 29 CFR 1926 Subparts F&J 16. Hazardous Materials × 29 CFR 1926 Subpart Z 5. Roof Work ¤ 17. Respiratory Hazards × 29 CFR 1926 Subpart E 6. Fall Hazards (>6 ft.) × □ 29 CFR 1926 Subpart M 18. Noise Dose × 29 CFR 1910.95 7. Excavation/Trenching ¤ □ 29 CFR 1926 Subpart P 19. Heat Stress 29 CFR 1926 8. Scaffolding × □ 29 CFR 1926 Subpart L 20. Demolition □ 29 CFR 1926, Subpart T 9. Aerial Lifts × □ 29 CFR 1926 Subpart N × = Requires formal/special training ¤ = Requires a permit/form/report □ = Requires certification or competent/qualified person designation 10. Heavy Equipment × □ 29 CFR 1926 Subpart O 11. Lock and Tag × ¤ □ 29 CFR 1926 Subpart G 12. Site/Vehicle Traffic 29 CFR 1926 Subpart O SPECIFIC HAZARD ANALYSIS AND SAFE WORK REQUIREMENTS A detailed discussion of the unique hazards to the work activity/location, including those noted above, will be provided on the Activity Hazard Analysis (AHA). This discussion must include identification of the work activity, the specific hazards present, and the safe work requirements/controls (including PPE) to be used to alleviate/control the hazard(s). MINIMUM DRESS/PPE REQUIREMENTS: Substantial Footwear, Long Pants, Shirt with Sleeves Does further evaluation of the job steps, associated hazards, or safety measures need to be performed? Yes No Supervision: Date: Activity Hazard Analysis - Continuation page Project No: Task Order/Contract No: COSR Signature: COTR Signature: AMD Safety Form-04 (Jan. 09) CONTRACTOR ACCIDENT REPORT ___________________________________________________________________________ CONTRACTOR EMPLOYEE'S NAME: ___________________________________________ Last First M.I. NAME OF COMPANY: ________________________________________________________ ADDRESS: _______________________________________________________________ SUPERVISOR: _______________________________________________________________ DATE & TIME OF ACCIDENT: _______________________________________________ DATE & TIME FIRST REPORTED: _____________________________________________ LOCATION OF ACCIDENT: __________________________________________________ DESCRIPTION OF INJURIES_________________________________________________ ___________________________________________________________________________ MEDICAL SERVICES REQUIRED:_________YES________NO NAME OF DOCTOR OR HOSPITAL:______________________________________________ ACCIDENT DETAILS (CONDITIONS, MACHINERY, EQUIPMENT, MATERIALS, WEATHER, OTHER PERSONNEL INVOLVED) _____________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ WITNESSES _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________ ________________________________ Superintendent Signature Date COTR Signature Date ____________________________________ _______________________________ Contractor Safety Representative Date COSR Signature Date (Original copy to Contractor, copy to CO, COTR, COSR) AMD Safety Form-05 (Jan. 09) IMMEDIATE HAZARD REPORT Identified Hazard: Date: Name of Employees Removed from Area Badge No. Recommended Corrective Action: Action Taken Hazard Resolved □ YES □ NO □ YES □ NO Signatures: Date: Contractor's Safety Representative: COSR: COTR: AMD Safety Form-06 (Jan. 09) CFMO/EMSS/Plant Safety Inspection Log Sheet Date/Time: ______________ If outdoors, weather & temp: _________________ Contractor: _______________ Project/Location:_______________________ Contract Number: _____________________________ Inspected by (COTR/COSR signature): _______________________________________ VIOLATION: OSHA SAFETY PLAN EPA OTHER Cite specific violation reference (i.e., OSHA 29 CFR 1926.100(a)) Contractor Safety Rep on jobsite (Y/N) _____ Contractor Superintendent on jobsite (Y/N) ____ Contractor Rep (not a subcontractor rep) who received hand-delivered violation from COTR: Name: _________________________________Date/time:__________________________________ Remarks: ____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Request corrective action in writing by (date): ______________________ Date/time that violation notice was hand delivered to Contracting Officer: _________ REINSPECTION DATE: __________________ VIOLATION: Corrected Failed: Remarks: _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Request corrective action by (date):______________________ 2nd REINSPECTION DATE: ___________ VIOLATION: Corrected Failed: Date/time that contractor was notified that violation has been corrected: ___________________________ Date that "corrected" violation notice was hand delivered to Contracting Officer: ____________________ COTR's Closeout signature: __________________________ Date: ________________ AMD Safety Form-07 (Jan. 09)
 

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