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HomeMy WebLinkAbout2014 Bids & RFQ General Contractor for Manager- Jackson, Submittal • . Ifc�C�(.SOIZ CONTRACTOR GROUP,INC. www jacksoncontractorgroup.com March 20, 2014 City of Bozeman Office of the City Clerk Attn: Chuck Winn,Assistant City Manager P.O. Box 1230 Bozeman, MT 59771-1230 RE: GC/CM RFQ, City of Bozeman, Police and Municipal Courts Facility Mr. Winn, Jackson Contractor Group, Inc. (JCG) is honored to respond to the Request For Qualifications for this keystone project for the City of Bozeman. As evidenced within the attached RFQ Jackson Contractor Group (JCG) stands out from the competition for the fol- lowing characteristics: • Preconstruction Knowledge—JCG is committed to a completely integrated team providing continuous,su- perior preconstruction efforts with our dedicated and experienced construction professionals. • GC/CM Experience—JCG has completed many successful projects with this delivery method. It fosters a proactive, team approach where all team members are working toward common goals. Project success is driven by the people involved in daily project activities. • Municipal Experience—Municipal buildings are unique in that they serve a variety of functions to a variety of people.JCG has many successful experiences working on municipal buildings and with their occupants. Currently,we are working on the Missoula County Courthouse. We look forward to discussing our company and this project with you further. If you should have any questions, please do not hesitate to contact me, Mark Kobos, either by phone,406-542-9150,or email, markk@jacksoncontractorgroup.com. Best Regards, M*Kobos, LEED AP BD+C, Vice President Jackson Contractor Group, Inc. Phone:406-542-9150 P.O.Box 967 Missoula,MT 59806 Fax:406-542-3515 Phone:406-234-5565 P.O.Box 1298 Miles City, MT 59301 Fax:406-234-5566 Phone:406-577-2772 1230 W.Main Street Bozeman,MT 59301 Fax:406-542-3515 1. GC/CM Firm Information JUKAffon CONTRACTOR GROUP,/NG a. Submitter must demonstrate successful experience and capacity to act as a general contractor on �roiects of similar size, type and complexity. Billings Public Library Proiect Similarities Project Size: $15.3 million ✓ Size ✓ Type 63,000 SF ✓ Complexity Jackson Contractor Group, Inc. (JCG)just finished the con- struction of the new 63,000 SF, $15.3 million public library, in downtown Billings, Montana.The building will house reading and study spaces, as well as normal li- brary functions, along with offices, administration space and community areas. Many challenges of the downtown location were overcome to maintain an aggres- sive work schedule and insure community support without disturbing the surrounding businesses and community. Scope of work includes the demolition of the old library and added parking facilities.This project is anticipated to be LEED Gold certified. Fairchild Air Force Base—Wing Protect Similarities Headquarters ✓ Type ✓ Complexity A� Project Size: $11.4 million �,m 27,000 SF �Qum;--� ,,. JCG is currently finishing a design-build project on the Fairchild Air Force Base in 1� Y Spokane,Washington.The building is a new construction project that includes - offices for military personnel, courtrooms, holding cells, common areas and depart- - ment headquarters.This project includes extensive site work with strict access requirements while working within the confines of a government military base. Missoula County Courthouse Remodel Proiect Similarities '. Project Size: $6.o million ✓ Type ✓ Complexity E zi,000 SF JCG recently completed a complex renovation for the \ �_ County of Missoula. Work included demolition of first and second floor spaces, interior reconfiguring of offices aces and court support g i; p areas, 911 department renovation, new generator and generator building, electrical and mechanical up- grades, and interior finishes. JCG also renovated the sheriff's department, court- rooms, made upgrades to the structure of the clock tower and upgrading their current holding cell facilities. Complex phasing was required to accommodate the daily functions of the courthouse and supporting services. Phase 3 of the office remodel will commence soon and the entire renovation is slated for completion in 2015. City of Bozeman—Police& Municipal Courts Facility March 20,2014 i. GC/CM Firm Information Jackson CONTRACTOR GROL/P,LNC. a. Submitter must demonstrate successful experience and capacity to act as a general contractor on projects of similar size, type and complexity. University of Montana—Phyllis J. Washing- Project Similarities ton Education Center ✓ Type ✓ Complexity Project Size: $ii.5 million 56,700 SF New Construction, 6o,000 SF Renovation The Phyllis J. Washington Education Center is the first of its kind in the nation. It _ houses education programs and 21st century technology. In the heart of the Uni- versity of Montana campus,JCG constructed the new three story, 27,000 SF educa- tion center and renovated select spaces (29,700 SF)within the existing building as well as completed extensive site grading, landscaping, pedestrian walkways and additional parking. Garlington Lohn Robinson Office Building Proiect Similarities Project Size: $ii.o million ✓ Type 52, o0o SF ✓ Complexity •� The Garlington Lohn & Robinson office building is a new o_� 7izf six-story office facility located in downtown Missoula, Montana. Jackson Contrac- tor Group, Inc. (JCG)was chosen as the construction manager at risk for the project ' and was engaged early in the design process. JCG was able to expedite the con- struction schedule by fast tracking the design process to facilitate an earlier start date. The building received a LEED Gold rating from the U.S. Green Building Council and utilized not only environmen- tally sensitive construction practices, but very efficient energy modeling, design and finish choices. Malmstrom Air Force Base—Community Proiect Similarities ✓Activity Center Type Complexity Project Size: $7.i million z6,000 SIF The new Community Activity Center on the secure military base, Malmstrom Air Force Base was a collaboration with the U.S. Army Corps of Engineers including offices,food service facilities, blast resistant windows, community meeting and activity rooms,and secure storage areas. The facility is a family friendly center for our military personnel and their families.The campus required background checks, Site Safety Health Officer and Con- tractor Quality Control System Manager.The project was constructed under LEED requirements for the Silver Level. Jackson Contractor Group, Inc. met and exceeded all of the challenges and specific requirements needed for this unique project on the military base in Great Falls. City of Bozeman—Police& Municipal Courts Facility March 20,2014 i. GC/CM Firm Information .Jackson CQNTRAEMR GROUP,INC. a. Submitter must demonstrate successful experience and capacity to act as a general contractor on )roiects of similar size, type and complexity Rocky Mountain Laboratories—Past Proiect Similarities Concurrent Work ✓ Size Project Size: $15.3 million(combined) ✓ Type _- ✓ Complexity i,;_ €� �� Building #31, Building #32, Generator Replacement ;y R _ ' Jackson Contractor Group, Inc. (JCG) has done several projects at the Rocky Moun- tain Laboratories at the Hamilton, Montana campus. Projects have included the , new construction of Building#31, a blast resistant 30,000 SF, bio-safety level II la- - boratory and administrative facility, Building#32, a 4,000 SF vivarium following the National Institute of Health guidelines.JCG has also performed generator replacement, heating,ventilating,and air conditioning system upgrades, autoclave system replacement, remodeling of laboratory and darkroom in Building 3, and the total renovation of Building#7. All work was completed while facilities were is full operation and with minimal disruption to laboratory personnel and constructed under strict quality control standards. Rocky Mountain Laboratories—Current Proiect Similarities Work ✓ Type ✓ Complexity Project Size: $13.3 million(combined) Incinerator Scrubber Re placement, Generator Relocation& Bldg. #27 Expan- k ``.� sion, Security Upgrades : $ 4W Currently,JCG is working on several projects at the Rocky Mountain Laboratories at — the Hamilton, Montana campus. These projects include various, highly technical, upgrades and expansions.The campus is secure with many phase scheduling plans to ensure the most effective and efficient work load possible through our projects on the RML campus. University of Montana—Native American Proiect Similarities r Studies Center ✓ Type ✓ Complexity Project Size: $6.5 million 30,000 SIF The Native American Studies Center(NASC) on the University of Montana— Missoula (UM) campus is a unique combination of bringing the heritage of the past into the future. This building is the first in the nation to be built to accommodate a Department of Native American Studies and an American Indian Student Services office. It houses classrooms, meeting ireas and community spaces. Adjacent to the oval of the UM campus,JCG performed the rough carpentry,concrete foundations,finish carpentry and interior specialties.This project maintained an aggressive schedule, most of that time during the active school year. JCG was able to exceed the expectations of owners,faculty, and students. NASC is certi- fied LEED on the Platinum Level. City of Bozeman—Police& Municipal Courts Facility March 20,2014 :L. GC/CM Firm Information .JacI son CONTRACTOR GROUP,►NC. a. Submitter must include evidence of current Montana construction contractor registration in the RFQ response. Jackson Contractor Group, Inc. is registered in the state of Montana to conduct business. Our State of Mon- tana Contractor Registration certificate is below. 1 T 1 � I STATE OF MONTANA DEPARTMENT OF LABOR St INDUSTRY Ti CONSTRUCTION CONTRACTOR REGISTRATION UNIT CERTIFICATE OF CONTRACTOR REGISTRATION 50924 REGISTRATION No. JACKSON CONTRACTOR GROUP INC PO BOX 967 MISSOULA, MT 59506 Effective Date: Dec 03,2012 Expiration Date: Dec 02,2014 Employer Additional infonnatiotn on hack Pleast notify This agency of nay changes within io days City of Bozeman—Police&Municipal Courts Facility March 20,2014 :L. GC/CM Firm Information Jackso ? CON7RAC7DR GROUP,INC. b. Firm Background:describe your firm-s history. Include information identifying the firm's annual vol- Ime_of business, financial/bonding capacities, firm-s stability in the marketplace. JCG History: Below are the annual revenues of JCG over the past Jackson Contractor Group, Inc. (JCG) was established several years. in 2000, by its current President, Doug Jackson. As you can see from our annual revenues outlined, we have grown rapidly over the past years, while en- ; hancing our solid reputation. Beginning in 2005, we have added three equity owners to our team, Mark Million Kobos and Greg Hebner as Vice Presidents, and Bill • Simmel as our Chief Financial Officer. The unique quality that JCG has over many other Montana based $33.0 Million general contractors is our executive team has experi- :$31.0 Million ence gained from previous employment outside of Montana. This experience has allowed JCG to pro- vide the highly technical and sophisticated construc- tion management services typically found in more urban environments, while staying connected to our Financial/Bonding Capacities: Montana roots. JCG continues to increase our bonding capacity eve- People, Our Greatest Resource: ry year which is a testament to our financial strength and stability. Currently we have a bonding With over 100 employees, including craftspeople, JCG capacity of $45 million/project and a $90 million has the depth of resources to put the right people on plus aggregate program. the City of Bozeman project. The below graph depicts the make-up of our company management team. Banking Reference; Mrs. Kay Clevidence, President Farmers State Bank i JCG Employee Classification 406-642-2265 14 Stability in the Marketplace: iZ Throughout our thirteen year history,JCG has main- 10 ------ tained a strong controlled growth. We continue to g --- ----- - add key personnel with diverse construction experi- 6 - - -"-- - ence,which shows our commitment to stability and l4 I - - - success given our growth. Recently we have added 2 — -- -- two additional offices, one in Mile City and one in Bo- I o zeman. This provides more stability for our personnel Project Manages Superintendents Project Engineers Administrazive E�cutive working across this great state. Additional,JCG has been with the same bonding agent, Mr. John Leaf of HUB International since the beginning. We ask that you call Mr. Leaf at 406-771-9970 for reference to our JCG Annual Business Volume: financial stability. City of Bozeman—Police& Municipal Courts Facility March 20,2014 1. GC/CM Firm Information Jackson CONTRACTOR GROUP,lNC. b. Information identifying the firm-s strengths and weaknesses, along with special capabilities that may be appropriate to the Proiect will assist in the evaluation. JCG Strengths: Special Capabilities: • Our people; no one cares more about our clients JCG was one of the first Montana contractors to fully or their projects. embrace sustainable construction. We currently • Preconstruction services, with our diverse project have six LEED Accredited Professionals and five LEED experiences and personnel we can bring the most Green Associate on staff with several additional staff value and benefit to the team. members in the process of accreditation. • JCG has the valuable experience and systems of a large national company in a local organization. JCG is always looking for unique ways to improve our • JCG has the ability to self perform work to achieve business. This forward thinking approach allows us to the end goals of the entire project team. be a leader in utilizing new technologies or systems. • JCG understands the GC/CM process for public Whether it is building information modeling (BIM), 3D entities as defined by Montana statute. scheduling, prefabrication, or lean construction we are always looking for value added solutions to im- • JCG utilizes a job specific quality control program prove the construction delivery process. tailored after the US Army Corp of Engineers QC/ QA program. • JCG strictly enforces our safety program. We preach accountability and will provide the safest project site possible, no exceptions. JCG Weaknesses: Having only been in existence for thirteen years, JCG is a relative newcomer to the Montana construction industry. We do, however, employ the most diverse and experienced construction professionals in the re- gion. 1 _ s ♦ M City of Bozeman—Police& Municipal Courts Facility March 20,2014 A 1. GC/CM Firm Information .9ackoon CONTRACTOR GROUP,INC. C. Who are the preferred bonding company? i. Provide their name, phone and email contact information ii. Are they your exclusive source for bonds? His How long have you used them? iv. If less than five years or not your exclusive source, name all other used in the last five years V. Provide name phone and email information for each vi. Will you use them for this project? See attached letter from our bonding agent in regards to our bonding capacity under tab 2. Bonding Capaci- ty. Mr.John Leaf of HUB International is our bonding agent and can be reached at 406-771-9970, or email, john.leaf@hubinternational.com. HUB International is our exclusive source for bonds and we have been with them since inception. We ask that you call Mr. Leaf for reference of our financial stability. We will be using HUB International for this project. d. In the last ten years, have you (if you answer "yes'; provide full explanation): L Had a settled or pending claim against your payment or performance bond? ii. Had your contract terminated on a project? iii. Been declared in default on a project? iv. Been assessed liquidated damages in excess of$5,000? V. Taken legal action or dispute resolution proceedings of any kind against an Owner? No,Jackson Contractor Group, Inc. has not had a claim against our performance bond, been terminated from a project, been declared in default, been assessed liquidated damages, or taken legal action against an owner. p / City of Bozeman—Police&Municipal Courts Facility March 20,2014 z. Bonding Capacity Jackson CONTRAEMR GROUP,/NE. Provide proof of bonding capacity. The Submitter must be capable of providing 100%performance bond _nd 100%payment bond for a project valued up to$20 million construction costs as document by a letter or binder from a surety licensed to conduct business in Montana, submitted with the RFQ response The surety's letter must indicate that the respondent is capable of obtaining a performance bond and a pay- ment bond for the Proiect. Letters indicating "unlimited"bonding capability are not acceptable The letter must include a specific statement that the surety has reviewed this RFQ and evaluated the re- spondent's backlog and work-in-progress in determining its bonding capacity. The GC/CM must be capable of obtaining payment and performance bonds in the amount of$20 million, from a surety with an A.M. Best's Rating Service classification. Libert Mutual SURETY Marianne Luft,AFSB Underwriting Speeiahst W1I 411.Avenue,Suite 13(t) Seutic,i\'A 98154 Telephone-2064-3.4342 March 14.21)14 City of Bme nan Office of the City Clerk P.O.Box 1230 Bozeman,bfI' 59771-1230 Re:Jackson Contractor Group,Inc. RFQ—GC/Chl Services—Police and\lunicipal Courts Facility.Bozeman,M1- Contract Estimate: $211 million To Whom It May Concern: Jackson Contractor Group,Inc.is a highly regarded and slued client of]rbem Dlutual Sum% since 2(N)5. liberty Mutual Insurance Company is rated A\5'by A.M.Best and is listed in the 1'remury Department Circular 570 in the amount of S1,216,960,raKi. Liberty Mutual Surety is authorized to transact busmcss m the State of l fontana. It is our understandatg that Jackson Contractor Group,Inc.is responding to an RFQ for the captioned project As requested in the RFQ,we have reviewed its contents and Jackson Contractor Group''s backlog. liberty Mutual Surety all consider surety support for projects up to$45 million single size and S90 million agKregate work program on behalf of Jackson Contractor Group.Inc. We consider Jackson Contractor Group,Inc.to be an extremely capable general building contractor with a string track record of performance. We offer our highest recommendation rat behalf of our client. Naturally,consideration of surety support for any project and subsequent issuance of bonds is subject to all underwriting enteria being met at the time and is subject to the surety's acceptance of the final contract terms and conditions. Should you have any questions,please do not hesitate to call. .Sincerely yours, '1 jC�.�lCl I&LuL- harianne Luft,AFSB Underyxuting Specialist City of Bozeman—Police& Municipal Courts Facility March 20, 2014 3. Safety .Jackgon CONTRACTOR GROUP,INC. Each submitter shall provide at least two examples of a written proiect site safety plan for previously com- pleted projects that comply with all applicable local, state, and federal laws and which detail safety measures to be undertaken to ensure prevention of accidents and the protection of persons and property from damage, injury, or loss. The plans must demonstrate how the submitters ensured compliance with its safety plans by its employees, agents, and subcontractors. Please see Exhibit A for examples of our project site safety plans. Example 1:Missoula County Courthouse Phase 2 Office Remodel Example 2:Fairchild Air Force Base, Wing Headquarters Each submitter shall provide at least two examples of a written proiect site plan addressing storm water pollution prevention. Please see Exhibit B for examples of our project site plans addressing storm water pollution prevention. Example 1:Fairchild Air Force Base, Wing Headquarters(SWPPP Plan) Example 2:Montana State University, North Hedges Residence Suites(SWPPP Plan) Example 3:Missoula County Courthouse, Phase 2(Erosion&Sedimentation Control Management Plan) each submitter must also provide pertinent information regarding its safety record by, at a minimum, stating whether any state or federal agency responsible for occupational safety, such as OSHA (or any state or local equivalent), has cited or assessed penalties against the Submitter for any serious, willful, or repeat violations of its safety or health regulations during the past five years. If so the Submitter must provide a separate attached signed page describing the citations, including information about the dates of the cita- tions, the nature of the violations, the project on which the citation (s) was or were issued, and the amount of the penalty paid, if any. Jackson Contractor Group, Inc. has not had any serious, willful, or repeat violations of its safety a or health regulations by a state or federal agency in the last past five years. City of Bozeman—Police& Municipal Courts Facility March 20, 2014 61 4. USGBC LEED Certification Jackson EIIAMMEMR GROUP,/NE. Have successfully completed a minimum Silver Certified new building through USGBC With six projects currently LEED certified and an additional five projects in process of certification,JCG is very familiar with the unique requirements of LEED construction. We have the systems in place to maintain the level of detail required by the LEED submittal process and personnel versed in the strategies and _ implementation processes to � r complete a successful project. Six of our employees have their LEED AP U credentials, five of our employees PAYNE FAMILY NATIVE AMERICAN CENTER have their LEED Green Associate Doug Jackson credentials and several others are in PLATINUM the process of gaining LEED J J JJJ credentials. GSCI GREEN BUILDING CERTIFICATION INSTITUTE William Fritz JACKSON CONTRACTOR GROUP --1 CORPORATE HEADQUARTERS MSsovia.Monl3na I JJJ ',I JJ7 GREEN BUILDING CERTIFICATION INSTITUTE Thomas Morlan %e1 Oct.-2010 GARLINGTON,LOHN&ROBINSON OFFICE BUILDING ' •• i •.aa.ww oPo[a.[aqua aa[.••m i - ...s:•"••.'^-• aaw•+ma[[aros.na[[u•wam•um• a..,.•aa•w a.wsraam• Z 1—2011 Oro oPow.wm.aaw..[.,,ea ar..+y.a n.rte m aws[e..�.a w[eao• NIH/NIAID ROCKY MOUNTAIN LAB BLDG 7 Mammon.MN4na -, L..... ,. .. pull W 0.wo. .veape•nE �.bav°�•a��ewaM a.c[ke.w ��"��a� wh[rt•nneW[tl b wmvf IFs w aM•1![0 ypaa ..o..we%H Ww/n),O,vian,V�ar�WSv+[wn-. y� MONTANA STATE HOSPITAL ADMINISTATION ANNEX urm San[gs..nmau S I Lv R ZDecember 2011 City of Bozeman—Police& Municipal Courts Facility March 20,2014 5. Specific Project Requirements Jarkson COWRAEMR GROUP,INC. 17. Submitter should provide evidence of successful experience and capacity to act as a GC/CM on simi- .ar projects greater than the$20 million construction value Include contact information for the owners and designers familiar with your work on each project Also include photographs of the projects referenced if possible. (Scored from a total of 15 points) $20 Million Construction 'Only represents prolects In excess of 510,000,000 Projects: JCG Team SJgnJjkartExperience Project Name "ad Location ProjectVdue DOUGIACKSON Boeing IASL 777 Laboratory Seattle,WA $ 117,000,000 $20 Million dollar plus projects are President Lonestar Concrete Facility Dupont,WA $ 35,600,000 Stone Container FOP Missoula,MT $ 29,100,000 few and far between in the State, Project Responsibilities: Millenium Building Missoula,MT $ 13,500,000 Senlor Estimator Hellgate Elementary Missoula,MT $ 11,700,OD0 many of the key personnel that GREGHEBNER U.S.Embassy Berlin,Germany $ 89,000,000 would be assigned to the Bozeman WcePresident Denver Pavilions Denver,CO $ 55,000,000 Four Seasons Resort Carlasbad,CA $ 51,000,000 Police and Municipal Courts Facility Project Responsibilities: 10th Special Forces Compim Cola.Springs,Co $ 48,000,000 have comY�leted projects in excess of Pre constructionManoger/Piojed U.S.ConsulateComplex Cape Town,RSA $ 42,000,000 p pro J Executive Ft.Carson Ralbyard Facility Colo.Springs,CO $ 21,000,000 $30 million prior to joining the JCG Satellite Control Facility Colo.Springs,CO $ 19,800,000 Rocky Mountain Lab Projects Hamilton,MT $ 18,000,000 team. It is that diverse type of em- Billings Public Library Billings,MT $ 15,300,000 Wing Head uatersOfficeBuilding Spokane,WA $ 12,300,000 ployees and experiences that makes Phyllis J.Washington Education Bldg Missoula,Mr $ 11,500,000 JCG unique and fully capable. operational support Facility Colo.Springs,CO $ 10,100,000 NICK VAN TIGHEM Rocky Mountain Lab Projects Hamilton,MT 5 18,000,000 Project Manager Lewis&Clark Village,Univers'rtyof MT Missoula,MT $ 14,800,000 Project Responsibilities: Project Manager MIKE CHASE The Village at Winter Park-4&5 Winter Park,CO $ 43 100,000 Project Manager Marrict Residence Inn Denver,CO $ 33,100,000 NWE Project Responsibilities: The Museum Residences Denver,CO $ 21,800,000 Project Manager Billings Public Library Billings,MT $ 15,300,000 BILL FRITZ Coalinga State Hospital Coalinga,CA $ 318,007000 Operations Manager Disney Paradise Pier Anaheim,CA $ 112,000,000 82rona Valley Casino San Diego,CA $ 110,000,000 Project Responsibilities: The Mark Condominium San Diego,CA $ 85,000,000 Generatsuperintendent Ontario Airport Expansion Ontario,CA $ 85,000,000 P405 Home Port Ashore San Diego,CA $ 70,000,000 GEO West Design/Build Adelanto,CA $ 65,000,000 Hotel Indigo San Diego,CA $ 65,000,000 Taft FCU Taft,CA $ 60,000,000 Scripps Molecular Medicine La Jolla,CA $ 53,000,1)00 CorballisWaterTreatmerR Hemdon,VA $ 40,000,000 GED East Design/Build Adelanto,CA $ 25,000,000 Sharp Chula Vista Design/Build Chula Vista,CA $ 13,000,000 Missoula County Courthouse Missoula,MT $ 12,000,000 Sharp Memorial Design Assist San Diego,CA $ 10,000,000 DANARNOLD Goose Creek Correntlonal Facility Point Mackenzie,AK $ 240,000,000 Superintendent Ted Stevens Airport Parking Garage Anchorage,AK $ 75,000,000 Art Museum Reno/Expansion Anchorage,AK $ 70,000,000 Project Responsibilities: 14 Story Office Building Anchorage,AK $ 62,000,000 Project Superintendent Valley Native Heritage Center Hospital Wasilla,AK $ 38,000,000 Providence Art Institute Anchorage,AK $ 54,000,000 Parking Garage-Providence Art Institute Anchorage,AK $ 32,000,000 Change Point Church Anchorage,AK $ 20,000,ODO RICH MILENDER Convention Center Exp Hotel Denver,CO $ 258,000,000 Production/Planning Manager Civic Center Office Building Denver,CO $ 130,000,000 Project Responsibilities: Morgensen Residence Greeley,CO $ 15,000,000 Design Liaison Garlington Lohn&Robinson I Missoula,MT $ 11,000,000 BRIANBECK USNavy Processing&Storage Complex Silverdale,WA $ 240,000,000 Project Engineer PAR 1085 Improvements Denver,CO $ 135,000,000 Project Responsibilities: Project Engineer CLINTONKAUFFFMAN Billings Pu blic Library Billings,MT $ L5,300,000 Assistant Superintendent Garlington Lohn&Robinson Missoula,MT $ 11,000,000 Project Responsibilities: Hellgate Elementary Missoula,MT $ 11,700,000 Assistant Superintendent Total Project Team Experience: $ 3,287,000,000 Average Project Size: $ 59,763,636.36 City of Bozeman—Police&Municipal Courts Facility March 20,2014 S. Specific Project Requirements Jackson CONIRAC7IlR GROUP,INC. b. Submitter should provide evidence of successful experience to act as a construction manager and general contractor on State, local government or similar institutional projects. Include contact information for the owners and designers familiar with your work on each proiect. (Scored from a total of 10 points) Billings Public Library -- Owner Contact: Architect Contact: Bill Cochran, City of Billings Don Olsen, 02 Architects 406-567-8292 406-259-7123 p ~ ' .�. cochranb@ci.billings.mt.us dono2architects.net Fairchild Air Force Base— Wing Headquarters Owner Contact: Architect Contact: John Reid, USACE Dan Callan,Tetra Tech 509-244-5571 x-1232 206-883-9452 dan.callan@tetratech.com Irmo i Greg Zoeller, USACE - 208-667-7025 x-1110 t a National Guard Readiness Center Owner Contact: Architect Contact: Al Brainard, Dept. of Mil. Affairs Kris Koessl, A&E Architects 406-324-3106 406-248-2633 aIlan.j.brainard.nfg@mall.mil kkoessl@aearchitects.com e;-0vS�`?,cif "x''� •� 1� T 111 Missoula County Courthouse \ Owner Contact: Architect Contact: t ' Larry Farnes, Facilities Manager Paul Filicetti, A&E Architects 406-258-4756 406-721-5643 ~ p"' Ifarnes@co.missoula.mt.us pfilicetti@aearchitects.com r l City of Bozeman—Police&Municipal Courts Facility March 20, 2014 5. Specific Project Requirements Jackson CONTRACTOR GROL/P,/NC. b. Submitter should provide evidence of successful experience to act as a construction manager and 4neral contractor on State, local government or similar institutional proiects. Include contact information for the owners and designers familiar with your work on each proiect. (Scored from a total of 10 points) University of Montana— Phyllis I Washington Educa- tion Center Owner Contact: Architect Contact: i Scott Gilder, OZ Architects Brad Evanger, Planning & Const. 406-243-4180 406-728-3013 brad.evanger@mso.umt.edu sgilder@oza.com &WNW � University of Montana— Native American Studies Center '4 Owner Contact: Architect Contact: Jameel Chaudhry, Planning & Eric Simonsen, A&E Architects Const. 406-248-2633 406-243-5576 esimonsen@aearchitects.com Jameel.chaudhry@mso.umt.edu Malmstrom Air Force Base— Community Activity Center Owner Contact: . q Mark Jefferson, Contracting Of Architect Contact: ficer Bill McLaughlin, MAFB PE 406-731-4014 406-731-6220 mark.jefferson@maimstrom.af.mil william.mclaughlin@malmstrom.of.mil Rocky Mountain Laborato- nes—Past Concurrent Work Owner Contact: Architect Contact: Jack Veldboom, NIH Frank di Stefano, Architects De- �` 406-363-9230 sign Group r- 406-257-7125 jack.veldboom@nih.gov _ fjdistefano@architects-design-group.com City of Bozeman—Police& Municipal Courts Facility March 20,2014 5. Specific Project Requirements JaCkGROl? CONTRACIDR GROUP,/VC. b. Submitter should provide evidence of successful experience to act as a construction manager and general contractor on State, local government or similar institutional projects. Include contact information for the owners and designers familiar with your work on each project (Scored from a total of 10 points) a - Rocky Mountain K- Laboratories—Current Work r Architect Contact: Owner Contact: Glen Anacker, Architects Design Jim Parr, NIH Group p 406-257-7125 parrj@mail.nih.gov ganacker@architecfs-design-group.com ® • Montana State Hospital— Warm Springs Owner Contact: Architect Contact: Tracy Thun, Director Marina Little, Slate Architecture ' trthun@mt.gov 406-457-0360 maiinal@slatearch.com ' Montana State Prison— Deer Lodge ' Owner Contact: Architect Contact: is Chris Ames, State of MT Mike B r u ke, HGFA Architects 406-431-0359 406-248-7811 comes@mt.gov mburke@hgfa.net p Montana Mental Health Nursing Care Center Owner Contact: Architect Contact: Russ Katherman, State of MT Mike Burke, HGFA Architects �;- 406-444-3104 406-248-7811 rkatherman@mt.gov mburke@hgfa.net City of Bozeman—Police& Municipal Courts Facility March 20,2014 691 5. Specific Project Requirements Jackson CO/VTR WTGR GROUP,INC. C. Submitter should provide evidence of experience and capacity to act as a construction manager and jeneral contractor on similar projects requiring strategies to successfully complete construction within diffi- cult staging and materials handling environments Submitter should include a list of potential strategies and/or a sample schedule. (Scored from a total of 15 points) JCG is very adapt and has extensive experience at constructing projects similar to this project within a limited site area and difficult access. Recent projects that had these similarities where successful strategies were implemented are. • Payne Family Native American Center, University of Montana, Missoula • Phyllis J. Washington Education Center, University of Montana, Missoula • Garlington, Cohn and Robinson office building, Downtown Missoula JCG's key strategies were site/space utilization: every square inch of the site must be utilized to its fullest extent to minimize the area that is required. All aspects of the project must be considered when developing the site utilization plan (construction access, student/public access, safety, security, equipment, lay down, storage, etc.) This is accomplished through planning up front and phasing the re- quirements for the site as the project conditions change. Just-in-Time delivery of _ materials and equipment as well as some off site storage are strategies that we have Payne Family Native American .lad success with and will implement on this project. Center,University of Montana Both Phyllis J Washington Education Center and the Payne Family Native American Center were constructed in the "Heart of Campus" with one on the memorial grove plaza and the other on the Oval. Through the use of temporary access roads, ex- isting landscape protection, phasing the site work and continuous planning and communication both projects were successfully constructed with the utmost satis- faction from the clients. Additional evidence of our meticulous planning and scheduling was apparent in the successful completion of the Garlington Lohn Robinson Office building. Due to site constraints, resources and equipment limitations, public safety, and work re- strictions of downtown Missoula, several material delivery and construction activi- ties took place off hours including nightshifts. JCG was able to expedite the con- struction schedule by phasing the design process to facilitate an earlier start date. Please see Exhibit Cfor an example of the Garlington Lohn Robinson Office Building schedule. ":..Their teamwork(amongst themselves and with us)and attention to detail were instrumental in creating this magnificent new facility[Phyllis L Washington Education center]." -Dr.Roberta D. Evans,Dean College of Education and Human Sciences,University of Montana City of Bozeman—Police& Municipal Courts Facility March 20,2014 681 5. Specific Project Requirements Jackson COMRAC70R GROUP,INC d.__ Submitter should provide evidence of experience and capacity to act as a general contractor and construction manager on LEED certified building protects and/or projects utilizing sustainable systems/ strategies in construction. Submitter should include a list of LEED certified projects. (Scored from a total of 10points) Native American Studies Center—LEED Platinum • Sustainable Sites,Water Efficiency, Energy&Atmosphere, Materials& __� ;. Resources, Indoor Environmental Quality and Innovation and Design Jackson Contractor Group World Headquarters—LEED Gold • Construction Waste Management, Automated electrical fixtures, Green — Cleaning Products, Recycled Content, Regional Materials «, _____ Rocky Mountain Laboratories, Building #7 Renovation—LEED Gold • Innovation and Design for exemplary performance of Construction Waste - 4 Management, Indoor Environmental Quality ~` Garlington Lohn Robinson Office Building—LEED Gold �. • Sustainable Sites,Water Efficiency, Bike Network, Green Cleaning Pro- ` gram, Recycled Content, Regional Materials Old Faithful Haynes Photo Shop Renovation—LEED Gold • Sustainable Sites,Water Efficiency, Recycled Content, Regional Materials Montana State Hospital, Warm Springs—LEED Silver • Increased Water Efficiency, Recycled Content, Regional Materials r 1� lrt l�fyY L Projects Pending Certification • Montana State University Gallatin Hall Residence Suites • Fairchild Air Force Base—Wing Headquarters �'1 • • Billings Public Library • Missoula County Courthouse Renovation L E E n n City of Bozeman—Police&Municipal Courts Facility March 20, 2014 Kai Exhibit A—Site Safety Plans Jackman MNTR,gETBR&RDL/P,,FIVE. Example 1—Missoula County Courthouse, Phase 2 Office Remodel, Missoula, Montana City of Bozeman—Police& Municipal Courts Facility March 20, 2014 Missoula County Courthouse Phase 2 SITE SPECIFIC SAFETY PLAN 2xJ J ' J JCG SITE SPECIFIC SAFETY PLAN F . h ; [j� 's'c�cy� .t i$ 1�� ._ N.d �i ssou -la o u n ty -41 "e ✓'"��� {�w�- 1 44 house a t� „ i ' „j Job#2012m42 9/1/2012 Missoula County Courthouse Phase 2 SITE SPECIFIC SAFETY PLAN " TABLE OF CONTENTS 1.0 General Description of the Work 2.0 Operations to be performed by the Prime Contractor 3.0 Operations to be performed by Subcontractors 4.0 Safety and Health Enforcement 5.0 Protective Equipment 6.0 Sanitation and Medical Requirements 7.0 Emergency Plan 8.0 Safety and Health Indoctrination 9.0 Housekeeping 10.0 Correcting Safety and Health Violations 11.0 Monthly Safety Council 12.0 Pre-Phase Planning - Job Hazard Analysis (JHA) 13.0 Accident Investigation 14.0 Fire Prevention and Protection 15.0 Temporary Electrical 16.0 Equipment Inspection 17.0 Subcontractor Participation in Safety and Health Plan 18.0 Safety and Health Engineering Supervision 19.0 Company Site Specific Safety and Health Plan Missoula County Courthouse Phase 2 SITE SPECIFIC SAFETY PLAN l 1.0 GENERAL DESCRIPTION OF THE WORK The Site Specific Safety and Health Plan for the Missoula County Courthouse Phase 2 is designed to maximize full compliance with Jackson Contractor Group Safety and Health Reference Manual, the Occupational Safety and Health Act, and other safety policies and commonly accepted safe practices in the construction industry, to the end that, within the control of the Contractor, no one will be injured nor will equipment or property be needlessly jeopardized. To accomplish this purpose, responsibility for safety and health will be clearly defined, and performance will be accurately evaluated, recorded, publicized and criticized. Serious or repeated safety violations will be cause for serious reprimand or discharge. Control will be exercised constantly at all levels of responsibility. All accidents and near misses will be cause for investigation and remedial action. Participation in the Site Specific Safety and Health Plan will include all employees and Subcontractors, on a continual and organized basis, and safety and health will be the first consideration in the planning and performance of the work. 2.0 OPERATIONS TO BE PERFORMED BY THE PRIME CONTRACTOR It is anticipated that the following operations will be performed by Jackson Contractor Groups own forces. Along with each division of work, a preliminary list of associated hazards, including related control methods, will be outlined. This preliminary list will form the basis of a more detailed Pre-Phase Plan (see Section 12.0 of this Plan). 2.1 LAYOUT Hazards Controls a. Hazardous/flammable material Plan, indoctrinate, inspect b. Vehicles - equipment Plan, indoctrinate, inspect C. Other As required 2.2 CONCRETE WORK Hazards Controls a. Material handling Plan, indoctrinate, inspect b. Formwork (collapse) Plan, shore, inspect C. Scaffold, runway, etc. Plan, handrails, inspect Missoula County Courthouse Phase 2 L� --�12 SITE SPECIFIC SAFETY PLAN ' d. Equipment (cranes, etc.) Plan, indoctrinate, inspect e. Machinery and power tools Indoctrinate, inspect f. Other As required 2.3 CARPENTRY WORK Hazards Controls a. Roof area Handrails, safety harnesses warning lines, inspect b. Scaffolding Plan, handrail, inspect C. Tools Safety harnesses Indoctrinate, inspect d. Other As required 2.4 MISCELLANEOUS SPECIALTIES AND FURNISHINGS Hazards Controls a. General Indoctrination, inspection b. Other As required 3.0 OPERATIONS TO BE PERFORMED BY SUBCONTRACTORS It is anticipated that the following operation may be subcontracted. Along with each division of work, a preliminary list of associated hazards, including related control methods, will be outlined. This preliminary list will form the basis of a more detailed Pre-Phase Plan (see Section 12.0 of this Plan). 3.1 SITEWORK Hazards Controls a. Openings (falls) Rails, barricades, etc. b. Equipment Plan, indoctrinate, inspect preventative maintenance C. Excavation, trenching collapse Plan, inspect, slope or sheet and shore d. Utility exposure/breakage Survey, plans, notify e. Material handling Plan, coordinate, inspect f. Demolition - Structural collapse Survey and plan - Dust control Plan, indoctrinate, permit, control measures - Falling personnel and/or Plan, indoctrinate, safety materials harnesses, barricades g. Clearing and grubbing Plan, procedures, indoctrinate, protect from falls and falling objects, chain saw inspection & training, snake bit protective legging. h. Other As required Missoula County Courthouse Phase 2 SITE SPECIFIC SAFETY PLAN 41 " - Utility exposure/breakage Survey, plan, notify - Openings Rails, barricades, signs - Egress Plan, inspections - Debris Plan, daily cleanup 3.2 MASONRY WORK Hazards Controls a. Material handling Plan, coordinate, inspect b. Scaffold, runway, etc. Plan, handrail, inspect C. Other As required 3.3 STEEL ERECTION Hazards Controls a. Falls Harnesses, belts for positional use, handrails, enforcement b. Material handling Plan, coordinate, inspect C. Equipment Plan, indoctrinate, inspect preventative maintenance d. Tools Indoctrinate, inspect, maintenance e. Other As required 3.4 ROOFING. INCLUDING METAL ROOFING AND SIDING Hazards Controls a. Fire Plan, inspect, proper equipment indoctrinate b. Falls Harnesses, belts for positional use, handrails, enforcement C. Material handling Plan, coordinate, inspect d. Equipment/tools Plan, indoctrinate, inspect preventative maintenance e. Other As required 3.5 INTERIOR AND FINISH WORK INCLUDING PAINTING Hazards Controls a. Flammable liquids Proper storage and handling fire extinguisher b. Health hazards (fumes, etc.) Recognize, evaluate, protect C. Scaffolds Plan, handrail, inspect d. Other As required 3.6 MECHANICAL Hazards Controls a. Material handling Plan, coordinate, inspect b. Equipment and tools Plan, indoctrinate, inspect preventative maintenance C. Health hazards (fumes, etc.) Recognize, evaluate, protect Missoula County Courthouse Phase 2 � f SITE SPECIFIC SAFETY PLAN d. Scaffolds Plan, handrail, inspect e. Other As required 3.7 ELECTRICAL See Section 16.0, Temporary Electrical, of this Site Specific Safety and Health Plan. Hazards Controls a. Material handling Plan, coordinate, inspect b. Equipment and tools Plan, indoctrinate, inspect, preventative maintenance C. Health hazards (fumes, etc.) Recognize, evaluate, protect d. Scaffolds Plan, handrail, inspect e. Electrical shock Plan, indoctrinate, GFCI, inspect f. Other As required 4.0 SAFETY AND HEALTH ENFORCEMENT Mark Kobos Project Manager for Jackson Contractor Group., will be responsible for the application and enforcement of the contract safety and health requirements from start to finish of the job. Bill Fritz Project Superintendent for Jackson contractor Group., is the Job Safety and Health Supervisor and will assist the Project Manager in administering the Site Specific Safety and Health Plan. 5.0 PROTECTIVE EQUIPMENT Every employee or visitor will be required to wear a hard hat while on the site. Continued failure to wear one's hardhat will be cause for discharge. Loose and frayed clothing will not be allowed to be worn around machinery or other sources of entanglement. Shorts or tennis shoes are not allowed. Shirts are required and must be worn at all times on this project. Shirts can be no less than a standard short sleeved T-shirt (no tank tops, fishnet, or cutoff types). Protective goggles or safety glasses with side shields, face shields, and gloves will be provided and worn during operations such as demolition, chipping, grinding, pouring of hot materials, welding, etc. Gloves are prohibited for close work around saws, drill presses, etc. Special protective clothing will be provided when its use is required by employees. Proper respiratory protection will be provided for all personnel engaged in paint spraying, sandblasting, etc. All subcontractors will be required to provide their specialty protective equipment as required. Missoula County Courthouse Phase 2 SITE SPECIFIC SAFETY PLAN 2mal ' 6.0 SANITATION AND MEDICAL REQUIREMENTS 6.1 GENERAL It is estimated that at the JCG work power peak of this project, the work force will consist of a maximum of less than 20 employees. 6.2 SANITATION a. Potable water will be obtained from the existing domestic water supply at locations approved by the JCG superintendent. Disposable paper drinking cups from a covered water dispenser will be provided; receptacles for disposal of paper cups will also be provided. All containers will be kept in a clean, sanitary condition. b. Chemical toilets will be provided in adequate numbers as prescribed by OSHA and serviced in the manner prescribed. C. Washing facilities will be provided as required. 6.3 MEDICAL a. All Jackson Contractor Group supervisors will hold a current Certificate (not more than three years from date of issue) in CPR and First-Aid Training from the American Red Cross or equivalent. At least one supervisor for each subcontractor will also be required to have this same certificate and be on the job at all times while the work by that subcontractor is being performed. b. First-aid kits will be provided in the appropriate numbers to correctly provide first-aid supplies for all employees on this project. Each company truck will also have a first aid kit installed. Weekly checks will be made to ensure the kits are properly stocked and located. Missoula County Courthouse Phase 2 SITE SPECIFIC SAFETY PLAN C. Personnel injured on the project site will receive immediate first- aid. The more severe injuries will be transferred to the following appropriate local medical facility: Doctor's Clinic: {Insert Clinic Name} OR Hospital: St. Patrick Hospital 500 W. Broadway Missoula MT Ambulance service for critical emergency injuries will be provided by calling 911. The closest ambulance will be dispatched. d. At all "remote" locations, the following will be strictly adhered to: 1) Transportation and/or radio communications with the Jackson Contractor Group. field office will at all times be readily accessible. 2) Potable water will be readily available. 7.0 EMERGENCY PLAN 7.1 MAJOR INJURY TO EMPLOYEE OR GENERAL PUBLIC 7.1.1 Person in authority at the scene will take charge until the Superintendent or someone of authority from the field office a rrives. 7.1.2 Notify the Jackson Contractor Group field office by any means available. Notice should include location of the accident, the number of people injured, and any apparent need of equipment to free victims. At this point, all communication systems will be limited to emergency use only. Missoula County Courthouse Phase 2 Mf -"I SITE SPECIFIC SAFETY PLAN ., t 7.1.3 The field office personnel will notify the emergency service giving them the number of people injured, cause of injury, and directions to the field office. The phone number is 911. 7.1.4 The Superintendent will proceed immediately to the scene of the emergency. 7.1.5 The person in authority at the scene will designate an individual(s) to meet the ambulance at the field office and direct them to the scene of the emergency. 7.1.6 Emergency first aid will be administered immediately. The injured person is not to be moved, unless further injury is imminent. When the ambulance crew arrives, they will supervise the rescue team in loading and removing the injured from the area. 7.1.7 Foremen are to keep all men away from the emergency scene and to continue normal activities. They will remain alert for any requests for assistance. 7.1.8 In case of injury or alleged injury to general public within the limits of the job, get their name, address, and phone, and give information to the Superintendent and mail to the Corporate Office in Missoula. 7.2 FIRE 7.2.1 All work involving welding, cutting, and brazing (hot work) must have a fire extinguisher stationed at the point of hot work. If hot work is being done at any high elevation, a fire extinguisher must also be stationed below. 7.2.2 In the event of a fire, the person in authority at the scene will take charge until the Superintendent or someone of authority from the field office arrives. 7.2.3 Notify the JCG field office by any means available; notice should include the exact location and type of fire. At this Missoula County Courthouse Phase 2 I= SITE SPECIFIC SAFETY PLAN 27-7, '1: point, all communications systems will be limited to emergency use only. Notify the Superintendent. 7.2.4 Field office personnel will notify the Missoula City Fire Department by calling 911, giving the nature of the fire and location. 7.2.5 The person in authority at the scene will designate an individual(s) to meet the Fire Department and direct them to the scene. 7.2.6 Workers will fight the fire with best means available until the Fire Department arrives. In cases of heavy smoke or fumes, all others will be evacuated. When the Fire Department arrives, they will take over. 7.2.7 It is our moral and legal responsibility to do whatever we can to put out the fire while it is small. In doing so, do not risk injury to yourself. 7.3 Near all telephones, the following emergency phone numbers will be posted: Ambulance (to hospital) 911 Hospital (406)-543-7271 Fire 911 Police 911 8.0 SAFETY AND HEALTH INDOCTRINATION 8.1 SAFETY AND HEALTH ORIENTATION OF NEW EMPLOYEES When new employees are hired, they will be given the following Safety and Health Orientation. Missoula County Courthouse Phase 2 SITE SPECIFIC SAFETY PLAN 0!;1 =-4 A. On the day of employment, before the employee is allowed to go to work, a designated, qualified company representative will conduct a safety and health orientation with the employee. In this orientation, he/she shall: 1. Determine if the employee has any physical or mental limitations that will pose a hazard either to him/her or other workers. 2. Insure that basic personal protective equipment, i.e., hard hat, safety glasses with side shields or monogoggles have been issued. If employee will have cause to work at heights, issue the standard safety harness and lanyard. Have them sign for the equipment. 3. Relate safety policy, emphasizing the need for personal participation of each employee. Explain the necessity for each employee to fully comply with the safety and health rules, procedures and policies, and the consequences for noncompliance. 4. Distribute Jackson Contractor Group employee Safety Manual and use the Manual as an outline to conduct the orientation, highlighting all pertinent information. 5. Relate specific craft safety and health requirements and other craft knowledge that may pertain. 6. Obtain the completed "Acknowledgment Receipt" from each employee, sign and date same, and have a copy of it placed in the employee's file, then send the original to the Jackson World Headquarters. 7. Stress the importance of receiving specific safety instruction for each work assignment. (STA-Safety Task Assignment: Before assigning a worker to any job, new or repetitive, his/her supervisor must give him/her STA--that is, showing and explaining to him/her the safety precautions and action that must be taken before proceeding with the job.) Missoula County Courthouse Phase 2 SITE SPECIFIC SAFETY PLAN 8. Discuss the proper use of ladders, scaffolds, safety harnesses and lanyards, barricades, and danger tags. 9. Discuss the care, use, inspection, and maintenance of tools. 10. Discuss supervisory and individual safety and health responsibilities. 11. Discuss personal participation in Site Specific Safety and Health Plan. 12. Discuss reporting of all injuries immediately and procedure for obtaining first-aid treatment or referral to a physician. Tell them that reporting of all injuries is a condition of their employment and that failure to do so will result in their termination or severe disciplinary action after they have been treated. 13. Inform employees that plastic, butane cigarette lighters are not to be kept on the person of those involved in welding or burning operations due to the explosion hazard. 14. Any additional subjects felt necessary by the management representative. 8.2 FOREMAN/SUPERVISOR INDOCTRINATION AND COMMITMENT SCOPE This procedure outlines the basic points of indoctrination and commitment that the project superintendent will review with all foremen and supervisors as they are hired or stepped-up from a non-supervisory classification on this project. A. GIVING THE INDOCTRINATION 1. The indoctrination of all foremen and supervisory personnel is a responsibility of the project superintendent. This meeting will be conducted by the project superintendent Missoula County Courthouse Phase 2 SITE SPECIFIC SAFETY PLAN personally immediately upon hiring a foreman or supervisor or just prior to stepping-up a person to a supervisory position. In the absence of the project superintendent, the project manager will assume this responsibility. 2. Written documentation will be made of this indoctrination (using Attachment "B") and a copy placed in each foreman's/supervisor`s project personnel file. 3. This indoctrination must be a personal, one-on-one, confidential meeting conducted separately with each individual supervisor or foreman. a. If a foreman or supervisor transfers from a project where he/she has had this indoctrination, he/she must have another indoctrination with the superintendent of his/her new project before assuming his/her new supervisory role. 4. This procedure must be adopted by all JCG Subcontractors requiring a presence of any personnel on this project. B. RESPONSIBILITIES The project superintendent will personally describe in detail the following basic responsibilities that must be upheld by each foreman/supervisor: 1. Safety Task Assignment (STA) Before assigning a worker to aU job, new or repetitive, the supervisor is responsible for giving him/her STA--that is, showing and explaining to him/her the safety and health precautions and actions that must be taken before proceeding with the task. Clearly instruct each worker and follow through to see that all instructions are clearly understood and followed by each of your workers. Do not assume anything! 2. Conduct Weekly Toolbox Safety Meetings Missoula County Courthouse Phase 2 SITE SPECIFIC SAFETY PLAN The foreman/supervisor will conduct a weekly safety and health meeting with the crew(s) on a subject that is pertinent to the job at hand and the type of work that is being done or will be done during the week. Use of "hands on" demonstrations of proper procedures and methods is highly recommended in these meetings. A written report of the specific items discussed must be made which will include signatures of all those present using the JCG "Weekly Safety and Health Meeting Report". It is preferable that this meeting be held before work starts on Monday mornings. a. The project superintendent and/or project manager will monitor these meetings and give specific constructive feedback to the supervisors on ways these meetings can be improved. 3. Pre-Phase Planning Supervising the crew to do a good job safely in the minimal practical time is required. Plan all moves ahead of time to get tools, materials and all the proper personal protective equipment that will be needed to do the job safely. As a foreman or supervisor, you will be required to be directly involved in all Job Hazard Analysis (JHA) that will in any way involve your area(s) of responsibility. The management team on this project will be depending heavily on your experience and recommendations in ways to prevent a potentially hazardous job operation from becoming an accident. It is vitally important that you put much effort into this thought process and try to anticipate any and all things that can possibly go wrong and recommend ways to prevent accidents from happening. No new phase of work will begin on this project without first a written Job Hazard Analysis being done and a pre-phase meeting held to discuss and either approve, disapprove or revise each of its points. It is mandatory that all field supervision that will in any way be involved in a particular Missoula County Courthouse Phase 2 _ [S Z' 9 l SITE SPECIFIC SAFETY PLAN X J phase of work be very much a part of this planning process and meeting. The results of this meeting and the final, approved Job Hazard Analysis 4. Tools and Equipment Take care to see that materials, tools, and equipment are used properly and regularly inspected and maintained in a safe operating condition. Make sure all tools and equipment are in safe operating condition before the task is allowed to begin. Teach each of your workers to report and tag out all defective tools and equipment immediately. 5. Accident Investigation When an accident occurs, including a "near-miss" type accident where no one was actually hurt, it means that something is in need of adjustment in the foreman's area of responsibility. The accident investigation must not be taken lightly. The foreman is the person the company has entrusted to find out why each and every accident has happened no matter how minor, and, above all what specifically has been done to prevent it from happening again. The Accident Investigation Report is a very important part of a foreman's responsibility. This form must be filled in completely with thought and accuracy by the foreman. After the investigation is complete, the report will be reviewed and evaluated by the project superintendent. This report must be completed and given to the project superintendent no later than 2 hours after the accident. Failure to properly and completely investigate and timely report all accidents in your area of responsibility will be considered by the project superintendent and management as a serious neglect of your supervisory duty. 6. STOP Unsafe Acts of Employees Immediately and Correct Unsafe Conditions Missoula County Courthouse Phase 2 "r SITE SPECIFIC SAFETY PLAN23�!,Z!7 JCG requires all foremen and supervisors (both JCG and all Subcontractors), as a condition of their supervisory position, to enforce the Site Specific Safety and Health Plan. When a foreman or supervisor sees a worker doing something that is unsafe, he/she must stop him/her immediately, and teach him/her the safe way of doing the same operation. If an unsafe condition is observed, the foreman or supervisor must have it corrected immediately and call it to the attention of all those workers who may have created or caused the condition. This will reinforce the correct work methods and acceptable work procedures in the individual employees so that they will recognize unsafe conditions and prevent their occurrence. A productive foreman/supervisor will be constantly observing all of the people, materials and conditions that are within, or effecting his/her area of supervisory responsibility. 7. Enforcement Enforcement of the Site Specific Safety and Health Plan is the foreman's direct responsibility. Supervisors who observe workers violating our project safety and health rules, policies and procedures (committing unsafe acts) must stop the unsafe actions and talk with the employees committing the unsafe acts in such a way that the employees will understand what they were doing was unsafe and not acceptable so that reoccurrence of these unsafe acts will be prevented. Workers who persist in committing the same unsafe acts after their foreman has talked with them may need additional remedial training or may have a negative attitude that will require the termination of their employment. The foreman must determine what the appropriate course of action is and not allow an unacceptable situation to go uncorrected. Missoula County Courthouse Phase 2 - f SITE SPECIFIC SAFETY PLAN .� ' If a foreman does not enforce our safety and health standards, he/she will be removed from his/her supervisory position. C. FINALIZING THE INDOCTRINATION You, as the project superintendent, are the key person to require of each and every foreman and supervisor under your area of responsibility on this project a one hundred percent commitment and dedication to administering our site specific safety and health plan as outlined. Remember, you are where the safety "buck stops" on this project. Those few minutes that you spend behind closed doors in a one-on- one communication with each of your supervisors will prove to be some of the most valuable moments of your project. Plan from the very beginning of your project to make safety and health automatically an important part of everything that is done. And then carry through the plan the same as you are now committing and requiring those under your supervision to do. If you do this, you cannot fail. When conducting this indoctrination, do not read verbatim from these pages. Read through this procedure a number of times before starting your indoctrinations so that you can look the supervisor straight in the eyes as you speak. Be careful not to leave anything out, but put all of this information in the language he/she will best understand. Be firm and positive, and end the indoctrination by having him/her sign the attached form (Attachment "B") acknowledging that he/she has had this indoctrination concerning his/her basic safety and health responsibilities; and that he/she is now totally committed to following and enforcing this plan. You, as project superintendent or project manager, will sign and date the bottom portion and then make a photo static copy of this completed document along with a copy of Attachment "A", and give it to the respective foreman or supervisor. The original goes in the project personnel file. Give the foreman/supervisor copies of Attachments "A" and "B" only. Do not give them copies of this procedure text, pages 1-5, which is Missoula County Courthouse Phase 2 L� ; _ _ S i SITE SPECIFIC SAFETY PLAN intended to be an instructional tool for the project superintendent and/or project manager only. Missoula County Courthouse Phase 2 SITE SPECIFIC SAFETY PLAN ATTACHMENT "A" Form C3.1 FOREMAN/SUPERVISOR SUMMARY OF BASIC SAFETY AND HEALTH RESPONSIBILITIES Each foreman or supervisor, as a condition of his/her supervisory position on this project, must totally commit to upholding the following basic safety and health responsibilities: 1. SAFETY TASK ASSIGNMENT (STA) -- Before assigning a worker to any job, new or repetitive,give him/her a STA--that is showing and explaining to him/her the safety and health precautions and actions that must be taken before proceeding with the task. -- Clearly instruct each worker,and follow through to see that all instructions are clearly understood and followed by each of your workers. Don't assume anything! 2. CONDUCT WEEKLY TOOLBOX SAFETY MEETINGS -- Conduct a minimum of one weekly safety meeting with crew(s) (preferably first thing on Monday mornings). -- Select subject pertinent to the job at hand. -- Use "hands on" demonstrations of proper procedures and methods. -- Document the meeting on Form C1.2, and have all present sign. 3. PLANNING -- Plan all moves ahead of time to get tools, materials and all proper personal protective equipment(safety gear) to do the job safely. -- Be an active participant in the development of all Job Hazard Analyses and attend all Pre-Phase Meetings that will in any way involve your area of responsibility on this project. -- Do not allow any new phase of work to begin until the project superintendent has conducted the respective Pre- Phase Meeting and has issued you a final, approved Job Hazard Analysis. 4. TOOLS AND EQUIPMENT -- Take care to see that materials, tools, and equipment are used properly and regularly inspected according to JCG Safety and Health Procedure. -- Make sure all tools and equipment are in safe operating condition before the task is allowed to begin. -- Teach each of your workers to tag out all defective tools and equipment immediately. 5. ACCIDENT INVESTIGATION Personally investigate all accidents that happen within your area of responsibility. This includes even minor accidents and also "near-miss"type accidents where no one was actually hurt and nothing was damaged. -- Use the Accident Investigation Report and fill in all the information. Do not overlook the most important part of the investigation--that is,specifically what has been done to prevent it from happening again. -- Your completed Accident Investigation must be on the project superintendent's desk no later than 2 hours after an accident. 6. STOP UNSAFE ACTS OF EMPLOYEES IMMEDIATELY AND CORRECT UNSAFE CONDITIONS -- When you see a worker doing something that is unsafe,stop him/her immediately,and teach him/her the safe way of doing the same operation. - When you observe an unsafe condition, have it corrected immediately and call it to the attention of all those workers who may have created or caused the condition. This will reinforce the correct work methods and acceptable work procedures in the individual employees so they will recognize unsafe conditions and prevent their occurrence. 7. ENFORCEMENT -- Enforcement of our project safety and health program is your direct responsibility. -- Workers who violate our project safety and health rules, policies and procedures must be stopped and talked with immediately in a positive manner so that the unsafe actions will be prevented from occurring again. -- If a foreman does not enforce our safety and health standards,he/she will be removed from his/her supervisory position. Missoula County Courthouse Phase 2 SITE SPECIFIC SAFETY PLAN ATTACHMENT "B" CONFIRMATION OF FOREMAN/SUPERVISOR INDOCTRINATION AND COMMITMENT I, do hereby certify that (print or type full name of foreman/supervisor) I was, this day, given by my project superintendent or project manager a one-on-one, in-depth description of my basic responsibilities, duties, and commitments as a foreman or supervisor for I do hereby affirm that I do fully accept all of these (print or type project/area of responsibility) responsibilities that have been explained to me, and that I have been given a copy of Attachment"A"that is a summary of those responsibilities. Furthermore, I also affirm that I am totally committed to enthusiastically supporting and vigorously enforcing the Jackson Contractor Groups Safety and Health Program's policies and procedures of this project. (Date) (Signature of foreman/supervisor) I, do hereby confirm that I have,this day, (print or type full name of project superintendent or project manager) personally given the "Foreman/Supervisor Indoctrination and Commitment"to accurately and completely as prescribed in (print or type name of foreman/supervisor) Safety and Health Procedure of the Jackson Contractor Groups Safety Manual. (Date) (Signature of project superintendent or project manager) Missoula County Courthouse Phase 2 SITE SPECIFIC SAFETY PLAN 8.4 POSTERS AND SIGNS Up-to-date and applicable posters and signs will be promptly displayed throughout the project, which will aid in constantly reminding the workmen of their individual and combined contribution to safe and healthful working conditions and methods. 9.0 HOUSEKEEPING The superintendents and all subcontractors must be aware of their responsibility and the necessity of cleaning their respective work areas daily. Failure to accomplish the above in any areas will be noted on a daily basis as part of our Quality Control Daily Inspection and Report System. We, as the general contractor, have a cleanup clause in each of our subcontracts, and the terminology is such that it can and will be enforced. It is our responsibility to coordinate, supervise, and make corrections on the cleanup procedure on the project site. Close coordination will be made between all supervisors, including subcontractors, to properly clean up adjoining areas of responsibility daily. All rags, waste, etc., soiled by combustible materials, shall be stored in tightly- closed metal containers and disposed of properly. Timber and forming materials shall be stacked so as to be stable and self-supporting. Used lumber and forming material shall have all nails withdrawn as they are taken apart. 10.0 CORRECTING SAFETY AND HEALTH VIOLATIONS When a safety violation is brought to the attention of the subcontractor, either by an JCG Representative, a Safety Engineer, Quality Control Inspector, or by jobsite personnel, it will be corrected with a positive attitude. If the violation is life threatening, work in the affected area or by the affected individuals will immediately cease until the violation is corrected. Employees responsible for the violation(s) will be talked with until they understand the safe work practice Missoula County Courthouse Phase 2 Z *"T7824 SITE SPECIFIC SAFETY PLAN FW, ' 'ff--1.1 olciffl." or method; if the violation is serious and/or has been repeated (as described in Section 9.2), the employee will be removed from the project. 12.0 PRE-PHASE PLANNING--JOB HAZARD ANALYSIS QHAJ 12.1 SCOPE This procedure outlines the purpose for and method of Pre-Phase Planning--Job Hazard Analysis that will be required for each division of work operation, not only by JCG, but also for each subcontractor as well. An approved plan must be obtained before any phase of work is to begin on this project. 12.2 PURPOSE The purpose of accident prevention pre-planning is to prevent unnecessary hazards that are likely to occur during construction and to make sure each contractor performing an operation will have the necessary material and equipment on hand when needed. Due to the speed at which construction jobs proceed, it does not allow a single operation to continue long enough to become safe through trial-and- error. To cope with safety problems peculiar to our industry, this procedure has been established so construction management can pre- determine the hazards and develop an appropriate plan to prevent the hazards from becoming accidents. 12.3 RESPONSIBILITY It is the responsibility of the JCG project superintendent to insure that Pre-Phase Planning--Job Hazard Analysis is done for all divisions of work operations and activities performed on this project, both by JCG and each subcontractor. A. Pre-Phase Job Hazard Analyses will be developed by the field supervisory personnel who will be actually running the job(s) or operation(s) that is being pre-planned. This analysis will be done on the attached "Job Hazard Analysis" form. Missoula County Courthouse Phase 2 Emf � f SITE SPECIFIC SAFETY PLAN " ' M1ff1.*ff:';;J41#'1k29'__ B. The supervisory personnel referenced in 'A' above for each respective subcontractor will consult and coordinate the preparation of pre-phase plans with the JCG project superintendent on the job to insure acceptable plans. In addition, the plans will be reviewed and updated at reasonable periods of time to include unanticipated hazards and changes in job conditions. 12.4 THE PRE-PHASE MEETING After the responsible supervisory personnel have completed their necessary preparations and have a pre-phase Job Hazard Analysis written out on the attached form, the JCG project superintendent will call a pre- phase meeting. This meeting will always be attended by the supervisory personnel of the contractor(s) submitting the plan, the JCG project superintendent, the JCG safety engineer/coordinator, and the JCG area superintendents responsible for that particular phase of work. Copies of the written plan will be distributed to all those present and the originator of the plan will be asked to go down his/her list of items explaining each one as he/she goes and allowing comments from all those present. Under no circumstances is work to be allowed to begin without first having the job hazard analysis approved. 12.5 CONSTRUCTION ACTIVITIES Construction activities requiring pre-phase safety plans will include the following: Layout Asbestos Abatement and Disposal Demolition Excavation and Trenching Earthwork, Paving, and Miscellaneous Sitework Rebar Installation Work Concrete Work Masonry Work Structural Steel Erection including Metal Decking, Miscellaneous Steel Thermal and Moisture Protection Doors and Windows Carpentry Work Missoula County Courthouse Phase 2 SITE SPECIFIC SAFETY PLAN 41 f Roofing and Waterproofing Work, including Metal Roofing and Siding Interior and Finish Work, including Painting Mechanical Work Electrical Work Conveying Systems 12.6 DIFFERENT PHASES Listed below are items that should be considered in the different phases of construction 12.6.1 Layout of haul roads,speed limits, access roads,storage areas, utilities, shop area, offices, fuel storage tanks, parking areas, electrical distribution lines. 12.6.2 Temporary electrical installations(methods of supplying electrical power and lighting). 12.6.3 Types of equipment to be used. 12.6.4 Types of protective equipment used. 12.6.5 Method of cleanup (types of equipment and procedures planned for use). 12.6.6 Methods and coordination of handling materials. 12.6.7 Concrete construction (type of forming, shoring, erection of precast concrete, lifting, placing, etc). 12.6.8 Access to work areas and work platforms. 12.6.9 Methods of minimizing exposure to falls. 12.6.10 Method of steel erection (bracing, temporary flooring, protection of steel workers, etc.). 12.6.11 Methods of scaffolding. 12.6.12 Methods of lighting. 12.6.13 Methods of painting (health hazard involved). 12.6.14 Connecting and disconnecting utility services (gas, water, electrical, sewers). 13.0 ACCIDENT INVESTIGATION Missoula County Courthouse Phase 2 L�SITE SPECIFIC SAFETY PLAN �_; The accident scene will not be disturbed or changed if there is a serious injury or major property damage until such time as the Jackson Contractor Group Safety and Health Director has completed his/her investigations. Procedures for investigating and reporting all accidents are covered in the Company Safety and Health Plan contained within this booklet. In addition to these requirements, the following will be adhered to: 13.1 ACCIDENT The JCG Superintendent will inform the Safety and Health Department in Missoula, Montana after a lost-time accident occurs. Each accident for all contractors will be investigated by the individual contractor using the standard Accident Investigation Report (included with this plan. In accidents involving strains or sprains, use the "Strain Supplement" also. 13.2 FIRST AID CASE HISTORY REPORT One copy of this form is to be submitted at the end of each month by each contractor. 14.0 FIRE PREVENTION AND PROTECTION 14.1 FIRE EXTINGUISHER Fire extinguishers shall be provided in fuel areas, and fire barrels or extinguishers will be provided as required in storage and building areas. All extinguishers will be inspected, serviced and maintained. Inspections shall be recorded on the inspection tag attached to each extinguisher. Fire extinguishers and fire buckets shall be painted red and clearly marked "For Fire Only". Barrels will be kept filled at all times and the water will not be used for construction purposes. Antifreeze protection will be provided when necessary. The number, type and location of fire extinguishers are outlined below: Fire Extinguisher/Water Barrel Schedule Location Tvoe Number Missoula County Courthouse Phase 2 SITE SPECIFIC SAFETY PLAN 1. All JCG Vehicles 10 B One Each 2. Field Office 2-A One Each 3. Material Storage Vans 2-A One per Van 4. Flammable Liquid Storage Areas 20-B One per Area (outside, within 10 feet) 5. Where flammable Liquid or Gas is Being Used 10-B;C One Each (Within 30 feet) 6. All Other Buildings 2-A (or) One per each 3000 as required SF but not less than 100 feet from any location 14.2 BURNING No material will be burned at the project site. 14.3 EXPLOSIVES The use of explosives at the project site is prohibited. 14.4 TEMPORARY HEATING DEVICES Only approved devices shall be used. Temporary heating devices that are the open flame type with exposed fuel below the flame and using such fuels as coal, oil or wood are forbidden. 14.5 FLAMMABLE LIQUIDS All flammable liquids including paints will be handled and stored in a manner to conform to NFPA and OSHA requirements. The storage area will be located at a site approved by the JCG Project Superintendent. "No Smoking within 50 Feet" signs will be posted in and on all required storage areas and materials. Only authorized personnel will be allowed access to these areas; when access is not required, they will be kept under lock and key. Missoula County Courthouse Phase 2 SITE SPECIFIC SAFETY PLAN • 14.6 PLUMBERS AND WELDERS Suitable fire extinguishers will be provided. 14.7 FIRE DEPARTMENTS The Missoula City Fire Department will be informed of the project location and type of work being performed. Their telephone numbers will be prominently displayed and they shall be notified in the event a fire occurs. 14.8 EMERGENCY PROCEDURE Fire emergency procedures are covered under Section 7.2 of this Plan. 15.0 TEMPORARY ELECTRICAL Temporary electrical service shall be installed and maintained to conform to all of the requirements along with all applicable provisions of the NESC, NEC and OSHA. Where required, appropriate warning signs will be posted. All temporary components shall be plainly marked to indicate the maximum operating voltage. All circuits shall be protected against overload and grounded with Ground Fault Circuit Interrupters (GFCI) provided for temporary outlets. As part of the Contractor Quality Control System, safety will comprise an integral part of the Daily Inspection. This will include new work areas as well as maintenance of existing temporary service. 16.0 EQUIPMENT INSPECTION Before any machinery or mechanized equipment is put into use on this job, it shall be inspected and tested by a qualified person and determined to be in safe operating condition, including reverse signal alarms, guards for moving parts and hot surfaces, overhead protection, and rollover protective structures when required. All operators shall be familiar with applicable provisions. Forms for accomplishing these inspections are contained herein. Continued on-the-spot inspections by each contractor having such equipment or machinery shall be Missoula County Courthouse Phase 2 [SIF SITE SPECIFIC SAFETY PLAN made at such intervals as necessary to insure a safe operating condition and proper maintenance. Any machinery or equipment found to be in an unsafe operating condition shall be tagged at the operator's position "Out of Service - Do Not Use", and its use prohibited until unsafe conditions have been corrected. Inspections for determination of road conditions and structures shall be made to assure that load capacities are safe for the passage or placing of machinery or equipment. Monthly records are maintained as to proper service of equipment. Scheduled inspections of Jackson Contractor Group equipment condition will be made by a qualified Home Office Equipment Supervisor to insure its strict compliance with the safety requirements as stated. Similar spot inspections will be given to subcontractors' equipment. Each supervisor will be responsible for reporting malfunction of any piece of equipment that is being used in his/her particular phase of work. Platforms of all hoisting equipment shall be equipped with broken cable safety devices. Only persons who are dependable and fully qualified by experience in hoisting operations shall be used as signal men when signaling is required. Necessary traffic control, danger signs and instructional safety signs shall be installed where required in the proper color and quantity. Danger signs will be prominently displayed as well as "Slow" and "Caution" signs and "No Smoking" signs. Here again, violation by employees will be cause for dismissal and they will be so informed. All repairs on machinery or equipment shall be made at a location that will provide a safe place for repairmen. Heavy machinery, equipment, or parts thereof which are suspended or held apart by use of slings, hoists, or jacks shall also be substantially blocked or cribbed before men are permitted to work underneath or between them. Bulldozer and scraper blades shall be lowered to rest when not in use. Any guard or safety device removed or made ineffective shall be replaced or restored to safe operating condition immediately after completion of work that required its removal. All personnel on the project will be made aware of the traffic regulation for this location. 17.0 SUBCONTRACTOR PARTICIPATION IN SITE SPECIFIC SAFETY AND HEALTH PLAN Each of our standard subcontracts has incorporated therein the same safety requirements as are part of our contract and their enforcement is equally mandatory. Missoula County Courthouse Phase 2 SITE SPECIFIC SAFETY PLAN Subcontractor's supervisors will be required, as are the General Contractor's supervisors, to conduct weekly Tool Box Safety and Health Meetings pertinent to their area of construction. Subcontractor's supervisors will submit to the project engineer the same certification data and reports as the General Contractor's supervisors. 19.0 COMPANY SAFETY AND HEALTH PLAN STATEMENT OF POLICY It is the policy of Jackson Contractor Group. to perform work in the safest manner possible consistent with good construction practices. To fulfill the requirements of this policy, an organized and effective safety and health program must be carried out at each location where work is performed. Furthermore, it is our philosophy to make safety equal in importance to quality, schedule, cost, and production. Construction is a unique industry in terms of challenge and rewards. While construction methods and techniques have improved and consistently increased the efficiency and productivity of the industry, the accident incidence rate for construction has been one of the highest of all industries. Also, our direct and indirect job costs and costs of doing business are known to fluctuate in direct proportion to the incidence of accidents. Effective preventive measures must be identified and successfully applied. Accidents can be prevented through planning, training, and a cooperative effort in all areas of our operations. In an effort to prevent death, injury, and unnecessary hazard to our employees and to the public, loss of production, time, and damage to equipment, and to increase our competitive position, this Company has established the following Safety and Health Reference Manual. OBJECTIVES The objectives of this Safety and Health Reference Manual are as follows: 1. To provide a safety and health reference manual consistent with good construction practices. Missoula County Courthouse Phase 2 SITE SPECIFIC SAFETY PLAN 2. To create an attitude of safety and health consciousness in management, field supervisory personnel, and all operating crafts. 3. To minimize accidents through incorporation of safety and health considerations into the pre-planning of the work to be performed on each project. Planning for safety and health requires the identification of present and future hazardous conditions in each operation to be performed on the project. 4. To provide a uniform policy of safety and health management which is consistent with OSHA, Owners with which we do business, the Associated General Contractors, our insurance carriers, and our Company's Safety and Health Committees. 5. To provide assignment of specific responsibilities for effective enforcement and control of the Company's safety and health program. 6. To provide a means for continuing development and updating of safety and health education and training. 7. To provide for the involvement of our subcontractors in a continuing safety and health program. MANAGEMENT RESPONSIBILITIES The responsibility for the health and safety of our employees rests with all levels of management. The specific areas of responsibility are as follows: 1. Development and implementation of safe and healthful work practices and working conditions, and an attitude of safety among all employees. 2. Appointment of appropriate persons to administer the program. 3. Provide for a means of collecting, evaluating, and circulating safety and health information, necessary audio visual aids, and other appropriate materials. 4. Circulation of memos on current problems to all field personnel. Missoula County Courthouse Phase 2 [6 — � s SITE SPECIFIC SAFETY PLAN ;t 5. Maintenance of injury and illness record keeping systems with periodic review and evaluation. 6. Continuous field inspections of safety and health work practices and conditions, using checklists that will be reviewed with site personnel. 7. All levels of management and supervisory personnel must totally commit to the following principles that are the foundation on which our Company's safety and health program is built: a. All injuries and occupational illnesses can be prevented. b. Safety is a line management responsibility. C. All construction and operating expenses can be reasonably safeguarded. d. Line management has a responsibility to train all employees to work safely. e. Preventing injuries and incidents is good business. f. Working safely is a condition of employment. DIRECTOR OF SAFETY AND HEALTH/OPERATIONS MANAGER The Director of Safety and Health has the responsibility of managing and administering the total Company Safety and Health Accident Prevention Program, and Risk Management and Loss Control Programs, including the management of general liability, auto, Workers' compensation, and all the medical claims. The Director of Safety and Health is to report directly to the Company President. They are responsible for assuring compliance with the Company's established policy statements concerning safety and health. The responsibility for implementing the safety and health program is delegated by the President to the various vice presidents, district, area, and project managers, superintendents, and foremen. Making the program work is a part of Missoula County Courthouse Phase 2 � 7 i 2 SITE SPECIFIC SAFETY PLAN their job responsibilities. Each member of management is held accountable for the safety and health of every person in their area of responsibility. The Director of Safety and Health/Operations Manager shall assist and support all levels of field management in establishing and maintaining an effective safety and health program by: 1. Providing educational training materials designed to develop and maintain an effective safety and health program. 2. Providing technical assistance and advice to field personnel as needed; participation in the prejob planning conference to establish safety phases for all new jobs. The Director of Safety and Health/Operations Manager will be advised of all OSHA inspections and their alleged citations. They will represent the Company in all dealings with OSHA for either the payment or contest of such citations. 3. Coordination of the efforts of the insurance safety engineers with each jobsite superintendent. 4. The Director of Safety and Health/Operations Manager has the authority to immediately intervene in any situation where the potential for injury, illness, loss of life and/or property damage exists. All personnel will comply with their directives. 5. The Director of Safety and Health will make frequent inspection visits to the field, especially to projects that are experiencing a negative injury/illness trend to assist the project superintendent in recognizing, evaluating, and controlling the safety and/or industrial hygiene problems. 6. Manage the statistical database information on all occupational injuries and illnesses, their investigation and costs, and have this information reported on a monthly basis to Company managers and field personnel. 7. Keep Company managers and field personnel advised of federal, state, and other safety and health regulations and furnish interpretations of these regulations. Missoula County Courthouse Phase 2 1- Mf. 111 SITE SPECIFIC SAFETY PLAN " l 8. Establish and monitor work safety and health standards and procedures throughout the Company. 9. The Director of Safety and Health/Operations Manager is to be notified immediately of all accidents resulting in death or serious injury so that the proper, timely notification can be made to the insurance carrier, the Department of Labor, and other parties requiring such information. The Director of Safety and Health shall personally investigate these serious accidents. Also "near miss serious incidents" where death or serious injury were narrowly avoided will be reported to the Director of Safety and Health immediately. The scene of the accident will be sealed off and nothing altered or disturbed until authorized by the Director of Safety and Health. 10. Manage the Company Safety and Health Incentive Programs and advise the project management in methods of administering the project incentive programs. 11. Represent the Company in regional, national and international safety and health activities when necessary. 12. The Director of Safety and Health/Operations Manager will be notified immediately of all accidents, with a copy of all the accident records being sent to their attention. PROJECT MANAGER AND Executives The project manager and Executives is where the responsibility "buck stops" for the effectiveness of the safety and health program on their project(s). They monitor all supervisory personnel under their direction to assure compliance with the accident prevention program. SUPERINTENDENT The project superintendents shall be responsible for the overall safety and health program on each project. The project superintendent shall be responsible for insuring that subcontractors comply with the safety and health program and the enforcement of provisions set forth for their project. Getting Missoula County Courthouse Phase 2 SITE SPECIFIC SAFETY PLAN 51FZ ' A " the safety and health program organized and in operation right at the start of the project is important. Many of our serious accidents occur during the move- in and early weeks of construction. 1. Consider the safety and health factors in operational planning by doing Job Hazard Analysis and Safety Task Assignments. Provide for personal protective equipment, machine guards, warning signs and barricades, fire extinguishers, etc., in advance. Plan to eliminate all hazards. 2. Spend time with each individual craft person explaining our safety and health policies and the hazards of their particular work. See that the initial indoctrination of "new hires" is carried out by a qualified person without exception throughout the course of the work. See that the foremen follow up with indoctrination of the specific hazards of the individual's work before they start to work. 3. Check out all heavy equipment operators carefully. Be sure they are qualified. Watch them closely for the first few hours. Remove incompetent people before the accident happens. 4. Hold weekly supervisory safety and health meetings starting the first week even though there may be only a few personnel to attend. 5. Establish a time for weekly tool box safety and health meetings. See that each foreman holds their meeting the first week and every week thereafter. It is important to get the safety and health attitudes and work habits started at the beginning. 6. Install project safety and health bulletin board. See that it is in good shape, with posters and information applicable to work. Change the posters often. 7. Watch the "odd jobs" carefully (unloading operations, etc.). It is the "odd jobs" of the work that are incidental to production that too often result in serious accidents. Make sure these jobs are being done according to a safe plan with the right equipment and qualified personnel. Missoula County Courthouse Phase 2 � a SITE SPECIFIC SAFETY PLAN ; 8. Never allow employees to short cut safety for expediency. Safe work practices and conditions will always give better cost in the long run. 9. Look for unsafe acts of employees and unsafe conditions constantly. Take action to prevent recurrence immediately. 10. Establish specific safety and health procedures. Make sure they are known and understood by all concerned. Enforce them constantly. 11. Maintain appropriate safety and health reference materials, first-aid supplies, and personal protective equipment. 12. Provide for adequate temporary sanitary facilities with regular servicing. 13. Provide for drinking water from an approved local source. Drinking water shall be dispensed from an insulated container to prevent contamination between the source and the consumer. Paper cups shall be provided with each drinking water container. Fresh water shall be provided daily. 14. Provide for protection of the general public during project duration. 15. Provide adequate parking facilities for employees consistent with good safety practice and local requirements. 16. Be responsible for orderliness or good housekeeping on the jobsite. 17. Cooperate with the insurance carrier engineer and personally participate in all field inspections. 18. The superintendent must hold a current first-aid and CPR card. JOB SAFETY AND HEALTH COORDINATOR {This is the Superintendent responsibility.} It shall be the duty of the job safety and health coordinator (as appointed by project management) to assist the job superintendent and all other levels of Missoula County Courthouse Phase 2 , r SITE SPECIFIC SAFETY PLAN 22.U�7 line supervision in the initiation, education, and execution of an effective safety and health program generally, and more specifically as follows: 1. Be thoroughly familiar with the site specific Safety and Health Program, and assist the job superintendent in the execution of standard policies. 2. Introduce our Safety and Health Program to new employees. 3. Assist supervision with suggested "Tool-Box Meeting" topics and assist them with their Tool-Box Meetings. 4. Maintain record of Tool-Box Meetings held and follow up to make sure these meetings are being held (Form C1.1). 5. Follow up on recommendations, suggestions, etc., made in Tool- Box Meetings. 6. Assist the foreman with preparation of monthly accident reports and investigations as may be required by OSHA, MSHA, the Owner, and the Company Safety and Health Department. 7. Maintain the Safety and Health Bulletin Board. 8. Conduct a safety and health inspection at least once each day. 9. Coordinate the Job Safety and Health Program with Owner, Owner's Representatives, Insurance Carrier, etc. 10. Maintain adequate stock of first-aid supplies and other safety equipment to ensure their immediate availability, and make sure the project has an adequate number of currently certified first-aid and CPR qualified people on the job. 11. Coordinate thorough investigations of all serious accidents in accordance with established policies. 12. Be thoroughly familiar with the state or federal OSHA and Company Safety and Health Program regulations and procedures. Missoula County Courthouse Phase 2 Es]! r SITE SPECIFIC SAFETY PLAN , FOREMAN The following is an outline of the general responsibilities of the foreman on the job, and a guide as to the authority the foreman may use to carry out these responsibilities. The foreman is responsible for: 1. Safety Task Assignment (STA): Before assigning a worker to any job, new or repetitive, the foreman is responsible for giving them a STA, which includes showing and explaining to them the safety and health precautions and actions that must be taken before proceeding with the task. The foreman must clearly instruct each worker, and follow through to see that all instructions are clearly understood and followed by each of the workers. Don't assume anything! 2. Conduct Weekly Toolbox Safety Meetings: The foreman will conduct this meeting with their crew(s) on a subject that is pertinent to the job at hand and the type of work that is being done or will be done during the week. Use of "hands on" demonstrations of proper procedures and methods is highly recommended in these meetings. A written report of the specific items discussed must be made which will include signatures of all those present using the "Foreman's Tool Box Meeting" Report. It is preferable that this meeting be held before work starts on Monday mornings. a. The project superintendent and/or project manager will monitor these meetings and give specific constructive feedback to the foreman on ways these meetings can be improved. 3. Planning: Planning work and moves ahead of time helps to avoid delays for the crew. If you plan to have all of the proper tools and safety equipment needed for a particular job there when the crew gets there, you will avoid down time for them as the proper gear is rounded up. Foremen are required to be directly involved in all pre-phase planning meetings and Job Hazard Analysis that will in any way Missoula County Courthouse Phase 2 2JZ*"77-7ZA SITE SPECIFIC SAFETY PLAN Z involve their area(s) of responsibility. The project management team will heavily depend on their experience and recommendations in ways to prevent a potentially hazardous job operation from becoming an injury or illness. It is vitally important that the foreman put effort into this thought process and try to anticipate anything that can possibly go wrong and recommend ways to prevent accidents from happening. 4. Tools and Equipment: Take care to see that materials, tools, and equipment are used properly and regularly inspected and maintained in a safe operating condition. Make sure all tools and equipment are in safe operating condition before the task is allowed to begin. Teach each of your workers to report and tag out all defective tools and equipment immediately. 5. Accident Investigation: When an accident occurs, including a "near-miss" type incident where no one was actually hurt, it means that something is in need of adjustment in the foreman's area of responsibility. The accident investigation must not be taken lightly. The foreman is the person the company has entrusted to find out why each and every accident has happened no matter how minor, and, above all what specifically has been done to prevent it from happening again. The Foreman's Accident Investigation Report (Form C7.2) is a very important part of a foreman's responsibility. This form must be filled in completely with thought and accuracy by the foreman. After the investigation is complete, the report will be reviewed and evaluated by the project superintendent. This report must be completed and given to the project superintendent no later than 2 hours after the accident. Failure of a foreman to properly and completely investigate and timely report all accidents in their area of responsibility will be considered by the project superintendent and management as a serious neglect of their supervisory duty. 6. STOP Unsafe Acts of Employees Immediately and Correct Unsafe Conditions: When a foreman sees a worker doing something that is unsafe, they must stop the worker immediately and teach them the safe way of doing the operation. If an unsafe condition is observed, the foreman must have it corrected immediately and call Missoula County Courthouse Phase 2 SITE SPECIFIC SAFETY PLAN it to the attention of all those workers who may have created or caused the condition. This will reinforce the correct work methods and acceptable work procedures in the individual employees so that they will recognize unsafe conditions and prevent their occurrence. A productive foreman will be constantly observing all of the people, materials, and conditions that are within, or effecting their area of supervisory responsibility. 7. Enforcement: Enforcement of the jobsite safety and health program is the foreman's direct responsibility. If a foreman is not enforcing safety and health as part of their overall job, they will be removed from their supervisory position. EMPLOYEE It is the duty of each Employee to know the Safety and Health Rules and conduct the work in compliance with those rules. Disregard of the safety and health rules and procedures shall be grounds for discharge. It is the duty of all employees to make full use of safeguards provided for their protection. Each Employee shall abide by and perform the following: 1. Approved hard hats will be worn by everyone without exception. Hard hats will be worn with the brim facing forward (unless welding) and only manufacturer-approved items are allowed under the suspension. The job office shall also keep a supply of hard hats available for visitors to the job. 2. Wear suitable work clothes. No muscle shirts, tank tops, cut-off abdomen shirts, or fish-net shirts are allowed. 3. Wear suitable work boots or shoes in good repair. The wearing of sneakers or lightweight shoes is not allowed. 4. ANSI Z-87 approved goggles and/or safety glasses with side shields are required for employees at all times. 5. The standard JCG full-body safety harness will be worn and workers will be appropriately anchored from falling and injuring themselves Missoula County Courthouse Phase 2 � l SITE SPECIFIC SAFETY PLAN 2ZW_ _yK1_' when working above the ground or floor where a standard handrail or net system cannot be used for fall protection. 6. Employees shall not remove safety guards, except for purpose of adjustment, oiling, or repairs, and then only after the machine has been locked out and tagged. 7. Employees shall not operate a machine or tool unless a guard or method of guarding is in working order and in place. 8. Employees shall turn-off machine or tools before oiling, fueling, adjusting, or repairing. 9. Employees shall report any safeguard not accomplishing its intended function. 10. Appropriate personal floatation devices will be worn where there are water hazards as directed by the foreman. 11. Employees observed working in a manner which might cause injury to either them or other employees will be instructed of the danger and will immediately correct their method of operation. 12. When nature of work requires the use of signals, they must be thoroughly understood before a job is begun. When in doubt as to the meaning of any signal, do not proceed until the question has been resolved. Visual signals are preferable to those given orally. Signals shall be given by only one person at one time, and such person must be in a position to have a clear unobstructed view of the area affected by their signals. 13. Employees must not work underneath or over others without first notifying them and must see that proper safeguards or precautions have been arranged. 14. Jobs shall be left in a safe and healthful condition. Before leaving the job, employees shall correct, or arrange to give warning of any conditions that might result in injury or illness to fellow employees unfamiliar with existing conditions. Missoula County Courthouse Phase 2 [17gi SITE SPECIFIC SAFETY PLAN " -i if ZZ 15. Dangerous conditions or practices observed at any time shall be reported as soon as possible to the foreman or other management authority. 16. Employees shall report all occupational injuries or illnesses, no matter how minor, to responsible authority or supervisors immediately. This is a condition of employment. 17. Employees are required to utilize the JCG designated medical facilities for treatment of all occupational injuries or illnesses unless local laws prohibit such designations. 18. Know where first-aid, fire-fighting equipment, and other safety devices are located. BE CAREFUL - Your life depends on it! At any time you are in doubt about a procedure, tool or equipment, stop and ask your foreman. You must attend a Safety and Health Meeting once a week. Ask your foreman where and when they are held. Missoula County Courthouse Phase 2 SITE SPECIFIC SAFETY PLAN 2mg,KP DATE: SAFETY TOPIC# JOB NAME: SUPERINTENDANT TOPIC DISCUSSED SUGGESTIONS OR COMMENTS: ATTENDANCE: 1 13 2 14 3 15 4 16 5 17 6 18 7 19 8 24 9 21 10 22 11 23 12 24 Missoula County Courthouse Phase 2 2xu_t . , l SITE SPECIFIC SAFETY PLAN f Exhibit A—Site Safety Plans Jackson CBMTRACTBR GROUP,/NG Example 2—Fairchild Air Force Base Wind Headquarters, Spokane, Washington City of Bozeman—Police& Municipal Courts Facility March 20,2014 Jackgon CONTRACMR GROUP, INC. JA CKSON CONTRACTOR GROUP Inc. ACCIDENT PREVENTION PLAN PROJECT: M 2 - Wing Headquarters Fairchild AFB Contract No. W912DW-12-C-0030 m US Army Carps of Engineers :. Seattle District July 2012 (Revised February 2013) WHQ-APP/SSSP Jackson Contractor Group, Inc. Contract No,W912DW-12-C-030 Page 1 TABLE OF CONTENTS A. Accident Prevention Plan 1.0 Signature Sheet 2.0 Introduction and Background Information 3.0 Statement of Safety and Health Policy 4.0 Responsibilities and lines of Authorities 5.0 Subcontractors and Suppliers 6.0 Training 7.0 Safety and Health Inspections 8.0 Accident Reporting 9.0 Plans 10.0 Risk Management Processes 11.0 Subcontractor/Supplier Responsibilities B. Company Site Specific Safety and Health Plan 1.0 General Information 1.1 Policy 1.2 Purpose 1.3 Applicability 1.4 Compliance with Applicable Laws and Regulations 1.5 Availability of Policy 1.6 Key Personnel- Resumes 2.0 Health and Safety Responsibilities 2.1 Safety Coordinator(SSHO) 2.2 Project Manager 2.3 Superintendent 2.4 Foreman/Supervisor 2.5 All Employees 2.6 Subcontractors 3.0 Prohibited Conduct 3.1 Repairs 3.2 Equipment Use and Operation 3.3 Personal Protective Equipment (PPE) 3.4 Conduct 3.5 Other Policy Violations 4.0 Consequences for Policy Violations 5.0 General Jobsite Procedures 5.1 New Hire Orientation 5.2 Training 5.3 Safety Meetings 5.4 Safety Inspections 5.5 Hazard Communication 5.6 Site Specific Safety Plan (SSSP) 5.7 Activity Hazard Analysis (AHA) 5.8 Personal Protective Equipment (PPE) 5.9 Housekeeping 5.10 Fall Protection WHQ-APP/SSSP Jackson Contractor Group, Inc. Contract No. W912DW-12-C-030 Page 2 5.11 Electrical Safety 5.12 Tools 5.13 Scaffolds 5.14 Excavation and Trenches 5.15 Ladders 5.16 Illumination 5.17 Motor Vehicles and Mechanized Equipment 5.18 Severe Weather 5.19 Accidents 5.20 First Aid 5.21 Fire Protection 6.0 Safety Program and Policy Limitations Addenda A. Substance Abuse Policy B. Hazardous Work Permits C. Confined Space Entry Plan D. Written Hazard Communication Plan E. Fire Prevention and protection Plan F. Daily Safety Inspection Guide G. Activity Hazard Analysis H. Emergency Action and Evacuation Plan I. Fall Protection and Prevention Plan J. Traffic Control Plan K. Jobsite Map L. Forklift Policy M. Lockout/Tagout Policy N. Respiratory Protection Plan O. Site Specific Steel Erection Plan and Checklist P. Site Sanitation Plan Q. Crane Critical Lift Plan R. Supervisors Report of Accident S. Contacts List T. Line of Authority Chart U. Sample AHA V. Environmental Protection Plan WHQ-APP/SSSP Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 3 PART A 1.0 SIGNATURE SHEET Accident Prevention Plan FY12 Wing Headquarters Fairchild Air Force Base Spokane, Washington Contract No. W912DW-12-C-030 We certify that this plan has been prepared in accordance with the plans and specifications and is submitted to the U.S. Army Corps of Engineers for Approval. Greg Hebner, Vice President, Project Executive John Cannon, Project Manager (APP Preparer) Jake Berger, Contractor Quality Control System Manager Bob Peters, Project Superintendent WHQ-APP/SSSP Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 4 2.0 INTRODUCTION AND BACKGROUND INFORMATION 1. CONTRACTOR Jackson Contractor Group, Inc. 2. CONTRACT NUMBER W912DW-12-C-030 3. PROJECT NAME, INFORMATION and LOCATION FY12 Wing Headquarters Address— 1 Bong Street Fairchild Air Force Base Spokane, Washington 99011 Phone: 509- Fax: 509- A. SITE CONDITIONS i. Existing Site Conditions The site for construction of the new FYI Wing Headquarters is located on an asphalt paved parking lot at present. ii. Site Access Site entrances will be marked with fencing and project signage. iii. Temporary Facilities Two jobsite offices, one crew trailer, storage containers and subcontractor trailers are temporary facilities. The quantities may vary. iv. Temporary Power Temporary power arrangements will be made with Liberty Electric. 4. PROJECT DESCRIPTION The Project consists of the construction of a new Wing Headquarters Building to house the command functions of the 92"d Air Refueling Wing and 14151 Air National Guard. It is located at Fairchild Air Force Base, Spokane, Washington. Project includes a new two-story HQ building, 27,045 GSF, and associated site utilities, grading, pavements and landscaping. The new building consisting of a concrete foundation, ICF concrete wall system, structural steel, metal stud framing, drywall, storefront glass walls, brick veneer, rough and finish carpentry, painting, roofing and flooring, as well as Mechanical and Electrical systems. The project shall implement applicable Anti-Terrorism/Force Protection measures. Also included in the project scope is the demolition of the existing two-story wood framed Wing Headquarters building, located adjacent to the new site. It will entail demo of the associated site improvements, removal/abandon of existing utilities and the abatement of hazardous materials. WHQ-APP/SSSP Jackson Contractor Group, Inc. Contract No. W912DW-12-C-030 Page 5 As a result of previous field investigative activities, the USACE has identified the following concerns that require mitigation activities: • ACM Hazard Control &Abatement at Existing HQ Bldg to be demolished • Lead based paint on surfaces within and outside Existing HQ Bldg. • Lighting Ballasts & Lamps containing PCB's &/or Mercury at Existing HQ Bldg. A. PRIMARY PHASES OF WORK It is anticipated that the following operations will be performed by either Jackson Contractor Group's own forces, or one or more of its subcontractors. Along with each division of work, a preliminary list of associated hazards, including related control methods, will be outlined. This preliminary list will form the basis of a more detailed AHA Plan. 1. Survey & Layout 2. Site Demolition 3. Existing Hazardous Material Mitigation 4. Building Demolition 5. Footings & Foundations 6. Concrete Slab on Grade 7. Sitework & Utilities 8. 1CF Perimeter Concrete Wall System 9. Steel Erection 10. Slab on Metal Deck 11. Roofing — Membrane & Metal 12. Brick Veneer 13. Openings/ Exterior Storefront &Windows /Glazing 14. Metal Stud Framing & Drywall 15. Interior Finishes (Ceilings, Painting, Floor Covering, etc) 16. Fixtures & Furnishings (casework, specialties, etc.) 17. Elevator Installation 18. Site Improvements (landscape & irrigation, site concrete, asphalt paving, site lighting, etc.) WHQ-APP/SSSP Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 6 An Activity Hazard Analysis (AHA) will be prepared for each Major Phase of Work. AHAs will be prepared in accordance with the format provided for in the current USACE Safety and Health Requirements Manual, EM 385-1-1. B. TCE CONTAMINATION The RFP for the Wing HQ stated "A trichloroethylene (TCE) plume exists, south and east of the new site. Based upon information provided from the Base's monitoring wells, the edge of the TCE plume touches the corner of the site at the monitoring well located near the intersection of Arnold Street and Hansell Avenue. Over the last 10 years of monitoring, the recorded concentration at this location has been between 1.0 to 1.2 parts per billion (PPB). As a precaution the contractor shall include periodic monitoring for TCE vapors during construction and shall address the potential health threat in their Safety Plan. Additionally, as a future precaution, the contractor shall select construction materials that are not adversely affected by TCE and the contractor shall provide a fully taped and sealed vapor barrier under the building slab and foundations to prevent the potential for TCE vapors from entering the facility through the floor system. During design, the response to JCG RFI 031 indicated the TCE Plume is located 20' deep below the surface. This determination indicates that there should be no airborne TCE to be concerned with and that periodic monitoring is not necessary. Our design does incorporate a sealed vapor barrier under the building as the RFP calls for. 3.0 STATEMENT OF POLICY It is the policy of Jackson Contractor Group to perform work in the safest manner possible consistent with good construction practices. To fulfill the requirements of this policy, an organized and effective safety and health program must be carried out at each location where work is performed. Furthermore, it is our philosophy to make safety equal in importance to quality, schedule, cost, and production. Construction is a unique industry in terms of challenge and rewards. While construction methods and techniques have improved and consistently increased the efficiency and productivity of the industry, the accident incidence rate for construction has been one of the highest of all industries. Also, our direct and indirect job costs and costs of doing business are known to fluctuate in direct proportion to the incidence of accidents. Effective preventive measures must be identified and successfully applied. Accidents can be prevented through planning, training, and a cooperative effort in all areas of our operations. In an effort to prevent death, injury, and unnecessary hazard to our employees and to the public, loss of production, time, and damage to equipment, and to increase our competitive position, this Company has established the following Safety and Health Reference Manual. 1. OBJECTIVES The objectives of this Safety and Health Plan are as follows: 1. To provide a Safety and Health Plan consistent with good construction practices. 2. To create an attitude of safety and health consciousness in management, field supervisory personnel, and all operating crafts. WHQ-APP/SSSP Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 7 3. To minimize accidents through incorporation of safety and health considerations into the pre-planning of the work to be performed on each project. Planning for safety and health requires the identification of present and future hazardous conditions in each operation to be performed on the project. 4. To provide a uniform policy of safety and health management which is consistent with EM- 385-1-1, OSHA or Local Authority, Owners with which we do business, the Associated General Contractors of America, our insurance carriers, and our Company's Safety and Health Committees. 5. To provide assignment of specific responsibilities for effective enforcement and control of the Company's safety and health program. 6. To provide a means for continuing development and updating of safety and health education and training. 7. To provide for the involvement of our subcontractors in a continuing safety and health program. 4.0 RESPONSIBILITIES AND LINES OF AUTHORITY 1. OSH Act/General Duty Clause: A. Jackson Contractor Group: • shall furnish to each of his employees employment and a place of employment which are free from recognized hazards that are causing or likely to cause death or serious physical harm to his employees; • shall comply with occupational safety and health standards promulgated under this Act. B. Each JCG employee shall comply with occupational safety and health standards and all rules, regulations and orders issued pursuant to this Act which are applicable to his own actions and conduct. 2. Illness and Injury Reporting and Recordkeeping A. The following illnesses and injuries are required to be recorded: • Death • Loss of consciousness • Days away from work • Restricted work activity or job transfer • Medical treatment beyond first aid • Needlestick injury or cut with blood contaminated object B. JCG Reporting process • All JCG Project Supervision is equipped with a "Grab & Go Kit"to be using in the case of an incident. • JCG Project Supervision to fill out the required paperwork and submit to the main office. JCG policy is to submit the paperwork by the next working day. • Refer to Grag & Go Kit Label and Montana Statefund— First Report forms in Addendum T • JCG's main office must provide the claim forms to the carrier, Montana Statefund, within 6 days from the incident. • The incident is recorded on an OSHA 300 log that is kept secure and confidential at the main office, and can be made available for audit purposes. 3. Refer to the Site Specific Safety and Health Plan attached to this APP for a complete description of the responsible parties in the implementation of this Accident Prevention Plan (Addendum T). WHQ-APP/SSSP Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 8 5.0 SUBCONTRACTORS AND SUPPLIERS It is estimated that at the manpower peak of this project, the work force will consist of a maximum of less than 60 employees. The subcontractor list will be provided at a later date when contracts are finalized with each subcontractor and supplier. 6.0 TRAINING Refer to the Site Specific Safety and Health Plan attached to this APP section 5.1 for descriptions of the new hire orientation and additional training of project personnel. 7.0 SAFETY AND HEALTH INSPECTIONS The site Safety and Health officer will perform daily safety inspections of the work site and complete the safety inspection checklist form. The project manager, superintendent as well as other jobsite personnel will perform periodic safety inspections to observe any unsafe acts or conditions and document the findings and corrective actions through the safety inspection checklist. At a minimum of once every quarter the corporate safety committee and our insurance carrier will separately perform safety audits of the project. All observations and findings will be documented in a site visit report. When a safety violation is brought to the attention of the subcontractor, either by a JCG Representative, a Safety Engineer, Quality Control Inspector, or by jobsite personnel, it will be corrected with a positive attitude. If the violation is life threatening, work in the affected area or by the affected individuals will immediately cease until the violation is corrected. Employees responsible for the violation(s), and their supervisor, will be talked with until they understand the safe work practice or method; if the violation is serious and/or has been repeated, the employee will be removed from the project. 8.0 ACCIDENT REPORTING 1. EXPOSURE DATA Exposure data will be documented and recorded pursuant to federal guidelines. The data will be included with pay estimates and entered into the QCS program on a daily basis. The data will also be included on the daily quality control report. 2. ACCIDENT INVESTIGATIONS For all incidences including accidents, work-related illnesses, or near misses the responsible party will notify the Site Safety and Health Officer. The USACE will be notified verbally within four (4) hours of all reportable/recordable accidents. The responsible party will provide a written accident report to JCG, who will complete and send both a "Jobsite Accident investigation form" and a completed USACE Accident Form 3394 to the Project Manager and the USACE with twenty-four (24) hours. This includes property damage in excess of$200 dollars. WHQ-APP/SSSP Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 9 The accident scene will not be disturbed or changed if there is a serious injury or major property damage until such time as the Jackson Contractor Group Site Safety and Health Officer has completed his investigations. Procedures for investigating and reporting all accidents are covered in the Site Specific Safety Plan contained within this booklet. Immediate notification will be given for all major accidents, work related illnesses that result in a fatality, permanent total disability, permanent partial disability, hospitalization of three or more people resulting from a single occurrence and property damage of$200,000 or more. 9.0 PLANS 1. LAYOUT PLANS Temporary facilities and utilities will be installed in accordance with specification section 01 50 01 Temporary Construction Facilities and Controls. 2. EMERGENCY RESPONSE PLANS Refer to the Site Specific Safety and Health Plan attached to this APP. (Addendum H) 3. HEALTH HAZARD CONTROL PROGRAM 1. General Information In compliance with the OSHA Hazard Communication standard, the following written Construction Hazard Communication Program has been established for Jackson Contractor Group and this project. Any questions regarding this program, or help needed in implementing this program, should be directed to the Jackson Contractor Group SSHO. 2. Container Labeling The Jackson Contractor Group SSHO will verify that all containers received for use will: • Be clearly labeled as to the contents, • Have the appropriate hazard warning written on the label, • List the name and address of the manufacturer on the label. 3. Material Safety Data Sheets (MSDS) The SSHO will be responsible for receiving and maintaining a file of MSDS required for this project. MSDS's will be available to all employees for review during each work shift by asking the SSHS. MSDS and Hazardous Chemical list will be filed with the Base Haz/mat pharmacy. 4. Employee Training On Hazard Communication Each employee who may be potentially exposed to hazardous substances during the course of their work is provided with hazard communication training by means of a brief overview during the New Employee Indoctrination. The Project Manager is responsible for ensuring that Jackson Contractor Group project employees coming on the site have been trained in hazard communication. The SSHO is responsible for confirming that all employees coming on the site have been trained in hazard communication. WHQ-APP/SSSP Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 10 5. List of Hazardous Chemicals The MSDS constitute the list of hazardous chemicals used on this project. The MSDS are kept in a file on site which is held by the SSHO. 4. RESPIRATORY PROTECTION PLAN Refer to the Site Specific Safety and Health Plan attached to this APP (Addendum N). Only nuisance dust masks are anticipated to be utilized on this project 5. Not Used 6. Not Used 7. LEAD ABATEMENT PLAN To be submitted by subcontractor in accordance with section 02 83 13.00 20. 8. ASBESTOS ABATEMENT PLAN To be submitted by subcontractor in accordance with section 02 82 14.00 10. 9. ABRASIVE BLASTING PLAN - Not applicable. 10. CONFINED SPACE PROGRAM Refer to the Site Specific Safety and Health Plan attached to this APP. (Addendum C) 11. HAZARDOUS ENERGY CONTROL PLAN (LOCKOUT/TAGOUT) Refer to the Site Specific Safety and Health Plan attached to this APP (Addendum M). At any time an employee or subcontractor is working in an area that may cause exposure to equipment/utilities with hazardous potential, i.e. electrical, water, natural gas, high temp. hot water, etc., shall be locked out or tagged by qualified personnel. 12. CRITICAL LIFT PLAN Refer to the Site Specific Safety and Health Plan attached to this APP. (Addendum R) 13. CONTINGENCY PLAN FOR SEVERE WEATHER All facility personnel must understand the Emergency Response and General Evacuation Procedures for their location. This information will be provided during the New Employee Indoctrination. Employees must also know the correct exits to use for all areas they enter and the assembly point locations. In the event of severe weather, the following procedures will be followed: WHQ-APP/SSSP Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 11 - Upon notification that an evacuation is in progress, all company personnel and visitors will immediately use the nearest available exits and/or proceed to their designated assembly location. - If lightning is occurring, stop outdoor work and move indoors, or stay inside a moving vehicle (do not continue to linger outdoors). Shut down and move away from heavy equipment. - In case of tornado conditions, seek out low ground (i.e. ditch or basement), shield yourself from falling objects, and stay away from windows. - The SSHO will take a head count. - All personnel will stay assembled until further instructions are received. However it is important to note that in some emergencies, employees must deviate from these instructions. Use common sense. For example, if smoke is present, employees need to begin evacuating even if the alarm has not been sounded. If smoke is present, stay below smoke while evacuating. Note that not all emergencies are the same. In some cases employees will have to follow a procedure that is different from the facility evacuation plan. Be certain to train and drill employees in this need to exercise common sense above all in emergency situations. 14. ACCESS AND HAUL ROAD PLAN A Traffic control plan will be submitted as a separate plan. (Addm J) 15. DEMOLITION PLAN To be submitted by subcontractor in accordance with specification section 02 41 00. 16. EXCAVATION AND TRENCHING PLAN To be submitted by all applicable subcontractors as a separate plan. Refer also to General Jobsite Procedures, section B.5.14. All excavation and trenching over four (4) feet deep, shall be sloped according to the soil's type (A,B,C) as determined by the competent person, or shored in conformance with all applicable codes and standards. 17. UNDERGROUND CONST FIRE PREVENTION AND PROT PLAN - Not applicable. 18. COMPRESSED AIR PLAN - Not applicable. 19. FORMWORK AND SHORING ERECTION AND REMOVAL PLANS To be submitted with specification section 03 11 13.00 10 There is no horizontal suspended formwork anticipated on this project. 20. JACKING PLAN LIFT SLAB PLANS - Not applicable. 21. SAFETY AND HEALTH PLAN AND SSHP FOR HAZARDOUS, TOXIC, OR RADIOACTIVE WASTE The SSHP for this site is attached to this APP. (Addendum D) 22. BLASTING PLAN - Not applicable. 23. DIVING PLAN - Not applicable. WHQ-APP/SSSP Jackson Contractor Group, Inc. Contract No. W912DW-12-C-030 Page 12 24. PREVENTION OF ALCOHOL AND DRUG ABUSE PLAN Refer to the Site Specific Safety and Health Plan attached to this APP. Jackson Contractor Group Substance Abuse Policy (Addendum A) 25. FALL PROTECTION AND PREVENTION PLAN Refer to the Site Specific Safety and Health Plan attached to this APP. (Addendum 1) Task specific fall protection plans will be submitted by JCG or the applicable subcontractor with the Job Hazard Analysis for activities that may have exposure to falls over 6 feet. 26. STEEL ERECTION PLAN Refer to the Site Specific Safety and Health Plan attached to this APP. (Addendum O) This complete plan will be submitted in the Pre-phase meeting and the Job Hazard Analysis for the Steel Erection activity. 27. NIGHT OPERATION LIGHTING PLAN - Not applicable. 28. SITE SANITATION PLAN Refer to the Site Specific Safety and Health Plan attached to this APP. (Addendum P) 29. FIRE PREVENTION PLAN Refer to the Site Specific Safety and Health Plan attached to this APP. (Addendum E) 30. SILICA EXPOSURE REDUCTION PLAN - Not applicable. 10.0 RISK MANAGEMENT PROCESSES Refer to Activity Hazard Analysis, of the Site Specific Safety Plan (Addendum G). 11.0 SUBCONTRACTOR/SUPPLIER RESPONSIBILITIES All subcontractors and suppliers will be required to complete a site orientation/safety program and sign off that they have understood all requirements and provisions before being allowed to conduct work on this project. All subcontractors will be signatory to the JCG QC Plan, APP and SSSP as part of their contract documents. All subcontractors and suppliers will be held to the same standard as JCG employees as outlined in this plan. WHQ-APP/SSSP Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 13 PART B SITE SPECIFIC SAFETY PLAN FYI Wing Headquarters Fairchild Air Force Base Spokane, WA Contract No. W912DW-12-C-0030 Safety Program and Policy 1.0 General Information 1. Policy It is the policy of Jackson Contractor Group, Inc. to provide a safe, accident-free, and healthy work environment for everyone. Excellent safety and health conditions do not occur by chance. They are the result of diligent work and careful attention to company policies by everyone. Effective safety demands cooperation on everyone's part. It is important that communication be kept open at all times. For this reason, Jackson Contractor Group, Inc. management practices an open door policy. Workers who notice hazards or other safety problems, or feel that they need additional training, should notify their supervisor. Supervisors and management shall address these concerns and take corrective action when warranted. Everyone is responsible for knowing the safety requirements and standards for their area or job and to abide by them. Supervisors must instill a positive attitude and awareness of the Safety Culture in their workers through personal adherence, personal contact, training, and regularly scheduled safety meetings. It is the duty of all employees to perform their work with maximum regard for the safety of themselves and their co-workers. Jackson Contractor Group, Inc.' safety policies are an integral part of the company's personnel policies. This means that compliance with the policies is a condition of employment and must be taken seriously. Failure to comply with the Safety Program and Policy is grounds for disciplinary action, up to and including termination. Safety and health is every bit as important as productivity and quality. If a job cannot be done safely, it will not be done. 2. Purpose The purpose of this policy is to maintain a safe work environment and to effectively reduce the number of accidents which result in personal injury, property damage, and damage to company equipment. 3. Applicability This policy applies to all Jackson Contractor Group, Inc. employees. By contract, all subcontractors are required to comply with this policy in addition to their own safety program and policy. 4. Compliance with Applicable Laws and Regulations This policy complies with applicable local, state, and federal laws concerning safety. In the event that a discrepancy exists between this policy and any applicable law, the provisions of that law shall govern. WHQ-APP/SSSP Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 14 5. Availability of Policy a. A copy of this revised policy will be available in the jobsite office. b. A copy of this revised policy is available upon request to the supervisor 6. Key Personnel Greg Hebner, Vice President, Project Executive John Cannon, Project Manager Bob Peters, General Superintendent Jake Berger, Contractor Quality Control System Manager To be determined, Project Safety and Health Officer Bob Peters, Alternate Project Safety and Health Officer RESUMES: Contractor Safety & Health Manager Name & Resume: To be determined and provided at a later date. Title: Safety and Health Manager Proposed Duties/ Responsibilities: Complete oversight of the Jackson Contractor Group Safety and Health Plan. Manage and coordinate Preparatory Meetings, Safety Inspections and the follow up and final inspection. Absolute responsibility for the conformance to the Project to all OSHA and EM 385-1-1 U.S Army Corps of Engineers Safety/ Health Requirement Manual specifications. Contractor Proiect Manager Name: John Cannon Title: Project Manager Proposed Duties / Responsibilities: Complete oversight of the Jackson Contractor Group Project Management Team. As Project Manager for Jackson Contractor Group, Mr. Cannon will respond to all requirements and concerns of the client. Mr. Cannon is focused on composing a project that safely provides quality and on-time completion within budget. Absolute responsibility for all contract, project design and specifications conformance. Firm Affiliation /Years Affiliated: Jackson Contractor Group / 1 year+ 1 Month Years of Experience Performinq Duties as Proposed: 28 years Education: B.S. Construction Engineering, Montana State University WHQ-APP/SSSP Jackson Contractor Group, Inc. Contract No. W912DW-12-C-030 Page 15 Specific Qualifications for this Project: Project Management Software (Prolog) Scheduling (Suretrak/P6) Certified (5 year) US Army Corp of Engineers "Construction Quality Management for Contractor's #784" Project Experience: Project Title & Location: Thomas Foley U.S. Courthouse Modernization, Spokane, WA Project Type: Design Build — Mechanical & Electrical Modernization & Interior Renovations Dollar Value: $40,000,000 Start Date / Completion March 2010 —April 2011 Date: Project Description: ARRA Project— Complete modernization of the HVAC, Plumbing and Electrical systems. Included installation of a new generator and replacement of the primary equipment such as cooling towers, HVAC units, boilers, electrical switch gear, etc. Interior remodel work including a new U.S. Marshall's office and renovation of two Federal courtrooms. LEED Silver project. Duties / Responsibilities: Project Manager/ Completion of all construction activities Awards & Recognition: N/A— None Submitted. Project Title & Location: Coyote Ridge Corrections Center, Connell, WA Project Type: Design Build - New corrections facility—minimum, medium and maximum security Dollar Value: $190,000,000 Start Date/ Completion 6/06 —5/09 Date: Project Description: New Bldgs and site infrastructure. 60 acre site, 21 total buildings including 9 housing units, 2,300 beds. Pre-cast concrete and steel structures. Extensive security and surveillance scope or work. The new campus required extensive new infrastructure and utilities to service the facility. Duties / Responsibilities: Project Manager/Completion of all construction activities Awards & Recognition: CRCC was the first LEED Gold prison in the U.S. WHQ-APP/SSSP Jackson Contractor Group, Inc. Contract No. W912DW-12-C-030 Page 16 Project Title & Location: Seasons @ Sandpoint, Idaho Project Type: New Condominium Buildings and Activity Center Dollar Value: $15,000,000 Start Date/ Completion 6/04 —9/06 Date: Project Description: Two new Condo Bldgs, new Activity Center, marina and extensive site infrastructure. Three story steel/wood frame with full post- tension concrete basement parking garage. Custom high end quality finishes. Duties / Responsibilities: Project Manager/ Completion of all construction activities Awards & Recognition: N/A— None Submitted. Project Title & Location: National Guard Readiness Center, Spokane, WA Project Type: New HQ and Readiness Center for Washington State National Guard Dollar Value: $9,300,000 Start Date/ Completion 5/05 —6/06 Date: Project Description: New Readiness Bldg, Maintenance Bldg, emergency generators and site infrastructure. Two story, steel framed, brick veneer with curtain wall atrium entry and Kalwall day-lighting. Project design involved Forced Entry, Ballistic and Blast Resistant measures. Duties / Responsibilities: Project Manager/ Completion of all construction activities Awards & Recognition: N/A— None Submitted. Project Title & Location: Explosive Detection & Baggage Handling System, Spokane Intl Airport Project Type: Baggage Area Expansion and new handling system. Dollar Value: $9,500,000 Start Date /Completion 12/02 — 10/03 Date: Project Description: This unique project involved the installation of a new federally mandated baggage handling and explosive detection system WHQ-APP/SSSP Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 17 concrete expansion to the main terminal baggage area. Involved significant coordination with the airport, airlines and the New Zealand based BHS manufacturer to perform the work around on-going operations with no impact. Also involved interface with the project stake holders from the U.S. Department of Homeland Security/ Transportation Security Administration and their vendors. Duties/ Responsibilities: Project Manager/Completion of all construction activities Awards & Recognition: NIA— None Submitted. Project Title & Location: Three Rivers Convention Center, Kennewick, WA Project Type: Design Build New Convention Center Dollar Value: $15,000,000 Start Date/ Completion 1/03 —7/04 Date: Project Description: New Bldg and site infrastructure. This new 80,000 SF convention center is steel framed with a tilt-up concrete Great Hall, CMU exterior walls. The front elevation features a expansive curved glass curtain wall system and open ceiling lobby. The building also showcases a Cyber Cafe, large commercial banquet kitchen, high-end A/V system and unique art/graphic features. Duties / Responsibilities: Project Manager/ Completion of all construction activities Project Title & Location: Shock Physics Facility, WSU, Pullman, WA Project Type: New Physics Education and Post-Graduate Research Facility Dollar Value: $10,000,000 Start Date/ Completion 9/02- 3/03 Date: Project Description: New Bldg, soil nail retaining wall and site infrastructure. Three story structural steel building with full cast in place concrete basement, concrete composite floor systems, brick and curtain wall exterior fagade, high end interior finishes with significant electrical, AV, Telecomm and IT infrastructure and systems. Project site was extremely tight, creating coordination, staging and storage challenges. Duties / Responsibilities: Project Manager/ Completion of all construction activities WHQ-APP/SSSP Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 18 Project Title & Location: BF Goodrich — Phase 1 and 2, Spokane, WA Project Type: New Carbon Brake Processing & Manufacturing Facility Dollar Value: $33,000,000 Start Date/ Completion 1/99 — 11/02 Date: Project Description: New Bldgs and site infrastructure. Phase 1 - Consisted of four pre- cast concrete and glass buildings totaling 85,000 SF. The scope involved extensive concrete work including a 23' deep basement with a T thick mat slab, drilled pier and grade beam foundations, elevated slabs, extensive process piping, electrical and instrumentation. The work also included installation of Owner-furnished furnace vessels and process equipment. This project was completed on a fast-track, multiple shift schedule. Phase 2 - 120,000 SF expansion included an addition to two of the Phase 1 buildings as well as a new 30,310 SF Textile Building. Scope was similar to Phase 1 Duties /Responsibilities: Project Manager/ Completion of all construction activities Project Title & Location: Timberline Software Corporate Headquarters, Beaverton, OR Project Type: Design Build New Office Building Dollar Value: $11,400,000 Start Date/ Completion 11/97 — 03/99 Date: Project Description: New Bldg and site infrastructure. Project consisted of a three-story 90,000 SF steel structure with architectural pre-cast panel and extensive glass system exterior skin, as well as mechanical penthouse fourth story with sophisticated HVAC, electrical and data/communication systems. The interior finishes were high-end quality. Duties / Responsibilities: Project Manager/ Completion of all construction activities Awards & Recognition: Oregon 1998 ABC award "Most Outstanding Project over$10 million" WHQ-APP/SSSP Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 19 Project Title & Location: Portland Clinic, Beaverton, OR Project Type: New Medical Office and Clinic Dollar Value: $3,400,000 Start Date / Completion Completed 1995 Date: Project Description: New Bldg and site infrastructure. This new medical clinic was a 31,250 SF steel constructed building with brick veneer and curtain wall systems, and included high-end quality interior finishes. Duties /Responsibilities: Project Manager/ Completion of all construction activities Awards & Recognition: Oregon 1995 ABC award "Most Outstanding Project" and National ABC award "Excellence in Construction" Proiect Superintendent Name: Robert Peters Title: General Project Superintendent Proposed Duties/ Responsibilities: Project Schedule Development and Maintenance, Field Activities Coordination, Layout, Expediting and Receiving Materials, Daily Reports, Coordinate and oversee weekly subcontractor meetings, Site Management, Monitor Production and assist in Quality Control / Conformance to Design and Specifications. Firm Affiliation /Years Affiliated: Jackson Contractor Group / Six (6) years Years of Experience Performing Duties as Proposed: 21 years Education: Laramie High School, Laramie, Wyoming _Specific Qualifications for this Proiect: Certified US Army Corp of Engineers training course "Construction Quality Management for Contractors" OSHA 10 CPR Certified First Aid Training Certified Forklift Operator Proiect Experience: Project Title & Location: Malmstrom Air Force Base Community Activity Center Project Type: Institute WHQ-APP/SSSP Jackson Contractor Group, Inc. Contract No. W912DW-12-C-030 Page 2-0 Start Date / Completion August 2009/April 2011 Date: Project Description: 26,000 SF new construction of multi-purpose space including offices, food service facilities, blast resistant windows, community meeting and activity rooms and secure storage areas. Duties / Responsibilities: Project Superintendent - Day to day field operations - Coordination between subcontractors and self-performed work - Scheduling - Site Utilization - Safety, Labor and Equipment Allocation Awards & Recognition: N/A— None Submitted. Project Title & Location: Enterprise Service Systems Center, Helena, Montana Project Type: Commercial Dollar Value: $7,927,771 Start Date / Completion December 2008/February 2010 Date: Project Description: Construction of a new 15,000 SF Data Center on the State of Montana Campus requiring secure project fence systems. In addition to being the overall General Contractor for this project Jackson Contractor Group was responsible for the purchase and installation of the KYOTO Cooling Units for the HVAC system. This included overview of fabrication plant, shipment and installation of cooling units manufactured in several different European countries. Direct Digital Control systems were used and Jackson Contractor Group was directly involved with the commissioning of these units on project completion. Duties / Responsibilities: Project Superintendent - Day to day field operations - Coordination between subcontractors and self-performed work - Scheduling - Site Utilization - Safety, Labor and Equipment Allocation Awards & Recognition: N/A— None Submitted. Project Title & Location: Missoula International Airport—Air Traffic Control Tower, Missoula, Montana Project Type: Commercial Dollar Value: $2,896,142 Start Date/ Completion April 2011/April 2012 Date: Project Description: New air traffic control tower built for the Missoula International Airport. Duties / Responsibilities: Project Superintendent - Day to day field operations - Coordination between subcontractors and self-performed work - Scheduling - Site Utilization - Safety, Labor and Equipment Allocation Awards & Recognition: N/A— None Submitted. WHQ-APP/SSSP Jackson Contractor Group, Inc. Contract No. W912DW-12-C-030 Page 21 2.0 Health and Safety Responsibilities and Lines of Authority The effectiveness and success of the safety program depends upon the active participation and cooperation of all employees. Duties and responsibilities of all employees under this policy are the following: Chart—Addendum T. 1. Safety Coordinator(SSHO) • Coordinate health and safety training for management and supervisors. • Coordinate monthly supervisor safety meetings. • Coordinate jobsite safety audits. • Maintain and revise the safety policy, corporate safety manual, and site specific safety plans as needed. • Maintain the jobsite postings and notices required by law. • Ensure the proper filing of any paperwork relating to accidents. • Participate in post-accident investigations. • Maintain all records and reports related to this policy. • Implement Jackson Contractor Group, Inc. safety program and policy. • Prepare the site specific safety plan. • Develop JHA 2. Project Manager • Direct and coordinate health and safety regulations related to his/her area of responsibility. • Participate in post-accident investigations. • Assist in formulating policy matters. • Implement Jackson Contractor Group, Inc. safety program and policy. 3. Superintendent • Familiarize him/her-self with health and safety regulations related to his/her area or responsibility. • Direct and coordinate health and safety activities within his/her area of responsibility. • Ensure arrangements for prompt medical attention in case of serious injury have been provided for each job, to include transportation, communication, and emergency telephone numbers. • Ensure all employees supervised use required personal protective equipment (PPE) and safety devices. • Ensure that safety equipment is available, maintained, used, and stored correctly. • I n stru ct and train all persons within area of responsibility in job health and safety requirements. • Direct correction of unsafe conditions. • Conduct weekly safety meetings. • In the case of an accident, completes the Report of Occupational Injury or Illness. • Participate in post-accident investigation. • Review all accidents/incidents with foremen and workers involved. Ensure corrective action is taken immediately to eliminate the cause of the accident. • Require all subcontractors to comply with health and safety regulations as well as Jackson Contractor Group, Inc. Safety Program and Policy. • Maintain copies of applicable programs and OSHA forms on site, in accordance with Jackson Contractor Group, Inc. practice and policy. • Implement Jackson Contractor Group, Inc. safety program and policy. • Develop and implement JHA. WHQ-APP/SSSP Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 22 4. Foreman/Supervisor • Be familiar with, explain, and enforce health and safety regulations that apply to company operations within his/her area of responsibility. • Direct and coordinate health and safety activities within his/her area or responsibility. • Ensure that safety devices and proper PPE are used by persons under his/her supervision. • Instruct and train all persons within area of responsibility in job health and safety requirements, including, but not limited to, hazard recognition and avoidance, and require compliance by workers with the safety rules established. • Direct the correction of unsafe conditions. • Ensure that safety equipment is available, maintained, used, and stored correctly. • Ensure that injuries are treated promptly and reported properly. • Participate in post-accident investigation. • Coordinate daily jobsite inspection. • Implement Jackson Contractor Group, Inc. safety program and policy. 5. All Employees Be familiar with and comply with proper health and safety practices. Use the required safety devices and proper PPE. Notify the supervisor immediately of unsafe conditions/acts, accidents, and injuries. Implement Jackson Contractor Group, Inc.'safety program and policy 6. Subcontractors By contract, Subcontractors shall comply with and ensure the compliance of their employees with the provisions of this policy as well as their own safety program. Failure to fulfill this requirement is a failure to meet the conditions of the subcontract. 3.0 Prohibited Conduct 1. Repairs Employees are prohibited from making repairs, alterations, or attachments to equipment in the field except by the permission of the Superintendent, Foreman, or Equipment Mechanic. Such repairs, alterations, or attachments shall be documented on the appropriate shop forms. Employees are prohibited from removing a guard, safety device, or appliance from equipment or machinery except to make repairs in conformance with the paragraph above. While making repairs, employees shall use appropriate lockout/Tagout procedures. When the repairs are complete, the guard, safety device, or appliance shall be replaced immediately. 2. Equipment Use and Operation Equipment shall be used only for its intended use and as recommended by the manufacturer. Riding the load, hook, or sling is prohibited. Employees are prohibited from operating a vehicle in a reckless manner or at a speed greater than is reasonable and proper, with due regard for weather, traffic, character of roadway, load, type of vehicle, and any other conditions which may affect the safe operation of the vehicle. The vehicle must be kept under control at all times and special care shall be exercise when transporting personnel. Employees using Jackson Contractor Group, Inc. vehicles must sign and abide by the company's Vehicle Policy. Employees may only ride equipment if there are seats or equal protection available for each person. Seatbelts shall be worn at all times while operating equipment with seats. WHQ-APP/SSSP Jackson Contractor Group, Inc. Contract No. W912DW-12-C-030 Page 23 3. Personal Protective Equipment(PPE) Employees must wear a hardhat, safety glasses, safety work boots, safety vests and other PPE furnished for use on the job. Employees will learn where to get PPE during their new hire orientation. Employees are responsible for wearing and maintaining required PPE. If an employee is unsure of the type of PPE required for a specific task or job, they should ask their supervisor. 4. Conduct The following conduct is prohibited and may result in discipline, up to and including termination. • Horseplay and scuffling on the job. • Making false report or misrepresentation. • Fighting. • Violating the prohibitions of the Drug and Alcohol Policy • Dishonesty and theft of company property. • Deliberate misuse of company equipment. • Unnecessary risk taking. • Violating or disobeying any instruction given by a supervisor. 5. Other Policy Violations Employees who commit policy violations other than those addressed in Section 3.0 above may be subject to discipline, up to and including immediate termination of employment. 4.0 Consequences for Policy Violations The consequences discussed below apply to all employees who are found to have violated this policy. Any foreman, supervisor, or official of management, as soon as he/she becomes aware of any such failure, shall ensure that the following action is taken: Stage 1 A formal verbal warning may be given to the employee by his/her immediate supervisor, along with a warning that this is the first stage in the disciplinary procedure and any repetition within one month will lead to the second stage in the procedure. Stage 2 Should the offense(s) addressed in Stage 1 be repeated and/or continued or a more serious offense committed, the employee may be given a formal written warning, setting out the details of the offense(s) and stating that if the offense(s) is (are) repeated within one month the third stage in this procedure will be invoked. In addition to the written warning, the employee may be suspended, without pay, for a period of one day. Upon his/her return to work, the employee must undergo additional formal training in the area of the offense(s) before he/she is permitted to work so as to prevent injury to that employee or fellow co- worker. Stage 3 Should an offense that was written up under Stage 2 be repeated within three months, the employee may be terminated. An employee so terminated will be ineligible for rehire for 24 months. Depending on circumstances, Jackson Contractor Group, Inc. reserves the right to bypass, duplicate, or alter any stage of the recommended disciplinary procedures described above. 5.0 General Jobsite Procedures 5.1 New Hire Orientation New hire orientation may consist of, but is not limited to, the following: a. Have the employee read the new hire packet which includes this policy and the Drug and Alcohol Policy. Answer any questions they may have about these WHQ-APP/SSSP Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 24 b. Return all forms to the office as indicated on the first page of the new hire packet. c. Review all policies and procedures with employee during orientation. d. Orient the employee to the jobsite, indicating the location of the Safety Center, MSDS book, emergency facilities, portable fire extinguishers, first aid station, emergency phone numbers, public notices, EEO, and any jobsite specific information. e. Explain the injury and accident policy. f. Review the written hazard communication program. Discuss hazards, container labeling, and the use of protective equipment. g. Explain the emergency response plan for catastrophic events such as fire, explosion, etc. h. Issue PPE as required for their tasks. 5.2 Training Training and education are necessary for the success of this policy. Employees will be trained to recognize jobsite hazards and the procedures to follow to minimize these hazards. Training may consist of, but is not limited to, the following: a. Weekly jobsite safety meetings. b. Orientation training for new hires. c. Individual job/task training, which includes the applicable regulations/standards for the specific job/task. d. Supervisors and management will receive ongoing safety training throughout the year as organized by the Safety Coordinator and as deemed necessary by the company owners. Such training shall include the maintenance of first aid and CPR cards. 5.3 Safety Meetings Weekly safety meetings shall be held on the jobsite. All employees and subcontractors are required to attend. The meetings may cover a range of safety-related topics. The format and content of the meeting is up to the discretion of the Superintendent. 5.4 Safety Inspections A daily safety inspection of the jobsite will be conducted by Jackson Contractor Group, Inc. employees, the employees of a subcontractor, or some combination thereof, with the inspection being rotated between all workers on the jobsite. Inspection sheets covering different aspects of safety have been developed for each day of the week. The sheets are intended as a guide. Any safety concern found during the inspection should be reported. If a worker is unclear about any item on the inspection sheet, a Jackson Contractor Group, Inc. foreman or safety officer will be able to help them. If the area being inspected requires a competent person, the worker should do the inspection with the competent person. Also, if time allows, the foreman for the worker conducting the inspection is encouraged to walk though it with them. 5.5 Hazard Communication Jackson Contractor Group, Inc. has developed a written hazard communication plan. It will be explained to each employee during their new hire orientation. This plan is located in the Site Specific Safety Plan (Addendum D) and is available upon request to the Superintendent. Areas requiring a competent person are hearing protection, rigging, hot work on preservative coatings, scaffolds, fall protection, cranes, hoists, excavations, concrete work requiring lift-slab operations, steel erection, underground construction, demolition, blasting, stairways and ladders, accident prevention responsibility, ionizing radiation, welding and cutting, tunnels and shafts, cassions, cofferdams, compressed air, bolting, riveting, fitting up and planking, lead, mechanical demolition, respiratory protection, slings, electrical, and asbestos. WHQ-APP/SSSP Jackson Contractor Group, Inc. Contract No. W912DW-12-C-030 Page 25 The purpose of the hazard communication plan is to provide information about chemical and physical agent hazards and the control of such hazards which includes container labeling, MSD sheets, physical agent data sheets, and training. The MSDS book is located in the jobsite trailer and will be covered during new hire orientation. 5.6 Site Specific Safety Plan (SSSP) This Site Specific Safety Plan was developed for this jobsite. The plan includes, but is not limited to, the following items: • Jackson Contractor Group Policy • Substance Abuse Policy • Hazardous Work Permits • Confined Space Entry Plan • Written Hazard Communication Plan • Fire Prevention and protection Plan • Daily Safety Inspection Guide • Activity Hazard Analysis • Emergency Action and Evacuation Plan • Fall Protection and Prevention Plan • Traffic Control Plan • Jobsite Map • Forklift Policy • Lockout/Tagout Policy • Respiratory Protection Plan • Site Specific Steel Erection Plan and Checklist • Site Sanitation Plan • Crane Critical Lift Plan • Supervisors Report of Accident • Contacts List 5.7 Activity Hazard Analysis (AHA) An activity hazard analysis shall be developed for each activity that warrants a Preparatory meeting prior to commencement of work. The job hazard analysis is located in the site specific safety plan. 5.8 Personal Protective Equipment(PPE) Personal protective equipment (PPE) will be issued to each new hire. Jackson Contractor Group, Inc. will provide orange safety vests, hard hats, safety glasses, and ear protection to all employees. All personnel are required to wear their high visibility safety vest at all times when on the jobsite. Hard hats, safety glasses, work boots, and proper work attire will be mandatory at all times while on the jobsite. Additional PPE may be required depending on the task and the potential for exposure to hazardous conditions. PPE requirements will be reviewed by the SSHO and the foreman. Employees are expected to use reasonable judgment regarding whether additional PPE, beyond that required, will be necessary for certain tasks. 5.9 Housekeeping Housekeeping is one of the most important factors for a safe jobsite. Form material should be scraped and all protruding nails should be pounded down. All other debris should be cleared from work areas, passageways, and stairs. Excess materials should be stacked neatly, out of the way. Tools should be stored in the tool van so they are available for all employees to use. Combustible scrap and debris should be removed at regular intervals during the course of construction. Containers with covers shall be provided for the collection and separation of waste, trash, oily and used rags, and other such refuse, which shall be removed safely and on a regular basis. WHQ-APP/SSSP Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 26 5.10 Fall Protection Jackson Contractor Group, Inc. will provide some form of fall protection when employees are exposed to fall hazards beyond those permitted by Federal and/or State regulations. Fall protection may consist of, but is not limited to, the basic following: • A stairway or ladder will be provided at any point of access where there is a break in elevation of 19 inches or more. • All stairways of four or more risers or greater than 30 inches high will be guarded by a handrail or stair rails. • When a floor hole or opening (greater than two inches in its least dimension) is created during a work activity, through which a worker can fall, step into, or material can fall through, a cover or a safety guardrail will be installed immediately. • Safety harnesses with approved lanyards and tie off points will be used for all other fall protection unless an appropriate procedure or device has been approved in advance by a competent person. 5.11 Electrical Safety Electrical safety may consist of, but is not limited to, the following: • Live electrical parts shall be guarded against accidental contact by cabinets, enclosure, location, or guarding. • All receptacles which are not part of the permanent wiring of the building will be equipped with GFCI receptacles at the temporary service drop. • Extension cords will be kept in safe, working condition. • All lamps for general illumination will have the bulbs protected against breakage. All light sockets shall be filled with a working bulb. • Employees will not work in such close (able to contact) proximity to any part of an electric power circuit unless the circuit is de-energized, grounded, or guarded by insulation. • Equipment or circuits that are de-energized will be locked out and tagged out. The tags will plainly identify the equipment or circuits being worked on. 5.12 Tools Jackson Contractor Group, Inc. will provide tools for employees to use, as will the subcontractors on the project. These tools shall meet applicable OSHA standards for safety. Only trained employees will be allowed to use such tools. The safe use of tools may consist of, but is not limited to, the following: • Unsafe or defective tools will be removed from service and tagged as such. • Power tools will be turned off and motion stopped before being set down. • Tools will be disconnected from the power source before changing drills, blades, or bits and before any repair or adjustment is made. Running tools shall not be left unattended. • Power saws, table saws, and radial arm saws will have operational blade guards installed and used. • Portable abrasive grinders will have guards installed covering the upper and back portions of the abrasive wheel. 5.13 Scaffolds • Scaffolds shall be erected, moved, dismantled, or altered under the supervision of a competent person for scaffolding. Scaffold use shall consist of, but is not limited to, the following procedures: • Standard guardrails will be installed on all open sides and ends of scaffold platforms and/or work levels more than ten feet above the ground, floor, or lower level. WHQ-APP/SSSP Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 27 direction less than 45 inches will have standard railings installed on all open sides/ends. • Platforms at all working levels will be fully planked. Planking will be laid tight with no more than one inch space between them, overlap at least 12 inches, and extend over end supports 6-12 inches unless cleats are used. • The front edge of all platforms will be no more than 14 inches from the face of the work, except plastering/lathing may be 18 inches. • Mobile scaffolds will be erected no more than a maximum height of four times their minimum base dimension. • Scaffolds will not be overloaded beyond their design loadings. • Scaffold components should not be used as tie-off/anchor points for fall protection devices. • Portable ladders, hook-on ladders, attachable ladders, integral prefabricated scaffold frames, walkways, or direct access from another scaffold or structure will be used for access when platforms are more than two feet above or below a point of access. • Cross braces will not be used as a means of access to scaffolds. • Scaffolds will not be erected, used, dismantled, altered, or moved such that they or any conductive material handled on them might come closer to exposed and energized power lines than the following: o Three feet from insulated lines of less than 300 volts; o Ten feet plus for any other insulated or uninsulated lines. 5.14 Excavation and Trenches Excavation and trenching performed by JCG or an applicable subcontractor shall be done in the presence of a competent person and in compliance with, but not limited to, the following procedures: • Any excavation or trench four feet or more in depth will be provided cave-in protection through shoring, sloping, benching, or the use of hydraulic shoring, trench shields, or trench boxes. Trenches less than four feet in depth and showing potential of cave-in will also be provided cave-in protection. Specific requirements of each system are dependent upon the soil classification as determined by a competent person. • A competent person will inspect each excavation/trench daily prior to the start of work, after every rainstorm or other hazard increasing occurrence, and as needed. • Excavations will be protected from water intrusion and will be tested for hazardous atmospheres if conditions warrant. • An exit will be provided in trenches four feet or more. The exit(s) will be within 25 feet of any employees in the trench. • Spoil piles and other equipment will be kept at least two feet from the edge of the trench or excavation. 5.15 Ladders Ladders will be inspection during the weekly inspections to identify any unsafe conditions. Any ladders found to be unsafe will be taken out of service. Extension ladders will extend three feet above the work surface and be 100% tied off. Step ladders will only be used in the open position. Ladders should be stored lying down. 5.16 Illumination Construction areas, aisles, stairs, ramps, runways, corridors, offices, shops, and storage areas where work is in progress shall be lighted with either natural or artificial illumination. 5.17 Motor Vehicles and Mechanized Equipment Vehicles and equipment shall only be operated by qualified persons (training or experience). WHQ-APP/SSSP Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 28 Contractor Group, Inc. owned vehicles must sign and abide by the company's Vehicle Policy. All equipment operators are responsible for checking, on a daily basis, all fluid levels, drive components, and hydraulics. In addition, operators should visually inspect the engine and look for structural breaks and cracks on the machine. Any and all deficiencies must be reported to a supervisor immediately. When equipment is stopped or parked, parking brakes shall be set and other safety precautions will be done as required per type of equipment. 5.18 Severe Weather Outside construction operations, including, but not limited to, steel erection, site work and concrete work will be suspended if severe wind or rain conditions present safety hazards at the worksite. Ice and snow hazards will be evaluated and appropriate measures will be taken to abate potential hazards. 5.19 Accidents All accidents and near misses must be reported immediately to the Superintendent. An accident report shall then be filled out by the employee and their supervisor. Filling out an accident report does not require the delay of medical attention; any injury should be treated first. Employees should file such reports without fear of reprisal by management. The accident or incident may be discussed at weekly safety meetings or in the safety minute to talk about how to avoid that sort of accident in the future. 5.20 First Aid First aid kits are available in the JCG project office and any other locations as indicated during orientation. In addition, Foremen and Superintendents shall maintain current first aid and CPR cards. 5.21 Fire Protection Jackson Contractor Group, Inc. will maintain one or more fire extinguishers rated not less than 2A every 3,000 square feet of the protection building area, or every 100 feet. In multi story buildings, one or more fire extinguishers rated not less that 2A shall be provided on each floor and adjacent to the stairway(s). All trucks and equipment will be fitted with portable fire extinguishers. Employees will be instructed on the location and usage of these fire extinguishers. Emergency telephone numbers for fire protection and emergency medical services will be posted on the field office bulletin board. 6.0 Safety Program and Policy Limitations The provisions in this policy reflect decisions made by management and are not required to be approved by employees. It is impossible to anticipate every circumstance or question about policy and include them all in this safety program and policy. Also, as time goes by, the need for revisions will arise and Jackson Contractor Group, Inc. reserves the right to revise, supplement, or rescind any portion of this policy at its discretion at any time, with or without notice. This revised policy replaces all prior Jackson Contractor Group, Inc. safety procedures and policies. To avoid confusion, please discard superseded copies. WHQ-APP/SSSP Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 29 Addendum A JACKSON CONTRACTOR GROUP Inc. ALCOHOL AND DRUG/SUBSTANCE ABUSE PLAN/ POLICY In order to assure a safe, efficient, and drug-free workplace, Jackson Contractor Group, hereafter referred to as "the Company," has adopted the policy described below: Any violation of this policy will result in disciplinary action, up to and including, immediate discharge. Impairment Prohibited No employee will report for work or will work impaired by any substance, lawful or unlawful, except with management's approval; such approval will be limited to lawfully prescribed medications or over-the-counter medications, and based strictly on an assessment of the employee's ability to perform his or her regular or other assigned duties safely and efficiently. "Impaired" means under the influence of a substance such that it affects the employee's ability to properly perform the employee's job function, or creates a potential safety risk to others. Illegal Drugs and Substances Prohibited Employees may not report to work with any illegal substance present in their system. Illegal substances are defined as prescription medications that have not been prescribed for the employee, alcohol above the limit described above, or any drug or controlled substance, the sale or consumption of which is illegal. Any employee or applicant that tests positive for any illegal substance (at or above the confirmation levels described in the preceding section) will be considered to have violated this policy. Possession Prohibited No employee on Company premises shall possess any quantity of substance, lawful or unlawful, which in sufficient quantity could result in impaired performance, except for authorized substances. "Company Premises" used herein includes all property, facilities, land, buildings, structures, fixtures, and equipment involved in or related to the Company's operations, including boats, aircraft, automobiles, trucks, and all other vehicles whether owned or leased by the Company or others while in use in connection with the Company's operations. "Possess" means to have either in or on an employee's person, personal effects, motor vehicle, tools, and areas substantially entrusted to the control of the employee, such as desks, files, lockers. Authorized substances include only: 1.Over-the-counter drugs in reasonable amounts, and 2. Other legal (prescriptions) drugs or substances, the possession of which the Company has been advised of and approved in advance. Any employee who is found to possess any unauthorized substance will be considered to have violated this policy. Manufacture and Distribution Prohibited No employee will manufacture, distribute, or dispense illegal or controlled substances at the workplace or on company premises. Any employee who is found to have done so will be considered to have violated this policy. Substance Abuse Screening For purposes of assuring compliance with the above, both employees and applicants for employment will be subject to substance abuse screening under the circumstances described below. "Substance Abuse Screening" means testing of urine to determine the APP /I-,CCP Arlrlenrle I—Lc r +r +—r In r--+.- -+ K1— Xe1n1')n%e1 in r mn presence of unauthorized substances and/or testing of blood or breath to determine the presence of alcohol above the limit described above. Any refusal by an applicant or employee to submit to Substance Abuse Screening as required below shall be considered a violation of this policy. Any employee or applicant for employment, who as a result of substance abuse screening, is found to have levels of prohibited drugs or substances in their system at or above the levels listed above will be considered in violation of this policy. The application process will be terminated for any applicant who tests positive for such drugs or substances, and the applicant will be considered ineligible for hire or employment at any of the Company's offices or projects unless a satisfactory treatment and rehabilitation program is completed, in accordance with the Company's Safety and Health Reference Manual (Section D51D). Applicants Prior to assuming any job, an applicant will be subject to substance abuse screening. Refusal to submit to such screening will make it impossible to evaluate this applicant, foreclosing any further consideration of his or her employment. However, testing shall not be required for any applicant who has been employed by the Company within 90 days of the date of application, and who has successfully completed substance abuse screening during that prior period of employment. Union Employees and Applicants Notwithstanding anything in the Company Substance Abuse Policy and Procedures to the contrary, employees and applicants for employment who are members of a labor union whose collective bargaining agreement or project agreement is applicable to the employee's or applicant's employment by the Company shall be tested for substance abuse in accordance with the substance abuse testing provisions of the applicable labor agreement. Reasonable Cause Testing When there is reasonable cause to believe any employee may have reported to work in violation of this policy, or has engaged in conduct that violates this policy, he or she will be subject to substance abuse screening. Post-Accident/Incident Post-accident substance abuse screening shall be conducted following any occupational-related injury requiring transportation to a medical facility for treatment, or following a serious or potentially serious accident, or incident involving damage to Company property, or a "near miss" type accident, including, but not limited to, any incident involving vehicles and/or other equipment. All persons involved in the incident will be subject to substance abuse screening. Jobsite Testing To endeavor to prevent substance abuse throughout the course of the Company's projects, on a periodic basis one or more of the Company's projects shall be selected for substance abuse screening, which shall include testing of salaried and hourly Company employees employed at the project on the date of the test, and salaried and hourly employees of all subcontractors employed at the site on the date of the test, unless such testing is not allowed by the applicable subcontract or an applicable collective bargaining agreement. Inspections For purposes of assuring compliance with the prohibition of possession of prohibited substances, and upon cause to suspect such possession, the Company reserves the right to conduct inspections of employees and their effects, including lockers, desks, tool boxes, clothing, and vehicles, while the employee is on duty, or while the employee, a container, or property, is on Company-owned property, or property under the Company's APP /rrrP Arlrlanrla Inrkcnn rnntrartnr(,'rnun Inr rnntrart Nn \A1Q1?nXA/-17_r_n:tn sole control, such as a construction jobsite of the Company. Any refusal to submit to such an inspection will be considered a violation of this policy. Employee Convictions Employees must notify the Company of any conviction of a violation of any criminal drug or controlled substance statute. In the case of a conviction during employment by the Company, the Company must be notified of any criminal drug or controlled substance statute conviction no later than five (5) days after such conviction. Any failure to notify the Company as required will be considered a violation of this policy. Privacy The results of a substance abuse screening will be considered a medical report that will be treated as confidential and distributed to only those who have a need to know of the results. Reporting of Illegal Substance and Substance Abuse Incidents To encourage the reporting of illegal substance and substance abuse incidents relating to the Company's operations, employees shall be encouraged to report information concerning such incidents to the Company's corporate counsel's office. Such information shall be treated as confidential to the fullest extent permitted by law and may be reported anonymously. Re-testing Any applicant or employee who questions the validity or accuracy of a positive substance abuse screening shall be provided the opportunity to arrange to have another National Institute of Drug Abuse (NIDA) approved laboratory test the remaining portion of the sample originally provided by the applicant or employee. This test shall be conducted at the employee's or applicant's expense. However, if the test of the remaining portion of the sample is negative, the Company shall reimburse the employee or applicant for the cost of the second test and all records of the positive test shall be expunged. Violations of Policy Any employee who violates the terms of this policy will be subject to immediate disciplinary action, up to and including discharge. Any employee discharged for these violations may only become re-eligible for hiring by successfully participating in a treatment or rehabilitation program approved by the Company. Employees who have not committed the violations set forth in the preceding sentence, but who have notified the Company of a recent violation of criminal drug statutes, or who admit to being addicted to, or habitual users of, any unlawful drugs, will have their employment terminated pending rehabilitation. If requested, the Company will assist discharged employees in locating a treatment and rehabilitation program that is acceptable to the Company. Reinstatement is conditioned upon successful participation in a treatment and rehabilitation program acceptable to the Company and certification by the treating facility of such participation, a negative test for prohibited substances, and the employee's acceptance of the Company's conditions of reinstatement. These conditions consist of execution of an authorization for periodic testing at the employee's expense, for a period of one year from the date of rehire, release of liability of the Company for such testing, and an acknowledgement that the employee will be subject to immediate discharge in the case of any future positive test for prohibited substances, impairment while working, possession of prohibited substances at the work site, or conviction of a violation of criminal drugs statutes. Any applicant or employee who is declared ineligible for hire, is discharged for testing positive for a prohibited substance, refuses to submit to screening, testing or inspections, or commits any other violation of the Company Substance Abuse Policy or Procedures, and fails to meet the requirements for reinstatement, shall be ineligible to work or be employed by any subcontractor, supplier, or other entity in connection with any project being performed by the Company. Subcontractor Testing Unless prohibited by applicable law or a collective bargaining agreement, the Company shall endeavor to require its subcontractors to employ an acceptable substance abuse testing program for subcontractor employees who perform work on any of the Company's projects. Department of Defense and Department of Transportation Projects Any project performed by the Company for the Department of Transportation (DOT) or the Department of Defense (DOD) may be governed by contract provisions which supplement or preempt the terms of the Company Substance Abuse Policy. Employees working on such projects should consult the applicable contract for any additional or different terms that may apply to the substance abuse program for that project. ADD / cccn A.4.4. 4— f- —+.--..-+—I ..... I-- r--+.--..-+ KI— IninI')n%ni a) r rnn Addendum B Jackson Contractor Group, Inc. Hazardous Work Permits Hot Work Permit FY 12 Wing Headquarters, Fairchild AFB- Hot Work Permit# Issue to: (Company Name) Permit shall be kept on site at all times during Hot Work events. Hot Work Permits shall be revoked when any of the conditions or requirements of this permit is violated. Conditions of Permit 1. Prior to start of work, the Hot Work area shall have all flammable liquids and vapors removed and all combustible materials removed or protected with appropriate shielding (i.e., non-combustible partition securely fixed to the floor with a no gap between floor and partition). 2. When using acetylene, pressure shall not exceed 15 psi gauge. 3. At least one 2A-10BC fire extinguisher shall be located within 25 feet of operation. 4. Signs stating "Caution — Hot Work in Progress —Stay Clear" shall be posted to inform other employees of a potential hazard. 5. A Fire Watch shall be posted when necessary immediately adjacent to the operation, whose job shall be only to act as a Fire Watch and shall remain on station for 30 minutes following completion of Hot Work. 6. The Hot Work site shall be inspected by the individual responsible for the Hot Work for compliance with appropriate Fire Codes. The inspection shall ensure that: a. The Hot Work site is clear of combustibles or that combustible materials are protected. b. Exposed construction is of non-combustible materials or that combustible materials are protected. c. Openings are protected. d. Hot Work site is clean and orderly to ensure combustible materials are not present. e. There are no exposed combustibles on the opposite side of partitions, walls, ceilings and floors. f. Fire Watches are assigned, equipped and trained. g. Fire Extinguishers are verified as operable and available. Where Hot Work is performed above or adjacent to employees or other work operations an access zone must be established. This zone shall be a minimum of 10 feet from the point of Hot Work and may include caution tape, danger tape, fire walls, and shields of non- combustible materials or a monitor that will ensure the zone remains safe during operations. I have read and understand the FY12 Wing Headquarters, Fairchild AFB policy on Hot Work. I agree to the conditions of this Hot Work Permit and Program. I further understand the Hot Work site may be audited by Management staff and this permit may be revoked for non- compliance. Safety Manager Manager or Competent Person Superintendent -JCG Powder Actuated Tool Permit LOCATION OF TOOL USE CONTRACTOR The following items shall be followed while operating powder actuated tools. 1. Only employees who have been trained in the operation of the particular tool in use shall be allowed to operate a powder-actuated tool. 2. The tool shall be tested each day before loading to see that safety devices are in proper working condition. The method of testing shall be in accordance with the manufacturer's recommended procedure. 3. Any tool found not in proper working order, or that develops a defect during use, shall be immediately removed from service and not used until properly repaired. 4. Personal protective equipment shall be in accordance manufacture recommendations and project requirements. 5. Tools shall not be loaded until just prior to the intended firing time. Neither loaded nor empty tools are to be pointed at any employees. Hands shall be kept clear of the open barrel end. 6. Loaded tools shall not be left unattended. 7. Fasteners shall not be driven into very hard or brittle materials including, but not limited to, cast iron, glazed tile, surface-hardened steel, glass block, live rock, face brick, or hollow tile. 8. Driving into materials easily penetrated shall be avoided unless such materials are backed by a substance that will prevent the pin or fastener from passing completely through and creating a flying missile hazard on the other side. 9. No fastener shall be driven into a spalled area caused by an unsatisfactory fastening. 10. Tools shall not be used in an explosive or flammable atmosphere. 11.All tools shall be used with the correct shield, guard, or attachment recommended by the manufacturer. Approvals: Competent person Project Superintendent and/or SSHO Jackson Contractor Group Accident Prevention Plan Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 34 Addendum C Jackson Contractor Group, Inc. Confined Space Scope This procedure establishes the minimum requirements for entry into a confined space at this construction site. The words "confined space" means all types of equipment or structures which must be entered through a manhole or other constricted opening, such as, but not limited to, a tank, closed vessel, vault, pipeline, tunnel, passageway, duct, or pit. It also includes any area, such as excavations, etc., in which air movement is not possible, or where respiration may be endangered by oxygen deficiency, fire, flood, explosion, or panic. A. MINIMUM REQUIREMENTS 1. Prior to personnel entering any confined space, which falls within the description in the above scope, a Confined Space Entry Permit (Form C14.2 attached) must be properly executed by the craft supervisor of the craft performing the work, the Project Superintendent and/or SSHO, and the identified competent person. 2. The executed Confined Space Entry Permit is valid only for the specified work, location, and time period indicated on the permit. The permit must be displayed in a waterproof pouch near the entry point of the confined space. 3. A means of quick, safe entry and exit shall be provided and be available during the occupancy of the confined space. 4. All persons entering a confined space shall wear a safety harness continuously. The safety harness shall be attached to a lifeline leading out of the confined space and be securely fastened to prevent it from being pulled inside. 5. If lighting and power requirements cannot be met by the use of battery lights and pneumatic equipment, reduced voltage at a maximum of 12 volts must be used. Higher voltages may be used only with a ground fault circuit interrupter (GFCI) protection. 6. All persons entering the confined space shall be instructed as to the hazards involved, the precautions to be taken, the use of protective and emergency equipment, and the use of rescue equipment. 7. Sufficient manpower shall be available outside the confined space to help rescue if it becomes necessary. At least one standby attendant, having available the same protective equipment and clothing as the person inside the confined space, shall be present at the entry point throughout the occupancy and must maintain communications with the persons inside. 8. Anytime you have a class "A" confined space, subcontract it to a qualified subcontractor B. DECONTAMINATION, ISOLATION, AND TESTING 1. A review of the confined space and its previous contents must be made by the project superintendent and/or SSHO and the craft supervisor responsible for the work to ascertain that the necessary ventilation, protection clothing, respiratory equipment, emergency standby equipment, fire prevention precautions, and atmospheric and residual analysis tests have been specified and provided. Accident Prevention Plan Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 35 2. All pipelines, electrical services, agitators, and any other services leading to the confined space must be disconnected, blanked off, valved off(or otherwise rendered inoperative), and locked, tagged, and tried before personnel are allowed to enter. 3. If the confined space has previously been in use, cleaning and decontamination must be performed and tests performed to determine atmospheric and residual analysis prior to personnel entering. 4. The confined space must be adequately ventilated by the removal of manholes, vents, lines, etc. During warm and/or humid weather, or if natural draft ventilation is inadequate for comfort, fresh air should be supplied by forced ventilation. 5. Appropriate tests of the atmosphere shall be made before entering the confined space. In all cases, an oxygen and explosive atmosphere test will be performed. The test will be performed, and the test results recorded on the permit form by the person testing who will initial the form. The Project Superintendent and/or SSHO or a designated, qualified representative shall also initial the form to indicate he has witnessed the test. If the oxygen concentration is less than 19.5 percent, or toxic contaminants exceed allowable limits and cannot be corrected by cleaning and ventilation, approved air-supplied respiratory equipment shall be used with suitable protective clothing. If the explosive atmosphere test indicates the presence of any flammable vapor, entry shall not be made. 6. Presence of radioactive level gauges or similar instrumentation shall be determined. If present, they must be removed or shielded prior to entry. C. BURNING AND WELDING 1. Burning and welding in confined spaces entails unusual hazards and detailed analysis shall be made of each specific case to ensure safe performance of the work. 2. When burning or welding is being performed in any confined space, the gas cylinders and welding machines shall be left outside. When going to lunch or on a break, the gas must be turned off at the cylinders. 3. Surface coatings such as preservatives or corrosive resistant finishes and any residual materials from previous use must be removed for a distance of two (2) feet from the point of welding or burning to prevent evolution of fumes. 4. Vessels and/or tanks of laminated shell construction should be given special consideration for the possibility of trapped residuals from the previous contents. 5. In vessels and/or tanks that have stainless steel or galvanized internal construction, personnel must use supplied air respirators if burning or welding is to be performed. CONFINED SPACE PRE-ENTRY CHECKLIST Location Date Time Entry Supervisor Phone Mark the appropriate column: X Yes, X No, or X N/A Not Applicable. Yes No NIA 1. is a"DANGER CONFINED SPACE" sign posted to identify the site as requiring a confined-space entry permit to occupy the area? 2. Is a written permit space-entry program developed for that space? Accident Prevention Plan Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 36 3. Is the written program available for inspection by employees and their representative (through JHA& STA, as well as a hard copy)? 4. Have all ENTRANTS been provided training and acquired the understanding, knowledge, and skills necessary for the safe performance of the duties? 5. Have all ATTENDANTS been provided training and acquired the under-standing, knowledge, and skills necessary for the safe performance of the duties? 6. Have all ENTRY SUPERVISORS been provided training and acquired the understanding, knowledge, and skills necessary for the safe performance of the duties? 7. Is the only hazard an actual or potential hazardous atmosphere? 8. Will continuous forced air ventilation alone be sufficient to maintain the permit space safe for entry? (May be a non-permit required confined space.) 9. Does monitoring show the elimination of the hazardous atmosphere through forced air ventilation? 10. Has the permit space been isolated? (See Lockout/Tag out Procedure C16.) 11. Have steps been taken for purging, inserting, flushing, or ventilation the permit space to eliminate or control atmospheric hazards? 12. Is monitoring available to verify that conditions are acceptable for entry throughout the duration of an authorized entry? 13. Are employees trained on how to maintain and properly use testing and monitoring equipment? 14. Is ventilating equipment needed to obtain acceptable entry? (Available?) 15. Is communication equipment necessary and available for use between attendant and entrant? 16. Are the entrants provided and trained in the use of appropriate personal protective equipment? 17. Has adequate lighting equipment been supplied to allow a safe work area and allow a quick exit in an emergency? Accident Prevention Plan Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 37 18. Has the area been secured with barriers and shields from pedestrian, vehicle, or other barriers to protect the entrants from external hazards? 19. Is the confined space provided with equipment, such as ladders, needed for safe ingress and egress by authorized entrants? 20. Is there other training, equipment, or services needed to provide safe confined-space entry? SAFETY EQUIPMENT CHECKLIST Safety Harness with attached Lifelines Ear Protection Retrieval Tripod with Material Hoist Foot Protection and Bucket Protective Clothing Respirator Type Ventilator Hart Hat Resuscitator Eye Protection Equipment Communications Hand Protection Gas Tester with Alarms Other Rescue and Emergency Services 1. Contacts in the event of an emergency include name and telephone number. On Site Off Site A. B. Accident Prevention Plan Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 38 2. Rescue services available for this confined-space entry. Employee Outside rescue service 3. Rescue equipment available: Oxygen @ Chest/full body harness Resuscitator- Inhalator @ Retrieval line properly installed Fire-Aid Equipment @ Wristlets when it is the safest De-Fibrillator @ and most effective alternative Additional rescue equipment available CONFINED SPACE ENTRY PERMIT Name & Location of Confined Space: Description of Work to be Performed: Craft to Enter: Date of Entry: From: AM/PM *** To: AM/PM Previous Contents of Vessel or Confined Space: Hazardous Material or Fumes Generated by Work: Other Hazards: Nearest Fire Alarm Box No. & Location: Atmospheric & Residual Analysis Sample Frequency: Accident Prevention Plan Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 39 PROTECTIVE EQUIPMENT REQUIRED Safety Harness Respirator Protective Clothing Gloves Fresh Air Mask Chemical Goggles Other (specify) Personnel must be trained in Use of Equip. 1. 2. 3. Special Precautions and Procedures Required PERSONNEL INVOLVED (to be signed) Person entering Standby Attendant Person entering Person Within Audible Distance Person entering Person entering APPROVALS: Competent Person Project superintendent and/or SSHO Area Supervisor Accident Prevention Plan Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 40 Addendum D Jackson Contractor Group, Inc. Written Hazard Communication Plan INTRODUCTION Jackson Contractor Group, Inc. has developed a HAZARD COMMUNICATION PROGRAM to enhance our employees' health and safety. As a company we intend to provide information about chemical and physical agent hazards and the control of hazards via our HAZARD COMMUNICATION PROGRAM which includes container labeling, Material Safety Data Sheets (MSDS), Physical Agent Data Sheets (PADS), and training. 1. LIST OF HAZARDOUS CHEMICALS AND PHYSICAL AGENTS Information on each chemical and physical agent can be obtained by reviewing the Material Safety Data Sheets. 2. CONTAINER LABELING It is the policy of this company that no container of hazardous chemicals will be released for use unless it has a readable label with the following information: o Containers are clearly labeled as to the contents. o Appropriate hazards warnings. o Name and address of the manufacturer. This responsibility has been assigned to the Foreman of JCG and each Subcontractor. To further ensure that employees are aware of the chemical hazards of materials used in their work areas, it is our policy to label all secondary containers. 3. MATERIAL SAFETY DATA SHEETS (MSDS)AND PHYSICAL AGENT DATA SHEETS (PADS) Copies of MSDS and PADS for all hazardous chemicals and physical agents to which employees of this company may be exposed are available in the Project office. Subcontractors are required to submit applicable MSDS to JCG prior to use of the subject material. MSDS are available to all JCG employees and subcontractors for review during each work shift. If MSDS are not available or new chemicals in use do not have MSDS, please immediately contact the Superintendent. 4. EMPLOYEE TRAINING AND INFORMATION New employees are to attend a health and safety orientation prior to starting work for information and training on the following: o An overview of the requirements contained in the Hazard Communication Rules. o Review of the chemical and physical agents present in their work place operations. o Location and availability of our Written Hazard Program. o Physical and health effects of the hazardous chemicals and physical agents. o Methods of observation techniques used to determine the presence of hazardous chemicals and physical agents in the work area. o How to lessen or prevent exposure to these hazardous chemicals and physical agents through usage of control/work practices and personal protective equipment. o Steps the company has taken to lessen or prevent exposure to these chemicals and physical agents. o How to read labels and review MSDS and PADS to obtain appropriate hazard information. NOTE: It is critically important that all JCG and subcontractor employees understand this training. If you have any additional questions, please contact the Superintendent. When new chemical hazards are introduced, the project foreman will review the above items as they are related to the new material in your work area safety meeting. Accident Prevention Plan Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 41 . HAZARDOUS NON-ROUTINE TASKS Periodically, employees are required to perform hazardous non-routine tasks. Prior to starting work on such projects, each affected employee will be given information by their supervisor about hazards to which they may be exposed during such an activity. This information will include: o Specific chemical hazard. o Protective/safety measures which must be utilized. o Measures the company has taken to lessen the hazards including ventilation, respirators, presence of another employee and emergency procedures. 6. CHEMICALS IN UNLABELED PIPES (if applicable) To insure that our employees who work on unlabeled pipes have been informed as to the hazardous materials contained within, the following policy has been established: o Prior to starting work on unlabeled pipes, JCG and subcontractor employees are to contact their supervisor/foremen for the following information: o Chemical in the pipe. o Potential hazards. o Safety precautions which should be taken. 7. MULTI EMPLOYER WORK SITES If any JCG or subcontractor employees may be exposed to hazardous chemicals for physical agents while at the work place, it is the responsibility of their supervisor/foreman to hold a meeting with the other employer(s) to: o Either provides them with copies of MSDS and PADS or information of the location and availability of MSDS and PADS forthe substances and agents their employees may be exposed to while working. o Inform the employee(s) of the labeling system used at the work site. o Obtain MSDS or PADS for any hazardous chemicals or physical agents that the other employer(s) may bring to the work site. Accident Prevention Plan Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 42 Addendum E Jackson Contractor Group, Inc. FIRE PREVENTION AND PROTECTION PLAN The prevention of fires is essential to the protection of our employees and jobsites. Potential losses from fire include damage or total destruction of temporary facilities, materials, equipment, permanent construction, public property and human lives. Some of the hazards to look for are: o Electrical wiring and equipment o Volatile liquids and fuel storage o Poor housekeeping o Welding and cutting o Storage of materials o Work with explosives Please utilize the Safety Inspection Checklist Guide as part of your ongoing jobsite safety management, which will also help in identifying potential fire hazards. In the event of a fire, proper control measures must be taken to limit the damage caused by the fire. The following control measures must be maintained on our projects. o All equipment will be equipped with an ABC cartridge type extinguisher. o The number of fire extinguishers needed shall be determined by the area and arrangement of the building or occupancy, the severity of the fire hazard, anticipated classes of fires and the distance to be traveled to reach extinguishers. o All fire extinguishers will be inspected annually to ensure operability of extinguishers. o A monthly inspection will be done to ensure that extinguishers are located properly and are not in need of service. o Instruct employees to call fire department immediately. o An evacuation plan will be developed for jobsite offices. o Combustibles will be adequately protected when welding or cutting operations are in progress. o Lock out procedures shall be followed for maintenance of equipment and electrical systems. o Specialized operations should be examined in regards to prevention and protection of fires. Accident Prevention Plan Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 43 ^\ddendum F .ackson Contractor Group, Inc. Daily Safety Inspection Guide MondayA=Pass, F=Fail, N/A=Not Applicable afety Grade Date Corrected Notes OPENINGS IN FLOORS AND ROOFS Covered properly or guarded and marked FORKLIFTS Check boom and forks for cracks Check nylon straps for wear Check steel chokers for kinks and fraying LADDERS Ladders inspected and in good condition. Ladders properly secured top and bottom Extension ladders must be 100% secured at top & Side rails extended 36" above top of landing. Step ladders fully opened & locked when in use. No metal ladders around electrical hazards Ladder safety feet used properly. SCAFFOLDING All structural members meet safety factors. All connections secure. c7oot sills and mud sills provided. scaffold plumb and square with cross bracing. Guard rails, intermediate rails, toe boards. Adequate, sound planking provided. Scaffold equipment in good working order. Ropes and cables in good condition. FALL PROTECTION/ARREST EQUIPMENT Check body harnesses for wear problems. Check lanyards, wear and snap hooks. Check anchor connectors for holding strength (5,000 lb) Check guardrails placed at heights. PERSONAL PROTECTIVE EQUIPMENT Head protection--hard hats Hearing protection--noise monitoring on job. Foot protection. Rubber gloves, aprons& sleeves for chemicals Proper PPE used for all activities Electrician's rubber gloves and protectors. Accident Prevention Plan Jackson Contractor Group, Inc. Contract No. W912DW-12-C-030 Page 44 Jackson Contractor Group, Inc. Daily Safety Inspection Guide Tuesday Performed By: A=Pass, F=Fail, NIA=Not Applicable Safety Item Grade Date Corrected Notes FIRE PREVENTION Fire protection program developed. Fire instructions provided to personnel. Adequate fire extinguishers provided, identified, checked and accessible at necessary locations. Phone number of fire department posted. Hydrants clear, access open (not blocked). Good housekeeping in evidence. Temporary heating devices safe. Adequate ventilation? HOISTS AND CRANES Cables and sheaves regularly inspected. Slings and chains, hooks and eyes inspected Equipment firmly supported. Must have "anti two" blocking device installed & Outriggers used if needed. Power lines inactivated, removed or at a safe distance. Proper loading for capacity at lifting radius. Rated load capacities posted. All equipment properly lubricated and maintained. Signal workers where needed. Signs posted, understood and observed. Inspection and maintenance logs maintained. Hazard signs posted and visible to operator. WELDING AND CUTTING Operators qualified. Screens and shields used when needed. Goggles, welding helmets, gloves and clothing used. Equipment in safe operating condition. Electrical equipment grounded. Power cables and hoses protected and good repair. Fire extinguishers of proper type nearby. Surrounding area inspected for fire hazards. Flammable materials protected or removed. Gas cylinders secured upright. Cylinder caps in use. Accident Prevention Plan Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 45 Jackson Contractor Group, Inc. naily Safety Inspection Guide Wednesday Performed By: A=Pass, F=Fail, NIA=Not Applicable Safety Item Grade Date Corrected Notes WORK METHODS&ATMOSPHERE Proper Lifting Techniques used No running on the jobsite Adequate manpower for individual activities Workers aware of the their surroundings JOB SITE INFORMATION All required posters posted Safety Meetings Held and Documented Medical services, first aid equipment. Emergency Telephone numbers posted Haz-Com information posted. Material Safety Data Sheets collected and available. HEALTH INFORMATION PROGRAM Employees aware of any dangerous airborne hazards Employees aware of any dangerous chemical hazards Physical Action Data Sheets available to all employees. HAND TOOLS 'roper tools being used for each job. Safe carrying practices used (and on ladders). Tools are regularly inspected and maintained. POWER TOOLS Good housekeeping where tools are used. Tools and cords in good condition. Proper grounding of all tools (3 prongs!) Proper instruction in use provided. All mechanical safeguards in use. Tools neatly stored when not in use. Right tool being used for the job at hand. Wiring properly installed. POWDER-ACTUATED TOOLS All operators licensed. Tools used only on recommended materials. Safety goggles or faces shields worn. Competent instruction and supervision provided. Accident Prevention Plan Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 46 Jackson Contractor Group, Inc. Daily Safety Inspection Guide Thursday Performed By: A=Pass, F=Fail, NIA=Not Applicable Safety Item Grade Date Corrected Notes HEAVY EQUIPMENT Inspection and maintenance records current. Lights, brakes and warning signals operative. Wheels chocked when necessary Haul roads well maintained and properly laid out. Equipment is properly secured when not in use. Noise arresters in use. Roll over protection devices in place. MOTORIZED VEHICLES & LIFT TRUCKS Barricades illuminated or reflectorized at night. Traffic control devices used when appropriate. Inspection and maintenance records up to date. Operators qualified for vehicle in use. Brakes, lights and warning devices operative. Weight limits and load sizes controlled. Personnel transported in safe manner. Fire extinguishers installed where required. Backup signals (visual and audible) provided. Forks, masts, hydraulic lines, batteries, fuel lines, etc. in good shape. FLAMMABLE GASES & LIQUIDS (HAZ-MAT) All containers approved and clearly identified. Proper storage practices observed. Fire hazards checked. Proper types and number of extinguishers nearby. Proper method for moving cylinders used. MSDS information available. PERSONAL PROTECTIVE EQUIPMENT Eye protection worn at ALL times Face shields where applicable Hard Hats worn at all times Hearing Protections Foot protection. - Steel toed boots Rubber gloves, aprons & sleeves for chemical protection. Electrician's rubber gloves and protectors. Accident Prevention Plan Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 47 Jackson Contractor Group, Inc. nail_y Safety Inspection Guide Friday Performed By: A=Pass, F=Fail, NIA=Not Applicable Safety Item Grade Date Corrected Notes Housekeeping Sanitary facilities adequate and clear. Potable water available for drinking. Disposable drinking cups available/container for used cups. Working areas generally neat. Waste and trash regularly disposed. Enclosed chute provided when material dropped outside of building from over 20 feet. Lighting adequate for all work tasks. Projecting nails removed or bent over. Oil & Grease removed from all passageways Waste containers provided and used. Passageways and walkways clear. Material Storage/Handling (Non-Hazmat) Materials properly stored or stacked. Passageways clear. Stacks on firm footings, not too high. Materials protected against weather conditions. -rash chutes safeguarded and properly used. Dust protection observed. Traffic controlled in storage area. Air Compressors Equipped with pressure gauge. Safety valve provided. Hoses secured to fittings Reducer valve installed. IMPALEMENT HAZARDS Vertical hazards and exposed rebar capped. Conduit and tubing capped or covered. Horizontal hazards covered and marked. ELECTRICAL INSTALLATIONS Adequate wiring, well insulated, grounded, protected Ground fault circuit interrupters tested Electrical panels clear. Terminal boxes equipped with required covers. Extension cords in good condition. Accident Prevention Plan Jackson Contractor Group, Inc. Contract No. W912DW-12-C-030 Page 48 Addendum G Jackson Contractor Group, Inc. ACTIVITY HAZARD ANALYSIS MAJOR PHASES OF CONSTRUCTION 1 Survey& Layout 2 Site Demolition 3 Existing Hazardous Material Mitigation 4 Building Demolition 5Footings & Foundations 6 Concrete Slab on Grade 7 Sitework & Utilities 8 ICF Perimeter Concrete Wall System 9 Steel Erection 10 Slab on Metal Deck 11 Roofing— Membrane & Metal 12 Brick Veneer 13 Openings/ Exterior Storefront&Windows/Glazing 14 Metal Stud Framing & Drywall 15 Interior Finishes (Ceilings, Painting, Floor Covering, etc) 16 Fixtures & Furnishings (casework, specialties, etc.) 17 Elevator Installation 18 Mechanical & Electrical 19 Site Improvements (landscape & irrigation, site concrete, asphalt paving, site lighting, etc.) Accident Prevention Plan Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 49 POTENTIAL HAZARDS • FAFB Wing Headquarters ADDENDUM G ACTIVITY HAZARD ANALYSIS - POTENTIAL HAZARDS LIST Pha Activity Potential Hazard Proposed Equipment to Notes se Controls be Used 1 Survey& Layout Uneven Surfaces Personnel shall Standard PPE: (Slip,trip&falls) perform a "2- hard hat, safety minute drill' glasses, leather prior to boots (or commencemen equivalent, t of work leather gloves. activities to identify hazards such as uneven surfaces, obstructions in walkways, etc 2 Site Demolition Flying Debris Equipment Heavy operator shall equipment, be inside excavators, enclosed cab haulers (or wearing hard hat, safety lasses Noise Ear plugs shall be worn when equipment is in use. Strike-bys from I persons need heavy to yield to equipment/trucks heavy equipment. Make eye contact with the operator. Stay off of equipment paths.Equipme nt Operators need back-up alarms. Spotters shall be used in high trafficked and tight areas. 3 Existing Hazardous Material Mitigation: Accident Prevention Plan Jackson Contractor Group, Inc. Contract No. W912DW-12-C-030 Page 50 Asbestos Containing Asbestos inhalation Personnel shall PE: disposable Abatement Material (ACM) exposure & skin be protected coveralls with Contractor Abatement contract with disposable disposable will submit coveralls with booties, nitrite abatement disposable gloves and air- plan booties, nitrile purifying loves respirators. Lead Paint mitigation Airborne exposure Equipment Abatement (particulate) operator may Contractor wear N-95 will submit particulate abatement mask.Wetting plan method shall be used to control airborne particulate concentrations. 4 Building Demolition Flying Debris Equipment Heavy operator shall equipment, be inside excavators, enclosed cab haulers (or wearing hard hat, safety lasses _ Noise Ear plugs shall be worn when equipment is in use. Strike-bys from All persons heavy need to yield to equipment/trucks heavy equipment. Make eye contact with the operator. Stay off of equipment paths.Equipme nt Operators need back-up alarms. Spotters shall be used in high trafficked and tight areas. Fall Protection Personnel shall Demo work per JCG subcontractor fall protection will submit program separate demo Ian Material Personnel shall Standard PPE: falling/crushing be stationed hard hat, safety hazards away from glasses, leather demolition, boots (or outside of equivalent, established leather gloves. boundaries. Accident Prevention Plan Jackson Contractor Group, Inc. Contract No. W912DW-12-C-030 Page 51 Airborne exposure Equipment (ACM, particulate) operator may wear N-95 particulate mask. Wetting method shall be used to control airborne particulate concentrations. 5 Footings & Employee Injuries- Protective pads Standard PPE: Foundations Scrapes, cuts& or guards on hard hat, safety puncture wounds, rebar glasses, leather eye injury, foot boots (or injuries equivalent, leather loves. 6 Concrete Slab-on- Employee Injuries- Protective pads Standard PPE: grade Scrapes, cuts& or guards on hard hat, safety puncture wounds, rebar glasses, leather eye injury, foot boots (or injuries equivalent, leather gloves. Concrete Burns Protective pads Knee protection, rubber boots Back Injuries Use proper lifting technique Uneven Surfaces Personnel shall Standard PPE: (Slip, trip &falls) perform a "2- hard hat, safety minute drill' glasses, leather prior to boots (or commencemen equivalent, t of work leather gloves. activities to identify hazards such as uneven surfaces, obstructions in walkways, etc Strike-bys and Persons shall Standard PPE: overhead hazards keep clear of hard hat, safety from concrete overhead glasses, leather pump operations loads. Spotter boots (or for concrete equivalent, delivery trucks leather gloves. and pump 7 Site Earthwork & Noise Ear plugs shall Heavy Utilities be worn when equipment, equipment is in excavators, use. haulers Accident Prevention Plan Jackson Contractor Group, Inc. Contract No.W912QW-12-C-030 Page 52 Strike-bys from I persons need heavy to yield to equipment/trucks heavy equipment. Make eye contact with the operator. Stay off of equipment paths.Equipme nt Operators need back-up alarms. Spotters shall be used in high trafficked and tight areas. Vehicle Collisions Back-up Alarms Traffic controls onequipment Excavation Excavation Properly sloped Hazards protection as sides, trench required by the boxes, shoring depth of the excavation. Good supervision of employees in excavation. Qualified equip. operators Utility damage Pre-locate existing utilities Dust Control Keep soil Water truck, creating dust hoses, sprinkler wet, cease system operation during high winds 8 ICF Perimeter Fall Protection Personnel shall Fall protection Concrete Wall System work per JCG equipment, fall protection Personal Fall program Arrest systems, guarding of work platforms/elevat ed areas, proper scaffolding, man-lifts. Strike-bys and Persons shall Standard PPE: overhead hazards keep clear of hard hat, safety from crane/boom overhead glasses, leather truck operations loads. Spotter boots (or for crane/ equivalent, boom truck leather gloves. operations. Qualified rigging Accident Prevention Plan Jackson Contractor Group, Inc. Contract No. W912DW-12-C-030 Page S3 personnel and equipment operators Employee Injuries- Protective pads Standard PPE: Scrapes, cuts & or guards on hard hat, safety puncture wounds, rebar glasses, leather eye injury, foot boots (or injuries equivalent, leather loves. Flying Debris Equipment Standard PPE: operator shall hard hat, safety be inside glasses, leather enclosed cab boots (or (or wearing equivalent, hard hat, safety leather gloves. lasses Material Personnel shall Standard PPE: falling/crushing be stationed hard hat, safety hazards away from fall glasses, leather zone, outside of boots (or established equivalent, boundaries, leather gloves. proper hoisting/rigging, secure materials 9 Steel Erection Fall Protection Personnel shall Fall protection work per JCG equipment, fall protection Personal Fall program Arrest systems, guarding of work platforms/elevat ed areas, proper scaffolding, man-lifts. Strike-bys and Persons shall Standard PPE: overhead hazards keep clear of hard hat, safety from crane/boom overhead glasses, leather truck operations loads. Spotter boots (or for crane/ equivalent, boom truck leather gloves. operations. Qualified rigging personnel and equipment operators Welding of steel Proper Standard PPE, operation of Fire welding Extinguishers, machines, Fire Blankets. remove or protect Accident Prevention Plan Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 54 flammable material, fire watch, barricade off area below. Employee Injuries- Standard PPE: Scrapes, cuts& hard hat, safety puncture wounds, glasses, leather eye injury, foot boots (or injuries equivalent, leather gloves. Material Personnel shall Standard PPE: falling/crushing be stationed hard hat, safety hazards away from glasses, leather demolition, boots (or outside of equivalent, established leather gloves. boundaries. 10 Slab on Metal Deck Fall Protection Personnel shall Fall protection work per JCG equipment, fall protection Personal Fall program Arrest systems, guarding of work platforms/elevat ed areas, proper scaffolding, man-lifts. Strike-bys and Persons shall Standard PPE: overhead hazards keep clear of hard hat, safety from crane/boom overhead glasses, leather truck operations loads. Spotter boots (or for crane/ equivalent, boom truck leather gloves. operations. Qualified rigging personnel and equipment operators Welding of steel Proper Standard PPE, operation of Fire welding Extinguishers, machines, Fire Blankets. remove or protect flammable material, fire watch, barricade off area below. Concrete Burns Protective pads Knee protection, rubber boots Back Injuries Use proper lifting technique Accident Prevention Plan Jackson Contractor Group, Inc. Contract No. W912DW-12-C-030 Page 55 Uneven Surfaces Personnel shall Standard PPE: (Slip, trip &falls) perform a"2- hard hat, safety minute drill" glasses, leather prior to boots (or commencemen equivalent, t of work leather gloves. activities to identify hazards such as uneven surfaces, obstructions in walkways, etc Employee Injuries- Standard PPE: Scrapes, cuts & hard hat, safety puncture wounds, glasses, leather eye injury, foot boots (or injuries equivalent, leather gloves. 11 Roofing- Membrane & Fall Protection Personnel shall Fall protection Metal work per JCG equipment, fall protection Personal Fall program Arrest systems, guarding of work platforms/elevat ed areas, proper scaffolding, man-lifts. Strike-bys and Persons shall Standard PPE: overhead hazards keep clear of hard hat, safety from crane/boom overhead glasses, leather truck operations loads. Spotter boots (or for crane/ equivalent, boom truck leather gloves. operations. Qualified rigging personnel and equipment operators Back Injuries Use proper lifting technique Uneven Surfaces Personnel shall Standard PPE: (Slip, trip &falls) perform a "2- hard hat, safety minute drill' glasses, leather prior to boots (or commencemen equivalent, t of work leather gloves. activities to identify hazards such as uneven surfaces, obstructions in walkways, etc Accident Prevention Plan Jackson Contractor Group, Inc. Contract No. W912DW-12-C-030 Page 56 Employee Injuries - Standard PPE: Scrapes, cuts & hard hat, safety puncture wounds, glasses, leather eye injury, foot boots (or injuries equivalent, leather gloves. 12 Brick Veneer Fall Protection Personnel shall Fall protection work per JCG equipment, fall protection Personal Fall program Arrest systems, guarding of work platforms/elevat ed areas, proper scaffolding, man-lifts. Strike-bys and Persons shall Standard PPE: overhead hazards keep clear of hard hat, safety from crane/boom overhead glasses, leather truck operations loads. Spotter boots (or for crane/ equivalent, boom truck leather gloves. operations. Qualified rigging personnel and equipment operators Employee Injuries- Protective pads Standard PPE: Scrapes, cuts& or guards hard hat, safety puncture wounds, glasses, leather eye injury, foot boots (or injuries equivalent, leather gloves. Material Personnel shall Standard PPE: falling/crushing be stationed hard hat, safety hazards away from glasses, leather demolition, boots (or outside of equivalent, established leather gloves. boundaries. Material Unloading Use proper Forklift &staging on lifting technique scaffolding and stacking methods Masonry Sawing- Use proper Standard PPE: flying chips, dust, equipment and hard hat, safety noise safe glasses, leather procedures. boots (or equivalent, leather gloves. 13 Openings/ Exterior Fall Protection Personnel shall Fall protection Storefront&Windows work per JCG equipment, /Glazing fall protection Personal Fall program Arrest systems, guarding of work Accident Prevention Plan Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 57 platforms/elevat ed areas, proper scaffolding, man-lifts. Employee Injuries - Protective pads Standard PPE: Scrapes, cuts& or guards hard hat, safety puncture wounds, glasses, leather eye injury, foot boots (or injuries, sharp equivalent, edges leather gloves. Material Personnel shall Standard PPE: falling/crushing be stationed hard hat, safety hazards away from glasses, leather demolition, boots (or outside of equivalent, established leather gloves. boundaries. 14 Metal Stud Framing & Fall Protection Personnel shall Fall protection Drywall work per JCG equipment, fall protection Personal Fall program Arrest systems, guarding of work platforms/elevat ed areas, proper scaffolding, man-lifts. Employee Injuries- Protective pads Standard PPE: Scrapes, cuts& or guards hard hat, safety puncture wounds, glasses, leather eye injury, foot boots (or injuries, sharp equivalent, edges leather gloves. Powder actuated Only certified Standard PPE: fastening guns operator can hard hat, safety use equipment. glasses, leather Use proper boots (or loads. Secure equivalent, gun in case leather gloves. when not in use. Uneven Surfaces Personnel shall Standard PPE: (Slip, trip &falls) perform a "2- hard hat, safety minute drill' glasses, leather prior to boots (or commencemen equivalent, t of work leather gloves. activities to identify hazards such as uneven surfaces, obstructions in walkways, etc. Good housekeeping & clean-up Accident Prevention Plan Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 58 Material Storage & Use proper Forklift, drywall Staging within lifting technique dollies building 15 Interior Finishes Employee Injuries- Protective pads Standard PPE: (Ceilings, Painting, Scrapes, cuts & or guards hard hat, safety Floor Coverings, etc) puncture wounds, glasses, leather eye injury, foot boots (or injuries, sharp equivalent, edges leather gloves. Material Storage& Use proper Forklift, Staging within lifting technique furniture carts. building Fall Protection Personnel shall Fall protection work per JCG equipment, fall protection Personal Fall program Arrest systems, guarding of work platforms/elevat ed areas, proper scaffolding, man-lifts. Chemical Fumes Use adequate Fans ventilation. Use respirators if required. Work when other trades are not in immediate area if possible 16 Fixtures & Furnishings Employee Injuries- Protective pads Standard PPE: Scrapes, cuts& or guards hard hat, safety puncture wounds, glasses, leather eye injury, foot boots (or injuries, sharp equivalent, edges leather gloves. Material Storage& Use proper Forklift, Staging within lifting technique furniture carts. building Back Injuries Use proper Hand trucks, lifting technique material/ furniture carts Damage in Transit Material Proper properly unloading secured during equipment transit. Protect stored materials. Designated unloading areas Hardware Check all Installation hardware for proper fit, sharp edges, proper closing, etc. Qualified Accident Prevention Plan Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 59 installers 17 Elevator Installation Damage in Transit Material Proper properly unloading secured during equipment transit. Protect stored materials. Designated unloading areas Material Storage& Use proper Forklift, Staging within lifting technique furniture carts. building Fall Protection Personnel shall Fall protection work per JCG equipment, fall protection Personal Fall program Arrest systems, guarding of work platforms/elevat ed areas, proper scaffolding, man-lifts. Employee Injuries- Protective pads Standard PPE: Scrapes, cuts& or guards hard hat, safety puncture wounds, glasses, leather eye injury, foot boots (or injuries, sharp equivalent, edges leather gloves. 18 Mechanical & Damage in Transit Material Proper Electrical properly unloading secured during equipment transit. Protect stored materials. Designated unloading areas Material Storage& Use proper Forklift, Staging within lifting technique furniture carts. building Fall Protection Personnel shall Fall protection work per JCG equipment, fall protection Personal Fall program Arrest systems, guarding of work platforms/elevat ed areas, proper scaffolding, man-lifts. Accident Prevention Plan Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 60 Employee Injuries- Protective pads Standard PPE: Scrapes, cuts& or guards hard hat, safety puncture wounds, glasses, leather eye injury, foot boots (or injuries, sharp equivalent, edges leather gloves. Hardware Check all Installation hardware for proper fit, sharp edges, proper closing, etc. Qualified installers Electrical Shock Lock panel boards, tape & tag circuit breakers, check for current with volt meter, insulating matts. Locate electrical lines and equipment prior to starting work Back& Lifting Use proper Rolling material Injuries lifting technique racks, ductwork jacks Strike-bys and Persons shall Standard PPE: overhead hazards keep clear of hard hat, safety from crane/boom overhead glasses, leather truck operations loads. Spotter boots (or for crane/ equivalent, boom truck leather gloves. operations. Qualified rigging personnel and equipment operators Material Personnel shall Standard PPE: falling/crushing be stationed hard hat, safety hazards away from fall glasses, leather zone, outside of boots (or established equivalent, boundaries, leather gloves. proper hoisting/rigging, secure materials Uneven Surfaces Personnel shall Standard PPE: (Slip, trip &falls) perform a"2- hard hat, safety minute drill' glasses, leather prior to boots (or commencemen equivalent, t of work leather gloves. activities to identify hazards Accident Prevention Plan Jackson Contractor Group, Inc. Contract No. W912DW-12-C-030 Page 61 such as uneven surfaces, obstructions in walkways, etc. Good housekeeping &clean-up Cutting tools Utilized tool per Pipe cutter, manufacturer's threader, recommendatio conduit bender, n. sheet metal cutting tools,etc. Welding/soldering Proper Standard PPE, of metal materials operation of Fire welding Extinguishers, machines, Fire Blankets. remove or protect flammable material, fire watch, barricade off area below. 19 Site Improvements Uneven Surfaces Personnel shall Standard PPE: (landscape & (Slip, trip &falls) perform a "2- hard hat, safety Irrigation, site minute drill" glasses, leather concrete, asphalt prior to boots (or paving, site lighting, commencemen equivalent, etc.) t of work leather gloves. activities to identify hazards such as uneven surfaces, obstructions in walkways, etc Noise Ear plugs shall be worn when equipment is in use. Strike-bys from I persons need heavy to yield to equipment/trucks heavy equipment. Make eye contact with the operator. Stay off of equipment paths.Equipme nt Operators need back-up alarms. Spotters shall be used in high trafficked and tight areas. Accident Prevention Plan Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 62 Vehicle Collisions Back-up Alarms Traffic controls onequipment Fall Protection Personnel shall Fall protection work per JCG equipment, fall protection Personal Fall program Arrest systems, guarding of work platforms/elevat ed areas, proper scaffolding, man-lifts. Employee Injuries- Protective pads Standard PPE: Scrapes, cuts& or guards hard hat, safety puncture wounds, glasses, leather eye injury, foot boots (or injuries, sharp equivalent, edges leather gloves. Accident Prevention Plan Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 63 Addendum H Jackson Contractor Group, Inc. Emergency Action and Evacuation Plan A. Medical Support: CALL 9-1-1: Fairchild's medical group does not have an emergency department or an urgent care clinic. All emergency services are handled by local civilian hospitals. The closest Emergency Rooms are at Providence Sacred Heart Medical Center and Deaconess Medical Center, both are about 20 minutes away in Spokane. r,wwo�aa u'aaw debt A1cli[al(wmle�6�IdYms MosMd�t;ee J.t IbM Directions to Provide nce Sacred Heart Medical Center&Children's Hospital 101 West Sth Aeenue#1300,Spokane,WA 99204 G7 14.2 mI—about 24 mine FAU fi fe.a>d U +lead y Qa Cm o t daie,;a "'_.yntl Navadai Lxkyanea d n..x.s.,e NoK:M,•ae'� Narvwn 5Aa7;alla _ _ _ Emerwn N't, A Y� Lhvi b 5v t Lew prx' spo .L - .Feat G*nVai' '3 Q tk soon Rd- t,. �av �+ r,::rs_-x �taniw Hcyire� FMwrY:id�W FdCC e0fr µ�'n tom'' !Aka>Y+caa C M (t��"`�� W.kahwri R> Sc'1eY-- 42D124ppgl! ;� taaN dxe MG12 cue MWs'nu7+-9�RYe..omrmw•.e!wbaxcr+�-msaol.•f:,cria.aro..nvaaede..va.We,ar,ruc. .t Accident Prevention Plan Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 64 1=5112 FevphM AFe,WA 10 Uaet St Wt iCW C~.Lr@a.U@ Wps Go`�"^►. :., '[Fya Directions to Deaconessmedical Center >,.��iL. 800 West 5th Avenue,Spokane,WA 99204 iii... 13.2 mi—about 25 mins iL.s?NanaaiNam Serve-.a A':3?q't `�"*rdo�?w!ro Nna tAxe x tta:h F..."04 L:l Mead tndtan Tmil qC F AIMIiB .» Yews,.r.a Ns r»da i t?eibga Ca+?wy i.rdpeMoCi1 w.rrr.aw - s Nonhu wn Naro?wau� Spokane � Enlef3q:i w c� "'V., Fr i.gpar, Cht l _ Gamy Park S Ease Cemra! '2 WYfaf.Rdi r�a�tYiaw@Mataar.wrwmpP W L`nr^trf _ i .. sY.Ra,?an; Mania PiwgFtm,� hri inMrnaL-l:aat.i" „,y �+ Q Cgmaipck ni!ffCitr F.n?:M1 ktAi- � -Mateo Fa?tR Base` Laiah VAGay P rm?e Thcrge (� VyeA:Avgd g tdsd wl �S y°te C-3 w i r9f a' f i� CMMy. O2412 GaP9tIl ��.... _ _...... - Mep daU EKrelz tSoogk nnux.t+m:wK.goog>enmr?napS7?was««encv_da:Tda?�F«:mope+aF"s.,wAad?wm=oanc@orwh :... ,:< B. On-site Contractor Personnel Trained in First Aid and CPR: 1. Jake Berger—JCG CQC Manager 2. John Cannon —JCG Project Manager 3. Bob Peter—JCG Project Superintendent C. Major Emergency or Disaster: The Superintendent will anticipate the effect of a major emergency or disaster for each specific jobsite and plan a course of action that will minimize personal injury and property damage in the event of fire, industrial hazard or natural disaster. Accident Prevention Plan Jackson Contractor Group, Inc. Contract No. W912DW-12-C-030 Page 65 1. A safe briefing area will be set up at the project office for employees to evacuate to. The location of this briefing area for the Wing Headquarters will be located in front of the Jackson Contractor Group, Inc.job trailer first aid station. The safe briefing area will be equipped with first aid equipment to treat any injured employees. EMS services may need to be called upon. All supervisors are required to account for their employees and report details to the Superintendent at the safe briefing area. It is critical that the names and last known location of those who have not been accounted for are reported to the superintendent. 2. Every individual is responsible for immediately correcting and/or reporting any hazard or unusual condition that might lead to the development of a fire. Individual also has a responsibility to know the following: a. Location of emergency phones and fire alarm b. Location of emergency equipment c. Location of safe briefing area for evacuation 3. Potential evacuation emergencies are: a. Encountering combustible or toxic gases b. Explosion or fire c. Earthquake d. Evacuation of seriously injured personnel e. Airplane crash f. Evacuation directed by FAFB 4. All employees, contractors, and visitors are required to follow these procedures whenever an evacuation occurs: a. Non-essential personnel and contractors- if operating equipment, ensure that it is off and evacuate to safe briefing area. b. Visitors—all visitors will follow the same procedures as contractors. c. Superintendent and foremen—report to the safe briefing areas for personnel accounting, then report to field for deployment if necessary. D. Spill Plan Jackson Contractor Group, Inc. will adhere to the Fairchild AFB Base Design Standard, Division 01, section 01 35 43-1.14 Environmental Procedures-Spill/Release in all aspects of spill management. Refer to the JCG Environmental Protection Plan (ADDENDUM V) Accident Prevention Plan Jackson Contractor Group, Inc. Contract No. W912DW-12-C-030 Page 66 Addendum I Jackson Contractor Group, Inc. Fall Protection and Prevention Plan 01. Scope: • This Fall protection shall conform to all other applicable requirements of this standard, as well as the following provisions. Nothing in this standard shall be constructed to prohibit better or otherwise safer conditions than specified herein. The provisions of this section do not apply when employees are making an inspection, investigation, or assessment of workplace conditions prior to the actual start of work operations and after all work operations have been completed. 02. Definitions: • Anchorage is a secure point of attachment for lifelines, lanyards, or deceleration devices. • Body Belt is a strap with means both for securing it about the waist and for attaching it to a lanyard, lifeline, or deceleration device. • Body Harness are straps which may be secured about the employee in a manner that will distribute the fall arrest forces over at least the thighs, pelvis, waist, chest, and shoulders with means for attaching it to other components of a personal fall arrest system. • Buckle is any device for holding the body belt or body harness closed around the employee's body. • Connector is a device which is used to couple (connect) parts of the personal fall arrest system and positioning device systems together. It may be an independent component of the system, such as a carabineer, or it may be an integral component of the system • Controlled Access Zone (CAZ) is an area in which certain work (e.g. overhand Framing) may take place without the use of guardrail systems, personal fall arrest systems, or safety net systems and access to the zone is controlled. • Dangerous Equipment is equipment (such as pickling or galvanizing tanks, degreasing units, machinery, electrical equipment, and other units) which, as a result of form or function, may be hazardous to employees who fall into such equipment. • Deceleration Device is any mechanism, such as a rope grab, rip-stitch lanyard, specially- woven lanyard, tearing or deforming lanyards, automatic self-retracting lifelines/lanyards, etc., which serves to dissipate a substantial amount of energy during a fall arrest, or otherwise limit the energy imposed on an employee during fall arrest. • Deceleration Distance is the additional vertical distance a falling employee travels, excluding lifeline elongation and free fall distance, before stopping, from the point at which the deceleration device begins to operate. It is measured as the distance between the location of an employee's body harness attachment point at the moment of activation (at the onset of fall arrest forces) of the deceleration device during a fall, and the location of that attachment point after the employee comes to a full stop. • Equivalent are alternative designs, materials, or methods to protect against a hazard which the employer can demonstrate will provide an equal or greater degree of safety for employees than the methods, materials, or designs specified in the standard. • Failure is load refusal, breakage, or separation of component parts. Load refusal is the point where the ultimate strength is exceeded. • Free Fall is the act of falling before a personal fall arrest system begins to apply force to arrest the fall. • Free Fall Distance is the vertical displacement of the fall arrest attachment point on the employee's body harness between onset of the fall and just before the system begins to apply force to arrest the fall. This distance excludes deceleration distance, and Accident Prevention Plan Jackson Contractor Group, Inc. Contract No. W912DW-12-C-030 Page 67 lifeline/lanyard elongation, but includes any deceleration device slide distance or self- retracting lifeline/lanyard extension before they operate and fall arrest forces occur. • Guardrail System is a barrier erected to prevent employees from falling to lower levels. • Hole is a gap or void two (2) inches or more in its least dimension, in a floor, roof, or other walking/working surface • Infeasible means that it is impossible to perform work using a conventional fall protection system (i.e., guardrail system, safety net, or personal fall arrest system) or that it is technologically impossible to use any one of these systems to provide fall protection. • Lanyard is a flexible line of rope, wire rope, or strap which generally has a connector at each end for connecting the body harness to a deceleration device, lifeline, or anchorage. • Leading Edge is the edge of a floor, roof, or form-work for a floor or other walking/working surface (such as the deck) which changes location as additional floor, roof, decking, or form-work sections are placed, formed, or constructed. A leading edge is considered to be an unprotected side and edge during periods when it is not actively and continuously under construction. • Lifeline is a component consisting of a flexible line for connection to an anchorage at one end to hang vertically (vertical lifeline), or for connection to anchorages at both ends to stretch horizontally (horizontal lifeline), and which serves as a means for connecting other components of a personal fall arrest system to the anchorage. • Low-slope Roof is a roof having a sloop less or equal to four-to-twelve (4:12) (vertical to horizontal). • Lower Levels are those areas or surfaces to which an employee can fall. Such areas or surfaces include, but are not limited to, ground levels, floors, platforms, ramps, runways, excavations, pits, tanks, material, water, equipment, structures, or portions thereof. • Mechanical Equipment is all motor or human propelled wheeled equipment used for roofing work, except wheelbarrows and mop carts. • Opening is a gap or void thirty (30) inches or more high and eighteen (18) inches or more wide, in a wall or partition, through which employees can fall to a lower level. • Personal Fall Arrest System is a system used to arrest an employee in a fall from a working level. It consists of an anchorage, connects, a body harness and may include a lanyard, deceleration device, lifeline, or suitable combinations of these. • Positioning Device System is a body belt or body harness system rigged to allow an employee to be supported on an elevated vertical surface, such as a wall, and work with both hands free while leaning. • Rope Grab is a deceleration device which travels on a lifeline and automatically, by friction, engages the lifeline and locks so as to arrest the fall of an employee. A rope grab usually employs the principal of inertial locking, cam/level locking, or both. • Roof is the exterior surface on the top of a building. This does not include floors or form- work which, because a building has not been completed, temporarily become the top surface of a building. • Roofing Work is the hoisting, storage, application, and removal of roofing materials and equipment, including related insulation, sheet metal, and vapor barrier work, but not including the construction of the roof deck. • Safety-monitoring System is a safety system in which a competent person is responsible for recognizing and warning employees of fall hazards. • Self-retracting Lifeline/Lanyard is a deceleration device containing a drum-wound line which can be slowly extracted from, or retracted onto, the drum under slight tension during normal employee movement, and which, after onset of a fall, automatically locks the drum and arrests the fall. Accident Prevention Plan Jackson Contractor Group, Inc. Contract No. W912DW-12-C-030 Page 68 • Snap hook is a connector comprised of a hook-shaped member with a normally closed keeper, or similar arrangement, which may be opened to permit the hook to receive an object and, when released, automatically closes to retain the object. The only approved snap hooks are the locking type with a self-closing, self-locking keeper which remains closed and locked until unlocked and pressed open for connection or disconnection. • Steep Roof is a roof having a slope greater than Four-in-twelve (4:12) • Toe-board is a low protective barrier, four (4) inches high minimum that will prevent the fall of materials and equipment to lower levels and provide protection from falls for personnel. • Unprotected Sides and Edges is any side or edge (except at entrances to points of access) of a walking/working surface, e.g., floor, roof, ramp, or runway where there is no wall or guardrail system at least forty-two (42) inches high. • WalkingNVorking Surface is any surface, whether horizontal or vertical on which an employee walks or works, including, but not limited to, floors, roofs, ramps, bridges, runways, form-work and concrete reinforcing steel but not including ladders, vehicles, or trailers, on which employees must be located in order to perform their job duties. • Warning Line System is a barrier erected on a roof to warn employees that they are approaching an unprotected roof side or edge, and which designates an area in which roofing work may take place without the use of a guardrail, body harness, or safety net systems to protect employees in the area. • Work Area is that portion of a walking/working surface where job duties are being performed. 03. General Requirements: a. Jackson Contractor Group, Inc. shall determine if the walking/working surface on which its employees are to work have the strength and structural integrity to support employees safely. Employees shall be allowed to work on those surfaces only when the surfaces have the requisite strength and structural integrity. 04. Unprotected Sides and Edges: a. Each employee on a walking/working surface (horizontal and vertical surface) with an unprotected side or edge which is above a lower level shall be protected from falling by the use of guardrail systems, safety net systems, or personal fall arrest systems. b. Each employee who is constructing a leading edge above lower levels shall be protected from falling by guardrail, safety net systems, or personal fall arrest systems. EXCEPTION: When the employer can demonstrate that it is infeasible or creates a greater hazard to use these systems, the employer shall develop and implement a fall protection plan which meets the requirements of this section. NOTE: There is a presumption that it is feasible and will not create a greater hazard to implement at least one of the above-listed fall protection systems. Accordingly, the employer has the burden of establishing that it is appropriate to implement a fall protection plan in lieu of implementing any of those systems. c. Each employee on a walking/working surface above a lower level where leading edges are under construction, but who is not engaged in the leading edge work, shall be protected from falling by a guardrail system, safety net system, or fall arrest system. If a guardrail system is chosen to provide the fall protection, and a controlled access zone has already been established for leading edge work, the control line may be used in lieu of a guardrail along the edge that parallels the leading edge. 05. Hoist Areas: a. Each employee in a hoist area shall be protected from falling to lower levels by guardrail systems or personal fall arrest systems. If guardrail systems, (or chain, gate, or guardrail) or portions thereof, are removed to facilitate the hoisting operation (e.g., Accident Prevention Plan Jackson Contractor Group, Inc. Contract No. W912DW-12-C-030 Page 69 during landing of materials), and an employee must lean through the access opening or out over the edge of the access opening (to receive or guide equipment and materials, for example), that employee shall be protected from fall hazards by a personal fall arrest system. 06. Holes: a. Each employee on walking/working surfaces shall be protected from falling through holes (including skylights) b. Each employee on a walking/working surface shall be protected from tripping in or stepping into or through holes (including skylights) by covers. c. Each employee on a walking/working surface shall be protected from objects falling through holes (including skylights) by covers. 07. Ramps, Runways, and Other Walkways: a. Each employee at the edge of an excavation shall be protected from falling by guardrail systems, fences, barricades when the excavations are not readily seen because of plant growth or other visual barrier. b. Each employee at the edge of a well, pit, shaft, and similar excavation shall be protected from falling by guardrail systems, fences, barricades, or covers. 08. Dangerous Equipment: a. Each employee above dangerous equipment shall be protected from falling into or onto dangerous equipment by guardrail systems or by equipment guards. b. Each employee six (6) feet or more above dangerous equipment shall be protected from fall hazards by guardrail systems, personal fall arrest systems, or safety net systems. 09. Roof framing Work on Low-Slope Roofs: a. Except as otherwise provided in this section, each employee engaged in roofing activities on low-slope roofs, with unprotected sides and edges six (6) feet or more above lower levels shall be protected from falling by guardrail systems, safety net systems, personal fall arrest systems, or a combination of warning line system and guardrail system and guardrail system, warning line system and safety net system, or warning line system and personnel fall arrest system. 10. Steep Roofs: a. Each employee on a steep roof with unprotected sides and edges above lower levels shall be protected from falling by guardrail systems with toe-boards, safety net systems, of personal fall arrest systems. 11. Wall Openings: a. Each employee working on, at, above, or near wall openings (including those with chutes attached) where the outside bottom edge of the wall opening is above lower levels and the inside bottom edge of the wall opening is less than forty-two (42) inches above the walking/working surface, shall be protected from falling by the use of a guardrail system, a safety net system, or a personal fall arrest system. 12. Protection from Falling Objects: a. When a person is exposed to falling objects, the employer shall have each employee wear a hard hat. b. Erect toe-boards, screens, or guardrail systems to prevent objects from falling from higher levels. Accident Prevention Plan Jackson Contractor Group, Inc. Contract No. W912DW-12-C-030 Page 70 c. Erect a canopy structure and keep potential falling objects far enough from the edge of the higher level so that those objects would not go over the edge if they were accidentally displaced. d. Barricade the area to which objects could fall, prohibit employees from entering the barricade area, and keep objects that may fall far enough away from the edge of a higher level so that those objects would not go over the edge if they were accidentally displaced. (7-6-09) 13. Fall Protection Systems Criteria and Practices: a. Jackson Contractor Group, Inc. shall provide and install all fall protection systems required by this section for an employee, and shall comply with all applicable parts of this standard before that employee beginning the work that necessitates the fall protection. b. Guard rail systems shall comply with the provisions of sub-section 070.14 of this standard as it applies to employee work places c. Safety net systems shall comply with the provisions of sub-section 050.11 of this standard. d. Personal fall arrest systems and their use shall comply with the provisions of sub-section 074.15 of this section. e. Positioning device systems and their use shall comply with the provisions of sub-section 074.16 of this section. f. Warning line systems and their use shall comply with the provisions of sub-section 074.17 of this section. 14. Personal Fall Arrest Systems: a. Connectors shall be drop forged, pressed or formed steel, or made of equivalent materials. b. Connectors shall have a corrosion-resistant finish, and all surfaces and edges shall be smooth to prevent damage to interfacing parts of the system. c. "D" rings and snap hooks shall have a minimum tensile strength of five-thousand (5,000) pounds d. "D" rings and snap hooks shall be proof-tested to a minimum tensile load of three- thousand-six-hundred (3,600) pounds without cracking, breaking, or taking permanent deformation. e. Snap hooks shall be sized to be compatible with the member to whom they are connected to prevent unintentional disengagement of the snap hook by depression of the snap hook keeper by the connected member, or shall be a locking type snap hook designed and used to prevent disengagement of the snap hook by the contact of the snap hook keeper by the connected member. Only locking type snap hooks shall be used. f. Unless the snap hook is a locking type and designed for the following connections, snap hooks shall not be engaged: directly to webbing, rope or wire rope; to each other; to a "D" ring to which another snap hook or other connector is attached; to a horizontal lifeline; or to any object which is incompatibility shaped or dimensioned in relation to the snap hook such that unintentional disengagement could occur by the connected object being able to depress the snap hook and release itself. g. On suspended scaffolds or similar work platforms with horizontal lifelines which may become vertical life lines, the devices used to connect to a horizontal lifeline shall be capable of locking in both directions on the lifeline. h. Horizontal lifelines shall be designed, installed, and used, under the supervision of a qualified person, as part of a complete personal fall arrest system, which maintains a safety factor of at least two (2). Accident Prevention Plan Jackson Contractor Group, Inc. Contract No. W912DW-12-C-030 Page 71 i. Lanyards and vertical lifelines shall have a minimum breaking strength of five-thousand (5,000) pounds. j. When vertical lifelines are used, each employee shall be attached to a separate lifeline. EXCEPTION: During the construction of elevator shafts, two (2) employees may be attached to the same lifeline in the hoist way, provided both employees are working atop a false car that is equipped with guardrails; the strength of the lifeline is ten-thousand (10,000) pounds (five-thousand (5,000) pounds per employee); and all other criteria specified in this section for lifelines have been met. k. Lifelines shall be protected against being cut or abraded. I. Self-retracting lifelines and lanyards which automatically limit free fall distance to two (2) feet or less shall be capable of sustaining a minimum tensile load of three-thousand (3,000) pounds applied to the device with the lifeline or lanyard in the fully extended position. m. Self-retracting lifelines and lanyards which do not limit free fall distance to two (2) feet or less, ripstich lanyards, and tearing and deforming lanyards shall be capable of sustaining a minimum tensile load of five-thousand (5,000) pounds applied to the device with the lifeline or lanyard in the fully extended position. n. Ropes and straps (webbing) used in lanyards, lifelines, and strength components of belts and body harnesses shall be made from synthetic fibers. o. Anchorages used for attachment of personal fall arrest equipment shall be independent of any anchorage being used to support or suspended platforms and capable of supporting at least five-thousand (5,000) pounds per employee attached, or shall be designed, installed, and used as follows: as part of a complete personal fall arrest system which maintains a safety factor of at least two (2); and under the supervision of a qualified person. p. Personal fall arrest systems, when stopping a fall, shall limit maximum arresting force on an employee to one-thousand-eight-hundred (1,800) pounds when used with a body harness; be rigged such that an employee can neither free fall more than six (6) feet, nor contact any lower level; bring an employee to a complete stop and limit maximum deceleration distance an employee travels to three-point-five (3.5) feet; and, have sufficient strength to withstand twice the potential impact energy of an employee free falling a distance of six (6) feet, or the free fall distance permitted by the system, whichever is less. q. The attachment point of the body harness shall be located in the center of the wear's back near shoulder level, or above the wearer's head. r. Body harnesses and components shall be used only for employee protection (as part of a personal fall arrest system or positioning device system) and not to hoist materials. s. Personal fall arrest systems and components subjected to impact loading shall be immediately removed from service and shall not be used again for employee protection until inspected and determined by a competent person to be undamaged and suitable for reuse. t. The employer shall provide for prompt rescue of employees in the event of a fall or shall assure that employees are able to rescue themselves. u. Personal fall arrest systems shall be inspected prior to each use for wear, damage and other deterioration, and defective components shall be removed from service. v. Personal fall arrest systems shall not be attached to guardrail systems, nor shall they be attached to hoists except as specified elsewhere in this standard. w. When a personal fall arrest system is used at hoist areas, it shall be rigged to allow the movement of the employee only as far as the edge of the walking/working surface. x. Body harnesses and components, shall be used only for employee protection (as part of a personal fall arrest system) and not to hoist materials. Accident Prevention Plan Jackson Contractor Group, Inc. Contract No. W912DW-12-C-030 Page 72 15. Positioning Device Systems: a. Positioning devices shall be rigged such that an employee cannot free fall more than two (2) feet. b. Positioning devices shall be secured to an anchorage capable of supporting at least twice the potential impact load of an employee's fall or three-thousand (3,000) pounds, whichever is greater. c. Connectors shall be drop forged, pressed of formed steel, or made of equivalent materials. d. Connectors shall have a corrosion resistant finish, and all surfaces and edges shall be smooth to prevent damage to interfacing parts of this system. (7-6-09) e. Connecting assemblies shall have a minimum tensile strength of five-thousand (5,000) pounds. f. "D" rings and snaphooks shall be proof tested to a minimum tensile load of three- thousand-six-hundred (3,600)-pounds without cracking, breaking, or taking permanent deformation. g. Snaphooks shall be sized to be compatible with the member to whom they are connected to prevent unintentional disengagement of the snaphook by depression of the snaphook keeper by the connected member, or shall be a locking type snaphook designed and used to prevent disengagement of the snaphook by the contact of the snaphook keeper by the connected member. Only locking type snaphooks shall be used. h. Unless the snaphook is a locking type and designed for the following connections, snaphooks shall not be engaged: directly to webbing, rope or wire rope; to each other; to a "D" ring to which another snaphook or other connector is attached; to a horizontal lifeline; or to any object which is incompatibility shaped or dimensioned in relation to the snaphook such that unintentional disengagement could occur by the connected object being able to depress the snaphook and release itself. i. Positioning device systems shall be inspected prior to each use for wear, damage, and other deterioration and defective components shall be removed from service. j. Positioning device systems, shall be used only for employee protection (as part of a personal fall arrest system) and not to hoist materials. 16. Warning Line Systems: a. The warning line shall be erected around all sides of the work area. b. When mechanical equipment is not being used, the warning line shall be erected not less than six (6) feet from the roof edge. c. When mechanical equipment is being used, the warning line shall be erected not less than six (6) feet from the roof edge which is parallel to the direction of mechanical equipment operation, and not less than ten (10) feet from the roof edge which is perpendicular to the direction of mechanical equipment operation. d. Points of access, materials handling areas, storage areas, and hoisting areas shall be connected to the work area by an access path formed by two warning lines. e. When the path to a point of access is not in use, a rope, wire, chain, or other barricade, equivalent in strength and height to the warning line, shall be placed across the path at the point where the path intersects the warning line erected around the work area, or the path shall be offset such that a person cannot walk directly into the work area. f. Warning lines shall consist of ropes, wires, or chains, and supporting stanchions. g. The rope, wire, or chain shall be flagged at not more than six (6) foot intervals with high visibility material. h. The rope, wire, or chain shall be rigged and supported in such a way that its lowest point (including sag) is no less than thirty-four (34) inches from the walking/working surface and its highest point is no more than thirty-nine (39) inches from the walking/working surface. Accident Prevention Plan Jackson Contractor Group, Inc. Contract No. W912DW-12-C-030 Page 73 i. After being erected, with rope, wire, or chain attached, stanchions shall be capable of resisting, without tipping over a force of at least sixteen (16) pounds applied horizontally against the stanchion, thirty (30) inches above the walking/working surface, perpendicular to the warning line, and in the direction of the floor, roof, or platform edge. j. The rope, wire, or chain shall have a minimum tensile strength of five-hundred (500) pounds, and after being attached to the stanchions, shall be capable of supporting, without breaking, the loads applied to the stanchions as prescribed in sub-section 074.17.i of this standard. k. The line shall be attached at each stanchion in such a way that pulling on one section of the line between stanchions will not result in slack being taken up in adjacent sections before the stanchion tips over. I. No employees shall be allowed in the area between a roof edge and warning line unless the employee is performing roofing work in the area. m. Mechanical equipment on roofs shall be used, maintained, or stored only in areas where employees are protected by a warning line system, guardrail system, or personal fall arrest system. 17. Fall Protection Plan: a. This written fall protection plan was prepared by a qualified person and developed specifically for this site where the work is to be performed and the plan must be maintained up to date. b. Any changes to the fall protection plan shall be approved by a qualified person. c. A copy of the fall protection plan with all approved changes shall be maintained at the job site. d. The implementation of the fall protection plan shall be under the supervision of a competent person. e. The fall protection plan shall document the reasons why the use of conventional fall protection systems (guardrail systems, personal fall arrest systems, or safety net system) is infeasible or why their use would create a greater hazard. f. The fall protection plan shall include a written discussion of other measures that will be taken to reduce or eliminate the fall hazard for workers who cannot be provided with protection from the conventional fall protection systems. For example, the employer shall discuss the extent to which scaffolds, ladders, or vehicle mounted work platforms can be used to provide a safer working surface and thereby reduce the hazard of falling. g. This fall protection plan shall identify each location where conventional fall protection methods cannot be used. These locations shall then be classified as controlled access zones and the employer must comply with the criteria in sub-section 074.18 of this standard. h. This fall protection plan must include a statement which provides the name or other method of identification for each employee who is designated to work in controlled access zones. No other employees may enter controlled access zones. i. In the event an employee falls, or some other related, serious incident occurs, (e.g., a near miss) the employer shall investigate the circumstances of the fall or other incident to determine if the fall protection plan needs to be changed (e.g. new practices, procedures, or training) and shall implement those changes to prevent similar types of falls or incident Accident Prevention Plan Jackson Contractor Group, Inc. Contract No. W912DW-12-C-030 Page 74 Addendum J Jackson Contractor Group, Inc. Traffic Control Plan Deliveries & Equipment— Utilize the Rambo Road Entrance Normal Passenger Vehicles— Utilize the Main Gate a! of ` ain t U,t'Ay , GMate o KA IA IN RA L OVAL cc h tai POPLAR 121 -a SPAATZ Rb s cc s a o a 0 a pp QF.o 5� Q�`~ TFC q�ct�o Z� 9� so li KER AV *VAG 9p�����f l�sr �n ` OPCC KUTT PKWYo And ael»fit; pG�j y�tr �Ya•. �F,�f' k.Q� LU' oQEaoy DAKOTA 0V EI menta k UTAH �Ilr�e�afiA000 WY � NEVADA a c3 n L �o i ■ py GPI {pia' S~ � �C -1��� �Q p tp"�"-BA za 0q• a1z OL1 ooH n `py�\{JIt JRRlOR QQ.>� q�jF,�s �J S9y y�2 P 4R/C �v Fairpit"d Y taAtNE gAYi NA { 0a 09C { FAl it Naspitai E` c� ARTILLERY CIR A E m BASE 4 TN. EL PASO AVE '90 �BbgTeN QNIAINW N VG AV RMONo ROTE 55° Ca — t JI �t .. ro w at FLORIDA AVE 4 P + Accident Prevention Plan Jackson do tr ct r Group, Inc. Contract No. W912DW 1 1 -030 i Wage 75 { t �f i , Addendum K Jackson Contractor Group, Inc. Jobsite Man 1 ,r t \ Is \\ ♦ t \ r �' n,�t(}{�}/may��:• , _ -- FY72 WINC+HEAD IARMRf. -- ��� PAgICMILO AfO.WA t.,mrq�t� I Accident Prevention Plan Jackson Contractor Group, Inc. Contract No.W912bW-12-C-030 Page 76 Addendum L Jackson Contractor Group, Inc, Forklift Policy This Jackson Contractor Group, Inc. Forklift Policy shall conform to all other applicable requirements of this standard, as well as the following provisions. Nothing in this policy shall be constructed to prohibit better or otherwise safer conditions than specified herein. If authorized to operate a company forklift, employee must strictly adhere to the following safety rules. 1. Training and Evaluation of Forklift Operators: Only currently certified designated, authorized, and qualified individuals shall be permitted to operate or service any forklift. The operators will be re-evaluated every three years. 2. Each jobsite labor foreman will receive training and be qualified for forklift operation. He then will instruct and visually observe and approve other forklift operators at each jobsite. 3. "Hands-on"training (visual observation)will be conducted on each type of forklift that will be used by the operator. Workplace topics that should be covered: • Inspection of forklift • Surface Conditions • Composition of loads and stability • Load manipulation, stacking and. Un-stacking • Pedestrian traffic • Tight and restricted spaces • Hazardous locations where the forklift may be operated • Ramps and other sloped surfaces • Areas where insufficient ventilation may exist 4. All forklifts equipped with ignition locks must be kept locked when left overnight. 5. The operator must inspect the equipment and complete any required inspection log/form. 6. The following items should be inspected: tail lights, head lights, and signal lights, mirrors, windshield wipers, backup, alarms, oil, etc., should be checked to see that each is working and adjusted properly. 7. If inspection reveals defective items which can cause loss of control of the equipment, it must be promptly reported to the foreman and not be operated. All defective conditions, such as broken, excessive wear, or faulty conditions must be promptly reported to the foreman and documented on the inspection form. 8. Operators must be familiar with rated load capacity, recommended operating speeds, special warning signs, and other essential information, and shall be operated within those limits. 9. Equipment must not be operated near employees who are not in clear view of the operator unless an observer is used to wam the operator in ease of an emergency. Accident Prevention Plan Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 77 10. Operators must take signals from only one person except in an emergency; however, a stop signal can be given by anyone. The operator must be in constant visual or verbal contact with the signalman at all times while positioning the load. 11. Only standard hand signals which are posted on the equipment will be acknowledged. Training provided will be consistent with the posted signals. 12.All booms or equipment must be kept at least ten feet away from any high voltage lines 13. Employees shall not back up any forklift when the view to the rear is obstructed, unless an observer is used and an operable back-up alarm is sounding. 14. Forklifts shall not be operated in dangerous areas like edges of deep fills, out banks, or steep slopes because of the possibility of overturning. 15. The parking brake must be set and the ignition turned off when not being 'used. Forklifts must not be left unattended until after the motor has been shut off, parking brakes set, and forks lowered. 16. No employee shall work under a load or the forks without adequate protective blocking installed to prevent injury in case the hydraulics rail. 17.All safety procedures in the training program will be followed. Accident Prevention Plan Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 78 Addendum M Jackson Contractor Group, Inc. Lockout/Tagout Policy I. OBJECTIVE The objective of this Jackson Contractor Group, Inc. policy and procedure is to establish a means of positive control to prevent the accidental starting or activating of machinery or systems while they are being repaired, cleaned and/or serviced. This program serves to. A. Establish a safe and positive means of shutting down machinery, equipment and systems. B. Prohibit unauthorized personnel or remote control systems from starting machinery or equipment while it is being serviced. C. Provide a secondary control system (tagout) when it is impossible to positively lockout the machinery or equipment. D. Establish responsibility for implementing and controlling lockout/tagout procedures. E. Ensure that only approved locks, standardized tags and fastening devices provided by the company will be utilized in the lockout/tagout procedures. II. ASSIGNMENT OF RESPONSIBILITY A. Jackson Contractor Group, Inc.'s Superintendent will be responsible for implementing the lockout/tagout program, in collaboration with the Electrical and Mechanical contractors. B. Jackson Contractor Group, Inc.'s Superintendent will be responsible for enforcing the program and insuring compliance with the procedures. C. Jackson Contractor Group SSHO will be responsible for monitoring the compliance of this procedure and will conduct the annual inspection and certification of the authorized employees. D. Jackson Contractor Group personnel are responsible for following established lockout/tagout procedures. An authorized employee is defined as a person who locks out or tags out machines or equipment in order to perform servicing or maintenance on that machine or equipment. An affected employee becomes an authorized employee when that employee's duties include performing servicing or maintenance covered under (1910.147), The Control of Hazardous Energy (lockout/tagout). E. All other subcontractors and employees on the project are responsible for insuring they do not attempt to restart or re-energize machines or equipment that are locked out or tagged out. An affected employee is defined as a person whose job requires him/her to operate or use a machine or equipment on which servicing or maintenance is being performed under lockout or tagout, or whose job requires him/her to work in an area in which such servicing or maintenance is being performed. III. PROCEDURES The ensuing items are to be followed to ensure both compliance with the OSHA Control of Hazardous Energy Standard and the safety of our employees. A. Preparation for Lockout or Tagout Employees who are required to utilize the lockout/tagout procedure must be knowledgeable of the different energy sources and the proper sequence of shutting off or disconnecting energy means. The four types of energy sources are: 1. Electrical (most common form); 2. Hydraulic or pneumatic; 3. Fluids and gases; and Accident Prevention Plan Jackson Contractor Group, Inc. Contract No. W912DW-12-C-030 Page 79 4. Mechanical (including gravity). More than one energy source may be utilized on some equipment and the proper procedure must be followed in order to identify energy sources and lockout/tagout accordingly. B. Electrical 1. Shut off power at machine and disconnect. 2. Disconnecting means must be locked or tagged. 3. Press start button to see that correct systems are locked out. 4. All controls must be returned to their safest position. 5. Points to remember: a. If a machine or piece of equipment contains capacitors, they must be drained of stored energy. b. Possible disconnecting means include the power cord, power panels (look for primary and secondary voltage), breakers, the operator's station, motor circuit, relays, limit switches, and electrical interlocks. c. Some equipment may have a motor isolating shut-off and a control isolating shut-off. d. If the electrical energy is disconnected by simply unplugging the power cord, the cord must be kept under the control of the authorized employee or the plug end of the cord must be locked out or tagged out. C. Hydraulic/Pneumatic 1. Shut off all energy sources (pumps and compressors). If the pumps and compressors supply energy to more than one piece of equipment, lockout or tagout the valve supplying energy to the piece of equipment being serviced. 2. Stored pressure from hydraulic/pneumatic lines shall be drained/bled when release of stored energy could cause injury to employees. 3. Make sure controls are returned to their safest position (off, stop, standby, inch, jog, etc.). D. Fluids and Gases 1. Identify the type of fluid or gas and the necessary personal protective equipment. 2. Close valves to prevent flow, and lockout/tagout. 3. Determine the isolating device, then close and lockout/tagout. 4. Drain and bleed lines to zero energy state.Some systems may have electrically controlled valves. 5. If so, they must be shut off and locked/tagged out. 6. Check for zero energy state at the equipment. E. Mechanical Energy Mechanical energy includes gravity activation, energy stored in springs, etc. 1. Block out or use die ram safety chain. 2. Lockout or tagout safety device. 3. Shut off, lockout or tagout electrical system. 4. Check for zero energy state. 5. Return controls to safest position. F. Release from Lockout/Tagout 1. Inspection: Make certain the work is completed and inventory the tools and equipment that were used. 2. Clean-up: Remove all towels, rags, work-aids, etc. Accident Prevention Plan Jackson Contractor Group, Inc. Contract No.W912DW-12-C-030 Page 80 3. Replace guards: Replace all guards possible. Sometimes a particular guard may have to be left off until the start sequence is over due to possible adjustments. However, all other guards should be put back into place. 4. Check controls: All controls should be in their safest position. 5. The work area shall be checked to ensure that all employees have been safely positioned or removed and notified that the lockout/tagout devices are being removed. 6. Remove locks/tags. Remove only your lock or tag. G. Service or Maintenance Involving More than One Person When servicing and/or maintenance is performed by more than one person, each authorized employee shall place his own lock or tag on the energy isolating source. This shall be done by utilizing a multiple lock scissors clamp if the equipment is capable of being locked out. If the equipment cannot be locked out, then each authorized employee must place his tag on the equipment. H. Removal of an Authorized Employee's Lockout/Tagout by the Company Each location must develop written emergency procedures that comply with 1910.147(e) (3) to be utilized at that location. Emergency procedures for removing lockout/tagout should include the following: 1. Verification by employer that the authorized employee who applied the device is not in the facility. 2. Make reasonable efforts to advise the employee that his/her device has been removed. (This can be done when he/she returns to the facility). 3. Ensure that the authorized employee has this knowledge before he/she resumes work at the facility. I. Shift or Personnel Changes Each facility must develop written procedures based on specific needs and capabilities. Each procedure must specify how the continuity of lockout or tagout protection will be ensured at all times. See OSHA 1910.147(f) (4). J. Procedures for Outside Personnel/Contractors Outside personnel/contractors shall be advised that the company has and enforces the use of lockout/tagout procedures. They will be informed of the use of locks and tags and notified about the prohibition of attempts to restart or re-energize machines or equipment that are locked out or tagged out. The company will obtain information from the outside personnel/contractor about their lockout/tagout procedures and advice affected employees of this information. The outside personnel/contractor will be required to sign a certification form. If outside personnel/contractor has previously signed a certification that is on file, additional signed certification is not necessary. K. Training and Communication Each authorized employee who will be utilizing the lockout/tagout procedure will be trained in the recognition of applicable hazardous energy sources, type and magnitude of energy available in the work place, and the methods and means necessary for energy isolation and control. Each affected employee (all employees other than authorized employees utilizing the lockout/tagout procedure) shall be instructed in the purpose and use of the lockout/tagout procedure, and the prohibition of attempts to restart or re-energize machines or equipment that are locked out or tagged out. Training will be certified using Attachment (Authorized Personnel). The certifications will be retained in the employee personnel files. Accident Prevention Plan Jackson Contractor Group, Inc. Contract No. W912DW-12-C-030 Page 81 Addendum N Jackson Contractor Group, Inc. Respiratory Protection Plan Respiratory equipment in many cases is needed for protection against toxic and hazardous fumes/dusts. Supervisors must verify which equipment meets the need for breathing safety. A. PURPOSE The purpose of this program is to assist all affected employees in complying with this Company's policies and OSHA's respiratory standards found in 29 CFR 1926.103 and 29 CFR 1910.134. It should provide personnel responsible for respiratory protection with enough information to establish and operate a program in the selection, training, and maintenance of approved respiratory equipment. B. POLICY It is the policy of Jackson Contractor Group to make every effort to control occupational diseases caused by breathing air contaminated with harmful dusts, fumes, gases, or vapors and to prevent or eliminate those conditions that may cause the work environment to become contaminated. To a great extent, this is accomplished by engineering controls, however, when these controls are impractical, ineffective, or while being instituted, appropriate respiratory protection shall be worn. C. RESPONSIBILTIY The responsibility for implementing this program is a function of the Company Safety Program Director. However, compliance and enforcement is the responsibility of the project superintendent. It is the responsibility of the project superintendent to maintain a work environment that insures the maximum safety for their employees with the proper respiratory protective equipment, instructions in the proper usage, and to enforce the wearing of such equipment. Employees need to be assigned certain responsibilities for contributing to the success of our program. Their responsibilities include notifying their supervisor immediately when certain conditions or practices may cause personal injury and complying with all rules pursuant to our program. D. PROCEDURES 1. Employees will read this written program before they perform work that requires respiratory protection. 2. Respirators and cartridges will be selected according to the hazard to which the employee will be exposed. Accident Prevention Plan Jackson Contractor Group, Inc. Contract No. W912DW-12-C-030 Page 82 3. Employees will be instructed and trained in the proper use of respirators and their limitation. a) Employees will be fit-tested to insure protection against the hazard. b) Employees who will be using respirators will be clean shaven. c) Employees will be instructed in the proper selection of cartridges and their replacements. d) The Medical Questionnaire (form III.C.I) and Medical Clearance form (form III.D.I) will be completed submitted and approved prior to an employee being placed in an environment requiring the use of a respirator. 4. When practical, respirators may be assigned to individuals for their exclusive use. 5. Respirators shall be regularly cleaned and disinfected. Those issued exclusively to one person should be cleaned at the end of the day. 6. Respirators will be stored in a convenient location; preferably in the office trailer. 7. Respirators that are routinely used will be inspected during cleaning. Worn or deteriorated parts will be replaced. 8. Appropriate surveillance of work area conditions and degree of employee exposure or stress will be maintained. 9. Regular inspection and evaluations will be made to determine the continued effectiveness of the program. E. MISCELLANEAOUS Personnel should not be assigned to tasks requiring the use of respirators unless it has been determined that they are physically able to perform to work and use the equipment. This will be accomplished by having a medical questionnaire filled out by each employee. A medical survey will be forwarded, with the medical questionnaire attached, for review by a physician or occupational health nurse. The employee will not be allowed to perform any work requiring the use of a respirator until the medical survey is returned indicating that the employee is medically qualified to wear a respirator. Only approved respirators will be used and will provide adequate protection against the hazards for which it was designed. No employee will bring to the work site his or her own respirator nor will any employees accept a respirator form a vender for the purpose of an evaluation. Respirators will not be modified or tampered with in any way including, but not limited to, interchanging of parts between respirator manufacturers, interchanging of cartridges, cutting or re- shaping or other modification of the face piece, harness, or cartridge. Accident Prevention Plan Jackson Contractor Group, Inc. Contract No. W912DW-12-C-030 Page 83 Addendum O Jackson Contractor Group, Inc. Site Specific Steel Erection Plan and Checklist I. PURPOSE This document specifies requirements for steel erection in order to minimize hazards to people and property. This document highlights Contractor requirements and requirements of source documents referenced. Any applicable regulatory or Contractor requirements must be followed, with the most stringent requirement being met. 2. APPLICABILITY This document applies to all subcontractors erecting structural steel as specified in their contract with Contractor. Subcontractors may impose stricter requirements on their employees or sub-tier contractors. The requirements of this document must be followed by subcontractors; however, the means of implementation may vary as determined by the subcontractor. This document sets forth requirements to protect employees from the hazards associated with steel erection activities. Steel erection activities include hoisting, laying out, placing, connecting, welding, burning, guying, bracing, bolting, plumbing, and rigging structural steel, steel joists, and metal buildings; installing metal decking, curtain walls, window walls, siding systems, miscellaneous metals, ornamental iron, and similar materials; and moving point-to-point while performing these activities. 3. REQUIREMENTS ".1 Steel erection shall meet the requirements of 29 CFR 1926 Subpart R"Steel Erection."Additional iquirements specific to steel erection are specified below 3.2 Administrative Activities a) The fall protection requirements shall apply for all work greater than 6 feet off the ground. b) All levels of supervision shall understand their roles in implementing safety requirements for steel erection. c) Qualified persons and competent persons shall be designated for steel erection work. Documentation of the designation of the qualified person and competent person shall be made available to the Contractor POC. d) A Steel Erection Plan shall be prepared by a qualified person in accordance with Specifications. Job Name: Job Number: Date: Erector: Project Eng. Sheeted: Qualified Person: Anchor Bolt Cont.: Fabricator: Crane Opt: Qualified Rigger: Accident Prevention Plan Jackson Contractor Group, Inc. Contract No. W912DW-12-C-0030 Page 84 Scope of Work Pre-Engineered Metal Building Sq. Ft. Tons Conventional Steel Building Sq. Ft. Tons Roofing Sq. Ft. Tons Siding Sq. Ft. Tons Decking Sq. Ft. Tons Miscellaneous Steel Sq. Ft. Tons General Miscellaneous Sq. Ft. Tons General Description of Work: Footings, Piers, Walls and Anchor Bolts 1. Has concrete reached 75% of sufficient strength? Yes No 2. Proof of Strength: a. ASTM test method results Yes No b. Engineer verification Yes No 3. Were anchor bolts repaired, replaced or modified? Yes No 4. Was erector notified in writing? Yes No Notification of Commencement of Steel Erection 1. Was written notification given to the erector? Yes No Site Layout 1. Has controlling contractor provided adequate access to site? Yes No 2. Is lay-down area firm, properly graded, accessible? Yes No Pre-Construction Site Conference Has a Pre-Construction Site Conference been held? Yes No Please list those attending Sequence of Erection Activity 1. Give a general sequence of erection activities: 2. Material delivery date: Accident Prevention Plan Jackson Contractor Group, Inc. Contract No. W912DW-12-C-0030 Page 85 3. How will activities be coordinated with other trades? Cranes 1. Crane Type: 2. Crane Brand: 3. Crane Capacity: 4. How is the site prepared for the crane? 5. How many different locations will the crane have and where are they? 6. What is the path for overhead loads? 7. How will employees be notified of overhead loads? 8. Are there any critical lifts? Yes No a. Lifts greater than 75% of the crane's capacity. Yes No b. Any lift involving hazardous materials. Yes No c. Any lift made with more than one crane. Yes No d. Lifts where the center of gravity might change. Yes No 9. Describe critical lifts: 10. Are lift permits attached for critical lifts? Yes No 11. Are lift permits attached for all lifts over 5,000 lbs.? Yes No Steel Erection Activities / Procedures (give a description of the following items and how they will be performed) 1. Temporary Bracing: Accident Prevention Plan Jackson Contractor Group, Inc. Contract No. W912DW-12-C-0030 Page 86 2. Repair, Replacement or Modification of Anchor Bolts: 3. Columns/Beams (Joists or Purloins): 4. Connections: 5. Decking: 6. Roofing: 7. Siding: 8. Steel Grating: 9. Handrail or Miscellaneous Iron: Fall Protection: 1. Erection of vertical structural members JLG Lift/Tie-Off Scissor Lift/ Guardrails Vertical Lifeline / Harness and Lanyard Retractable Lanyard / Harness Other— Explain 2. Erection Horizontal Structural Members JLG Lift/Tie-Off Scissor Lift/ Guardrails Vertical Lifeline / Harness and Lanyard Retractable Lanyard / Harness Other— Explain Accident Prevention Plan Jackson Contractor Group, Inc. Contract No.W912DW-12-C-0030 Page 87 3. Installation of Siding &Associated Insulation JLG Lift/Tie-Off Scissor Lift/ Guardrails Vertical Lifeline/ Harness and Lanyard Retractable Lanyard / Harness Other— Explain 4. Installation of Roofing &Associated Insulation JLG Lift/Tie-Off Scissor Lift/ Guardrails Vertical Lifeline / Harness and Lanyard Retractable Lanyard / Harness Other— Explain 5. Installation of Decking JLG Lift/Tie-Off Scissor Lift/ Guardrails Vertical Lifeline / Harness and Lanyard Retractable Lanyard / Harness Other— Explain 6. Unprotected Sides / Edges JLG Lift/Tie-Off Scissor Lift/ Guardrails Vertical Lifeline/ Harness and Lanyard Retractable Lanyard / Harness Other— Explain 7. Leading Edges JLG Lift/Tie-Off Scissor Lift/ Guardrails Vertical Lifeline/ Harness and Lanyard Retractable Lanyard / Harness Other— Explain 8. Holes JLG Lift/Tie-Off Scissor Lift/ Guardrails Vertical Lifeline / Harness and Lanyard Retractable Lanyard / Harness Other— Explain 9. Wall Opening JLG Lift/Tie-Off Scissor Lift/ Guardrails Vertical Lifeline / Harness and Lanyard Retractable Lanyard / Harness Other— Explain Accident Prevention Plan Jackson Contractor Group, Inc. Contract No. W912DW-12-C-0030 Page 88 10. Has fall protection training been documented? Yes No 11. Is a competent person on-site at all times? Yes No 12. Were fall protection systems designed by a Qualified Person? Yes No Falling Object Protection 1. Method for securing loose items aloft: 2. Are all personnel wearing hardhats? Yes No 3. Are erection areas properly barricaded? Yes No Hazardous Non-Routine Tasks 1. JSA's performed on non-routine hazardous tasks? Yes No 2. Attach JSA's. Training Certification 1. All personnel properly trained for performing steel erection activities? Yes No 2. All personnel properly trained for the use of fall protection systems? Yes No 3. Attach documentation of training. List of Qualified and Competent Persons 1. Qualified Person for site specific erection plan: 2. Qualified Person for fall protection system design: 3. Qualified Rigger: 4. Crane Operator: 5. Crane Inspector: 6. Fall Protection Competent Person: Emergency Rescue Procedures Self-Rescue Emergency Response Team Man basket Yes No Stair Tower Aid Trained Personnel Hoists Yes No Aerial Lifts Other Yes No Comments: Completed By: Date: Reviewed By: Date: Accident Prevention Plan Jackson Contractor Group, Inc. Contract No.W912DW-12-C-0030 Page 89 Addendum P Jackson Contractor Group, Inc. Site Sanitation Plan It is the policy of Jackson Contractor Group, Inc. to establish and maintain a clean job-site and supply hygienic sanitation provisions for all employees as specified in the following. HOUSEKEEPING • Work site shall be kept as clean as possible, taking into consideration the nature of the work. Regular cleaning shall be conducted daily in order to maintain safe and sanitary conditions. • The floor of every workroom shall be kept as dry as possible. • To facilitate cleaning, every floor, working place, and passageway shall be kept free from clutter. • The superintendents and all subcontractors must be aware of their responsibility and the necessity of cleaning their respective work areas daily. • Failure to accomplish the above in any areas will be noted on a daily basis as part of our Quality Control Daily Inspection and Report System. • We, as the general contractor, have a cleanup clause in each of our subcontracts, and the terminology is such that it can and will be enforced. • It is our responsibility to coordinate, supervise, and make corrections on the cleanup procedure on the project site. • Close coordination will be made between all supervisors, including subcontractors, to properly clean up adjoining areas of responsibility daily. • All rags, waste, etc., soiled by combustible materials, shall be stored in tightly-closed metal containers and disposed of properly. Timber and forming materials shall be stacked so as to be stable and self-supporting. Used lumber and forming material shall have all nails withdrawn as they are taken apart. DRINKING WATER Jackson Contractor Group will supply adequate potable water for drinking as per the following. • Shall comply with substantive and procedural requirements pursuant to 40 CFR 141; Shall meet any state and local regulations that are more stringent than the Federal regulations; and • Only approved Portable drinking water dispensers shall be used, designed, constructed, and serviced to ensure sanitary conditions; shall be capable of being closed; and shall have a tap. Drinking water shall be dispensed by means that prevent contamination between the consumer and the source. • Use of a common cup (a cup shared by more than one worker) and other common utensils is prohibited. • Employees shall use cups when drinking from portable water coolers/containers. • Unused disposable cups shall be kept in sanitary containers and a waste receptacle shall be provided for used cups. • Non-potable water may be used for cleaning work areas, except food processing and preparation areas and personal service rooms, provided this non-potable water does not Accident Prevention Plan Jackson Contractor Group, Inc. Contract No. W912DW-12-C-0030 Page 90 contain concentrations of chemicals, fecal coli form, or other substances which could create unsanitary conditions or be harmful to employees. TOILETS Jackson Contractor Group will supply an adequate number of toilet facilities on the construction sites. Toilets present on site and shall contain the following: • Job sites shall be provided with chemical toilets; • Each toilet facility shall be equipped with a toilet seat and toilet seat cover. Each toilet facility - except those specifically designed and designated for females-shall be equipped with a metal, plastic, or porcelain urinal trough. • All shall be provided with an adequate supply of toilet paper and a holder for each seat; • Where it is not practical to provide running water, hand sanitizers may be used as a substitute for running water • Toilet facilities shall be constructed so that the occupants are protected against weather and falling objects; all cracks shall be sealed, and the door shall be tight-fitting, self-closing, and capable of being latched; • Adequate ventilation shall be provided and all windows and vents shall be screened; seat boxes shall be vented to the outside (minimum vent size 4 in (10.1 cm))with vent intake located 1 in (2.5 cm) below the seat; • Toilet facilities shall be constructed so that the interior is lighted; and • Provisions for routinely servicing and cleaning all toilets and disposing of the sewage shall be established before placing toilet facilities into operation. WASTE DISPOSAL Jackson Contractor Group, Inc will supply an adequate number of waste receptacles. • Receptacles shall be provided for the disposal of construction waste debris and employee waste • Receptacles shall be constructed of smooth, corrosion-resistant, easily cleanable, or disposable materials, provided with solid tight-fitting covers, emptied at least daily and maintained in a sanitary condition. • Receptacles used for putrescible solid or liquid waste or refuse shall be constructed in order to prevent leakage and to allow thorough cleaning and sanitary maintenance. • Such receptacles shall be equipped with solid tight-fitting covers, unless they can be maintained in sanitary conditions without covers. • All sweepings, solid or liquid wastes, refuse, and garbage shall be removed in a manner which avoids creating a menace to health and should be discarded as often as necessary or appropriate to maintain sanitary conditions onsite. • Receptacles shall be emptied on a routine basis to a waste facility dump site. Accident Prevention Plan Jackson Contractor Group, Inc. Contract No.W912DW-12-C-0030 Page 91 Addendum Q Jackson Contractor Group, Inc. CRITICAL LIFT PLAN The following applies on all Jackson Contractor Group critical lifts: • Requires review and approval by the Hoisting and Rigging Review Team and Lift Managers. • Only trained and qualified personnel will be used when making critical lifts. • Requires rigging sketches/drawings or revisions. •A pre-lift meeting will be conducted involving all participants to review the approved lift plan and resolve any questions. Presented by: Date: Phone: 1. Item(s)to be lifted: Scheduled lift date: Location of lift: Describe lift, including weight, key dimensions and center of gravity; develop and attach rigging -ketches in detail appropriate to the complexity of the lift. (Add attachments as .ecessary.) Is a trial lift required? 0 Yes ❑ No Does the lift consist of a hazardous, radioactive, or contaminated material? Li Yes Li No If yes, identify: 2. References: OSHA 29 CFR 1910.178, .179, .180, .184 3. Hoisting equipment: Type: Manufacturer: Model: Capacity: Serial: Accident Prevention Plan Jackson Contractor Group, Inc. Contract No.W912DW-12-C-0030 Page 92 Date of latest annual inspection: Latest calibration date of instruments: 4. Rigging and below the hook hardware: Note: Prior to use, hardware must be labeled with the manufacturer's name, lifting device, weight, serial number, and rated capacity. Type of slings: Rated capacity: Weight: Shackles: Lifting rings/eyebolts: Riggings hooks: Load block/jib: Spreader bars/Below the hook lifting devices Rated capacity: Weight: Total weight (Rigging equipment, below the hook hardware, & crane attachments): Weight load to be lifted: Total weight: (*Equivalent or greater rigging may be substituted by professional riggers.) 5. Equipment and lift relationship: A. Maximum operating radius: B. Planned operating radius: C. Allowable load at maximum lift radius: D. Ratio of lift to allowable load: E. Clearance between point sheaves and load: F. Clearance to surrounding facilities/utilities: Accident Prevention Plan Jackson Contractor Group, Inc. Contract No. W912DW-12-C-0030 Page 93 G. Clear path for load movement: 6. Stability of ground area: A. Soil bearing capacity has been evaluated to be adequate: B. Evaluation Method ❑ Visual ❑ Other: C. Mats required Size & number: D. Reviewed Underground Construction location: 7. Weight of item obtained by: A. Certified weight scale: B. Calculated independently by more than one source: 1. Source: Weight: Source: Weight: C. If lift is an existing item (being removed or demolished); the weight must be recalculated, taking into account all modifications, including internal, as well as an allowance for scale, sediment, sludge and insulation. Calculation work sheets SHALL be included in the LIFT PLAN and have a Professional Engineer stamp or be signed off by a QUALIFIED PERSON. (When weights are calculated, a 10% tolerance margin shall be added. This value may be increased at the discretion of the Hoisting and Rigging Team.) D. Shipping's manifests weight: Manufacturer data weight: 8. Task Specific Job Hazard Evaluation Completed: ❑ Yes (Required) Attach copy 9. Safety Considerations: • Communication utilized during lift (i.e., hand signals, radio): • Tag lines to be used: ❑ Yes No Accident Prevention Plan Jackson Contractor Group, Inc. Contract No. W912DW-12-C-0030 Page 94 10. Special instructions: ❑ Yes (list below) ❑ No 11. Approvals: Hoisting and Rigging Team--signatures and date 1. 2. 3. 4. 5. 6. Lift Manager: Date: Pre-lift inspection to be completed before beginning the lift: -Total weight of lift including rigging and below the hook hardware: -Pre-use inspection of hoisting equipment (documented): -Pre-use inspection of rigging and below the hook hardware: -Dimensions, center of gravity, and arrangements in accordance with attached rigging sketches: (COG will be marked on load and a drawing included showing how it was determined.) -Footprint area for crane setup has been reviewed for underground hazard: -Mobile crane set up with outriggers fully extended, pads on solid footing, tires clear of ground and crane level: • Trial lift complete (when specified in Section 1): Comments: Person-In-Charge: Date: Badge: Initials: *PIC must be present during entire critical lift and be qualified to resolve any questions or problems that may arise during the lifting operation. Accident Prevention Plan Jackson Contractor Group, Inc. Contract No.W912DW-12-C-0030 Page 95 The following hoisting and lifting personnel (HLP) have attended the pre-lift meeting, reviewed the approved lift plan, and understand the procedure and equipment to be used: HLP signatures: (Attach additional signature sheet if necessary) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Person-In-Charge Signature: Date: Following approval of this lift plan, forward an electronic copy to the Jackson Contractor Group, Inc. Program Manager. Accident Prevention Plan Jackson Contractor Group, Inc. Contract No.W912DW-12-C-0030 Page 96 Addendum R Jackson Contractor Group, Inc. SUPERVISOR'S REPORT OF ACCIDENT Supervisor's Name: Date: Exact time injury was reported to Supervisor: Claimant's Name: Type of Injury: Injury reported by: Reported to whom: Names of wi riessea Describe the accident/exposure as you and/or witnesses saw it: The injury required: first aid only doctor's treatment hospitalization Was a Return to Work Authorization form given to claimant to take to Doctor? If not,Why? Did the injury result from unsafe working habits? If yes, explain why: Relate any other possible cause for the injury: Will lost time result from this injury? If so,was the claimant instructed to keep the company informed of the recovery process? If not, why? How many other industrial injuries has this employee had with this company? Explain types of injuries and dates and times of occurrences: Note other details on the back of this form. Supervisor's signature: Date: / / Attach this Supervisor's report and the Return to Work Authorization form to the Labor and Industries Report of Accident Claim form Accident Prevention Plan Jackson Contractor Group, Inc. Contract No.W912DW-12-C-0030 Page 97 Addendum S Jackson Contractor Group, Inc. Contacts List CoE PROJECT ENGINEER— Evan Lauterbach 509-244-5571 x1240 JACKSON CONTRACTOR GRP - PROJECT OFFICE 509- SUPERINTENDENT(CELL)— Bob Peters 406-546-1752 CQC MANAGER(CELL)—Jake Berger 406-544-6836 SAFETY SUPERVISOR(CELL)—tbd 509- PROJECT MANAGER(CELL)— John Cannon 509-879-7310 FIRE DEPARTMENT(emergency) 9-1-1 FIRE DEPARTMENT 509-247-5215 'OLICE DEPARTMENT 9-1-1 SECURITY POLICE 9-1-1 HOSPITAL/E.R. 9-1-1 SECURITY FORCES CONTROL CENTER 509-247-2246 WELCOME /VISITOR'S CENTER 509-247-5495 Accident Prevention Plan Jackson Contractor Group, Inc. Contract No.W912DW-12-C-0030 Page 98 Exhibit B—Storm Water Pollution Prevention Jackson CONTRAC7DR GROUP,INC. Example 1—Fairchild Air Force Base Wind Headquarters (SWPPP Plan) City of Bozeman—Police& Municipal Courts Facility March 20, 2014 Stormwater Pollution Prevention Plan (SWPPP) FY 12 Wing Headquarters, Fairchild AFB, WA Stormwater Pollution Prevention Plan (SWPPP) For Construction Activities At: W912DW-1 1-R-0063-FYI Wing Headquarters, FAFB,Spokane WA Fairchild Air Force Base, Fairchild AFB, WA 99011-9465 SWPPP Prepared For: Jackson Contractor Group 5800 U.S. 93 PO Box 967 Missoula, MT 59804 406-542-9150 JohnC@Jacksoncontractorgroup.com SWPPP Prepared By: Piersol Construction Inc. Maurice Piersol 2233 S Garfield Road Airway Heights,WA 99001 509/535/2901 mpiersol@piersolconstruction.com SWPPP Preparation Date: February 11,2013 Estimated Project Dates: Project Start Date: 03/01/13 Project Completion Date: 07/24/14 SWPP 2/1 1/13 i Contract W912DW-12-C-0300-Jackson Contractor Group Stormwater Pollution Prevention Plan (SWPPP) FY 12 Wing Headquarters,Fairchild AFB, WA Contents SECTION l: CONTACT INFORMATION/RESPONSIBLE PARTIES...................................................................1 1.1 Operator(s) /Subcontractor(s)...................................................................................................... 1 1.2 Stormwater Team............................................................................................................................. 1 SECTION 2:SITE EVALUATION,ASSESSMENT,AND PLANNING..................................................................3 2.1 Project/Site Information..................................................................................................................3 2.2 Discharge Information.....................................................................................................................3 2.3 Nature of the Construction Activity..............................................................................................5 2.4 Sequence and Estimated Dates of Construction Activities......................................................5 2.5 Allowable Non-Stormwater Discharges.......................................................................................6 2.6 Site Maps........................................................................................................................................... 6 SECTION 3: DOCUMENTATION OF COMPLIANCE WITH OTHER FEDERAL REQUIREMENTS........................7 3.1 Endangered Species Protection ..................................... .....7 ......................................................... 3.2 Historic Preservation.........................................................................................................................8 3.3 Safe Drinking Water Act Underground Injection Control Requirements.................................9 SECTION 4: EROSION AND SEDIMENT CONTROLS....................................................................................10 4.1 Natural Buffers or Equivalent Sediment Controls...................................................................... 10 4.2 Perimeter Controls......................................................................................................................... 10 4.3 Sediment Track-Out....................................................................................................................... 11 4.4 Stockpiled Sediment or Soil.......................................................................................................... 11 4.5 Minimize Dust.................................................................................................................................. 12 4.6 Minimize the Disturbance of Steep Slopes................................................................................. 12 4.7 Topsoil.............................................................................................................................................. 13 4.8 Soil Compaction ............................................................................................................................ 13 4.9 Storm Drain Inlets............................................................................................................................ 13 4.10 Constructed Stormwater Conveyance Channels.................................................................... 13 4.11 Sediment Basins.............................................................................................................................. 13 4.12 Chemical Treatment................................ ................ 14 4.13 Dewatering Practices.................................................................................................................... 14 4.14 Other Stormwater Controls........................................................................................................... 14 4.15 Site Stabilization.............................................................................................................................. 14 SECTION 5: POLLUTION PREVENTION STANDARDS....................................... ..............15 .............................. 5.1 Potential Sources of Pollution....................................................................................................... 15 5.2 Spill Prevention and Response..................................................................................................... 16 5.3 Fueling and Maintenance of Equipment or Vehicles.............................................................. 16 5.4 Washing of Equipment and Vehicles .........---•--•......................................................................... 16 5.5 Storage, Handling, and Disposal of Construction Products, Materials, and Wastes........... 16 5.6 Washing of Applicators and Containers used for Paint, Concrete or Other Materials...... 17 5.7 Fertilizers................................................. ..................... ..... 18 5.8 Other Pollution Prevention Practices-Not used........................Error! Bookmark not defined. SECTION 6: INSPECTION AND CORRECTIVE ACTION...............................................................................18 6.1 Inspection Personnel and Procedures........................................................................................ 18 6.2 Corrective Action ..................................................................................•-•--...........----•---................ 19 6.3 Delegation of Authority..................... .......... 19 SECTION7:TRAINING................................................................................................................................20 SECTION 8: CERTIFICATION AND NOTIFICATION.....................................................................................21 SWPPPAPPENDICES...................................................................................................................................22 SWPP 2/1 1/13 Contract W912DW-12-C-0300-Jackson Contractor Group Stormwater Pollution Prevention Plan (SWPPP) FY 12 Wing Headquarters, Fairchild AFB, WA SECTION 1: CONTACT INFORMATION/RESPONSIBLE PARTIES 7.1 Operator(s) /Subcontractor(s) Operator(s): Jackson Contractor Group, Inc: John Cannon PM: PO Box 967: Missoula, MT 59806: 406-542-9150: Fax:406-542-3515 /johnc@jacksoncontractorgroup.com: General Contractor: Subcontractor(s): Piersol Construction Inc.: Maurice Piersol: 2233 S Garfield Road: Airway Heights, WA 99001: 509-535-2901: Fax: 509-244-6436 / mpiersol@piersolconstruction.com Site work grading contractor: Emergency 24-Hour Contact: Piersol Construction Inc.: Maurice Piersol-509-535-2901, 509-993-5218 Justin Piersol 509-714-7486: 1.2 Stormwater Team Designer: Maurice Piersol: 509-535-2901: mpiersol@piersolconstruction.com: CESCL: Justin Piersol: 509-535-2901: jpiersol@piersolconstruction.com: SWPP 2/1 1/13 1 Contract W912DW-12-C-0300-Jackson Contractor Group Stormwater Pollution Prevention Plan (SWPPP) FY 12 Wing Headquarters, Fairchild AFB, WA Site Foreman for Piersol Construction Inc. Randy Smith: 509-710-3122: rsmith@piersolconstruction.com: General Contractor PM Jake Berger 406-544-6836 jokeb@jacksoncontractorgroul2.com General Contractor Superintendent Bob Peters 406-546-1752 bobp@iacksoncontractorgrour).com SWPP 2/1 1/13 2 Contract W912DW-12-C-0300-Jackson Contractor Group Stormwater Pollution Prevention Plan (SWPPP) FY 12 Wing Headquarters, Fairchild AFB, WA SECTION 2: SITE EVALUATION, ASSESSMENT,AND PLANNING 2.1 Project/Site Information Project Name and Address Project/Site Name: FY12 Wing Headquarters Project Street/Location:W. Bong St & Hansel] Ave. City: Fairchild AFB, State: WA ZIP Code:99011-9465 County or Similar Subdivision:Spokane County Project Latitude/Longitude Decimal Degrees= Longitude:-1 17.64437453523 Latitude: 47.633585614792 Per Spokane County GIS Scout Map Horizontal Reference Datum: ❑ NAD 27 ® NAD 83 or WGS 84 ❑ Unknown Additional Project Information Is the project/site located on Indian country lands, or located on a property of religious or cultural significance to an Indian tribe? ❑ Yes ® No Are you applying for permit coverage as a "federal operator" as defined in Appendix A of the 2012 CGP? ® Yes ❑ No NPDES project or permit tracking number: WAR12AF3F 2.2 Discharge Information Does your project/site discharge stormwater into a Municipal Separate Storm Sewer System (MS4)? ❑ Yes ® No Are there any surface waters that are located within 50 feet of your construction disturbances? ❑ Yes ® No SWPP 2/11/13 3 Contract W912DW-12-C-0300-Jackson Contractor Group Stormwater Pollution Prevention Plan (SWPPP) FY 12 Wing Headquarters, Fairchild AFB, WA Table 1 —Names of Receiving Waters Name(s) of the first surface water that receives stormwater directly from your site and/or from the MS4 (note: multiple rows provided where your site has more than one point of discharge that flows to different surface waters) 1. No name ditch on site of military base FAFB 2. 3. 4. 5. 6. Table 2—Impaired Waters /TMDLs Answer the following for each surface water listed in Table 1 above If you answered yes, then answer the following: Is this surface Has a TMDL water listed as What pollutant(s) are causing been Pollutant(s) for which "impaired"? the impairment? completed? Title of the TMDL document there is a TMDL 1. ❑YES ® NO ❑YES 0 NO 2. ❑YES ❑ NO ❑YES ❑ NO 3. ❑YES ❑ NO ❑YES ❑ NO 4. ❑YES ❑ NO ❑YES ❑ NO 5. ❑YES ❑ NO ❑YES ❑ NO 6. YES ❑ NO ❑YES 0 NO Describe the methods) you used to determine whether or not your project/site discharges to an impaired water: Information received from FAFB contracting office on previous projects on the FAFB. Table 3—Tier 2, 2.5, or 3 Waters Answer the following for each surface water listed in Table 1 above) Is this surface water designated If you answered yes,specify which as a Tier 2,Tier 2.5, or Tier 3 Tier(2,2.5, or 3) the surface water is water? designated as? see Appendix F 1. ❑YES ® NO 2. ❑YES ❑ NO 3. ❑YES ❑ NO 4. ❑YES ❑ NO 5. ❑ YES ❑ NO 6. ❑YES ❑ NO 5 Sformwater Pollution Prevention Plan (SWPPP) FY 12 Wing Headquarters, Fairchild AFB, WA 2.3 Nature of the Construction Activity General Description of Project Provide a general description of the construction project: A new 14,000 square foot headquarters facility will be constructed on an existing asphalt parking lot with new parking grade to be established, convert 147,000 square feet of existing paved areas to landscape on the new headquarter and converting 110,000 square feet of hardscape on old site to landscape. Size of Construction Project What is the size of the property (in acres), the total area expected to be disturbed by the construction activities (in acres), and the maximum area expected to be disturbed at any one time? SIZE OF PROPERTY 7.75 acres TOTAL AREA OF CONSTRUCTION DISTURBANCES 8.2 acres MAXIMUM AREA TO BE DISTURBED AT ANY ONE TIME 4.0 acres Construction Support Activities (only provide if applicable) Describe any construction support activities for the project (e.g., concrete or asphalt batch plants, equipment staging yards, material storage areas, excavated material disposal areas, borrow areas) Phase 1: Demo existing four acre parking lot for construction of new building and associated landscape and parking areas. New water main will be brought on site from across the street to the west and a new sewer main will extend south and east from the site. On the disturbed area will be a concrete washout, a material staging area, a recycled material staging area and aggregate/soil staging area. Most of the material for the project will be stored on the adjacent paved parking area to the south of the building site. Phase 2: Offsite utilities including sewer main extension to the south and east of the site and water connection across street to west. Disturbed area of .8 acre on flat surface area. The area disturbed will include .25 acre portion of total within hardscapes and .55 acre within an existing grass covered lot. Phase 3: The north side of Bong street includes the existing headquarters building to be raised as well as removing all existing hardscapes. The total area is 3.6 acres surrounded by existing mowed grass landscape and flat. Once all improvements are removed the entire area will be re-vegetated to landscape. 2.4 Sequence and Estimated Dates of Construction Activities 5 Stormwater Pollution Prevention Plan (SWPPP) FY 12 Wing Headquarters, Fairchild AFB, WA Phase I New Headquarters Site work • Begin 02/25/13-end 05/01/14 ■ Install bmp 2/25/13 on perimeter, utilize existing pavement access South of site until demo of pavement completed. Install construction entrance 3/4/13. Inlet protection on new storm system as inlets are installed, estimated by 5/1/13 ■ Storm water controls removed by 5/1/14 from inlets and perimeter. Phase II Offsite utilities ■ Estimated start 3/15/13 end 8/1/13 • Install inlet protection on offsite structures adjacent to work before start of phase. • All controls removed before 9/30/13 on BMP installed only for this phase and after ground cover has been re-established. Phase III Existing HQ site demolition and landscape • Estimated start 4/1/2014, end 8/24/14 • Install BMP to perimeter and inlet protection before start of phase. • All controls removed once ground cover is established-estimate 8/15/14 2.5 Allowable Non-Stormwater Discharges List of Allowable Non-Stormwater Discharges Present at the Site Type of Allowable Non-Stormwater Discharge Likely to be Present at Your Site? Discharges from emergency fire-fighting activities ❑YES ® NO Fire hydrant flushing ®YES ❑ NO Landscape irrigation ® YES ❑ NO Waters used to wash vehicles and equipment ❑ YES ® NO Water used to control dust ®YES ❑ NO Potable water including uncontaminated water line flushing (no chlorinated ®YES ❑ NO water discharge to storms stem Routine external building wash down ❑ YES ® NO Pavement wash waters ®YES ❑ NO Uncontaminated air conditioning or compressor condensate ❑YES ® NO Uncontaminated, non-turbid discharges of ground water orspring water ❑YES ® NO Foundation or footing drains ❑YES MNO Construction clewaterinq water ❑YES ® NO (Note: You are reminded of the requirement to identify the likely locations of these allowable non- stormwater discharges on your site map. See Section 2.6, below, of the SWPPP Template.) 2.6 Site Maps Appendix Al -existing condition phase 1 6 Stormwater Pollution Prevention Plan (SWPPP) FY 12 Wing Headquarters, Fairchild AFB, WA Appendix A2-phase 1 SECTION 3: DOCUMENTATION OF COMPLIANCE WITH OTHER FEDERAL REQUIREMENTS 3.1 Endangered Species Protection Eligibility Criterion Under which criterion listed in Appendix D are you eligible for coverage under this permit? ®A ❑ B El ❑ D ❑ E For reference purposes, the eligibility criteria listed in Appendix D are as follows: Criterion A. No federally-listed threatened or endangered species or their designated critical habitat(s) are likely to occur in your site's "action area" as defined in Appendix A of this permit. Criterion B. The construction site's discharges and discharge-related activities were already addressed in another operator's valid certification of eligibility for your action area under eligibility Criterion A, C, D, E,or F and there is no reason to believe that federally- listed species or federally-designated critical habitat not considered in the prior certification may be present or located in the"action area". To certify your eligibility under this Criterion,there must be no lapse of NPDES permit coverage in the other operator's certification. By certifying eligibility under this Criterion,you agree to comply with any effluent limitations or conditions upon which the other operator's certification was based. You must include in your NOI the tracking number from the other operator's notification of authorization under this permit. If your certification is based on another operator's certification under Criterion C,you must provide EPA with the relevant supporting information required of existing dischargers in Criterion C in your NOI form. Criterion C. Federally-listed threatened or endangered species or their designated critical habitat(s) are likely to occur in or near your site's "action area," and your site's discharges and discharge-related activities are not likely to adversely affect listed threatened or endangered species or critical habitat. This determination may include consideration of any stormwater controls and/or management practices you will adopt to ensure that your discharges and discharge-related activities are not likely to adversely affect listed species and critical habitat. To make this certification, you must include the following in your NOI: 1) any federally listed species and/or designated habitat located in your "action area";and 2) the distance between your site and the listed species or designated critical habitat (in miles). You must also include a copy of your site map with your NOL Criterion D. Coordination between you and the Services has been concluded. The coordination must have addressed the effects of your site's discharges and discharge-related activities on federally-listed threatened or endangered species and federally- designated critical habitat,and must have resulted in a written concurrence from the relevant Service(s) that your site's discharges and discharge-related activities are not likely to adversely affect listed species or critical habitat. You must include copies of the correspondence between yourself and the Services in your SWPPP and your NOI. 7 Stormwater Pollution Prevention Plan (SWPPP) FY 12 Wing Headquarters,Fairchild AFB,WA i. a biological opinion that concludes that the action in question (taking into account the effects of your site's discharges and discharge-related activities) is not likely to jeopardize the continued existence of listed species,nor the destruction or adverse modification of critical habitat;or ii. written concurrence from the applicable Service(s)with a finding that the site's discharges and discharge-related activities are not likely to adversely affect federally-listed species or federally-designated habitat. You must include copies of the correspondence between yourself and the Services in your SWPPP and your NOI. Criterion F. Your construction activities are authorized through the issuance of a permit under section 10 of the ESA, and this authorization addresses the effects of the site's discharges and discharge-related activities on federally-listed species and federally-designated critical habitat. You must include copies of the correspondence between yourself and the Services in your SWPPP and your NOI. Supporting Documentation Provide documentation for the applicable eligibility criterion you select in Appendix D,as follows: For criterion A,indicate the basis for your determination that no federally-listed threatened or endangered species or their designated critical habitat(s) are likely to occur in your site's action area (as defined in Appendix A of the permit). Check the applicable source of information you relied upon: ❑ Specific communication with staff of the U.S. Fish &Wildlife Service or National Marine Fisheries Service. ❑ Publicly available species list. ® Other source: "There are no known federally-listed threatened or endangered species or designated critical habitats within the impact area of this project. This determination was reached in coordination with the 92 CES/CEAN, Environmental and review of the Fairchild AFB Integrated Natural Resources Management Plan(INRMP)." Per USAF 1/14/13 3.2 Historic Preservation Appendix E,Step 1 Do you plan on installing any of the following stormwater controls at your site? Check all that apply below,and proceed to Appendix E,Step 2. ❑ Dike ❑ Berm ® Catch Basin 8 Stormwater Pollution Prevention Plan (SWPPP) FY 12 Wing Headquarters, Fairchild AFB, WA ® Pond ❑ Stormwater Conveyance Channel (e.g., ditch,trench,perimeter drain,swale,etc.) ® Culvert ❑ Other type of ground-disturbing stormwater control: (Note: If you will not be installing any ground-disturbing stormwater controls,no further documentation is required for Section 3.2 of the Template.) Appendix E,Step 2 If you answered yes in Step 1, have prior surveys or evaluations conducted on the site already determined that historic properties do not exist, or that prior disturbances at the site have precluded the existence of historic properties? ® YES ❑ NO "There are no known sites of historic significance that are within the impact area of this project. This determination was reached in coordination with the 92 CES/CEAN, Environmental and review of the Fairchild AFB Integrated Cultural Resources Management Plan (ICRMP)." Per USAF 1/14/13 Appendix E,Step 4 If you answered no in Step 3, did the State Historic Preservation Officer(SHPO),Tribal Historic Preservation Office (THPO),or other tribal representative (whichever applies) respond to you within 15 calendar days to indicate whether the subsurface earth disturbances caused by the installation of stormwater controls affect historic properties? ❑YES ❑ NO 3.3 Safe Drinking Water Act Underground Injection Control Requirements Do you plan to install any of the following controls? Check all that apply below. ❑ Infiltration trenches (if stormwater is directed to any bored,drilled,driven shaft or dug hole that is deeper than its widest surface dimension,or has a subsurface fluid distribution system) ❑ Commercially manufactured pre-cast or pre-built proprietary subsurface detention vaults, chambers,or other devices designed to capture and infiltrate stormwater flow ❑ Drywells,seepage pits,or improved sinkholes (if stormwater is directed to any bored, drilled, driven shaft or dug hole that is deeper than its widest surface dimension, or has a subsurface fluid distribution system) 9 Stormwater Pollution Prevention Plan (SWPPP) FY 12 Wing Headquarters, Fairchild AFB, WA SECTION 4: EROSION AND SEDIMENT CONTROLS Controls to be used on this site include straw wattles, silt fencing, inlet protection socks, construction entrances and concrete wash and cleanout designated areas. The site is flat, and the perimeter of the site is surrounded by concrete curbing which in itself shall be higher than all interior adjoining surfaces until the final stages of the project when landscaping and paving finishes match up to the curb. 4.7 Natural Buffers or Equivalent Sediment Controls Not Applicable Buffer Compliance Alternatives Are there any surface waters within 50 feet of your project's earth disturbances? ❑YES ® NO 4.2 Perimeter Controls General ■ The street side perimeter control will be wattles place within 12" of, the inside of construction fence on three sides of the project. With the flat topography and the exterior concrete curb section elevation being above our interior sub grades the wattles will be a backup safety and visual barrier to earthwork activities. The center south portion of the site adjoins an asphalt laydown area,this asphalt barrier will be higher than the interior site elevation and water will not be able to flow onto the asphalt area. Specific Perimeter Controls Perimeter Control # l Perimeter Control Description ■ Install straw wattles on perimeter-along native subgrade: Begin by excavating a 2" to 3" deep 9" wide trench along the contour (path) of the wattle. Excavated soils should be placed up-slope from the wattle. Place the wattle so that it contours to the soil surface. Place excavated soil on the upslope (job site side) of the wattle. Secure wattle to ground by using wood stakes or steel staples to restrict the wattle from floating or moving in the presence of water. Maintenance Requirements 10 Stormwater Pollution Prevention Plan (SWPPP) FY 12 Wing Headquarters, Fairchild AFB, WA ■ Inspect weekly or after major rain event for good ground contact. If water or sediment is adjacent the wattle, check that sediment is not passing under the wattle. If sediment has gathered to within 2" of the top of the wattle,remove by shovel or mechanical means down to original installation height. 4.3 Sediment Track-Out Track out will be controlled by the use of a construction exit rock installation. General • Construction entrance will be maintained to scrub exiting traffic vehicle tires by means of scrubbing against stone or shaken by rumble strips or combination of both. Any additional impact on adjacent streets will be corrected by street sweeping with mechanical equipment. Specific Track-Out Controls Track-Out Control # I Track-Out Control Description ■ Stone scrubbing exit: install 6" thick 2.5" minus washed drain stone 25' wide by 50' long at the exit point of the job site. Note: to be marked exit only. Entering traffic shall use alternate route than driving on the stone. ALL exiting traffic from non-paved areas of the site will use the stone path exit or over at minimum 150 lineal feet of paved surface before leaving the job site. Installation ■ Approximate date of track out controls will follow after the removal of existing asphalt approximately 3/10/13. Maintenance Requirements ■ Replace stone when excessive fine silts contaminate the stone to the point it no longer is effective in cleaning the tires. Inspection will occur weekly. If track out is observed on the street, the CESCL will be notified to come inspect. Optional track-out control • Optional control device (determined by CESCL) will be the use of stationary rumble strips placed at beginning edge of stone exit to accelerate the removal of material sticking to tires. 4.4 Stockpiled Sediment or Soil General ■ INSERT GENERAL DESCRIPTION OF HOW YOU WILL COMPLY WITH CGP PART 2.1.2.4 Specific Stockpile Controls Stockpile Control # I Stockpiled Sediment/Soil Control Description 11 Stormwater Pollution Prevention Plan (SWPPP) FY 12 Wing Headquarters, Fairchild AFB, WA ■ Stockpiles of soils on the project shall be maintained no higher than ten feet and at minimum fifty feet from project boundary. Water or cover for dust control. Installation ■ Stockpiles are temporary and shall not be allowed to remain for more than fourteen days. Stock pile remaining after 14 days shall be seeded, covered by tarp material, or by covering with straw. Maintenance Requirements • Weekly inspection of a pile to track time, installed practices for effectiveness, and corrective write up to the site supervisor as repairs are needed. 4.5 Minimize Dust General ■ Machine or vehicular traffic on bare soils generates dust. Wind across loose soils generates dust. Water application to dusty soils surfaces shall be the first defense against dust. Applied by water truck or by temporary sprinklers, the amount of water applied will be regulated to prevent the flow of storm water or generate mud causing track off. The use of natural dust suppressants may be used. The installation of aggregate on the travel surface may be used to minimize dust in concentrated traffic paths. ■ Traffic will be reduced on bare soils during times of high wind. Dust control will meet Spokane regional Clean Air Agency standards. Specifically, Spokane Clean Air regulations state: particulate matter emissions must be minimized depositing particulate matter onto the property of others is prohibited take reasonable measures to prevent particulate matter from becoming airborne precautions must be taken to remove dirt and mud from equipment and vehicles before movement onto paved public roads dirt and mud tracked onto paved public roadways must be promptly removed dust emissions must not create a nuisance Specific Dust Controls Dust Control# 1 Dust Control Description ■ Use water distributed by water truck,wagon, or by sprinkler. Installation ■ Daily or hourly as needed. Install additional practices of aggregate or dust suppressants as needed when water controls are not compatible or adequate for the conditions. 4.6 Minimize the Disturbance of Steep Slopes General 12 Stormwater Pollution Prevention Plan (SWPPP) FY 12 Wing Headquarters, Fairchild AFB, WA ■ Not Applicable-flat surface 4.7 Topsoil General ■ Topsoil is not present in phase 1. Phase 2 topsoil will be windrowed to the side of the excavation for re-use. Total area will not exceed 30 feet strip. Phase 3 a significant portion of site will be hardscapes that are to be removed. Any topsoil areas will be maintained in place. 4.8 Soil Compaction General ■ Subgrade areas to receive topsoil shall be scarified and lightly compacted to not exceed 90% per geo technical recommendations before topsoil is applied. All grades receiving topsoil per design are either contained within swales or flat slopes. No further erosion control past the perimeter are required. 4.9 Storm Drain Inlets General ■ Only two new storm drains will be installed on the project. Offsite drains along Hansell Avenue adjoining the project and the two onsite storm drains shall receive drain inlet filters. Specific Storm Drain Inlet Controls Storm Drain Inlet Control # 1 Storm Drain Inlet Control Description ■ Install fabric drain inlet filters in each catch basin or slotted storm water inlet structure immediately adjacent to (exterior perimeter) or interior structure. Installation ■ Install adjacent inlet filters before site work commences 3/5/13. Install new construction inlet filters at the time of new structure installation. Maintenance Requirements ■ Check weekly that filters are not clogged or 80%or more filled with sediment. 4.10 Constructed Stormwater Conveyance Channels Not Applicable. 4.17 Sediment Basins Not Applicable 13 Stormwater Pollution Prevention Plan (SWPPP) FY 12 Wing Headquarters, Fairchild AFB, WA 4.72 Chemical Treatment Not Applicable 4.13 Dewatering Practices General ■ No dewatering is expected on site per the geotechnical report. 4.14 Other Stormwater Controls Not expected or applicable. 4.75 Site Stabilization The site perimeter elevations are being maintained during site grading activities below the perimeter of the site eliminating off site flow of storm water or soils. Track out activities and dust are the only risks to offsite impacts and are addressed in other sections of this plan. No temporary seeding would be practical in this climate when needed. For winter months (November through February additional wattles shall be place at points where concentrated flows could gather within the site. No storm water shall be allowed to leave the site at any time. 14 Stormwater Pollution Prevention Plan (SWPPP) FY 12 Wing Headquarters, Fairchild AFB, WA SECTION 5: POLLUTION PREVENTION STANDARDS 5.1 Potential Sources of Pollution Per Transmittal 015720-1.1 Environmental Protection Plan, the presence of all hazardous materials arriving on site shall be made known to Jake Berger (406) 544 6836 or Evan Lauterbach 509-244-5571 extension1240. An inventory and specific handling, storage, and disposal of each material shall be on file as part of this plan and the guidelines of the on-site environmental protection plan. This will be an ongoing process as not all materials have been identified or made known to this planner. Construction Site Pollutants Pollutants or Pollutant Location on Site Pollutant-Generating Constituents 9 Activity (that could be discharged if (or reference SWPPP site map exposed to stormwater) where this is shown) Concrete truck or tool See appendix A2 for area to cleaningwash-out Concrete products perform cleaning activities Clean all tools within concrete Paint equipment Paint products cleanout designated area appendix A2 Fueling or greasing Petroleum Products See appendix A2- machines 15 Stormwater Pollution Prevention Plan (SWPPP) FY 12 Wing Headquarters,Fairchild AFB,WA 5.2 Spill Prevention and Response In response to a spill the spill coordinator (Jake Berger) shall be notified, or his assistant, to activate the "Environmental Protection Plan" specific to this project. See Attachment K to see the plan and spill response instructions. 5.3 fueling and Maintenance of Equipment or Vehicles General ■ All equipment or machines during the act of re-fueling shall be performed by a trained individual who will maintain presence at the point of fueling during the activity. There shall be on site as well as along with the fueling attendant's immediate access a spill kit for spills. Auto shut off nozzles shall also be utilized on fueling sources. All grease dripping or waste shall be immediately picked up and removed from the site in plastic bags or equivalent. No engine oil changes or other equipment oil changes shall be conducted on the project site unless full lined containment is installed around the machine. ■ Fuel tanks in excess of five gallons shall to be stored on site shall have secondary containment to be part of the fuel container. ■ Petroleum products may only be kept in approved metal and clearly marked containers ■ Fire extinguisher of 2.5 pound type "A, B, &C"shall be within immediate access of the fueling activity. ■ No specific location is proposed due to the risk to existing completed work,increased dust generation,and adequate safety procedures included above preventing spill. 5.4 Washing of Equipment and Vehicles General ■ With the exception of washout of concrete tools or equipment and paint equipment in the designated location on Appendix A, NO washing of equipment or vehicles shall be allowed on site. 5.5 Storage, Handling, and Disposal of Construction Products,Materials, and Wastes All storage, handling, and disposal of construction products,material,and wastes shall be in designated areas and containers shown on Appendix A2. 5.5.7 Building Products See item 5.5 5.5.2 Pesticides, Herbicides, Insecticides, Fertilizers, and Landscape Materials General ■ All pesticides, herbicides, insecticides shall not be stored on site. Any use shall be "day use" only and be immediately removed from the site when application is completed. 16 Stormwater Pollution Prevention Plan (SWPPP) FY 12 Wing Headquarters, Fairchild AFB, WA ■ Fertilizers shall be kept on plastic or non-permeable surfaces and covered to prevent contact with rain or other water source that could cause migration of the fertilizer from its stored position. ■ Native plants and landscape materials not containing potential contamination or harm will be stored as needed on the site in an organized manner to prevent accidental damage to itself or other users of the site. 5.5.3 Diesel Fuel, Oil, Hydraulic Fluids, Other Petroleum Products, and Other Chemicals General ■ See item 5.3 Fueling of equipment and vehicles. 5.5.4 Hazardous or Toxic Waste Unknown-see item 5.2 for clarification. 5.5.5 Construction and Domestic Waste General ■ See attachment A2 for specific locations designated for construction waste. Collect and store all waste in dumpsters, or in metal or plastic drums, as appropriate. Waste shall not be piled on bare ground. Specific Pollution Prevention Practices Pollution Prevention Practice # 1 Description ■ Waste shall be removed from site from time to time to maintain adequate storage capacity for additional waste collection. 5.5.6 Sanitary Waste General ■ The use of port a potties shall be utilized during the construction with adequate quantity of units per health requirements. Specific Pollution Prevention Practices Pollution Prevention Practice # 1 Description ■ Stake or secure portable structures to avoid blow over. 5.6 Washing of Applicators and Containers used for Paint, Concrete or Other Materials No washing of any items under this heading shall be done on bare soils on the project. Collect all wash out material in tubs or other suitable containment and dispose offsite per regulatory standards. Washing of concrete trucks and concrete related tools shall be performed in the designated washout area. 17 Stormwater Pollution Prevention Plan (SWPPP) FY 12 Wing Headquarters, Fairchild AFB, WA Concrete wash out be lined to prevent infiltration of washout water and concrete material removed as needed and disposed of in legal recycle or disposal site. 5.7 Fertilizers See 5.5.2 SECTION 6: INSPECTION AND CORRECTIVE ACTION 6.1 Inspection Personnel and Procedures Weekly inspections are to be conducted by a licensed CESCL for the state of Washington. Additional inspections shall be conducted in the event of a major storm event or due to observations of concern generated from onsite personnel. Personnel Responsible for Inspections Designer/ CESCL: Maurice Piersol: 509-535-2901: mpiersol@piersolconstruction.com: CESCL: Justin Piersol: 509-535-2901: jpiersol@piersolconstruction.com: Inspection Schedule Specific Inspection Frequency Weekly inspections and report update. Rain Gauge Location (if applicable) FAFB has official weather station reporting for the base. This information can be observed and downloaded in real or post time on the internet on most weather reporting services. Reductions in Inspection Frequency (if applicable) ■ For the reduction in inspections resulting from stabilization: To be determined after permanent cover is established. ■ For reduction in inspections due to frozen conditions: Generally from December 1 to January 31. Exceptions and weather events can immediately create a need for inspection. CESCL will maintain availability at all times to respond to an incident. Inspection Report Forms 18 Stormwater Pollution Prevention Plan (SWPPP) FY 12 Wing Headquarters, Fairchild AFB, WA 6.2 Corrective Action Personnel Responsible for Corrective Actions Randy Smith will coordinate with CESCL recommendations for corrections. Piersol Construction Inc.will be ultimately responsible for mobilizing and correcting actions. Corrective Action forms In Appendix E 6.3 Delegation of Authority Designer/ CESCL: Maurice Piersol: 509-535-2901: mpiersol@piersolconstruction.com: CESCL: Justin Piersol: 509-535-2901: jpiersol@piersolconstruction.com: 19 Stormwater Pollution Prevention Plan (SWPPP) FY 12 Wing Headquarters, Fairchild AFB,WA SECTION 7:TRAINING Table 7-1: Documentation for Completion of Training Name Date Training Completed 20 Stormwater Pollution Prevention Plan (SWPPP) FY 12 Wing Headquarters, Fairchild AFB,WA SECTION 8: CERTIFICATION AND NOTIFICATION I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system,or those persons directly responsible for gathering the information,the information submitted is, to the best of my knowledge and belief,true, accurate,and complete. I am aware that there are significant penalties for submitting talse information,including the possibility of fine and imprisonment for knowing violations. Name: Maurice Piersol Title: President/ Designer Signature: %GG �� Date:__ 21 Stormwater Pollution Prevention Plan (SWPPP) FY 12 Wing Headquarters, Fairchild AFB, WA SWPPP APPENDICES Attach the following documentation to the SWPPP: Appendix A-Site Maps Appendix B-Copy of 2072 CGP Appendix C-NOI and EPA Authorization Email Appendix D-Inspection Form Appendix E-Corrective Action Form Appendix F-SWPPP Amendment Log Appendix G-Subcontractor Certifications/Agreements Appendix H-Grading and Stabilization Activities Log Appendix I-Training Log Appendix J-Delegation of Authority 22 Stormwater Pollution Prevention Plan (SWPPP) FY 12 Wing Headquarters, Fairchild AFB, WA Appendix A-Site Maps EPA SWPPP Template, Version 1.0 t _ � 4 j i e i � 1 is — i Li + z a a s Stabilized Const Appendix A2 Entrance/Exit - Site layout Phase 1 JCG Site Offices Subcontractor Worker Entrance ...�.�..« SSlraw Wattles _._._. ..._.. Trailers ;ir S Catch Basin inlet protection Ada:, 1 l}t Construction FenceUj JA Spoils/Top Soil Area Arnold ` f �°'•' ') �'""� Street ¢s lF.•hL 1 .�, .:` zsvrwc i 4 rtY j i s ;! ,r` ✓ gg fit' ParkingHill e H % s rl rf ros+fovt � ♦♦ .j s;� / 1 Additional a ; \ ,A '♦�` Material Recycling Staging 1 �: 1%' ; .,may ,y'y .♦` Area Area i . Material Staging ` d_ ----------- I'' i Recycling Staging --- Area Area " I _ t,ri€r:r,€t.:All Parking For Secur& Forces Protected Concrete tool cleaning area Sid 1 Construction Fencel Washout • I Alternate = P a ENTRANCE ONLY 3 4 for select activities L Jackson Site Utilization Plan CONTRAC70R GROUP,INC. AL -.11ii7r, Appendix A3 ` Phase II existing conditions Final condition - return to pre-construction status Al iL T t Clouded area encompasses new Xfx :" sewer main route Appendix • existingPhase III condition • K.'�. � 4ti a `'`• 3�•4, J _ rr. �•. .1• ,Ili ,, 4 ... -� .�- '-"'ter=. r��• i .'. - . ._ ., ya Y+ > S r. X, Stormwater Pollution Prevention Plan (SWPPP) FY 12 Wing Headquarters, Fairchild AFB,WA Appendix B-Copy of 2012 CGP t EPA SWPPP Template,Version 1.0 Stormwater Pollution Prevention Plan (SWPPP) FY 12 Wing Headquarters, Fairchild AF6,WA Appendix C-Copy of NOI and EPA Authorization email EPA SWPPP Template, Version 1.0 A UNITED STATES ENVIRONMENTAL PROTECTION AGENCY NPDES EPA WASHINGTON,DC20460 FORM \�'/ NOTICE OF INTENT(NOI)FOR STORMWATER DISCHARGES Form Approved. 3510-9 ASSOCIATED WITH CONSTRUCTION ACTIVITY UNDER AN OMB Nos.2040-0004 NPDES GENERAL PERMIT Submission of this Notice of Intent(NOI)constitutes notice that the operator identified in Section II of this form requests authorization to discharge pursuant to the NPDES Construction General Permit(CGP)permit number identified in Section I of this form.Submission of this NOI also constitutes notice that the operator identified in Section II of this form meets the eligibility requirements of Parts 1.1 and 1.2 of the CGP for the project identified in Section III of this form.Permit coverage is required prior to commencement of construction activity until you are eligible to terminate coverage as detailed in Part 8 of the CGP.To obtain authorization,you must submit a complete and accurate NOI form.Discharges are not authorized if your NOI is incomplete or inaccurate or if you were never eligible for permit coverage. Refer to the instructions at the end of this form. I.Approval to Use Paper NOI Form Have you been given approval from the Regional Office to use this paper NOI form'? Yes ❑ NO If yes,provide the reason you need to use this paper form,the name of the EPA Regional Office staff person who approved your use of this form,and the date of approval: Reason for using paper form: Name of EPA staff person: Date approval obtained: 'Note:You are required to obtain approval from the applicable Regional Office prior to using this paper NOI form. IL Permit Information: Tracking Number(EPA Use Only) WAR12AF3F WorkingCopy Permit Number: WAR120000 (see Appendix B of the CGP for the list of eligible permit numbers) III.Operator Information Name: Jackson Contractor Group Inc. Phone. 406-544-6839 Fax(Optional): Email: jakeb@jacksoncontractorgroup.com IRS Employer Identification Number(EIN): Point of Contact(First Name,Middle Initial,Last Name): Jake Berger Mailing Address: Street: PO Box 967 City: Missoula State: MT Zip: 59806 NOI Preparer(Complete if NOI was prepared by someone other than the certifier): Prepared by(First Name,Middle Initial,Last Name): Maurice C Piersol Organization: PIERSOL CONSTRUCTION INC. Phone: 509-535-2901 Fax(Optional): E-mail: mpiersol@piersolconstruction.com EPA Form 3510-9 Slatus:Submilled To EPA Page:I of 4 IV.Project/Site Information Project/Site Name: FY12 Wing Headquarters Project/Site Address: Street/Location: Bong Street Hansell Avenue City: Fairchild Airforce Base State: WA Zip: 59806 County or similar government subdivision: Spokane For the projectsite for which you are seeking permit coverage,provide the following information: Latitude/Longitude(Use one of three possible formats,and specify method) Latitude 1. N(degrees,minutes,seconds) Longitude 1. W(degrees,minutes,seconds) 2. N(degrees,minutes,decimal) 2. W(degrees,minutes,decimal) 3. 47.6335 N(degrees,decimals) 3. 117.6443 W(degrees,decimals) Latitude/Longitude Data Source:❑ U.S.G.S topographical map ❑ EPA Web Site ❑ GPS ®Other:Spokane County Assesor If you used a U.S.G.S.topographic map,what was the scale? Horizontal Reference Datum: ❑ NAD 27 ® NAD 83 or WGS 84 ❑ Unknown Is your projecUsite located in Indian Country lands,or located on a property of religious or cultural significance to an Indian tribe? ❑ Yes ® No If yes,provide the name of the Indian tribe associated with the area of Indian country(including name of Indian reservation,if applicable),or if not in Indian country,provide the name of the Indian tribe associated with the property: Are you requesting coverage under this NO]as a"federal operator'as defined in Appendix A? m Yes ❑ No Estimated Project Start Date:02/27/2013 Estimated Project Completion Date:08/15/2014 stimated Area to be Disturbed(to the nearest quarter acre):8.25 Have earth-disturbing activities commenced on your project/site? ❑ Yes ® No If yes,is your project an emergency-related project? ❑ Yes ® No Have stormwater discharges from your projecUsite been covered previously under an NPDES permit? ❑ Yes ® No If yes,provide the Tracking Number if you had coverage under EPA's CGP or the NPDES permit number if you had coverage under an EPA individual permit: V.Discharge Information Does your projecUsite discharge stormwater into a Municipal Separate Storm ❑ Yes ® No Sewer System(MS4)? Are there any surface waters within 50 feet of your project's earth disturbances? ❑ Yes No Receiving Waters and Wetlands Information:(Attach a separate list if necessary) Surface water(s)to Impaired Water Listed Water Pollutant(s) Tier 2,2.5 or 3 Source TMDL Name and which discharge I I Pollutant No Name Ditch FAFB No No 92 CES?CEIE, Environmental Describe the methods you used to complete the above table:Please refer to the Source(s)in the above table VI.Chemical Treatment Information Will you use polymers,flocculants,or other treatment chemicals at your construction site? ❑Yes ® No If yes,will you use cationic treatment chemicals'at your construction site? ❑Yes ❑ No If yes,have you been authorized to use cationic treatment chemicals by your applicable EPA Regional Office in advance of ❑ Yes ❑ No filing your NOI"? EPA Form 3510.9 Status:Submitted To EPA Page:2 of 4 If you have been authorized to use cationic treatment chemicals by your applicable EPA Regional Office,attach a copy of your authorization letter and include documentation of the appropriate controls and implementation procedures designed to ensure that your use of cationic treatment chemicals will not lead to a violation of water quality standards. Please indicate the treatment chemicals that you will use: "Note:You are ineligible for coverage under this permit unless you notify your applicable EPA Regional Office in advance and the EPA office authorizes coverage under this permit after you have included appropriate controls and implementation procedures designed to ensure that your use of cationic treatment chemicals will not lead to a violation of water quality standards. VII.Stormwater Pollution Prevention Plan(SWPPP)Information Has the SWPPP been prepared in advance of filing this NOI? ® Yes No SWPPP Contact Information: First Name,Middle Initial,Last Name: Maurice C Piersol Organization: Piersol Construction Inc. Phone: 509-535-2901 Fax(Optional): 509-244-6436 E-mail: mpiersol@piersolconstruction.com Vlll.Endangered Species Protection Using the instructions in Appendix D of the CGP,under which criterion listed in Appendix D are you eligible for coverage under this permit(only check 1 box)? ® A B C D E M F Provide a brief summary of the basis for criterion selection listed in Appendix D(e.g.,communication with U.S.Fish and Wildlife Service or National Marine Fisheries Service,specific study):There are no known federally-listed threatened or endangered species or designated critical habitats within the impact area of this project. This determination was reached in coordination with the 92 CES/CEIE, Environmental and review of the Fairchild AFB Integrated Natural Resource Management Plan (INRMP) If you select criterion B,provide the Tracking Number from the other operator's notification of authorization under this permit: If you select criterion C,you must attach a copy of your site map(see Part 7.2.6 of the permit),and you must answer the following questions: What federally-listed species or federally-designated critical habitat are located in your"action area": What is the distance between your site and the listed species or critical habitat(miles): If you select criterion D,E,or F,attach copies of any letters or other communications between you and the U.S.Fish and Wildlife Service or National Marine Fisheries Service. 1X.Historic Preservation ® Are you installing any stormwater controls as described in Appendix E that require subsurface earth disturbance?(Appendix E,Step 1) Yes No If yes,have prior surveys or evaluations conducted on the site have already determined historic properties do not exist,or that prior Yes No disturbances have precluded the existence of historic properties?(Appendix E,Step 2) If no,have you determined that your installation of subsurface earth-disturbing stormwater controls will have no effect on Yes No historic properties?(Appendix E,Step 3) If no,did the SHPO,THPO,or other tribal representative(whichever applies)respond to you within the 15 calendar days to indicate whether the subsurface earth disturbances caused by the installation of stormwater controls affect Yes No historic properties?(Appendix E,Step 4) If yes,describe the nature of their response: Written indication that adverse effects to historic properties from the installation of stormwater controls can be mitigated by agreed upon actions. No agreement has been reached regarding measures to mitigate effects to historic properties from the installation of stormwater controls. Other: X,Certification Information I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assur that qualified personnel properly gathered and evaluated the information submitted.Based on my inquiry of the person or persons who manage the system,or those persons directly responsible for gathering the information,the information submitted is,to the best of my knowledge and belief,true,accurate,and complete.I am aware that there are significant penalties for submitting false information,including the possibility of fine and imprisonment for knowing violations EPA Form 3510-9 Slatus:Submilled 10 EPA Page:3 of 4 First Name,Middle Initial,Last Name:Maurice C Piersol Title:President Signature: Date:Wednesday,February 27,2013 E-mail:mpiersol@piersolconstruction.com EPA Form 3510-9 Status:Submitted To EPA Page:4 of 4 First Name,Middle Initial, Last Name:Maurice C Piersol Title:President Signature: Date:Wednesday,February 13,2013 E-mail:mpiersol@piersolconstruction.com EPA Form 3516-9 Status:Submitted To EPA Page'4 of 4 Stormwater Pollution Prevention Plan (SWPPP) FY 12 Wing Headquarters, Fairchild AFB, WA Appendix D-Copy of Inspection Form EPA SWPPP Template, Version 1.0 STORMWATER CONSTRUCTION SITE INSPECTION REPORT GENERAL INFORMATION Project Name: FY 12 Wing Headquarters, FAFB WA Location: Bong & Hansell Avenue Date of Inspection: Start/End Time: Inspector's Name: Inspector's Title: Inspector's Contact Information: Describe present phase of construction: Type of Inspection: ❑ Regular ❑ Pre-storm event ❑ During storm event E Post-storm event WEATHER INFORMATION Has there been a storm event since the last inspection? ❑Yes ❑No If yes,provide: Stone Start Date &Time: Storm Duration(hrs): Approximate Amount of Precipitation (in): Weather at time of this inspection? ❑ Clear ❑Cloudy ❑ Rain ❑ Sleet ❑ Fog ❑ Snowing ❑ High Winds ❑ Other: Temperature: Have any discharges occurred since the last inspection? ❑Yes ❑No If yes, describe: Are there any discharges at the time of inspection? ❑Yes ❑No If yes, describe: CERTIFICATION.STATEMENT "I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information,the information submitted is,to the best of my knowledge and belief,true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations." Signature oflnspector Printed Name and Title Date 0 PER 4LL ,SITE ISSUES Below are some general site issues that should be assessed during inspections. Customize this list as needed for conditions at your site. BMP/activity Implemented? Maintenance Corrective Action Needed Required? and Notes 1. All inactive slopes and disturbed ❑Yes ❑No ❑Yes ❑No areas have been stabilized. 2. Are natural resource areas (e.g., ❑Yes ❑No ❑Yes ❑No streams,wetlands,mature trees, etc.) protected with barriers or similar BMPs? 3. Are all sanitary waste recepticles ❑Yes �]No ❑Yes ❑No placed in secondary containment and free of leaks? 4. Are perimeter controls and sedi- ❑Yes ❑No ❑Yes ❑No ment barriers adequately installed (keyed into substrate) and main- tained? 5. Are discharge points and receiv- ❑Yes ❑No ❑Yes ❑No ing waters free of any sediment deposits? 6. Are storm drain inlets properly ❑Yes ❑No ❑Yes ❑No protected? 7. Is the construction exit preventing ❑Yes ❑No ❑Yes ❑No sediment from being tracked into the street? 8. Is trash/litter from work areas col- ❑Yes ❑No ❑Yes ❑No lected and placed in covered dump- sters? 9. Are washout facilities (e.g.,paint, ❑Yes ❑No ❑Yes ❑No stucco, concrete) available, clearly marked.and maintained? 10. Are vehicle and equipment fuel- ❑Yes ❑No ❑Yes []No ing, cleaning, and maintenance areas free of spills, leaks, or any other deleterious material? 11. Are materials that are poten- ❑Yes ❑No ❑Yes ❑No tial stormwater contaminants stored inside or under cover? 12. Are non-stormwater discharges ❑Yes C N o ❑Yes ❑No (e.g.,wash water, dewatering)prop- erly controlled? 13. (Other) ❑Yes ❑No ❑Yes ❑No Stormwater Pollution Prevention Plan (SWPPP) FY 12 Wing Headquarters, Fairchild AFB,WA Appendix E-Copy of Corrective Action Form EPA SWPPP Template, Version 1.0 Corrective Action Report Form - Field Version Purpose This Corrective Action Report Form is designed to assist you in preparing corrective action reports for EPA's 2012 Construction General Permit (CGP). If you are covered under EPA's 2012 CGP, this form will enable you to create a corrective action report that complies with the minimum reporting requirements of Part 5.4 of the permit. You are only required to fill out this form if one of the corrective action triggering conditions in Part 5.2.1 or 5.3 occurs on your site. Routine maintenance and repairs are generally not considered to be a corrective action triggering condition. Corrective actions are triggered only for specific, more serious conditions that are identified below in the "Overview of Corrective Action Requirements." If you are covered under a state CGP, this form may be helpful in developing a report that can be used for that permit; however it will need to be modified to meet the specific requirements of the permit. If your permitting authority requires you to use a specific corrective action report form, you should not use this form. Notes While EPA has made every effort to ensure the accuracy of all instructions and guidance contained in the Corrective Action Report Form, the actual obligations of regulated construction activities are determined by the relevant provisions of the permit, not by the form. In the event of a conflict between the Corrective Action Report Form and any corresponding provision of the 2012 CGP, you must abide by the requirements in the permit. EPA welcomes comments on the Corrective Action Report Form at any time and will consider those comments in any future revision of this document.You may contact EPA for CGP-related inquiries at cgp@epa.aov. Overview of Corrective Action Requirements Construction operators covered under the 2012 CGP are required to conduct corrective actions and report on progress made in correcting the problem conditions) in accordance with the following requirements: Corrective Action Triggering Conditions (Parts 5.2.1 and 5.3) Corrective action is required whenever any of the following conditions occur at your site: • A required stormwater control was never installed,was installed incorrectly,or not in accordance with the requirements in Part 2 and/or 3; • The stormwater controls (e.g.,erosion and sediment controls or pollution prevention controls) that have been installed and maintained are not effective enough for the discharge to meet applicable water quality standards or applicable requirements in Part 3.1 of the permit; • A Part 2.3.1 prohibited discharge has occurred or is occurring;or • Any corrective actions required by EPA as a result of permit violations found during an inspection carried out under Part 4.2. Deadlines for Completing Corrective Actions (Part 5.2.1) You must complete corrective action (e.g.,installing and making operational any new or modified control,correcting errors in installation,preventing, mitigating, or cleaning up spills or leaks making repairs) by no later than 7 calendar days from the time of discovery of the condition.If infeasible to complete the installation or repair within 7 calendar days,you must document why it is infeasible and document your schedule for completing the corrective action as soon as practicable. Deadlines for Documenting Corrective Actions in a Report(Part 5.4) You are required to complete a corrective action report for each of corrective action you take in accordance with the following deadlines. • Within 24 hours of discovering the occurrence of a corrective action triggering condition,you must document the following: - The condition identified at your site; i The nature of the condition identified;and - The date and time of the condition identified and how it was identified • Within 7 calendar days of discovering a triggering condition,you must document the following: - Any follow-up actions taken to review the design,installation,and maintenance of stormwater controls, including the dates such actions occurred; - A summary of stormwater controls modifications taken or to be taken,including a schedule of activities necessary to implement changes,and the date the modifications are completed or expected to be completed;and - Notice of whether SWPPP modifications are required as a result of the condition identified or corrective action. Instructions for Using This Report Form This Field Version of the Corrective Action Report Form is intended to be used in the field and filled out by hand. If you will be filling out the Corrective Action Report Form electronically (i.e., you will be typing in your findings), please use the Electronic Version of the Corrective Action Report Form available at www.epa.gov/nipdes/stormwater/swpgq.The Electronic Version includes text fields with instructions for what to enter. The following tips for using this form will help you ensure that the minimum permit requirements are met: • Review the corrective action requirements. Before you fill out this corrective action report form, read the CGP's Part 5 corrective action requirements.This will ensure that you have a working understanding of the permit's underlying corrective action requirements. • Complete a separate report for each condition that triggers corrective action. For each triggering condition on your site,you will need to fill out a separate corrective action report form. • Complete all required text fields. Fill out all text fields.Only by filling out all fields will the form be compliant with the requirements of the permit. (Note: Where you do not need the number of rows provided in the corrective action report form, you leave those rows blank. Or, if you need more space to document your findings,you may add an additional sheet.) • Sign and certify each corrective action report. Each corrective action report form must be signed and certified by the permittee to be considered complete.Where your corrective actions are carried out by a contractor or subcontractor, it is recommended that you also have the form signed and certified by the inspector, in addition to the signature and certification required of the permitted operator.The form includes a signature block for both parties. • Include the corrective action report form with your SWPPP. Once your form is complete, make sure to include a copy of the corrective action report form in your SWPPP in accordance with Part 7.2.12.4 of the CGP. • Retain copies of all corrective action reports with your records. You must retain copies of your corrective action reports in your records in accordance with the requirements in Part 5.4.4 of the 2012 CGP.These reports must be retained for at least 3 years from the date your permit coverage expires or is terminated. Section-by-Section Instructions You will find specific instructions corresponding to each section of the report form on the reverse side of each page.These instructions were written in order to provide you with more details in terms of what EPA expects to be documented in these reports. ii Instructions for Filling Out the Initial Report (Section A) You must complete Section A of the report form within 24 hours of discovering the condition that triggered corrective action Name of Project Enter the name for the project. CGP Tracking No. Enter the tracking number that was assigned to your NOI application for permit coverage. Today's Date Enter the date you completed this form. Date/Time Problem First Discovered Specify the date on which the triggering condition was first discovered.Also specify the time of the discovery. Name/Contact Information Provide the individual's name,title,and contact information as directed in the form. Site Condition That Triggered Corrective Action Under the CGP,corrective action is required when one of 3 triggering conditions occurs at your site.See CGP Parts 5.2.1 and 5.3.Check the box that corresponds to the condition that triggered this corrective action. Description of the Site Condition Provide a summary description of the condition you found that triggered corrective action under CGP Part 5.2.1 and the specific location where it was found.Be as specific as possible about the location;it is recommended that you refer to a precise point on your site map. If you have already provided this explanation in an inspection report,you can refer to that report. Deadline for Completing Corrective Action This deadline is fixed in CGP Part 5.2.1. For all projects,the deadline is either: (1) no more than 7 calendar days after the date you discovered the problem,or(2) if it is infeasible to complete work within the first 7 days,as soon as practicable following the 7th day, If your estimated date of completion falls after the 7-day deadline consistent with (2), above, explain (a) why you believe it is infeasible to complete work within 7 days,and (b) why the date you have established for making the new or modified stormwater control operational is the soonest practicable timeframe: Instructions for Filling Out the Corrective Action Progress Table(Section B) You must complete Section B of the report form no later than 7 calendar days after discovering the condition that triggered corrective action. Section B.1 -Whv the Problem Occurred After you have had the opportunity to examine the problem more closely, provide details as to what you believe to be the cause of the problem, and specify the follow-up actions you took (along with the dates of such actions) to diagnose the problem.This is consistent with CGP Part 5.4.2.1. Section 8.2-Stormwater Control Modifications to be Implemented Provide a list of modifications you plan to make to your stormwater controls to correct the problem and the date you completed such work. Keep in mind that your work must be completed within the timeline specified in Section A for the completion of corrective action work. Also,if a SWPPP modification is necessary consistent with Part 7.4.1.1 in order to reflect changes implemented at your site,indicate the date you modified your SWPPP. Keep in mind that SWPPP changes must be made within 7 days of discovering the problem that triggered this corrective action. Space is provided for you to include additional notes or observations regarding the change that you implemented at your site to correct the problem. Instructions for Signature and Certification (Section C) Each corrective action report must be signed and certified to be considered complete. Section CA -Contractor or Subcontractor Signature and Certification Where a contractor or subcontractor is relied on to complete this report and the associated corrective action,you should require the individual(s) to sign and certify each report.Note that this does not relieve you of the requirement to sign and certify the report as well. Section C.2-Signature and Certification by Permittee At a minimum,the corrective action report form must be signed by either (1) the person who signed the NOI,or(2) a duly authorized representative of that person.The following requirements apply to scenarios (1) and (2): If the signatory will be the person who signed the NOI for permit coverage,as a reminder,that person must be one of the following types of individuals: • For a corporation:A responsible corporate officer.For the purpose of this subsection,a responsible corporate officer means: (i) a president,secretary,treasurer,or vice-president of the corporation in charge of a principal business function,or any other person who performs similar policy-or decision-making functions for the corporation,or (ii) the manager of one or more manufacturing,production,or operating facilities,provided,the manager is authorized to make management decisions which govern the operation of the regulated facility including having the explicit or implicit duty of making major capital investment recommendations,and initiating and directing other comprehensive measures to assure long term environmental compliance with environmental laws and regulations;the manager can ensure that the necessary systems are established or actions taken to gather complete and accurate information for permit application requirements;and where authority to sign documents has been assigned or delegated to the manager in accordance with corporate procedures. • For a partnership or sole proprietorship:A general partner or the proprietor,respectively. • For a municipality,state, federal, or other public agency: Either a principal executive officer or ranking elected official.For purposes of this subsection,a principal executive officer of a federal agency includes (i) the chief executive officer of the agency,or (ii) a senior executive officer having responsibility for the overall operations of a principal geographic unit of the agency(e.g.,Regional Administrator of EPA). If the signatory will be a duly authorized representative,the following requirements must be met: • The authorization is made in writing by the person who signed the NOI (see above); • The authorization specifies either an individual or a position having responsibility for the overall operation of the regulated facility or activity such as the position of plant manager,operator of a well or a well field,superintendent, position of equivalent responsibility,or an individual or position having overall responsibility for environmental matters for the company. (A duly authorized representative may thus be either a named individual or any individual occupying a named position);and • The signed and dated written authorization is included in the SWPPP. A copy must be submitted to EPA,if requested. Section A—Initial Report (CGP Part 5.4.1) Complete this section within 24 hours of discovering the condition that triggered corrective action Name of Project CGP Tracking No. Today's Date Date Problem First Discovered Time Problem First Discovered Name and Contact Information of Individual Completing this Form What site conditions triggered the requirement to conduct corrective action (check the box that applies): ❑ A required stormwater control was never installed,was installed incorrectly, or not in accordance with the requirements in Part 2 and/or 3 ❑ The stormwater controls that have been installed and maintained are not effective enough for the discharge to meet applicable water quality standards or applicable requirements in Part 3.1 of the permit ❑ A Part 2.3.1 prohibited discharge has occurred or is occurring ❑ EPA requires corrective action as a result of permit violations found during an EPA inspection carried out under Part 4.2 Provide a description of the problem: Deadline for completing corrective action {Enter date that is either: (1) no more than 7 calendar days after the date you discovered the problem, or(2)if it is infeasible to complete work within the first 7 days, enter the date that is as soon as practicable following the 7th day): If your estimated date of completion falls after the 7-day deadline,explain(1)why you believe It is infeasible to complete work within 7 days,and(2)why the date you have established for making the new or modified stormwater control operational is the soonest practicable timeframe: Section B—Corrective Action Progress (CGP Part 5.4.2) (Complete this section no later than 7 calendar days after discovering the condition that triggered corrective action Section B.1 —Why the Problem Occurred Cause(s)of Problem How This Was Determined and the Date You Determined Add an additional sheet if necessary) the Cause 1. 1. 2. 2. Section B.2—Stormwater Control Modifications to be Implemented to Correct the Problem List of Stormwater Control Modification(s) Date of SWPPP Update Notes Needed to Correct Problem Completion Necessary? Add an additional sheet if necessary) I• ❑Yes ❑No If yes,provide date SWPPP modified: 2. ❑Yes ❑No If yes,provide date SWPPP modified: Page 1 of 2 Section C-Certification and Signature (CGP Part 5.4,3) Section CA-Certification and Signature by Contractor or Subcontractor "I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.Based on my inquiry of the person or persons who manage the system,or those persons directly responsible for gathering the information,the information submitted is,to the best of my knowledge and belief,true,accurate,and complete. I am aware that there are significant penalties for submitting false information,including the possibility of fine and imprisonment for knowing violations." Signature of Contractor or Subcontractor: Date: Printed Name and Affiliation: Section C.2-Certification and Signature by Permittee "I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system,or those persons directly responsible for gathering the information,the information submitted is,to the best of my knowledge and belief,true,accurate,and complete.I am aware that there are significant penalties for submitting false information,including the possibility of fine and imprisonment for knowing violations." Signature of Permiftee or "Duly Authorized Representative": Date: Printed Name and Affiliation: Page 2 of 2 Stormwater Pollution Prevention Plan (SWPPP) FY 12 Wing Headquarters, Fairchild AFB, WA Appendix F-SWPPP Amendment Log No. Description of the Amendment Date of Amendment Prepared by Amendment Names and Title Appendix G-Subcontractor Certifications/Agreements SUBCONTRACTOR CERTIFICATION STORMWATER POLLUTION PREVENTION PLAN Project Number: Project Title: Operator(s): As a subcontractor, you are required to comply with the Stormwater Pollution Prevention Plan (SWPPP) for any work that you perform on-site. Any person or group who violates any condition of the SWPPP may be subject to substantial penalties or loss of contract. You are encouraged to advise each of your employees working on this project of the requirements of the SWPPP. A copy of the SWPPP is available for your review at the office trailer. Each subcontractor engaged in activities at the construction site that could impact Stormwater must be identified and sign the following certification statement: EPA SWPPP Template, Version 1.0 Stormwater Pollution Prevention Plan (SWPPP) FY 12 Wing Headquarters, Fairchild AFB,WA I certify under the penalty of law that I have read and understand the terms and conditions of the SWPPP for the above designated project and agree to follow the practices described in the SWPPP. This certification ishereby signed in reference to the above named project: Company: �''eltsd (201yJ�lftrc.7roff�tiC Address: 02233 -S' 7 .e/r� Telephone Number: S-05 - 5 3 Type of construction service to be provided: S. 7�e &0ox J� Signature: Title: Date: ��/3 A3 EPA SWPPP Template, Version 1.0 E-< ƒ \ 6 � c \ : 2 .2W � c — ; 3 � � ■ IL � 3G7 § a ` QLL IE \ � CL . / -0 c G § ° 2 % Q Q /\ / � �5 5 \ b » ■ ƒ ƒ E ƒ \ u �/ ƒ E / 0LL- m � k § � . � } � 0 � 2 / / u 0 0 2 0 � 2 \ � § k � $ g 4n $ a k / % / 2 § o L9 / x � iCL / « E:0 E % � u — � U � c Stormwater Pollution Prevention Plan (SWPPP) FY 12 Wing Headquarters, Fairchild AFB, WA Appendix I -SWPPP Training Log Stormwater Pollution Prevention Training Log Project Name: FY 12 Wing Headquarters, Fairchild AFB,WA Project Location: Bong Street Instructor's Name(s): Instructor's Title(s): Course Location: Date: Course Length (hours): Stormwater Training Topic: (check as appropriate) ❑ Sediment and Erosion ❑ Emergency Procedures Controls ❑ Stabilization Controls ❑ Inspections/Corrective Actions ❑ Pollution Prevention Measures Specific Training Objective: Attendee Roster: (attach additional pages as necessary) No. Name of Attendee Company 1 2 3 4 S 6 7 8 EPA SWPPP Template, Version 1.0 Stormwater Pollution Prevention Plan (SWPPP) FY 12 Wing Headquarters, Fairchild AFB, WA Appendix J-Delegation of Authority Form Delegation of Authority I, (name), hereby designate the person or specifically described position below to be a duly authorized representative for the purpose of overseeing compliance with environmental requirements, including the Construction General Permit, at the construction site. The designee is authorized to sign any reports, stormwater pollution prevention plans and all other documents required by the permit. (name of person or position) (company) (address) (city,state,zip) (phone) By signing this authorization, I confirm that I meet the requirements to make such a designation as set forth in Appendix I of EPA's Construction General Permit (CGP), and that the designee above meets the definition of a "duly authorized representative" as set forth in Appendix I. I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. Name: Company: Title: Signature: Date: EPA SWPPP Template, Version 1.0 KI Jarwkswurs L-DA/TRAEMR GRDUP,IA/r- Attachment K SWPPS ENVIRONMENTAL PROTECTION PLAN PROJECT: Wing Headquarters Fairchild AFB Contract No. W912DW-012-C-0030 October 2012 M US Army Corps of Engineers Seattle District Jackson Contractor Group, Inc. Environmental Protection Plan Contract No. W912DW-12-C-0030 TABLE OF CONTENTS 1.0 Signature Sheet 2.0 Purpose 3.0 Spill Prevention Control and Containment Plan 4.0 Solid Waste Disposal Plan 5.0 Hazardous Waste Disposal Plan 6.0 Flushing, Disinfection and Hydrostatic Water Plan 7.0 Dewatering Discharger Plan 8.0 Affirmative Procurement Plan 9.0 Environmental Monitoring Appendix: A. Spill Report Form Jackson Contractor Group, Inc. Environmental Protection Plan Contract No. W912DW-12-C-0030 1.0 Signature Sheet Environmental Protection Plan Community Activity Center Malmstrom Air Force Base Great Falls, Montana Contract No. W912DW-09-C-005 We certify that this plan has been prepared in accordance with the plans and specifications and is submitted to the U.S. Army Corps of Engineers for Approval. Jake Berger, Contractor Quality Control System Manager Bob Peters, Project Superintendent John Cannon, Project Manager Greg Hebner, Vice President, Project Executive Jackson Contractor Group, Inc. Environmental Protection Plan Contract No. W912DW-12-C-0030 2.0 Introduction This Environmental Protection Plan describes planning, prevention and control measures to minimize potential environmental impacts as a result of construction. During the course of construction Jackson Contractor Group, Inc. (JCG) will comply with all laws, statutes, regulations, objectives, and policies of the Federal Government, State of Washington, and Fairchild Air Force Base. 3.0 Spill Prevention Control and Containment Jackson Contractor Group, Inc. will adhere to the Fairchild AFB Base Design Standard, Division 01, section 01 35 43-1.14 Environmental Procedures-Spill/Release in all aspects of spill management. 3.1 PLANNING AND PREVENTION Jackson Contractor Group, Inc. and its subcontractors shall implement proper planning and preventative measures to minimize the likelihood of spills, and to quickly and successfully clean up a spill should one occur. JCG has developed this Spill Plan to set forth standards for handling and storing regulated substances and cleaning up spills. This Plan is designed to minimize the discharge of pollutants to drainage systems or watercourses from leaks and spills by reducing the chance for spills, containing and cleaning up spills, properly disposing of spill materials, and training employees. 3.1.1 ROLES AND RESPONSIBILITIES SPILL COORDINATOR CONTRACTING OFFICER REPRESENTATIVE Mr. Jake Berger Evan Lauterbach JCG QCM 509-244-SS71 x1240 406-544-6836 For all construction related spills, the following shall apply: - The Spill Coordinator shall report all spills to the Base Fire Department, and the Contracting Officer immediately. - The Spill Coordinator shall report spills to appropriate federal, state, and local agencies as soon as possible. - The Spill Coordinator shall mobilize on-site personnel, equipment, and materials for containment and/or cleanup commensurate with the extent of the spill. - The Spill Coordinator shall assist the Emergency Response Contractor and monitor containment procedures to ensure that the actions are consistent with the requirements of this Spill Plan. - The Spill Coordinator, in consultation with the appropriate agencies, shall determine when it is necessary to evacuate spill sites to safeguard human health. - The Spill Coordinator is responsible for completing a Spill Report Form (Appendix A) within 24-hours of the occurrence of a spill, regardless of the size of the spill. AUTHORIZED CONSTRUCTION PERSONNEL - Authorized Personnel are representatives of JCG who are designated to handle fuel, lubricants, or other regulated substances. - Authorized Personnel must be familiar with the requirements of the Spill Plan and the consequences of non-compliance. - All Construction Personnel shall notify the Spill Coordinator immediately of any spill of a petroleum product or hazardous liquid, regardless of volume. 3.1.2 TRAINING Jackson Contractor Group, Inc. Environmental Protection Plan Contract No. W912DW-12-C-0030 JCG will train all employees who handle fuels and other regulated substances to prevent spills and to quickly and effectively contain and clean up spills that may occur in accordance with applicable regulations. JCG will incorporate this training into its mandatory weekly jobsite safety meetings. New employees will be informed of site specific hazards before beginning work. Weekly briefings on potential problems and required solutions. Prior to each new phase of construction training to all affected employees will be provided and will include a review of the Activity Hazard Analysis. 3.1.3 EQUIPMENT Each jobsite must have adequate absorbent and containment materials on hand, to enable the rapid cleanup of any spill which may occur. JCG will maintain spill kits containing a sufficient quantity of absorbent and barrier materials to adequately contain and recover foreseeable spills. These kits shall be located near fuel storage areas and other locations as necessary to be readily available to control foreseeable spills. Suitable plastic lining materials shall be available for placement below and over temporarily stored contaminated soils and materials. The Spill Coordinator shall make known to all personnel the locations of spill control equipment and materials. Construction equipment shall be removed from wetlands and parked a minimum 100 feet away from streams, wetlands, ditches, and other water bodies at the end of each workday. 3.1.4 SUPERVISION AND INSPECTION JCG shall perform a pre-construction inspection and test of all equipment to ensure it is in good repair. During construction, JCG will daily inspect equipment to ensure it is free of leaks. Any equipment that is leaking or in need of repair will be removed from service and repaired prior to resuming work. 3.2 PREVENTATIVE MEASURES AND STORAGE PROCEDURES JCG and its subcontractors shall adhere to the following preventative measures and fuel/hazardous liquid storage practices: - Properly label all containers so that the contents are easily identifiable. - Keep an inventory of all hazardous materials brought onto the work-site. - When possible move materials indoors, under cover, away from storm drains and water bodies. - Cover outside storage areas either with a permanent structure or a seasonal one such as a tarp so that rain cannot come into contact with materials. - Check containers often for leaks and spills. Replace containers that are leaking, corroded or otherwise deteriorating with containers in good condition. Collect all spilled liquids and properly dispose of them. - If paved, sweep and clean storage areas monthly, do not use water to hose down the area unless all of the water will be collected and disposed of properly. - Storage shall be confined to an area designated by the job Superintendent. - A fire extinguisher will be located within 75 feet of all storage locations. - Spill kits will be located at storage areas. - There will be no fuel storage at this project. A fuel truck will be brought to the site as necessary for daily activities. - A suitable secondary containment structure must be utilized at each storage site. These structures must be lined with plastic sheeting and provide a minimum containment volume equal to 120 % of the largest storage container. Jackson Contractor Group, Inc, Environmental Protection Plan Contract No. W912DW-12-C-0030 - All potentially hazardous materials shall be placed on impervious platforms such that they are at least 15 cm (6 inches) above the liner. In this manner, the materials shall be above any waters that may temporarily accumulate in the containment system. Weekly inspection of the containment system liner shall be completed to determine if it has been ripped or destroyed. When problems are detected that indicate a potential possibility of leakage, immediate repairs to the liner shall be completed. The weekly inspections shall also evaluate whether the containment berms need to be repaired or increased in height. The secondary containment area must not have drains. Precipitation may be drawn off as necessary if a visual inspection indicates that no spillage has occurred. If spillage has occurred then the accumulated waste will be drawn off and pumped into drum storage for proper disposal. Vehicle and equipment maintenance wastes, including oils and other fluids, will be handled and managed by personnel trained in the procedures outlined in this plan. These wastes will be stored and disposed of in accordance with section 3.6 of this Spill Plan. 3.3 INITIAL SPILL MANAGEMENT 3.3.1 IMMEDIATE RESPONSE Immediately upon learning of any fuel, oil, hazardous material or other regulated substance spill, or upon learning of conditions that will lead to an imminent spill, the person discovering the situation will: Initiate actions to contain the fluid that has spilled or is about to spill, and initiate action to eliminate the source of the spill to the maximum extent that is safely possible. Notify the job Superintendent and the Spill Coordinator and provide them with the following information: o Location and cause of spill o The type of material that has spilled - Upon learning of a spill or a potential spill the Spill Coordinator will: o Assess the situation and determine the need for further action. o Direct subsequent activities and/or further assign responsibilities to other personnel. o Notify the QCM, the Safety Officer, Superintendent and the Contracting Officer. 3.3.2 MOBILIZATION - The Spill Coordinator will mobilize on-site personnel, equipment, and materials for containment and/or cleanup commensurate with the extent of the spill. - If the Spill Coordinator determines that a spill is beyond the scope of on-site equipment and personnel, the Spill Coordinator will immediately notify the Fairchild AFB Fire Dept. — 911. - The Spill Coordinator will assist the Emergency Response Contractor and monitor containment procedures to ensure that the actions are consistent with the requirements of this Spill Plan. 3.4 SPILL NOTIFICATION RESPONSIBILITIES - The Superintendent, the Safety Officer, The QCM and the Contracting Officer will be notified of any spill of a petroleum product or hazardous liquid, regardless of volume. - The Spill Coordinator will complete a Spill Report Form for each release of a regulated substance. Jackson Contractor Group, Inc. Environmental Protection Plan Contract No. W912DW-12-C-0030 3.5 SPILL CONTAINMENT AND CLEAN UP In the event of a spill, JCG will abide by all applicable federal, state, and local regulations with respect to cleaning up the spill. The MSDS are an effective source of information for substance-specific cleanup procedures. Standard cleanup measures for spills are as follows: 3.5.1 MINOR SPILLS Minor spills typically involve small quantities of oil, gasoline, paint, etc. which can be controlled by the first responder at the discovery of the spill. - Use absorbent materials on small spills rather than hosing down or burying the spill. - Absorbent materials should be promptly removed and disposed of properly. - Contain the spread of the spill - Recover the spilled materials. - Clean the contaminated area and dispose of contaminated materials. - Notify the Spill Coordinator and the job Superintendent. 3.5.2 SEMI-SIGNIFICANT SPILLS - Notify the Spill Coordinator and the job Superintendent immediately. - Semi-significant spills can still be controlled by the first responder along with the aid of other personnel such as laborers and the foreman, etc. This response may require the cessation of all other activities. - Contain the spread of the spill. - If the spill occurs on paved or impermeable surfaces, clean up using "dry" methods (absorbent materials, rags, etc.). Contain the spill by encircling with absorbent materials and do not let the spill spread widely. - If the spill occurs in soil areas, immediately contain the spill by constructing an earthen dike. Dig up and place on plastic or a tarp and cover until the contaminated soil can be disposed of properly. - If the spill occurs during rain, cover the spill with tarps or other material to prevent contaminating runoff. 3.5.3 SIGNIFICANT/HAZARDOUS SPILLS - Notify the Spill Coordinator and the Superintendent immediately. - For significant or hazardous spills that cannot be controlled by personnel on-site, the Spill Coordinator will notify the appropriate agencies. - Construction personnel should not attempt to clean up until the appropriate and qualified staffs have arrived at the job site. 3.6 STORAGE AND DISPOSAL OF CONTAMINATED MATERIALS - All contaminated soils, absorbent materials, and other wastes will be stored and disposed of in accordance with all applicable state and federal regulations. - If it is necessary to temporarily store excavated soils on site, these materials will be placed on and covered by, plastic sheeting, or placed in properly labeled ring top 55-gallon drums and the storage area bermed to prevent and contain runoff. 3.7 In addition to its own procedures JCG will follow all protocols stipulated in Section 01 57 20 — 1.5.7. 4.0 Solid Waste Disposal Plan Solid waste includes clearing and grubbing debris, Styrofoam, paper and plastic packaging materials, wood pallets, insulation materials, wood cuttings, pipe and electrical cuttings, concrete, brick, and mortar waste, shingle cuttings and waste, roofing tar, steel (cuttings, Jackson Contractor Group, Inc. Environmental Protection Plan Contract No. W912DW-12-C-0030 nails, rust residue), gypsum board cuttings and waste, sheathing cuttings and waste, miscellaneous cutting and waste, food waste, cigarettes, and demolition waste. The following practices shall be implemented to help keep the site clean and reduce storm environmental impact: - Waste collection areas shall be designated on site. - Waste collection areas shall be located away from drainage ditches, swales, and catch basins. - Solid waste materials shall be stored under cover either in closed dumpsters or other enclosed trash container that limits contact with rain and runoff. - Runoff that comes into contact with unprotected waste shall be directed into structural treatment such as silt fence to remove debris. - Site trash shall be collected daily, especially during windy and rainy conditions. - Erosion and sediment control devices collect trash quickly. This solid waste shall be removed promptly. - Hazardous materials and chemicals such as used oils, solvents, paints, acids, pesticides, additives, and curing compounds shall not be disposed of in dumpsters. JCG will maintain a record of all diversion and disposal of construction debris to facilitate an accurate Waste Management Plan. 4.1 In addition to its own procedures JCG will follow all protocols stipulated in Section 01 57 20 — 1.5.8. 5.0 Hazardous Waste Disposal Plan Hazardous materials can include paints, solvents, petroleum products (used oil, cutting oils, fuel), herbicides, pesticides, acids, concrete curing compounds, asbestos, and PCBs. Whenever possible, use of these materials should be minimized. An Initial Accumulation Point (IAP) for hazardous waste disposal will be designated. The IAP will be enclosed to prevent any weather from contaminating the substance. All substances will be placed on pallets and have secondary containment structures. Hazardous materials and wastes will be stored in covered drums or approved containers for the material to be stored. Liquid and semi liquid hazardous wastes shall be stored in appropriate sealed containers and under cover. Hazardous waste containers shall be placed in secondary containment. Wastes shall be kept separate as mixing wastes can cause chemical reactions, making recycling impossible and complicating disposal. Materials will be disposed of in accordance with 40 Code of Federal Regulations (40 CFR) Subchapter I, Parts 260-268. All hazardous waste storage shall conform to the FAFB Hazardous Waste Management Plan OPLAN 32-7042. 5.1 In addition to its own procedures JCG will follow all protocols stipulated in Section 01 57 20 — 1.5.8. 6.0 Flushing, Disinfection and Hydrostatic Water Plan The flushing and disinfection of the new water lines will be the responsibility of the mechanical contractor, under the supervision of Jackson Contractor Group, Inc. When disinfection occurs, the chemicals used will be flushed. The water used to flush the lines will be discarded into the Fairchild AFB Sanitary Sewer System or disposed of in accordance with Fairchild AFB regulations under the direction of the Contracting Officer. Prior to any flushing, the Sanitary Sewage Plant will be notified as to the start time, approximate end time, and approximate quantities of chemicals used. If the proposed PPM is not acceptable to the Sewage Plant, the water will be diluted to meet the acceptable level. 7.0 Dewatering Discharge Plan If dewatering is necessary sediment that is in the water will be removed via temporary erosion Jackson Contractor Group, Inc. Environmental Protection Plan Contract No. W912DW-12-C-0030 control measures. Storm runoff ditches will be used to discharge the water. Temporary sediment basins and hay bale check dams will be installed in affected areas prior to water entering the existing soil ways. The temporary sediment basins and check dams will provide adequate filtration for sediment in the water. 8.0 Affirmative Procurement Plan - JCG will follow all applicable guidelines covering the use of recycled and recovered materials including the LEED requirements. - Where possible JCG will go beyond the EPA guidelines in the use of recycled and recovered materials. - All government paperwork will be printed on paper containing 30% post consumer materials. - All contractually required documents produced, longer than two pages, will be double- sided. 9.0 Environmental Monitoring - Inspections will occur daily on all equipment that uses hydrocarbon materials. If leaks are detected, the equipment will be temporarily removed from construction activities and immediately repaired. Any contaminated soil caused by the leakage will be dealt with as prescribed in the above Spill Control section. - Daily inspections of the containment systems will be performed. Materials within the storage system will be evaluated to determine if removal and disposal of containers is necessary. - Weekly inspections of the containment system liner will be completed to determine if there has been any damage. When problems are detected that indicate a potential possibility of leakage, immediate repairs to the liner shall be completed. The weekly inspections will also evaluate whether the containment berms need to be repaired or increased in height. - After each rainstorm or snowmelt event, accumulated waters will be removed from the containment system and properly disposed of. Jackson Contractor Group, Inc. Environmental Protection Plan Contract No. W912DW-12-C-0030 Exhibit B—Storm Water Pollution Prevention .Jackwon COMTR.ZWMR GROUP,/NG Example 2—Montana State University, North Hedges Residence Suites(SWPPP) City of Bozeman—Police&Municipal Courts Facility March 20,2014 Agency Use Permit No.: Montana Departmepa of Date Rec'd 4!!7EXY1R0ffl=AL Amount Rec'd UALMCheck No. WATER PROTECTION BUREAU Rec'd By FORM Storm Water Pollution Prevention Plan (SWPPP) Form Swppp Storm Water Discharge Associated With Construction Activity MTR100000 READ THIS BEFORE COMPLETING FORM: Before completing this form all parties need to read the General Permit, particularly Part IV on SWPPPs. This SWPPP Form is intended to assist operators in developing a SWPPP which complies with Part IV of the General Permit. The term"Storm Water Pollution Prevention Plan" is defined in the Administrative Rules of Montana 17.30.1002(31). The SWPPP is a document which is developed to direct and assist permittees in identifying sources of potential pollutants at the construction activity site, and Best Management Practices (BMPs) to be used to help ensure such pollutants do not impact receiving surface waters through storm water runoff. It is the permittee's responsibility to ensure all required items in the General Permit are adequately addressed, and that the SWPPP is developed, implemented, and maintained. Additional narrative information may need to supplement this SWPPP Form in order to meet these requirements. A copy of the SWPPP must be maintained at the construction activity site as required in Part III.C. of the General Permit. Sections B, C, and D on this SWPPP Form must state information exactly the same as that indicated on the NOI Form. Attach additional pages as necessary with the item number on this form indicated. For coverage under the General Permit to be valid upon the submittal of a NOI package, the NOI package must include a complete NOI Form, SWPPP, and fee. Do not submit these items separately. The 2007 General Permit, Permit Fee Summary, and related forms are available from the Storm Water Program at(406) 444-3080 or httn://www.deg.state.mt.us/wqinfo/MPDES/StormwaterConstruction mcT)x. Section A - SWPPP Status (Check one): New No prior SWPPP submitted for this site. Modification Permit Number: MTR10 !� (Please specify these four numbers) Section B - Facility or Site Information: Site Name North Hedges Suites#3, Montana State University, Bozeman, MT Site Location Generally East of SOB Barn, MSU Campus Nearest City or Town Bozeman County Gallatin Section C - Applicant(Owner/Operator) Information: Owner or Operator Name Jackson Contractor Group, Inc. Mailing Address P.O. Box 967 City, State, and Zip Code Missoula, MT 59806 Phone Number ( 406 ) 542-9150 Version i.I Revised 1-28-10 SW-1 Page 1 of Section D - General SWPPP Requirements: 1. Brief Description of Purpose and Nature of Construction Activity: This project consists of the construction of a 4 floor student residence and Montana State University. The building is to be approximately 30,000 square feet with a footprint of 7,000 square feet. 2. Proposed Implementation Schedule for Major Activities. In addition to major activities, include the estimated dates for the start and completion of the construction project, as well as the estimated date final stabilization will be completed. : Project Site work will begin 7/30/2012. Building excavation will start 8/31/2012. Concrete footings and ground slab will be in place 10/24/2012. Site stabilization is estimated to be completed 7/19/2013. 3. Estimate of Total Area of the Site (and all other sites if a phased development project): 2.5 Acres 4. Estimate of Total Area of the Site Expected to Undergo Disturbance Related to Construction Activity: 2.0 Acres Version 1.1 Revised 1-28-10 sW-1 Page 2 of 9 5. Check to confirm a site map has been developed and included with this SWPPP which indicates all required information stated in Part IV.G.I.c. of the General Permit: 0 Yes 6. Are sand & gravel excavation, other borrow areas, and/or crushing operations associated with project? Q Yes 0 No Are temporary asphalt batch plant operations associated with this project? Q Yes 7 No Ifyes, be sure to include the requested information about these areas on the site map, or a similar separate map, as stated in Part IV.G.1.c. of the General Permit. 7. Describe the character and erodibility of soil and other earth material to be disturbed at the project site, including cut/fill material to be used: The soil profile shown by the project Geotechnical Report indicates 1.4'-2.7'of topsoil, about 3'of lean clay, and then dense, well graded gravel with sand and clay to the bottom of the borings at 19'below grade. The primary source of earth disturbance at the site will be for the spread footing foundation and the earth supported first floor slab. The footings will be between 3'and 8' below the ground level slab surface. The parking lot and access road consists of approximately 5600 SF of clearing and grubbing,to be covered with imported 4" minus subbase, 3/4" minus crushed aggregate, and plant-mix bituminous pavement. Material will be immediately placed and compacted, making erosion unlikely. Imported material will consist of road base and some structural fill to support the floor slab on the first level. It will be immediately placed and compacted, making erosion very unlikely. 8. Estimate of Runoff Coefficient and Increase In Impervious Area (refer to Part IV.G.I.e. of the General Permit - only applies if total construction-related disturbance is 5 acres or more): N/A Version 1.1 Revised 1-28-10 SW-1 Page 3 of 9. Indicate Names of Receiving Waters and Describe the Size, Type, and Location of each Point Source Discharge or Outfall (refer to Part IV.G.I.f. of General Permit): The majority of the run-off generated from the site will be absorbed by the vegetation along the North end of the site, which is the lowest area. Any further run-off will travel along the gutters on West Garfield Street towards 2 curb inlets, which will be lined with filter fabric and surrounded by sandbags or straw waddles to act as a sediment barrier. These structures discharge into Mandeville Creek, approximately 35 ft.from the eastern inlet, and 80 ft.from the western inlet structure. 10. Describe Storm Water Discharges From Support Activities(refer to Part W.G.1.g. of General Permit): No discharge from support activities is anticipated. Version 1.1 Revised 1-28-10 sW-1 Page 4 of Section E - SWPPP BEST MANAGEMENT PRACTICES (BMPs) AND STORM WATER MANAGEMENT CONTROLS 1. Describe Applicable Local Erosion and Sediment Control Requirements: The local erosion and sediment control requirements consist of Best Management Practices to include inlet protection, construction entrance control and placement of straw waddles or sandbags where appropriate. 2. Describe in detail,temporary BMPs and storm water management controls which will be used for erosion and/or sediment control during construction-related earthwork activities. Indicate the location of these measures on the site map required above, or a similar separate map, as much as practicable. Include a schedule for implementation for each of these measures. Attached details and specifications may be used to supplement this description. Refer to Parts IV.G.2.a, b, c. of the General Permit. Examples of temporary measures could include but are not limited to: slope roughening; vegetative buffer strips; sediment control (silt) fences; straw bale dikes; erosion control blankets/mats;temporary drain diversions; minimizing clearing; temporary sediment basins/traps; mulching; temporary seeding; brush barriers; up-slope runoff diversions/controls; inlet/outlet protection; disturbance area runoff diversions/controls;waterway protection; and, ditch runoff flow dispersers (e.g. level spreaders)/flow inhibitors. Silt fence will be installed where indicated on the attached site map before construction begins, and will be maintained throughout the project's construction. Inlet protection will be provided at the two curb inlets indicated on the plan, and maintained for the duration of construction. All site access will be required to use the site entrance/exit, which will have a 1 00'long x 20'wide pad consisting of 2"-Y course aggregate at least 6"thick. Excessively dirty vehicles will be washed down with water before leaving the site. Please reference attached sheet C-12 for the type and location of the BMP's described above. I Version 1.1 Revised 1-28-10 SW-1 Page 5 of 3. Describe in detail,permanent and structural BMPs and storm water management controls which will be used for erosion and/or sediment control during and after construction-related earthwork activities. These would include measures to achieve final stabilization(as defined in Part VIX of the General Permit). Indicate the location of these measures on the site map required above, or a similar separate map, as much as practicable. Attached details and specifications may be used to supplement this description. Refer to Parts G.2.a., b. of the General Permit. Examples of permanent measures could include but are not limited to: permanent seeding; check dams; retaining walls; drain inlet protection; rock outlet protection; drainage swales; sediment basin & traps; earth dikes; manmade erosion control structures; grassed waterways; sod stabilization; infiltration trenches or basins; subsurface drains; level spreader; terraced slopes; tree or shrub planting; pipe slope drains; vegetative buffer strips; detention ponds; and, containment ponds. As discussed above,the site gradually slopes to the North, causing much of the runoff to enter grass that will be left in place on-site, and be absorbed, any water continuing on will be directed by the curb and gutter to the protected curb inlets North East of the site. The silt fence and the inlet protection measures will trap and settle any sediment before it is able to enter the storm drain. the permanent structure will be landscaped, including four rain gardens designed to absorb surface run-off,trees, shrubs, and grasses. Sidewalks and the parking area are sloped to drain towards the rain gardens. All BMP's will remain in place until the permanent vegetation is in place. Please reference attached sheet C-12 for a site map of the BMP's to be in place during construction, and attached sheets C-5 and L4.01 for the permanent BMP's. 4. Describe what products or wastes may be stored or utilized at the construction activity site, indicate on the site map as required above, and indicate what BMPs will be used to minimize potential pollutants from these materials coming into contact with storm water runoff. Examples of products or wastes could include but is not limited to: fuels; tar or asphalt; cement or mortar; concrete truck wastewater; solvents; detergents; steel; roofing materials; fertilizers; paints; pesticides; other petroleum-based materials; other hazardous materials (including wastes);and, solid wastes. The equipment used for construction will all use petroleum based fuels, and will be refueled by a maintenance or pump truck that will not be stored on site. Gravel and asphalt will be transported to the site for construction of the entrance road and parking area. Concrete and asphalt will be hauled in as needed, and will not be stored or produced on site. All miscellaneous products will be properly contained and stored. I Version 1.1 Revised 1-28-10 sW-1 Page 6 of 5. Describe any other good-housekeeping measures to be used to help minimize non-sediment pollutant contact with storm water runoff. Contractors will be reputable with newer equipment to minimize leakage of construction equipment fuel and lubrication oils. A concrete washout area will be designated and lined with visqueen Monitoring of the site will be on-going throughout construction for any potential non-sediment pollutants and mitigation measures will be taken if necessary. A designated area for bins for waste/recyclable materials will be provided to reduce the amount of space taken up by construction debris and will create a more organized, clean site. 6. Describe any measures that will be used to prevent vehicle tracking of sediment from the construction site onto roads (examples include a graveled access entrance and exit drives and parking areas, and a tire wash pad at exit drive): All traffic will enter and exit through a gravel construction entrance exit that is 100'long. When necessary, excessive dirt will be washed from vehicles before they exit the site. This will ensure that sediment is not tracked onto public roads from the construction site. 7. When trucking saturated soils from the site, either tight leak-proof trucks must be used or loads must be required to drain until drippage has been reduced to less than 1 gallon per hour before leaving the site. Will saturated soils be trucked from the site?M Yes Fm7 No 8. Describe man-made and natural measures to control pollutants in storm water discharges after construction operations have been completed. Refer to Part IV.K. of the General Permit. Examples include: vegetative waterways and natural landscape; infiltration trenches or basins; storm water detention structures; wet ponds or man-made wetlands; and, storm water containment structures. The site will utilize 4 "rain gardens", consisting of a 12" deep vegetative basin, lined with 18"of bioretention soil mix, filter fabric, and 24"of pit-run gravel with an allowable size range of 1%6". The site will drain to these locations. All disturbed not covered by new construction will be planted with grasses, shrubs, and trees. These measures will absorb all of the site water through infiltration and act as controls for any pollutants. Please reference attached sheets C-5 and L4.01 for the site maps showing the Version 1,1 Revised 1-28-10 sw-1 Page 7 of 9 9. BMPs must minimize or prevent "significant sediment" (as defined in Part V.T.13. of this General Permit) from leaving the construction site. If"significant sediment" (as defined in Part VI of this General Permit) results from the failure of erosion or sediment control measures,the material should be cleaned up and placed back on site, disposed of in an acceptable manner which minimizes any impact to state surface water. The sediment must not be washed into the storm sewer(s), drainageway(s), or receiving state surface waters. The permittee must document the clean-up action in accordance with the inspection and monitoring requirements of Part III.0 of this permit. This requirement does not waive any obligations for the permittee to obtain other permits or permissions to clean up the "significant sediment." Section F - Inspection and Maintenance Describe inspection procedures and BMP maintenance procedures to ensure compliance with Part III.A. of the General Permit. As a part of this, describe measures to identify and address non-storm water discharges should they occur. The contractor is required to follow this SWPPP to be in compliance with the general contract with Montana State University. Photos will be taken at the start of the work to show the existing conditions and then after the existing site is reviewed additional photos will be taken by the contractor at the beginning of the work to show that the installation of site controls was completed correctly and to show that the initial state of the BMP's for the project. The contractor is required to monitor and fill out an Erosion and Sediment Control Report. Field checks of the BMP's will be conducted by the on site superintendent and project engineer once per month from December 1 to March 1, and every 14 calendar days or after a rainfall event of greater than 0.5"during the remainder of the year, as required by the general permit. The contractor will have a copy of this form and the NOI Receipt Confirmation Letter on site at all times. Contractor will monitor the site throughout the construction for any potential non-sediment pollutants and will take mitigation measures as necessary. Version 1.1 Revised 1-28-10 sW-1 Page 8 of 9 Section G - CERTIFICATION Permittee Information: This SWPPP must be completed, signed,and certified as follows: • For a corporation, by a principal officer of at least the level of vice president; • For a partnership or sole proprietorship,by a general partner or the proprietor,respectively; or • For a municipality, state, federal, or other public facility, by either a principal executive officer or ranking elected official. Alternatively, this SWPPP may be signed by a duly authorized representative of the person above. A person is a duly authorized representative only if • The authorization is made in writing by a person described above; • The authorization specifies either an individual or a position having responsibility for the overall operation of the regulated facility or activity such as the position of plant manager, operator of a well or a well field, superintendent,position of equivalent responsibility,or an individual or position having overall responsibility for environmental matters for the company (a duly authorized representative may thus be either a named individual or any individual occupying a named position); • The written authorization is submitted to the department. All Permittees Must Complete the Following Certification: I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information; including the possibility of fine and imprisonment for knowing violations. [75-5-633, MCA] A. Name(Type or Print) Doug Jackson B. Title(Type or Print) C. Phone No. President (406) 542-9150 D. Signature E. 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IaYF.E T1111� 1�y Y: _ AUNOPIMAIEN _- dVERS1W RIDGE REWRED WHERE GIUDE EXCEEDS 2% �GPEAI I I �� EZISTWn T� EROSION c,'� PAvfD p CONTROL \-` �'QD DlvErwdFR3wf I _ IVII - AN I \ N -01 rFNmEFFABRW k' ssrFExca N 1 PAmuD wATN1 CD 1 aPFAbRM PLAN SUM". stnftFA �} F(2 1I TWS AFPIICATIONisFM PAVED STPEEib �•yL tl TEMPORARY SILT FENCE /i\ TEMPORARY GRAVEL CONSTRUCTION ENTRANCE/EXIT n CURB INLET SEDIMENT BARRIER/1 OATE I --A G-12 Scue.NONE c-12 SCALC.NIXIE C-12 07.17-12 Exhibit B—Storm Water Pollution Prevention -�aCj(5'011 CONTRACTOR GROUP,/NC. Example 3—Missoula County Courthouse, Phase 2(Erosion &Sedimentation Management Control Plan) City of Bozeman—Police&Municipal Courts Facility March 20, 2014 Jacl�son CONTRACTOR GROUP,/NC. www jacksoncontractorgroup.com EROSION AND SEDIMENTATION-CONTROL MANAGEMENT PLAN Company Name: Jackson Contractor Group, Inc. Contact Person: Mark Kobos Telephone#: (406) 542-9150 Address: PO BOX 967 Missoula, MT 59806 Project Location: Missoula County Courthouse 200 W. Broadway Missoula, MT 59802 Project Description: Missoula County Courthouse, Phase#2, Office Remodel The intent of this plan is to reduce the discharge of soil-bearing water runoff and airborne dust to undisturbed areas and to adjacent properties and walkways, according to the requirements of 2003 EPA Construction General Permit or authorities having jurisdiction, whichever is more stringent. The total disturbed area is less than one (1) acre so a Storm Water Prevention Permit (SWPP) is not required by the State of Montana DEQ, however, due to the nature of the work and the LEED Sustainable Site Prerequisite 1,Jackson Contractor Group has developed an erosion control plan which implements best management practices (BMP)to be used throughout the site during construction. Description of work: Excavation due to a new generator building and the use of the crane on any landscaping. All storm water runoff is currently 100%contained on site through the use of dry sumps so no water flows off the site and into a storm drainage system that empties into a waterway. The main activities in which soil may be disturbed and could have potential of erosion are: ■ Excavation and prep for hardscape surfaces (sidewalks, ramps, stairs, asphalt) ■ Stock pile and crushing activities of demolished building components(block, concrete, asphalt) Phone:406-542-9150 P.O.Box 967 Missoula,MT 59806 Fax:406-542-3515 Phone:406-234-5565 P.O.Box 1298 Miles City,MT 59301 Fax:406-234-5566 Jackson CONTRACTOR GROUP,IME. www jacksonc.ontrac.torgroup.com ■ Stockpiles of excavated materials scheduled to be used for backfill The attached site plan showing the best management practices to be in place if groundwater is encountered or if a significant precipitation event occurs. The following are to be construction erosion control measures: The site fence at the hardscaped areas will be lined at the base with straw wattles to prevent any site water, soil, or storm water from exiting the site and will be checked every two weeks and after significant precipitation events (rainfall above .5" in one 24 hour period). Any adjacent and site contained storm drain inlets will be "socked" using filter fabric and will be checked every two weeks and after significant precipitation events (rainfall above .5" in one 24 hour period). Any stock pile of materials will be lined at the base using straw wattles to minimize sediment from entering the dry sumps located adjacent to the work areas and the adjacent properties. As with all BMP's they will be inspected and if needs be replaced, every two weeks and after significant precipitation events (rainfall above .5" in one 24 hour period). Airborne dust and dirt will be kept down during excavation and demolition activities by spraying water mist onto the activity and stockpiles. End of erosion control and management plan. Phone:406-542-9150 P.O.Box 967 Missoula,MT 59806 Fax:406-542-3515 Phone:406-234-5565 P.O.Box 1298 Miles City,MT 59301 Fax:406-234-5566 Jacl�son CONTRACTDR GROUP,/NC_ wwwjacksoncontractorgroup.com EROSION AND SEDIMENTATION-CONTROL MANAGEMENT PLAN—Supplemental Information-COPS Company Name: Jackson Contractor Group, Inc. Contact Person: Mark Kobos Telephone#: (406) 542-9150 Address: PO BOX 967 Missoula, MT 59806 Project Location: Missoula County Courthouse 200 W. Broadway Missoula, MT 59802 Project Description: Missoula County Courthouse, Phase#2, Office Remodel, COPS Feeder Additional Work Description of work: Excavation due to additional work due to the COPS Feeder changes. Duration: 3 weeks, BMP to remain in place until asphalt is patched All storm water runoff is currently 100%contained on site through the use of dry sumps so no water flows off the site and into a storm drainage system that empties into a water way. The main activities in which soil may be disturbed and could have potential of erosion are: ■ Excavation and preparation for hardscape surfaces (sidewalks, ramps, stairs, asphalt) ■ Stockpiles of excavated materials scheduled to be used for backfill The previously supplied site plan shows the best management practices to be in place if groundwater is encountered or if a significant precipitation event occurs. The following are to be construction erosion control measures: The site fence at the hardscaped areas will be lined at the base with straw wattles to prevent any site water, soil, or storm water from exiting the site and will be checked every two weeks and after significant precipitation events (rainfall above .5" in one 24 hour period). Phone:406-542-9150 P.O.Box 967 Missoula,MT 59806 Fax:406-542-3515 Phone:406-234-5565 P.O.Box 1298 Miles City,MT 59301 Fax:406-234-5566 Jackson CONTRACTOR GROUP,INC. wwwjacksoncontractorgroup.com Any adjacent and site contained storm drain inlets will be "socked" using filter fabric and will be checked every two weeks and after significant precipitation events (rainfall above .5" in one 24 hour period). Any stock pile of materials will be lined at the base using straw wattles to minimize sediment from entering the dry sumps located adjacent to the work areas and the adjacent properties. As with all BMP's they will be inspected and if needs be replaced, every two weeks and after significant precipitation events (rainfall above .5" in one 24 hour period). Airborne dust and dirt will be kept down during excavation and demolition activities by spraying water mist onto the activity and stockpiles. End of erosion control and management plan—supplemental information for COPS Feeder additional work. Phone:406-542-9150 P.O.Box 967 Missoula,MT 59806 Fax:406-542-3515 Phone:406-234-5565 P.O.Box 1298 Miles City,MT 59301 Fax:406-234-5566 , 0 Lay down Fence Mal Socked Filter Fabric Drains a V Straw Wattles Area of Excavation l� w 0 .7 A S .1Y� Exhibit C—Example Schedule Jackson CONTR,4WMR GROUP,INC. Example 1—Garlington Lohn Robinson Office Building, Missoula, Montana City of Bozeman—Police& Municipal Courts Facility March 20, 2014 Act Description Orig Early Early I D Dur Start Finish FEB MAR AFR MAY �Ijl JUL AUG UP OCT NOV OZ Proposed 1440EST— Development 20 19FE809 18MAR09 �Re-Design Development I I I 1 1 I I 1 1 I 1 1 1 I 1450 Design Development Cons!.Does j1d 19FE809 16MAR09 �Design Development Const Docs 1 1 I I. .I 1 I__-,_ _I 1460 Last Day for Changes by Client 13MAR09 13MAR09 I Lest Day far Changes by Client - I I I I f 1 i I I 1 1 1 I 1 1 I I I I I I 1 1 1 I 1 1 I 1 1 1 1 I I 1470 Construction Docs.-(95%) 19MAR0905MAV09 �CmslnrtBm Does.-195%) I I I 1 I 1 1 1 1 1 I 1 I I r I I 1480 Construction Docs-(95%-100%) 06MAY09 20MAY08 1 1 Construction Docs-(95%-100%) 1 1 1 I I 1 I I 1 1 1 1 I 1 1 1 1 I 1500 100%Specifications 06MAY09 06MAY09 1 1 100%Spedlicalion; I I 1 1 1 1 1 I 1 I I I I I I 1 1570 95%Ouality Control Review OBMAY09 20MAY09 ( i 95%Queltiy Control Review 1490 Receive 100%Drawings From 20MAY09 20MAY09 1 1 (Receive 100%Drawings From Consultants I I I 1 I I I I 1 I I I I I I 1580 100%OuslityControl Review Bel 21MAY09 01JUN09 1 I 100%Quality Control Review I I I 1 1 1 1 1 I I I I 1 I I I I i I I 1 I 1 1 1 I I 1 I 1 I 1 I 1510 Print 100%Drawings&Spats 2d 02JUN09 01JUN09 Prat 100%Drawings&Specs 1520 Bidding 21 04JUN09 02JUL09 Bidding 1530 Construction Administration(CA) 343 04JUN09 01OCT10 I I I I Construction Administr 1540 Construction Bids Due 1d 02JUL09 02JUL09 I I I I I Constnittlon Bids Dud 1 1 1 I I I I 1 1 1 I 1 1 I I 1 1 1 I I 1550 Contracts&Permits 21 03JUL09 31JUL09 1 1 I Contracts&Permits i i i I I I I I I I I I I I 1560 Building Construction(14 Months) 301 03AUG09 01OCT10 j i Building Construction(I •,• , O Re-Design Phase 1240 Re-Design Phase 19FE1109 18MAR09 Des19 I I I 1 1 I 1 1 1 f I 1 I 1 1 1 1 I I 1600 Foundation&Superstructure Design 25 19MAR09 22APR09 Foundation&Superstructure Design I 1 I t I t 1 I I 1 I I 1 I ' 1610 Arch I Mech/Elect-50% 25 19MAR09 22APR09 Arch/Mech/Elect-50%1 1 1 1 1 I 1 t I I 1 1 I 1 I 1 I I 1620 Bidding Foundation I Superstructure 20 23APR09 20MAY09 ====Bidding Foundation/Superstructure I 1 1 I I 1 1 I 1 I 1 1 1 I I 1 1630 Arch/Mech/Elect-95% 204 23APR09 20MAY09 o Arch/Mech/Elect-95%I I 1 I 1 1 1 1 I 1 1 1 1 I I I I 1 I 1 1 1 1 1 I 1 1 I 1 1 I l 7640 Arch/Mech/Elect•100% 10 21MAY09 03JUN09 I —J�Arch/Meth/Elect-100% 1 ��100%Qud Control 1670 1100%OualltyControt A5d04JUN09 10JUN09 aY1680 Pdm100%PlansB ecYacalons 11JUN09 12JUN09 ' Print 100%Ron%&Specill"hols I i I 1 I I 1 I 1 I I 1430 Construction Administration(CA) 15JUN09 12AUGIO I Cmstruclion Administration ICA) ©Biddin Arch I Mech/Electrical1690 Bidding Arch/Mech/Electrical ISJUN09 03JUL09 I 9 Project 1590 Costing Schematic Estimate 1 09MAR09 20MAR09 ' JCG Schematic Eshmat I 1 i 1 I 1 I I I I 1 I I 1 1060 Design Development&Trend Estmate. 40 16MAR09 OBMAY09 ' Desfpl Development&Trend Estimates.OC/QA I I I I I I I I I I 1 1 1210 Guaranteed Maximum Price Estimate 15 11 MAY09 31MAY09 i (Guaranteed Maximum Price Estimate f I I I I 916 1 I I 1 I 1 1 I I I 1 I 1 I 1 ! I I I 1 1 1 1 1 I 1 I I 1 1320 Owner Approval Schematic Estimate 3d 23MAR09 25MAR09 I Owner Ppprarel Schematrc Estlmat4 I I I 1 I t I I I I I I I 1310 Owner Approval GMP Estimate 3d O1JUN09 03JUN09 I I I Owner Approval GMP E50male 1 1 I I 1 I 1 1 1 1 1 I I I I I I 1 1650 Foundation Permit 20 23APR09 20MAY09 1 I Foundation Pennti I 1 1250 Mobilization&Site Set-Up 15 04JUN09 24JUN09 t I I Mobilization&Site Set-lip I I I I I I I I 1 I I I I I 1700 Demolition 10 11JUN09 24JUN09 t I i De1T1tlNon I 1 I 1 I I 1 1 1 I 1 1 I I 1 1 1660 Building Permit 20 15JUN09 10JUL09 I 1 1 Building Perml I I I I 1 I 1 1 I I 1 I I I I I 1710 Sharing/Excavation 25 25JUN09 29JUL09 -- - 1 I i 1 Shoring/Excavation 1150 Foundation/Substructure Phase 45 30JUL09 30SEPo9 1 1 1 1 ; r� •— Foundation!Substructure Phase 1160 Erect SuperSWdllre 55d 01 pCT09 180EC09 —bed SuperStrudum t 1 1 I 1 I I 1 1 1 I I 1 I I I 1 I I 1470 Exterior Envelope Phase 90430NOV0910SAPRIO Enor xtz Envelope rm ase 1 I 1 I I I it&0 Interior Const.&Finish Phase 10 27JAN10 15JUNIO _� - IMeriorConsl.&Finish Phasle 1 1 1 1 I 1 t i 1 I I 1190 Commissioning&Punchlist 40419MAY101 13JULIO ' ' 1 1 I I I I —�-®Commssioning&Punehllst i I 1420 Owner Occupancy id 14JUL10 114JUL10 I I i _ i ii i -i Owner Otcupan.yl, Start dale OIFEBO9 ®Early bar Finish date 01OCT10 NEW GARLINGTON,LOHN&ROBINSON BUILDING Date date 01FEB09 Progress bar Run dale 05MAR09 Critical bar Pa number 1A annean Summary bar JACKSON CONTRACTOR GROUP,INC. O Start milestone ptlnt Primavera tams Inc O Finish milestone ptlnl