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Mission Support Alliance Page 1 of 37 Statement of Work Title: Z-261, Guy Wire Tension for Met Tower #21 Revision Number: 01 Date: August 19, 2019 Statement of Work for Guy Wire Tension for Met Tower #21 August 19, 2019 Prepared by: Dharmendra Rana * Approval for Technical Content Reason for revision: Clarifying bullet number five (5) under Section 3.1, added two more submittals under the Submittal Register (Sub #19 Guy Wire Tensioning Plan & Sub #20 Twist & Out-Of-Plumb Testing Plan), and adjusted the values in Table 1 - Guywire Information under bullet number three (3) under Section 3.1. APPROVALS PRINT NAME SIGNATURE BTR* Mazin Kamil

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Page 1: Mission Support Alliance - Hanford Site · Assurance, testing and inspection) required to complete the guy wire tension adjustments and testing necessary to verify that the guy wire

Mission Support Alliance

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Statement of Work

Title: Z-261, Guy Wire Tension for Met Tower #21

Revision Number: 01

Date: August 19, 2019

Statement of Work for

Guy Wire Tension for Met Tower #21

August 19, 2019

Prepared by: Dharmendra Rana

* Approval for Technical Content

Reason for revision: Clarifying bullet number five (5) under Section 3.1, added two

more submittals under the Submittal Register (Sub #19 Guy Wire Tensioning Plan

& Sub #20 Twist & Out-Of-Plumb Testing Plan), and adjusted the values in Table 1

- Guywire Information under bullet number three (3) under Section 3.1.

APPROVALS PRINT NAME SIGNATURE

BTR* Mazin Kamil

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SUPPLEMENTAL TECHNICAL APPROVAL PAGE

FOR SOW TITLE: Guy Wire Tension for Met Tower #21

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ORGANIZATION PRINT NAME SIGNATURE

X End-User / Requestor Adams, Lanette See attached email

X Environmental* Pennala, Eric

X Radiation Protection* Hartelius, Eric See attached email

X Occupational Safety and Health* Lindholm, Thomas Approved per Rev #0

X Fire Protection* Justice, Rick See attached email

X Chemical Management* Hokanson, Eric

X Quality Assurance Engineer* Sunday, Sean See attached email

X Traffic Engineer NA

X MSA Design Authority * Rana, Dharmendra See attached email

X Project Manager Kamil, Mazin

X Construction Manager Constantine, Donald

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TABLE OF CONTENTS

1.0 INTRODUCTION / BACKGROUND ............................................................................................ 5 2.0 DESCRIPTION OF WORK – GENERAL ...................................................................................... 5 3.0 DESCRIPTION OF WORK – SPECIFIC ....................................................................................... 5

3.1 Task(s) ................................................................................................................................ 5 3.2 Sequencing .......................................................................................................................... 6 3.3 Acceptance Criteria ............................................................................................................. 7 3.4 Special Requirements ......................................................................................................... 7 3.5 Organizational Interfaces .................................................................................................... 7 3.6 Site Conditions and Known Hazards (Facility Specific) .................................................... 7 3.7 Government Furnished Materials and Equipment .............................................................. 8 3.8 Site Coordination Requirements ......................................................................................... 8 3.9 Delivery, Storage, and Handling ......................................................................................... 9

4.0 TECHNICAL REQUIREMENTS ................................................................................................. 10 4.1 Codes and Standards ......................................................................................................... 10 4.2 Drawings, Specifications and DCNs ................................................................................. 10 4.3 Electrical Safety Requirements ......................................................................................... 11 4.4 Electrical Work Place Safety ............................................................................................ 12 4.5 Hoisting and Rigging Requirements ................................................................................. 12 4.6 Fire Protection Requirements ........................................................................................... 12 4.7 Work Control Requirements ............................................................................................. 12

5.0 PERSONNEL REQUIREMENTS ................................................................................................. 13 5.1 Training and Qualification ................................................................................................ 13 5.2 Security and Badging Requirements ................................................................................. 14 5.3 Site Access and Work Hours ............................................................................................ 14

6.0 ENVIRONMENTAL, SAFETY, HEALTH, AND QUALITY REQUIREMENTS ..................... 15 6.1 Integrated, Safety Management System (ISMS)............................................................... 15 6.2 Contracting Company Safety Professional ....................................................................... 15 6.3 Contracting Company Supervisor Requirements: ............................................................. 16 6.4 Safety Requirements ......................................................................................................... 17 6.5 Cyber Security Requirements ........................................................................................... 20 6.6 Quality Assurance and Control ......................................................................................... 21 6.7 Construction Inspection and Test Plan ............................................................................. 23 6.8 Environmental Requirements............................................................................................ 23 6.9 Radiological Requirements ............................................................................................... 25

7.0 MEETINGS AND SUBMITTALS ................................................................................................ 25 7.1 Meetings............................................................................................................................ 25 7.2 Submittals ......................................................................................................................... 26

8.0 DELIVERABLES, PROJECT CONTROLS, MILESTONES, AND PERFORMANCE

SCHEDULE REQUIREMENTS ................................................................................................... 26 8.1 Deliverables ...................................................................................................................... 26 8.2 Milestones ......................................................................................................................... 27 8.3 Performance Schedule ...................................................................................................... 27

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ATTACHMENTS

A SUBMITTAL REGISTER

B FACILTY SKETCH NO. SK-2-400366

C GUY WIRE - INITIAL TENSION RESULT DOCUMENTATION

D TWIST & OUT-OF-PLUMB RESULT DOCUMENTATION

E W-76111-1 MET TOWER DRAWING (REFERENCE ONLY)

F JOB HAZARD CHECKLIST

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1.0 INTRODUCTION / BACKGROUND

At the request of Mission Support Alliance (MSA), Northwest Tower Engineering

(NWTE) visited the 405’ guyed meteorological (Met) tower site (#21) on the Hanford

Nuclear Reservation near Richland, Washington. The purpose of the visit was to visually

observe the condition of the tower and obtain pertinent information for a structural analysis.

Inspection criteria included the observation of guy-wire tension and determination of

whether tensions are within the specified allowable tolerance range included in TIA/EIA-

222-G tower design standard. NWTE determined that several of the guy wire initial

tensions for met tower #21 are not within the design tolerance range. MSA and HAMTC

held a work turndown meeting on Tuesday, May 8, 2018 regarding the tensioning of the 1

½-inch to 1 ¾-inch guy-cables on the 400’ tower and agreed that this work should be

performed by a subcontractor.

2.0 DESCRIPTION OF WORK – GENERAL

The NWTE Report (No. 171183.03, R1) recommended that the Met tower #21 should have

guy wire initial tensions adjusted to 10% of breaking strength. This Statement-of-Work

(SOW) pertains to the work associated with performing these adjustments.

3.0 DESCRIPTION OF WORK – SPECIFIC

The successful subcontractor shall provide and manage the labor (including participation

in training), equipment, materials (including consumables), and services (including Quality

Assurance, testing and inspection) required to complete the guy wire tension adjustments

and testing necessary to verify that the guy wire tension is 10% (+ 1%) of cable breaking

strength per the TIA-222-G standard.

MSA will oversee the work activities and provide engineering support during the

performance of the contract. The subcontractor is required to provide badged and trained

professional personnel with knowledge of safely working on the Hanford Site. Specific

safety and training requirements are identified elsewhere in this SOW.

All work is to be coordinated with the designated MSA Construction Manager.

3.1 Task(s)

The following list of tasks is broad in scope, identifying major work elements only, and

should not be considered all-inclusive:

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Schedule work when existing and/or forecasted weather conditions permit safe

performance of work.

Close and barricade the affected work area to prevent personnel from accessing area

during work activities.

Adjust the clevises/turnbuckle for 1 ½” diameter and 1 ¾” diameter BS (Bridge Strand)

guywire cables to ensure that the tension in each cable is 10% (+ 1%) of the breaking

strength of respective cables as listed in Table 1 and sketch SK-2-400366.

Guy Wire

Guywire size (in)

Breaking Strength (LB)

Initial Tension (LB) ( 10% + 1% Breaking

Strength)

1A 1.75 BS 376000 37600 + 3760

1B 1.75 BS 376000 37600 + 3760

1C 1.75 BS 376000 37600 + 3760

2A 1.5 BS 276000 27600 + 2760

2B 1.5 BS 276000 27600 + 2760

2C 1.5 BS 276000 27600 + 2760

Table 1 - Guywire Information

Perform the clevises/turnbuckle adjustment in a sequence that ensures that tower

remains plumb during the tensioning process.

Perform the work such that any future maintenance/adjustments shall easily be

performed at the ground-level turnbuckles to eliminate future adjustments at the upper

level.

Verify and document the adjusted tension in Attachment C.

Verify the twist and out-of-plumb per TIA-222-G, Annex J, Figure J-1 and document

per Attachment D.

Remove barricades and re-open affected area.

Clean up and restore all areas affected to pre-existing conditions.

Coordinate with the MSA Construction Manager and MSA Design Authority (DA) to

conduct a Post-Construction Inspection.

3.2 Sequencing

No special sequencing is required.

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3.3 Acceptance Criteria

A. All work shall be performed in strict accordance of this SOW, Facility Specifications,

and manufacturer’s specifications.

B. The Design Authority (DA) shall perform final acceptance inspection of the completed

work and document the inspection in accordance with MSC-PRO-ENG-286, Testing

of Equipment and Systems.

3.4 Special Requirements

A. The subcontractor shall provide the BTR/Construction Manager five days’ notice prior

to performing work that requires a Lockout/Tagout (LOTO) and Electrical Hazard

Evaluation (EHE).

B. “Two Minute Drill” Card

After contract award, all subcontract employees (including sub-tier employees) will be

issued a “Two Minute Drill” card. The “Two Minute Drill” is an operational

technique/tool designed to improve situational awareness and identify changing

conditions during the performance of the contract. Subcontract employees are required

to possess and use the “Two Minute Drill” card throughout the duration of the contract.

Using the card as a guide, subcontract employees are required to navigate through a list

of simple questions before starting work for the day, after scheduled breaks, and

whenever there is a significant change in the work scope or jobsite conditions.

3.5 Organizational Interfaces

The subcontractor shall interface with the Buyer and other various organizations through

the Contract Specialist (CS) (or designee), as required, at points and frequency

incorporated elsewhere in this SOW and Subcontract documents. All field communication

shall be transmitted through the MSA Construction Manager. Any direction that could

impact costs, schedule, or work outside the scope shall not be recognized if direction in

writing has not been issued through the Contract Specialist.

3.6 Site Conditions and Known Hazards (Facility Specific)

Site facility specific conditions/requirements and known hazards are as incorporated in this

SOW.

Safety/Health assumptions include the following:

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Asbestos: It is not anticipated that asbestos bearing materials will be disturbed

during the performance of this work. All asbestos containing material (ACM)

and presumed asbestos containing material (PACM) will be handled in

accordance with MSC-RD-WP-15097, Asbestos Control – Construction

Industry.

Hexavalent Chromium is not expected. Notify the Buyers Technical

Representative (BTR)/CM prior to performing any cutting, burning, welding,

grinding, or polishing of metals or painted surfaces to assure work will be

planned in accordance with the MCS-PRO-WP-48065, Subcontractor Safety

Processes, with the hazards identified on the Job Safety Analysis (JSA), and

review by IH to assure adequate controls are in place, prior to the performance

of work.

Silica: If concrete or asphalt material is to be cut, chipped or ground the

subcontractor must submit a Silica Exposure Control Plan for review and

approval by the MSA Industrial Hygienist (IH) to ensure that adequate controls

are in place prior to the performance of work.

Radiological Contamination: There is a potential that the guywires may exhibit

background radiological contamination above natural background.

3.7 Government Furnished Materials and Equipment

None.

3.8 Site Coordination Requirements

A. Construction Facilities and Temporary Controls

Parking for subcontractor’s company vehicles is available at the job site.

First aid and emergency care facilities for first line and emergency medical

attention are available at the Hanford Site Occupational Medical Contractor

(HSOMC), located at 1979 Snyder in Richland or 2719WB in the 200 West Area.

For after hours or immediate response call 911 on a plant phone or 373-0911 on a

cell phone. The Subcontractor may self-treat employees for minor first aid injuries.

Where an employee has a medical condition that requires treatment from a medical

specialist, the Subcontractor must take the employee to HSOMC for evaluation and

treatment.

The subcontractor shall provide:

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Generators for necessary construction power. Generators must be grounded

in accordance with NEC and/or manufacturer’s recommendations.

Cell phones to supervisory personnel.

Portable toilets for subcontract personnel.

Drinking Water & Ice for subcontract personnel.

The subcontractor is required to maintain copies of all documents pertinent to the

work (e.g. JHAs, work releases, pre-job briefings, training records, permits,

released drawings, specifications, etc.) at the job site for the duration of the contract.

The subcontractor shall restore all areas disturbed by construction activities during

the project to pre-existing conditions prior to demobilizing from the job site.

B. Permits

Buyer will provide the permits, as required, to the subcontractor within 5 working

days of written request. The subcontractor is not authorized to start work requiring a

permit prior to receipt of the associated permit.

Other permits, such as Hot Work Permits, are the responsibility of the Subcontractor

to complete and provide to the MSA Construction Manager for review/signature.

C. Exercises and Drills

The Hanford Site performs various emergency or response drills on an average of

once every three months lasting approximately 2 hours. Subcontractor personnel

working within the drill area are required to participate in all drills unless exempted

in writing.

D. Outage Requests

The subcontractor shall provide five (5) days advance notice for systems requiring an

outage or lockout/tagout for the control of hazardous energy. MSA shall fulfill the

role of Controlling Organization for all lockout/tagout operations.

3.9 Delivery, Storage, and Handling

Not Applicable.

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4.0 TECHNICAL REQUIREMENTS

The subcontractor shall perform all work in accordance with the national codes,

specifications, drawings, exhibits, and any other documents, which by this reference are

made a part of the SOW.

Once the work is complete and ready for inspection, the BTR/CM will arrange inspection

of the work by governmental personnel/agencies (as required) upon request of the

subcontractor.

4.1 Codes and Standards

Unless specified otherwise, the applicable portions of the current edition or revision of the

code in effect on the date of award shall be used.

Code of Federal Regulations (CFR):

29 CFR, Labor

o Part 1910 Occupational Safety and Health Standards

o Part 1926 Safety and Health Regulations for Construction

10 CFR 851, Worker’s Health and Safety Program

National Fire Protection Associate (NFPA)

NFPA 101, Life Safety Code

NFPA 1, Fire Code (Fire Department Access)

Technical Standards:

All components shall be designed, procured, tested, and/or inspected in accordance

with recognized industry codes or standards.

It is the subcontractor's responsibility to identify codes or standards that apply to

each component. Technical codes, standards, and references are found above

and/or on the sketches.

4.2 Drawings, Specifications and DCNs

Specification No. Rev./Ed. Title

N/A

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Forms and exhibits are identified in other sections of this SOW and are hereby incorporated

into, and made a part of this SOW. They shall have the same force and effect as if written

into the body of the SOW.

4.3 Electrical Safety Requirements

A. All electrical control panels and electrical equipment (a general term including

material, fittings, devices, appliances, luminaries [fixtures], apparatus, and the like used

as a part of, or in connection with, an electrical installation) delivered or brought onto

the site in performance of this Subcontract must be labeled by an organization currently

recognized by the Occupational Safety and Health Administration (OSHA) as a

nationally recognized testing laboratory (NRTL).

B. All electrical equipment installed as part of this Subcontract must comply with the NEC

and where applicable NESC. The CM/BTR will coordinate inspection of electrical

equipment and installations for NEC compliance. The Subcontractor is responsible for

notifying the CM/BTR when installations are available for inspection.

C. Electric motors shall be labeled to be in accordance with National Electrical

Manufacturers Association (NEMA) MG-1 or listed by an organization currently

recognized by OSHA as an NRTL.

D. Electrical equipment and devices for which there is a NRTL listing category must be

Listed or Labeled by Underwriter’s Laboratory (UL) or another OSHA recognized

NRTL.

1. The Canadian Standard Association (CSA) is not a recognized OSHA approved

NRTL marking unless the label includes “US” or “NRTL.”

2. The European Union CE Markings Directive 93/68EEC is not a recognized

OSHA approved NRTL marking.

3. The International Electrotechnical Commission (IEC), IEC Standard 60529 for

enclosures (IPxx), is not recognized as an acceptable OSHA approved NRTL

label.

E. Electrical equipment for which there is no listing category must be approved in writing

by the NFPA 70 Authority Having Jurisdiction (AHJ) and evaluated or tested using a

method submitted to and approved by the CM/BTR prior to delivery of the equipment.

Sketch No. Rev. Title

SK-2-400366 00 SOW FOR GUY WIRE TENSION FOR MET TOWER #21

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F. Electrical equipment is also subject to the “Counterfeit Suspect Item Program” as stated

in the General Provisions of the Subcontract.

G. Subcontractors shall notify the CM/BTR before energizing, de-energizing,

troubleshooting, or repair of electrical circuits. A specific submittal (see Attachment A,

Submittal Register) shall be identified for continuity and unintentional ground tests of

new equipment and wiring prior to energizing.

4.4 Electrical Work Place Safety

Where work performed on equipment that is de-energized and placed in an electrically safe

condition exists in a work area with other energized equipment that is similar in size, shape,

and construction; safety signs, symbols, or accident prevention tags shall be used where

necessary to warn employees of electrical hazards that might endanger them.

Where the possibility of encroachment into the prohibited space of overhead power lines

exists, contact CM/BTR to coordinate with Electrical Utilities for a site visit. A trained

“Spotter for Electrical Hazards,” may be required.

4.5 Hoisting and Rigging Requirements

All onsite hoisting and rigging activities shall be performed in accordance with DOE-RL-

92-36, Hanford Site Hoisting and Rigging Manual.

4.6 Fire Protection Requirements

The fire prevention requirements will be controlled through the issuance of the Hanford

Fire Marshal Permit or Hot Work Permit, as necessary. Fire on the Hanford Site should

be reported by calling 911 (on any site landline) or (509) 373-0911 (on cell phones).

4.7 Work Control Requirements

A. Work Release for Construction/Service Organizations Form Site Form BC-6001-394.

The subcontractor is required to complete and provide the form to BTR designee

(normally the Construction Manager) for release of work prior to start of said work on

a daily basis, unless directed otherwise. The Subcontractor shall meet prior to end of

shift daily to discuss progress with the designee. Work shall be limited to listed

activities. If unlisted or unforeseen work activities are required to be performed the

release shall be modified and approved by Contract Specialist prior to performance of

the work.

B. During the performance of this Subcontract, the subcontractor shall have on site a

representative authorized to receive instruction or other communication. Any written

communication given to said representative shall be deemed as delivered to the

Subcontractor.

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C. The subcontractor shall maintain a record drawing set in the field for spot verification

of compliance to Subcontract requirements. The field drawing set shall be updated

with red line markings of any changes and at completion of construction provided to

the CM/BTR.

D. The Request for Clarification or Information (RCI) process (Site Form A-6003-063)

shall be used by the subcontractor to record and provide information to the CM/BTR

for circumstances that deviate from or require clarification to the Subcontract

documents. The CM/BTR will provide resolution in the form of a response recorded

on the RCI. The RCI process shall not be used to document and resolve subcontractor

nonconforming conditions.

5.0 PERSONNEL REQUIREMENTS

5.1 Training and Qualification

A. The Subcontractor shall ensure that its personnel meet and maintain the appropriate

training, qualification, and certification requirements prior to performance of work as

follows:

All Subcontractor personnel shall complete MSA General Employee Training

(MGET) (4-hour average per individual).

If a Lockout/Tagout is required, only personnel trained to the DOE Site Lockout/

Tagout Procedure DOE-0336 can be utilized. The subcontractor shall contact the

CM for the Controlling Organization requirements.

All subcontractor and sub-tier employees shall have completed OSHA Hazard

Communication training that meets the requirements of MSC-PRO-WP-13299,

Hazard Communication. See MSC-PRO-WP-10468, Chemical Management

Process, for more information.

The subcontractor and sub-tier subcontractors must meet the pre-qualification

requirements of MSA Contractor Safety Pre-Qualification Responsibility

Determination Worksheet (form A-6004-289).

Respiratory protection (DOE-0352, Hanford Site Respiratory Protection Program)

may be required depending on the chemicals chosen for this job. Review all Safety

Data Sheets (SDS) for manufacturer’s requirements to determine if respiratory

protection is required. Contact MSA IH if there are questions or concerns with the

viability of respiratory protection requirements.

B. Potential additional training: (may not be all inclusive depending on contractor method

of installation)

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043832 Aerial Lift Safety / OJE

044470 Forklift Operator Safety / OJE

044480 Electrical Safety for Non-electrical Workers

020147 Fall Hazard Recognition and Prevention

020440 Fall Protection PFAS Users

044391- Portable Ladder Safety (CBT)

044392- Competent Person Portable Ladder (CBT)

170500 Basic Medic First Aid/CPR/AED

020193 Heat/Cold Stress Prevention and First Aid

020194 Hearing Conservation (CBT)

Line Watch Training (Overhead Line)

5.2 Security and Badging Requirements

A. For any onsite work, see Special Provisions - On Site Services of the Subcontract

for details.

B. Subcontractor employees are required to obtain and wear a Buyer-issued Hanford

security badge. A minimum of two working days advance notice is needed to obtain

site badging.

C. Subcontractor’s employees are required to submit to vehicle searches and are

prohibited from carrying items listed as “Prohibited Items”.

5.3 Site Access and Work Hours

The construction site is accessible from 6:00AM to 4:30PM. The actual contractor work

hours will be coordinated through the Facility Work Release.

Personnel at the Hanford Site work a standard 4/10 schedule. The standard workweek

consists of ten (10) hours of work between 6:00AM and 4:30PM, with one-half hour

designated as an unpaid period for lunch, Monday through Thursday.

Work performed outside normal operating hours shall be coordinated and/or approved

through the CM/BTR prior to performing the work.

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6.0 ENVIRONMENTAL, SAFETY, HEALTH, AND QUALITY REQUIREMENTS

6.1 Integrated, Safety Management System (ISMS)

The subcontractor shall exercise a degree of care commensurate with the work and the

associated hazards. The subcontractor shall ensure that management of safety and

environmental functions and activities is an integral and visible part of the subcontractor’s

work planning and execution processes. As a minimum, the subcontractor shall:

Thoroughly review the defined scope of work.

Identify hazards.

Analyze hazards and implement necessary controls.

Perform work within controls.

Provide feedback.

The subcontractor shall apply principles listed in Special Provision – On Site Services of

the Subcontract.

The subcontractor shall flow down requirements of this SOW to lower tier subcontractor

performing work on the Hanford Site commensurate with the risk and complexity of the

work.

6.2 Contracting Company Safety Professional

The company’s safety professional is an individual that is not the supervisor for the project.

The safety professional works closely with their supervisor and their subcontractor’s

supervisor(s) to ensure that work is performed in a safe manner. Contractors will submit

the resume of their safety professional who meets the qualifications listed. The

responsibilities of that position are included below:

Qualifications:

OSHA 30-hour for Construction

Minimum of 5 years of construction experience with a role that involves Safety

and Health oversight

A certification such as OHST/CHST or greater OR a degree in Safety and Health

Current MSA’s Safety and Health Program Orientation (Given by MSA safety

and IH professionals)

Responsibilities:

Develop and maintain the Job Hazard Analysis throughout the project

Develop and maintain permits/plans that are generated by the subcontractor and

their sub-tier subcontractor(s)

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Perform daily inspections with the project supervisor (it is expected that the Safety

Professional will perform this at the job site)

Ensure that the project supervisor is documenting the daily inspections, including

both positive observations and deficiencies along with corrective action

Attend pre-job meeting at least once/week

Work alongside supervisor to ensure that equipment used onsite is properly

maintained

Work alongside supervisor to ensure that each employee’s (and sub-tier

employee’s) training records and EJTAs are approved prior to performing work,

and maintained current throughout the project.

Work alongside supervisor to ensure that products/chemicals (provided by the

subcontractor and lower-tier subcontractors) are submitted and approved prior to

use.

Attend kick-off meetings and progress meetings

Attend job walk-down after award of contract with supervisor, MSA Construction

Manager and MSA Safety Professional

Participate in scored inspections with supervisor, MSA Construction Manager, and

MSA Safety Professional

Attend high risk or critical activities

Be available in case of an unplanned safety event and perform necessary event

investigations

Participate in buyer investigations and fact-finding meetings

Work alongside supervisor to ensure that the work is being accomplished following

MSA and DOE Safety and Health procedures

Work alongside supervisor to help resolve employee concerns

NOTE: The safety professional’s responsibilities may increase if MSA determines that

more rigorous oversight is needed.

6.3 Contracting Company Supervisor Requirements:

The company’s supervisor is an individual that is running the project. The supervisor is

responsible for the safety of the project. The supervisor works closely with their

company’s safety professional and their subcontractor’s supervisor(s) to ensure that the

work is performed in a safe manner. Contractors will submit the resume of their supervisor

who meets the qualifications listed. The responsibilities of that position are included

below.

Qualifications:

OSHA 10-hour for Construction

Current First Aid and CPR training

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Current MSA’s Safety and Health Program Orientation (Given by MSA safety and

IH professionals)

Responsibilities:

Be on the job site when work is being performed and when equipment/materials

are being dropped off and picked up

Develop and maintain the Job Hazard Analysis throughout the project

Develop and maintain permits/plans that are generated by the subcontractor and the

sub-tier subcontractor(s)

Perform daily jobsite inspections

Document the daily inspections, including both positive observations and

deficiencies along with corrective action

Conduct pre-job meetings

Work alongside company safety professional to ensure that equipment onsite is

properly maintained

Work alongside company safety professional to ensure that each employee’s

(including sub-tier employee’s) training and EJTAs record is approved prior to

performing work and maintained current throughout the project.

Work alongside company’s safety professional to ensure that products/chemicals

(including products provided by sub-tier subcontractors) are submitted and

approved prior to use.

Attend kick-off meetings and progress meetings

Attend job walk-down after award of contract with company safety professional,

MSA Construction Manager and MSA Safety Professional

Participate in scored inspections with company Safety Professional, MSA

Construction Manager, and MSA Safety Professional

Assist with event investigations

Participate in buyer investigations and fact-finding meetings

Work alongside company Safety Professional to ensure that the work is being

accomplished following MSA and DOE Safety and Health procedures

Work alongside company Safety Professional to help resolve employee concerns

6.4 Safety Requirements

Unless specified otherwise, the applicable portions of the current edition or revision of the

code in effect on the date of award shall be used.

10 CFR 851, Workers Health and Safety Program

Buyer’s safety and health procedures. MSA Safety Program and Worker Protection

are available on the internet as a “Worker Protection Virtual Manual” at

(http://www.hanford.gov/pmm/page.cfm/Construction)

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The Special Provisions – On-Site Services paragraph of the Basic Ordering

Agreement (BOA) subcontract includes a comprehensive list of MSA Safety

Procedures. While not all of the listed procedures/documents will apply to this

scope of work, it is the subcontractor's responsibility to identify and comply with

the applicable documents. The subcontractor shall stop work and notify the

BTR/CM, if an unplanned for risk or hazard is discovered that is not covered by

these documents. The subcontractor shall notify the BTR/CM if the

unexpected/unplanned for condition exposes the employees to a hazard that could

require a Medical Monitoring Program.

The subcontractor is accountable for the safe performance of the work, and the

protection of its employees, the public and the environment.

The subcontractor shall comply with applicable laws, regulations, and directives.

Subcontractor will identify hazard(s) requiring a unique safety plan: (i.e., Railway

use, Special chemical or process, etc.) and submit to BTR/CM for approval prior to

performing onsite work.

The subcontractor shall complete a detailed daily documented, via form A-6005-

766, pre-job safety meeting with employees and support personnel required for the

work scope. The subcontractor shall keep the completed forms in the

subcontractor’s Site Book. At the completion of the job, the BTR/CM may request

these forms to be provided to MSA at the close out of the task.

If Industrial Hygiene (IH) monitoring is required for hazard (noise, chemical,

hazardous environment, etc.) it shall be documented in the JSA. The MSA IH will

provide equipment, monitoring personnel, and be responsible for records

maintenance (including communication of monitoring results).

If heat/cold stress monitoring is deemed necessary, the buyer may provide

equipment and training upon request. The SUBCONTRACTOR may use onsite

services for WBGT readings, such as the Hanford Meteorological Station, for a

standard work area. The SUBCONTRACTOR is responsible for records

maintenance per the applicable procedure (including communication of monitoring

results).

Prior to start of Work the subcontractor shall submit a hazard analysis to the

BTR/CM:

Implementation of protective actions such as evacuation/take cover.

The subcontractor shall:

o Ensure that equipment used on the project site meets applicable federal and

state regulations, manufacturer’s operations and safety requirements, and

buyer’s safety requirements.

o Submit a subcontractor Chemical Inventory Worksheet (CIW) (site form A-

6003-412, Section A) for BTR review/approval. Note: Refer to MSC-

PRO-WP-10468 “Chemical Management Process” for instructions on

completing this form.

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o Post Part A of the approved CIW (listing each product, the product name,

the storage location, the total amount stored and the container size/type) at

the chemical storage location.

o Maintain copies of the Material Safety Data Sheets (or Safety Data Sheets)

for each chemical on the job site.

o Submit a revised CIW before bringing new chemicals on the job site.

o Provide additional data as necessary in support of the Emergency Planning

Community Right-to-Know Act of 1986.

o Remove, at the completion of the project, unused chemical products from

the job site.

o Submit a completed CIW showing the total quantity of each chemical of

interest, EHS and TRI product used (section D of the CIW).

o Projects are required to have and follow a Project Specific Hazard

Communication Written Program (PSHCP) per MSC-PRO-WP-10468.

An example of this can be found at

http://www.hanford.gov/pmm/page.cfm/ContractorForms

o Participate in walk-down of the actual construction site with the Buyer’s

Safety Representative prior to start of onsite work.

o Maintain the work area in a neat, clean, and safe condition; and maintain

access to the building for facilities personnel through the use of signs and

barricades. Post “Construction Area” or appropriately worded signs

accordingly. Remove generated materials from the premises upon

completion of the work.

o Subcontractors and its lower-tier subcontractors shall be responsible to

complete an Employee Job Task Analysis (EJTA) in accordance with MSC-

PRO-WP-11058 for of the following situations:

For subcontractor employee who will be on the Hanford Site for

more than 30 days in a year.

For subcontractor employee who may potentially be exposed to

hazards (e.g. radiological, beryllium, hazardous wastes, noise) while

performing in accordance with the subcontract SOW.

For subcontractor employee enrolled in a medical or exposure

monitoring program required by 10 CFR 851, and/or other

applicable federal, state or local regulation or other obligation.

If the above conditions are met, the subcontractor and its lower-tier subcontractor employee

is to have a current approved EJTA prior to that employee beginning work on the Hanford

Site.

Failure of the subcontractor or its lower-tier subcontractor(s) to comply with the health and

safety requirements set forth in this Subcontract shall constitute a material breach of the

Subcontract, entitling Buyer to terminate said Subcontract.

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6.5 Cyber Security Requirements

The work activities for this SOW have been designated as Low/Medium in accordance

with the Federal Information Processing Standards (FIPS 199).

The subcontractors and its lower-tier subcontractors shall have a Cyber & Industrial

Control System Security Program and implementing procedures that utilizes a national or

international voluntary consensus standard such as NIST 800-82, NIST 800-83 and FIPS

199 (or equivalent) that includes (as a minimum) the following requirements:

Least privilege in system and application development, to include internal

operations

Account management principles for system and application development

following these guidelines:

o Password:

o Complexity (8 characters, numbers, special characters, etc.)

o Usernames and passwords are not hard coded in the application

o Passwords expire

o No password reuse

o Ability to remove account

o Capable of forced password reset

o No interactive service accounts

o Usernames are unique

o Implement role-based access

o Automated account management tool

Breach disclosure and notification process

Patching policy and software update process for installed ICS systems in

customer environments

Flaw remediation policy

Internal vulnerability discovery process

Enterprise anti-malware software implementation

Source code management process

Outsource and/or third-party controls/management process

Log management process

The Cyber & ICS Security Program documents addressing the above requirements and

implementing procedures are required to be reviewed, evaluated, and approved by MSA

Cyber Security Organization upon award of the subcontract. The subcontractors and its

lower-tier subcontractors shall, during the performance of this Subcontract, submit

proposed changes to the program and implementing procedures to the Buyer/QAE/CS for

review and approval prior to implementation.

The subcontractors and its lower-tier subcontractors shall be responsible for performing

secure workmanship and shall conduct the security control measures necessary to ensure

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that all work confirms to referenced codes, standards, and other requirements as defined

by this SOW.

If the subcontractors and its lower-tier subcontractors subcontracts any portion of this

work scope to lower-tier subcontractors, the subcontractors and its lower-tier

subcontractors shall be responsible for the flow down of applicable portions of this SOW

to their lower-tier subcontractors, including cyber & ICS requirements, pertaining to

services and activities for which they are responsible.

All subcontractors’ and their lower-tier subcontractors’ activities are subject to oversight

by MSA’s cyber security and/or engineering representative(s) at the subcontractors’ and

its lower-tier subcontractors’ facilities, including lower-tier facilities if applicable.

Access to the subcontractors and its lower-tier subcontractors or lower-tier’s facilities

shall be requested through the subcontractors and their lower-tier subcontractors’ contract

representative and MSA’s cyber security. The visit may be performed jointly with the

subcontractors and its lower-tier subcontractors.

6.6 Quality Assurance and Control

A. The work activities associated with this SOW have been designated as Quality Level

(QL) 3, General Service (GS) by the applicable Design Authority and/or Technical

Authority. Therefore, based on a graded approach, the subcontractor shall document,

implement, and maintain a Quality Assurance Program (QAP) that utilizes a national

or internationally recognized voluntary consensus standard, or equivalent (i.e., ISO-

9001, ASME NQA-1, 10 CFR 830.122, etc.). The subcontractor’s QAP shall be

submitted to the Buyer for review and approval prior to performing work activities

and every 3 years thereafter, depending on the length of the contract. Furthermore,

the subcontractor shall, during the performance of this contract, submit proposed

changes to the QAP to the Buyer for review prior to implementation.

B. The subcontractor, including sub-tier subcontractors, shall be responsible for

performing quality workmanship and shall conduct quality control measures

necessary to ensure that work conforms to applicable drawings, specifications,

referenced codes and standards, and other requirements defined in this SOW. When

subcontracting portions of this Contract, the subcontractor is required to invoke the

applicable Quality Assurance Program requirements on their sub-tier subcontractors.

C. The Buyer reserves the right to verify the quality of work at the subcontractor’s

facility, including sub-tier subcontractor’s facility. Access to a sub-tier

subcontractor’s facility shall be requested through the subcontractor and verification

may be performed jointly with the subcontractor. Provide advance notification to

MSA in accordance to Subcontract documents prior to performance of tests or

inspections.

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D. The subcontractor shall ensure that work activities are performed in accordance with

documented instructions, procedures, and/or drawings that include appropriate

acceptance criteria for determining that prescribed activities have been satisfactorily

accomplished. Furthermore, the subcontractor is responsible for ensuring that

procedures, instructions, and drawings, are controlled in a manner to ensure that only

correct documents (including current revisions) are being used to perform work

activities.

E. The subcontractor is responsible for ensuring that items being furnished comply with

procurement documents. The subcontractor shall warrant that items furnished under

this contract are genuine, (i.e., not suspect/counterfeit) and match the quality, test

report, markings, and/or fitness for use required by the contract. Controls shall be

established to assure that only correct and accepted items are used and/or installed.

Markings or identification shall be maintained on the items (or in documentation

traceable to the items) or in a manner that assures identification is established and

maintained. Refer to following website for suspect/counterfeit provisions:

https://www.energy.gov/sites/prod/files/2014/06/f16/SCI_Training_Manual.pdf

F. Items that do not conform to specified requirements shall be controlled to prevent

inadvertent installation and/or use. Nonconforming conditions shall be documented

on the subcontractor’s nonconformance form. Nonconforming conditions identified

with a proposed disposition of “Accept-As-Is” or “Repair” shall be approved by the

Buyer prior to corrective action being taken by the subcontractor. The following are

definitions of Accept-As-Is and Repair:

Accept-As-Is – A disposition permitted for a nonconforming item when it has

been established that the item is satisfactory for its intended use without repair or

rework.

Repair – The process of restoring a nonconforming characteristic to a condition

such that the capability of an item to function reliably and safely is unimpaired,

even though the item does not conform to the original requirements.

After the recommended disposition has been evaluated by the Buyer, the form

shall be returned to the contractor with the disposition of approval or rejection.

The subcontractor is then allowed to resume work activities for approved non-

conformances only.

NOTE: A subcontractor nonconformance exists when items or work do not

conform to specified technical requirements as specified in the procurement

documents.

G. Subcontractors performing special processes, such as those used in welding, heat

treating, and non-destructive examination, shall ensure that those processes are

performed by qualified personnel using qualified procedures in accordance with

specified requirements.

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H. The Buyer shall perform oversight to verify compliance to contract requirements.

The Buyer shall be given 5 working days’ notice of tests to be made by the

subcontractor or its lower-tier subcontractors in order that the Buyer may witness

such tests. The Buyer reserves the authority to assign “Hold Points” to inspection/test

activities performed by the subcontractor or its lower-tier subcontractors in order to

witness those inspection/test activities.

I. The subcontractor shall provide for and/or maintain an internal quality

control/inspection system in accordance with the requirements of the contract. When

tools, gauges, instruments, or other measuring and test equipment (M&TE) are

required for inspection and/or test activities, the subcontractor shall ensure they are

controlled, calibrated, and maintained.

The subcontractor shall maintain and deliver documents in accordance with the

Submittal Register of this SOW (or more frequently as required by the drawings and

specifications). The subcontractor shall perform and document inspections and

testing as specified. Inspection and testing personnel shall be appropriately qualified.

As applicable, Measuring and Test Equipment (M&TE) used in performance of

inspections and testing shall be calibrated using standards traceable to the National

Institutes of Standards and Technology (NIST).

J. The subcontractor is responsible for generating, storing, maintaining, and submitting

records. Records shall be stored in manner that minimizes the risk of loss, damage, or

destruction. Submitted records (as indicated in the SOW Submittal Register or

Construction Specification) shall be complete, legible, and reproducible.

6.7 Construction Inspection and Test Plan

The subcontractor shall submit a Construction Inspection and Test Plan (CITP), which

defines the specific inspections and tests required for this contract that includes specific

methods used for documenting inspection and test activities. The subcontractor shall

provide a list of personnel that will be performing inspections and test activities, including

qualifications, certifications, and test agencies, as required by procurement documents.

The CITP shall include lower-tier subcontractor inspection and testing certifications and

testing agencies to be utilized for this contract, as applicable.

6.8 Environmental Requirements

Environmental support and issues shall be coordinated through the CM.

A. Communications with regulators, for example State of Washington Department of

Ecology “Asbestos Notice of Demolition and Renovation,” shall be coordinated

through the CM.

B. The subcontractor shall maintain a spill kit onsite during the use of materials and/or

storage of equipment. The kit shall be sufficient in nature to contain spills that may

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occur during use or storage of a product or equipment. The subcontractor personnel

shall be familiar with the use of the spill kit and the requirements of this section.

C. The subcontractor shall notify the CM of unplanned releases or spills of hazardous

materials (including petroleum products), hazardous substance, and/or dangerous

waste as described below:

Emergencies: If the spill is an emergency, immediately call 911 (onsite

landline telephone) or (509) 373-0911 (cellular telephone). Then notify CM

in accordance with the “non-emergencies” procedure below.

Non-emergencies: If the spill is a non-emergency, notify the CM within 30

minutes of discovery.

D. The subcontractor shall perform the cleanup of spills as directed by the CM.

E. The subcontractor shall coordinate waste management activities through the CM.

F. The subcontractor shall avoid generation of dangerous waste during performance of

work on the Hanford Site. If dangerous waste generation is unavoidable, and it is not

discussed in “Planned Waste Generation/Disposal Information” of the CIW, the

subcontractor shall submit a “Waste Planning Checklist,” (Site Form A-6002-827),

for management of the generated waste, to the Buyer for approval prior to performing

work. With regards to applying federal and state regulatory requirements, the

subcontractor is considered a “large quantity generator” on the Hanford Site.

The Buyer will dispose of dangerous waste that was generated on the Hanford Site in

accordance with Hanford Site requirements after initial accumulation by the

subcontractor. Treated wood materials (e.g., treated railroad ties and power poles)

that are removed from their site of origin due to project activities shall either be

reinstalled at the original location and configuration, re-used on the project site for

beneficial use (e.g., general construction, landscaping), or relocated to an approved

staging/accumulation area as directed by the BTR.

G. The Buyer will dispose of asbestos waste that was generated on the Hanford Site in

accordance with Hanford Site requirements after initial accumulation by the

subcontractor.

H. Inert waste (e.g., broken asphalt [except roofing material], broken concrete and

overburden/spoils material such as rock, earth, brick, and glass) may be disposed by

the subcontractor at no charge at Pit 9 on the Hanford Site. “Waste Profile Shipment

Record for Disposal of Inert Waste at Pit 9,” (Site Form A-6005-325), will need to be

completed prior to entrance and disposal within Pit 9. The subcontractor shall notify

the CM at least 48 hours prior to scheduled/planned deliveries into the pit.

I. The subcontractor shall not discharge wastewater on the Hanford Site without written

approval from the CM. Wastewater resulting from washing concrete trucks, pumps,

forms, and associated equipment shall only be discharged in specified area(s). After

the concrete has set up at the discharge location, it shall be collected and disposed of

by the subcontractor as inert waste.

J. The subcontractor shall discharge excavated soils/sludge only in locations that have

been clearly communicated to the subcontractor by the CM.

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K. Other wastes generated by the subcontractor during this work activity shall be

disposed of by the subcontractor in accordance with applicable laws, regulations, and

Hanford requirements.

L. With the exceptions listed below, the subcontractor shall submit an inventory of

internal combustion engines (e.g., generators), including the brake horsepower, prior

to bringing them to the Hanford Site, to the CM for review/approval to ensure

regulatory compliance to WAC 173-400-035. The following internal combustion

engines do not need to be listed:

Those that are in or on a piece of equipment that is self-propelled or serves a

dual purpose by both propelling itself and performing another function (such

as garden tractors, off-highway mobile cranes and bulldozers); or

Those that are in or on a piece of equipment that is intended to be man-

propelled while performing its function (such as lawnmowers and string

trimmers).

The Buyer will notify the permitting authority if required under WAC 173-

400-035. The CM will notify the subcontractor of additional requirements

triggered by the notifications (e.g., ultra-low sulfur fuel).

M. Workers must be instructed to watch for cultural materials (e.g., bones, artifacts) at all

times during project activities. If cultural materials are encountered, stop work within

the immediate vicinity of the find and notify the CM/BTR.

N. If this activity is to be initiated during active nesting season (i.e., between mid-March

through end of July),the subcontractor shall notify the CM to initiate a review of the

area that is to be disturbed to make sure no nesting is occurring within the affected area.

The subcontractor shall instruct workers to watch for active nests. When subcontractor

employees encounter active nests and/or nesting birds, or observe bird defensive

behaviors during project activities, the subcontractor must stop work in the immediate

vicinity of the nest and must contact the CM for additional review and required action.

6.9 Radiological Requirements

There are no radiological protection requirements for the area where work is to be

performed. Radiological Control Technician (RCT) support will be provided to perform

radiological verification survey prior to and during construction and for any materials being

removed from the Hanford Site or taken to Pit 9.

7.0 MEETINGS AND SUBMITTALS

7.1 Meetings

A. Site Labor Conference: Will be held between the Buyer, the appropriate Union(s), and

the Subcontractor before work commences at the Hanford Site in accordance with the

Site Labor Agreement (Article X, Section 6).

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B. Kickoff Meeting: Before start of Work, the MSA CS will schedule and conduct a

meeting with the Subcontractor and major sub-tier Subcontractors. This meeting

normally follows the Site Labor Conference and will last approximately 1 hour. The

purpose of the meeting is for the coordination of Work start-up, and familiarization of

project participants with the Work and the work site.

C. Progress Meetings: Coordination/progress meetings will be required on an as needed

basis (typically weekly) to exchange work related information, including but not

limited to design and scope changes, progress, coordination with water utilities, and

scheduling issues during the course of construction.

D. Safety Meetings: The Subcontractor shall perform daily “Back to Work” meetings.

Meetings shall be consistent with MSC-RD-WP-52359, Subcontractor Safety and

Health Requirements, and the requirements of this SOW. Late arrivals and/or visitors

shall be provided with the same daily briefing. Maintain documentation of all weekly,

daily, and special safety meetings.

7.2 Submittals

A. The required submittals for this Subcontract are listed in Attachment A, Submittal

Register, which also includes the Register definitions.

B. Items shall be submitted by the Subcontractor using the Site Form A-6003-061,

Subcontractor Document Submittal.

C. Substitutes: A completed Subcontractor Document Submittal Form shall be submitted

for each requested substitution. Substitution requires approval if an item is more

hazardous than the specified product or if the product callout includes the phrase such

as “or approved substitute.” Submitted data shall show “fit, form, and function”

equivalency, as well as cost savings, if any, to the contractually required item.

8.0 DELIVERABLES, PROJECT CONTROLS, MILESTONES, AND PERFORMANCE

SCHEDULE REQUIREMENTS

8.1 Deliverables

A. The following construction documentation, as appropriate, shall be maintained

throughout construction and submitted in accordance with the Subcontract Documents

or as identified herein:

Records and reports identified as deliverables in individual Specification Sections,

the CQCP, and other sections of this SOW shall be turned over to the CM/BTR

during the Punch-list process unless otherwise noted.

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As-built documentation (e.g. redlines) required within this SOW, and/or within

individual Specification sections, shall be submitted in accordance with Attachment

A, Submittal Register.

B. During the course of construction the Subcontractor shall complete Construction Daily

Activity Report (DAR) Site Form A-6003-054. The reports shall be used to provide a

daily recording of information pertaining to construction, safety, quality, and problems

associated with the Subcontract. Deliver each DAR to the CM/BTR the next work day.

C. The Subcontractor will be required to participate in the project turnover process by

assisting the CM/BTR in developing and completing the project punch list. The

Subcontractor shall notify the CM/BTR no later than one (1) day after completing the

punch list item(s).

8.2 Milestones

Coordinate work activities with MSA Construction Manager.

8.3 Performance Schedule

Submit Project Schedule for approval within five (5) calendar days after Notice of Award

covering activities for the duration of Subcontract. The schedule shall be in the form of a

bar chart and shall identify logical sequence and relationship of activities for design,

submittals, procurement, delivery, installation, Subcontracted work, milestones, and

testing and inspections of the work covered by the Subcontract. Activity durations shall

be in working days. Consider Hanford Closure Days (provided upon request) when

establishing schedule. Include line item resource loading as an attachment to the project

schedule. Identify dollar amount for labor and materials separately for each activity shown

on the schedule at a level of detail providing an accurate expenditure plan by month or

other work breakdown consistent with request for progress payments. Provide updated

resource loading documentation with monthly progress pay requests.

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ATTACHMENT A

SUBMITTAL REGISTER

1. Numerical submittal sequence number: Example: 1, 2, 3, 4,

2. Number of Copies and electronic and/or hard copy:

3. Format: Describes the type of submittal required:

MFC Microsoft Format Compatible application (Word, Excel, Access, PowerPoint)

GEN General or Open Format/Media

PDF Adobe Acrobat (Portable Document Format)

DWG An AutoCAD drawing using the Hanford standard formatting (See HNF-14660,

Off-Site Subcontractor Direction for the Preparation and Control of Engineering

Drawings)

4. Submittal Type:

APW = Approval Required Prior to Work Buyer must approve the Subcontractor’s

submittal prior to the Subcontractor being authorized to proceed with any

activity/work associated with the submittal).

AP = Approval Required (Buyer must approve the Subcontractor’s submittal; however,

work associated with the submittal may proceed prior to Buyer approval).

5. Vendor Information: Mark Yes if document(s) are VI, otherwise leave blank.

6. Description / Document Title: Title or general description of the document.

7. Submittal Date: Actual date or number of Calendar Days before or after a milestone that a submittal

is due from the Subcontractor: Example: June 1, 2005 or CD + 90 [90 days after Conceptual

Design Complete]

A Date of Award

CD Conceptual Design Complete

PD Preliminary Design Complete

FD Final Design Complete

M Mobilization

SC Start of Construction

EC End of Construction

RM Receipt of Material

8. Buyer Review Time (Work Days): Example: 3 Days

9. Subcontract Reference: Cross reference to the Subcontract requirement that defines this submittal:

Example: SOW 3.1.2

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Submittal Register:

The Subcontractor shall meet the required schedule and provide the documents specified in accordance with the following submittals.

Subcontract Number and Name: Revision:

1.

Submittal

No.

2.

No. of

Copies

*

3.

Format

4.

Type

5.

Vendor

Information

– Mark Yes

if VI,

Otherwise

Leave Blank

6.

Description / Document Title

7.

Submittal Date

(Calendar Days)

8.

Buyer

Review

Time

(Work

Days)

9.

Subcontract

Reference

1 1 PDF AP SF-1413 (subcontractor) SC 2 Days SP-4 (FAR

52.222-6)

2 1 PDF AP SF-1413 (for each lower tier subcontractor) SC 2 Days SP-4 (FAR

52.222-6)

3 1 PDF AP Lower tier subcontracts SC 2 Days BOA

4 1 MFC APW Chemical Inventory Worksheet SC 2 Days SOW 6.4.

5 1 PDF AP Completed Chemical Inventory Worksheet EC 2 Days SOW 6.4.

6 1 PDF APW Project Specific Hazard Communication

Program (PSHCP) SC

2 Days SOW 6.4.

7 1 PDF APW Safety Training Records SC 2 Days SOW 5.1

8 1 PDF APW Unique Safety Practices SC 5 Days SOW 6.4.

9 1 PDF APW Verification Letter of Current EJTA

(Ready to Work) SC 2 Days SOW 6.4.

10 1 PDF APW Safety Professional Supervisor SC 2 Days SOW 6.4.

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Subcontract Number and Name: Revision:

1.

Submittal

No.

2.

No. of

Copies

*

3.

Format

4.

Type

5.

Vendor

Information

– Mark Yes

if VI,

Otherwise

Leave Blank

6.

Description / Document Title

7.

Submittal Date

(Calendar Days)

8.

Buyer

Review

Time

(Work

Days)

9.

Subcontract

Reference

11 1 PDF APW Job Hazard Analysis SC 5 Days SOW 6.4.

12 1 PDF APW Hazard Communication Training Records EC 2 Days BOA

13 1 PDF APW Waste Planning Checklist (Form 6002-827)

SC 3 Days SOW 6.8.F

14 1 PDF APW Construction Schedule

A+5 5 Days SOW 8.3

15 1 PDF APW Equipment List

SC 3 Days SOW 6.4.

16 1 PDF APW Internal Combustion Engines Inventory

(Air Emissions) SC 3 Days SOW 6.8.L

17 1 PDF APW Construction Inspection and Test Plan (CITP) SC 5 Days SOW 6.7.

18 1 PDF APW Certification/Qualification for Inspection and

Test Personnel SC 5 Days SOW 6.6.

19 1 PDF APW Guy Wire Tensioning Plan SC 5 Days SOW 3.1

20 1 PDF APW Twist & Out-Of-Plumb Testing Plan SC 5 Days SOW 3.1

21 1 PDF AP Guy Wire Tensioning Testing Results

EC 10 Days ATTACH

MENT-C

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Subcontract Number and Name: Revision:

1.

Submittal

No.

2.

No. of

Copies

*

3.

Format

4.

Type

5.

Vendor

Information

– Mark Yes

if VI,

Otherwise

Leave Blank

6.

Description / Document Title

7.

Submittal Date

(Calendar Days)

8.

Buyer

Review

Time

(Work

Days)

9.

Subcontract

Reference

22 1 PDF AP Twist & Out-Of-Plumb Testing Results EC 10 Days ATTACH

MENT-D

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ATTACHMENT B

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ATTACHMENT C

GUY WIRE - ADJUSTED TENSION RESULT DOCUMENTATION

Tower Description : ____________________________________________

Test Date : ___________________________________________________

Weather Condition : ___________________________________________

Method used: ________________________________________________

Guy Wire

Guywire size (in)

Required Initial Tension (LB)

Field Verified Initial Tension (lb)

Remark (Pass/Fail)

1A 1.75 BS 3760 + 376

1B 1.75 BS 3760 + 376

1C 1.75 BS 3760 + 376

2A 1.5 BS 2760 + 276

2B 1.5 BS 2760 + 276

2C 1.5 BS 2760 + 276

Note: Attach additional sheet for calculation (if required)

Name Sign Date

Superintendent

Construction QC

CM (MSA)

Design Authority (MSA)

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ATTACHMENT D

TWIST & OUT-OF-PLUMB RESULT DOCUMENTATION

Tower Description : ____________________________________________

Test Date : ____________________________________________________

Weather Condition : ___________________________________________

Method used: ANSI EIA/TIA-222-G, Annex J, Figure J-1

Tower Elevation (ft)

Allowable Out of Plumb (in)

Actual Out of Plumb (in)

Remark (Pass/Fail)

0

175.6

364.9

Tower Elevation (ft)

Allowable Twist (deg)

Actual Twist (deg)

Remark (Pass/Fail)

0

175.6

364.9

Note: Attach additional sheet for calculation (if required)

Name Sign Date

Superintendent

Construction QC

CM (MSA)

Design Authority (MSA)

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ATTACHMENT E

W-76111-1 Met Tower Drawing (Reference Only)

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ATTACHMENT F

Job Hazard Checklist

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