J.1

PART III _ LIST OF ATTACHMENTS, EXHIBITS & OTHER DOCUMENTS

SECTION J - ATTACHMENTS

LIST OF'ATTACHMENTS

AttachmentNo.

Title Document Location

Section 8.9J-4 Subcontractor Request FormJ-5 Contractor Daily Report Section C 7.0

I-6 Correspondence and Submittal Process Section C 3.0, 7.0, 8.0,14.0

J-8 Contractor/Supplier Submittal Register Section C 3.0, 6.0,7.0,8.0

Section C 9.0J-1 1 Contract ModificationJ-12 Authorization of Overtime Section C 9.0J-13 EH&S Requirements for On-Site Work Section C 3.0, 7.0, 10.0

Section C 3.0J-1 3 Appendix 1

Drug Test Consent Form Section 8.2, Section C10.0

I-14

J-15 Site Security Requirements Section C 12.0 SectionH.79

J-16 Quality Assurance Section C 13.0 SectionH.22

J-l 8 Required Insurance Section H.24Section C 3.0J-25 Contractor Work Plan

Site Fire Protection Requirements Section C 10.0I-29U.S. Dept of Labor Wage Determination Section H.18

Fluor-BWXT I Portsmouth,,.

Contract No: Contractor Name

Attachment J-4SUBCONTRACTOR REQUEST FORM

Date:

Gontractor hereby advises Company of its intent to subcontract work under the above Contract as indicated below andrequests Company's notice of non-objection to this action.

1. Proposed subcontracto/s business name and address:

2. Description of work to be performed by proposed subcontractor:

3. Schedule.

Attach a schedule of proposed subcontract work including desired award date, milestones, completion date, andmanpower and equipment loadings.

4. Proposed subcontractor's qualifications.

Attach information on each of the following:

Prior experience with similar work including client and/or Fluor-BWXT Portsmouth (FBP) references.Licenses, certificates and registrations held by proposed subcontractor that are required for (or pertain to)the work to be performed.Su bco ntractor's safety prog ram and statistics.

5. ntractor rees it

lnclude all applicable contract requirements in its contract with proposed subcontractor.Provide subcontractor with all information that it receives on site work rules, safety requirements and otherwork conditions.Provide subcontractor's completed insurance certificate to FBP prior to mobilization of subcontractor at site.Retain full responsibility for the performance of the above referenced contract.Provide subcontractor with all information that it receives on Business Conduct and Ethics Expectations forSuppliers and Contractors.

1

2

3

1

2

345

Signature

Contractor FBP Notice of Non-Objection

Fluor-BWXT I Portsmouth;.Attachment J-4

SUBCONTRACTOR REQUEST FORMPrinted Name:

Title:

Date.

PART IV - REPRESENTATIONS A¡ID INSTRUCTIONS

SECTION K - IìEPRESENTATIONS. CERTIFICATIONS. AI\ID OTHER STATEMENTSOF OFFERORS

K.I AGREEMENT TO CONTRACT TERMS AND CONDITIONS/GENERAL PROVISIONS

K.2 REPRESENTATION AND CERTIFICATIONS, AND OTHER STATEMENTS OF OFFERORS

FLUOR BWXT PORTSMOUTH LLC

AGREEMENT TO CONTRACTTERMS AND CONDITIONS/GENERAL PROVISIONS

This proposal in response to RFP No.Provisions, Section I. (This block mthe Section I, General Provisions.)

is based on full acceptance of the General

ust be checked. The company will not entertain any exceptions to

t ] General Provisions, Section I, are accepted without exception'

All exceptions to provisions other than the General Provisions of this RFP are delineated and attached to

this form.

t I Provisions accepted without exception.

t I Provisions accepted with the following exception(s):

(Signature) (Date)

(Company)

FIuor-BWXf I eortsmouth.

Attachment J-5

Contractor Daily Report

Contractor Contract T¡tle Date

Contract No. Report No, Area

shift Hours WorkedFrom: To

Weather

MANPOWER NO TOTAL

HOURS

MAJOR EQUIPMENT NO. TOTAL HOURS

Description of Work Performed Today

Remarks by Contractor (delays, interruptions, deviations, extra work activities, unusual occurrences, etc., relevant to today's work)

Contractor Signature Title Date

FBP Comments and/or Exceptions

FBP Representative Signature Title Date

FBP-FRM-00884, Rev. 0 lÛrlLzl

ATTACHMENT J.6CORRESPONDENCE AND SUBMITTAL PROCESS

2

2.0

1.0

3.0

4.0

5.0

Table of Contents

INTRODUCTION.

CORRESPONDENCE AND COMMUNICATION.

DRAV/INGS AND DOCUMENT TRANSMITTALS.

CONTRACTOR'S DRAWING AND DATA SUBMITTALS.

REQUESTS FOR INFORMATION (RFD.

2

aJ

4

6

Rev.03101l2O12Page 1 of8

Fluor{&W | ft:r'hnr+uth ATTAGHMENT J-6CORRESPONDENCE AND SUBMITTAL PROCESS

INTRODUCTION.

It is the purpose of this Attachment to specify the procedures to be employed by

Contracior in the processing eorrespondence, Communications Submittals and Reqi.iest

for lnformation during performance of this Contract.

CORRESPONDENCE AND COMMUNICATION.

Routine communication bètween Company and Contractor shall be in letter format.

Letters may be faxed or sent via e-mail as a PDF file, but shall still be in letter format.

Such communication shall not be identified as requests for information nor shalltheysubstitute for any other written requirement pursuant to the provisions of the Contract.

2.1 Correspondence Numbering

All correspondence shall be between Company and Contractor and shall be

uniquely numbered by both Company and Contractor. The number on all

correspondence shall be as follows:

LTR-F/CON-XXXXXX-OO1

JJJJ.l.JJJJ J J J-++ Sequential numbering 001-999

J J J-++ Contract or PO Number

J J+-++ Sender's identi¡cation FROM (Company Acronym)/TO

J (Gontractor Acronym)

-)-+->-+-) Correspondence identification

2.1.1 Correspondence ldentification Codes are as follows:

FAX = Facsimile

E = Email

LTR = Letter

T = Contract Document Transmittal

2.1.2 The following sequential number system shall be used:

1) Separated by Contract No., there is one sequential numbering system

common to Facsimiles and Letters beginning with 001, for example:

LTR- F/CO N-XXXXXXX-OO 1, FAX-F/CO N-XXXXXXX-o02, LT R-F/CO N -

XXXXXXX-OO3, etc.

2) Separated by Contract No., there is one sequential numbering system forDocument Transmittals, beginning with 001, for example:

T- F/CO N-XXXXXXX-O0 1, T- FiCO N -XXXXXXX-002, etc'

2.2 Correspondence Register

1.0

2.4

Rev.03/01/2012

Page 2 01 ö

Fluor-f,&W I Ptrrtsnrouth ATTACHMENT J.6CORRESPONDENCE AND SUBMITTAL PROCESS

o Contractor/Supplier shall maintain a register of all correspondence withCompany, noting the sequence number, the correspondence date, theoriginator and a description (subject, reference, etc.).

2.3 All communications (with the exception of Contract Site lnstructions, Requestsfor lnformation and responses thereto, Contract Document Transmittals andContract Daily Reports) will be covered by written correspondence.

2.4 All written correspondence from Contractor will be signed by Contractor'sauthorized representative and shall be issued/delivered to Company's Buyer.Correspondence from Company shall be issued in the name of Company'sauthorized representative, and shall be signed by Company's Buyer or otherCompany representative if authorized by Company's Buyer.

2.5 Any correspondence not issued in accordance with this procedure will not havecontractual validity and Contractor waives any entitlement, recourse or othenryiseunder this Contract that may arise as a result of acting in accordance withunofficial correspondence.

DRAWINGS AND DOCUMENT TRANSMITTALS.

3.1 Company Drawings and Specifications

Drawings, specifications and other related documents will be transmitted toContractor under cover of the "Company Document Transmittal" form. Contractorshall acknowledge receipt of such documents by following requirements providedon the form, signing and returning the duplicate form. The form will be numberedas for letters, except that the designator letters "LTR" shall be replaced by "T",and a separate sequence of numbers shall be used.

3.1.1 Documents marked other than "ISSUED FOR CONSTRUCTION" (lFC) ornot marked, shall be considered as example drawings issued "ForGeneral lnformation Only." These items will be noted as such under the"Status" column on the "Company Document Transmittal" form.

3.1.2 Company shall issue one (1) reproducible and one (1) copy of alldrawings over size A3 (1 1"x17"). Drawings size A3 (11"x17") and belowand specifications shall be issued in one (1) copy only. One (1) copy ofdrawings and specifications provided to Contractor shall be maintained byContractor in his site office and shall be made available for inspection anduse by Company upon request.

3.1 .3 Company may issue an electronic copy of documents for the purposes ofContractor completing finalized "As-Built" drawings.

3.1.4 Contractor shall, in interpreting the drawings and specifications, be boundby the figures marked thereon and not by scaled measurements.

3.1 .5 Where the contract price is lump sum and Contractor believes that new orrevised IFC documents constitute a change to the contract price orschedule, Contractor shall notify Company of the change in accordancewith the requirements of Changes Clause of the Contract. Contractorshall not proceed with the changes until instructed to do so by Company.

3.0

Rev.0310112012Page 3 of 8

4.0

f ttrrt*rn+uth ATTACHIUIENT J-6CORRESPONDENCE AND SUBMITTAL PROCESS

3.1 .6 Where the Contract Price is based on unit prices and the changes on new

or revised IFC documents represent only an increase or decrease inquantities that can be measured in accordance with the Contract base

pricing strueture, this will not be considered to be a change. Contractorshall immediately proceed with any such work in such circumstances.

CONTRACTOR'S DRAWING AND DATA SUBMITTALS.

4.1.1 Documents and data provided by Contractor under the Contract are

subject to Company review prior to Contractor's start of procurement

andTor production on these particular items as noted in Part I - Scope of

Work to the Contract.

4.1.2 Review of drawings, documents andior data, etc. by Company, shall not

absolve Contractõr from any responsibilities under this Contract or for the

design, construction and erection work as defined in Part I - Section "C"

ScoPe of Work.

4.1.3 The Contractor shall make all submittals as listed on form FBP-BS-DIR-

OOOO3-FO1 - Contractor/Supplier Submittal Register, even if the Submittal

Register is just a Partial list

4.1.4 The Contractor/Supplier is responsible for making all submittals required

to perform the work as specified in the contract/PO, failure of the required

submittal being listed on the submittal register does not relieve the

contractor from making the submittal.

4.1.5 When a submittal is omitted from the Submittal register the contractorshall update the submittal register and submit it to FBP for information

noting the change on the Transmiiiai.

4.1.6 The Contractor shall transmit all submittals using compieteci iorm FBP-

BS-Dl R-oOOO3-FO2 - Contractor/Supplier Cover Sheet (attached hereto).

4.1.6.j This cover sheet shall be used to bear both the vendor stamp and

provide pertinent information about the submittal, such as title,

revision, pagination, in addition to a contractor/supplier stamp.This contractor/supplier stamp, shown below, requirescontractor/supplier signature prior to submission to FBP

Reu.0310112012

ragË + ur o

Hurr-8ûw | fttrtsnrouth, ATTACHMENT J.6CORRESPONDENCE AND SUBMITTAL PROCESS

The contractor / supplier certifies that this submittal complies with contract /purchase order number:

SIGNATURE DA,TE

I Portsnrouth

tr A-APPROVED oR¡ACCEPTED¡ B _ APPROVED AS NOTED, CHANGE AS NOTED AND RESUBMIT¡ c - Nor AppRovED, CHANGE As NorED AND RESUBM|Ttr n-INFoRMATIoN oNLy, REcEIpr ACKNOWLEDGEDtr Q-QUALITY IS BELO\ry STANDARDS, CORRECT AND RESUBMIT

SIGNATURE DATE

The vendor shall submit all listed submittals in accordance with thefollowing information provided on the Contractor / Supplier SubmittalRegister

a. Submittal Schedule Dateb. Document Submitted To

i. For PROC designation, submit according to submittal registerii. For DC designation, submit documentation to:

RMDC@fbports.com

The Contractor shall submit all listed submittals with completed form,FBP-BS-DlR-00003-F03, Contractors Document Transmittal Sheet(attached hereto) and is responsible for filling out the following informationon the sheet:

a. Name and Address of Companyb. Selection who the submittal(s) will be provided to

i. Either PROC or DCc. Transmittal Number - refer to Section 2.0 of Attachment B for

numberingd. Date of Transmittale. Submittal Numberf. SubmittalTitleg. Revision Numberh. Enter either Y (yes) or N (no) if the submittal(s) is a revised

submissioni. Document Page Countj. Document Special Handling Requirements - Optionalk. Remarks - Optional

The review by Company with or without comments shall not relieveContractor of any obligations or requirements under the Contract nor beconstrued as an authorization of, or consent to, any deviation from theContract. lf Contractor considers that Company's comments constitute achange to the Contract, Contractor shall request a change in accordancewith Changes Clause of the Contract.

4.1.7

4.1.8

4.1.9

Rev.O3l01l2O12Page 5 of I

Fluot-E&tit | ftrrf:,nr+rulh. ATTACHMENT J-6CORRESPONDENCE AND SUBMITTAL PROCESS

4.1.10 All drawings and other documents shall be in English and be sized inaccordance with imperial standard sizes and shall carry titles to indicatedequipment numbers or any other identification number of the portion ofwork covered on the particular drawing and/or document.

4.1.11 The revision number shall mark changes or additions to any document, at

the point of a revision, and the revision must be reflected in its title blockor drawing number by an appropriate revision indication'

4.1.12 lf a document is superseded when returned to Company, indication of thesubstitution must appear in or near the title block, or in the transmittalletter.

4.1.13 When the Review process is complete, FBP Portsmouth will return theSubmittal to the contractor with the following stamp affixed and signed.

4.2 "As-Built" Drawings

4.2.1 Part I to the Contract shall state the type of drawings that are to besubmitted as "As-Built" drawings. "As-Built" drawings shall be submittedto Company utilizing a Contract Document Transmittal.

4.3 QualityControl/AssuranceDocumentation

Formal documentation in connection with the Quality Control and Assuranceobligations set forth in Attachment E shall be submitted by Contractor toCompany utilizing formal correspondence.

4.4 Contractor's Requests for Suþstitution

4.4.1 Contractor î1âyr ¡gqu"st to sr:bstltr-lte a material, article, clevice. oroduct.fixture, form, type of construction or process called for in the Contract withanother item that is equal, or better, in all respects to that so indicated orcalled for.

4.4.2 Such requests shall be submitted under cover of a letter in accordancewith Article 2.0 of this Attachment.

4.4.3 Company's review and approval or rejection of such request shall not

, relieve Contractor of any obligations or responsibilities under theContract.

4.4.4 ln all cases, the request shall be submitted by Contractor with sufficientduration in advance of the requirement for the substitution in order toallow Company sufficient time to fully evaluate the request. Rejection ofthe request shall not be a basis for a change to the contract price orschedule.

REQUESTS FOR INFORMATION (RFl).

ln the event that Contractor determines that some portion of a drawing, specification orthe contract document requires clarification or interpretation by Company, Contractorshall initiate and submit a request for information (RFl) using form FBP-BS-DIR-00004-F01 (attached hereto).

5.1 Utilizing the approved RFI form, Contractor shall clearly and concisely set forththe following information:

5.0

Rev.O3l0112012Page ö o1 ö

FI uor-t&W I Prrrtsnr+uth.

5.2

5.3

5.4

5.5

5.6

ATTACHMENT J.6CORRESPONDENCE AND SUBMITTAL PROCESS

5.1.1 Company Name

5.1.2 Contract or PO number

5.1.3 RFI Number

5.1.3.1 RFls are noted on contractor/supplier submittal registers as adistinct line item. Each technical RFI submitted will be numberedsequentially against this line item number. For example, RFI'smay be listed with a line item number of 1234567-001. Whensending in the first RFI to be reviewed, the number shall be1234567-001-01, the second shall be numbered as 1234567-001-02, etc.

5.1.4 Applicable reference documents

5.1 .5 The issue for which clarification is sought and why a response is neededfrom Company

5.1 .6 Contractor's interpretation or understanding of the Contract requirementstogether with reasons therefore and any proposed resolutions

Contractor acknowledges that this is a complex project, and it is anticipated thatContractor will issue RFls to Company throughout the life of the Contract toquestion and or seek clarification of the Work.

After completion of the form, Contractor submits the RFI

5.3.1 Technical RFI's are to be submitted to Records ManagemenVDocumentControl (RMDC) with a copy to the Contract Administrator

5.3.2 Commercial RFI's are to be submitted directly to the ContractAdministrator for processing

RMDC shall log all incoming RFI's and route to appropriate project personnel

FBP shall review all RFls to determine whether or not they are RFls within themeaning set forth in this directive. lf Company determines that the RFI isinappropriate, it shall be returned within the working days stated on the SubmittalRegister from receipt, without response except to state one of the following:

5.5.1 lnformation to resolve the request exists in the Contract.

5.5.2 lnformation to resolve the request exists on an issued drawing.

5.5.3 lnformation to resolve the request exists in an issued Specification orDocument.

5.5.4 The use of the RFI form is incorrect and the subject should be covered bya letter, transmittal or other as defined in this Attachment.

RFls returned for any of the foregoing reasons shall be clearly shown inCompany's RFI register as "Not Applicable" meaning that they constituteincorrect use of the RFI procedure.

Company shall respond to RFls within the working days stated on the SubmittalRegister from receipt by Company, unless Company determines that a longerperiod is required to fully review and respond. ln this case, Contractor will beadvised of the longer period required within five (5) working days of initial receipt.

Rev.0310112012Page 7 of I

Fluor-Ê&W f ft:rtsnr+:uth.

5.7

5.8

5.9

ATTACHMENT J.6CORRESPONDENCE AND SUBMITTAL PROCESS

lf Contractor submits an RFI on an activity within the working days stated on the

Submittal Register from or less of float on the agreed Contract Schedule,

Contractor shãll not be entitled to any time extension due to the tinie taken for

eompany to respond to the RFl.

RMDC shall register when RFls are returned to Contractor. The RFI register shall

be reviewed at each progress meeting.

Company's response to RFls are considered to be within the Scope of Work of

the iontiact, wìll not change any requirements of the Contract and do not in

themselves constitute agreement or authorization to perform a change. ln all

instances, agreement with Contractor's interpretation and proposed resolution

specifically waives any entitlement that Contractor may have to a change in price

or schedule.

lf Company considers that the response to an RFI constitutes a change to the

Contract Price, Company will issue in parallel a Contract Site lnstruction or a

Contract Modification, añd this shall be referenced on the RFI response. Only the

Contract Site lnstruction or Contract Modification constitutes authorization toproceed with the RFI response if it is a change.

lf Contractor receives a response to an RFI that Company has not registered as

a change, but which Contractor believes constitutes a basis for a change,

Contraõtor shall not proceed in accordance with the response. Contractor shall

immediately notify Company in accordance with the Changes Clause in Section

H and shalinot pioceed with the Work, which is believed to be changed, without

the receipt of a Contact Site lnstruction from Company.

END OF ATTACHMENT J.6

5.10

5.1 1

Rev.03/01i2012

Page I oi I

Fluor-B&W I Portsmouth-

ICONTRACT NUMBER], ICONTRACT TITLE]

Submittal [Number][Submittal Title]

Revision INumber]

[Contractor Name] for Fl uor-B&W Portsmouth LLC

IDate]

The contractor / supplier certifies that this submittal complies with contract /purchase order number:

SIGNÀTURE DATE

A-APPROVED OR tr ACCEPTEDB _ APPROVED AS NOTED, CHANGE AS NOTED AND RESUBMITC _ NOT APPROVED, CHANGE AS NOTED ÀND RESUBMITD _ INFORMATION ONLY, RECEIPT ACKNOWLEDGED

! Q _ QUALITY IS BELO\ry STANDARDS, CORRECT AND RESUBMIT

SIGNATURE DATE

Page I of I

Fluor-E&W |ltrrrtsnrnrtth CONTRACTOR'S DOCUMENT TRANSMITTAL SHEET

FLUOR-B&W PORTSIVIOUTH LLC

PROCUREIVlENT / SUBCONTMCTS

CONTRACT/PO NUMBER

ro!FLUOR-B&W PORTSI\¡OUTH LLC

DOCUI\¡ENT CONTROL

CONTRACTiPO NUIVlBER

ro!FROlvl: (NAME A ADDRESS OF CONTRACTOR)

DATE OF RECEIPTDATE OF RECEIPT:DATE OF TRAI.ISMITTAL

DOCUMENT PAGECOUNT

DOCUMENT SPECIAL HANDLINGREQUIREMENTS

REV RevisedSubm¡ssion?

lY/N)

SUBMiTTAL TITLESUBMITTAL NU|\¡BER

RMDc Comments:

REMARKS

FBP-BS-DIR-00003-F03' Rev. 1 (10/1r)Dircctive Reference : I'BP-BS-DIR-00003

Page 1 of 1

FLUOR-B&W PORTSMOUTH LLC REQUEST FOR TNFORMATTON (RFr)

NOTE: Company's response to this RFI does not constitute authorization to perform a change to the Contract.Contractor may proceed in accordance with the response only on the basis that Contractor agrees that it is not achange. lf Contractor believes that the response does constitute a change, Contractor shall await receipt of the Sitelnstruction indicated above. Where no CSI is indicated, Contractor shall notify Company and shall not proceed untilauthorized in writing by the Company.

FBP-BS-DIR-00004-F01, Rev. I (10/1 1)

Directive Reference: FBP-BS-DIR-00004

To: COMPANY - DOCUMENT CONTROL Contractor:

Cc: CONTRACT ADMINISTRATION Contract No.

RFI No

Reference Documents:

ISSUE DESCRIPTION AND REASON FOR RFI

CONTRACTOR'S I NTERPRETATION AN D PROPOSED RESOLUTION

Orig¡nator (Sign) & (Print Name) Date Received (Sign) & (Print Name) Date

RESPONSE:1) lnformation contained in Contract

2) lnformation contained on Drawing

3) lnformation contained in Spec/Doc

4) RFI form is incorrect. Use

5) Contractor's interpretation agreed. Proceed accordingly

6) Detailed response other than 1 -5

Yes

nnnnn

No

nnnnn

Contract Site lnstruction (CSl) Number (if Applicable) cst#|-l Not ADolicable

Responders Signature & Name Date returned to Contractor:

Cc: Contracts Adm¡nistrator

tluor-t&lll J Prr rtsnrcu t lr. .{ttachment -J-8Contracton / Supplier Submittal ltegisten

+This does not eliminate Contractor for ensu all uired data submittals outlined in Contract ôre subm¡ited to FBP

xxxxxxxSite-Wide Land Surveying Services

XXXXXXX

Contract y' PO Number:

Contract / PO Title:Contractcrr:

DC (ProjectF¡le)

QA

IISE

tf òE

COI\Sì-, QA

cot{sT, oA

PIìOC

PROC

QA

INF

INF

INF

INF

INF

INF

APP

PROC

PROC

PROC

PROC

PROC

PROC

DC

10

10

't0

10

10

10

G

G

G

G

G

Other

A(7)

Section L.7,Section J

Attachment 13

Section L.7,Section J

Attachment l3

Sect¡on L.7

Section L.7

Section JAttachment 4

Sect¡on H.24 (¡)

Section C.13 1,

Sect¡on J

Aitachment 16

OSHA 300-A Logs for past three(3) years

Experience Modifi cation Rate(EMR), Total Case Rate (TCR),and Days Away, Restricted, andTransfer (DART) for past three (3)years

Major Equipment List andCapabil¡ties

Org. Chart and Resumes andTra¡ning Records of ProjectPersonnel

Subcontractor Request Form

Certifìcate of lnsurance

Project Specific Quality AssurancePlan (QAP) orWr¡tten Commitmentto Follow FBP QAP

N/A

N/A

N/A

N/A

N/A

N/A

XXXXXXX-00.1

'Submlttal Dlstrlbutlon llnternal U¡eli)ESIGN = Eng of Record Rev¡ew

lA = Qualitv

-ONST = Weldins. Construction Ens)ROC = ProcurementISE = Health, Safetv, Env¡ron.

)C (Proiect tile) - Record Coov

Other = As ldentified

¡sel' Submlttal Aoproval (lr¡ternal

)ESIGN = Eng oí Record Review

lA = QualitvIONST = Weldine, Constructior'ì EnE)ROC = Procurement-1SE = Health, Safetv, Environ.

f,ther = As ldentiiied

,irSubmlttal Revlew f Intcrnàl ueel)ESIGN = Eng of Record Review

ìA = QualitvIONST = Weldine, Construct¡on EnstROC = ProcurementISE = Health, Safetv, Env¡ron

f,ther = As ldentified

', i,Submlttel Puiofßê'i:'.r

\PP = Approval

\CC = Acceptance

NF = lnformation)ther = As ldent¡fìed

)ROC = Procurement

)C = Document Control

I = As require<l/As Needed

\ = Within X derys after awardI = XX davs max. from NTP

: = Prior to Au1:horization to Mob¡lize) = XX davs pr¡or to start ofthe activitv: = XX days aft,ar completion of act¡vitv: = Pr¡or to Entryj = With Bid /'urr/¡th Proposal

Ither = As iderrtified

IPcrrtsrnouth-

*This does not eliminate Contractor/Su

Attachment -J-8Contractor / Supplier Submittal Register

for ensu all uired data submittals outlined in Contract are subm¡tted to FBP

xxxxxxxSite-Wide Land Surveying Services

XXXXXXX

PO TitleContract / PO Number:

Contract I

Contractcir:

DC (ProjectFile)

HSEHSEAPPDC10A(7)

Section C.10.2,

Section JAttachment 13

Project Specific Health and SafetyPlan (HASP)oo2

XXXXXXX-

)ESIGN = Ene of Record Review

liq = Qual¡tvIONST = Weldins. Construct¡on Ens)ROC = Procurement{SE = Health, Safety, Environ.

)C (Pro¡ect F¡le) - Record Copv

Other = As ldentified

)ESIGN = Eng of Record Revìew

f/A = QualitvIONST = Weldine, Construction Enp)ROC = Procurement

ISE = Health, Säfety, Environ

)ther = As ldentified

)ESIGN = Ene of Record Review

LA = QualityIONST = Weldine, Construction Ens)ROC = ProcurementISE = Health, Safety, Environ.

)ther = As ldentified

APP = ADoroval

ACC = Acceptance

NF = lnformationfther = As ldentified

)ROC = Procurement)C = Document Control

'As Needed

ys after award

<. from NTP

hor¡zation to Mobil¡ze

)r to start ofthe activ¡tvr complet¡on of activ¡tv

Vith Proposal

\=WithinXd¡ì = XX davs m¿

: = Prior to Au

) = XX davs orii = XX days aft: = Prior to Ent

s = With Bid /-l = As require(fther = As ideritified

FLUOR BWXT PORTSMOUTH LLC CONTRACT MODIFICATION

CONTRACTOR DATE

CONTRACT NUMBER CONTRACT/MOD ATTENTION

EXCEPTAS OTHERWISE EXPRESSLY PROVIDED HEREIN, CONTRACTOR HEREBYAGREES TO PERFORM THE BELOW-DESCRIBED WORK IN ACCORDANCE WITH ALL OF THE TERMS AND CONDITIONS OF THE CONTRACT REFERENCED ABOVECONTRACTOR'S INVOICES MUST SHOW CHARGES FOR THIS WORK SEPARATELY, IDENTIFIED BY BOTH THE CONTRACTMODIFICATION NUMBER AND THE CONTRACT NUMBER CONTRACTOR SHALL NOTIFY SURETY IF APPLICABLE

DESCRIPTION PRICING

PERFORMANCE OF THIS WORK MUST BEGIN ON

$

$

$

$

THRU

ORIGINAL CONTRACT VALUE

PREVIOUS CONTRACT MODIFICATION NUMBER

¡ ESTIMATED X TIRV

CURRENT CONTRACT VALUE

AND MUST BECOMPLETED NO LATERTHAN

AMOUNTTHISMODIFICATION f] EXTRA I CREDIT

EFFECT ON CONTRACT SCHEDULE

THIS CONTRACT MODIFICATION REPRESENTS FINAL ADJUSTMENT FOR ANY AND ALL AMOUNTS DUE OR TO BECOME DUECONTRACTOR FOR CHANGES REFERRED TO HEREIN CONTRACTOR FURTHER RELEASES ALL OTHER CLAIMS, IF ANY(EXCEPT THOSE CLAIMS PREVIOUSLY SUBMITTED IN WRITING IN STRICT ACCORDANCE WITH THE CONTRACT), FORADDITIONAL COMPENSATION UNDER THIS CONTRACT, INCLUDING WIHTOUT LIMITATION ANY RIGHTS CONTRACTOR MAYHAVE PRIOR TO THE DATE OF THIS MODIFICATION UNLESS OTHERWISE EXPRESSLY PROVIDED HEREIN, THE TIME OFCOMPLETION AND ALL OTHER TERMS AND CONDITIONS OF THE CONTRACT REMAIN UNCHANGED

CONTRACTOR COMPANYSIGNED NAME SIGNED NAME

PRINTED OR TYPED NAME PRINTED OR TYPED NAME

TITLE TITLE

DATE DATE

SIGNATURE

Page 1 of 1

Fluor-BWXT I Portsmouth, Attachment J-12CONTRACTOR OVERTIME REQUEST FORM

PROJECT NUMBER CONTRACT NUMBER CONTRACT NAME. DATEPROJECT NAME

DATE WORK TO BE ACCOMPLISHED ONMETHOD OF CHANGE

! srre TNSTRUcToN No

! corurnncrMoD No

WORK TO BE ACCOMPLISHED

REASON FOR OVERTIME

COST OF OVERTIME BORNE BY

n coupnNY / owNER fl coNTRAcroR

COST DATATRADE NO. OF PERSONS HOURS

ROM $

TOTAL HRSCONTRACTOR - SIGNATURE AND DATE

CONTRACTOR

NOTE:

This is a notice to proceed with the described work prior toagreement of any pricing and any adjustment in the schedule forperformance. This is not an authorization for payment. The premiumcosts payable against this request (where applicable) shall be inaccordance with hours actually spent in the performance of the workas recorded on approved Daily Time Sheets

APPROVAL - SIGNATURE AND DATECONSTRUCTION MANAGER / PROJECT MANAGER

CONTRACT ADMINISTRATOR

Fluor-BWXT I Portsmouth-

Attachment J-13

Environmental, Health, and Safety Requirements for On-Site Work

Revision: l3

Project: 5e- Y6ú0 t[1co ¿^) {rt^ 'Y

Contractor:

Date:Safety and Health, Approved By:

Radiological Controls, Approve By:

Environmental Protection, Approved By:

g/lJ- Dare: -7

Ko

zll t1Steve Howie

¿ 7

Record of Revision

Author Date :Revisi on: l)escri ption24 .Iuly 2017Brandon Arrhurt3 General formatting; Section 5.4: added new J-26

attachrnent refetence flclr' ì"BP General Work JHAarrd langrLage requiring the Cont¡actor 1o incltlcJe

the applicable hazards and corttrols [i.e.equivalent or duplicatcl tiom the Company'sGenelal Work .lHA (genelaL site hazards) in tlrejob specific JHA; Section 6.21: updatedrcquirments fol tool use; Section 6.7: adde<i

additional wording to medical exemptìon fot'working less than 30-day in a l2-month period;Exhibit å15: Lrpdated and added newest revision ofthe FBP FFD Folrn. Updated lortns ancl

refelenced Exhibit numbcrs.Branclon Arthur 19 Dcc.20l612 Adcted paragraph For Contractors perlorming

limited soope/limited hands-on work to accep!the FBP WSIIP and applicable procedutes anci

training in Section 2.0 and Section 6. l.l Addedadditional rele¡c¡rccci codes and standards toScction 3.1.3. Refbrrnatted Section 5,5. Addodlanguage tiom DOE-STD-l 149-2016 to Section5.6. Aclded updated ptocedure relèrenoes toSections 5.1 ,5.7.1, and ó.2.1, Added Note toSections 5.7 and 5.7.1. Added th.e apptoval ofFBP QA to Section 6.4. Adcied consultation withEnvilonmental Protection Representative toSection 6.6.8. Relormatted largr-rage in Section6.9. Added retèrence to 29 CF R 191 0.269 lorelectrical dead zone rvolk in Sections 6.9.1 and

exemptions to LOTO section in Section 6.I 0.

r\dded PORTS clitical walk-way requirements toSection 6.14. Changed regulatory retèt'ence to

NFPA 708 l'or Electrical tlazard Awareness andElectrical Satèty Training in Appendix l.

tllandon Arthul 23 Nov. 20 I 5ll Changes to trair.ring and general tbrmatting;Corrected Exhibit numllers throLrghout thcdocument. Added guidonce for Laser Salety.Added direction to revie\ñ' supplernental sitcinlormation when pl;Lnnitrg work. Clarifìed thenced to docurlent '*,orker acknowledgement ofhazard review. Adcled relererences to FileProrecrion anti Ciremicai Saiety sections.

21 Oct,2015Cornplete fbrmat change to mirlor FBP WSHPaud complete revision to incorporate sitereouiretneuts bevond legulatory t'çquiremcnts.

Brandon A¡thurl0

Brandon Arthur 27 luly 20159 Added Hoi.sting and Rigging check sheet and

guidance on Contlactor f{&R program optionsand incorporâtion of Tempelature Extl'cmcschanges per l)an Ruggles. Reviscd TrainingRequrirenrent language in section t.8. t. Changed

Salètv and Flealth approval to Barry Ko,

Pagc 2 tri 65

l8 Mar. 2015Rich Rhoads8 Revised Pre-job Briefìng and Post J ob Review to

incorporate changes necded due to Prejob/Post

iob Review procedr.rre changes21 Jan.20l5Richard RhoadsRefincd the E,levated Work section to si mplify

requirements l'or evelvated work and identifyrcquitements for site that are above OSHA

rements.

7

25 Sept,2O14Richa¡d Rhoads6 Altigned attachments with document refercnces,

Traíning record retention, Industrial Hygiene

qualifications. Contractor ftles requirements,

salety shower and emergency eye"vash

requirements, Occupational Medical program,

Rcspiratory program requirements, Revised

Exhibit 33 with new Environmental poster' Fall

Protection requiremcnts, Synthctic fiber clothingob clarificat ion and Bladed tools

29 OcL2013Steve Wentzel5 Revised to incorporate flow down req ruirements

of l0 CFR 85 I and updated tSMS requirements.

Revised reqltirenrents fbr ¿xbestos. Deleteci

optìon for Contractors to supply respirators and

revised to describe process aud requirernents For

FBP supply of respirators. Revised to incorporate

requirements of Risk Based Supervision and

HSE StafIìng. Revised to incorporate updated

clectrícal re[ercnces06 Dec.2012Steve WentzelRevised to require Mobile Crane Operators

L.icense.4

i8 Out. 20 i 2Steve WentzeiRevised to comply with the requirement of the

FBP WSHP FBP-OS-PL-O0002 and the Health

and

_l

30 Nov.20l ISteve WentzelAdded Section V lor Asbestos aud Lead

activitiesa

21 Oct.20IlSteve Wentz-elAddecl requit'ements for radio and asbestos

abatenent work activitìes. Changc AltachmentIdentifier from "C" to "J-13"

I

01 August201 I

Steve Wentzellnitial Issue0

t'asc I of 65

1.0

2.0

3.0

3.1

4.0

4.1

4.2

5.0

5,I

5.2

5.3

5.4

5.5

5.6

s.7

6.0

6.t

6.2

6.3

6.4

6._s

6.6

6.7

6.8

6.9

6.r0

6.1 r

6.12

6. ll6. l4

6.15

6. l6

6.17

ó.l8

ó. l9

6.20

6.21

6.22

6.23

24

26

28

28

28

PURPOSE..,

lìequirements and Cuidance I

[utegration with ISMS llt2Zelo Accidcnt Program

Stop Wolk Authority...... ...'."...12

ll.azard Identihcatiort and Control .. .....'.........' 12

Feeclback/Continuous lnrprovetnent ,....'...',.', 14

lnspections and Hazard Abatement.... .'....."..' 15

Emergency Management

PROGRÄM F'UNCTIONAL AREAS ........ 17

Consfruction Safety........... .-".-.17

Explosivos Satèty........... .'.".'.., 18

Pressure Satery ....,...,,, i8

Inctustrial Hygíene....,. ..t8

Occupatìonal Medicine .....

Ivlotor Vehic le Sat'ety

Electrical Safety ...........

L.ockourt/'l'agout of Flazardous Energy So ttrces.

Hoisting and tliggirrg Operations

Elevalecl Work/Fall Protection .',.""."."".".'.'29

Excavation, Ttenchíng ancl Penel-r¿tions,.,,...,,......... .'....."...30

Slip, Trip and Fall Hazat'ds 3l

llnvironmental [-[azards

Tagging o[' Defective Tools, lvlaterials, ol Equipment,....

.32

3l

32

JJ

Êtousekeeping

DLinking Water' (Field Worksite)

T^^l^ -1J

34Signs and Barlicades..

f oniz.i ng Radiation ......

l'rgc { oi 65

34

Exhibits:

Exhibit # I - You Flave a Right to a Safe and Healthful Workplace

Exlribit #2 - Job Saiety and HealthExhibit #3 - Fluor-B&W Portsmouth LLC Envircnmental blealth and Safety Policy

Exhibit #4 - Envirolrmental PolicyExhibit #5 - Job Content Worksheet (Example)

Exhibit #6 - Contraetsr/Subcontractor OSFIA Competent Person Designation

Exhibit #7 - Pre-Job Briefing ChecklistExhibit #8 - Post- Job Review ChecklistExhibit #9 - Pre-Job Brieftng and Posl'Job Review Attendance Form

Ëxhibit #10 - Safety Task Assignment (STA)Exhibit #t I - Physiological Monitoring for Heat Stress

Exhibit rll2 - Weekly Hour Usage ReponExhibit # l3 - Example Project - Trainíng MatrixExhibit #14 - Contractor/Subcontractor Floisting and Rigging Checklist (Ordinary Lifts Only)

Appendix I - Special Envíronmental, Safety & Flealth Training Matrix

Paglt 5 ol'65

Âttachrncnt J-13

r.0 PURPOSE ll0 CFR ssrl

Fluor'-UWXT Portsmouth Ll.C (F'tlP) perlorms Decontarnination & Decommissioning (D&D) and

Environnrental Rerne<jiation (ER) work at the U.S. Dcpaltment ol Energ¡r (DOE) Portsmouth G¿tseous

Diflusion Plant (POR'IS), according to thc tenns and conditions of prime contlact DE-4C30-l0CC400 17. F BP is responsible for ensr.rìng compliance ',vith all applicable laws, regulations,legLrlatorl, ag1'eements, and requirements, as cleiìned in the prirne contraot,

ThcCt.rrnpany'spolic¡,istoprovideasaleandhealthyrvorkplaccfcrrallernployees SaletyistheCompany's number one cole v¿lue and shall take precedence ovcr cost and schedule. The Company is

ctedicatcd to the belief that all injLrrics, accidents, and inciclents ale prevcntable ancl is cornmitted to

integrating salèt¡z into all aspects ofrvor'k planning and execution, as dcscribed in the Integrated Salety

Management Systctn (ISMS).

f rnplementation olthis c0ntraÇt requit'entent cnsures salety and health requirelrents dre tlolved dorvtr to

the lowest task level and dernonstrates cornpliance ',vith l0 Code of Fcderal Regutation (CFR) 851,

Workcr Sal'ety and Health Prograrn, and othel applicable requirements.

2.0 scoPE AND Ä.PPLICABILITY [10 CFR 8s1.1U

All woLk perfolmed by this contract shall be in accordance with the Ll.S. Department of Encrgy

Acquisition Regulation (lntegratcci Saf'ety Management DE¿\l{ 9'/0.5223- l clause), l0 CIrR 851

(http://,,vrvw.hss.doe.gov/HealthSafetyrVSHP/rulo85l/85lfìnal.html), l0CFR335andallapplicablefbdelal legulatirrns ancl items identit-red Lrerein.'fhe Fluor-BWXT Portsmouth, LLC (FBP) (hereinafter

lelèrrecl to as "COMPANY") maintains a Department of Encrgy (DOE) approved Worker Safely and

llealth Prcglarr (\ri SHP) doc',imenting ct-ììnplisncc with l0 r--frR 851.

'fhe serlety'and health requir'crnents described irr this progralÌl arc applicable to all activities. Allpersons, including vìsitors, entering the FBP D&D and ER Pr'oject silcs are stLbject to the requirementsofthis prograu-r and will be held responsible for adhering to the requirements as specitìed herein.

Furlhermore, each individual is resporrsible tbr blinging to the attentiot.t of tnanagement any unsafc or

unhoaìthy conditions that he/she obselves. Unsat's or unhealthy conditions are addtesscd upon

discovery.

Contractors shall dcvelop and submit a Project Safef_v and flealtl, Prograrn tbr review and approval b¡,

Occtrpational Salety and ttealth, whicb shall meet the applicable requirentents contained herein and l0CFR 85 I . The Contractor shall corn ply rvith such portions of this Document, '"vh ich flows the

Company's DOE approved WSI IP requirements tbr subcontractetl work, as arc applicablc to the

contractcd u'ork identitìed in the Statement of Work, specltications, or any other part of their contract.

l'he Conh'actor's dctailed Project Satbty ancl Health Plograrn shall idcntify the method(s) [i.e. equivalen{.

or dupticatel of compliance with the applicable sections of this document rvhich plovides the basis forthe Contractor's (aLrd Subcontractor's) Worl< Plans.

Colìtractors that are pcrforming limitecl scope and limiretl "hands-on" wolk ol' stlictly peltbtmingobservatiorVconsultation,thatdonotmeetthe l0CFR85 lcxclusionsdiscussedlater,mayacceptandt'ottow the FBP WSHP and applicable ploccdr-rres and training under the approptiate Program FunctionalAreas ¿rs idcntified in Sectic¡n 6. See Section 6.1.1 l''or applicabilily to procecd with this option. The

Contractor shall submit their WSHP determination l'or revierv and approval by F BP Occupational Salety

and ttealth.

Thc approved Satèty and Flcalth Proglarn shall be m¿rinLained on the worksite and shall be made

available upon requesl to thc constluction rîanager', pro.ject managel', rvorksite employees, employee

representatives, andothcr DOE personnel with assigned oversightresponsibilitics This plan shall bc

LrpclateC, as required, based on lessons-learucd or change in scope and conditíorrs. Eaoh stttr-contractor

l)agc 6 ul ó5

shall be proviclecl zr copy olthc safbty ancl hcalth proglarn by the printe contractor and be requíred to

comply with it.

'lheCompanywi ll providesite.specifictraining. All othertrainingmustbeprovidedbytheContractor

ancl inclLrded on the submitted l rainirrg Matrix (Exhibit #13)'

The Contractor Consh'uction lvlanager and/or Contractor OS&F{ Representative are responsible t'or

ensuring inrplemen[ation of contractually requiled salety and health program documents. Contractor

and Subcontractor per.sonnel are r.equireã tu [r. ffained and clualitìed conlmellsurate with their duties and

responsibilities lor the preparation of these rlocutne rts. as well as lor condLtcting work'

The Cornpany and Gover¡urcnt entitics rvill conduct safety and technical oversight of all work as they

cteie.ninc appr.opriate and rrecessary. l'hc Contractol shall ensure unrestticted acccss is provided (i.e.

cornpliant *,iitr safety and work coñtrol requircments) to alt onsite work areas and activities.

The Contractor shall maintain an LLp-to-date worksite notcbook indcxed fbr all S&tl infbrmation Ill lAs,'l'raining Matrix (Exhibit #l3), cornpetent pcrsons list, initìal and daily inspections, equiptnent

inspectõns, MSòS/SDS intormation, pcrsonnel qualihcatìons ancl certifications' ctcl'

Any -subcontracts issued by the Contractor in support of this con[rac[ shall require all lower-tíer

Suúcontractors to comply with the approved Ctlntraottlr Salety and I'lealth Program'

The Contractor or Subconlractor that issues the purchase order to a vendor or supplier remains firlly

responsible lor the salety and health ofall vendors ancl suppliels províding on-site selvices and supplies'

Ve[dors, delivcry pcrsons and others who do not have service contfaots with DOE, Or who are not

subcontractor.s to such contractors are e xcluded tiotn requiretncnts of l0 CFR 85 I ' Work that ìs

excludecl fr.om the t 0 CFR 85 I rLrte fWorker Safèty and Health Prograrn tbr DOE (lncluding the

National Nuclear Security Adrninistration) Federal ¿rnd Contlacior Erupk:yccs (DOE C 110' l - l t])l'

since employee Health & Satèry is governetl by the ernptoyer's OSl-L{-basect program includes:

o Vendors, delivery persons, alrd others who generally do not have POttTS tnission related

service contraÇts rvith DOll. lncludittg (but not lirìited t<l):

Attachment.I-13

o Portable Restrooms and Fland Washing Stations

o Docrttnent Shreddingo Veriding Machines(filling, moving/relocating, and per{'orming tnaitrtenance

o Salety Shoes

o Safety Classeso Þ-oocl Vendoro ATM Vendoro lce Vel"rdoro ILLeI DeliverYo Chemical DcliverYo Equiprnent Delivery (e.g. Comprcssed Cas Cylinders)

o CoPy lnachine maintcnanceo Deìivery persotrnel such as UPS or ofTìce supplics delivery

. SLrppliers that engage in no nlore than tangential u,ork at POI{TS

. OfF-site utiìit¡'' providers

. Off'-site emcrgency scrvices

. CollegeslUnivclsities ltnder a DOE grant

. Services that are not in tirrtherance of POIITS DOE lnission

r Contractor/SL¡bcontraotors that provide only "comme rcial items or services" and that are

vcndors ancl delìvery contractors whose enrployees ¿ìre covered by OSI-tA

Pigc ? r 65

Attachmcnt J-13

3.0 PROGRAM DOCUMENTS

3.1 Requirements and Cuidance

3.1,1 Programmatic-l'his*closumcnt clesclibes the elcments of the F-BP WSHP applicahle lo all work

perlortnecl by FBP Contraotors/Sltbcontractors.

3.1.2 Policies [r0 CFR 851.20]F'BP establishes the written policies, goals, and objcctives lor inrplerncntation of thc

Contractor WSHP througìr this docuurent,

3.1.3 Selected Specilications, Codcs and Standards [10 CFR 851'231

The follolving safèly and health standarcls as a mininrttm are applicable to work

perl'ormecl at the Portsmouth GDP D&D Pro.iect (POR'I'S) site:

Code rtl' Federal Regulatìtt ns

l0 CFR 850 CLrronic Beryllium Disease Prevetltion Program

10 clìR 1904 Recording and Reporlirrg occupational Injnrìes and Illnesses

l0 CFR 835 Occtrpatíonal Radiation Protection

10 CFR 85 t Worker Sa[ety and Health Program

29 CFR 1910 Occupational Saf'ety and Flealth Standards for General IndusLry and

standards incorporated by relerencc

29 CFR t926 Sality and Health Regulations lor Construction and standarcls

incorPorated bY refèrence

Americun Conference oJ'Governmentø[ it Values

l'or chemical Suhstances and PhltsicalA " wheu the

ACCIFI Threshold Liurit Values ITLVs) sible

exposuLe limits in 29 CFR 1910, When the ACGIH'lLVs are used as exposure litnits,

coàt¡actor.s must nonetheless cornply with the olher provisions of any appticabte expandecl

health .standarcl lound in ?9 CFR 1910.

ANSl 23U8. I

ANSI23.58.I

ANSI 287. L

¡\NSl 288.2

ANSI 289. I

Ameúcan National Stundurds Institute

2UU.J, Minimum Requir.emenLs Îor Workpiace Filsr Aici Kiis anci Strppiìes

Emergcncy F,yewash and Shower Llqr-rìpmenl

American National Standarcl lor occupational and Educational l3ye and

Face Protection Devìces

American National Stanclard lor Respilatoly Protection

¿\tncrican National Standard Requiretnents tbr Protcctjve Headn'eat' fÌrt

Tndr-rstrial Workcrs

l)rgt ô trl ú5

Attachment J-13

ANSI Zl36.l Safe Use ol L.asers

ANSI 249.1 Saf,cty in Welding, Cutting and Allied Processes

Amerìcun Society Jitr T'estirtg und Malerísls

ASTM F 2412 Standard't-est Mcthods for F'oot Prol'ection

ASTIVI F 2413 Siandard Specifìcations lor PerÊormance Requiretnents lor Foot Prcltection

Netional Fire Proteclion Assocìolion

NFPA 70 National Electric code and starrdards incorporated by |efêrcncc

NFpA 708 Standard tbr Electrical Safèty in the Workplace arrd standards incorporated

by relerence

4.0 PROGRAM RESPONSIBILITTES [10 CFR 8s1.201

4.1 Contractor Project Management Team

4,1.1 Contrnctor Project Managcr

'Ihe Cont-ractor Project Manager (CPM) ensLres thal all personnel under hiyl-rer

supervision, directly or indirectly, cloarly understand their role, r'esponsibilities,

authoritíes, and acc-ountabitities within assigned projects and activities, The CPM

will maintain current knowledge of all safety policies and procedules, take

responsibility lor their safel)'of managed personnel enstrring

conrpliance ivith all ap cies & procedttres, and practice satè rvork

habits' The CPM wili on ol work activity rypes and llre portions

ofthesafetyprogramapplicabletothecontractedworkscope' TheCPlv{willholdmanagerial'rËspo"nsibility for itnplementation o['thc agreeci portion of the applicablc

WSHP as sPecified herein'

4.1.2 ContractorSuPervisor

The co¡tr.actor supervisor ensurcs that all work on the project is perfornled safely

and that activities ale Plannedlntegrated SafetY Managementknowledgeable of safetY Policìcduties in a safè manner ancl, whisafetY and ensures that theY com

ancl iractice saflc wo¡k habits. The contraclot supervisor maintains a culrent

knowledge res, take lesponsibility fbr their own

safetyandensuringcompliancewithallappllcable practice safe work habits. The

contractor srLpervisor witl serve as the tìeld oversight poiLrt of contact tbr the

contractor work force'

4.1'3 Contractor OS&H

Contractor s6all provicle one or mole 1'ull-time onsite (PORTS Rescrvation)

co.'.petent qS&Ft Rcpresentatives when field wolk is in progress. -l'tre OS&H

Reprcsentative(s) must be approvcd b'v the Cotnpany'

l)auc 9 of'65

Ait¡chirrerri J-13

whcn contrac[or's on site employec total is lcss than thirty individttals, the os&HReprcscrrtativc rrtay have othet' managellent responsibilitics'

Additional competent OS&H pcrsonnel nray be reqtrired due lo geographic location,

specitìc hazarcts. Cornpany requiretrlents, or local regulatory requircments' This

shall be detertnine based on the Contractors work plan and /or changes in work

scopc.

contractol.'s os&LI Repr.csentative shall be responsible to oversee line

rnanagcment's inrplementation of the Contractor's Safety and Hcalth Program-

1.1.4 Contrltctor Industrial Hygiene

This persgn can be the Contractor's OS&tl Represcntativc, ilall olthe tbllowingquali Frcations at'e met:

I . 'l'tu.ec (3) years (35% of tìme) veritiablc cxperiencc in the field ofl industlial

hygiene comprehcnsive practice, or one (l ) year field experiencc'

2. The IH representative can be an independent third parry lndusttial l lygiene

ccjnsultallt.

'Ihe qualifications ol the pcrson(s) develo¡ling, approving and pelforrning myinclusiriat hygiene monitoring/sampling shall be sttbmittcd to the Company fbr

approval prior to the person(s) perfbrrning any industrial h.vgiene

nronitoringsarnPling

This qrurlifìed Þcrson may ttaín other personnel to petform monìtoring as long as

they cìs¡re monitoring/sampling is done accurately when the task is perfbLmed.'l'raining must be docLrmented and apploved by the Company'

lixperience in the tiekl of industrial hygiene shall include more than I year ofdedicated asbcstos wolk, il'applicable to the work scclpe'

A Cìer.tifìctl Industrial Hygienist (CIII) certitìcation by the American Board ofIndirstlial Hygiene (ABIH) is prefèrred, but not required'

4.2 'I'raining and Records [10 CFR 851.20 and 10 CFR 851'251

4.2.1 Training

Requirecl training, sìte specific and specialLy training, is ictentified in Appendix 1.

In accordance *ittt th" contract submittal register, the Cotrtractor shalI submit

lielcl wolk at the PORI'S tàcility.

'ì'he Conttactor shall rnaintain auditablc trzrining records and/ol cefiitications lor'

each enlployee that lvilt perlorm work at the Portsmottth Gnseotts Dì lfusion Plant

(pORTS). Ê,mployee tr.aining recor.ds shalt be available and provicled to the

Conrpan_v; gporì requcst. Employee t.rairTing lecorcls shall adeqtrately document that

l)aqc ili ol tr-

Attachmcnt J-13

each ernployee is properly trained (c.g. Appendix I and applicable state and ledcral

rcquired training) to salely and etTèctivcty perfbrm vvork tasks to which they are

specifically assigned. The Company will maintain a record of Conrpany provided

training rvhích rvill be supplied to the Contractor upon reqLtest.

The Contractor shall identi $,' the OS f [A Competent Person and submit a Com petent

Pcrson Designation lornr (Exhibit #6) atong with the individual's qualil'ications in

accordance with OSHA regulations tbr approval by thc Company OS&L[.

The Company may require thc Contractor to participate in Periodic group salety

meetings to discrrss issues / lessons Iea¡ned alfecting the Contl actor's work and its

employces.

4.2.2 Records [10 CFR 851-201

Docunlçnts are gcnerated and maintainsd tliat tlemonstrate coLnpliance with workcr'

salety and health requiLemcnts. Exal¡ples of documents retained include:. Safety insPcctions¡ Cor¡rpletion ol training. [nstrumentation and Calibration Logs. IndLrstrial f fygiene (lH) measurementso Accident,'lncidentReports. Cotnpleted Permits¡ Job Flazard Analyses (JFf As). Occupational Safety and Health Aduinistration (OSFIA) 300 Forms

Recordkeeping lor occupational injuries and illnesses complies with the

requitements of OSHA 2q Cþ-R 19o4, Recording and Reporling Occupational

Injuríes ancl illnesses, Occupational Medical Rccords arc retained confidentially by

tlÌe corltracted Medical Provider.

OSHA 300-A Logs and Experience Modification Rate

ln arlclition to thc initial strbtnission of the most current completed year and

2 previous years data; the Contractor shall submit annr"ral updatcs to itsOSt I^ 300-A Logs anri Experience lvlodification Rate ÍÌom their workers'compensation insurance can'ier to the Company Pul'chasing Representative

fol review; this is due no later than Irebruary I of thcnervyeal'.At the dilection of the Company, Contractor may be required to submit a

process improvernent plan for approval by the Company Safety and Flealth,

if it's Expericnce tv[odification Rate ís above 1.0 arid ioL its OSHA Total

Iìecordable Case rate is abovc [.0.

The Contractor is to track the total hours workcd on a weekly basis and

submit thern utilizing the Weekly FIour Usage Report (Exhibit # l2).

5.0 PROGRÀNÍ DESCRTPTION

5.1. Integration with ISMS [10 CFR 851,10, 10 CFR 851'11 and 10 CFR 851,131

Tlre Cornpauy is committcd to maintaining an Inlegrated Safety Vlanagernerrt Systeln (ISMS)

that promotes the company's core values of providing a saf'e and healthy workplace fbr all

enìployees. The incorporation olthe tSlv1S guicling principles and core functions during the

planning ancl executi<.¡n of lvork activities ensures that lvorker protection is afforded to all

peÍsons at rhc Company site. A key component to the successlul ímplernentation of the ISlv'{S is

intcgration olthc Contractor WSIIP duling the pla.nning, execution, and complction stagcs ol'

a

a

Pagcltot65

^ ¡r- -t------ ¿ f i t

A1(ålCllllr€lll rl-lJ

work activitics.

5.2 Zerr¡ Accitlent Program U0 CFR 85l.f 0 ard l0 CFR 851.111

Tlic Cornpzr¡y aclliercs to a Zero Acciclent Philosophy and establishcs a goal of zcl'o accidents.

This philåsoflry is basccl on the prernise ll-rat all accidents are preventabte. 'l he Zelo Accidentphilosoph-v io.i,r-, on nor only <iecreasìng accicle¡ts. but alst¡ on elimin¿ìting thern. The goal olthe Zer.o Accident Philosoph¡, is to cleatc û saf:e working environnrent that etlpowel's employecs

tcr,,lakechar¡re"oftheirownsaf'ìlt,v. Acritical eletnenttoaclricvingZeroAccìdentsiseftèotively irnplcrnenting the Company approved Contractor WSIJP'

5.3 Stop Work Authoritv [10 cFR 85t.10, 10 cFR 851.20 and 10 c]FR 851.211

Colltracto¡lsubcontractot'e mployecs have the right, bLLt also the obligation to stop work at any

time to adclress reasçnable bcliel'tl-iat work involves inrminetrt dangerous conditions or o[hcr'

serious hazar.ds or conce¡1:ì clFan inrminent safet¡'ris[< thal" cannot ba addrcsscd Ltsitrg ottt'

nonnal worl< oonl-rol or hazat'cls cepolting ancl corrtrols pl'oÇesses'

A tormal Work Stop reqLriles cioctrmentation. ¿\ lonnal Work Stop tnttst also be f'oinratly

releascd.

Al1 inclivicluals involveci in any aspect of the project have the authorír.y and rcsponsibility to

suspencl or stop rryork lor any perceivecl thleat tc¡ Lhc safèty and hcalth oltlrertlselves. other

perionncl, or the environnl"nt. -['lt.r. concetns are broughttothe attention c)fsupervision and

onsite OS&l I personncl who willthen asscss the circuurstatlces srtrlotlnding the perceived throat

¿nd take applopriate actions to resolve thc rcported concel'lìs'

5.4 Hazard ldentification and control [10 cFR 851.21 and 10 cFR 851.221

-L'hc Co¡tr.actor.slrall pcrform a Job lìazard Analysis prior ro work being per[onned cvaltrating

the a-ssociatecl hazards including envirt¡nmental haz¿rlds. SLrpplemental site intbrmation (site

characteriz-atiou clata. as-bgilt diawings, etc) shoulci be reviewed as part oFthc hazarcl planning

process. The Company's General Wolk JFL\. Attachtneul J-76 to the IIFP. shall be Lrsed to aìd

ihe co¡tractor in development olthe job specific Jl-lA(s), The Contrackrr shall include lh,i

applicable (c.g. unique and substantial) hazalcls and coull'ols (i,e. equivaÌent or cJr-rplicate

piåtecrion;'fiò-ni thc Compauy's Geueral Work JI tA (gcneral site hazards) in the job specitìc

JI-tA. The Coulr.actor's JLiA shall provide an agreed-upon set olS&F[ standards and

requirements to be established which, whcn ¡rroperly implenrented, plovide adequate assurance

that cmploy,ccs, the public, an<l the environment are protected fiotn adverse consccluences. Any

identiticd protcctivc mcssLrrcs that OSHA rcc¡uires to be preptLred b¡'o Professional Engineet'ot'

othcr qualifìcd prot-essional shalt be acoornptnied by rlrarvings or other appropl'iate

docurnentation.

'l he Contractur's [.inc ìVlanacernent sh¿rlI errsr.Lt'e that a hiclalcltv oIcont¡'ols is used f'crr

control Iing tasl< hazalds:

I . Fir.st through e limination or substitution ol the haza¡ds wlrete fèasible ancl

rìppl'oprtûte:

2. -l'hrouglt engineering coutlols where tbasible and appropriate;

3. Ncxt thLourgh saL'e work procedurcs and administralive contt'ols that arc

undcrstood, lollowed, ancl reinl'orcccl lvhere t'casible and appt'opriate; and;

4. Finalty-, by Lrsc olpeLsonal protectivc cqLripment (PPE)'

i'agc i2 ot (r5

Thc flontlacior's JII¡\ shall bc srrb¡nittecl lirr t'evier,v and apploval by IrBP Saf'ety and Healtli

Attachment,f-13

(SAf f) anj acccptance by the Cornpany prior to mobilization. All changes nrade to the JIIApost-mobilization shall be submitted an<J approved by F-BP S&H and the Company utitizing the

iedline change process prior to irnplementation. All redline changes arc to be e lectronically

Lrpdated and re-submítted rvithin 5 'work days'

Supervisory responsibilities shall ìnclude analyzing the work to identify hazards and

implernenting appropriate controls and assuring workers are qualifìed to pertbrm their assigncd

tasks and foìlow the applicable work plan.

The Company WSHP provi<1es for lvritten, properly authorizcd, penlits (e.g., electrical, hot

work, confìned spacc, chcmical, lookoultagout, envirottmental, radiologioal rvork, etc.) "vhen

required Lleiore a5sociated rvork begins; The Company shall provide these permits (reler to

Scòtion C Stalernent of Work) and Contractor equivalcnt process sLrbstitLrtions will Lrot normally

be approved. Permits provicle cletails on the type of activity to be perlormed and specific safcty

requiiqnents ncoessaty to perform the job. Permits shaLl be reviewed with applicable workers

who have received necessary tr'ainingon the associated program(s) and to assure understanding

olthe hazards and rnitigators, posted in a designated area of the workplaoe and the instructions

rnust be tbllowed without exception.

s.4.1 Job Start-up Briefing and Post-Job Reviervs

Initiat Site Bricfing: All Contractor field personnel shall attend an initial Job Start-

up brielÌng prcparecl by the contlactor in coordination with thc company contract

T-echnical-Representative or his/her designee prior to condLrcting any 1ìeld activities

(Exhibit.47, PLe-Job tsrietìng checklist, Exhibit #9 Pre-Job BrieFrng and Post-Job

Review Altendance Fonn).

NOTE: Pre-mobilization equipment delivery and staging work is permitted

l'ollowing approval olthe assclciated wol'k plarrs and JHAs.

At a minimum, the ,f ob Start-up Brieling should address the following:

. Contractor cxpectations lor safèty porl'orrnatrce

' Contt'actor expectations lor environnental pertbrmaucc

. General project scope and schedule

o Project bottndaries and requirements lol entry

. E¡nergency respollse and assembly areas

. Job Ylazarrl Analysis

r Safety Ta;k Assignment (S'lA) process

. Securityrequirements

Personnef rk on the site must attend a Job Start-up

BLiefìng. on au indiviclual basis iailored to thc

spcciiìc sc I be pertbrming, as well as the

associaled with other site activities,

The Safety Task Assignment (STA)/Daily Briefing: An STA (Exhibit #10) willbe utilized by individLral work ctews as a tooI to identify hazards and controls

associated with the worlc to be perlormed by the crew. An S-f A is petlbrmed prior

to beginning work, when changìng to a tlew work activit¡r or when job condìtions

change, netu p".ronnel are assigncd during thc day (e.g. weather, surrounding

activlties, and unexpected condirions).

l)ago lJ ol 65

¡\ítachment.I-i3

Post Job Reviews and Feedback: As defined in lhe WSI IP, worket's may provide

leedback ou an ongoing basis during work and lecord it in the woLk doctttnents, Alr

inlbrmal or fbrrna[ post.job evallLation may be collducted when needed (Exhibit #8

Post-Job Revierv Checktist, Exhibit #9 Prc-Job Brietìng and Post-Job RcvietvAttendancc [rorm).

Site Visitors: Site visitots can be brieled to the STA a.s long as they are escolted by

a mclnber of the projcct managetnelìt teat¡ or their designee while within the

construct ion/work area boundaries.

Pcrsonal Protective Equipment [10 CFR 851'221

PPE ancl fieldworkapparel are oonsidered on a task-specifio basis and idenlillcd intlre Job Hazard Analysis f'or any fìeldwork perfortred on FBP-managcd sitcs.

c Radiological PPE (anti-c's) reqLrired by a Radiological Work Perrnit(RWP) shal lbe worn witlr at least modestl'clothing (c.g', untlershirts.scrubs, shoís, leggings) ttnderneath.

The Contrector shall be tesponsible for providing all requircd standard industrialpersonal protective eqLripment (PPE) to the workers. Radiological PPE will be

providecl by the Cornpany.

¡ Adequate dress for personnel on ajobsite shall consist ot'theloÌlowing:

. Full-length trousers, slacks,jcans, etc' in good condition.

. Safety boots (protective toe) witlt sturdy soles that meet the

requirements oiASTlvf F 24I2lF 2413,

. Shirts that cover thc shoulclers, r.vith sleeves at least T-shin length.

5.5 Feedback/Continuous Improventent [10 CFR 851'20 and 10 CFR 851.2U

Wol'kers are encoul'aged to plovide feeclback and sLrggestions for improvement [o

enhance saf'ety and effìciency. Workcr involvement. tèedback, and suggestions

witl be sought through participation (dtrring official time) in the following:

¡ Job Planning walk-dor,vns. Pt'e-Job BrielTPost-Job Revie,"v

¡ Developtnetlt ancl leview of JHAsr Developtnent and t'eview ol'woLk doculncnts. Á.ccident/lncident [nvcstigations. Ernployee/Supervisor Interactions

Note: [n thc cvent the Contractor'/Subcontractor workers ¿re not employedef fhe tinre of work nlanning and .IHÀ develoomcnt, a tlocumentetl review

and feedback activity is lequired by a t'reld worker bcforc wot'k execution.

ContracLor sr.tpcrvisiou shall notity lhe company OS&LI De partment olalll.equests of the iollowing and ens[tre contt'aÇtor workers havc thc right, r.vithouL

lcprisal, to:

Accompany DOÊ ciuling wclrk¡rlace inspections

Participatc in activities provided f-or het'ein on oflìcial tirne

Express concerns relal.ed to OS&t-l

Have access to Freedom of lntbrrnation Acl. requit'crllcrlts and

5.4.2

a

a

Pasc ¡l oi 6.5

restn ctr o 11 s

Attachmcnt.l-13

Have acces-s to lirnited (i.c. non-Personatly tdentifìcation tnformation)

inlbrmation on any tecordkeeping log (OSHÄ Fonn 300)

llave access to DOLI worker protection publications, DOE prescribed

standards, FBP standalds and procedttres, atrd DOE Form 5484.3 (the

DOE equivalent to thc OSI-IA Form 301 that contains the employee's

name as the injured or ill worker)

Observe monitoring and measuring of, hazardous agents and have

acccss to Lhe results oIexpostrre monitoringReceive results of inspections and accident investigations pellormed

by the Corrtractor/Subcontraetor - upoll rcqLlest

Wgrkers have the right to have an authorized ernployce reprcsentative accompally

the authorizecl DOE olfìcial(s) during physical inspection olthc workplace lor the

pul'pose olaiclìng the inspection. When llo authorizecl employee rcplesentative is

availablc, the DOE ofhciat(s) must consLrlt, as appropriate, with employees on

matters of'lvorker saf'ety and health.

Prior to the start oIwork, all Contractor and lorver-tict subcontractor personnel

shall be notified of and encouraged to read tlre attached Wclrker Protection

Posters, Workcl Saf'ety and Health Poslers, atrd Fluot'- BWXI'Porlsmouth LLCEnvironmental Health and Safety Policy (Exhibits #1, 2, 3, &. 4) whích outlines

worker right.s, ín submit concerns or inquiries, and the

company's corn ealth and salcty. 'l'he posters shall be placect

in an e;sily acce the Contractot's work area tbr workets

vie,uvíng, typically in the Contractor's worksite notebook.

5.6 Inspections And Hazard Abntement [10 CFR 851.21 and l0 CFR 851.221

Din'ing pcriods of actíve constructìon and project field work, OS&t-l

representatives and superviso|s (FBP of Contractor) will be on sitc. These

indiviciuats will conduct periodic inspections of the worksite to iclentity and

co¡rect hazards ancl instances of noncompliance witlr project safety atrd hcalth

requirements. If immetliate corrective action is not possible or the hazards fall

outside the project scope and hazard analysis, thc OS&FI representalive and/or

supervisor will suspend u'ork, norily alfected employees, securç thç area, and

notify the FBP rcsponsible managcr.

The contlactol shall take itnnrediate corrective action to eliminate or control all

ide¡tifìed hazarcls. Ner,v'ty identitìed hazards shall bc appropriatety addLessed in

revised activily hazard analyses. In cases where imrnectiate corrective action is tlot

possible or rcsponsibilit¡, for abzrtement lalls otrtside the scope of the project, the

construction contractor shall :

Imrnediately ensr,rre all affected employees are a\.vare oltfie hazald and its

location and are removed lrom halm's way. This rnay require partial or

complete suspensiotr of cotlstruction operatìons.

Immediately post warnillg signs at the location of the hazatd describing

tlre nature of the hazard.

Verbally notify FBP responsiblc management iurmediately ol'the locatiou

and description oflthe haz.ard. This noti [ìcation shall be [ollorved up in

writing.Irrrplemcnt lurthel' intcrim controI measures, as needed, to protec[

enrployces lronl thc ìdentitied hazat'ds and socure FBP lesponsible

management approval for continucd use of the ernployed measttres.

Where responsibility fbr abatement lalls outside the pr<ljcct scopc. the

a

I

a

a

a

a

a

Pace lÍol 6-i

I

.rfracnment,J-rJ

construction contractor strall also immediately notify the ConrpanyaLrthority t'esponsible lor saf'ery and hoalth management. of the area(s)

affected.

All ide ntilìed haz.ards and theil respective correclive actions shall be documenledin project inspection reports. The responsibility and tinretable t'or abating hazar<ls

that were not immcdiatcly corrccted shal I also be similarly documented. Follorv-

up inspections to ensure subseqLrent abatetnent of sLtch hazartls shallbc likewise

doc unerrtecl.

Contractor shall commurricate hazalds [o workcrs prìor to comnìencelrent of lvorkand document worker acknowledgement of tlic revierv. Furthermore, allindividuals involved in anSz aspect of the project shall be made awarc they havc

the authority and responsibility to suspend or stop work lor any perceived thrcat to

the sa[ety and healfh of the rvorket's, other pet'sonnet. or the envil'onrncnt and any

leprisal will nol- be tolcrated.

5.7 Emergcncy lVlanagcment [0 CFR 851.241

The Lìmclgency lvlanagement Plogram ensures that emergency evcnts are resportded to in amanner that protccts the health and saf'et,v of enrployees, the public, and the environment.

FBP has a comprehensìvc all-hazald Emergency lvlanagement Pt'ogrartr. 'l'lie full-tilnecmergency rnanagetnent staflprepares, plans, and trains the Emetgency Response

Olganizalion ¡ERO) for any emergerlcies, disastels. threats, and/or problems that could occur

at PORTS. The Field ERO is composed of the responder including but not limited to, the

Incident Cornrnandcr. Fire Selvices. Protective Force. and Radiatir-rn Protection, The Field

ERO is supported by the Ernergency Operations Ccnter (l-OC) and Joint Public Infot'mation

Center (JPtC), as needed.

-l'he Contractor shalIpart.icipate and comply with PORTS sitc rcsponse measures and actions

nccessary flol ernergenoy managetrent cvents, including dlills and exercises (i,e. severe

weather, cvacLlations. hazardous materia[s, l-u'e, criticality and othÐr simulated elÌlergenoy

event exercises/drills). The F BP Ernergency Managemetrt Process is described in FBP-EM-PRO-00025, Emergency Ùfanagemenr Progran.

Notc: During set,et'e/special conditionl¡ PORTS may impletnent Limited Operailons up to and

includíng site cl.osure dnd cont.ract(¡r sltall e.stahlish processes to ensure llrcir personnel ttre

ntadc cwvere of ancl crbide by suclt restricliot'ts.

5.?.1 Sevcre Weathcr [10CFR 851,23 and Appendix A section 1]

DlLe to the nature and scope olwork being condnctcd ât PORTS. personnel olLtdoors

may be potentially exposccl to adversc wcather condìtíons. A severe weather policyhas been <lcveiopeci to provicie guiciance to pelsonnci periìlrming wolk otricioors when

severe wsalher is approaching the site. F'BP-lrM-PRO-00026, Employee Response to

Severe Il'ectther providcs rcsponse guidancc tbr: thulrdclstorms, tornados, and

eartliquakcs For adverse weather conditions not specifìcally addresscct in the severe

lr,eather polic¡r, pelsonnel response guiclance nray be provided by supetvision, OS&H,and/or the Plant ShitT Supelintenclerlt (PSS).

Note: Drrlng ,';evet'ci.t¡tecial cotulitions PORTS ma7' ímplcmenl Limitecl O¡terutions up

lo ¡tnd incltuling site cktsure ¿trtciconlrctclor,shctll esÍuhlish proce.sses lo enstu'e theirpersonncl. are made atvare of ancl abide b.v s'uch re'sirictions.

l'asc I (¡ ol'{i5

6.0 PROCRAM FUNCTIONAL AREAS t10 CFR 851'24 and Àppendix Al

Attachment J-13

Program [10 CFR 851.24 and Appendix A scction 2l

Ihe FBP f-ire Protection Program ptovi<les an acccptable lçvel ol

Protection Progratn is described in FBP-FP-PDD-00001, Fire

Prol¿ction Program Description and FBP-FP-PRO-00004' fircPrc¡teclion Program,

Conttactors shall comply with all aspects of the IîBP Firc Protection

prograrn as applicable t<-r Lhc scope oithe work beirrg perfbrnred.

Procctlures [10 CFR 851.2J and Appendix A section 2l

6,1 Construction Safety ll0 CFR 851.24 and Appendix Á. sectionll

Contractors sl.ral I evaluate each definable construction activity, develop required

safety and health program docurnents, and sLLbmit fol review and approval by the

Comþarry to meet the req uircments of I 0 C t'' R I5 I (contained herein as dcscríbed

in section 2.0).

Construotion projects are required by thc Company to prepare aJIIA' An exatnple

o['agencr.al hazard analysis is provided to the project. The project is required to

subrriit their or.vn JHA and have it approved by the Company prior to the

commencement olwork, These analyses are cotldtLctcd by qualifìed pelsortnel.

The Contractor ConstrLLction Manager and/or Contractor OS&FI Representative aro

responsible fr.¡r cnsur contractually t'cc1ui¡ed safety and health

program doclLmerrts. e trained and qualified cornl,l]ensttrate

wirh thcir <Juties ancl preparation of thesc cltlcltments, aS

wcll as lor conducting work.

6.1.1 Work rvith Limited Scope, Limit'ed Hands-on Work' No Hands-on

Work - Observation/Consultation, etc.

Contractors that are perlorming timited scope and limited "hands-on"

work or strictly peribnning observation/consultatioli, that do not meet

the l0 CFR 85 I exclusions discussed later, may accept and lollowtheIrBP WSFIP and applicable procedures and training under the

appropriatc Program Functìoual Areas as idcntîfled in Section 6.'lheContractor shall submit their WSHP determinalion ior review and

approval by FBP Occtrpational Safety and Llealth,

NOTE: Contrttctors huve lhe optictn to choo.se to develop aruJ 'sttbmiltheir own Safety and Health Programfor review ctnd approval by

Occupational S¿tfery ancl Health, v'hich shalÌ meet the appLicable

requirements containeci herein an¿l 10 CF-R 85 1-

6,2 Fire Protection t10 CFR 851.21 and Appendix A section 2 |

fl;þplicrbleñ{on-Appliçablelnitiar: þÜ

¡ '¡\,pplicâhlePrf on-Applicrblelnitiar2þþ6.2.1

6,2.2

Pagc l? ol 65

,¿rttachment .I-13

Plocedures have been developed to cnsttre all parfs ofthc FBP Fire

Protection Progratn are et'Fectively and consistently inrpfemented.'T'his inctudes contlol oI combustible and f'latnmable liquids, as

requiled by NFPA 30, Flamtnttble uncl (ion¿buslíltle Liquicls Code; us

well as pelfbrmance of hot work activities accorcling to ANSI 249. I '

Sqlët), in ll/eldíng, Clrtting, andAllied Proce'tse.r, which includes the

use oÊ fìrc watchcs. as rcquit'cd by NFPA 5)8, Standurcl /ìtr FiteProtection Dtn'ing Wetcling, Cttttittg, and Other I-Iot lI/ork. 'I'he

process for fbllorr,ing these reqr-tirements, when applicahle, is

contained in IrBP-FP-PRO-00072, LVelding, Burttittg and Hot LYork,

and FBP-F'P- PRO-00005, (' o rn b us tih I e Conlro I P r o gr ant'

6,3 trxplosivcs Safety [ 0 CFll 851.24 and Appendix A section Jl

The use, storage, and transportation ofexplosive material requires coordination

with Protcctive Services and aflected safcguards and sectuity organiz-a{.ions in

compliance with the applicable reqtLirements of DOE M 4'10.t-1.29 CFR 192ó,

Subpart U, NFPA 495,and any specifìc state or local t'equit'ements.

Contractors usiug powder-actuatecl tools shall be traincci/qualified, identificd on

ttre Training Matrix lExhibit # l3), and have on theil person a card iudicating such.

The loacls tbr powder-actuated tools ale kept in a locked led box labeled

',EXPLOSf VES," which are kept in a lockecl area wiLh reslrictc<l ¿tccess and shaLl

be approvcd by the Company prior to usc.

6.4 Pressure Safety [10 CFfì 851.24 and Appendix A section 4]

The Conrpany is an Ownet-Uscr lnspection Organization (OUIO). tìBP QualìtyAssutance group has an established inspecti<ln program that tnccts the

requirernenls of National Board 37 I (NB-37 1). Accrcclitation ol Owner-User

Inspection Orga.nization and has jurisdictional atrthority over þ'BP owned

presstn'izecl systems. Controls are in placc iblthe utilÌzation and inspection ofpt'essure vossels, accorditlg to POEF-trBP-009, ['resntre I''esse I Owner/(lserlccreclilatíon Program. FBP is committcd to stlicL compliance with the State ofOlrio, National Board lnspcction Code, appticable sections ancl divisions oltheASME Boilcr and Pressr.tre Vessel lASME B & PV) Code and approved F'BP

metho<{s ancl proceclures. The Contractor shalI ensure that all pressurc vessels,

boilers, air lcceivet's, and silppol'ting piping systems conl'orm to thc requit'emeuts

of l0 cIR 85 l, Appcnclix A, Part 4 and thc approval of FBP Quality Assurnnce.

The Contlactors shall store and handle complcssed gas cylindels in accordance

with appticable OSH^. 29 CFR I 9 l0 andi or 29 CPR 1926 standards, Corlpressed

Gas Association Pamphlets, and NFPA 55,Standard.fbr the Stotage, {Jse, and

Hanclting of Compressed Gases and Cr'ltogenic Fluíds in ?ortable oncl Stationary

C'onlainers, Cylinclers, an¿l l'cmks, |tltIJ lId¡tnn'

6.5 t'ircarms Safety [10 CFR 851.24 and Appendix A section 5l

The Contt'actor is prohibited f,ront bringing fire¿trnts onto the Site, This includes

dangcrous weapons, amnrunition, inceticiiary deviccs, or similar devioes rvhich

could cause danrage or personal injury.

6.6 tndustrial l{ygiene [10 CFR 851.24 antl Appenclix A section 6]

''t'he goal of the tjElP Inclustrial H-vgiene Prograrn is to control and/or climin¿te

occLrpltional hcall.h hazards th¿tarise as a result of or rluring worl<. Thc Progratn is

n.{pplicnblcpÁon-Applicablelnitial: 4.4-

EÄpplicabf e

EfÑ on-Ano lica blelnititi,. '4/\¿''

l'a(c llÎ ol'(ií

Attachment,I-13

devoted to the anticipation, recognition, evalrration, and control of those

environmental lactors or stresscs arisìng iu or lrom the workplace' which may

cause sickness, inrpaired health and well-being, or signif rcant disçomlort among

,uvorkers. 'l'he ottjectivc is to etisut'e personncl exposures to chenrìcal and/or

physical agents a|e restricted to lcvels below regulated exposure lirnits and As Low

is'Reasoriably Achievable (ALz\RA), 1'his plogram and ils elements are driven

by and contbr.m to applicable DoE Orders, 29 CFR l9l0 and 1926, and othcr

appl icable regulatory standards.

The Contractor's objective slrall bc to ensure pet'sonncl e.Kposures to chemical

andior physical agents are restricted to levels below regtrlated exposure-limits and

As Lorv Ás neasõnably Achievable (ALAIìA) driven by DOE Orders, 29 CpR

l9t0 and t926, and othcr applicable regulatory standar<1s'

6.6.lIHSurveys&Assessments[10CFR85t.20,l0CFR851.2landApPendix A section 6l

An initial baseline Suni ey o('all w,ork at.eas slrall be conducted

whenever the Corrtlactor introdr-tces a pote ntiaì chemical hazard and is

idcntitìed as a resrLlt of:. Review of Scope of Work and Work Plan

r lnspection ofareas or "valk

downs'

¡ Iìevier¡v of plocedures or operations'¡ lnvestigation o[complaints of illness ot injury'

' Employee repofts olpotentiaì health hazards'

'fhe inìtial survey consists of the gathering of information such as

proces ses i nvol vccl, chemi ca l/material i nformati o n, Material Safcty

DataSlreets(MSDS)/Safètyl)ataSheets(SDS),healthhazardsandcontrols, exposure l'oLltes' and exposure $oLlps'

The process shall be utilized to ensure the rnost conseryative cxposure

limit is iclentii'ied by either the Arnerican Llonletence of Governmental

tndustrial Hygienisìs (ACCIH), 'l'hreshold Limit Values fol Chernical

Substances ancl Physicat Agents and Biological Exposule Indices

(2005 and latcst erlition), or the osFIA Permissible Exposure Lìmil-s

listed in 29 Ct"R l9 l0 and 29 CFR 1926, as applicable'

The initial survey results may be incorporated into the associated JFIA,

procedure, or otlie' IntJustrial t-tygiene Assessment docutncnt. Based

on the initial srlrvey, a hcalth hazard assessment is pefformcd to

evaluate and document employee exposuÍes to chemical, physical and

biological agents and ergonomic strcssors'

when performirrg lnciustrial Hygicne (lt-l) samples, [Ft samples shall

bc anaiyzecl by a NVL,AP or All-tA accredited lab Lrtilizing a

recognized exposure assessment and testing methodologies ii,e.

NTOSL{, OSHA, etc,), tlesLrlts of the assessment shall be strbrnitted to

the Company in accordancc with Attachrnent J-8'

PersonalbreathingZonemeasurerlentsbasedontheapplicableexposure limits shãlt be perfo'ned and docurnented using appLoved

qìglhqrl9 (.e. NIOSI t, OSttA, etc ) A copy olthe sampling results

aud sLuuey reþrt shalL be subrnitted to rhe corrLpãny, Areasampling

shalt be cotrducted as necessary ancl shall be performecl and

nAgplicableE|lon-Applíclblclútial:,/VL

l'agc l9 ol'65

^4,.-.L-..-¡ t It

All¿lùtllrlçr¡r J-lJ

docurncnted. Area sampling resr,rlts ancl survey leports shall also bc

submìttecl to the company,

All enrployces monitored lor exposure lcvels shall be inlouned of theirlegal rìghls [o their exposure records pcr'29 CÞ R 1910. ì020,

Fol I or,v-up mon itori rrg/res urve)/s shal 1 be pe'r'tbrtned :

l) J.o assess conclitions aftcl modifìcations lvhich tnay increasethe potential lol employee exposure or t[.re intplemcntation oflrazard control mcasures are complcted; or

2) At intervals specified in subsl-ancc specific standards iclentihcdiu 29 CFR 19 l0 and 1926

6.6.2 IH Training [10 CFR 8-51.25 and Appenclíx A section 6l

Personncl shatl be traincd tcl lecognize potential healtlr hazards aud thcrneans to protect thernsclves û'otn such hazards per their Traininglvlatlix (Exhibit # t3).

6.6.3 Rcspiratory Protection [10 CIR 851.22 and l0 CFR 851.24Ì

Only uespilatols apploved by the National Institute of OcctLpationalSal'ety and Heatth (NIOSI [) ale used. Irit testing Lrsing OSHA-specifìed plotocois is requircd f'or all empÌoyees rveat'ìng positive- orncgative-prcssule. tight-tìftìng täce-piece rcspirators. The prirnatydrivçrs t.or the progran are 29 CF R I 910. [34, Respiratory Protection,and A¡-SI 288,2, Practices for Respirator¡r Protection. The pt'ogram-

impIcrnenling docu nrent is þ- B P- IFI-PRO-0002 8. Res piratoryProlecti.on Program.

All respiratoly eqcripnrent is plovided by the Cornpany

The Contractol shalI comply rvith the Company RespiratoryProtectii¡n Progranr ',vhich meets all regulatory requirements.

6.6.4 Chemical Safefr- Managcment U0 CFR 851.23J

This inclirdes hazatdous chemicals as deiìnecl in the 29 CFR1910.1200, Hazard Conrmunicntion , substances lepoltable undel 40

CF R 302.4, srrtrstances regulated un<ler 29 CFR I 9I 0.119, ProcessSa/ery Ã,(ancrgement oJ HigltLy [[azardcttts Chenticuls,29 CFRl9 t0.14-50, Ocatpaticnutl L)xposu'e Ío f[azarck¡u,; Chcmicals inLal¡oratoríes ancl the lrnvironmental Plotection Agenc-v (EPA) lìiskivianagcmcnr Systerrr Frogranr (4Û CììR. Fari ó3). Tircsc prr.rgitLriis

reduce andior help elirninate thc risl< ol occupationtrl carcínogens.These programs apply to activities involvin-u the handling, prouessing,and stoliug ol hazardous nlater'ials in accclrdatrce with FBP-lLl-Pl{O-00051 , Ccttcinoten Conlrol.

Contr¿rctor shall have a Writtcn [-lazardous Conlnrunication Programthar complics rvith the reqLrirements oi OSFtA 29 Ct-'R 1926, SubpartD and 29 CFR 1910, SLLbpart Z, as applicablc. 1'his plogrânr shall be

submittc<l to and approvecl by the C<-rmpany prior to mobilization. The

Contractor shall fbllolv thc rcqLriletncnts of the wriLtett progratn.

E AlplicîbleEh(on-Appliçnblehtititlt 4-Þ

lrtcc 2ll rrl ú:l

Attachment J-13

Che¡nical Approval

The Contractor shall subrnit to thc Cotnpany lor compliance review. a

list olall chernicals anticipated to be used onsite by their cmployces

and their. Ior¡,er-tier Subcontractors. The list shatl includc tlie identity

of tlie chemical, tlie manulactttter, the quantily to bc brought onlo the

site, tlie application (i.e. ltrbricant, paint ctc,) and the specifrc location

(conhned spaces, pads, etc.) lvhere it wiìl be used and stored. A

tegible copy of the most cLlrrent MSDSiSDS lor each chemicaì to be

rused shall accompany this lìst. The purchase and use oFGreen items

will be a requirerrent r-rnless approved by the Cornpany.

The tist and associated ñlSDS/SDSs shall be submitlcd to the

Cornpany in accorr.lance with the J-8 Submittal for conlpliance review

and approval by the CompanY,

'l'he Contractor or his lower-tier Snbcontractor shall notif,v the

Company olthc chemical arrival on site. Chetnicals in excess ofprojeot estimated requirements shall not be brought onto thc site'

I'he Contractor shall Lrpdate the list each time additional oL llew

chemicals are identìfied. A legible copy olthe most ctlrrent

MSDS/SDS fol each chemical used shall accompany any rcvisions.

Revisions shatl be formally transmitted to the Company tbr

compliance review by Industrial Hygiene prior to the chemical

arriving on site.

The Contractor shall remove his surpltrs Chernical fronr the site at

project completion and submit written notification io the Conrpanrv

that all Chemicals have been removcd,

6.6.5 Noise [10CFR 851.22 and Appendix À section ól

The operation of eqLripment at PORTS can Grcate al'eas where noise

levels equal ol exceed 85 decibels on the "4" weighted scale (clBA)'

35 dBA. Areas atrd equipment with excessivc noise levels shall be

postcd rvith "CAUTION" signs or labels to require hearing prote ction'

6,6,6 Temperature Extremes (Heat and Cold Stresses) [10 CFR 851'22,

10 CFR 851.23 anrl Àppendix A section 6l

'l'hc Contractol shall obscrve the reqtLit'ements of the Compatly's'.fcmpet'alrtre Extremes Program. FBP-l H-PRO-00069, TenTp¿ruture

Ertreme:¡, provicles reclLtiretnents to site pcrson¡el ''vorking irl cxtrcme

ternpclatures (Sce also Exhibit #l I - Plrysiological lVlonitoring fbr

Heat Stress),

¡Agplic¿ìbleE,i(on-ApplicableInitirl: -/l¿1 .

l'tgr;2[ of65

Àitaehriloni i-13

During activities reqLriring tfust control, The Contractor shall utilizewateL spraying or o¡hcr aLrthorìzecl metlrods [o suppress dusL etnissions

to lhe lowest practicable level. Depencling on specìfic wotk area

conditions and restlictions, variouts types oIcquipment may be used

f'ol ciust supplcssion e[t'<¡rts as approved by the Conrpany. ExcessiverunolldLre to dusl contloI opelations will not be permiüccl. Excessive

visiblc emissions olparticulate witl uot be permitted. lipLanucdactivities involve disturbing known or sr-rspected contaminatcd soils,the Conrl.an!' Ptcrject OS&H artcl Environmttntal ProtectionReplesentatives lvilì be consulted cotrcerning duLst suppression in these

al'eas.

6.6.9 Ergonomics [10 CFR 851.23 antl Appendix A section 6l LlApplic:rble

6.6.1 Confincrl Space Entr-v [10 CFR 851.22,10 CFR 851.23 an<ì

Appcnrlix A section 6l

I'he Company's Confìned Space Program is basetl on complìancc withOSt-lA 29 CFt{ 1910.146, Pcrmit Requù'edC'onfinedSpaceRequirentent.s'. The Cornpany requires the completiotr ol'an entry'permit aud atmospheLic m<lnitoring fbr each pcrmit-requircd confìnedspâce erltry Tf cntry into a pcrmit-reqLtired confìned space is

necessaly, then req uirenlents ol' F B P-lH- P R() -00049, (' online d S pac e

I'r'ogrcun, are lollowed at all tìrnes.

The Contractor strall observe thc requiremcnts ol'the Cornpany'sConlìnecl Space F,ntr'¡, Plograrn.

6.6.8 Dr¡st Contrr¡l [f 0 CFR 851.22,10 CFR 851.2] ¡ntl Appendix Asection 6l

-fhe Contractor shall evalLratc the intet'action olpot'sonnel with lheirwolking environmcnt that rnay present potential rnusctrloskeletalhazards such as itrcotrect lifting ofheavy loads, equiprrrent vibrations,improper body positioning, negotiation of physical obstacles, otÏcccomputer rvorkstations, ctc, Hazar<ls atrd contr'ols shall be ìclentilied in

the Contlactor JHA approved by the CotlpanY.

Pcrsonncl shall not lift mot'c thon l/3 of their bocly rveight or .50

pounds (whichevel is less) wilhoLrt assistance,

Pelsomiel shall cont¿rct lhcil SLrpelvisol lol walk-down oIany activitycliat reqlrire.s a tearn lift or mochanical Liftirtg assistancc.

6.6.10 lncloor Air Quality U0 CFR 851,23 and Appendix A section 6l

Val'ior-rs tâctors, such ¿rs chetnical colrtamilranls, carbon clioxide levels

hurnidil.y, and rnicrobiological organistns inflLtence the qLtality olbrea[hing air. In thc avent ancl upon notifìcation of Indoor Ait'Qualityissues or concerns ll'ìc contractol' shall pcrf'onn an indool'ail qualiLy

invcstigatíon. Adclitional air quality irrvestigations shall tre perlormedto ensLrrc the indoor nir cluality is ficc of', Friologioal organisnrs sttch as

molds, milderv, and other fìLngi, and spot'es that tll'ive in moist ancl

stagnant environr"nents when directcd by the Cornpan¡' due to impactctrused by the work freing perl'brnrecl. l)t¡cr-Lt¡etrlation of any sttch

n 4,pllicåblcdlorr-AopJ.icaþle ,lniti¡rl: ,' -tll/

D Applicrblely'1,{on-.{pDtica blel¡i¡itú: .4'/L

ÛNon-.\ppJic4þle_tnitiil: 1þ f

[-l4BplicîblcdNun-Appljcqlrlehtitiz::: /(4,¡-

ljagc ZZ or (r-i

Attachment J-13

evaluation shall bc available trpon reqtrest by the Company or workeLs'

6.6.11 Asbcstos and Other Fibrous Materials [10 CI"R 851.22,10 CFR

851.23 and Appendix A section 7l

Based on the widespread use of ¿lsbestos in insulation artd othcr

buiÌding materials, Asbestos-ConLainíng Matelial (ACM) may

frequently be encountered during work activities. ACM that is

maintained in good condition in buìldings does nol pose a threat to

humans as long as the material is not dccmed "1ì'iable " and is in an

"tLndisturbed" condition.

Due to tlie age of the lacilities at the PORTS site. the possibility oldistulbing ACM should be considerecl when planning work activities.

Inspection.s and bulk sarnplirrg should be pert'olmed ilthe presence ofACM is in ques[iou.Activities pertbrmed by the Contractor/Subcontractor dealing with

ACM shall cornply with 29 CFR l9l0.l00l lsåesl¿rs,29 CFR

1926.1101 Asbestcts, and EPA guidelincs, as applicable.

Asbestos Containing Material (ACM) or Presunted Asbestos

Containing lvlaterial (PACM) to be abated by or that will aftèct the

Contractor is ad.drcssed ìn l.he Section "C" Statemeut of Work.

6.6.12 Reproductive Hazards [10 CFR 851.20, 10 CFR 851.22 and

Appendix A section 7l

Company makes every teasonable elfort to protect both rnale and

lemale workers tiont excesslve exposure to reproductive hazards, DtLe

to the sensílivity of the [ruman reprodttctive system to the et-fects olchernical, ttiological, and physical agellts. special precautions, sttch as

engineering controls, product substittrtion, PPE, and administrarive

controls, may be necessary to reduce enrployee exposure, The

Contractor shalt f,ollow the requiremellts coveì'cd in FBP-lH-PDD-00003, Reproductíve [lealth Progtam Description.

6.6.13 Biological Monitoring for Industrial Chemicals [10 CFR 851.20,

l0 CFR 851,24 and Appendix A section 7l

Biological tnonitoring provides a tool for asscssing a worker'spotential exposure to chemical substances and fbr detennining the

eflectivencss of PPE, and controls. Early integration ofexposLtre

assessmen[ with work plaLrnitlg activities rvitl identify potcntialbiologicalanalysisecitìed incontrol

documentation devetoped fol this activity, as appIicable.

6.6.14 lnorganic Arscnic, Lead, and Cadmium [10 CFR 851.2J and

Appcndix A section 7l

Inorganic arsenic and lead are primaLily f'or-rnd in painted iLelns and in

trace amounis on ltLanium hexafluoride (UF'5) cyl inders; however' any

painted sLn'face (unless paintcd aÎler 2002) should be sLrspected ofcontaining inorganic arsenic and lead. Also, inorganic at'senic may bc

E ÀppliclblcEflon-AppJicnþlelnitiztt: '&L-¿v-

E,{ppiicâblcElãfon-AppJic:rblelnitint: / 012'

Enpplicableþ,I('on-Appllqablelnititl: / I

l)agc 2J ol'65

E Ap¡licableElon-+pp¡.a¡ff niti¡l: /lt'"

. -4 r ItAtL2rClrIllUflt (r-IJ

6.6. r 5

present at lhc PORTS sitc in timiled are¿ìs as it arrived as an impurityin the fèed matcriirl during opcralions. Each work activity that

involves the potential lor cxposute to inorganic at'sctlic or lead will be

evaluated on a case-by-case basis. Appropúate controls and plotective

nleasures will be specifìcd in aJHA, pt'occdLtt'e, ot'cltlrcr wot'k controldocumentatíon dcveloped t'ol this activity, AlI ¿clivities involvingirrorganic atsenic and lead adhcre to

29 CFR 1926.1118 fbr arsenic; and 29 Cl"R 1926.6? for lead.

Occupationaì cxposLrre to cadnriunt and cadtlriunn compounds, in all

fonns, iu colrstr-uction wolk where an employee rnay potcntially bc

exposed to caclniìutn i-s managed accot'dirrg to 29 CFR 1926'1121 ,

Blooclborne Path<rgens [10 CFR 851.23 and u\ppendix Ä scction 8l

l'he Contl'actor shall protect personnel tvho have tlte poteutial fbr

occupational exposure to bloodborne pathogens as defined in 29 CFRI 9 I0. 1030, lJloodborna Pothogcns. An,v individual, who comes in

contact with blood oL othcl potentially infèctious material, either'

accidcntally ol' as a result olthcil occupation, has the poterrtial tbrexposure to btoodborne pathogens. lndividuals 'uvho come in conl,acl

with btood or other potcntially infeotious matelial should report the

incident to the Contraol"t.¡r''s Site S&[{ Representative and ContractorSupervisor and thcll to Occupational iVtedicine fbr evaluation and

appro priate medical treatmcnt.

(t.6.16 Ber.vllium [10 CFB- 851.21. 10 CFR- 851'23 and Appenclir- A seetic¡n

6&71

Beryllium has been identificii as being responsible lol thcdevelopment of sensitization and clrronic belylliurn dìsease. All workacLivitics invoLving beLytlìum shall be performed in compliance withl0 CFR Part 850, Chrt¡níc Beryllium l)i,veus¿ Prevenlion Program'l-in.aÌ Rtile, and FBP-tH-PDD-00005, Chronic Ber.y'llium [)iseuse

Prevenrion Progrcun, [t is important to ntlte that Section III ol l0 CIFR

U50, entitlcd Overview of the Final RtrJe, states that the concentrationspecifìed in thc berylliurn defìnition is consistent with thc oritelion that

OSHA t-lazarcl Communication Standard uses lor a calcinogenicmixtule conceutlatiou of 0.l percent (ot 1,000 pprn) ot gleater', by

wcight or volurnc, At PORTS tbcilitícs, lroce levels of Lrelyllìum are

sometimes found as mixtltres in waste streams, including oils, solids,

liquids, and other waste slrearn components, Also, lSeryllium srlrtäce

contamiuation has beerr dctected on legacy eclr-ripmcnt in controlled

aleas where nrachiniLrg of Reryllium containing equiprnent was once

perlLìrmecl.

6,1 Occupational Nledical l'rogram [10 CFR 851.23' l0 CFR 851.24' I0 C]FR

851. 26 and Appcndix A scction 8l

'Ihe occupational medicine progr¿Im elemen[s ol't0 C]FR 851 arc irrrptclncLrted

thlough rhe identifred OccLtpalional lvledical Progtanr lisl.ed beltlw.

IBP has an OccLlpalional iVledical selvices contlact to plovicle mecl jc¿rl services

according to the conh'act scope of'work.

[)ersonlrel lvorking on site shall leceivc a {]tness ibl ctuLty nredical examination to

! 4pJrlicnblcElon-Applic¡l>lctnitiil: .4/L-

nÄøicnhle[i(rrn-Åppl!cableInilil'l: ,,4¿

-

tr^¡rúoIn itia

i)rcc' 2i ot'(r5

Attachnrcnt J-13

determinc íl workers can perfbrm their duties rvithout caLtsitrg undo h¿øards to

thclrselves or othcrs (Exhibit #5 - Job Content Worksheet). Occupational

Mectical may assign mcdical restrictions to personnel and workers and tllcir

manageme nt shall ensurc that these medical restrictions are fblLowed'

Príor to the performance ofthe medical evaluation,0ontractors shall provide a

Sqlnmary ofipotential exposLtres to ltazardous substances or physical tasks. Job

hazald analyses oan bc uscd as this summary.

Personnel shall also have medjcal examinaLiotts betbre they peri'orm physical

work ilthey have been absent fiom site dr-re to an injLrry or illncss lor three cfays

or rrorer wele hospitalized, or are taking r¡edicatìons which may affecL salè work

perlotmance.

This docurnent does not appty to companies and agcncies providing supply

services, st"rch as:

' Vending machines supplicrs, copy machine nraintenance

¡ Delivery personnel such as LIPS or office supplies delivcry

Confidentiality of medical records is tnaintained, brrt disclosure of personalized

data rvilt be made upon that intlividual wotker's request ot accot'diug to legal

requirernents. Upon request by a workcr to the rnedical director, a copy of,that

worker's tnedical reÇolds will be plovided to that wo¡ker ol the worker's private

physician, if so lequested.

The occupational medicine portion of this documetlt does not apply Ìo

Contractors/S ubcontractors that:

. work at one of the çover.ed workplaceslactivities lor less lhan 30 days in

a t2-month period bLrt is subject to be requircd at the discretion of OS&tlbased upon the work activìties oF the Contractor/Subcontractor (i.e- labor

instensive rvork),. Are nol reqLrireri to be ellrolled iu a medical expostlle monitoring

potential tbr exposure

Contractor pcrsonnel are also sLrbject to and shall participate in F'BP's WoLkplace

Substance Abr-rse Prograur. Wo|kers shall be requìrecl to strbr¡it urine samples to

deterntineif-thereisthepresenceofitlegal drugs. Personnel shall alsosubrrittobreatlr tcsts to determine the amount of alcohol consumed. These test restrlts

shall be I'eleased to FBP tbr the purpose oladminìstration and enforccmetrt ofFBP's Workplace Substancepositivc or the person t'efluses

tì'om working at the site. Thiafler a signihcant incident ha

to perfbrm the tcsting.

6,1 .l In,iury/Illness Reporting ând Rcsponse [10 CFR 851'20' 26; and

Appendix A section El

Enrergency Meclical Services are plovided by the PORTS on-sitc l:'ire

Deparl.mcnt lor response and treatment. All non-emcrgellcy injtrrics or

ìilnesses are treated by F'BP's Con"ractcd Mcdìc¿rl Provider. All FBP

or contractor employecs rcceivillg tl'oatmcnt lor any work related

in-j ury or illness otï'-sìte, shall be accompaniecl b¡' their supervisor'

ãniu"^r*

l)aec 25 ol'65

! Non-Applicablelnitial: ,/l/t

Altacnmcnt J-lJ

In accordance witli Section H Contracl Cìauses (Safètv and IlcalthLa,,vs and Regulations) alI occupational injuries/illnesses of Contractotemployees, off-nc¡rmal occurrences including property/eq tripmcntdamage. and injLrries or near miss-type incidents shall bc repoftedimmediately to the Cornpany. All lnjured or [ll employecs are requiredto repoú to the On-Site tvledical facility fbr evaluation and shall be

accompanìed by their sttpetvisor.

Copics oIthe wriLtcn initial incident/injuryiif lness repofts rnust be

subrnitted to the Company within 24 hot¡rs ol the event occurrcnce.

'l'he Contractor and alì involved employecs shalt participate in any

critiquc and in invcstigation, as lelatecl to thc teporl"ed eveut, accidcnt.injury or illness conducted by the Compatt¡,.

The Contract<.rr shall immediately stop work, protect and secure ihe

cqui¡lnent and/or work site involved in en accidetrt, event, or neal'

rniss urrtil thc Company grarrts permission to retum to worl(.

Thc Contractor shall coopelate tully with the Company and DOEpetsonncl ìn any investigation ofan accident, illncss, or injuty.

6.8 tVlotor Vehicle Safcby [10 CFR 85 1.24 and Appendix A section 9l

Thc Contractor Motot Vehicle Saf'ety Program goal shall be to protect thc saf'ety

ancl health of all driverc and passengers in Government-orvned or lea.sed motorvehicles, Cìontractor-owned or' leased nlotor vehicles aud powerecl industrialeqrLipmcnt (i.e, fbrkttucks, tractors, plattbrm lili trucks, and other similal'specialized equipment po'"velccl by an electrìc motor or an internal cotnbustionengine). Cìontractors shall ensule vehicle operatols comply with the follolvingCo nr pany Program req uirettrents :

a

a

Only licensed and authorized drivers are peltnittccl to operate motorvcliicles and powcred indtstrial equipment.The Conllactor shall ensure tt'aining is completed ancl shall maintainauditable training reoolcls and/or cerlifìcatioLrs lol each ernployee thatopcrates specialty vehicles (as applicable) as well as applicable testingrequilenrents and nrcdical qurrlifìcations fol the specific specialty'vehicleas req uire,J.

Scat belts are requirecl when opelating vehicles, constt'Ltctiou equiprnent.and powered indtstrial equipment, accorcling to 29 CFR l9 10, 29 CFRt926, PORTS Polìcy, and Ohio State l-aw, as applictrble.tnboLrnd anci Outbound inspections alc rcquired for Power'ed IndustlialTrtLcks (PITs).Documcnted pre-use inspections are reqtrired lor P['Is,Docurnented annual inspecticlns are required For PfTs.

Powercd Inciustrial Trucks trsed lot' fìr'e safety purposes must be labcletl as

approved by n Nationally Recognized'lesting l-abolatoly. Spollel's rray

bc required,-...-û:- (---.- -f ¿l--..r^.- -.-l.l--vclllctc opgl aLofs l^,lliuulflPly wltll LlLc llallle Iia\vs ul tllÚ 5L¿Ltc allu Llltr

DOll installation requilcrnenLs inclucling postcd speed limirs and clthcr

trafiìc signs, ¿rnd rvill ;.'ield to pedestlians ¿r¡ all [itnes.

Contlactol shall perfblrrr weekly vehicle inspectiolrs (irrcluding carts)

Ccllphonc use is limitcdto hands-tree only when driving, no cell phtlne

o

a

a

a

a

I)agc ¿(i ot 65

a

Attachment J-I3

I

a

use lvhen refueling,Operators shall pertbrur a 360 walk around prior to moving vehicle and

sound horn two (2) times prior to backing up vehiclc (if not equipped withbackup alarm).

lvlotor vehicle accidents will be prornptly reported lo supen'ision r'vho willin turn rcport to the Company Project Supewisor who will contact thc PSS

and thc responsiblc Project Safcty Rcpresentative. Motor vehicle

accidents occurring off-site will be reported to the appropriate law

enforcement agency.

All motor vehicles including all-terrain vehiclcs, ror.tgh-terrain vehicles

and cart operators are sLrbject to the satne traflìc safety rules as motorvehicle operators.l'he Contractor shall have and implerrrent awarencss campaigns and an

incentive prograln to encoLtÌage sale driving-

6.8.1 Traffic Control [10 CFR 851.241

Contractors are responsible f'or the orderly traffic control on theirprojccts. All traffic sotttrol measures on site roaclways are according

to applicabìc OSIIA standards; and local, state, and Department ofTransporlation regulations. Traffìc signs and/or signalmen will be

utilizcd, as necessal'y, to protect personnel and/or tlre gencral public'Speed limits will be imposed, as conditions dictale, Speed limits,traFfic laws and tralfic safety rules are enfbrced thtough the removal oIinclividual's project driving privi legcs,

6.8.2 Equipment and Vehicles U0 CFR 851 Äppendix A section 9l

The Contractor shall ensure that vehicles, equipmcnt, and materials

comply with and rneet the manufacturet's safety and operatingrequirements,29 CFI{ 1926 Subpart (), Motor Vehicles, MechanizedEquipment, and lulqrine Operations and29 CFR 1910.l78. Materíalsftandting and Slorage, State olOhio Department of Transportation,

ancl DOE requiremeuts, as applicable.

Inspection ancl Maintenance lor all Leased and Subcontractot-Provided Construcl"ion Ecluipment shall comply with the [ollou'ing:

. Inbound and Outbound inspections (unless specificallyexempted) are required.

. Documented pre-use inspections are required lorconstruction work,

. Documeuted annual inspections are required'r Certifìcation of Non-Countcrfeit Parts is required and a letter'

of conf'ormance may be requircd fbr specialty equipment.

'f he Contractor shall make vehicles, eqLtipment, and materialsavailable to the Compàny for an initial safety and radiologicalinspection prior to commencemcnt of work. All equìpment that has

been utilized on site may be required to have a radiologicalinspection/survey prìor to leaving s¡te. This will be detennined by the

Radiation Protection S uPewisor.

¡

!.!¡rplicable

#:l:'wtv

EAp¡licnble

Y;::!üfr?

l'jage 27 ol'65

Attachmeni i'13

6.9 Electrical Safety [1rì CFR 851.22,10 CFR 851.23, t0 CFR 851.24 and

Àppendix A section l0l

Electrical hazards that tnay be plescnt on site may inch"rde bLrt not limited to

undetected live wires, deteriorating lviring insulation, buriecl porvcr lines,ovcrhead powcr lines. transformet's, elcctrical gcncrators, and tighting. Allelectrical installations shatl be pcrfonned by quatified, trairred, proFessional

personncl anci under the supervision ola licensed electrical Contl'actor in the State

ot'Ohio. Work on electtical systemsicqtripment will be perlormed in accordance

with 29 CFR l9l0 Subpart S, or 29 CFR l9l0 Subpart K as applicable, Nervelectrical iristallations or rnodil'tcations will comply with National Fire ProtectionAssociatio¡r (NFPA) 70, National t,lectric Clode. '['asl<s ìnvolving electricalhazards wíll bc pertbrmed using safety rclated work practices in accordance withNl.'PA 708, Stanclard tbr Electrical Satèty in the Workplacc.

6.9.1 Ovcrheud Power and Communication Lincs [10 CFR 851.231

PORI'S has overltead polver lines th¿rt could pose a hazard dtrring the

operation of hcav¡, equiprnent, stlch as crancs, forklifts, dLrmp trucks(with bed raised), and aerial work plallomrs, where the possibility olinadvertent contact rnay exist. Whcre work is rccluired in proxirnity to

electrical power lines, persotrnel shatI comply with OSHA 29 CFR192ó, Subpart N, Helicopters, Hcsists, Elevators, andConveyors,Subpart CC, Crones and Derricks in (lorstruclir¡n & Subpart O, lvfotorVehicles, lulechanized Equípment, and ll[aríne Operations, OSFIA 29

CFR ì910.269, Elecîric Power (ienertttittn. Trattsntission. ancÌ

Distríbuthn and l0 CF'lì 851, as applicable.

ó,10 Lockout/Tagout of Hazardous Energy Sources [10 CFR 851.22, l0 CFR851.2J and 10 CFR 851.241

Ali energy isolations shall be done in accordance lvith lhe Company's LockOut/Tag Out (LOTO) Prograrn, FBP-OS-PRO-00068, Insh'uctîorts J'orLockoutl7'ago'ul .

ln order' to ensule safety of personnel during construction or maintenattce

activities that rnay involvc tlre potential for exposure to hazardous encrgysourccs (hydraulics, water, electrical, stcant, storcd cnorgy, and pneunratic)r.vlrilc per l'urrtring serviciug oI u1ítilltenance , ecluipment or proccsscs shall bc

lockcd out/tagged out and vctiiìed isolatecl 1ì'om hazardotts enorg-v sotrces illaccordancc with 29 CFR 1910. 147 , The Control o.f Hazardous Energy(t-ockoul/Tagozú) ancl FBP-OS-PRO-OOO68, Inslructirtns for ['ockorlt/Tagottt.

Note: When Section 6.9 ernploys ()SHA 29 C.l;K 191u.269, Electrtc PowerGenerutic¡n, Tran,stni,ssion, tutd Distrihulloä, personnel nray be cxelîpted [:rom

POR'IS LOTO training.

lhe Contractol shall cornplete LO'lO Authorize Person training by the

Company prior to initiating LOTO Request.

6.11 Uoisting and Rigging Opcrations [10 CFR 851.231

'fhc r.lperation anci maintenance ol'hoisting and riggiLrg equipnrent (i.e.,

ovelheail and gantly cl'¿rnes, mclbile crancs. dcrriclcs, hoists, rìgging device s,

and lolklitttrucks, and dcvices such as wire rope, ohain, metal nresh slings,

ft.\pwÑoIniti¿¡

n ÄpplicableEhlon-,\ppljc;r bJe-lnltial: Á/vf

! Äpplica ble

L)agc 2ll ofú5

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Attachment J-13

synthetic-web s[ìngs, and special bclgw-tfie-hook attacltrnents and fixttrres) arc

governed by 29 CF R 1910, Subpart N, ù[ateriuls tlandling and Storage;29CI"R 1926 Subpart H, Materials Itandlíng, Storage, Use, and Disposal',arrd29CFR 1926 SLLbpart N, Helicopter.s, floisls, Elet'a!ors, artd L'onvevors,as

applicable.

H<-risting and rigging operations shall also comply with DOE-STD- I 090-20 I I ,

Hoisting and Rigging Standar<j (Formerly DOE I toisting and Rigging Manual)

't'hs Contractor may choose to accept the FBP Floisting and Rigging program

or submit their own program lor revicw and acceptance by the FBP Hoistirigand Riggirrg Manager or designce.

'l'he FBP Hoisting and Rigging Manager or designee will perform a lìftclassifìcation lor all work.

A lift plan shall be submined by the Contractor lor Company apptoval.

The Contractor'shall submit manufactut'cr's teÇomntended tift polnts tbr the

piece of equipment or the product with equipment or prodttct submittals.

The Contractor shalL utilize Exhibit#14 ContractoriSubconîractor Hoi,sting

and Rigging Checklist (Ordinru'y LiJrs Only).

6.12 Elevated ti/ork/Fall Protection [10 CFR 851.23]

All personnel who perform work that rcqrtires the use of lall protection devices

or use fal I plevention practices wil I meet the requiretnents of 29 CFR I 9 I 0'

Subpart D, or 29 CFRl926, Subpar-t L and M (as appiicable) as well as the

following requiremcnts that are site based:

t) A Satety tvlonitor shall be used during installation of warning

line and/or guardrail systcms.

2) All tàll protcction equiprnent and devices shall be inspected

annually by a Falì Protection Qualified lnspector. 'lhis shall bo

a docurnented inspectíorr. All tàll protection equipment shall

be inspected and used in accordance with manulacturer'srequit'ements.

3) A Pelsonal Fall ArresVRestraint System shall be used when

utilizing aerial lifts, A Sell'-Retracting Lileline shall be Lrsed

whcn operating an aerial lift and shall be approved for use in

tl,e horizontal con-figLtration per the SRL manufactr'Lrer'

4) Personal Fall ArreslRestraint System shall be used wlten

operating a scissor lift ifan approved anchor point is available

and it is required by the manufacturer. When this system is

required a Sell-Retracting Lifcline shall be used atrd shall be

approved fbr urse in the horizontal confìguration per the SI{Lm¿rn ufactut'er.

l)rge 29 ot 65

Attachmcnt i-i.3

Work rçquiring the use of portable ladtlers and scaffolds will bcperformecl according 29 CFR 1910, Subpart D and 29 CFR 1926, SubpartX (as applicable).

The following Company requirements for ladders shall also bc followed:

l) t.adders rnust bc rated as ÂNSl 'fype l-A or greater.2) L.addels shall be sr-rnstructed ol fiberglass, unless

approved for a specifìc use by FBP OS&H.3) Use conductive laddcrs, to prevent slep-touch static

buildup, that are labelcd "SWITCI-{YA.IìD USE ONLY"in enelgized elcctrical switchyards. Do NO'l' use non-conductive la<Jdels in energiz.ed switchyards/substations.

4) Three-section ladders and olher specialty laddets mu¡st be

authorizcd by FBP OS&l{ belorc itsc.

5) Trestle and tripod laddcls are not permitted for use.

6) Iìeceipt inspcction orì new ladders is leqttired be[oreinitial use.

1) [f docun.rentecl inspections are reqrrirecl/desired by theContractor, the Contractor rnay choose to utilize theConrpany lorm or an equivalent approved by theCompatry Sat'ety and l-{ealth.

The following Company requirements [or Scaflbltls shall also be followed:

l) lnstallation olinspcctìon tags ís requiled on scaffolds.2) Cornpletion ol a checklist daily is requirecl.3) Cornpany Engineering mLrst desigu/evaluate tube and

coupler and tàbricated tì'amc scaftblds over -50' in hcight,pole scaff'olds over J0' in height, and otrtrigger bearn

scalfolds.

6.13 Excavation,'Irenching and Penctrations [0 CFR 851.23 and Appendix Àsection 1l

Operations involving excavation or penetration into the earth's surt'ace,

corlcrete or pavernent, and intetior penettations into building w¿tlls, floors, andceilings are subject to variouLs potcntial haeards (c.g., oontact with hazardousu¡ Ladioactive uraterials, electrical Iines, cavc-ins, etc.). Thcsc opclationsrequire that an excavation/penetration permit be obtained belorc thc work is

ir-ritiated. Excavations and penetration activitìos arc performed according kt 29

CI-'R 1926, Subpart P as well a-s the f'ollowing requiretnents that are site based:

l) Subsurtace sul'vcyrng rnay be requ$ecl pnor toexcavations/penetrations.

2) r\n excavation/penetration permit is reqLrired f'or breaching nrore than:I l/2" into bLrilding floors, w'alls, or ceilings; 3" into exteL'ior concreleslabs or paverncnt; or I 2" into exterior soil.

3) Underground warning tape shalI be instalLecl abovc all new utility lines(i ncl ucling ternporary).

4) Hand-digging around r"rtilitics may be lequired,

!,PplicâblcElft on-Âppli¡aþletnitinl: /l/b

flA-¡rOlicâblcEfif on-App,f icrlbletnitiat ./L/Þ-

..\pplicâbleElõl-on-An olicrblclnitirrl: 'daol'

-:l-

l'rsc J{) ()l 65

Attachment,I-13

6.14 Slip,'trip and Fall Hazards [10 CFR 851.23ì

Roadways, acccss ways, aisles, and laddcLs are to the

extent possible kcpt clean and c ion cor<Js, welding leads,

and other obstructions that may ter accident hazards'

Stipping hazards, such as grease, oí1, water, ice, snow, or other Iiqtrids are

cleaned up or elitninated on walkway.s, laddel's, scaffolds, or other access tùays

or work areas. llstipping and/or tripping hazards cannot be completely

etiminatecl, thc area is barricaded and posted rvith applicable hazard postings.'lhe requirernents for horrsekeeping arc outlined in 29 CFR 1910.22, General

llequirements'and29 CFR 1926.25 , Ilou.sekeeping, as applicable'

Note; Contr.actor shall comply wilh PoR'IS crìtical walk-wa,v desígnations

rvhen snow/ice conditions warrant. Contractors may submit additional work

area clearance and upkeep plans I'or approval by IrBP OS&H'

6.15 WorkÍng on or Near Watcr [10 CFR 85f.231

Any tirnc personnel çvork on ot neaf waterways, such as ponds, lakes, rivers,

near or above liquid coutaining tanks, and lvater or sewage lreatrnent holding

ponds where the potential darrge r of clrowning exists, they will me et the

recluirements of 29 CFR 1926.106, [4/orking Over or ì\ear Waler'

work within 6 feet ola body of vi'aler shaLl be evaluated to determine if a

dro wn i ng hazard'' reaso nably" exists.

6.16 Environmental Hazards [10 CFR 851.211

It is the policy ot'F tlP to conduct thc PORTS D&D Project in a safe'

compliant, and cost-effective manner ttral pl'otects hutnaLr health arrd the

envit.onment. IrBP will achieve this by integrating envil'onmental requirernents

¿rnd best management practices for waste minirnizaticln and pollution

prevention into its work planning and exectlÌion, taking actions to rninimize

ihe environmental impacts of its activities. h-BP establishes and communicates

environmental responsibiIilies, plovides environmental raining to its

worklorco, and irnplements controls to mÍtigatc e nvironmental hazartls.

'fhe contractor shall comply with atl applicable envilonmental protectìon

laws, executive olders, oldinances, DOE, other l'edcral Regulation. Ditectives,

ancl support thc cornpany's Environmental Management Systern (DOF. 436.1).

Prior to the start of work, alI Contractor and lower-tier SLibcontractot'

personnel shall be notifìed of aud encouraged to read the attached

Environrneutaì Policy Stalement Poster'(Exhibit #4) which oullincs s'orker

rights. 1'he poster shallbe placed in an easily ¿rccessil¡le location within the

Contractor's work area lor workers vicwìng'

The Contlactor shallsubmit their E,nvironmental Plan to the Company lor

rcvìew and appt'oval ctlvering the fbllorving as applicable:

. The envirorrmental hazards tliat may be encoLtntet'ed and how Lhosc

hazards w ìì I be mitigated. l'he principles oIsLrstainability will be evallratecl ancl ìrnplemented

during the Peribrmance olwork.a) t{cc;rcling oPPortunitiesb) Pollutic¡n preventiotr and waste minimjzation Practiccs

¡.}rtrl¡crìbleEll,lon -Àp pljcrrhlc

tnitü: /W

l'agc Jl ol 15

¡ ¡1--l- -----L f t-ALlacllutcllt J-rJ

c) The purchase olsustainable products

d) Encrgv and watcr ef'fìciency pt'actices

e) Oppodunitie s for the ttse olrenewable energy

Hou' çvetlands and streams will be protected.

How wastewater will be tnatraged.

Vlethods employed fbr stotm wate r pollution prevention.

Horv the chernicals will be ntarraged and controlled.How chernicals contain lrazarc1ous substances, including any Ìess

lìazar'dous alter netives evalue,ted andior propose d.

Spill prevention coutroI atrd countermeasures.

Flow lirgitive dust will be controllerl.

tn aciclition, sorne work at PORTS requit'es wclrking ouldoot's, rnaintaining the

grounds, excavating sanipling otrtfalls, cleaning rooldlains, etc. Anyoneworking outclools might come in contact with stinging and biting insects('uvasps, bees, and rnosquitoes), bird droppings, poisonous ptants (poison ivy.poison oak), venornous snakes. ancl spiders. tdentification olthese hazards

and avoidance wheuever possible will bc employed by

Contractclr/S ubcontractor pcrsonnel.

Many plojcct activities vr,ill be perlormed outdoors and employees wí11 be

exposed to tlie harrnlul cf'f'ccts olultraviolet tadiation (sunburn). Job Hazard

Analyses. and worker süfeg and health brìefìngs will be utilizcd to

communicate these hazarcls and the associated nritigatiorr to the employ'ees.

6.17 Tagging of Defective Tools, Materials or Equipment [10 CFR 851.23 and l0cFR ¡isi.24l

The Contractor shall irnplement conttols to ensure detèctive tools. materials,and cquipment are not uscd and shall tal<e delèctive tools. materials, and/otequipment out of set'vice immediately by tagging, clestroyirtg, ol temoviLrg

them llom the proje ct sìte in accot'dance with 29 CFR l9l0 Subpart J. GeneralEnvironmental Controls and 29 CFR 1926, Subpart G Slgz.s, Sigzals, andBaticades, as applicable.

Corrtractors shall keep a log of r,rll Caution Tags used.

6.18 Housekeeping [10 CFR t151.23 and Appendix A section 2l

The Contractor' shall inrplement gooct housekeeping ptactices, in accordance

with 29 CFR 1910.22, Walking-Working Surfàoes, and 29 CFR 1926.25,

Ceneral Satbty and Health Provisions, as applicable, AII material, scrap, toolsancl toolboxes, and othet'equiprnent shall l¡e stored in a ncat and orderlyfashiorr. 'l'Lash and scrao ale to ]¡e rcrltclvecl ftont thc work area on a rcgularbasis (e.g., at least daily, bet'ore the end oleach work sltift, etc,) ancf are ncvcrallowed to accutnulate, especially in walkways, under stairs, at the bases and

landings ol'slails and ladclcts, and trear tlammable substances. Walkrvays ancl

aislcs are kept clcar at all times, and layclor,r'n arcas are maintained rreat and

order'ly, Materials are stot'ed on level glouncl, and the boLrndaries of laydownareas are identified. Good ht¡r-rsekeeping is implemented as an attributetir i'ou gir ilie nianiigenient r,v al k-do w iì prûccss.

'l'he Conlractor shall pcrforni ptoject walk-dorvns to assuLe goocl hoLrsekeeping

practices are maintai ncd.

a

a

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I

a

!

l'ro(: -tl r)t b¡

Attachment J-13

controls are in place.

6.19 Drinking Water (Field Work Site) f l0 CFR 851'231

potable drinking watcr and toilet facilities shall be providcd in all active work

area;, acco¡cli n[toZe CF'R l9l0.l4l,General Environtnental Conlrol:s and29

CFR 1926.5 I , Occupation¿¿l Ilealth and EnvironmentaÌ Controls, as

applicable,

Drinkingwater in radioÌogical areas shall be established and controlleti by the

CompanY.

! Appìicrìble

EÍ6n-Äpplictblelnitial: 4/t1t-

6.20 lllumination [10 CFR 851.231

illumination of çvork areas and access areas must be according to 29 CFR

1926.56, O ental Contols' In addition'

emergency uirements of 29 CFR 1910

Subpãrt E, SaJ'erv Code, and 10 Ct''R 851'

Energt.

6.21 Tools [10 CFR 85r.23 and 10 CFR 851'241

All tools are used and maintainc<l according to the manufacturer's instruction

and applicable osHA standards (osl-tA 19ì0 subpart B and 192ó subpan I)'

Manufäcturer rccommendations lor inspecLion criteria (ti'equency, substance,

documentation) are only consideled as guidance and are not mandatory. Steps

ate to be taken tcl ensure the followlng:

n^ a blc

Initi:tlle

a

a

All tools are maintained in good condition and ploperly stored when

not in use.

Tools shall not be altered in any way and tool guards shall not be

removed from tools.All tools arc inspected by the user betbre each use,

All electric power tools will be clouble-insulated or equippecl with

appropriate grounding'powei toolsitrall be equipped rvith constant pressure switches that will

shLrt the tool off when the switch is relea-sed, Thesc tools may also be

equipped with a lock-on control provided that turnolfcan be

accomplished by a single molion of the same lìnger (i.e ' prcssing and

releasìng the pressurre/power switch.

Power tools shatl be evalttated to have a dr"ral push salèty switch

function with a stafting action to rec¡uirc operator to do a dual

swirchitrigger press action to activate the bladc/wheel. tf the tool does

nut rontuñthii safety function, the contractor/sttbcontt'acto shalI make

evcry eflort t0 procure the tool witfi a dual pLrsh salety switch. [n the

event this is not a matrulactured option, a JI-IA shall provide

ãltcrnative salety steps to suppolt a specifìc tool use with the approval

ol the FBP ESH&Q Field Opcrations Manager.

a

a

Pagc 33 ol65

¡¿a.--L---^-L f 1,¿ìll¡ll'jlrlrrÉllÌ ¡l-lJ

,4,I bench-mounted and floor-tnounl.ed tools are secured againstr11O\/etncllt or dis placelnent.

Hand tools with cracked, splintered, or taped wooden handles al'e notto be used.

Impact tools are lree of mushlooftìed heads and cracks.Cround-Fault Circuit-lnterrupters (CF'Cls) ate used where required byappliuable standalcls.GF'Cls arc rcquircd whon cmployces ¿lrc oLrtcloors and usingcord-and-p l Lrg-connecled eq ui prne nt sLrpp l icd by 1 25 -vclt; l -í, 20, or30 arnpere circuits.

Bladcd Tool LJse

. [,rse only selÈretracting blade utility knives

. Sparc blades are not to be carried in coverall pockets

. A sharps containel must be provided fol blade disposal

. Pelsonal ol unautholized kn.ives are not to be used at the PORTS site

6.22 Signs and Barricades [0 CFR 851.231

All signs are properly colored and labeled accolding to 29 CFR 192ó, SubpanG and 29 CFtl 1910, Subparl J, as applicable. and promptly removed when nolonger needecl. Thc rypes ol balricades on projects may inc|,Lde rope. tape,

chain, or physical barricades (guardrails,jersey type barriers, etc.). [fhazardinlormation is not printed on barricades ol ban'iels, then signs ol tags ale usedto describe the h¿tzard. Additional site-based requirements to be implemcntedarc:

r) Construction Area tsarricade Signs must be used and include specificinlormation.Gates or access points musl be installed in the barricade design.Do not duck under, climb over, or bypass a barricade.File Services must approve barricades that block firre safety systems,emergency access/cglcss. or sitc roadrvays.

a

I

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I À¡plicnbleE/No n-Anolica b le

Initinl: '/l-/nt--.7--

2)3)4)

Radiological lranìcades will bc establishcd by the Company. 1'he boundarieswill consist of yellow aud magenta or yellow a¡rd black rope, wìth signs of thesanre color. [n sotne instanccs fcncing will serve as the boundâry r,vithradiologioal signs posLed at the entr¿rnce gates. The signs rvill inc[rdc thc arcadesignation (i.e. Controlled Area, Contamination Area, Radiation Area etc.)and the rcquircmcnts tbr entry. BoLrnclalies can only be crossed at dcsignatedentry points, called Cotrtrol Points. The workel must nrcct thc requirementslisted on the sign in oldel to entel the atea,

6.23 lonizing Rarliation [10 CFR 851.21, 10 CFR 851,23 and Appendix Asection 6 & 7l

l0 CFR 835 provides recluircmcnts for radiation protectiorr. FBP addresses

this stLbjcct in FBP-RP-PL-00002, ll¿diation Protection Progran Portsmoutlt(iaseotts Dy'liniott Plant Pikelon, Ohio Procedut'es tlow down ther'Èq Lt¡ rcriìÈitts, sucir as íiri' d(-JcLr nìentaii oit of Rad i o logi cai Work Peniriis(RWP), prc-.job blielìngs, At.ARA reviews, radiation, contaminarion, ancl

airbornc survcys, e[c.

l)age.3J irl 65

fhc Contrãctor shall comply with atI thê requiremenls ot the FBP prograrn

Attachment J-13

6.23.t Laser Safety [0 CFR 851'23]

The Contractor's use of lasers shall cornply with the requirements ofthe Arnerican National Stand¿rrds lnstitute (ANSI) 7'136.1-2007,

American Natictnal StandardJor St{e Llse o/'Lasers,and29 Code ofFederal Regr"rlations (CFR) 1926'5 4, Nonionizing Radiatictn' 'l'he

Contractor shall ensure laser work areas are posted with applicable

signage to clcarly indicate work area boundaries, hazards and controls,

'Ihc Contractor shall register all Class 3B and 4 lasers with the

Company Occupirtional SafeLy and Flealth

Laser pointcrs and engineering alignment lasers should not excecci

Class 3tì at PORTS and are typically and ideally Class I or Class 2

lasers. 'Ihe Contractor shall ensure that each laser/laser system is

cÌassified and classifioation reco|ds are maintained arrd available llpon

rcquest.

The Contractor shall maintain currenf t'ecotds olClass 3B and ¿l lasers.

Inc Iuding Cl assifi cation; Maximum Powcr Output; Manufäctut'er;

Model Number; Serial Nurnber'; Purpose/LJsc; Location; Responsiblc

Manager; Output Paramcters.

The Contraclor shall ensLlre the manuFacturer has classificd and

labeled all lasers anci laser equipment'

The corrtractor shall ensure that ernployees rvho work with class 3B

and + [asersilaser sysicms are properly irairlcd ard quzilihetì; ¿rnd are

providcd with, use, arrd comply with approved operational control

àocuments and laser hazard conlr.ol measures. The Contractot shall

submit the names ol individuals schedule d to work wilh class 3B and

4 lasers to the Company OS&l{ Professional, Laser Salety Ol'ficer

(LSO), ar t for medical stlrvcillance

purposes. medical eye exarniuation

who will lass 4 lasers.

The Contractor using Class iB ol Class 4 lasers/laser systems shall

ensure a qualifìed LSo provides oversight of'the work utilizing these

laser/lascr systems.

The Contractor shall issue training completiorr cards to these personnel

and maintain a copy of traíning records which shall bc made avaìlable

upon request.

users of class 3B and 4 lasers/laser systems shall have initial l¿rser

safe ty training and t'cceive refiesher trainirrg.evcty two years'

The LSO shall receive detailecl traìning, includirrg laser fundamentals,

laser trio-eft'cc lassifications, Nominal I'lazard

Zone (NI tZ) c measLrres (including area contt'ols,

eye wear, barr standards and medical surveillance

req Lrirements.

Maintenance and servicc personnel repairing Class i and Class 2

lasers are notlypically required to lìave Lase| safety Training urrless

plica ble

lc

ln itin I

Page.i5 ol65

Attachment J-13

Class 3B or Class 4 level^s are generated during rnaintenance orservice.

Use of outdoor Class 3B and 4 lase¡s is strictly prohibited.

FBP OS&II Aonroval:

tnitials:

Badge Number: o{'1 1PrintName: 3 VT3 )VO

M

-fut,,S iguaturei Date:

Fagc J6 oi 6-<

Attachment J-13Exhibit # I

You Have a Right to a Safe andHealthful Workplace

IT'S THE LAW!

You h¡ve the fitht to notify your em ployer or the local Department of Energy (DO€) office about

workplace ha¿ard¡, without reprisal. You may ask thatyour name not be used'you have the right to pðrtlc¡pate in the activ¡ties referenced ln 10 CFR 851 "Worker s¡letY and

Health Pro time.You have t coples of DoE worker pro¡cctlon publ'tcalions; lhe worter safelv

¿nd health worlplace; and the standards, con¡rols, and procedures that apply

to your wortplace,You have the right to have access to tome dccid€nt and illners recordkeeping logs and the

ínformallon in records of any worlplace illness or injury th¡t you experienced'

YOu have the rÍB,ht to observe monitorlng or measurlng Of ha¿ardoui ågent', lo receiv€ the

results of youf o$/n mon¡toring, and be notlfled when monlloring fêrults ¡nd¡cate ðn

ovefexposufe.Vou have the right to have a representatlve accompâf¡y the oOE's oirector for Enforcement or

the Dirlctorrg authori¡ed personnel during the inspection of your workplace'

You have the rlSht to requÊst and receþe resulls of inspectlons and eccident ínvestfations'

you have the right to declíne to perform an esCgned lash bccausc of your rcasonable belief

thãt, under the cllcumstanc€s, tha task pogcs an lmmlnent rlsk of dêath or lcrlour physlcal harm

to you, coupled with your ruagonable bellef that there ls lnsufflcþnt llme to 3êrk êffectlve

redrcas through the norm¡l hôrafd report¡ng and abatement procedures. (Stop Work AuthoflW)

l]tlê lO CFR 851 requires DOE controctors to provldc thelr workers wlth a 5afe rnd h¿althful wortplace'

To obtain mofË ¡nformatloo about those requlrements and your riShts; seek advice or a$lstôncc; of to

fepo¡¡ A Safety conCern, contast your superviror, the PORTS EH&S Dcpsrtment ¡t ext. :tOO6, the DOÉ

oFFtCE ol H€alth,safety, rnd s€curlry (h¡þl¿flSü¡rs.en€4x,@). Addltlonal concems may bc

addresscd to Sus¡n Sparks of the Lexlntton, Kentucky ofllc¿ t (8591 219.4f1 5us¡n.Soarks@lar.doc.¡ov

DOE Employee Concerns tlotllnc (5131 246û25

l)age 37 ofó5

Aitachment,í-i3Bxhibit # 2

Susan Sparks - DOE PPPO Employee Concerns Program(8se) 219-4016

su sa n.sparks@lex.doe.gov

¡Job Safety and Health

DOE s.rhrty .rrr(l l)rJ¿rlllt ¡rulrl <;lrurrsJhe v¡orirer safely an(l neallh f)rográilr l0r t,ìc/ loÉtton,IhF ri;rlr]ly.¡¡r(J he;)illr f)oslf r

Copres ol tncrr nìcdtcal record> aId tecúrds of ltì!tr'rxposurcs lo loxtc Jnrt har¡rr'ul ;ubslancrjs irr,-_Jnltìto¡sarrdResr¡tlS r)l rntilJecl orìs ¿ì|(i íìc(iidc0l .ilvr,sl rl;tl ¡Jfìli

t-

\...?-.- I

l'\

Fr¡lrr:ss r:0nrx)rilrì rolitlC(l lo workr,f \:ìlijl7 :j|(, tt¡)¡lllDcclinc to perlorm an assrgned task beczUse ol a Det,efli)at lhe lask posas an tnilrìtne'ìl ísk of death or ser ou.spiìysrrál narnrSlop rvolk In tmf nrnerìl y lanoerr¡r s conotlrons ¿tríjAnonymously teque-çt ãn,nveslrqal or

t

! al ]T

Fst¡bf SÞ 1 wlllûr Ylol(r). S¿tte !v ;Ì).j fl':,.tll¡ o,,r:(,\')'Use r¡rraltf red wor1¿r s¿fetv an,..j lte¿t:tr st¿f ,

Provrrle ttt,r lì¡|t\nls l( tftvr)lvr ,rr:fk, t\ ¡ll(i 'l r lr :l¡ ,:þ tl

prcgfar',Êslah rsh prt>t,etluro: [o, yrorKe,s '-) tel\.)t1 /J ll ut¡l letlrv;lub-rezleo,ìaldriis ,lrtd 1or prorrrp: resU(irsc tr, :ltL,ttel, tìr I s

Provrrre for regula' com,tun ( allon !vitl- .r:rl..e¡s :borr:',lorkp¡ace ìalely arJ ngallh qr¿[er: ì 1c

DtstJl¿ry lllrs lrr)!Ìct trì i¡É,yrDrklrlar:: !1tr,rr I r ir-L (,\s ¡lr l{all v/orkers

v¡'¡¿vr lrss ,ioe qovlhcallhsafel7/rvshcrrr, eÂl 1 r8t1lr,¡a hl,rl

hrrtptt¡ygg5 lrave lne r qlìl lU reqUcsl ¿|trjìy¡',vUS i r[,Je> rgrl

lnat lhe D tsçlçr rl DC)Es OfÍce l:l E¡¡lor:.e:¡et I ¿r,d lv¡-r:r,1h'conducl ao nvesltqattcn ol 0olent,Ðl reoiltAt.,^/ , J âl i)rrlEltp uyees J¿ri lìdke lire re(luisl ,lIllp /irvrw Ilsl, r,l0c q,.tvlcnlorcc/f ,lurîì.11)l)ltJtì:, l.I { tDOl encorrrâ0Ês emp ôyces lo ise locâl en.cloTee aorìcarisp¡ocesses belore iequeslrng an eqforcenlent nvesl Eattcn t ¡

5.

i>¿se J3 oi-ú5

Attachment J-13Exhibit # 3

Rgt'. No. ¡

P¡¡. I of 9SMf:

Fllr AllkonIa;NCÍIONAI, ,IREA:

Pro¡nm .lhrSrmrnl

0 t/f¡8/l5EFITECTfYE D¡\TE¡Tl1LE:llmr'8&ìY Porl!Eor¡lh LLC Entlrffidrnl' Hlnllh and

!l¡frlv Frll¡v

Dl\1S-|ON: ProJG(l }lcrE?m!nl FBP.Pñl.fìOt 00lxl1

Level ! PollcY

À PURFOSE

l ¡r sul lirlh llt l¡ focdupnlio,rrl ir I I

,,¡tCfnti,lrs, Urt h I

(l¡l,R"ts). l)s{ |

E. BQE!colltrnÙl Per*u¡¡tcllll cls'- llls iltìrl llrr¿llvirrxl tittties rrrtl

nirting n

This policy opplios to åll p,€fsons worliing on bchalf otthc PORTS D(tD t¡roject Every Employec'

contiocl t¡t; Resor¡¡oeÞersounû|, d¡ld Srôconråstor ffe eñpectÈd lo lollorv lhis pólicy ¡nd to fePr)ri

safety or environmenlsl conc€rns lo mansgùmenl.

FBP is commilted lo protcoting lhË ünvironnlenl and sttnrrtuttling Ùr ' liolll rl¡l¡lcccplrlhle risks'

We will achícve fhis úy integrãting cnvirurmcnlal re<¡uiruttcttls lttrl pclcrtlirrt ttlkr rrur rrerk

phnnirrg and exccutiorl, and tãking actions to mininlize lhq u¡tri¡olllnc Ël 'rl'rnr (rlkrì¡lirìlls

,lb achíow excr¡ll,:nce in saf,:ty and ertvironmsntal stcwardstrip, worl,i practiccs will emphasizo Ére

following.

l\lrugenænt Lcodcshlp, (fornmltment ¡nd -dccounl¡¡hillly. l'llI ltìlrlìtr8llnclll ir rcs¡x'nsihlc artd

""*uíro¡1" for protectùrg its littplÙye€rl- tlìÈ publ¡c and lllu untirrrlnncrtl ìlllluìgclllcrll \'vill provide

stroilg lcaduship to rnsur; risk-rììûtlügen¡o|ìl slra(ùgie$ arÈ itteilr¡x'rrtlctl inltr lttrsill,s¡s lntl $rrk processes.

Crfcßorllally Erclüd.d from UfiQD/tiSQ Praas Y6E NoE c.rEtUSQD/S.Gn¡ENo; N/A

USQD Scrccntug/Lrli()D No: FBP-l{-SCN-01 t49USQD lkrccnirS/USQD Rtqoirrd; Yp 8l N" E

JrArË.: J?ûzllLAPPROVED BY:

D^tY JIlzlLt_APPROVED BY: ELI

Pogc 39 ol'65

Attachment.I-13Exhibit # 3

DIYISION ¡ Pro¡¿n¡r¡ iìlx nirgcnlenl l'8P-Pill-POLlJ000¡

Rl,v. No. 1LUFluor-8.i.\Y Portmruth f,l,C EnYlroInÞnt, llsJllh flnrl Safc$- Pollc]

PrE6 I of9

Line managcmcnt is rcsponsihle lbr (he sitfc(v rrf inrlivirll¿r1 operati<lns. ñlanageri rvill provitlc a

tvot kplacc tvltclc Lrtvilunruunl S¿lè(v & l lcalllL (IS&Ft) uurrcurru rrc crrcouragctl lo Lrc brouglrt lbrwar cl

rv ithout tÞrr olrvprisrl.

Employcc Ungngcntcnt nntl r\ceuunlrrbilily. Umployws, ¡júbcontrrcloß. rnd C'ontr¡ct f;rhor lìqrorrrccPerso¡nel rrc responsibfe lbr rvorking snlÞly, following policics nn(l prrrcetlrrrtx, stopping rt-risk bch¡viorand stoppitrg rlork rnd notifving managern€nt of unsafe rvork condiliolls arr<l rvork processë an<l awrerseint¡>ricls to tltc envirorutren(, Thir :rpplies not only to lhc ¡ùtivities of th!. rvorkctx thcnuclvcs, but to theirct¡-rvr¡rkcn, rs rrell. F,nr¡loyru;. L-t>nlrct l,rlmr Re,-r')uru-v l{r'-onncl, ¡ntl Subcontrrcl.om may rtnlypcrlìrmr n'ork alìw il is aud¡orized to proccrrl by rnanagenrcnt.

Ilaznrtl Prevenlion nnrl Conlrol. I;BP duvelops an(l maint¡rirui processcJ to ÈniurË hninrtl provmlionand control mclho(l$ includiñg those rclatcd lo envi¡'onrncnt¡l hazards ¡re in placc nnd cffætivc. )¿[ctlroclsfor elinrinatirrg anrl conholling lr¡z¡¡'cls are consitle¡.ed ùr this order:

r [\ocq:s rntl,'or llrn t¿riu I suhst ihrtion ( E,lìmination ). Pasrive desigrr feature¡ Aclivu cnBinæring uorrlroln¡ .4.d¡ninisl¡ativqco¡rkols. Pcnion¡l ptotertivc uquipnìcnt

ES&H Training, Tlaining is providcd to ensurc lvfenagcrs. Supervisors. Ernployecs. Contract LaborRçsotrcç l¡crsonncl- Subcott¡¡ctors rnd visilors lnorv ¡nd untlmtmd thc policics. rtquirmmls.plcc+Jures :rttl respon:íbilities est:lblish¿tl 1ù nri',irrisil riv.L. rrnrl ¡rruv:nl Ëxirosurs Lo wcrk phrc: hlzarr!..;anLl advcn; cnvilontrtctttal írnpacl+, For hartcl,t-on rvork'. fiupniisoN aru rcspon'-ible [o cnsurc rvo¡kershave [ho computcncc to pcrtìrrm thoir irssignetl ttsks tat'oly.

(-'or¡tinuous tohígtr-quality p asjcclcrrent of l-æ ¡ndil is irrrpotlnrrt lhclvay t¡cy thought it shotrld ilnd if ¡nv netv h¡zutls werc itls¡tilierl, 'lhc intcnt of co¡tinuowinìprovcnrml/organi'aricntl lcaming is not to arld complurity to proccthrralrcquircments. bul to provi<lcclclr ârì(l hrllspafqrt guidarrce to EaiLrcd. qualificrt and coutpctÈnt rvÒrkcn to safcly rvorL

Coltlen Rulttl of Snl'ety (tÌfh¡hi( /\) und Fnvíronment¡ll Proaection Principle; (E.rhibit B),lttntlumontnl requiremonls tirr ptrtorming ln:/ \york ilro providrjd in tho Ooltlon tìutx ol'Sll'cty. Thconrlq itrc the hrsis lbr ¡rssuíns cvsvonè'! sut'ctv lnd arc rn integral prrt ot'!-lìP's Safcly ('ulture.Contprelterrsive reqr¡ircrnents for safclv rvorking ¿t tlrc POIìTS D&D Ploject ¡rc c¿utajlrcd in a repar.atelyissued PORIS ñ4 FET( ßrORlJS Enplol'ee &fe¡¡'Pockc¡ rjulcle, This guìde is is$ued to €vef.,,ÈnlploJ-eùas a quick rcl'æncc to upplrurble l"llP ptrlicrcs. pnrccdurs and practrccs, rvlrrch rs updateJ ¡renodical!y.["undrnlental rcquittntents l'ol plarrning arrcl pcrlbrnrirrg rvork to rnirrimizc inrpuct to tlre environnrent rr'clistcd in lhc FIJP linvironmcntrl Protætion llinciples,

Nuclcar Fncility Srrfcty Tenels (Itrrhibil C). V'e ¡re stcrvarcls ofa nuÊlenr sirÈ, (h¡r Integrarcd Satèt¡\f¡tagÈrtìefit Systent (lSl\,lS). the Departnurt of Energy (D(lE), tlle re$tlrtoß. rnd the public areilcpeli,leiii r',i i¡ù¡ !-li¿;i¡i/rii ;r:J ,ìçiir'r¡i¡ iú L-Èv¡r vtr-rru'rvr". r,ut ouvir.,rulreni. ¡rrü uur ncigirilrrr o-uièThu lirur Nuclqlrr F¿cilih'-fcncts thust bc arìrtrraccd b1, ¡ll site rvorkøs to tuttjll tiir stcrvnr.dship.

i)acc .10 oi 65

Àttachment J-13Exhibit # 3

tsP-P.\l-RJL-0u10¡DtYtsloNi MonotsMnaRE\'. NO. ¡

P¡ß3 I ol9rIT LE:

Flwr- B&\t' Portmuth l.l.C Enrlron¡¡rent' llerllh rnd S¡felt Pdlc)

C. DI'FINI'T¡ONS/ACRO]TI'ÑIS

l) Definilions

a) mcans of conFol ol intsmcdirtc rank' inrtlving acliv'c

lic hanirvare ¡hat semc a change ir n process variable

en automated respolìse to $qlure the systøn in a gofc

porlbrma nce dæumcnt adcquncyi ond job pro gr*s'

2) Acronym.s

None

D. B&EE8&NçEE

l. l0 CFR 851. ll/orker &tfe¡'uncl Health ProgrørZ^ D1;Ë Guirlc 440.1-ì8, ll:orker Sttþtt, onrl H*lth Program for DOE Faderul und Contraclol

Employees3. DOE óuidc 450'4- I c' ! n te gr a tecl s ttfe n"lIa n a ge ne n t sv s t em G u i de

4. DOE ordcr,l3ó l. DePl,tuental Stutanabili¡'5, I;UP{)SJ'DD'0000 I, l/orÅzr SrrJiry' und I leulth Progrant

ó, FBP-Ptvl-PDl)4o0Ol. Inlegra Pnl S)'stcnt

7. FBP-I';P-PDD-00(10E, Envr¡on t Sysleil De'scr\tbn9. FBP-NSE-rcL40005. F/¡¡or- LC Nwleat Critiçllitt' Ss|en'Poliq'

E, EXHIBTTS

l- Lioltlen Rlíts of Sufet.v

B. FIJP Envinnntenlal Prolecliar PrincrplerC Ntßleur l"uctlû.v fk{etv'l'enels

Prge I I oF65

Attachment J-13Exhibit # 3

DMSIONT Prcgmm Mqnl0clm( TBP.PM-POLOOOOT

REV. NO. {'flTLU;t'luor-B&W Ponqputh Ll.{ Enì|rctrmñ, H€lah onrl SrfcfI Pollct

Pzgo.l of9

F. EXCEPTIONS

None

RECOru OË ISSUEIREVISION

FomqDoc#: ì{,'A

LLi' l!¡ to or pårt or toclLangas in conditiong subs€qucnl lo the date of this polìcy. Employees r€presented by a union arcsubjcct ln thc fprms and conditions of thcir repcclivc mllætivc bargainíng agrcørrørt with Fluor-B&.WPortsmouth LLC.

Rwisio¡y'Change

Description of Chonges¿\ff*tcd

Pr ges

DatcApproverl

0 Iníti¡l FBP Relæse Ail 03t02J12

I lv{inor rcvision Ail o¿lù9112

2 Minot revision All 08/29/t2

3

G¿ner¡l Revìuion: lncorpontion of Fxrutive S¡fely Council'.scommËnl¡; udded IStr{S PDD reference; removed FBP SufetyPrinciplesl inhodued both thc Goldcn Rulæ andEnviron¡tental hotection Ainciplæ ir¡ the text of the policyunder üre Goldefl Rules of Safety and Environmerìtâl hotectionPrinciples

All Dvt6!t4

4

Added applicability to Conho0t Lsbor Resourc€sl addal text tocnquæ cnvi¡onnlent¡l h¡z¡rd¡ werc given adequatecongidcration tfuoughoutl lrdded rcfercnces'. updttcd Exhibit Acoroistcnt witft sitc policiw; arldcd Exhilrit C.

AìI ta2v14

Pagc 42 of65

Attachment J-13Exhibit # 3

f BP-Pi\l- POL-¡){lxllDlVtslotr ,V ¡nîßcD?n(RE!l" ¡íO. {

P¡Be S of9Tl fLti¡

ilw¡'8&\ì Portqmulh l,l.c EnrlrunnËd. ÌlsJlh rnd S¡fcÞ P0llcy

B(HIBIT AcOLDìili RL¡LES OF S¡\FEI'Y

Puge I of3

:jrltty is bolh ü m¡nilgcmcnt rnd purs0nal .cxpc¡tatiftn rnrl nrurt bc a conslant individu¡l reponsibility

Ë-".r.y fgi o;pf"ycc o-r sub.ontractor should bc ¡blo to go home r( thc cnrl of llreir ir-ssigrred shifl I'itlrcut

r=Fí¡-.¡g tn iniu*. causing rn unplunned svcnt- or an cnvironmcntsl insult of any typc'

'llcsc cspo:talions ,;iur orüy bc mcl il ach individual un<,lcrshnds nÚnagçlììLÎt's outlook on salily,

io,fi"ipoft in our salcll pågr"*, an<I tülly rcevpts tcpursitrilitv l-or lhcir pvrsonal satAy antl tfiat ol'

Ihcir r¿-rvorkcr

H.røyonc rçho r{orli¡ l'or or on behcll- of FBP is rcsporsiblc lor Urcir súoty and ürc salìty ol'tlosc a¡ound

thcm, Il is important lor us tu cmphasizc thnt:

c \rvo¡k will no( bc conducted rvithout a ltrzard anal¡rsis:

:. All pæonncl will bc vcrìficd to posscas thc rcquiritc knorvlcdgc. skílls rnd nbilit-v 10 pêrtbñn

their assipted tasþ

: Pcnonat prote¡jtivv c{ltliPmenl will bo provÍded gnd be rrced according (o tho rc{ìuircmcntg

irlsntified in l-he hazard annlysisl- Emcrgcncy phns arc in place to rcspond to unplamcdiunlnticipated conscquanccg fronr the

rvork aclivitl': cnd

.r Evoryone undcnt¡nd.ç tluy have the riglr antl reponsibiliry* to stoP rvorli that they læl ir

unsalc rvithorrl lèar of reprisal.

fhçse Goldcn Rulcs providc dtc base guidancc for æsuring cvcryonc's safety and are an integral pnl of

oru sallty culturc.

. ll¡r¿¡rrd ñrulyrit ¡ hü./!rd rnalysis murt bc pcrlormcd prior to rvork buing prtlbrmcrl"llrir

may lrc Lsßprfâtc procc,rÍ or includcd as prrr of a rvork pmccdut do'clopment' ,À hnzarcl

rnliyrris ia , t""lrn'iqur ürrt fr¡:uses on job taulc ¡rc x rviy to irl,;nlify worh plæc and

cnvir<¡nmcntll lurzrrd¡ bcfor,j lhcy occur. lt r¡<il¡nincs tlri intcrrcl,rlionship bclrvccn lhc rvorkcr'

the tasfi thc tools and thc $ ork environmcnt

. Proper Work Àuthorization - h¡z¡rtlr¡uc rvork ru¡uire ttrul ¡ulhoriz¡rtion bc grantcd by

mmûgemeltt to ¡ssure condiiions ,re in ¡ lafc configuration nlld ú¡t Work can proceed as long as

certain critcria are fttel ¡nd m¿intai¡ed. ,\n cffcclive rvork ¡rttltoriz¡lioù will contâin:

,r À scopc ol work¡ Idcntificationofhoz¡rds;¡ The rvorls/hazard controlg reçied !o rvork safetyl

-, fcfentification ofspccific contrÒle;

¡ ldentificstion olthc PssomEl who are ossigned to ¡Jo thc workl

,: Itlsntilio¿tion ol rfio responsiblc pcrson tvh<r is authorizing the work l0 be done: ond

J,/\ssrrrancfrth¡tcontrolsareinplacctoretuntonorm¡lopcrrtion¡Rcrtlrcrvorkiscomplctc.

Pagu 43 ol'65

Attachnrent J-13Bxhibit # 3

DlVf Sl0i\: Iro[ram ill{n!ßcmçnt FBP-t,lll-POL0U{0!

RÉV. NO. ¡'l'tl'LErFluor-B&}} Port$rþullr l,l,C Envlrcnncnr, Hexlth rn¡l Slforl Pollct

P¡tr 6 ot9

E,\IIIBIT ¡\GOLDEN RLILF^S OF S,\¡-B'rl'

Puge 2 of J

Ettcrpr Isolaliotr nn¡' isolntion of nn energl, s1.rtum1 rnuclrrnicul, elq:t¡i¡:¡rl, hvdr¡ulic ul'

¡rrocuss. is nol ¡chìevnblc ultluss:,:' [-]rc meihod of isolation rnd dischnrge olstoral eucrgy are aurccd to rnd exæt¡tul bv ¡n

issuing uutfior iLy;

.r Any storul encrgy is dischargcrl or releasul,,) A systm ofconl¡olled locks anrl lags is utiliz-ed ¡t itlmtilied isclalion location poinls;:' r\ ¿cro cnerg¡, lest is pu'[om<l lo Èniure üre is¡¡lr(ion i¡ elleelive:,:' 'lhu rppropriatc standoff clirtancc is idcnliñed and nt¡int¡insd:¡ lhe cìÊ'cctivstres of lhs isolalion is pcriodicrlly monilorcd: and

? fhlTo is an itlcntilìcd proucss in plaec to rctunr çnergv !o lhc r-ystcm anrl rctrrm ürc

syslenr sat'ely to ils norm¡l configuratiorr.

Grountl Disturblnce any soil or surf¡ce dislurbance thåt goes [2" or more bekrrv tle norrmal

gr:<le or surfaue cannot proceed unlcsn:

,i r\ hazlrd assq;smcnt ofürc rvorksitc has bccn complctcd and docr¡mcnltxl:;r All untlcrgrounrl¡under $urf¿ce i.e.. pipclin*. clectric cabìes, conduits, miuc. rviring. etc.

have been itlenlífied, located and ifnæesrary isolatedi anrl

r A tlcfned rvork plar! including a work pernrit and enginæring r:vícrv. h¡s beurdoclopcd to vxplicilJl' dcl'nc horv rvork in ¡ speific arca will bc pcfomcd

Contined Sprter: - entry into r pcnnil required conlìnctl lpace cannot oucur rvithout;o Fitst rrliug out all othel optionn to petfomì the work;,.' Ccrrnpleling an initi¡l cvalu¡tion oftlre confined lpace;,r Having a conlincrl spaæ cntly ¡xmrit issrrcd ¡nd ¡utllorizctl lry thc rcponrible

Superuísor,L, Thc rçquilvmsnts of thc pcnnit arc communicslcd to and unrlsrslood by workøs involvcd

in the confured spåce entyl: All persons atc ptopcrly qunlitìed ilÌtd û,ained 1o errtet ürÈ confined spacc:,-r i\ll $ouTces <.rf enyrgy atècting thc eonfincd spaca iìre prop€rly i¡olatedl

'r 'lcsting of drc ôtfto.qphcrcs is conductcd pfior to ¿nd. if ncccssary. duríng thc crttry or ôs

dctincd in thc confrncd spacc mtry permit;,r Resctrc per:ronnel rre qunliliuJ, (roined nnrl availnble; rrnd

¡ À mcch¡rnism to prevent unituthorizrxl enuy is implernørtcrllllcvated lVork - tbur (4) tbet or higher nhovè the ground ot. $orking surthce requirur:

¡, Thât d hazard asseslmcnr ls pcdorncdl.' It'¿ wotk plaform is uscd il has thc rcquircd guacd mils in place;

', 'l'hat lluee point coutilct i¡ rnaintlincd at all tirnes if a l¡dder is uvcd and fall pr'otetion is

no1 ru¡uirc,tl; and

.- Thatifihll anstequipmentisuscditisthecorætcquipmcnt.ithnsbccr:in"spæted.itispropmlv rulm nnd thc rvurur ic nronerlr, trninud

f'ugr: .l.l ol'65

Attachment J-13Exhíbit # 3

t'BP-P$-POL-UUlolDlYtSf O\; PrußËnr ltilnaBcütçnl

RE\', NO. IPaß" 7 of9

TI fLE;Fluor-B&\l' Por¡smuth l.l,C FrtlrunnFnf, HErllh snrl9rltt¡ Pollq'

L\HIBIT.\(X)LDE¡i RULES OF S,UTUI'\

Page J o[J

¡ [,ilìi¡rg O¡æration.s - titìs utilizing cranes, hoists or olher ntechanical liftirrg devices Nill not

bcgin util:-, À¡ ¡ssss¡trcnt of Lhc lift ha¡ bccrr curnplctel alrd thc lift illcütod attd lssuciattd

equipmcnl l¡at been detei:ni¡red and validated by a eonrpeten( pçrsoni

Cþcrators of t¡e lifring dcvicc arc tr¡ined and qualificd to opcratc thc dcsignatcd

cquiPmsnl:.Riggingofthc]ortl.ifrerluircd'iscrrricdouthy¡tr¡incdandqurliticdpcnon:.. Lifling tlevices are verifi€d lo be currcnt olt ÌÍspcctions/certificalions:

r.[hr:loaddousnolcxcoc<jthçc¿pnc¡tyolthcdwiccor¡nycomponLfìtusqlinconjunction rvith t-hc tilì;

- Åll gal'ety dciccs instrllcd on thc cquipmcnt arc opcrational: and

l;Ulcquipmenta.lsociaterjrviththclilìhavebemcheokedJc.ruminedbYüc0mputfrtpmon Príor to tach liñ.

o Drivíng Stfcty -any motorÞed vehiclcmay not be op+ra(ed unles$:

:, Vchiclc is tìt for thc intcndcd purposc, hos been inspccted ¡nd ænlkmcd to bc in safc

rvorking ordcrl-í Numbø of passerrgcrs or.rvcight of load dm ttot exwd design spccitìcations or number

ofsqrt bÈlts availahle lbr use by personn<ll1

.r .\ll pmonncl wcar a sat belt whonever the vehiete is movingl

oDriveFJ¡retrrinedandquatifredtoopelotÈtlrevehícløpiecccfequipment;. r llrivcrs/opraton arc not impaired in lny manner; nnd

.¡ l)riversloperators rre nol tlistractcd by lhe use of a æll phone, eating, drinking or rny

oUrer activit"v that would rmprct safe opefltion of the vchiulcjpiwc uf equipnrøtL

. ñlon[gcment oI change - rvork arising frOm tcmPorary and permnnoît changx to

urgnnizrntions. pcrsonno! systotns. pross. procrdurcs, cquiprncnt' and hws and rcguhtions

cannot proueed unles r managemctrt ofchangc procrxs is completod rvhere applicablc to includc:

,-r À risk assessment is conducted covcring all impactcrl bv tlre changci

.:l Dcvclopncnt ol ¡ rvork plon thRl sloarly specilit* tlre tirnccale of thc change and ony

confol mcorucs to bc implcmcntcd regarcling:

' Equipmsnl lacilitis, and Pocrxs

' OPer¿tions. mlintenrnce. inlpection proccdures

' Training, peruonnel and uvtnmutricrtion¡ Documcntationl and

,¡ Authuriz¡lion for thc rvorli to pror:eed is mrrlc by a ræporoiblu Pcßotr(s) ¡nd i¡ l'ollowed

through comPletion of the job.

I'}age 45 ol'65

Attachment J-13Exhibit # 3

DIVIEION¡ PþEmr¡ MomBrDcnt FBP-fM-POL-0000r

Rrry, No. {TITLE:Flwr-8&\l' Port¡m(ti LLC EilvlronnÉil, Hqlth sod Safst) Poltcy

Pegr I of9

E{HIBIT BFBP ENVIRONIVIENT,{,L PROTECTION PRINCIPLES

[, F]xocutc and complctc all D&D and environmmtal rerncdiation wo¡k activi¡ier in a m¡nnq tìrlcomplies with DOI: tlccision douumonls ¿nd hrs thc lcosl impacl on lhc orvironmmt,

2. Conrply rvilh all applicablù cnvirorütcntsl lawr andregulations.

3. Inlcgratc cnvil'omrcnt¿l reqtlirerncrìl¡ and polfution prcvcnl.ion into our rvork planning rndexeculion.

4. Lfsc all means practimblc t'c nrirtimize or eliminatc any rrcwty gcnerated wa¡tes, Whenever. possible,nel'lygs¡s¡.lþ¿rv¡.stesshallhavercle¡rdilpositionp¡thbeforetfieycregenerrted,

.f. Pmtecf the n¿tunl, biological ¡nd cultural resources asûociated with FBP activitiec.

6. Congerve natural rcsorrrccs by ccusing and æcycling materiol-e. purchaoing and using recyclerlmatcrial¡, and incorporating energy and water gñiciency princ¡ples into site operationJ andrcmerli¿t-ion worL

7 Esl¿blislì document€d environment¡l olr.lectìves and targehr and updnte thctn æ nscsrsarv l,oroflæt FBP's changing nceds, missionr, md goals.

8. Consíder the input ofourstakcholdcrs when wcíghing alrcrnativccourses ofaction.

9. lvleasu¡e ou¡ environmÈnt¡l performance rnd monitor oru impact on the cnvÍronmsût andcorrununicaæ lhe resulte to our Employm, Subconlractora, and stâkÊholdefs,

10. Continuouslv improve our cnvimrurertal lnanrgünÉìlt system through sell'-assxsmÊnr andconc¡livc action.

I I Communíc¿ts this policy to all Enrployeos and Subcontrsclnrs snd makc i[ ¡¡vailoblc Lo the publieand our stnkehoLlsrs.

f'ugs ló 0l'ú5

Attachment J-13Exhibit # 3

DlÌ'lSfON; hogmm

t'fuor.B&tt'Porlrmoulh l,1l' Envl¡onu¡¡L Hc¡llh rrd gsfcf) Pol¡çtTITLË:

FBP-Dâf-POt,.m00l

RE'v. ñO, {Pç.9 of 9

l)xlltBlT cNt;(LF..\R F,lC:tLlTY S/lI"ETY Tt'NENTS

l. Pr¡rr¡h¡rul I hntplíunct\l u ¡llc in lhr; hllrí¡isr i¡l'ù:i¡ìelnúf\ l'llurc ir vcn liltlc rnflrdtl lirr crr¡rr ntld il lttllsl bc l)rùs.-rvcd ¡hcbüst tyt¡) lrr do llltl ir lo t¡$r I çolilh¡nnftorr rrl rrttr cli¡rrictlec, rttlf lr¡lillillE, ¡¡lttl thc k¡ll sallcd "llùr;

pr¡c,rJrrrc". I hc prrxcrlrrrc is ¡ rcl ol' iltsltuç¡i¡¡¡s pttl lugclhur lrr n urbjccl tlllllrlr úrlÌ.fl trol ttntlcr rutli¡¡rcss rrtlh li¡ll accq:sr h) lnlllli0lc r'"srnfccs 'l ltc pt'lcúdurc ltts br:cn !üriliùl ftt dr:livrr cu¡¡sistct¡¡ nnd

cx¡xrlcd. lcrults slrrl pro¡xrll lìrllurrc<1, co¡ubi¡ring il sitlt rt¡r traittiug untl otu,.:rpr:riorcc,

¿. Qur$lkrnlilg,tlllaudelt ts r¡ut r.:)ilr'sclûlir¡¡ llu¡l ¡ur rrofklir¡r-c rìill hrkc nrrlhill¡ lirt grntud \\'\j $n¡tl u¡r srxkfittc¿ nl nll lcvcls

lrr llnvu ¡ qræsttoning altitrrdc lhoJ ttxtsl h¡vc crlrlitl,:ncc lhnl lltùir rtctlorts rvill rqqtll tl lhc dcsi¡cd

,:ll'crt ôtrd .krp :rnt lilnc thùi'{rù lllsurc .rl'lhu ùll¡cruilc ltuy nrtrsl totllitltlc lt) chûl]L'llgc {ll}'lhinE lhc\dorrûl ¡¡Elg¡¡¡s¡d unlil lhsv do ¡lldüfsl0nd il, t-ttrr stt¡^-n'istttt ttttt$l \-upp(rtl rrtlrkr;rr ittquisílircncssl

J. ìÌ'lll¡nq¡teqs lo Sloplt is rtrr intcnl k¡ lìrstJ¡ lu gltviR)nnrcnl rrhcrc cvcll ctttploluc fcsls uo¡lllirrll¡hlc ìkrppillB \lluil ullsurd tll'lhc resulls rrl'prnc.:.rlitrg lVu ncvor ñnnl 0n]' ùrìrpk)vc!. l(ì l'ccl lhcJ' nilrst rrr shotlld pr(rcçr;d itt d¡c lhcc ol't¡ilc(,rl¡tiDlt ()l'lhu lìrrtr sllf¡htllcs, tltis rrlrr: is llìc rlr():il irnlxxlÂtll. Nt¡l ¡lnù rrl'lts gflll ðl\\a!s kllolruvcnlhing - \t.'pping to cdt hclp is to lrc r'ictrctl o. tlrc hishùsl ¡ttl of irtlulligcrrcc ulrrl irrtugritv

ur tt responsib¡lily. IfÚrcre ¡rc

# iru'.î.i:"''i-[rKHbl old oursolws mgorsifle to

lho h¡ghesl sl¡Íderds and sol wilh coü¡age rnd int€grity.

l{uchrr FrcllfiS¡fÊtyTmGts

/ hoc¡durrGonpll.m./ 0u¡cdonlq Âttt{ud¡/ lïllllngn¡¡sto Srop

r'P¡r¡on¡l Accor¡ît blllty

Page 47 ol'65

Attachment J-13Exhibit # 4

Envfui'mentat Pollcy

ft is thc polícy of Fluor-B&W Portsmouth LLC (FBP) to cónduct the PoÉsmouür

Dccommissioning & Decont¡¡nlnstion (D&D) ¡¡d Envl¡onmenol Romedlatlon Projectin a safe, compliant and cost-elfcotivc mannor that poæcts hum¡n he¡lth and thcenvimnment. tilc schlovo thig by lnægrrtlng onvironmer¡t¡l æqul¡tmcnt¡ and

pollut¡on prevcntion into our wort planning and exccutíol¡ urd taking ¡clions lominimize thc envlronmcnlal impacts of our opsrarion¡' Wc e¡abllsh ¡nd sommunicalcenvi¡onmcnt¡l rcsponribilIües, provide øvlronmenlal belningto our workforce, ¡ndimplement contþls b mít¡gat€ cnv¡rþnmcnlôl hazorús' Through employeehvolvcment and managÊmenl commltment to environmentol cxc€llence, wc will:

. Execute and compl€te all DllD and cnvlrcnmenbl remedlation work activitiesin a manner thd eomplier with DOE decision documelß and has thc least

impact on lhe environmcnt.¡ Comply with oll appllcablc environmental laws and rcgulations.r Uss ¡ll me¡ns prrclicable to minímize or climinatc any ncwly gcncratcd

w¡stos. Whencver possible, ncurly gorrruted rrastcs sh¡ll h¡vc a cle¡rdlsposltion palh beforc they am gcneratcd.

¡ ProÞct lhc ¡uh¡ral, biologicrl ¡nd cultural æsources ¡ssociatcd with FBPast¡víties.

¡ Consewe nsh¡ûl rcsourses by rusing and rccycling malcrials. purchasingtccyclcd materi¡ls, using rccyclable materials, and íncorporating energy rndwater efEcirncy pr'rnciples ìnto shc operatlons ¡nd rcmediation wor{<.

¡ Establish dooumentcd cnvionmen¡al obJectlves and targcts end upditc üem ¡s¡eroessory ¡o rcfleot FBP's ahanging nccds, missiont and gloals'

¡ Consider stúeholder lnput when ws¡ghhg sltcrnarivc coußee of r'llon.r Mcasurc our snvirmmcnlsl pcrfo¡m¡nce ond monitor our impacl on thc

envimnment and commu¡ica¡o the f?sults to our cmployccs, subcontractors,¡¡rd sbkeholders.

e Continuousty imprcvc our envi¡onment¡l managpmçnl system üuough sclf'rssessmatt a¡rd corcctive ¡gtion.

. Communic¡te this policy to all crnployccs and subcontrac'tors and m¡lcc itavailable to thc public ¡¡rd our st¡kcholdcrs.

This policy appllcs to all persons wodcing on beh¡lf of ¡he FBP Decommlssionlns &Decont¡mination md Envirunmenul Rcmediation Project Evcry enplo¡æc atdsubconh¡stor is oxpcctcd to follow lhis pol tå[ conc€ms to

mr¡r¡gomonl. Managcs slrall promoteenv pmmÉact¡onb ¡ddrcss concoms and issucs a¡rd havc zcro tolcr¡nco for noncompllmco.

(v

Cor

Pagc 48 of65

10 CFR 851, Job Content Workshect

(:-''r -l JOB CONTENT WORK SHEET/ESSENTIAL FUNCTIONS(Fitness for DutY)

MOTOR FUNCTION REOUIREMENTS. RAIE ALL THAT ARE CURRÉNfLY DEEMEO ANT (EEYOND A MINIMAL LEVEL) IN

PERFORMAI.,ICÉ OF IHIS JOB USINO IHE FOLLOWINO COOES ANO FREqUENCI ES WHERE LISfED:ab¡l¡ly) Fra¡umcy - f;pgqj1qçl

D = Darlybut rore etÛdenlly wÚì, thrs abil¡ty)oñe æsssæs thls ability)

MonlhlyS = Seldom. l6s lhan monlhly

Attachment,I-13Exhibit # 5

Page I of 2

ûc

FTOR

evacuate workthan process

Ab¡l¡t/ to quickly evaouate process

Walkinq on UnevenAscending ¿nd D€scendìng

ClimhJing

Reach Above Shoulder

Reach To/Below Snoulder

Repeated of Wrist (chæk E1 qManLral Dexterity (Check !1 or

Lrght hand gnp (Check El or flForcelrjl nand grip (checr E1 or E

F¡ne F¡ngerEye-Hand

Steadiness (Lack of

f'BP-t'Rñl-lllllll Rev I

Abrlìty ro qurckly(clher

Undersland Basic Verbal

Understa rd Bástc WnttenAttentlon

Read ancl

Prepare Written

U AdmlnrstraliveL Non-Field & OversghtL-J F Þld Wqki Laborlypâ ol work p€rformed (chæk 6e)

L New Hiretl lncumbenlEmploymont sla¡us (chæk fll€)

Bad96 tEmployae Namo (Dpüonal unless lotm

will be lor e secitic ornploYea)Man agedSuPe rylsorJob Tltls:

FI F

Fine (Near) D¡scnminãtion ({Ás, lett€rs, l¡gl¡re6)

Drstanl vi6¡orDepth Perceplror

Color Oi6crimrnatior

EpæclAtllllv to MÉko On€'s General Intent Urìderstooc

}lt¡.of Em€

Attlltv lo Detect Ch€micgl OdortXrd¡{ho Ácu

to Hear Communications/Alarms inAblity

Underslandíng Spcken

AbrliÌy lo Hear

8.nt. otfou¿h ¡,PõlnftDetect normal/light lo(rf

Abllltv to Maintain Bslarìc€

M.ntrl ooonltlva RGrlul¡sÌ{u1-'1àt

Fovêrtl¡d

'1o.2 A I CCFo¡2 AoJ2 tct1.6 Poundg!tß Þôr¡ndr

-Íô D^rlñ.1Ê

P¡rsc 49 oi'ú5

Attachment J-13Exhibit # 5

10 CFR 851, Job Content Worksheet

CHECK ALL IHAT APPLY USING THE FOLLOWING COOES

very

Sistained Physrcal

Conrpuler & Keyboa rdiQf tice

Light HarrdToofs (shÒvels screw drivers, etcHeavy Fand -ools (prv bars, heaur

Meohan¡cal

l-land lleld Power Toots (drills,

MolorDOT/CDLC¡ane

Heãvy

l.legaltve FressursSupplled Arr/Powe¡-ed Arr PunhTrng

qôll ^ñ^tãrnôi Prôrth¡ñ^ Âñô:;:tr ¡:

PartralCoverrr¡g (e 9,, gloves,

Full Body Covering (e 9., "anti-olm¡ærmeable Ccverall (e g ,

Heãínq Protectlôn (>85dBA 8-Eye

Þelow rndrcates

l'BlL¡'Rilf-0101¡, RGv. I

Lead (> action level, :30BYI lnhalation

Arsen¡c (>action lêvel, 130 dayslyearBy E tnhatatieêrylllum VJorker

Asir€stos (¡nteohal exposure ) PEL)

By ¡ lnhaHydro ge n Fluoride/Hydrolluoric Ac¡d

Rv fl lDna.lâ.llDnHAZWOPE R/ I-1AZi,,IA]-/ TSDF

WorkerBy E tnhalatlon

Ctfle r Dusts/Fumes¡34 ses^./a pors

List

By Ü lnhalât¡on O skrn contectphystcal reqLriremenþ ror lhrs poÊruon title

Page. 2 ol 2

Job lrtle:

JOE (XJI¡IENIJOB COIITEND w M ÊClvÉnfl Exerüon LevCr o W M E loclllc Wo¡k tlh¡¡[on¡

NEAENì/ED

<2¡rsor>2nrs

w 31ôoldEaulomürt llüllr¡r o M

f,lon-Destrur)tive Testing I nspeclionTemperature Exlremes

Welding/Hot Cuttrnglsolated work (núl working around

peopte)

Workrng at Heights > 4'

Around Movrng Mâôhinery

Cramped OuartetsConfÌned Spaces

D¡rect sunl¡ghtBloodborne Pathogens

Radiâtion Exoosure

õ w tt tWorfi wtth Chemicslò

n act

o w M tn Contect

Skin Contacl

Suæry¡sÒr's Signature Printed Name Dale: I I

Da(e I IOSH S¡gnature: Prinl.ed Nême

Printed Name Date I I'Candidate SrgnatuÍe:

Beryll¡u m As¡oclated Workern Yes - I am requesting Berylllurn Assoc¡atedWorkar lrlormâtionn No - Not at lhis Ume

Gandtdate checl( box lo lhe lett rl you Þslreve you afe a DeryllrUm 3ssclafedsÐrker ând w¡sh lo reærve rure rnformãtion lrom the rÉdicâl prov¡dq åboutscræning and enrollñsòl ìn the DOE B€ryllíum Assæietêd Worker RegistryBBry¡lium Asaciâted WorRer is a çurrent rcrk€r who rs or ms expoæd orpotentrally 6xposod to arrborne ooncsntratrons ol b€ryllrum et a DOE fasIty.¡nc¡(rlinO. A beryll¡um mrker. A crrrrent wrker w,lrcse rcrk hrstory shore that lhe wrkèr may have bænexposed to aifþorne concenlrations ol beryll¡um al a DOE lacility

. A current rcrker vvho 6xhibrts signs or symptoru of beryllium erFosurê

. A crrr.ed mrker vvho ig rsceivino medical remvel oroteclìon benefils

Exam Tvoe; flAnnual flChanoe in Jo'b Functon I lReiurn lo u/ork I lRestnction Revrsw I iPre-Emplo lother:

Date I IPhysicran Signatttra Printed l.lame

l)age 5() or ó5

Ättachment J-13Exhibit # 6

contractor/s ubcontractor osHA Com petent Person Designation

Contractor shall complete this Form signifying that the designated Competent Person has completed the

appropriate training and backgroLrnd to perform the duties as a competent person.

The lottowing individual(s) representing are designated as the O.SÉ/¡l

ComPanY Nume

Comperent Perssrr,and are capab)e of identifling existing and pre<lictable hazards in the sunoundings or

working conditions which are unsanitary, hazardous, or dangerous to personnel on the site or the public,

ancl has authorization to take prompt conective measures including "stop work" authorify to eliminate

them. while overseeing the specific work scope outline in this contract.

l. Competent PersonName

Descending order of Designated Competent Person in Line I's or 2's absence:

Dale

Name

Name

l. Specialized Work Competent Person:

[)aîe

3Date

Nante Date

7 ype ol Work

Contractor Superintendent/Foreman/Lead Site ManagerAcknowledgement of Understanding

designated as the assigned on-síte Contractor

Name

SuperintendenlForeman-/L,cad site Manager for contracl No. acknowledge

that t have read and understand thc contract documents relative to the scope ofwork for this project.

Su per i n te ncle nt/ F ore m an/ Le ad S i t e M anage r S ig nature

Company

Dale

Pugc5l of65

Attachmsnt J-13Exhibit # 7

PRE.JOB BR I EFING CHECKLIST

lvp€ Frll Oaily (cherk one) Brlrflng Dátê'

Job Doscription: (deflne scope olworkl

Supervi¡or/CfR:Proccdqres/Work Control Documcnt3to be ui€d:

Work Ar.. Wrlkdown: _Y.r_ N/AAdditlonal creu¡s or CranE ne.d€d:

Othec (e.g re ninders lor Supe rvisor/CTß to díscuss)

prqo¡ brmr¡bto æíÍrrrld. ..¡ |lnd!úrtrdll|otror., hr¡d+ xd nflfþ¡toTh.tlGr

Pre-Job Brl€flng checHlstlnitiol eoch box upon completîon ol the step during the Plg. Mork N/A in the ìnitiols box il the ¡tP-m ís not dppl¡coble to this work.

lniti¡ls DoscriotionDiscuss scope of work to be oerformed,Review applicable procedure(sþocument(sl to include pre-requîsítes, criticel steps, hold points ând criticelparemeters to monitorReview Spccía I Coniideratíons Íplå nt cond itlon3, seq uence of pÉrformánce/evcnts, nuclear critíc¡lity sa fctv

security, Safety Basis ímpllcatíons ILCOsl, etc.]Review åppl¡cable håzards and controls ¡n work documents.

O¡scuss communícatlon methods and timínc le,p. radÍos. PAX. landline. etc.lEnsure Tre ining and Qualificatíon/documentâtion requírements âre comÞleted (any work restrictíons?l

Oiscuss roles and what isensufeReview permít(!) requ¡rcmcnts (c.9., Hot Work, ConÍlned 5pace, etc.) Permitfls:

Revíew othcr work in adjacent areasconditions that mav affect work.

or othermay êny

Review lools and materîals requircd for the job (verify calibraiions are current ifDiscuss waste dlsDosal requirernent5 G,r. PCB, DAW. haraldous/RCRAReview forms to be ccimplcted and any data collection requlrcments-

potential abnormal/emergency or other upset cond¡tions ¿nd

Permit fs:

dose areas) RWPË:

Revierv Ha¿ardous Énergy Control (revíew LOTO

Discuss RWP requ¡rements identify

Olscuss appl¡cable Lessone Leemed/Operetlónâl Experience and prev¡ous exærience wÍth slmilãr tesks-

Rcmind worlters of lheír STOP work authority

Revirw housekeepÍng respon3ibilitie5

Cùrììplete ¿Ètend¿rìúe sheet

Prrformed by: O¡tc:,rl ñr,lúñt.ltn¿adalltoS I lda atutd aãa N.lú M.tlnj @dre dl t?dÈlnûúú tàd.cúNg¡h.. ñlñãÈ tdú¿ le tt ú ñ h. 6nh¿

NOTES:

ÍlìP-tf$E.PR0-llll0l12-l'05, Rev. I

I'age 52 ol'61

Attachment J-13Exhibit # I

POST.JOB REVIEW CI{ECKLIST

Work control Documcnl/Procêdurê f

f¡BP-NSE-PROJllln02-Flló, R¿v. 0

Port-Job Drtc:

-Âddhlon.¡ Comm.rt3:

Revia¡ Glæcklíct

N/Alvt

ChenSeR.q'd l{l

D.rcrlplloIAdcqurlctv)

Verifícätion that paperwork is accurately

Rcviewss unexpected outcomes encountered and actior¡s taten.

D¡scuss adequecy of training {k addítíonal trâínÍnE requíred?).

Revíew adequacy of hazard idcntificatiorr and associated controls

l¡nclude eny unexpected radlologlcal condítÍons encountercd, andRev¡c$/ RWP rcquirêmenttreouired RWP chan¡csl,

plant condltfons and work :cquencin3Rcview consideratíons ânyspecial llnclude

tools/resources.Review adequecy ofAll waste disposed of properly sãn¡tary, uníversal, recyclable,

âñd ínJur¡es.Oiscu5s of upset'lruv¡ew LOÍO cnhancement opportuníDiscuss hazardous encigY

collection Íssues

futur!tor rcferenceLê$oñs

Submítted for arry lssues?Wasa Problem

Compl€te ettcndance sh¿et

Prrlormcd by; D.tc:

F..db¡ck/Comm.nt3:

Page 53 of6J

Attachment.l-13Exhíbit # 9

PREJOE ERIEIING AFTD POST*IOB REVIEW ATTE¡IDAII|CE FORMNOIT: Add ¡ddlf onrl prgcs lf needed for rlgnrûrrer.

hse ofSuporvlsor or CTR ln Chorga of.Iob

lV(l l)/ltrocerlurc:

\vrkcr Jig'l¡llrc cmlirms tlui hc work proccls, Jcopc, añd cffhols rcûrdËrstqxl llrt wsk El lE ¡trrltmrß(l rurl c(tltrolc inpldlúnlÉd 16lvrincG üLt rêrporEibil¡ty fø rto?pûf qork ¡r rudcr3tmd- üd thât rlIwdLú ¡( l¡r ftr r[ù

wof kcl JgrünEc coftblmj thôt all tr9rér, gdcnùa¡ lsc+ rnJu,lcj,prcrus irnprovcnrcnls, u wll æ grnrl work pr¡c[aæ thot wqc oùsvaldring thc wA rctivítics hove bcor conrmuicâlc{ lo Sl4cflirior/CTR

PreJob Briefrng Date : Post-fob Rcvieç Date :

Brdrd (,¡a Tyor¡aer Sd¡¡ba{ W Orr

Pagc 54 ul óJ

FllP-NSE-PRO-{XXI0Z-F0a, R.y. Z

Attachment J-13Exhibit # l0

Hrrhì¡S.lrûttEnviroilüùl Conanrs

Chedt the apflicaue cc¡vities h your uea and €lralude

Asbeclos FJçGureå¡phdtâfr.ndlntsEgricrùsCfiartChenical ExposreConñned SpaceCnn.s,L¡fing EquipOignand¡lD¡nphiqrE¡€cticâlEmisiqr CorùolsEç¡¡prnüt hspcctirrE¡orbn CmrobErcavdion/TrmdtingFlamn¡aHe Il¡bdalGraingßusdtal RemwalGlirdhgHaza¡d Canrm¡nicalùrrHesvy EquiprpntHigh Pre€sürå CloaningHot T+fingHo¡sd(æfrin9HSE Tæm lnvdìrêmefit¡ns€atsL¡dchrs/Scafrlô[a'¿fi E$¡prn€fltL€d ExpoEJr.

Uihg SafbvLckdl/T€d¡tMrho OpôaüüBMdcil SlongrMcdruricd PrtsfPinû Polrb

TanldPip T¡süngPo¡ìnls AÉù¡bd TodsPqyer lircPow¡r TælsPrsul¿¡d EçdprrntRospiËory ProbcüonR¡ggifrCToxh E¡çovrTmfic MrnrgEmlttVehiclæ/llda EqIpl,lhste Sle¡flßVìlbdrr CqìrllbnsVìffiilqethL¡ghtWbdring in Cddl,l/bdù€in HdVúddng wih SharpsOür€rs

PoC STAlnlürl

hvùrd Gnr Imrh¡ilame

Rrvþrr¡

¡rrffiþlìr¡lrûùr4.ftüt

P¡olcct ilile:cl¡enl llane:

t¡cdorü

Fofqnlr:

Dde:T¡nc:

Tæk Loc¡ûbn:

Td D6scíÉon

tl

PoúStAForqn¡r¡:

Wf,s anyare inþrud or dd rn unflanncd incileft æorrlo.rty. EYcs E No

lf yes, odrin:

U\hs I rpcledb FBP?EYæ

ls üc wqt ¡n drn rnd lcs of drò¡is tom th¡rork? EYæUt/hatpdem ddyo hwewih toùù¡s wqtassignm*tt?

trtùòfstrlto

lüH cÍ - ó b ¡tgor,r parbrlt¡tìd?

llcttn¡oar:

Lçr Sylr

Pogc 55 ol'ó5

I l'ortsmout

Attachment J-13Exhibit # l0

SalúY Trsh Ass¡grm¡ú

FBPs SaÉty Task Assignment (STA) Proccsssignificanüy impacts thc sJccess of our safetyculturè and the reduction of inddents. ThEinteractive process æquires thatmanagement/supervlsors and ernployees shall:

. Dú¡e Ëre general task for eaù activity.

. ldentiÛ loowr¡ and potential safet!'hazards associated Tdh he t¡sk.

e Dde¡mine work pract¡ces to comp¡ete the tasksaËly.

. Address requirements fur all personal Fotectiveequipment.

. Esbblistr that all crelr{departmeflt Emdo)ßesunderstand the above infomalion.

. Each orewmember is emporvered to conünuouslyparticipate ln $is prucess in an efrort to promdeour ZERO lncidenb q¡lturc.

. Safely execute the task as describ'e(Hfcondit¡ons chanç, revise accordinEly.

STAs will be ¡n an

oNious plac hsk.Eadr øewm sign hisSTA.

Know the emergency Procedure foryour work area!

SbrfG.ncrrl Tr¡h A¡¡lgnmanl

Step 2Pot.ntld l{rrrÉt

tbe 3

Prrsond Prol¡cüvrcþüil'rrÍlE ChemrcølRes€tent E F¡reRetardant

E REfl edrve vest orHandìeld srgnal oevlc€

EartuæAonE Ea¡Plugs E Es[lvluffs

æñr¡ùE Safs¡yGEss€s v¿rth Sidê-sh,êlds

El oosslrs Q Monogoggtes

il wetd,r¡gnoùo 0 FÊ,Þshield

Fe¡rP¡ÞtocdoaE Fu[-BodyHamess

FootProltctonSteel ïoed BootsRubber B0ots

H.nttFrotú¡onE LesthsrE KevlsrE Ban¡ercream

H.êdÈDtætlonE Hard Hat

R.qpirâtoty PÞú.clionEOu6l¡fi€d to wêar?ETypa

h

trtr

N4el4arsalEl€ctncal-Ratêd Eoots

trtrtr

Ruûb€il].¿t€xFoÈarm cuffsChsm¡cal Res¡stEnt

Pqrmhs/Îq¡lSigndDoct¡ñt rirt R$¡hd

trtrtrtrtrtrtrtrtr

HolWorkTr€nch¡n9 & ExcêùattonConfined SpsceLine BrBddtlct TsppingLockoùTagoulSigns/BamctJosHèzardous Mdeaia¡Emrssrons No¡Ícdrons (NOC)Rad woíier (RVVP)

Crane LriS:sfoloss)sWùrk Nêar OH L¡nesB'êak-lnRoolWorkcr¿t¡nEFlorr PIâo,Guardr€¡l R3moïa¡

trotrtrtrtrtrtr

O{àcr

Enplo¡nr Cctiñcelk¡ns fr quhd

trtrtrtrtrtr

Crsne OporatorMoÞile Equrpment oper¿lorPowo€r.Acfuetêd Tool UserHeavyEqupmentSlgnalm4

trtrtr

FoddrltOperatorV€hrcle OpardorHaardæsW€sle

Compsl8nt Person (excavahons, ùontined sÞaæ.scatblds. hazardous material. hÊavy equlpment)

OllËt

Pugc 5ó ol'65

o

Attachment,I-1JExhibit # 11

PHYSTOLOGICAL MONITORING FOR HEAT STRESS

This Appcndix is intencied to be use,l to cnsurc workers maintain sale hcart rates and body temperatLtres

under oonditions of heat slless. Not all individuals a¡e affected by heat in the same w'ay. An individual's response to

working in a hot environment clepends on a varíety of factors (i,e,, level of physical fitness,

age, gender, level ofacclimatizatìon, use ofalcohol and drLrgs, etc ).

Physiological monitori se to heaf, det hod olpréventing ovcrexpostr oring may be ted

work enviro,tment ancl cr impermeab be

performed by the wolkcr or othcr qLralified inctividuat, -lhis will allo'uv

àccording to their indivi<Jual toìerarrce for heat. This may resLrlt in a work period that exceeds those specified in

.A.ppendices B-D.

C.4,UTIONAny tirne symptotns olsudden fâtigue, nausea, dizziness, or tightheadedness manif'est themselves, the individual

shorLLcl discontinue work irnmediately and report t'or medical evaluation'

physiological monitoring may result in a mole restrictive or less rcstrictive work pcriod for individuals lvith a

loui,tol"rán.e to heat strcss. Individuals <lisplaying a low tolerance to heat stress may need to receive further

medical evaluation for fitness to work in hot environments. Physiological monitoring may be conducted using

olle or morc of the tbtlowing methods outlined in this Appcndix.

I . Fleart Rate Monitoring (OS&FÍ can provicle or recommend hcart rate monitors and assist with

monitoring)

A. Sustained Heart Rate Monitoring (e.g,, measured cluring work with attached pulse ttloLlitot')

Detcrmine sustained heart ratc. (several minutes) during work by using a pulse nronitor. DiscoutinLre

any environmentally-induced or activity-induced heat stress for an individual when the sustained

heart r.ate is greater than the value representing 180 beats per minute (bpm) minus the individual's age

in years, Thi,s limit only applies to healthy adults vt,ith as.sessed norm(tl cardiac perforntance.

Workers taking prescribed medications or having a resting hearl" rate above I t0 bpm should be

provide<j with speci t-rc recornmenclations bythe Occupational Physìcian.

Iltheworkcr'spre-workrestingheaftrateisgreaterthan 110bpm,he/shecannotcontinueworkingina hclt environment without spccifìc recornmendations f'rom the Occupational Physician. Re-

tneasurement o1'the resting heart rate can be made ilthele is any qr"restion about the

rcpresentativeness of the initial measurement.

B. Recovery Heart Rate Monitoring (measured on rest break approx, one minute tbtlowing wort<)

i. A pulse monitor should be userl detennine the recovery hcart ratc f-o[[owing work by cortnting the

ra<iial pLrlse (e.g., wrisL) during a 30 second period as soon as possible after going on break

(approximatcly I minLrt.e). Discontinue exposure to heat stress for a full rest periotl if the t'ecovery

heaú rate is above tl0 bPm.

P¿:ee j7 ol65

)

Attachment J-13Exhibit # 11

PHYSIOLOCICAL MONITORING FOR T{E,AT STRESS

ii. If the recovery heart rate excceds I l0 beats per minutc, then shorten the next work cycle by l/3andkeepthcrestperiodthesame. Forexample,il'theinitial work/restcyclewas45/l5minutes,shorten it to 30i l5 minutcs.

íii. If the recovery heart rate still cxceeds 1 l0 beats per minute at the beginning of the ncxt restpcriod, shorten following work cycle by l/3 ancl keep the rest pcriod the same. Continuing lheprevious example, shoften the next work/rest cycle to 20l15 minute.s.

iv. Conlinue this process Lrntil the recovcry heart rate is less than 110 bpm at approximate[.v" oneminute lnto thc break pcriod, The individual should cease wolk and report f-r¡r rnedical c'r,aluationimtnediatelv upon any syrnptoms ofl heat illness,

C, Ifeat stress-relatcd aetivities in hot cnvironments shall be discontinued lvhen an individual's lçcoveryheart rate exceccls I l0 bpm or sustained heart ratc is gleater than Maximum Lleart Rate (lvlTIR)calculated as fbllows: MFIR: 180 - Nr (where N, is the individua['s agc in years)

D. Head t'ate monitoring shoukl be conductcd afìer each l5- minLrte work period unless perf'ormedcontinuously usin g pulse monitors.

fì. Lcnglh of rcst periocls times are not dictated by this procedure, bLrt nccd to long enough to allow hearlrates to return to pre-stal1 levels.

Body Temperature (Worl</Rest Peliodl (OS&H can provide or recourmend oral thermometers)

NOTElF lreasuring body temperature using an oral thermorneter', THEN, to erlsure an accLu'ate ternperaturereading is laken, ensure ihe f'ollovving requit'ements are met;

' Individual has rrot ingested fbod or drink fbr Ls mìnutes pr-ior to the retrding.

' NfoLrth is kept CI,OSED during lhe reading.

A, Measure body temperatul'e at any time during the work peliod or as soon as possible in the restperiod. The body temperature shall not be allowed to stay over 100.4u l' (101.3"F, if medicallyapploved and fully acclimatized).

i. If ternperature exceeds 99.5"I (100.4"F), sholten next workcycle by 1/3 and keep rest period the same.

ii. f I tempet'ature exceed s 99.5"F I I 00.4"F) at the begi nning o f the next re st period, shorten the next workcycle by l/3 and keep I'est period the same,

iii. Continue until body temperatrLre is at or be lorv 99.5o F ( | 00.4"t') at the beginning of the next rest period.

B. Temperaturc monitoring should be conducted apploximately every l5 minutes whçn the ActlonL,itnits of Appendices EÌ - D are exceeded or w'hen r,vorkers self-determine that monitoring isappropriatc,

Lcngth of rest periods times are not dictated by this procedure, but need to be long enough to allow bodylempcratures to return to pre-staú levels

l'.r.(c :i¡i ùl'(ri

Attachment J-13Exhibft # 12

Contractor Weekly Hour Usage Report

Hour lrt¡Contracto¡

Pto

Tobl M¡n Hours Worke{:Head Count:Week Beginning:

This form is to be submitted on the ffrstwork day ofeach week to indicâte stafflng and hours util¡zed

forthepreceedingweek'ThisreportistobGFntto@Th¡3report is also to be sent to the designated FBP ClR, Headcountl Eelow you will frnd a he¿dcount

calculatiorl that will afd you ln entering the approprlate headcount numb€r(s) ãs w€ll,

23 Hours & Åbova = 1

14 Hours - 22 Hours =.5Under 13 Hours = 0

Page 59 ol 65

Example Project - Training Matrix

trcmdc Prc¡.d .TB¡n¡ng ]{¡tr¡x

Atüachment J-13Exhibit # 13

gIC

It=

tul=

E

i,=

illII

=

úa

l4

rd SFû t¡n¡¡t I i.qr.llrùLno

cilrÉ u@ #r.cú | ¡ toP Ðnrdm d i c* r¡nrd effi! F h.nt ,ùiú

E.1cdF4Ëo.!rÈù4t.1rür9ù¡ñrdñlbFqurøátc&rmrål!At4ù.GrGi¡owm.úl6.BrHn$LlñhDM.Du

Nd.2 - ft. !*rdd tr.la lÈlnrng 6.4r€ 9.r lo r'&do 0. Lfn! @

NOc ! lrôr4 qa rrnq úFlr+/. rç¡sñ J6 Rc. rrqþE ¡n@úÞ þ.

Pagc ó0 of65

Attachment J-13Exhibit # l4

Contractor/Subcontractor Hoisting and Rigging Checklist (Ordinary Lifts Only)

Sub Contractor Hoisting and Checklist Lifts Only)

cÌtP,tcllY

AUetátoürhotldbeßve¿!.\no,otlül(naqpllcú1Q.71¿Hokrlìrgonlftlgslnfllañt¿ùDqlgu.ørøw øt dtcrlll tuffi ñû¿d "m' (otha thû )l 2q b, hitlalln¿ ød ddng on dvÉ An¿ AI Idtdghtcd Ûæmlt b.Jllþd oE û th¿ utl t¡t¿ ú tt ¡Lr¿ ofû. an

ì\,tot8.

Dâþq¡rfiEcadm Eryir6 FBP R¡giÍg ['lg¡. ü d.{grtæ

Dalc Qllt¡bçabm E4ü6

tàte QrElrUcau6 ëxFrs B¡È

Dårc ofcm Amrnl lßpcclimftoir N.tn.

L'm MalelDesipöd Of Lmd

Bffin llfEtlrWÊ¡sl¡l Of l.md

lib L{glhl}d&uGMrrimn Radr olLilTol¡l Erælim Lo¡lllmCsF!ìryal MamnRndir* nf l,iñ R¡du

sdadÉSl¡ællæl¡rlirtr Hq'L-Up9i¡ro

z ¡€ etl ilæ ll4 hill tr l¡lìúl cf h tlÉ 6qÙFr'l irü¡,.d ir lÞq.idtlI I I d rhd wthr df I lË l(ql h(¡'l\ilElnl,ri\nil dt.ahillql?

I lVlU ù Ul!tr lutt b. rd wüÀ tll.qld tÙ¡llltI llM rlH Unirg, lrry lH rqll lÉ tlÉl lo ün ll¡ l6d b.cr ¡L4¡9!.1 Árrhr Fupc? t ñaÉfrt¡!$ltbd(Fad¡''i-v'r[rnümrgh{rùrlafi úlyinürÍ!8,údiø{t)oldtltg?

I Frrrw@ ün sr[llrml¡\tbñlltcrEofgslly€l ItF iûtid pi6llúqùEú

I ll¡i.llb.qcliñ,'lll! r¡hlt¡ trl ilt¡llõ b.sn rlRtôl fù lllo kúP

try¡¡id¿ ofúet t- Hæt¡¡.tife ag¡c b.tr.füdrtd trltnch.úb¡8 lrt! i{qrily of lh?

dinlr ¡l ûßl.l.Jl

t!

¡ ¡ t¡r¡c t¡¡¿ lo o- e(r.á Df llÉ m rhl d€Fcily?

Ét

l{ Lril .lãñrt¡4 dË .tdd.d by FIP llR Mßr ú ,lrigEè dd

miaa

l7 l¡. ÍtÌrcúfi¡r¡$srell] d ffiq tf Þ rEd. qihûr nypdrtiüly of w of llé @ b.irf, ñlúd?

ld

Ìl ¡Ûll-bdÉa dF lË'arlrSEld

úflI

Àr bùrflbr-z't-F'Ì1:! 8br¡tr-Ûllh EE5¿ræcrrl loq

15- trhllÊ-r-tatI I lf I lr E ¡ lrrsUl¡y Ât t (w.r à¡¡lr¡rl ¡ñ.r fùdrr' lK ¡ [|¡oJBl¡yord ú clffi e {¡dt bül r*¡

r &ù.daatdÈh-l-FtÈ'rtr.GFllt¡Erßac.:6 súqrÐ.M

Pagc 6l ol'65

Attachment J-13Appcndix 1

Att¡chment.I-13Appendix I

Special flnvlronrnerrtal, Safety, and Health, Training N(atrir

Rerision 13

PROJEC'I': L^-. S 1u4

Fo¡ ìlns múked (X). rhe laledr¿qlirements wiU tgply lo Conlraclot pqronnel os qplicaòlc 1o the'tørk being pøformed

i';ig; (ìZ oi t.-,

Compi¡try S14pUed ïr'llnlng(or equlvalent)

L q¡¡¡r¡-EI¡¡Âr¡tJl4¡¡r¡Gr.D. Dû.lion¡ n¡iriu *ill cmi¡t of lotr (4 lu*) cB'r 0o bc M¡plclcd rf oil,ilc fq morc th.n 2 wcckr). RErôn R.qilir.d îfr O6hl út. ae.d. RdrrlG Vldtor slll ñc.lv. ô 'OtT" acor¡ ctrd

lvl

IDlthl 8..úfti Bd.lbc.lbdud.¡ Atrr¡l grorlh R.ftêôÉ)I Drrrtion: TnlrÍluçlll conilrtof I hrCTT. llcuw Rcquicd f6 ¡¡l C0dmdo¡ ErtrploycÈr wùo mM ubúiû o Ìtc Èûily bu¡gs IB ¡enl ,lc ô!çqt. R.müh Imploy.6wlllmoiv.dl.!.rilh¡q.!tr{qpl.t0ìÕfb.i!ñngiûr¡Oldy{rBhôhìv.nótworkdoÍ.(1.(bßor.lhanóilôìilt@16frp.ltthJ¡triñhgertÕt

lu ¡clndng to wort on ¡ilt

lvl

1 ,tilotrú3.mh n.hûñ. Du¡¡lio(ì l¡ütniru wíll oo¡!¡tt lfl0 ruirule cE fM r Rcdm llaqùirçdlsúl Cdndû.Uruploycctto![¡nhiilúClcrçüitybldgefortilftdritcoeFÈ. R(nrrkE Alor[lSôatífyRâñllthrírrqülr.d¡nDrcùnb.r0I.!chql.nrbryôrrôglrdGrrDtû!út.mployrrcornpklofnìlhl.sôE(rity0r¡.6rU

+ Ånnrd ûDf Smdñ. DùEtiooi l.l brì CBT

N,f . RtatG Gaerrl ¡r¡la[€!. Itorü[E Nm

t gagtlEsrÈfÈfslfr4gtlg!Ã. Dtrndnil: O 5 hil S'f

N,f . &cqff 0ñ6rl v.¡coø. Lamarkr NoF

D(rl PHtÉy ^lEu.E. Dundoo: C J hrs C81

IVI . RurDn; oq.t¡l frlrrn6. Rch¡rlù: Nm

7, I'ldofutü^r¡ffd¡. Drnúonl 0.3 bE (:lIT

tvf . ¡la@ oûtül ¡wtHÈ¡. RBUIÈ NoD.

f, tnddll.d Cd"E¡¡l.d ldorpdE rncn. flur.lioni I 0 htr CDTlvf . Ra¡30n1 Oalatll Swttóng. AcmIIs N0ne

9, frprt C0nùdl¿d lÀrFnd6. Ì)unúm: 1,0 hE CûT. RNou, OaoDftl ãFùanN. &Ðúbr: Nonò

vf

10 ÀcüYû fnnoE. DùÉtion; I 0 br, fDT. Ro"r*_ <lun.nl ¡F".ano,. ncútlkx Nous

lvf

vtr@

. D(odnni 1.0 hr.Cnl

. lld¡m &ndal nrar.n6r

. Rh.rlG Non.

E I'rrEtl{lo! sEc6(r. DuEtion: L0 lü, CD'l'. Ra¡ÀoD O.Í.¡il asttåilq. Renl¡rke Nonê

ñf

ivllJ. -w¡¡l¡Ll¡rE¡¡t

. R6onì Genêrol awor.ûN

. Ramlrl,s: Nnm

X t.l. .LÉr¿grllrsE¡ßE¡ Dumioni 0 J lú CB'f. l{n¡ur, l¡Hrurmcl \yhu s¡¡l. Rcnr?rkr THlning wilÌ v¿ri

l¡cprd-qnrilr¡wqk¡oru¡lrr tl[fi8t] úcFce ldlrrr¡ltilfq Nltlçrtl¡il¡J9 rh8rsd F¡ltrcnhgtlicalion c..l¡Í.âlr (ÀCOUI .quivalonll Ðbrnirtd ¡.qvir.d lbr.mployté p.rlbming !dlu¡ry

L' sfl Crù tln.ltrdlnq I ll Cn IS lì TrJhln q. Llrronon: o lú9 elasfootù. R!ôsoû: Slfcry Tminlûg for ùonlfi(tor p(rÍlrìl ícùtrtrùctlo¡ proje(r onl),1. L{ctrr{rLr, ¡¡oru

\,1 - \lürrhtdfv Rerlu¡rerte[l t)qqc I ol4

Äitachrrrent J-13ApPendix 1

PROJECT: 1Fo¡ ìtøø m¿r¡ß¿d (N), the racd teqlÞmena will qpþ

Speclal F-nvironnrent¿l, Safety, and Heatth' Training il'latrír

Attachment J-13rnnmdix I' _r r

Rwision 13

y'Nt r !t2't

,o ContraElot P¿tsonnct at qtplicøble 'o

lhe ¡ask being Pølonned

L Çv\

ú! H#ffil¡g*.o" NoBúvruw rqk bdû8FrlfiFt otr dtç)

. RÉÉI gÈrurl *ùÛ orY bÇ !¡IoEd b Búyum wDd

. &@üLE oF.¡ Nscs tq lÀ' liEüt ol¡ry1Ùm 49úúc

wilh vdld sbdlw Édùisr¡ø/tiræ)

(or equfvehrt)C odparY Sr+Pürú Tr¡hltrg

X"h'al lorT ÈrúlÈl 3hd )Áúici'PCid T..k: Àd!! rã¡ìlirln¡ m6it6iñ¡.rllof l1-D

- ñ-.È Éù

úffi :ååtr"'LAffi Le".fltri.*ffiJ;:L'oqÍHlr dPloJcêc çiU bn

nicir¡Frddøeceruylowor i¡Ênbq Prd¡cüno

lhÊido ComPa¡Y RèqlrêúdYrod ms!pùy-{*l

¡ßipû1.ú

rß

¡PdÈ¡q-E¡14. hnUotr: I [r' ll

foguúd .¡¡lrucô Lqlo ltl,\ pùFic.¡ úoot¡EY

prol¿diøsa6r"¡f nFYloæqui-d!ñdÊl .úPloy.ctddc.ri66 lt@TnloitgR6¡rlE

t9ÍrdÉ'llooT.ei6c k¡rc*kq!

6b.loPñ@alRar!G ud FoF¡ruqurllfrd

rhcLOTORou[<

û¡ wgtch of oy Ktivitv prcrfucín¡ u opm 6me or qrrlr

tcÊÀfltüår DMtid lhr. (51.. ÂdE tdmçl çhg olY b'. R@rrlif Oñ.õl ûru¡E b

rq€.d lo FjEr wh.l w q{irgtb. úãrk of PcR.FP@¡

A Ld¡f¡tlD0n00t wøkin ¡Lddb? !VdrdPil@rlRc¡ùE

d Lrodto tht htrydrcdrdt(6$h.

. Rd{[E Nor

r 8,r8Ålß..Ê. müon: I tr ctlTr Rê¡s PÐoÙtl gmrdiÁg Rcl^ rß{'r

ßtl fi(piùU.a/ffit

Qtrduçþpdrolðmrh!thud¡ê^lt

t,rN.lRsn¡rtE

t d.odUtion

¡ R@ù14 NG

U

¡Sdúudt]{q--. Dtrntiff: 1.5 hrÇU I

. REúd gErwcl sho úIicc.bc TotlãPdmrmgrêf æhd

^dìslrarp¡r@Èd(çltùboùMoùle5ß.@ûLt S(?rralc

Ct!¡¡f-С[r. Dmlim I It cllrsuwì. Rcaronr Pañom.l who

'ÍlË or

. l{ÐarlÉ Ùanc¡tl rw'rôn'4 of

8

- ¡Í¿nd ñ 4¡th¡ h¡¿r&

fln.d rFF.rrE.idrl ftilh {ó¡rflnd ÀPárr

þl - i!|ilì(lîtory Rclüirélììilll

I'¡gê I ùf 'l

Attachment J-13Appcndix I

PROJI]C'I':

Àttachment.I-13Appendix 1

S¡recial Environnrental, SaÍety, and Health, Trairring ÑIatrix

Revision 13

Ç.\¿ a;/o L,^.) 9c,rt-,dv.n,, \et, n-For itons møke ú (X::i. the rldlcdrcEuirmentt rill rypI¡ lo ConÍactot ptsonnul at øppucøöla lo lhe las| b¿ing pøþrmed

fratc l: I ot />-.

Cmtr¡ctor Supplled I ralolnß

(or Coml'try)

MPPU.. f{crlrlrmcilt lr0lnln¡cllhv¿rlffttio^c(ülicdè(r)3BIsÍtivÂlçû)sbmilt¡l¡.+drêdfs.oployêçpdorE¡ng0dtvítt'. Rü¡rnil p.FDm.l chÕ e.rhrn4 dy., ñrcq ¡ilrl tbolprobdlon

t,

:' L¡4.E!adr¡ . Reqii¡m.Dt T¡dining úilh v.riú(tioo cfiif .0tc (OSIL\ fi¡¡¡v¡lérúl .nbmiltrl rqqulrêd fÒr trployio p.rlopiug :ctigl!' R!!¡ñ Pdñm¡l who rlr r ¡¡d¡E

E¡¡¡^¡¡¡¡¡¡/E¡¡ú!I'. Rdp¡rètuot: Tfo¡rh8 wilI vlrtf¡(¡llrû.<d[ç01! (o9&r qùl!olc!l) cubDllhl rdluired lb¡ mployo! fFo:(minE 0çliv¡ly. RruuÈ tly quircrl tr ÞonrrøclFrôtuior Firc Wrltl¡ dulic¡ o¡ Bol WorL ¡Llíviliæ

x

f¡l¡¡¡¡r3.c¡¡rd¡d!¡¡. R.$rir.m.nl lrining Filh vorildlinn cddflc¡lô lôSffA úFrvrl.il) rubmilt¡l. R@9or p.ßtêl who wolt in tuBb rþ¡sè ltieèwel8Moj {v¿ôBÈ8J @4 ¡¡ 0

r{ùir.'l fø 6mployro p.rfmjnt rúvlSt^)

. Rçtpim(ûll TYdMrl wrlh vc¡Áñlrotr cdùtic¡lc lOSfrå s$rvutèd) ¡uboúll¡lr<tLliFd Ior eûrplÒycc FrJoûing Éivily.r Rç@m PæoErl wba ùe !.qùjfÊd fo soÈ ¡1êl.uÂtrrj he¡8blt of 6 lt q ûq e toÈ úutrpr¡]lñl¿d çdEqrûan

1

4-l !.!dÉ,lh¡4 rc¡E¡. Rc<¡¡¡¡çæoi Tr¡iniÁg rvlò v.riÁelòn.füdc{e (Qstl,t e+rivôl¿nt) sbNiltd r{ùilc(l ú)r aûrployoù tÞrloruliÉs ñ3vityI R¡6onì Pòßom.l pèrfomún8 hoid¡tr8 âtrd rit8fng 3d¡lilics

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Attachment.I-13Appendix 1

Àttaehmcnt J-lJAppc'nrlir I

Specfal Envf ronnr¿ntrl.'Safefy, end Hcelth, Tralulng Mrtrll

Rgvirio¡ f5

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Attachment J-14

I l'ortsrnouth

CONTROLLED FORMPRE-EMPLOYMENT DRUG TESTING CONSENT FORM

STATEMENT OF UNDERSTANDING

Print Name

I hereby agree to allow Fluor-BWXT Portsmouth LLC (FBP) to collect urine samples from me for thesole purpose of detecting whether or not there is the illegal presence of drugs in my body. Further, Igive my consent to the company's release and use of my urine samples and test results in theadministration and enforcement of FBP's Workplace Substance Abuse Program and in any disputethat arises out of the Company's refusal to employ me. I understand FBP has a strict policyprohibiting employees from using drugs illegally.

I understand if the results of the drug testing of my urine are positive,I will be removed from furtherconsideration for employment. I also understand if I refuse to consent to this drug testing, I will beremoved from consideration for employment at this time.

I hereby consent to the administration of the drug detection urine test and to the terms and conditionsof this consent agreement.

Applicant:

Print Name/Signature Date Signed

Witness

Print Name/Signature

I hereby refuse the drug detection urine test.

Applicant:

Date Signed

Print Name/Signature Date Signed

FBP-HR-POL-00026-F04, Rev. 2

Fluor-BWXT I Portsmouth.

Attachment J-15

Ports FBP Site Security Requirements

lPorisrrrouth

Contents1.0 GENERAL

1.1 Plant Access Limitations

Attachment J-15

Ports FBP Site Security Requirements8lsl2ot7

INDEX

1.2

1.3

1.4

1.5

1.6

1.7

1.8

2.0

2.i

2.2

2.3

2.4

3.0

3.1

3.2

4.0

5.0

6.0

7.0

8.0

9.0

Security Clearance ........

FOCI...........

Limited Area (LA)

Property Protection Areas (PPAs).,..,.,........'.'

General Personnel Requirements .............,..

Reinvestigations

Building Access Requirements ........,.......

BADGING

rr--l---,-l ô:i^ O-^^:C^ n^l-^(Jllulçi1l çu JlLs JPçlrrr! D4uée.. . ' '

Cie¿reci Department oiEnergy Stanciarci Ba<ige '.'

Homeland Security Presidential Directive -12 (HSPD-12) Badge '.

Special Contract Requirements..,...

PROHIBITED AND CONTROLLED ARTICLES ..,.

Prohibited Articles

Controlled Articles....

VISITOR CONTROL...

vEHrcLE REQUIREMENTS .......

ñNIFñôlvlA I -Dl(l.É\L u.¿\l\,ltlDltù,,,

WORK AFFECTING LIMITED AREA PERIMETER BARRIERS.

USE OF INFORMATION AND CONTRACT DOCUMENTS

C ONTRACTOR S ECURITY REPRESENTIVE

2

2

2

2

3

3

3

4

4

5

_q

)

5

6

6

6

7

7

7

a

8

8

8

Page 1 of 9

Attachment J-15Ports FBP Site Security Requ¡rements

8lsl20L7

I.O GENERAL

1.1 Plant Access Limitations

I .1 .1 Contractor's construction activities will be restricted to the areas designated as

work areas on the Plant Access Plan. Travel on plant site will be restricted to the

main roads designated on the Plant Access Plan. The contractor will be heldresponsible for keeping personnel within the designated area(s). Contractorpersonnel found outside the designated area(s) will be removed from plant site.

1.1.2 Contractor personnel assigned to Work within the Limited Area shall enter andleave the area only through the portal assigned for this contract.

1 .1.3 All contractors' personnel coming onto plant site even for a limited period such as

deliveries, meetings, etc. must be US citizens; foreign nationals, including GreenCard individuals are not nermitted entrv to the Federal Reservation.

7.1.4 Uncleared individuals will be escorted by a minimum "L" Cleared, trained, and

knowledgeable employee while in a Limited Area. The escort ratio will be 5 to 1

unless otherwise approved by PMA security.

1.2 Security Clearance

1.3

There are two types of DOE personnel security clearances L or Q. The followinginformation must be submitted for either:

¡ A valid justification statement for clearance level¡ A pre-employment background check completed within the last 12 months (as

described in section 1.6.2). Negative Drug Screen results within the past 60 days with the Medical

Review Offic Signature.

. NOTE: DOE may require additional information if needed on a case

by case basis.

FOCI

Foreign Ownership, Control or Influence (FOCI) approval is required for contractor and

all tiers of the contractor's subcontracts requiring unescorted access to the Limited Area.FOCI Registration must be completed prior to any clearances being extended to thecontract.

Page 2 of 9

Fluor-BWXT I lt)rtsnìoutllAttachment J-15

Ports FBP Site Security Requirements819l2Ot7

t ^

r i".;+-.1 Ârao /l Â\I .1 L¡r¡lrrLu ¡ r¡ v4 \Lr r/

1.4.1 DOE Security Area designated for the protection of classified matter and Category

III and higher quantities of Special Nuclear Material (SNM) and to serve as a

concentric layer of Protection.

1 .4.2 LA boundaries shall be definecl by physical barriers encompassing the designated

space to ensure only authorized personnel are allowed to enter the LA.

1.5 Properly Protection Areas (PPAs)

ññ ^ ^ ^-^ ^^^,,-:+., ^-^^- .-,Li^L ^€f^-¡a nrnfanfinn nf onr¡ernmênf rsqcfs incllldinq câfegofvrr¡\5 41ç )gvurrlJ 4l!4J vvlllv¡r ollvrvr

IV nuclear rnaterial (NM), chemicals, and personnel. These security areas rvill be

established with security requirements documented in tlrc Site Security plan approved by

the cognizant security office.

1.6 GeneralPersonnelRequirements

1 .6.1 In addition to the requirements specified herein, the contractor shall maintain a

current list ofall contractor and subcontractor personnel, both cleared and

unclearecl, working on piant sire. This iisr shaii be rnads avaii¿'uiç i., tl'e

^^^+-^^+^- T^^t--:^^l D^¡¡aoon+o+i.'a ¡'l-'l'P\ Ehn¡cr Tcchninrl Renreqenfafive\,UllLl(lltul I gvllllrv4r l\vPrerwrrrsLrvv \v ¡ r\/,

(BTR) or contract Administrator (cA) upon request and shall include, as a

minimum, the full name, residential address, type of security clearance (if any),

and citizenship for each on-site employee.

1.6.2 After receipt of Notice of Award of a contract, the contractor shall submit to FBP

Security through the CTR. a list of all personnel known or believed to have an

active DOE "Q" or "L" securiq/ clearance and who are to be utilized for work

within the Limited Area. This list shall include full name, social security nttmber,

date ofbirth place ofbirth, job title, and the present address and phone number of

the employee. A listing of uncleared contractor personnel requiring a "Q" or "L"clearance shall be submitted by the CTR to FBP security.

1.6.3 The DOE Acquisition Regulation requires that before DOE processes an applicant

for a DOE clearance, the contractor must ensure that an investigation is conducted

to establish the applicant's job qualifications and suitability. DEAR 9'70.2201(1),

requires the contractor conduct a pre-employment personnel investigation to

include:

A check ofthe applicant's credit status.

Page 3 of 9

a

a

a

Attachment J-15Ports FBP Site Security Requirements

8lsl2Ot7

Verification of high school degrees and diplomas received

within the past 5 years.

Verification of all degrees or diplomas from institutions of higher

learning.

Telephone interviews with at least two listed personal references

and at least one developed personal reference (a developed

reference is one who was not listed by the applicant but was

developed during the investigation) to establish the applicant'scharacter, habits, aberrant behavior or other information that may

reveal the applicant's suitability for a clearance.

Telephone interviews with all employers for the past 3 years

(excluding employment of less than sixty (60) days duration, part-

time employment) to veriff dates worked and to determine

eligibility for rehire.

A check of court records for infonnation concerning criminal(felony and misdemeanor), civil and domestic cases in everyjurisdiction where applicant has resided (except jurisdictions resided

in less than sixty (60) days) for the preceding five-year period.

a

a

1.7 Reinvestigations

DOE Order 472.2,Chapter I-IX of 5631 .2C and Director of National IntelligenceMemorandum ES 2017-00049 requires access authorizations of individuals holding DOE"Q" and "L" security clearances be reinvestigated every 5 years (Delayed implementationnot to exceed 7 years reinvestigation 30 September 2017). Each month, DOE utilizes

Portsmouth Mission Alliance eMA), who in turn, notifies contractor and subcontractor

employees scheduled for reinvestigations. PMA Security will notify the contractor or

subcontractor employee directly of the pending reinvestigation. Failure to complete the

forms by the established date may result in the termination of the security clearance.

The contractor shall include this requirement in each lower-tier contract requiring access

to classified information or source material/special nuclear material as defined in the

security clause ofthis contract.

1.8 Building Access Requirements

All personnel must be authorized to enter individual buildings by the Facility Manager.

The person responsible for directing the contractor or subcontractor employee is

responsible for contacting the facility manager.

Page 4 of 9

Attachment J-15

Ports FBP Site Security Requirements8lel2ot7

2.A BADGING

2.1 Uncleared Site SPecific Badge

The following are the requirements for the uncleared site specific badge:

. Required if working on site for more than ten (10) days

o Initial Security Awareness Briefing. General Employee Training

. Sigred Individual Security Plan if applicable

. Approved PMA SS PE FOR 2233 Portsmouth Photo Badge Request

2.2 Cleared Department of Energy Standard Badge

The following are the requirements for the cleared Department of Energy standard badge

Department of EnerS'L or Q clearance

Completion of both lnitial and Comprehensive Security Awareness

Briefings

General Employee Training

Signed individual Security Plan and Standard Form 312

Aoproved PMA SS PE FOR 2233 Portsmouth Photo Badge Request

2.3 Homeland Securþ Presidential Directive -12 (HSPD-IZ) tsadge

The following are the requirements for the HSPD-12 badge:

Requires either Personal Identity Verification (PIV) approval or

Department of Energy L or Q clearance.

Approved PMA SS PE FOR 2236Portsmouth HSPD-l2 Photo Badge

Request.

Personnel are required to have three separate appointments to complete

the enrollment process. PMA will provide instructions for completing

this process.

Personne! are required to have two forms of identification for this

appointment (i.e. valid passport, driver's license or state identification,

social security card, certihed copy of birth certificate, military

identification, etc.).

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Page 5 of 9

Attachment J-15Ports FBP Site Security Requirements

8lel2OL7

2.4 Special Contract Requirements

2.4.1 After receiving notification that the clearance has been granted, contractorpersonnel shall report to the PMA Visitor Control Office, at the time designated byPMA Security for security identification badge processing.

2.4.2 Contractor personnel will be photographed and will be issued securityidentification badge according to PMA security procedures. The security

identification badge shall be prominently displayed on the outer garment and

above the waist at all times while on site.

2.4.3 Immediately notify PMA and FBP Security through the CTR, BTR or CAwhen contractor or subcontractor personnel authorized to enter the LimitedArea or PPA, are terminated or no longer require access. All cleared

employees must immediately report to PMA Security for a terminationbriefing. Uncleared employees do not require a termination briefing, but must

return all Government property (i.e. security badge, RSA token, PNAD, TLD,etc.) at the time of termination.

NOTE: Føilure to comply with these procedures may result Ín lhe withholdíng of the

Jìnal payment by FBP until sll incidents of noncompliance have been

resolved"

3.0 PROHIBITED AND CONTROLLED ARTICLES

Personnel are not authorized to possess any Prohibited or Controlled articles listed at theportals unless granted authorization by PMA Security. At any time prohibited and/orcontrolled articles are introduced without prior approval, the worker is subject to a SecurityInfraction and/or disciplinary action up to and including termination. Fitbits are authorizedfor entry into the Limited and Property Protection Areas. However, these items are notpermitted in Centrus leased space.

3.1 ProhibitedArticles

a

Explosives;

Dangerous weapons; (l8 U.S.C.930 "dangerous weapon" means a

weapon, device, instrument, material, animate or inanimate that is used

for or is readily capable ofcausing death or serious bodily injury, exceptthat suchterm does not include a pocket knife, [non-tool use], with ablade of less than2 % inches in length);

Instruments/materials likely to produce substantial injury to persons ora

Page 6 of 9

Attachment J-15

Ports FBP Site Security Requirements8lel2Ot7

damage tc persons or ProPertY;

controlled substances (e.g., illegal drugs and associated paraphernalia

but not prescription medicine); and

Any other items prohibited by law. Specifrc infbrmation covering

prohibited items may be found under the provisions of 10 CFR Part 860

and 41 CFR, Subtitle C, ChaPter 102.

Cameras

CellPhones

AlcoholLaptop Computers

Data Transmitting Devices

Recording Devices

In the event that it becomes necessary to have sotneone other than authorized cleared

contractor personnel for work into the Limited Area the contractor shall submit an

aooroved Visit Request (PMA-SS-PH-FOR-23 alby 2PM the day prior to the visit to

PMA Visitor Control.

All proposed visits to the Limited Area by other than assigned contractor or subcontractor

personnel shall be coordinated tlrough the CTR and must be approved by PMA Security'

Once approval is granted, the visitor sliall be escorted by appropriately cleared. trained and

knowledgeable contractor personnel to the specified approved area(s) only. Any

deviations during this visit from the conditions stipulated may result in the expulsion of the

uncleared employee or visitor from plant site and the issuance of a security infraction to

the escort.

5.0 VEHICLEREQUIREMENTS

f.l ¿rii veiricies requii-ing access io the Limitcd Arca must have company decals or logos

affixed to both the driver and passenger side of the vehicle. Vehicles failing to meet this

requirement will not be allowed access. Prior to commencing work under this contract,

the contractor shall identify and obtain approval for all emblems that the contractor and

his subcontractors will use. Emblems shall be of adequate size for easy identification and

shall be attached to the vehicle.

a

3.2 ControlledArticles

a

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a

a

a

ê

4.0 VISITOR CONTROL

4.t

4.2

Page 7 of 9

tluor-BWXT I Portsmouth

Attachment J-15

Ports FBP Site Security Requirements8lsl2ot7

5.2 All vehicles entering the FBP limited area must have a company decal and or a PMAvehicle permit.

5.3 All vehicles are subject to search at any time, whether entering, exiting, or within the

reservation.

6.0 MATERIAL CARRIERS

For entrance requirements for material carriers please refer to sections l.l Plant Access Limitationsand 4.0 Visitor Control.

7.0 WORK AFFECTING LIMITED AREA PERIMETER BARRIERS

7.1 In the event any of the Work under this contract requires breaching the Limited Areaperimeter barrier in any manner or description, such breach will be permitted onlywhen absolutely required for the work in progress.

7.2 The contractor shall notify PMA and FBP Security through the CTR or BTR a

minimum of two (2) working days prior to proposed breaching of the Limited Areaperimeter barrier(s) and shall not affect such breach until authorization is issued.

7.3 Such breaching of the Limited Area perimeter banier(s) will be permitted during normalworking hours only, must be restored in a manner acceptable to PMA Security prior tocompletion of normal working hours, and may only be performed in the presence of PMAS ecurity Department personnel.

8.0 USE OF INFORMATION AND CONTRACT DOCUMENTS

The drawings, designs, specifications, and other technical information furnished in the contractdocuments are made available to prospective bidders solely for the purposes of preparation of aproposal and for performance of work under any contract resulting from such proposal except as

specifically authorized in writing by the CTR, the recipient is responsible for limiting the

dissemination of this information to those who need access in connection with preparation of aproposal and/or performance of Work under subsequent contracts or subcontracts.

9.0 CONTRACTORSECURITYREPRESENTIVE

The contractor shall designate a security representative, acceptable to the CTR who shall

be at the project site at all times during the performance of work under this contract. Such

designation shall be transmitted in writing and shall include the full narne, residential

9.1

Page 8 of 9

Fluor-BwxT

9.2

Attachment J'15

Ports FBP Site Security Requirements8lel2ot7

address, and residential telephone number ofthe clesignated representative. This contractor

Security Representative must be thoroughly familiar with all plant site security

requirements. lfthe duration ofthis contract is greater than one year, the contractor

security representative shall assure that all L or Q-cleared contractor and subcontractor

personnel attend a security/classification reorientation on not less than an annual basis.

The contractor's Security Representative will be charged with the responsibility and will

be given appropriate authority to discharge the contractor's obligation to:

g.2.1 Familiarize contractor and subcontractor personnel with, and assure compliance

to, the security and plant protection requirements of the Work under this contract;

9.2.2 Supervise processing of security approval requests;

g.2.3 Maintain liaison with the CTR and WEMS Security Department personnel in

connection with the processing ofsecurity approvals and access authorizations,

security identification and HP badges, rules and regulations ofvisitors, classified

information, and reporting violation of Security regulations and federal

regulations;

^ . ,t À J'-i-ì.+^¡ ^-.t ^^^.'lìnqía cp¡rr¡itr¡ mâtfêrs relet'twe to all cnntracfor activities:a.L.+ nullllllrÞlvl ollu wvvr urrr4

g.2.5 Advise the CTR of all construction and schedule changes that will affect security

requirements and coordinate, in advance, all schedule changes involving access to

the Limited Area; and

9.2.6 Immediately notify FBP Security and PMA Securþ through the cTR when

contractor or subcontractor personnel authorized to enter the Limited Area are

terminated or no longer need access. All cleared employees will immediately

report to WEMS Securþ for a termination briefing. Uncleared employees do not

require a termination briefing, but must return all Government properly (i.e'

badge, RSQ token, PNAD, TLD, etc.) at the time of termination. The contractor

Security Representative shall also make necessary arrangements for re-badging of

employees who will be performing work under this contract beyond the expiration

date of the employee's security identification badge. Such arrangements shall

include obtaining the approval of the cTR for the required time extension'

Page 9 of 9

Attachment J-l6FBP Quality Assurance Program

Flow Down RequirementsRequisition/Purchase Order Nu mber/Project Title:

Note: FBP assigned QA personnel have right of access to enter all work areas and requestdocumentation to be provided in a timelv manner 1o conduct oversieht of aciivities and to resolveidentified problems.

Quality Level 1 - Procurements requìre invoking the below designated requirements,In addition, procurements require verifìcation of the sr"rpplier's quality prograrn throughthe performance of a supplier evaluation

Quality Level2 - Procurements require invoking the below designatecl requirernentsbut a supplier evaluationlaudit rnay no| be requirectr" trf,procurernent is cleterrninecl .to beSafety Significant, AQ, or AQ-NCS; a supplier evaluation is requirecl unless it is notunique to a Nuclear Application, then aCommeraial Gracle Declicaiion (CGD) rnay beutilizetl.Qnaliûy Level 3 - Procuremenfs recluire invokìng the belorv ciesignaieci recprirements.

Quality l,evel 4 - J-16 flolvdown recluirements rnrry be invokecl but is not recprirecl"XTRequireci FBP- QA-PDD-{i0{!û 1, Qlt n I ily As s tr ru n c e Pr o g r arn D e s c r ipti o n

(QAPÐ) Rec¡uirernentsComrnents -Explanalion/Justification

n J-16 No additional flowdown requirements required.I 1.0 Prosram llfchecked. all lines are required)

1.1 Contractor shall submit a project Quality Assurance Plan(QAP) that incorporates the elements stated herein. The QAP(includes implementing work documents) shall be submittedas specified in the Submittal Resister J-8.

1.2 Contractor shall provide an organizalion chart that identifiesand describes responsibilities, levels ofauthority, andinterfaces for those managing, performing, and assessing theadequacy ofwork.

1.3 Contractor shall designate a QA/QC representative (must beindependent of directing and performing work) who willprovide interface for quality related work and any stop workactions by the Contractor or FBP. The Contractor shallsubmit the resume of the QA/QC representative showingKnowledge, Skills and Ability (KSA) related to QA activitiesfor FBP QA approval as specified on the Submittal RegisterJ-8.

FBP-FRM-01035, Rev.0 Pagel o17

Attachment J-16FII Þ I lrrqlifw A ss¡¡rqnnc Prnorqrnrs¡ Yqs¡¡u ¡¡úv-¡

Flow l)own RequirementsReq u isition/Pu rch ase Ord er Nr¡ m berlProi ect Title :

3.1 Contractor shall assign the responsibility for identificationand authority to the designed QA/QC representative to stopunsatisfactory work and control further processes, installation-_- __-- ^aul usg ur :¿^* ^I ttltrS.

l{ote: FBP assigned QA personnel have right of access to enter all work areas and request

documentation to he nrovided i¡ a timelv n ftÍlq to condrrqt oversiqht of a-ctr',¡itles zr.dt't resc'lve

identified problems.

t-lLJ

Comments -ExpianatioruJustification

FBP-QA-PDD-00001, Qualily Assurance Prograrn Desuiption{UPD) Requirements

Requiredr/

1.4 Contractor shall identify National Consensus Standarcls forapplicability 1o theìr Qualifv Program Requirements as

selectecl belolv:T

ASMEA{QA -1 2008 l2OO9 Part 1 -Ntrcl ear Qr.rality Assurançerements

¿\ I 2Oûß/20ù9 Part 2 AS

I 2.zI Po'wer, lnstrumentation and Control Equip2.7 Softlvarez.i¿TCGD

n 2.18 MaintenanceI I other:2.0 Personncl Training and Quali{ications (If checked all lines

are required)2.1 Contractor personnel performing work requiring special skills

or abilities shall be trained and have documentedqualifications or certifications prior to performing work and

will submit as specified in the Submittal Register J-8.

2.2 Contractor shall have a documented system to maintaintraining records.

tt 3.0 Quatity Improvement (If checked all lines are required)

3.2 Contractors shall provide requirements for the identification,reporting, and disposition of project non-conformances.Non-conformances including S/CI require notification of FBPrepresentative for review and concurrence ofproposedcorrective actions prior to commencing corrective actionimplementation.

I

requirecl)4.0 Documents and Records (If checked all lines areLl4.tr Contractor shali have a program lvhich iclentifies ancl controls

pioject records. The program shoulcl idsntify hcw the

Contractor revielvs anel approves changes, issues revisions,and stores records.

4.2 The document control program shall clescribe how FBPI - -1 -l----,:-

-^t-a-:--^1 ^-^.,-:--çonroileq clo(iufllcflls anlu ur awrrrBs ill ti llrallllalrlçu ¡tlrÐur rrré

current revisions are used for field work.

IDL ú'I¡]Ll ,fll f¡a¡E f,¡ où o ?zse 2 oI 1

Attachment J-I6FBP Quality Assurance Program

Flow Down RequirementsRequisition/Purchase Order NumberlProject Title:

Note: FBP assigned QA personnel have right of access to enter all work areas and requestdocumentation to be providcd in a timely manner to conduct oversisht of activities and to resolveidentified problems.

Required FBP-QA-PDD-00001, Quality Ass urunce Progrtm Description(QAPD) Requirements

Comments -Explanation/Justification

4.3 Contractor shall perform work to approved controlleddocuments; i.e., FBP drawings. Supersedecl and cancelledcontrolled documents shall be marked "VOID" and removedfrom the field or work area.

[l4"4 Contractor shall clescribe how reyisions to final clesign (As-

Built clrawings, Use-As-ls, Repair, noncon formanceclisposition) are subjectecl to a clesign control process forreview and approval. Describe hor,v As-Built drawings aremaintainecl.

4"5 Contractor shall routinely revielv documents used in the workarea to ensure that current, controlled documents are in use.

4.6 Project records must be maintained in compliance withASME NQA-1 Requirement 17 Quality Assurance RecordsSection 600 Storage.

tr4.7 Contractor shall maintain a continuous record of all field

changes and shall incorporate all such changes on the "AsBuilt" drawings and other engineering data.

4.8 Contractor shall maintain receiplacceptancetesting/inspection records; records shall be traceable tosystems, specifi cations, or activities.

L] 5.0 Work Processes (Ifchecked all lines are required)5.1 Contractor shall identify the methods used to verifo work

completion via daily logs, process inspections, or acceptancetesting for work performed; includes sub-tier contractor'swork.

n5.2 Contractor's QAP and approved work control documents

must describe how daily work is verified by supervision.Daily work documentation should include at a minimum:applicable testing, startup requirements, maintenance, specialprogesses, field changes, and safety or quality concerns.

5.3 Contractor shall:A. Perform work to approved requirements.B. Perform work ín sequence consistent with prerequisile

activities.C. Perform work with proper tools and equipment.

5.4 Contractor shall ensure procedures or work instructions toaccomplish tasks necessary to execute the work are

and to use.6.0 Design (If checked all lines are required)6.1 A program for the design of items and processes shall be

established and implemented using sound

FBP-FRIì4-OI 035, Rev. 0 Page 3 of 7

llluor-sVyXf I I)o rl srnou I h

\_____ Attachment J-l61l'!lP l-hroiifv

^ssrrrâncc Prnornm

Flow Down RequirementsRequisition/Purchase Order Nu mber/Proiect Title:

ð.1 Uontractor snall cnecK rtems suppiieci ro ¡ireir lvork processes

to ascertain that itenns are correct and sr:itable for use-

Note: FBP assigned QA personnel have right of access to enter all work areas ancl request

documentation to be orovided in a timely mannlr to conduct oversigft of activities and to resnlve

identified probiems.

engineering/scientific principles and appropriate stanclards

(when rÍesign is reqr"rire<i.t.

Comments -Explanation/Justifìcation

Required FBP-QA-PDD-00001, Qualil1, Assuîance Program Ðescription(QAPD) Requirements

6.2 When clesign calculations are requirecl, the QAF mustrlescribe a calcriìation verificaiion píocess lvhich inch-tcles

softlvare quality asslrrançe ìncluciing suftlvarc ancl hardvvare

ancl operating system valiciation.6"3 Design change control process shall bc establishecl such thal

FBF Engineering revie.rvs aclequacy of change and impacl tooriginal design that include controls to incorporatemodificaiions or lìeld changes for fìnal designs.

T

7.0 Procurement (If checked all lines are required)L_l7.i Contractor shaii icienrify subtier venciors anci fìow tiuwrr

contract requirements.

tr7.2 Contractor/supplier project QAP shall describe how the

receipt of specif"rcation procured materials will be inspectedto ensure conformance to purchase requirements.

tr7.3 When required, Certificates of Conformance (COCs) shall

meet applicable criteria from NQA-1 (200812009),

Requirement 7, Section 503 (a) through (f).8.0 Inspection and Acceptance Testing

(Ifchecked all lines are required)

8.2 When work requires specific standard implementation(NOTE: testing, ASME/AV/S codes, geotechnical testing,welding), a separate Quality Control Plan may be developedto cletail how the Contractor will implement special processes

(welding, heat treating,brazing, soldering, and non-destructive examination) to established standards or submitprocedures for QA Approval as specified in the SubmittalRegister J-8

8.3 For inspection and testing aetivities, the project QAP or WorkPlan shall identify the program controls nscessary'f,orcalibration, maintenance, aceountability, and use ofequipment" Item or process test requirements shall includeacceptance criletia. Contractor shall ideniifv srrhtier lestins

vendors.8"4 Contractor shall document the ability of an item or process to

satisfactorily perform its intended function. Test records

shall include as a minimum: item/process tested, tester, type

DRP-FUllr'l-Oln16 Q.w O Page 4 ol 7

Attachment J-16FBP Quality Assurance Program

Flow l)own RequirementsRequisition/?urchase Order Num berÆroject Title:

of observation, results and acceptability, any correctiveactions to deviations, and name of authorized evaluator.

Note: FBP assigned QA personnel have right of access to enter all work areas and request

identified problems.

FBP-FRM-01035, Rw. 0 PageS of7

Attachment J-|6IBP Quality Assurance Program

Flow Down RequirementsRequisition/Pu rchase Order Nu mber/Project Title:

A. Notwithstanding any other provisions of thisagreement, the Contractor warrants that all itemsprovicieii io FtsF sÌraii bs gcluirtc, lçw arrú uuusctir-lnless otherwise specified in writing by the Contractor.Contractor further warrants that all items used by theContractor during the performance of work at thePortsmouth Gaseous Diffusion Plant, include allgenuine, original, and new components, or are

otherwise suitable for the intended purpose.Furthermore, the Contractor shall indemnify FBP, itsagents, and third parties for any financial loss, injury,or properly damage resulting directly or inclireetly frommaterial, eomponents, or parts that are not genuine,

original, ancl unused, or not otherwise suitable for theintcnded purpose. This inclueles, but is not limited to,materials that are defective, suspect, or counterfeit;materials that have been provided under falsepretenses; and materials or items that are materiallyaltered, damaged, deteriorated, degraded, or result in

failure

Note: FBP assigned QA personnel have right of access to enter all work areas and request

clocumentation to be orovided in a timelv manner to conduct oversiqht of activities and 1o resoive

identified problems.

Comments -ExpianationiJustification

Required FBP-QA-PDD-00001, Quolily Assurun ce Progrnm Ðesuiptio n(qAPD) Requrrements

8.5 M&TE: Contractor shall have Measuring and Test Equipment(M&TE) controls established to ensure M&TE equipment islabeled ancl taggecl to indicate calibration status. M&TEideniification includes ability to provide traceability tocalibration and test clata.

9"0 AssessmentsLIContractor shall conduct fielcl clocurnentecl obscrvalions anc.l

assessments, and report deficiencies to the FBP kojeetSuoeri ntendenlsupervi sor"

lt 10.0 Suspect Counterfeit Items (lf checked all lines are required)i 0. i If Contractor is ordering and receiving items, they are

required 1o comply with DOE O 4l4.lD Attachment 3

SuspecriCoun¡erfeii items Prevention anci wiìi r.:orrrpicic FBFtraining module #7 5721 Suspect/Counterfeit ItemsAwareness or FBF approved subcontractor training prior toordering/receiving items.

I

n10.2 Subcontractor shall include the following S/CI requirements

in subcontractor lvork documents for items purchased that are

lisied on the SUSPECT/COUNTERFEIT ITEMCOMPONENT AND PRODUCT INFORMATION listing:

nRP-t.nlt{-O1fl1{ Rcw O Pzge 6 of 7

Attachment J-16FBP Quality Assurance Program

Flow Down RequirementsRequisition/Purchase Order Number/Project Title:

Attachment:

QA Preparecl by Date:Print Name/Signature

QA Reviewed by: DatePrint Narne/Signature

Note: FBP assigned QA personnel havc right of access to enter all work areas and requestdocumentation to be provided in a limely rrnnîff to conduct oversisht of activities and to resolyeidentified problems.

Required FBP-QA-PDD-00001, Qualíîy Assurønce Program Description(QAPD) Requirements

Comments -Explanation/Justification

B. Types of material, parts, and components known tohave been misrepresented include (burt are not limited1o) fasteners; hoisting, riggìng, ancl lifting equipment;cranes; hoists; valves; pipe ancl fittings; electricalequìpment ancl clevices; plate, bar, shapes, channelmemb€rs, ancl uther hcat lrealecl matcrials anci

struclural items; lvelcling roe.l ancl electrocles; anclcomputer memory modhlles" The Subcontraçtol'srvarranty also exlencls 1o labels ancllol traclemarks orlogos affìxecl, or clesignecl to be affìxec.l, to itemssupplied or delivered to the Contractor. trn addition,because falsification of information or documentationmay constitute criminal conduct, the Contractor mayreject and retain such information or items, at no cost,and identiff, segregate, and report such information oractivities to cognizant Department of Energy officials.

10.3 Equipment purchase requisitions that may contain highstrength bolts and/or circuit breakers shall be reviewed forSuspect/Counterfeit Items and/or NRTL.

II 11.0 Software Quality AssuranceThe contractor project QAP shall describe how the Softwareis controlled to meet the requirements contained in DOE O414.|D Attachment 4, Safety Software Quality AssuranceRequírements.

tJ Other:

FBP-FRI4-01035, Rev. 0 PageT o17

Fluor-BWXT I Portsmouth,.

Sample - CERTIFICATE OF INSURANCE FORMContractor shall have this form executed by the appropriate Insurance Broker(s) and return it to the Fluor-BWXTPortsmouth LLC (FBP) Contracts Administrator prior to the commencement of work. Electronic Ceftification, in lieu ofthis form, that evidences that the insurance coverage required by this forum and Part III to the Contract is in place,may be accepted at the discretion of FBP.

DATE (MM/DD/YYYY)

CERTIFICATE OF LIABILIW INSURANCETHIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANDCONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOESNOT AFFIRMATIVELY OR NEGATIVELY A¡4END, EXTEND OR ALTER THE COVERAGEAFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOESNOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AIITHORTTFD REPRFSENTATIVE OR PRODUCER. AND THE CERTIFICATE HOLDER.

NAIC #

PRODUCER(Name of Contractor's Insurance Broker or Agent)123 StreetCity, State 00000

INSURERS AFFORDING COVERAGE

INSURER AINSURER B

INSURER C:INSURER DINSIJRER E:

INSURED(Contractor)123 StreetCity, State 00000

THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM

OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE I'4AY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIESDFç'RIBFD HFRFIN Iç qIJB]FÍTO AI L THE TERMS FÍCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIN4ITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAII4S

UMIfSINSRLTR

ADD'LINSRD TYPE OF INSURANCE POLICY NUMBER

POLICYEFFECTIVE

(N1M/DD/YY)

POLICYEXPIRATION(MM/DD/YY)

.H O'CIIRRF s1 000 000DAMAGE TO RENTEDPREMISES lEa occurrence) $

$MED EXP lAnv one Derson)PERSONAL & ADV INIURY $ 1.000.000GENERAL AGGREGATE $2.OOO.OO0

PRODUCTS - COMP/OP AGG $2,000,000

E¡ co¡4MERcrAL GENERAL LrABrLrrY

E EcrÁrMs |'4ADE Eoccun

GEN,L AGGREGATE LII'4IT APPLIES PER:

E LocPRO-E poucv

$1,000,000COMBINED SINGLE LIMIT(Ea acc¡dent)

BOD]LY IN]URY(Per person) $

BODILY IN]URY(Per accident) $

$

AUTOMOB]LE LIABILITYE ANYAUTO

E ALL owNED AUTos

E SCHEDULED AUTOS

E xrceo nuros

I NoN-owNED AUTos

nPROPERTY DAMAGE(Per accident)

AUTO ONLY _ EA ACCIDENT sEA ACC $OTHER THAN

AUTO ONLY: AGG $

GARAGE LIABILITYE ¡nveutotr

EACH OCCI.IRRENCE $4.000.000A( s

s*+

trt'l $

DEDUCTIBLE

RflENTlON

EXCESS/U M BRELLA LIABILITYE occun E cLnIN4s r¡4¡oe

tr WC STATU-TORY LIMITS

tr ]TH.:R

E.L. EACH ACCIDENT $1,000,000

E.L, DISEASE _ EA EMPLOYEE $1,000,000

E.L. DISEASE _ POLICY LIMIT $1,000,000

WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY

ANY PROPRIETOR/PARTNER,/EXECUTIVEoFFrcE/¡4E¡4BER Excr-uoeoz v/¡r E

lf yes, dscribe under SPECIAL PROVISIONSbelow

EACH INCIDENCE OFDAMAGE OR LOSS

REPLACEMENT

ENT FLOATER INSURANCEAND EQUIPMENT INSURANCE)

EQUIPM(TOOLS

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS

Contract Number The insurer will provide Fluor - BWXT Poftsmouth LLC with a 30 day not¡ce prior tocancellation or restrictive modification of the policies, Waivers of subrogation, in favor of the U,S. Department ofEnergy and the certificate holder, are in force. The U.S. Department of Energy and its employees and Fluor - BWXTPortsmouth LLC and their members, manaqers, officers, directors and employees, are named as additional insureds.

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WTTH THE POLICY PROVIS]ONS,AUTHORIZED REPRESENTATIVE

Fluor-BWXT Portsmouth - Piketon Plant SitePO Box 5483930 US Route 23 SouthPiketon OH 45661

CERTIFICATE HOLDER

Lof2

FIuoT.BWXT I Portsmouth,"

Sample - CERTIFICATE OF INSURANCE FORM

IMPORTANT

Ii the certiiicate hoicjer is an ADDiTiONAL iNSURED, the poiiey(ies) must i:eendorsed. A statement on this certificate does not confer rights to the certificateholder in lieu of such endorsement(s),

If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate doesnot confer rights to the certificate holder in lieu of such endorsement(s).

Note that the Certificate of Insurance must include the following:1. Reference the contract number (to be provided by the contract

administrator).2. Identify Fluor-BWXT Portsmouth LLC as the certificate holder (should already

be completed).3, Indicate that your firm has the required Worker's Compensation insurance,

^-ll-1.--:- !L^ ---..:^:^- l^-^!^l;^ C^^ù:^Á U C^^^:^l ^-^.,i^ian lJ lzl+, A5 Cdlleu luf lll Llte PluvlSluil tuLclLEu ilr JËLLrurr rr, JPELrot Ptuvlstutt rr'¿rlRequired Insurance, Paragraph (i), the Certificate must:a. state that not less than thirty days written notice will be given to Fluor -

BWXT Portsmouth LLC prior to cancellation or restrictive modification ofthe policies;

b. state that waivers of subrogation, in favor of the U.S. Department ofEnergy and the certificate holder, are in force; andc. specifically name the U.S. Department of Energy and its employees andFluor - BWXT Portsmouth LLC and its members, managers/ officers, directorsand employees, as additional insureds.

DISCLAIMER

The Certificate of Insurance on the previous page does not constitute a contractbetween the issuing insurer(s), authorized representative or producer, and thecertificate holder, nor does it affirmatively or negatively amend, extend or alter thecoverage afforded by the policies listed thereon.

2of2

I Portsmouth".Fluor-BWXT

ATTACHMENT J.25

WORK PLAN FORMAT

FBP--Contraetor:

REV. NO.

Page 1 of3TITLE:

Work Plan

1.0 SCOPEThe purpose ol this requrrement ls to provrcte a document that personnei periorming the wolk can

nnderstancl the roles and responsibilities, quality requirements, work being performed. the risk associated

with the lvork, training, and radiological requirements as required.

2.0 GENERAL REQUIREMENTS

The Contractor shall refer to Scope of Vy'ork and the Submittal Register for the Task requiring a rùy'ork Plan.

Nole: The I(ork Plan shall be assigned a document number and revision number anddate on all pages.

The V/ork Plan requirements shall flow down from the Contractor to his subcontractor, define line

management's responsibility for safety and shall be read and understood b¡'the craft management (i.e.

Foreman, Superintendent etc.) overseeing the work. The personnel perfonning the work shall be briefed onrha ranr¡iramanfc Â'll nprcnnnel chall sion the cionnfirre qheet qionifuino fh¡Î fhev have Rearl Ilnderstood''Ò""J -"'J ---

or'been Briefed on the requirements of the Work Plan

The Contractor Work Plan shall describe the rvork in sufficient detail to provide assurance to the Company:

That the Contractor has assessed risks associated rvith the rvork, and addressed preventive

measures for safety and health hazards.

That the work in progress complies accurately with the quality, safety and health, and performance

requirements specified in the Contract documents

That the Contractor has safely planned the work in sufficient detail to meet schedule requirements.

Provides a basis for the Company's internal planning activities.

The 'Work Plan shall be developed in such a format that individual pages or sections addressing qualityrequirements, work activities, and corresponding health and safety requirements can be utilized for brielurg

of the work force prior to couunencernent of each new activity.

The Work Plan shall have a section for each Task including:

General Overview of the work

Personnel and Responsibilities

A narrative description of the work including the Contractor's methods of performing the work.

Sub{ier Contractors with a description of their work scope (as applicable)

Contractor's plan for repair and maintenance of equipment, as required.

Equipment Calibration requirements as required

Types of permits required.

1 of2

FBP--Contractor:

REV. NO.

Page 2 of3

TITLE:Work Plan

Identifo training requirements, special skills or abilities, legally required training, qualifications orcertifications required prior to performing the work or prior to operating equipment. Thecertification program is to include demonstrated proficiency.

Identification of critical sequence of work along with the reason it is critical

Methods of waste minimization, disposal and cleanup.

Analysis of hazards shall be completed such that the work force can clearly understand the hazards

involved in the task. The mitigators and controls are to be well defined, practicable and clearlywritten for workers in the field. Specialized equipment or training shall be specifically addressed.

Identif, when a competent person is required by OSHA and the activities to be completed prior tothe start of work.

If the Contractor's method of accomplishing the work adds tasks not previously identified, the Contractorshall add a description of these tasks utilizing the same format as prescribed above.

3.0 CHANGES/REVISIONS

A Site Specific Work Plan may be changed at any time to reflect changes in policy, organization structure,

regulatory requirements, or to improve the effectiveness or efficiency ofthe process. A V/ork Plan can be

changed by following the review process of the original Work Plan.

If an in-field Work Plan (post-mobilization) change is needed, then "red-line" the content accordingly withthe change, initial, and date before implementing the revised work. The changes must be initialed by the

contractor and the FBP Construction Supervisor or FBP delegate. Ensure changes to the work that impactthe JHA are properly updated or relined per instructions in the J-13. All red-line changes are to be

electronically updated and re-submitted within 5 working days.

Changes to a Site Specific Work Plan shall be re-submitted as the next revision under the same submittalrequirement number identif,red on the register, citing the next revision number. Changes to a Work Planmust be clearly identified for review and approval purposes.

2 of2

Fluor-B&W I Portsn',aut

ATTACHMENT J.29

PORTS FBP FIRE PROTECTION

SPECIFICATION 01066

REV. O

'tft l,-0 hítialIssue

REV DATE REASONFORREVISION 0 FIRE SERVICES MGR

PAGE I of 6

1

Fluor-B&W I Portsrnou

Attachment J-29Ports FBP Fire Protection

SECTION 01066

FIRE PROTECTION

1,0 General

1.1

1.2

2.0

The contractor's fire protection measwes shall comply with the National Fire Protection

Association CNFPA) Standa¡ds and Guidelines, lntemational Code Cor¡ncil (ICC)

IntemationaVOhio Fire Code (OFC), and Occupational Safety and Health Arlministration (OSHA)

regularions as applicable. This includes, but is not limited to NFPA 241 Safeguarding Building

Construction and Demolition Operatiors'

The contactor shall furnish and properþ maintain sufficient fire extinguishers to protect

consfruction, and facilities from construction-relatcd

fi¡e hazards. be randomly inspected by FBP Fireprotection Group. Such fi¡c equipment shall be readity available and cleady visible al each Work

site, Fire exting¡isher complianci can be achieved by following NFPA 10 Standard for Portable

Fire Extinguishers and OSHA I910,15'l Fire Extinguishers.

Reporting and Extinguishing Fires

2.1 Intheeventofafire,FBP'sFireServiceshas acadreof equipmentandpersonnelforresponseto

emergencies on site. This response may be surnmoned by reporting the emergency as per p.rovided

trainiãg and instructions. All emergencies shall be reported immediately as described in site

training.

2_\_l NotS FBP I'ire Se.rvices of an¡z fires. which occur on site even if the f¡re has been

extinguished.

2.L.2 Notiff FBP Fi¡e Services after using any of the plants fne protection equipmen!

including fire extinguishers.

2.1.3 Notiry FBP Fire Services after using any of tle plants or contactor's fire protection

equiPment'

2.r.4

accessible. The contractor shall properly maintain, inspect, and test its fire extínguishers''While on site fçe extinguishers shall have attached monthly inspection record tags (XP4-

SS-FS 6107) or equivalent. Contactor shall ensure portable fire extinguishers each

receive an annual maintenance check Contractor shall record date ofannual check and' re.tain ttis reeord for one year or life of shell whichever is less. Stored pressur€

extinguishers do not require one yeax annual inspections'

2.2 Additional Fire Protection precautionary measr¡res may be required; this will be addressed on an

as needed task sPecific bases'

: CAUTION:NEVER HANG A¡[ EMPTY OR USED EXTINGUISI{ER

BÄCK ON THE BRACKET

t

Fluor-B&W I Ports'nouth,,,Attachment J-29

Ports FBP Fire Protection

3.0

4.0

5.0

HotWork

Cutting and weldìng, or any hot work operations that uses open flames or produces sparks shall beperformed in compliance with NFPA 5lB, Standardfor Fire Prevention Duríng Welding, Cutttng, andOther Hot W'orkHot work must be performed

3.7 The contractor shall ensurc that workers performing hot work are trained and qualified to performhot work operations. The workers shall have the proper personal protective equipment @PE) tominimize the potential for ignitior¡ bunring tapping hot sparks, and electric shock.

3.2 The contractor shall ensure that the hot work is performed in an approved hot work area or whenperformed outside of an approved hot work area will require a hot work permit. Permits shall beobtained prior to starting hot work operations.

3.3 Fire extinguishers shall be readily available as described in hot work requiremenfs.

3.4 Fire watch training is required for hot work. The füe watch shall be maintained by a qualifredindividual with FBP training per FBP procedwe requirements (Appendix I of Attachment J-13).

Compressed Gas Cylinders

4.1 ComFressed gas cylinders shall be secured (with a chain or rope) in an upright position and infixed, portable racks or ca¡ts at all times. Cylinder valves shall be closed and valve caps in placewhenever cylìnders are in storage, in transit, not in use, or when regulator is not in place.

4.2 All oxyacetylene or other ftrel gas-oxygen combinations used in cutting or welding equþmentshall have rev€rse flow check valves installed betweeu the torch and hoses. These check valves,also lnown as flash back protection shall be provided by an approved device that will preventflame from passing into the fuel gas system.

4.3 Storage of compressed gas cylinders shall be compliant with NFPA 55, Compressed Gases andCryogenic Fluids Code,

4.4 Location of storage areas for compressed gas cylinders will be approved by FBP Fi¡e Servicesthrough the Contact Technical Representative (CTR)prior to use.

4.5 Prior to bringing compressed gas cylinders onto the site, approval of FBP Fi¡e Services throughthe CTR is required.

tr'lammable Liquids and Combustible Liquids

5.1 The storage, dispensing and use of fla¡nmable and combustible liquid shall be done in accordancewith NFPA 30, Flammable andCombustible Liquids Code.

5.2 Tank vehicles used for fransporting flammable and combustible liçids on the PORTS site mustmeet the requirements of NFPA 385, Standardfor Tqnk flehicles for Flammable and CombustibleLiquids, 'A tank vehicle ûansporting a flammable or combustible liquid in interstate service shallbe considered to be in compliance with thís standard while it is in interstate service if it meets therequirements of the U.S. Department of Transportation in Títle 49, Code of Federal Regulations,Parts 177-179."

5.3 FBP Fire kotection Engineering shall approve flammable and combustible liquid súorage areas,including requests for additions and./or changes to flammable and combustible liquid storage areas.

Attachmen¡. J-29Ports FBP Fire Protection

Fluor-B&W I Portsnrcl

The contractor shall ensure flammablc and combustible storage cabinets meetthe requi-rements of

NFPA 30.9.5 Flarnmable Liquids Storage Cabinets.

r The contractor shall ensure storage cabinets are ma¡ked in conspicuous lettering:

FLAMMABLE-KEEP FIRE AIü/AY.. Storage cabinets are not required to be vented. If storage cabinets are not

venteq ensure manufactureì approved sealed vent bungs are in place and secure.

If necessary to vent a flammable storage cabinet, contact FBP Fire Protection

Engineering for approval and direction for proper venting'

Unless approvedby FBP Fire Protection Engineering, the contactorslall ensure flammable and

combustible liquid storage cabinets located in Process Buildings (X-326, X-330 and X-333) are

not placed within 20 feeÌ, of the following:

5.5

5.4

Lube oil pits

Process electrical transformers containing PCB's

PCB storage tanksEmergency diesel generators and associatcd fuel oil tanks

Lube oil piping that could be impacted by vehicular ftaffic

5.6 Unless approvedHydraulic equipmentty fef Fire irôtectionEngineering the c.onüactor shall not store flammable and

5.7

combustible liquid storage cabinets in the following areas:

¡ Offrce a¡eas

¡ Fixed weld shops¡ Basements. Battery rooms¡ Track alieys- T,,--^l^r I r¡r¡¡.wt0

r Emergency egress Pathsr Smoking a¡eas

The contactor shall minimize storage of incidental matelials such as rags, paint brushes,

procedures, etc. in flammable and combustible liquid storage cabinets'

The contactor shall ensure containers (safety cans) used for handling, storage and lransferring offlammable and combustible liquids are UL Lisæd and/or FM approved. The contractor shall

ensure safety cans have manufãcnrer's wire mesh fla¡ne axrestor instalted in qow spout' The ..

conEactor súaü ensure safety cans are properly labeled with product name. The contractor shall

ensure safety cans have sellclósing tids. The conEactor shall provide space in safety cans to

allow for expansion ofcontents due to increased temperatures.

Remove containers from vehicles before filling with flammable or combustible liquids.5.9

5.8

6.0 Special Rules for Flammable or Combustibles Liquids during Building Roof lVork

perfonning roof work at the PORTS plant site can pose rmique hazards due to the height of the

structures and large areas under roof. The use of flammable or combustible liquids during work

activities must bicareftlly controlled, Any work involving heat sourcps for roof work must follow

the requirements of NFPA 2 41, Standardfor Safeguarding, Construction, Alterations and

Demotítion o:*"li#Å[":?1î1åi:ïii:Ti*"i.t:::ffi"T]'i#åj cans) must be an approved

type.Sáf"ty r-" shall not be left on building roofs over night (i.e. afrer each shift).

ÀI

8.0 Fire Lanes ¿nd Access

Fluor-B&W I Fortsmouth.,Attachment J-29

Ports FBP Fire Protection

. A maximum of 5 (five) gallons of gasoline/díesel fuel is permitted on the roof atthe beginaing of each shift for initial daily fueling of equipment.

o A maximum allowable quantity of 2 gallons of gasoline/diesel fuel is permittedon the roof (inclusive of the gas contained in portable gasoline operatedequipment) during each work shift within each work arca(a "work a¡ea" isdefinedby aspace of100ftx 100ft).

r 'When refueling gasoline/diesel fuel operated power equipment, conüactor shallfollow the manufactu¡os reoommendation regarding refireling tho equipment.

¡ Contractor is responsible for supplying any drip pans or other safety equipmentneeded.

o All flammable/combustible material shall be removed from the roof at the end ofeach shift.

. Only the required amourú of flammable/combustible material anticipated to beused during a day's operation shall be allowed on the roof during that day.

r The conEactor shall erect tents to protect the flammable/combustible materialsfrom direct sunlight while allowing air to circulate freely around the material.

r No flammable / combustible materials may be üansported in the interior of sitebuildings without consent ofthe FBP Fire Services.

CAUTION

appropriate basket/cage with proper rigging and approved hoisting/lifring devices and removedfrom the roof at the end of the shift.

7.0 LÍquefied Petroleum Gas @ropane)

'l .1 Propane fueled vehicles or equipment is not allowed inside buildings or the tack alleys. The useof propane fueled vehicles or other equipment outsíde of buildings is permitted with the approvalofFire Services.

7.2 Contactor will assu¡e that propane powered vehicles or equipmçnt and propaae containers a¡eoperated, maíntained ând stored in accordance with NFPA 58, Liquefied Petroleum Gqs Code.

7.3 Propane cylinders must be refilled off-site.

Access to all buildings, fire lanes, and fire hydrants, sprinkler systems and all sprhkler control valves mustbe maintained at all tines. Fire Services access shall be maintained at 20 feet wide including a clear d¡iveto fire hydrants. Fire hydrants shall be maintained with a 15 foot clear space in all directions. PIV and otherfire protection equipment shall be identified and protected- Construction and constuction activities thatmight obstuct Fire Services personnel and vehicles on any of the plant roads, streets, building access, orfire hydrants must first be coordinated and approved by ttre FBP Plant Shift Superintendent's Office andthe FBP Fire Services though the CTR.

9.0 Automatic Sprinkler Systems

Construction locations that are protected by automatic sprinkler systems require special precautions,Equípment material, or supplies must never be stacked around sprinkler heads in such a manner thatdischarge and distibution ofwater is obstructed. A clear space shall be provided per NFPA I and 13 of 18inches from the lowest point of the sprinkler head dov,.n to the first material from wall to wall. Sprinklerheads must be kept clean and never covered with paint. Sprinkler piping must not be used for support ofladders, equipment, or other material. Cõnüactor will not close sprinkler contol valves. Contact FBP Fire

5

Fluor-B&llU I Portsrnout

Attachment J-29Ports FBP Fire Protection

Services and the CTR if a sprinkler system needs to be taken out of servicc (permits are requted)' A clear

path, to and around the sprinkler contol valves ,4 feet wide shall be maintained.

10.0

11.0

12.0

13.0

Construction Area HousekeePing

Removal of wastes and debris is to be accomplished on a daily basis to enswe good housekeeping practices

and keep the site free from fire hazards. Buming is not perrnitted within the plant sitg and all spoil material

is to beàisposed of in accordance with the specific provisions contained in the contact documents. Debris

and/or new materials will not be stored within 50 fçet of structures unless approved by the FBP Fire

Services througþ the CTR, @er NFPA 1)

InspectÍons

At the end of the work shift the contractor shall inspect the entire work area, and ensure no sources ofcombustible ignition remains.

Temporary lleatin g Devices

The contractor shall request approval from FBP ofall temporary (JL approved) heating devices before

delivery of such units tó the work area. The request shall include type, number, use, locations, operating

instructions and resftictions, methods of fueling, and fuel storage provisions.

Cooling Towe r Restrictions

No smoking, welding, brazing, spark producing, or presence of any open flame type equipment will be

perrnitted oq or within 50 feet, of the cooling towers.

END OF SECTTON

A

SCA wage Determination 05-2423 Rev 18

SERVICE CONTRACT ACT WAGE DETERMINATION

Page 1

Page I of 10

************* THIS ¡]AGE DETERMINATION I{AS REPLACED 06/27/2076 *************wD 05-2423 (Rev.-18) was first posted on ww\¡t.wdol.gov on 0I/05/20L6************************************************************************************REGISTER OE WAGE DETERMINATIONS UNDER

THF, SERVICE CONTRACT ACT

By direction of the Secretary of Labor

U.S. DEPARTMENT OF LABOR

E,MPLOYIIíENT S TAÌ'íDÀRDS ADi"í i Ìì i S TRÀT i OÌi

WAGE AND HOUR DIVISIONWASHINGTON D.C. 2O2IO

Daniel W. SimmsDirector

Divislon ofWage Determinations

Vlage Determination No.Revision No.

Date Of Revision

2005-24231B

72/29/20a5

Note: Under Executive Order (EO

calendar year 2016 applies to all contracts subject to the Service ContractAct for which the solicitation was issued on or after January 1, 2015- If thiscontract is covered by the EO, the contractor must pay a1l workers |n anyclasslfication l-ìsted on this wage determination aL least $10.15 per hour (or

the applicable wage rate listed on this wage determination, if -it is higher)rr L^..-^ -^^-+ n¿rr¡rm.inn nn l-l¡o ¡nntr¡ct in ealenclar vear 2016. The EO

IUI d11 lluu!Ð ÈPçIrL ¡Jç!!v!!rrr11Y

mlnimum wage rate wilÌ be adjusted annually. Additional information on

contractor requirements and worker protections under t'he EO is available atwww. dof . gov /whd/ qovcontracts .

State: Ohio

Area: Ohio counties of Adams, Athens, Gallia, Highland, Hocking, Jackson,Lawrence, Meígs, Pike, Ross/ Scioto, Vinton

) 1365 B, an hourly minimum wage of $10.15 for

**Fringe Beneflts Required Folfow the occupational Listing**OCCUPAT]ON CODE - TITLE01000 - Administrative Support And crerlcai uccupariorrs

01011 - Accounting Clerk I0701_2 - Accounting Clerk II01013 - Accounting Clerk III01020 - Administrative Assistant

Court ReporterData Entry OPerator IData Entry Operator IIDispatcher, Motor VehicÌeDocument PreParation ClerkDupllcating Machine oPeratorGeneral Clerk IGeneral CIerk IIGeneral Clerk IIIHousing Referral AssistantMessenger CourierOrder Clerk IOrder Cferk fIPersonnel Assistant (Empfoyment)Personnel Assistant (Employment)Personnef Assistant (Empfoyment)Production Controf ClerkReceptionistRentaf ClerkScheduler, MaintenanceSecretarY ISecretary IISecretary IIIService order DisPatcher

01040010 510105201060010?00109001111OILI20111307r2001141011 91OII92O126I01262012630121 0

012800129001300013110r372013130r320

IIIIII

FOOTNOTE RATE

10.9172 .5614.03I1 .'l 0

18.49TI .4112 .5217.05L2.16i2.i6r0 .4211.3772 .'7 615 .19TL.2610.4511. B012 .9674 .5776.7178.17r0.21

9.8472 .6672 .66I4.I615 .1915.16

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Page 2 of 10

014100L420015 310r5320153301611OI61201613

0s000 -0500s0501005040050700 511005130051600519005220052500528005310053400537005400

07000 -070100't 0 4t0'7 042070700713 0

01 2I001 260

09000 -090100904009080090900 911009130

11000 -1103011060110901II221115 0

II2IOII24Or7260L721 0

1133011360

12000 -l-2070r2071r2072720757202072025r203072035I20 4072017

11 .107r.2712.86

14.55r7.2712 .58r4 .01

11 .2676 .6015. 8715. 8774 .4271 .2615. 8776.'71r4 .3315.1315. B716.6015.8713. 8711 .26

- Supply Technician- Survey Worker- Travef Clerk I- Travef Clerk II- Travef C]erk III- ülord Processor I- Word Processor II- trrlord Processor IIIAutomotive Service Occupations- Automobile Body Repairer, Fiberglass- Automotive Electrician- Automotive Glass Instalfer- Aul-omotive !ùorker- Mobife Equipment Servicer- Motor Equipment Metal Mechanic- Motor Equipment Metal !,lorker- Motor Vehicfe Mechanlc- Motor Vehicfe Mechanic Helper- Motor Vehlc-Ie Upholstery !!orker- Motor Vehicle Wrecker- Painter, Automotive- Radiator Repair Specialist- Tire Repairer- Transmission Repair SpecialistFood Preparation And Servlce Occupations- Baker- Cook I- Cook II- Dishwasher- Food Service Vûorker- Meat Cutter- !ûalter,/Vûa-itres sFurniture Maintenance And Repair Occupations- Electrostatic Spray Painter- Furniture Handfer- Furniture Refinisher- Furniture Refinisher Helper- Furniture Repairer, Minor- UpholstererGeneraf Services And Support Occupations- Cleaner, VehicÌes- Efevator Operator- Gardener- Housekeeplng Aide- Janltor- Laborer, Grounds Maintenance- Maid or Houseman- Pruner- Tractor Operator- Trail Maintenance Worker- Vtindow C]eanerHealth Occupations- Ambulance Driver- Breath Alcohof Technician- Certified Occupational Therapist Assistant- Certified Physical Therapist Assistant- Dentaf Assistant- Dental Hygienlst- EKG Technicían- Efectroneurodiagnostíc Technologist- Emergency Medícal Technician- Licensed Practicaf Nurse I

16.067476111116I2

18.1812 .0018.1874 .0616.3018.18

11.1717 .7114 .6617.22TI.2272.2810.0471 .2213. BB

72 .2812 .40

13.5315.712r .2720 .4113 .272'7 .522I .542r .5413.5374 .04

66063131062B

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12012 - Licensed Practícal Nurse II12013 - Licensed Practical Nurse III72L00 - Medicaf AssistantI2L3O - Medical Laboratory Technician12760 - Medical- Record CÌerkI2I9A - MeCicaf Record Techni cranI2I95 - Medlcaf TranscriPtionistf2270 - Nucfear Medicine Technologist12227 - Nursing Asslstant I12222 - Nursing Assistant II72223 - Nursing Assistant IIT12224 - Nursing Assistant IV12235 - OpticaÌ DisPenser12236 - optical Technician72250 - Pharmacy Technician1,2280 - Phlebotomist12305 - Radiologic TechnologistI231,L - Registered Nurse I12372 - Registered Nurse III23I3 - Registered Nurse II, Specialist12374 - Registered Nurse III

n-^^!L^tl -!I¿3I5 - KegÌSLere(-l r\Uf5C llr/ ô1rçÞLlrsLfùL

72376 - Registered Nurse IV1237? - Scheduler (Druq and Alcohol Testing)

13000 - Information And Arts Occupations13011 - Exhibits SPecialist I13012 - trxhlbits SPeclalist II13013 - Exhibits SPecialist III13041 - llÌustraLor i73042 - Ilfustrator II13043 - Ilfustrator III\304'1 - L-ibrarian13050 - Library Aide/Clerk13054 - Llbrary Information Technology Systemsn,{-i -i olr-1-^r

13058 - LibrarY Technician13061 - Media SPecialist IL3062 - Media Specialist If13063 - Media SPecialist III13071 - PhotograPher IL3012 - Photographer II13073 - PhotograPher III13014 - PhotograPher IV13075 - PhotograPher V

13110 - Video Teleconference Technician14000 - Information Technology Occupations

I404I - Computer OPerator I74042 - ComPuter OPerator IIL4043 - Computer OPerator IlI'l A1'¿A - l-nmnrrter Onerator fV74045 - ComPuter Operator V

1.4011, - Computer Programmer I140'12 - ComPuter Programmer II\4013 - Computer Programmer III740'1 4 - Computer Prograrffner IV14101 - ComPuter SYstems AnalYst I74702 - Computer Systems Analyst Tr14103 - Computer Systems Analyst III14150 - Peripheral Equipment Operator14L60 - Personal- Computer Support Technician

15000 - Instructional Occupations15010 - Aircrew Training Devices Instructor (Non-Rated)

Page 3 of l0

15.7i71.5217.'1776.7312 .6914.1972 .8228.11

9.3810.5511.5112 .92r5 .4174 .0413.63L2 .9222 .812I .8926 .'t B

26 .1832 .40?2 AO

38. B379 .4'l

17.152r.2526 .001?.152r .2526 .0023 .5311.37

14.8015.3317.1519.1313.8115.4519.1422 .6926 .4616 .45

74 .6rI8.122r.7522 .6625 .092r.1424 .22

(see 1)(see 1)

(see 1)(see 1)

25 .51

74 .6r22 .66

25 .51

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Page 4 of 10

150201503015050150 601507015080150901509515110I512O

16000 -160101 6030160401607016090161101613 0

1616016190r622076250

19000 -19 01019040

21000 -2r0202L0302t04021050270't72108021 1,702II3O2IT4O2L7502727021470

23000 -230r02302r2302223023230402305023060230802377023r2023r2523r3023r4023r6023L8I2378223783232602329023370233II23372233'1 0

- Aircrew Training Devices Instructor (Rated)- Air Crew Training Devices Instructor (Pilot)- Computer Based Tralning Specialist / Instructor- Educationaf Technologist- Flight Instructor (Pilot)- Graphic Artist- Technicaf Instructor- Technical Instructor/Course Developer- Test Proctor- TutorLaundry, Dry-Cleaning, Pressing And Refated Occupations- Assembler- Counter Attendant- Dry Cleaner- Finisher, I'latwork, Machlne- Presser, Hand- Presser, Machine, Drycleanrng- Presser, Machine, Shirts- Presser, Machine, V0earing Apparel, Laundry- Sewinq Machine Operator- Tailor- Washer, MachineMachine Tool Operation And Repair Occupatìons- Machlne-Too1 Operator (Too1 Room)- Toof And Dle MakerMateriafs Handling And Packing Occupations- Forkfift Operator- Materia-L Coordinator- Material Expediter- Materiaf Handling Laborer- Order Fiffer- Production Line Worker (Food Processing)- Shipping Packer- Shipplng/Receiving Clerk- Store Worker I- Stock Clerk- Tools And Parts Attendant- Warehouse SpecialistMechanics And Maintenance And Repair Occupations- Aerospace Structural WeÌder- Aircraft Mechanic I- Aircraft Mechanic II- Aircraft Mechanic IIf- Alrcraft Mechanic Helper- Aircraf t, Paì-nter- Aircraft Servi-cer- Aircraft Worker- Appliance Mechanic- Bicycle Repairer- Cable Spllcer- Carpenter, Maintenance- Carpet Layer- Electrician, Maì-ntenance- E-Lectronics Technician Maintenance I- Efectronics Techniclan Maintenance II- Efectronics Technician Maintenance IfI- Fabrlc Worker- Fire Alarm System Mechan-ic- Fire Extinguisher Repairer- Fuef Distribution System Mechanic- Fuel Distribution System Operator- General Maintenance !ùorker

30 .9436.5325 .5'l21 .4836.5319 .34L9 .3223 .6415.6015.60

9.139

119

9

9

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9

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13.6978.1178.1112.13r2.4573 .6913. B613. B612 .0876.4r13.6913.69

20 .6319.8020 .6327 .49l 5.1218.9111 .3678.2018.6913. B7

26.1319.5818.5823 .182I .7223 .3324.18r6.6719.7715.4819 .6475.1114.33

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Page 5 ofl0

23380 - Ground Support Equipment Mechanic23387 - Ground Support Equipment Servicer23382 - Ground Support Equipment !úorker2339i - Gunsmith I23392 - Gunsmith II23393 - Cunsnlth IfI23410 - Heating, Ventilat-ion And Air-ConditioningMechanic234II - Heating, Ventilation And Air ContditioningMechanic (Research FacilitY)23430 - HeavY EquiPment Mechanic23440 - Heavy EquiPment OPerator23460 - Instrument Mechanic23465 - Laboratory,/Shelter Mechanic23410 - Laborer23510 - Locksmith23530 - Machinery Maintenance Mechanic23550 - Machinist, Maintenance23580 - Maintenance Trades HelPer23597 - MetrologY Technician I23592 - MetrologY Technician II23593 - lvleLro-Logy leellllÌuldlt aaa23640 - Millwright23'770 - Office Appliance Repairer23'160 - Painter, Maintenance23190 - PiPefitter, Maintenance23870 - Plumber, Maintenance23820 - Pneudraulic Systems Mechanic23850 - Rigger238'70 - Scale Mechanic23890 - Sheet-Metaf tr'iorker, Maintenance23910 - Smal1 Engine Mechanic23937 - Telecommunications Mechani-c I23932 - Tefecommunications Mechanic II1?ôtrn - nalanl-¡nna Tìnom¡nI u!vyravr¡\-

23960 - Welder, Comblnation, Maintenance23965 - Well Drifler23970 - lrloodcraft trrlorker23980 - Woodworker

24OOO - Personaf Needs Occupations24510 - Child Care Attendant24580 - Child Care Center Clerk24670 - Chore Aide24620 - Family Readiness And Support ServicesCoordinator24630 - Homemaker

25000 - Plant And System Operations Occupations25010 - Boiler Tender25040 - Sewage Plant OPerator25A7A - Si-ai-.i onarlr Engi neer25t90 - Ventilation Equipment Tender2521-0 - Water Treatment Pl-ant Operator

2'lOOO - Protective Service Occupations21004 - Afarm Monitor21001 - Baggage InsPector21008 - Corrections Officer21 OIO - Court Secur-itY Officer2'1030 - Detectlon Dog Handler2'r-040 - Detention Officer2'70'1 0 - Fj-refj-ghter21701 - Guard I21102 - Guard fI

i9.80[t.36IB.2015 .48T1 .18IY.UU18.45

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17.3825 .39zo. Jo23 .307'7 .6419.5819. B015.48

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Page 6 of l0

IÕ . ZZ20.24

21137 - Pofice Officer I21732 - Police Officer I

28000 - Recreation Occupations2804I - Carnival Equipment Operator28042 - Carnival Equipment Repa_irer28043 - Carnivaf Equpment VrJorker28270 - Gate Attendant,/Gate Tender28370 - T,ì-feguard28350 - Park Attendant (Aide)28510 - Recreation Aide,/Health Facility Attendant28515 - Recreation Specialist28630 - Sports Officiaf28690 - Swimming Pool Operator

29000 - Stevedoring,/Longshoremen Occupational Services29010 - Bfocker And Bracer29020 - Hatch Tender29030 - Line Handfer29047 - Stevedore I29042 - Stevedore II

30000 - Technical Occupations30010 - Air Traffic Controf Specialist, Center (HFO)30011 - Air Traffic Control Specialist, Station (HFO)30012 - Air Traffic Controf Speclalist, Terminal (HFO)30021 - Archeofogical Technician f30022 - Archeofogical Technician II30023 - Archeologlcal Techniclan III30030 - Cartographic Technician30040 - Civif Engineerlng Technlcian30061 - DrafLer/CAD Operator I30062 - Drafler/CAD Operator II30063 - Drafter,/CAD operator III30064 - DrafLer/CAD Operator IV30081 - Engineering Technician I30082 - Engineering Technician II30083 - Engineering Technician IfI30084 - Engineerìng Technician IV30085 - Engineering Technician V30086 - Engineering Technician VI30090 - Environmental Technician30270 - l,aboratory Technician30240 - Mathematical Technician30361 - Paralegal/Lega1 Assistant f30362 - Paralegal,/Legal Assistant TI30363 - Paralegal,/Legal Assistant TII30364 - Paralegal/Lega1 Asslstant fV30390 - Photo-Optics Technician3046I - Technical Writer I30462 - Technical Vüriter IT30463 - Technical !ùriter fII30491 - Unexploded Ordnance (UXO) Technician I30492 - Unexploded Ordnance (UXO) Technlcian II30493 - Unexploded Ordnance (UXO) Technician III30494 - Unexploded (UXO) Safety Escort30495 - Unexploded (UXO) Sweep Personnel30620 - Weather Observer, Combined Upper Aj-r OrSurface Programs30627 - Weather Observer, Senior

31000 - Transportation/Mobile Equipment Operation Occupa31020 - Bus A,ide31030 - Bus Driver31043 - Driver Courier3L260 - Parklng and Lot Attendant

74.1515.5B12 .0713.3611.9074 -9410.9117.0311.91r1 .6'7

11 .TI17.1171.7716 .3618.00

(see 2)(see 2)(see 2 )

(see 2)

(see 2)Lions

35 -1124 .6621.1616. 51IB .4122 .8922 .8920 .4816.5178 .4120 .6025 .3415.5818.2420 .2325 .2930.93

79.2919 .2622.1771 .'7 42I .9626 .8932 .5422 .8922 .8928 .0033.0322.142'1 .5I32 .9122 .1422 .1420 .60

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31290131310313 613L362313 63JIJUA

99000 -99030990509909599257992529 93109941099s1099'1 r0991 tr99'1 30998109982099830998319983299840998 47998 42

i2 .169.11

1,2 .1 615.11L6.2116 -21

- Shuttle Bus Driver-'1'axr iJrrve.r- Truckdriver, Light- Truckdriver, Medium- Truckdriver, HeavY

m-.,^ì,^-i"^- Tr.^l^T-Tr:i lcr- aruu^ur!vu!,Miscelf aneous OccuPations- Cashi-er- Desk Clerk- Embalmer- LaboratorY Animal Caretaker I- LaboratorY Animal Caretaker II- Mortician- Pest Controfler- Photofinishing ltiorker- Recycling Laborer- Recycling SPecìalist- Refuse Cofl-ector- Sales Cferk- Schoof Crossing Guard- Survey PartY Chief- Surveying Aicie- Surveylng Technician- Vending Machine Attendant- r/ending Machine RePairer- Vending Machlne RePairer HelPer

1 .99r0.7422 .4713 .2013.8621.9375 .4610.9613.9476 .9212.1310.3111.3171 .1911 _ 7876.1113.8816 .0613.88

ALL OCCUPATIONS LISTED ABOVE RECEIVE THE FOLLOWING BENEFITS:

. rnrrD'DF, 4A .1 nar ¡nrrr nr Slf 0 80 ner week or 5740.13 per monthnLA!fn q vvÉ!!õr\!. l=.-

VACATION: 2 weeks paid vacation after 1 year of service with a contractor orsuccessori 3 weeks after 10 years | 4 afLer 15 years, and 5 after 25 years' Length

of service j-ncfudes the whole span of continuous servÍce with the present contractoror successor, wherever employed, and with the predecessor contractors in theperformance of similar work at the same Federal facility. (Reg' 29 CFR 4'173)

IIQLIDAYS: A minimum of efeven paid holidays per year: New Year's Dalr MartlnLuther King Jr's Birthday, i{ashington's Birthday, Good Eriday, Memorial Day,

Independence Day, Labor óay, Columbus Day, Veterans' Day, Thanksgiving Day' and

christmas Day. A contractor may substitute for any of the named holidays anotherday off with pay in accordance with a plan communicated to the employees involved' )

(See 29 CFR 4.174)

THE OCCUPATIONS WHICH HAVE NUMBERED FOOTNOTES IN PARENTHESES RECE]VE THE FOLLOWING:

1) COMPUTER EMPLOYEES: Under the SCA at section 8(b), this wage determination does

not apply to any employee who individuaÌty quatifies as a bona fide executive'administrative, or p.oies"ional employee as defined in 29 c-F'R. Part 541' Because

most computer system Analysts and computer Programmers who are compensated at a ratenotlessthan$27.63(oronasalaryorfeebasisataratenotlessthan$455perweek) an hour would 1ike1y quallfy as exempt computer professionals, (29 c'F'R' 541'

400) wage rates may not uá ii"te¿ on this wage determination for all occupationswithin iho"" job families. In addition, because this wage determínation may notl_ist a r¡rage rate for some or all occupations within those job families if the survey

http :i/www.wdol.gov/wdol/scafiles I archiv el scal 05 -2423't1 8 tUr4l20r6

Page 8 of10

data indicates that the prevailing wage rate for the occupation equals or exceedsç2'7.63 per hour conformances may be necessary for certain nonexempt employees. Forexample, if an individuaf employee is nonexempt but neverthe-Less performs dutieswithin the scope of one of the Computer Systems Analyst or Computer Programmeroccupations for whlch t.his wage determlnation does not specify an SCA wage rate,then the wage rate for that. employee must be conformed in accordance with theconformance procedures described in the conformance note included on thls wagedetermination.

Additlonafly, because job titles vary widely and change quickly in the computerindustry, job tltles are not determinative of the application of the computerprofessional exemptlon. Therefore, the exemption applies onfy to computer employeeswho satisfy the compensat.lon requirements and whose primary duty consists of:

(1) The applicat.ion of systems analysis techniques and procedures, includingconsultlng wlth users, to determine hardware, software or system functionalspeclfications i

(2) The design, development, documentation, analysis, creation, testing ormodifj-cat-ion of computer systems or programs, including prototypes, based on andrelated to user or system design speclficatlons;

(3) The deslgn, documentat.ion, testlng, creation or mociificatlon of computerprograms related to machine operating systems; or

(4) A comblnation of the aforementioned duties/ the performance of whichrequires the same fevef of skiffs. (29 C.F.R. 541.400) .

2) AIR TRAFFIC CONTROLLERS AND WEATHER OBSERVERS - NIGHT PAY & SUNDAY PAY: Tf youwork at night as part of a regular tour of duty, you w-ilÌ earn a nrght differentiafand receive an additional 10å of basic pay for any hours worked between 6pm and 6am.ff you are a fulf-time employed (40 hours a week) and Sunday is part of your

regularLy scheduled workweek, you are paid at your rate of basic pay plus a Sundaypremium of 25% of your basic rate for each hour of Sunday work whlch i-s not overtime(i.e. occasional work on Sunday outside the normaf tour of duty is consideredovertime work) .

HAZARDOUS PAY DIFFERENTIAL: An B percent differentiaÌ is applicable to employeesemployed in a position that represents a high degree of hazard when working with orin close proximlty to ordinance, explosj-ves, and incendiary materials. Thisincl-udes work such as screening, blendíng, dying, mixing, and pressing of sensitiveordance, explosives, and pyrotechnic compositions such as lead azide, btack powderand photoflash powder. All dry-house activities involving propellants or explosives

Demilitarlzation, modification, renovation, demoÌition, and maintenance operatlonson sensitive ordnance, explosives and incendiary materlafs. All operationsinvolving regrading and cleaning of artilJ-ery ranges.

A 4 percent differential ls applicable to emp-Loyees employed in a position thatrepresents a 1ow degree of hazard when worklng w-ith, or in close proxlmit.y toordance, (or employees posslbly adjacent to) exploslves and lncendiary materialswhich involves potential injury such as faceration of hands, face, or arms of theemployee engaged in the operat-ion, irritation of the skin, m-inor burns and thefike; minimal damage to immediate or adjacent work area or equipment being used.AÌl operations invofving, unloading, storage/ and haufing of ordance, explosive, andincendiary ordnance material other than sma1l arms ammunitlon. These differentialsare only appllcable to work that has been specifically designated by the agency forordance, explosives, and incendiary material differentiaf pay.

** UNIFORM ALLOVüÀNCE **

If employees are requlred to wear uniforms in the performance of thls contract(either by the terms of the Government conLract, by the employer, by the state orlocal 1aw, etc.), the cost of furnishing such uniforms and maintaining (bylaunderlng or dry cleaning) such uniforms is an expense that may not be borne by anemployee where such cost reduces the hourly rate below that required by the trage

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determination. The Department of Labor will accept payment in accordance wlch thefollowing standards as compliance:

The contractol or subcontractor is required to furnish all employees with an

adequate number of uniforms without cost or to reimburse employees for the actualcost of the unifor.rns. In addii--ion, lvhere trniform cleaning and maÌntenance l-s ma(1e

the responsibility ef t-he employee, all contractors and subcontractors subject tothis wage determination shall (in the absence of a bona fide colfective bargainingagreement providing for a different amount, or the furnishing of contraryaifirmative proof as to the actuaÌ cost), reímburse ali employees for such clearringand maintenance at a rate of $3.35 per week (or $.67 cents per day) ' However, int.hose instances where the uniforms furnished are made of "wash and wear"materials, frâv be routinely washed and dried with other personal garments, and do

not require any special treatment such as dry cleanj-ng, daily washing, or commerciaflaundeiing in order to meet the cfeanl-iness or appearance standards set by the termsof the Government contract, by the contractor, by 1aw, or by the nature of the I'tork'there is no requirement that employees be reimbursed for uniform maint'enance costs '

The duties of employees under ¡ob titles listed are those described in the,,Servlce Contract Act Directory of Occupations", Fifth Eciitionf April 2A06,

r-rnless otherwise indicated. Copies of the Dírectory are avallable on the Internet. A-- L^ €^---! ^- +L^ r^lEn 1-\^mô n¡aa ¡l- l-¡l-1-n'//urw¡¡ rlol

IrnKs to Lne D-LIeeLUry lttdy us reulru url LlIs t-úYv uç

gov/esa/whd/ or through the Wage Determinations On-Line (I,ilDOL) lireb sit-e at}rLlp : / / v'tdo).. go.tr / .

REQUEST FOR AUTHORIZATION OF ADDITIONAL CLASSIFICATION AND WAGE RATE {Standard Form

7444 (sF 1444) )

Conformance Process

The contracting officer shalf require that any class of service employee which isno-' listed hereln and r+hich is to be emplo¡zed under the contract (i'e'' the work tobe performed is not performed by any cÌassification listed in the wage

determination), be classified by the contractol so as to provade a reasona'o-Le

-^r ¡r j ¡nchin t.i ê ânnrônri e1_e I e¡zel of skif I com'oarison) between such unf isted! srq u!vrrurrrr

classificatj-ons and the classifications I sted in the wage determination' Such

conformed classes of employees shaÌÌ be paid the monetary wages and furnished thefringe benefits as are determined. Such conforming process shafl be initiated bythe contractor prior to the performance of contract work by such unlisted class(es)of employees. The conformed classification, wage rate, and/ar fringe benefits shalfbe retroactive to the commencement date of the contract. {See Section 4.6 (C) (vi))!!hen multiple wage determinations are incÌuded in a contract' a separate SF I444shoufd be prepared for each wage determj,nation to which a cfass (es) is to be

conformed.

The process for preparing a conformance request is as follows:

1) I¡lhen preparing the bid, the contractor identifies the need for a conformedoccupation(s) and computes a proposed rate(s) '

2) After contract award, the contractor prepares a written report listing in orderproposed classification title(s), a Federal grade equÍvafency (FGE) for eachptopo""a cfassification(s), job description(s). and rationafe for proposed wage

iatã(s), inctudlng information regardìng the agreement or disagreement of theauthorized representative of the empÌoyees involved, or where there is no authorizedrepresentative, the employees themselves. This report shoufd be submitted to thecontracting officer no later than 3O days after such unfisted class(es) of employeesperforms any contract work.

3) The contracting officer revlews the proposed action and promptly submits a reportof the action, together wj-th the aqency's recommendations and pertinentinformatlon incluàing the position of the contractor and the empfoyees, to the vÛage

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and Hour Division, Employment Standards Administration, U.S. Department of Labor,for review. (See sect j-on 4.6(b) (2\ of Regulatj-ons 29 CFR Part 4) .

4) Vgithin 30 days of recej-pt, the Wage and Hour Division approves, modifies, ordisapproves the action via transmittal to the agency contracting officer, ornotj-fies the contracting officer that additionaf tíme will be required to processthe request.

5) The contracting officer transmits the û,Jage and Hour decÍsion to the contractor

6) The contractor informs the affected employees

fnformation required by the Regulatlons must be submitted on SF 1444 or bond paper

Vühen preparing a conformance request, the "Service Contract Act Directory ofOccupations" (the Directory) shou-ld be used to compare job definitlons to insurethat duties requested are not performed by a cfassification already fisted in thewage determination. Remember, it is not the job tì-tle, but the requì-red tasks thatdetermlne whether a cfass is included in an established wage determination.Conformances may not be used to artificiafly spJ-it, combine, or subdivideclassifications listed in the wage determination.

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