USACE APP - Sample (2014)

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(PROJECT TITLE)
USACE PROJECT NUMBER:
(Enter Project Number)
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Prepared By: Prepared for:

Your Company Name
Logo Here
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Insert Company USACE Contract Number: Insert Contract #
Name/ Logo USACE Project Title
Project Location
Accident Prevention Plan
TABLE OF CONTENTS
Acronyms and Abbreviations
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Section 1 Signature Sheet
Section 2 Background Information
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Section 3 Statement of Safety and Health Policy
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Section 4 Project Organization
Section 5 Subcontractors and Suppliers
Section 6 Training
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Section 7 Safety and Health Inspections
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Section 8 Accident Reporting
Section 9 Required Plans

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Section 10 Risk Management Processes

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Appendix I Personnel Qualifications

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Appendix I I Material Safety Data Sheets
6/22/2015 TOC, Page i
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necessary to promote safety at the job site up to and including stopping work if
necessary. See Section 4 of the APP for additional information on personnel
requirements and expectations concerning safety.
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Pre-Placement Employee Evaluation: Employees' skills and training are
considered prior to hiring or assigning duties. Through this evaluation,
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employees are placed in positions to best serve the project in achieving safe and
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efficient operations.
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Task Training: Employees must fully understand both the safety and production
requirements of their respective tasks before they are assigned to perform work.
If an employee is new to a task they are provided on-the-job-training or formal
training as necessary to fully grasp these requirements. See Section 6 of this
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APP for additional information on training.
a. Safety Orientation and Training

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Ø Site orientation: All employees are required to attend a site orientation

for this project. See Section 6 of this APP for more details regarding
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employee orientations and training.

Ø Owner involved in orientation: It is the goal of Company Name to have
the Project Management participation in each and every orientation.
Ø Safety policies and procedures: Safety Policies and Procedures are
prescribed in this APP. This APP forms the core and substance for the
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project safety orientation. Additionally, this APP is made available to all

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project employees for reference.

Ø Project specific orientation: Project specific orientations for this project
are given in concert with the site orientation. Again, Section 6 of this APP
provides additional details concerning orientations.
Ø Formal safety training: Formal Safety training requirements are
presented in Section 6 of this APP.
6/22/15 Section 2, Page 2

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• Written warning outlining nature of offense and necessary corrective action with
documentation in personnel file;
• Disciplinary suspension with documentation in personnel file or Termination
• Termination
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Management, including superintendents, shall be subject to disciplinary action for the
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following reasons:
Repeated safety rule violations by their employees;
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•
• Failure to provide adequate training prior to job assignment;
• Failure to report accidents or provide medical attention to employees injured at
work;
• Failure to control unsafe conditions or work practices;
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• Failure to maintain good housekeeping standards or cleanliness at projects.
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4.6. Management Safety Accountability
Management is ultimately held responsible for construction safety. All accidents can be
avoided. All management including job foremen all the way to the Corporate Safety
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Manager are tasked with staying abreast and accountable for safety on the project.
Superintendents and project managers are evaluated on safety records for their
respective projects. Where safety proves to be outstanding or good, they are justly
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rewarded and recognized within the company for an outstanding safety record.
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Where safety appears to be a recurring issue, they are encouraged to take additional
training and their performance is duly noted. Safety infractions will always consider the
management of the task as a contributing cause and paths will be sought to identify any
management shortcomings and improve management procedures.


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Preserve the conditions and evidence on the accident site until the Government
investigation team arrives on-site and Government investigation is conducted.
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8.4 EM 385-1-1 Reporting and Recordkeeping Requirements
A mishap is any unplanned, undesired event that occurs during the course of work
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being performed. The term “mishap” includes accidents, incidents and near misses.
See EM 385-1-1, Appendix Q and reporting thresholds and criteria in Section 01.D.03.
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All mishaps occurring incidentally to an operation, project, or facility shall be
investigated, reported, and analyzed as prescribed by the Contracting Officer.
a) Employees are responsible for reporting all injuries or occupationally

related illnesses as soon as possible to their employer or immediate
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supervisor.
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b) Employers and immediate supervisors are responsible for reporting all

injuries to the Contracting Officer as soon as reasonably possible but no
later than 24 hours after notification from the affected employee.
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c) No supervisor may decline to accept a report of injury from a subordinate.
In addition to the reporting requirements identified above, the employer is required to

report:
A. Property damage (exceeding $5,000 is recordable);

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B. Days Away Injuries;

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C. Days Away Illnesses;
D. Restricted/Transfer Injuries.
Boards of Investigation: An incident that has, or appears to have, any of the

consequences listed below shall be immediately reported to the COR. The following


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incidents shall be investigated in depth to identify all causes and to recommend hazard
control measures.
a. Fatal injury/illness;
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b. Permanent totally disabling injury/illness;
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c. Permanent partial disabling injury/illness;
d. Three or more persons hospitalized as inpatients as a result of a single
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occurrence;
e. $200,000 or greater accidental property damage or damage in an amount

specified by USACE in current accident reporting regulations
f. Arc Flash Incident/Accident; or

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g. Three or more individuals become ill or have a medical condition, which is
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suspected to be related to a site condition, or a hazardous or toxic agent on the

site.
Contractors are responsible for notifying OSHA in accordance with 29 CFR 1904.39
within 8-hours when their employee(s) is fatally injured or 3 or more persons are
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hospitalized as inpatients as a result of a single occurrence.
Note: The reporting and associated investigation of these mishaps is considered

a leading indicator. As such, this information is to be used for data collection,
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data trending and correction of hazards or program deficiencies before they

result in an accident. To encourage reporting of these mishaps, for the
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betterment of all, this data is NOT to be used for any other reason. See Appendix
Q (in EM 385-1-1) for definitions.
Except for rescue and emergency measures, the mishap scene shall not be disturbed
until it has been released by the investigating official. Company Name is responsible for
obtaining appropriate medical and emergency assistance and for notifying fire, law


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SECTION 9
REQUIRED PLANS, PROGRAMS

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AND PROCEDURES
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(Specification Section 01 35 26 §1.6 & 1.12, 1.14, 1.15, & Part 3;

EM385-1-1, Appendix A, Section i)
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PROJECT NAME
PROJECT LOCATION
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6/22/15 Section 9, Title

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Table of Contents

9.0 E.M. 385-‐1-‐1 Required Plans ............................................................................................................ 1
9.a Fatigue Management Plan (01.A.20) ................................................................................................ 1
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9.b Emergency Response Plans .............................................................................................................. 2
9.c Plan for Prevention of Alcohol and Drug Abuse (01.C.02) .............................................................. 14
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9.d Site Sanitation Plan (Section 02.B) ................................................................................................. 16
9.e Medical Support Plan, (03.A.01; 03.A.06; 03.D) ............................................................................. 19
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9.f Bloodborne Pathogen Plan (03.A.05) ............................................................................................. 24
9.g Exposure Control Plan (03.A.05) ..................................................................................................... 34
9.h Site Layout Plan (04.A) ................................................................................................................... 35
9.i Access/Haul road Plan (04.B) ......................................................................................................... 36
9.j Hearing Conservation Program (05.C) ............................................................................................ 37
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9.k Respiratory Protection Plan (05.G) ................................................................................................. 40
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9.l Health Hazard Control Program (06.A) ........................................................................................... 41

9.m Hazard Communication Program (06.B.01) .................................................................................... 42
9.n Process Safety Management Plan (06.B.04) ................................................................................... 47
9.o Lead Abatement Plan (06.C & Specs) ............................................................................................. 48
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9.p Asbestos Abatement Plan (06.C & Specs) ...................................................................................... 49

9.q Radiation Safety Program (06.F) ..................................................................................................... 50
9.r Abrasive Blasting Plan (06.I) ........................................................................................................... 51
9.s Heat/Cold Stress Monitoring Plan (06.J) ........................................................................................ 52
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9.t Indoor Air Quality Management Plan (06.L) ................................................................................... 59

9.u Mole Remediation Plan (06.L.04) ................................................................................................... 60
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9.v Chromium (VI) Exposure Evaluation (06.M) ................................................................................... 61

9.w Crystalline Silica Assessment (06.N) ............................................................................................... 62
9.x Lighting Evaluation (07.A) ............................................................................................................... 63
9.y Lighting Plan for Night Operations (07.B.06) .................................................................................. 67
9.z Traffic Control Plan (08.C.05) ......................................................................................................... 68
9.aa Fire Prevention Plan (09.A.01) ........................................................................................................ 69
6/22/15 Section 9, Page i


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9.bb Wild Land Fire Management Plan (09.L) ........................................................................................ 81

9.cc Arc Flash Hazard Analysis (11.B) ..................................................................................................... 82
9.dd Assured Equipment Grounding Control Program (AEGCP), (11.D.05, App D) ................................ 84
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9.ee Hazardous Energy Control Plan, (12.A.01) ..................................................................................... 86
9.ff Standard Pre-‐Lift Plan (LHE) (16.A.03, 16.L.15) .............................................................................. 95
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9.gg Critical Lift Plan – LHE (16.H) .......................................................................................................... 99
9.hh Naval Architectural Analysis (16.L) ............................................................................................... 107
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9.ii Contingency Plan for Severe Weather (19.A.03) .......................................................................... 108
9.jj Man Overboard/Abandon Ship (19.A.04) ..................................................................................... 109
9.kk Float Plan (19.F.04) ....................................................................................................................... 110
9.ll Fall Protection Program, (21.D) .................................................................................................... 111
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9.mm Demolition/Renovation Plan (to include engineering survey), (23.A.01) ..................................... 116
9.nn Rope Access Program, (24.H.02) .................................................................................................. 117
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9.oo Excavation/Trenching Plan, (25.A.01) .......................................................................................... 118

9.pp Underground construction fire prevention and protection Plan, (26.D.01) ................................. 121
9.qq Compressed Air Plan, (26.I.01) ..................................................................................................... 122
9.rr Formwork and Shoring Erection and Removal plan, (27.C) .......................................................... 123
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9.ss PreCast Concrete Plan, (27.D) ...................................................................................................... 124

9.tt Lift. Slab Plans, (27.E) ................................................................................................................... 126
9.uu Masonry Bracing Plan, (27.F.01) ................................................................................................... 127
9.vv Steel Erection Plan, (28.B) ............................................................................................................ 128
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9.ww Explosives Safety Site Plan (ESSP) (29.A) ...................................................................................... 129

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9.xx Blasting Plan, (29.A; 26.J) ............................................................................................................. 130

9.yy Underwater Dive Operations Plan, (30.A.14, 16) ......................................................................... 131
9.zz Tree Felling/Maintenance Program, (31.A) .................................................................................. 132
9.aaa Aircraft/Airfield Construction Safety & Phasing Plan, (32.A.02) ................................................... 133
9.bbb Site Safety and Health Plan (HTRW), (33.B) .................................................................................. 134
9.ccc Confined Space Entry Program, (34.A.06, 07) .............................................................................. 135
6/22/15 Section 9, Page ii


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9.c Plan for Prevention of Alcohol and Drug Abuse (01.C.02)
Company Name (the Company) intends to help provide a safe and drug-free work
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environment for our clients and our employees. With this goal in mind and because
of the serious drug abuse problem in today's workplace, we have established the
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following policy for existing and future employees of Company Name and all lower
tier contractors that will perform work on project locations.
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The Company explicitly prohibits:
The use, possession, solicitation for, or sale of narcotics or other illegal drugs,
alcohol, or prescription medication without a prescription on Company or
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customer premises or while performing an assignment.
Being impaired or under the influence of legal or illegal drugs or alcohol away
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from the Company or customer premises, if such impairment or influence

adversely affects the employee's work performance, the safety of the
employee or of others, or puts at risk the Company's reputation.
Possession, use, solicitation for, or sale of legal or illegal drugs or alcohol
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away from the Company or customer premises, if such activity or involvement

adversely affects the employee's work performance, the safety of the
employee or of others, or puts at risk the Company's reputation.
The presence of any detectable amount of prohibited substances in the
employee's system while at work, while on the premises of the company or its
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customers, or while on company business. "Prohibited substances" include

illegal drugs, alcohol, or prescription drugs not taken in accordance with a
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prescription given to the employee.
The Company will conduct drug and/or alcohol testing under any of the following
circumstances:
AS A CONDITION OF EMPLOYMENT: All new employees will be required to

drug and alcohol tests as a condition of employment.


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local weather stations, then Table 9-2, the Approximate WBGT

Temperature Chart, should be used to approximate the WBGT.
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4) If Table 9-2 is used, direct radiant sun exposure, air velocity,
temperature, and humidity and adjustment factors for various work
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clothing should be taken into consideration.
Table 9-2
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Source: USACE EM 385-1-1 (2014)
I. Employees exposed to solar radiation with the potential for sunburn,

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should be encouraged to use sunscreen with a sun protection factor (SPF)

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of 30 or greater, and should wear hats, long sleeve shirts, sunglasses, and
other protective attire.
J. Workers who experience heat stress shall seek medical attention.

Workers who have more than one heat-related episode within a month
shall have a doctor’s written release prior to returning to exposures in a
potential heat stress environment.


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9.cc Arc Flash Hazard Analysis (11.B)
Whenever work on or near energized parts greater than 50 volts is necessary, a hazard
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analysis/arc flash hazard analysis will be conducted in accordance with NFPA 70E.
Either Appendices or Tables may be used to conduct the analysis.
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The flash protection boundary, approach distances, hazard/risk category and personal
protective equipment (PPE) requirements shall all be identified in the applicable AHA
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and clearly identifiable in the field prior to initiating work.
9.cc.1 Arc Flash PPE

Personal Protective Equipment (PPE) that provides appropriate arc flash
protection is required for all personnel working on or near exposed energized
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electrical equipment operating at 50 volts or more. Identification of required PPE is
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based on equipment arc flash labels or NFPA 70E task tables. Selection of PPE
will be in accordance with requirements in EM 385-1-1, Section 05.I.
Personal Protective Equipment garments shall meet and be labeled in accordance

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with ASTM F1506, Standard Specification for Flame Resistant Textile Materials for
Wearing Apparel for use by Electrical Workers Exposed to Momentary Electric Arc
and Related Thermal Hazards.
Arc rated clothing shall be properly worn. Long sleeves must be rolled down and
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buttoned, shorts are prohibited and trousers shall extend the full length of the leg.
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Garments with exposed metallic fasteners shall not be worn unless the garments
are properly arc rated.
Garments, to include fall protection harnesses, worn over arc rated protective
clothing, must also be arc rated.


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• Receive that training required of entrants;

• Be provided with and trained in the proper use of personal protective
equipment, including rescue equipment;
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• Be trained to perform the assigned rescue functions; and
• Complete a training drill - using mannequins or personnel in a simulation of
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the confined space - prior to, and at least annually thereafter, issuance of the
entry permit.
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If arrangements have been made for the use of outside rescue team services the
rescue team shall be informed of the hazards they may confront when called on to
perform rescue operations
9.ccc.2 Testing Requirements

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Permit Required Confined Spaces must be tested prior to entry.
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A. If the testing determines the oxygen is below 19.5% or above 23.5%, or the
lower explosive limit (LEL) of 10% is exceeded, or other toxic substances are
measured, then the space should be thoroughly ventilated and appropriate
PPE used for entry as directed by the CPCSSV. Entry is prohibited when the
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LEL is greater than 10% unless it is required for emergency rescue.
B. Air monitoring shall be continuous during entry into the confined space if the
oxygen level is not between 19.5% and 23.5% or ventilation was required to
lower the explosive limit to below 10% of the LEL.
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C. Air testing for toxic, corrosive, or irritant chemicals shall be made using a
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calibrated direct reader that provides a reading at a minimum of 50% of the

OEL. If the reading is over the OEL, then the space shall be ventilated until
the value is below the OEL and/or entry shall be made with appropriate PPE.
D. Before hot work is completed in a confined space with toxic, corrosive, or

irritating chemicals, the CPCSSV shall conduct an evaluation to confirm the
hot work will not create a toxic, corrosive, or irritant atmosphere. This


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that are performing that activity. AHAs are to be considered living documents and
are intended to be created in the field and updated by the workers as needed.
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E. The AHA shall be reviewed and modified as necessary to address changing site
conditions, operations, or change of CP(s)/QP(s).
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1. If a new CP/QP (not on the original list) is added, the list shall be updated (an
administrative action not requiring an updated AHA). The new CP/QP shall
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acknowledge in writing that they have reviewed the AHA and is familiar with
current site safety issues.
2. If the initial RAC increases due to a change made to the AHA by the workers, the
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AHA shall be resubmitted to COR for acceptance prior to work proceeding.
3. Changes to or updates to an AHA that do not increase the RAC are not required
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to be resubmitted for acceptance by the Government.
4. Workers/crews shall have in their possession the current AHA that reflects
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current site conditions, personnel, equipment, control measures, etc while the
work is being performed.
F. The AHA shall be used by Company Name and USACE personnel to assure work is
being performed consistent with the AHA. In the event that the work is not being
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conducted in a safe manner, Company Name and/or the USACE (COR or

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designated representative) shall immediately stop the unsafe work being conducted
until it is in compliance with this manual, APP and the AHA or the APP/ AHA is
revised and accepted by the Government, if necessary.
G. AHAs for completed work for the same contract or project work shall be readily
available on site (e.g., office, trailer, etc.) and accessible on site by all workers, for a
period of 12 months or, for contract work, the length of the contract;
6/22/2015 Section 10, Page 3


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6/22/2015 Section 10, Page 6


USACE APP - Sample (2014)

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Prepared By: Prepared for:

Accident Prevention Plan

Section 2 Background Information

Section 5 Subcontractors and Suppliers

Section 8 Accident Reporting

Section 9 Required Plans

Section 10 Risk Management Processes

Appendix I Personnel Qualifications

Appendix I I Material Safety Data Sheets

6/22/2015 TOC, Page i

Accident Prevention Plan

a. Safety Orientation and Training

Ø Site orientation: All employees are required to attend a site orientation

employee orientations and training.

project safety orientation. Additionally, this APP is made available to all

project employees for reference.

6/22/15 Section 2, Page 2

Accident Prevention Plan

Repeated safety rule violations by their employees;

4.6. Management Safety Accountability

6/22/15 Section 4, Page 8

Insert Company USACE Contract Number: Insert Contract #

Accident Prevention Plan

a) Employees are responsible for reporting all injuries or occupationally

b) Employers and immediate supervisors are responsible for reporting all

c) No supervisor may decline to accept a report of injury from a subordinate.

In addition to the reporting requirements identified above, the employer is required to

A. Property damage (exceeding $5,000 is recordable);

B. Days Away Injuries;

C. Days Away Illnesses;

Boards of Investigation: An incident that has, or appears to have, any of the

6/22/15 Section 8, Page 3

Insert Company USACE Contract Number: Insert Contract #

Accident Prevention Plan

d. Three or more persons hospitalized as inpatients as a result of a single

e. $200,000 or greater accidental property damage or damage in an amount

f. Arc Flash Incident/Accident; or

suspected to be related to a site condition, or a hazardous or toxic agent on the

hospitalized as inpatients as a result of a single occurrence.

Note: The reporting and associated investigation of these mishaps is considered

data trending and correction of hazards or program deficiencies before they

6/22/15 Section 8, Page 4

Insert Company USACE Contract Number: Insert Contract #

Accident Prevention Plan

REQUIRED PLANS, PROGRAMS

(Specification Section 01 35 26 §1.6 & 1.12, 1.14, 1.15, & Part 3;

6/22/15 Section 9, Title

Accident Prevention Plan

9.l Health Hazard Control Program (06.A) ........................................................................................... 41

9.p Asbestos Abatement Plan (06.C & Specs) ...................................................................................... 49

9.t Indoor Air Quality Management Plan (06.L) ................................................................................... 59

9.v Chromium (VI) Exposure Evaluation (06.M) ................................................................................... 61

6/22/15 Section 9, Page i

Insert Company USACE Contract Number: Insert Contract #

Accident Prevention Plan

9.bb Wild Land Fire Management Plan (09.L) ........................................................................................ 81

9.oo Excavation/Trenching Plan, (25.A.01) .......................................................................................... 118

9.ss PreCast Concrete Plan, (27.D) ...................................................................................................... 124

9.ww Explosives Safety Site Plan (ESSP) (29.A) ...................................................................................... 129

9.xx Blasting Plan, (29.A; 26.J) ............................................................................................................. 130

6/22/15 Section 9, Page ii